PicoWay®

Transform your skin from the inside out


Laser treatment for acne scars, wrinkles, dark spots and tattoos.

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What is PicoWay

The PicoWay laser system is FDA and CE cleared, and it uses a picosecond laser beam with high power and ultra-short pulses to transform your skin from the inside out! The PicoWay laser treats acne scars, wrinkles, benign pigmented lesions (dark spots), and removes black and multi-color tattoos.

The PicoWay laser first became known for its tattoo and pigment removal capabilities, but it continues to grow in use for acne scars and wrinkles.8 The PicoWay laser uses different handpieces and laser wavelengths for treatment of these conditions, which your treatment provider will use according to what’s right for you and your skin.

PicoWay laser treatment

How it works

All PicoWay laser treatments use a picosecond laser with high power and ultra-short pulses. A picosecond is a trillionth of a second, rather than a photothermal (or heat) approach that heats the skin and can lead to side effects, such as downtime and scarring.8

The PicoWay laser works below the surface, leaving the outer layer of the skin intact. It can target tattoo pigment, the excess melanin in the skin that causes dark spots, and other pigment; if treating conditions such as acne scars or wrinkles, it creates tiny spaces in the dermis (the layer just beneath the outer skin) to encourage the production of collagen and elastin.

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Treatment Highlights
acne scars

Acne Scars


Did you know that nearly 40% of those with acne have some degree of scarring?9 Many acne scars result from a loss of collagen in the skin.12 PicoWay Resolve treatments use an ultra-short, picosecond laser that reaches below the surface of the skin to stimulate production of collagen and elastin11, without breaking the outermost layer of the skin. In clinical studies, 94% of treated areas improved and patients were highly satisfied with results.4

wrinkles

Wrinkles


Millions of people each year seek treatment for their wrinkles.10 Wrinkles can be caused by a loss of collagen in the skin.13

The PicoWay Resolve applicator on the PicoWay system is a non-invasive, needle free treatment option for wrinkles. Resolve uses ultra-short laser pulses to reach under the skin, without breaking the outer layer of the skin. Picosecond lasers are proven to stimulate collagen and elastin.2-5,11

dark spots

Dark Spots


Skin discoloration is common, yet treatable. Dark spots, or benign pigmented lesions, appear in many people on different areas of the skin. Some spots are related to excessive sun exposure. Others can be caused by hormone changes, often impacting women following pregnancy. Many of these skin discolorations can be distressing and affect quality of life.

tattoo removal

Tattoo Removal


The PicoWay system is a high power laser with ultra short pulses that shatters tattoo ink, but leaves the outer layer of the skin intact. The PicoWay laser treats a wide range of tattoo colors across a broad range of skin types. Over a series of brief treatments, the PicoWay laser can eliminate most tattoos. That’s why the PicoWay laser is the tattoo removal laser of choice by Removery, the nation’s leading tattoo removal provider.

Treatment Results

PicoWay Pigmentation treatment for Asian - P1
Before
After
Photos courtesy of: Candela
Condition: pigmented lesions
Treated with: PicoWay
Picoway Resolve skin rejuvenation treatment
Before
After
Photos courtesy of: David Friedman, MD
Condition: skin rejuvenation
Treated with: PicoWay
PicoWay Resolve skin rejuvenation treatment
Before
After
Photos courtesy of: David Friedman, MD
Condition: skin rejuvenation
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Photos courtesy of: Eric Bernstein, MD
Condition: Tattoo Removal
Treated with: PicoWay
PicoWay Pigmentation treatment
Before
After
Condition: pigmented lesions
Treated with: PicoWay
PicoWay Pigmentation treatment for Asian - P3
Before
After
Condition: pigmented lesions
Treated with: PicoWay
PicoWay Pigmentation treatment for Asian - P4
Before
After
Condition: pigmented lesions
Treated with: PicoWay
PicoWay Pigmentation treatment for Asian - P5
Before
After
Condition: pigmented lesions
Treated with: PicoWay
PicoWay Pigmentation treatment - P6
Before
After
Condition: pigmented lesions
Treated with: PicoWay
PicoWay Pigmentation treatment for Asian - P7
Before
After
Condition: pigmented lesions
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Condition: Tattoo Removal
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Condition: Tattoo Removal
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Condition: Tattoo Removal
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Condition: Tattoo Removal
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Condition: Tattoo Removal
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Condition: Tattoo Removal
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Photos courtesy of: Eric Bernstein, MD
Condition: Tattoo Removal
Treated with: PicoWay
PicoWay Tattoo Remover
Before
After
Photos courtesy of: Eric Bernstein, MD
Condition: Tattoo Removal
Treated with: PicoWay
Key Benefits

Low to no downtime

The PicoWay laser uses a photoacoustic, rather than a photothermal effect, which means the skin doesn't overheat and lead to long downtime. PicoWay laser users typically have low to no downtime after treatment. Patients treated for acne scars and wrinkles can resume normal activities – and even apply makeup – within a day of treatment.

PicoWay works in two ways

PicoWay laser handpieces come in either full beam or split beam types. Each handpiece is designed for a particular use or uses, some for tattoos and some for removal of pigment or treatment of wrinkles or acne scars.

All handpieces on the PicoWay laser target pigment in the skin. Pigment can be naturally formed, caused by too much melanin in the skin. This appears as dark spots on the skin that can either be seen at birth or form over time from sun damage (sometimes called sun spots), aging, or even be a result of medical conditions. Pigment can also be added to the skin, in the form of ink in a tattoo. In either case, the PicoWay laser targets the pigment and shatters it into tiny particles that are no longer seen through the skin.

The laser beams in PicoWay Resolve and Resolve Fusion handpieces are split from a central beam into 100 identical beams, or beamlets. Resolve Fusion has a wider coverage area than Resolve.6,8 These beamlets reach below the skin’s surface in areas that are spaced evenly apart. Because the laser is so fast and powerful, it creates a non-thermal effect, called a “photoacoustic” effect. Tiny open spaces are created under the skin that are then filled in over time with the growth of new collagen and elastin.8

The PicoWay laser literally works from the inside out. The treatment does not cause the outer layers of the skin to break, so patients enjoy low to no downtime after treatment.

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FAQs

The PicoWay laser is an ultra-fast picosecond laser that treats acne scars, wrinkles, benign pigmented lesions and tattoo removal.

The PicoWay Resolve laser is a treatment on the PicoWay laser system, that uses a laser handpiece that splits the full beam into tiny microbeams. This allows treatment of conditions like acne scars, wrinkles and benign pigmented lesions. PicoWay Resolve acts by creating tiny open spaces, called vacuoles, under the skin where new collagen and elastin are built and can transform the skin over time.4,5,8

PicoWay treatments are typically brief (15-20 minutes) and are done over a series of treatment sessions spaced weeks apart.8 Your doctor will recommend a treatment plan that works best for you.

If you are looking for a laser treatment that acts below the surface of the skin and offers low to no downtime, then the PicoWay laser may be the right laser for you. Ask your doctor if PicoWay laser treatment can minimize your acne scars or wrinkles or remove bothersome dark spots and tattoos that you no longer want.

The PicoWay laser is FDA and CE mark cleared for certain uses: acne scars, wrinkles, dark spots (benign pigmented lesions), and tattoo removal. If you are looking for other laser treatments, such as hair removal, then the PicoWay laser is not the treatment for you. Candela offers hair removal devices, such as the Gentle Max Pro laser.

While the PicoWay laser works on both lighter and darker skin types, depending on the wavelength and applicator needed for your treatment, the PicoWay laser may not be the best treatment for your skin type. Your treatment provider will know which PicoWay applicator is best for your skin type and treatment needs.

Keep in mind that a PicoWay laser treatment typically requires multiple sessions. A PicoWay laser treatment provider can walk you through your treatment needs and will be the best source for determining whether treatment with the PicoWay laser is right for you.

Side effects with the PicoWay laser are typically transient and expected as part of the laser treatment.1-6 Patients experience low to no downtime. In some cases, patients may use a topical anesthetic to enhance comfort during the treatment. More common side effects include redness, swelling, pinpoint bleeding, tingling or purplish spots.1-6,8 These effects will differ, however, depending on the treatment you receive.

Your level of discomfort depends on the type treatment you receive. For example, those undergoing tattoo removal are like to experience some pain and discomfort. However, when undergoing the PicoWay Resolve treatment, patients treated for wrinkles generally reported low levels of pain, and mild to no discomfort from those treated for acne scars or dark spots.

You may be able to see initial improvement after just the first treatment. However, this depends on the condition treated, and multiple sessions are typically necessary.1-6 

With PicoWay Resolve treatment, most patients reported low levels of pain during treatment for wrinkles and mild to no discomfort for acne scar treatment.

Yes, you can. Most people can return to their activities of daily living shortly after treatment. Following tattoo removal, however, you may need a bandage to keep the treatment area dry for a few days.

PicoWay is a picosecond laser with a high peak power and ultra-short pulse durations, leading to a photoacoustic effect, instead of a photothermal one (which can overheat the skin). The majority of PicoWay patients report high satisfaction and low to no downtime.2-6

PicoWay laser treatment cost varies by treatment type and provider. Treatment cost will vary depending on the type of treatment, size of treatment area, number of treatment sessions and other factors. 

PicoWay providers can be found on the Provider Finder page.

Contact Candela at 800-733-8550 and ask for the contact information of the representative in your area.

References
1. PicoWay 510(k) clearance for tattoos (K142372), October 2014.
2. PicoWay 510(k) clearance for benign pigmented lesions (K150326), April 2015.
3. PicoWay 510(k) clearance for tattoos with 785 nm handpiece (K160607), July 2016.
4. PicoWay 510(k) clearance for acne scars (K162454), February 2017.
5. PicoWay 510(k) clearance for wrinkles (K170597), May 2017.
6. PicoWay 510(k) clearance (K191685), Sept. 2019.
7. Kauvar A, Bernstein E, Garden J. Multicenter study on the efficacy and safety of PicoWay Resolve for acne scars. 2017. Candela, data on file.
8. Data on File, Candela, 2021.
9. Dréno B, Tan J, Kang W, et al. How people with facial acne scars are perceived in society: an online survey. Dermatol Ther (Heidelb). 2016;6(2):207-218.
10. American Society for Aesthetic Plastic Surgery. 2016 Cosmetic Surgery National Data Bank Statistics.
11. Brauer JA, Kazlouskaya V, Alabdulrazzaq H, et al. Use of a picosecond pulse duration laser with specialized optic for treatment of facial acne scarring. JAMA Dermatol. 2015;151(3):278-284.
12. Kravvas G, Al-Niaimi F. A systematic review of treatments for acne scarring. Part I: Non-energy-based techniques. Scars Burns Healing. 2017;3:1-17.
13. Ganceviciene R, Liakou AI, Theodoridis A, Makrantonaki E, Zouboulis CC. Skin anti-aging strategies. Dermatoendocrinol. 2012;4(3):308-319.
PU01787EN-NA, Rev. A
1. PicoWay CE mark for tattoos.
2. PicoWay CE mark for benign pigmented lesions.
3. PicoWay CE mark for tattoos with 785 nm handpiece.
4. PicoWay CE mark for acne scars.
5. PicoWay CE mark for wrinkles.
6. Brauer JA, Kazlouskaya V, Alabdulrazzaq H, et al. Use of a picosecond pulse duration laser with specialized optic for treatment of facial acne scarring, JAMA Dermatol. 2015;151(3):278-284.
7. Kauvar A, Bernstein E, Garden J. Multicenter study on the efficacy and safety of PicoWay Resolve for acne scars. 2017. Candela, data on file.
8. Ganceviciene R, Liakou AI, Theodoridis A, Makrantonaki E, Zouboulis CC. Skin anti-aging strategies. Dermatoendocrinol. 2012;4(3):308-319.
9. Data on file, Candela, 2021.
10. Brauer JA, Kazlouskaya V, Alabdulrazzaq H, et al. Use of a picosecond pulse duration laser with specialized optic for treatment of facial acne scarring. JAMA Dermatol. 2015;151(3):278-284.
11. Kravvas G, Al-Niaimi F. A systematic review of treatments for acne scarring. Part I: Non-energy-based techniques. Scars Burns Healing. 2017;3:1-17.
12. American Society for Aesthetic Plastic Surgery. 2016 Cosmetic Surgery National Data Bank Statistics.
PU01787EN, Rev. A

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