Hi everybody, I'm Dr. Harshana Bijlani, Medical Head Ageless Clinic.
Today, I'm going to talk to you about an amazing laser called Picosure.
So what Picosure do?
We as Indians are plagued with getting darker
in terms of pigmentation.
So what is pigmentation, is when the skin gets a little patchy
when it looks a little dull.
So for us we may not wrinkle as much as our Western counterparts
but we tend to get a little patchy skin.
So Picosure is a U.S. FDA approved laser
that is so quick it actually works on
one trillionth of a second.
So you can imagine what one trillionth of a second would be.
So most of us have used a Q-switch laser
if you've done any laser lightenings
but a Picosure is made from the same people
who invented the Q-switch laser
but it's much faster, far more effective
and the results are outstanding
What I also want to add is this is superb to do
on dark underarms, pubic area, knees
elbows and even a full body if that's something that you want to do.
Backs work really well.
So few acne scars on your back, few marks
or even chicken pock marks on the body
and this laser works really well on that.
So this laser has two handles.
One that does the lightening and one that does tightening.
So you're actually getting two benefits from one laser.
So what does the lightening do?
Dark circles, something that we as Indians are plagued with,
to even out our skin tone
so it works on pigmentation which could be related to the sun,
it could be tanning, it could be some chicken pock marks
or acne marks that you may have
and it overall evens out our skin tone.
So honestly even for somebody who wants a glow to the skin
it's a great laser to do
So that's one hand piece.
The second hand piece does the tightening.
So what does tightening mean?
Pesky open pores, fine lines
and just generally you feel like the quality of your skin
is not so great it's superb to do.
So we overlap both these hand pieces
and that's what the procedure of the laser is.
The day that you come in for your procedure,
you just need to cleanse your face with a light cleanser.
When you come in for the procedure,
for around 25 minutes to half an hour,
a numbing cream is applied on your skin.
After that the numbing cream is removed
and goggles are placed on your eyes
and the laser starts on your face.
The laser takes around 20 to 25 minutes to do a full face
and around half an hour to do a full face and a neck.
After that you're gonna feel a little bit of a burning sensation on the skin
and the skin will turn pink.
We put a lot of fans on your face
and after that you feel absolutely fine within two hours.
You can apply your makeup in the night
and you can go out in the night after the procedure.
So now I'm gonna go over who all are good candidates for this laser.
If you're above the age of 18,
and you don't have any medical issues
and you're not pregnant, you're a good candidate for the laser.
So people with any skin type can go in for this machine.
Those patients who have very very sensitive skin or rosacea
I would not recommend them to do it.
If you have active acne all over your face
I would not recommend you to do it.
However let's say you're coming in just for a dark circle treatment,
then you can still get it done as long as
there's no active acne on the area that you're doing it.
Those with eczema, as long as it's not active eczema
on the area that you do it
it's absolutely fine to do
and those with psoriasis again as long as it's not active psoriasis
or it's on the body and you're doing it on the face
it's fine to do.
People with vitiligo which is a white patch disease
I would not recommend them to do it.
even if your vitiligo is on another body part
and you want to do it on your face.
What are the few precautions that you need to take care of
before you come in for the procedure?
Any creams that contain any acids like glycolic acid,
retinoic acid that you may be using for your acne
or for a certain amount of pigmentation
I would advise you to stop using it
a couple of days before you come in for the procedure.
Just use your regular moisturizer and sunscreen and that's enough.
Let's say if you're on a tablet that reduces your acne
which is isotretinoin and you would know if you're taking isotretinoin,
you would stop it for a couple of months
before you come in for the procedure.
Apart from that, nothing really that you need to take care of
After the procedure, you can use your night moisturiser
and definitely use your sunscreen
What I would recommend is let's say you know you're going on a holiday
after a couple of weeks please don't do the procedure,
you should make sure that you're not directly sun exposed
for a good three to four weeks after the procedure.
Now living in a hot country like ours
I would not expect you not to do the procedure
if you're going day to day to work or you're just going
to the market that's absolutely fine to do
as long as you have a good SPF of 30
or above on your face.
What I mean by direct sun is going on a holiday
going on a beach that is what I would recommend
not for you to do.
You can start using your other creams from the next day.
And you can start doing your facials
and your cleanups literally from a week after your procedure.
What Picosure worked superbly on
are tattoo removals.
So if you have a regretted tattoo
if it's of various colours, if it's a tattoo that you may
have tried various other lasers to get rid of
but not very successfully or if it's a very stubborn ink
Picosure works the best.
Anywhere in the world you go, Picosure's
the number one laser for tattoo removal.
A lot of my patients ask me
how long are the results going to last for.
So let me give you an example.
Let's say I'm doing it on an acne scar that I got as a teenager,
the minute you do a couple of sessions
and the collagen gets built on the acne scar
it's gone permanently.
But let's say I'm doing it for an aging related issue.
I have a few fine lines, I have open pores
then of course maintenance sessions are going to be required.
With regards to pigmentation.
Again if it's something that was related to an injury
that you got a pigmentation
and we do a couple of sessions of the laser,
that's permanent.
But let's say I'm doing it for a slight dull skin
and I have an outdoor job,
I don't really take care of my skin,
I don't use a lot of products,
then again maintenance sessions would be required.
I did the Picosure laser treatment for the pigmentation
around my mouth and for a very old injury scar on my forehead.
Since this was my first time ever for a laser treatment,
I was quite nervous about how much it would hurt
and what the results would be.
The process started by application of numbing cream
on the concerned areas for about 15 minutes.
Now although my upper lip area didn't hurt as much
the area around my scar was really hurting a lot.
The bright side: it only lasts for a couple of seconds
and it pretty much is over before you know it.
As I was already warned by Dr. Harshana,
the treated areas did burn a bit for some time
and I was given a hand fan to cool the skin down
which actually did make me feel better.
Something unexpected was the fact that
the treated area on my head which was my scar
had really swollen up
and it took about two days for it to settle.
After a couple of days however, some skin in the area peeled off
and it looked better right away.
The skin around my mouth initially looked darker
but that too settled after a few days
and has been looking lighter than before
I got the Picosure laser.
The treatment in my opinion would be great
for someone with graver skin concerns or deep scars
and would benefit a great deal with some more sessions.
In my case however the pigmentation wasn't too much
and my scar isn't something that particularly bothers me.
So one session of it was good enough.