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41-148th Ave SE #1, Bellevue, WA 98007
  • Serenity Rejuvenation Center

    Improving Quality of Life Throught the Art & Science of Medicine

    Request your Consultation
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  • Serenity Rejuvenation Center

    Improving Quality of Life Throught the Art & Science of Medicine

    Request your Consultation
    Scroll Down


A person’s appearance plays a major role in their self-esteem, which is why many people become insecure when their skin develops blemishes, scars, or areas of uneven pigmentation. The demand to address these clinical concerns has led to advancements in laser technologies and their applications in cutaneous medicine (medicine used to treat skin), revolutionizing the field of laser medicine and surgery.

With age, hormonal change, and constant exposure to the sun, your skin can become damaged and can develop acne scarring, brown spots, uneven pigmentation, freckles, wrinkles, fine lines, and melasma (specifically a result of hormonal change).


Constant exposure to the elements and pollution can lead to acne breakouts and pimples, especially in people who have very oily or sensitive skin. Acne is known to leave unwanted scars and concomitant post-inflammatory hyperpigmentation that can remain forever if left untreated.

Post-pregnancy and pre- and post-menopausal women can develop pigmentary issues related to hormone fluctuations. Melasma is a form of hormone-induced pigmentation that can be difficult to treat, but with PicoSure, there is hope of reducing hormone-related pigmentation (with a lower risk profile than traditional laser and light treatments). In darker skin types with melasma, there is no better solution.

We also offer medical facials for patients with melasma, and the risks and benefits will be discussed with Dr. O’Connell at the time of consultation.

The PicoSure Focus Facial – PicoToning (Fractionated Picosecond Laser)

While steering clear of the sun, using sunscreen, optimizing hormones, and maintaining a healthy diet are excellent ways of maintaining youthful skin, people often need a cosmetic procedure to help rejuvenate the skin on their face and hands.

The best procedure (on multiple levels) available today is the PicoSure Focus Facial, a laser rejuvenation treatment that addresses issues such as melasma (more safely than heat-based devices), uneven pigmentation (sun damage), and acne scarring, which often includes a component of post-inflammatory hyperpigmentation. It also improves the texture of the skin.

This FDA-cleared skin treatment is extremely convenient, requiring only around 15 to 30 minutes to complete. It is conducted using the PicoSure Focus Lens Array, which emits alexandrite laser energy (gold standard for pigment) in a fractionated delivery pattern (gold standard for collagen stimulation) with a picosecond pulse duration (pressure and non-heat-based – gold standard for darker skin types).

The mechanism is novel and is unlike any other device in the market place. Academically, it’s a photomechanical mechanism (pressure) vs. a photothermal mechanism (heat). The clinical implications are profound. Unlike traditional laser- and light-based devices (fractionated C02, erbium, IPL, and nanosecond devices), which are dangerous for dark skin types, the PicoSure (pressure wave) technology allows us to treat darker skin types more safely for pigment and acne scarring, which is not possible with traditional laser and light therapies.

Additionally, there is a reduced risk profile when treating melasma (a hormone-induced pigment), which is notorious for being heat sensitive, which means in many cases, the pigment gets worse with traditional laser and light treatments. The risk profile drops significantly when minimizing the traditional heat-based laser/light delivery systems.

In the case of melasma, Dr. O’Connell will also post-treat with hydroquinone to minimize risk of any pigmentary worsening. This risk is present anytime there is energy (even with pressure, there is an element of kinetic energy).

The Uniqueness of the PicoSure Focus Facial Mechanism Elucidated Further

PicoSure Focus’s innovative laser technology targets pigment using the gold-standard Alexandrite laser wavelength (sun damage and melasma) more safely than traditional devices with a reduced risk profile due to the picosecond pulse duration (primary pressure and minimal heat) and fractionated treatment pattern.

The energy reaches deep into the layers of the skin, stimulating a process known as skin-cell activation. During the skin-cell activation process, the cells being treated with laser energy experience pressure. In response, they release proteins. These proteins signal other skin cells around these cells to create new collagen and elastin, improving the health of the skin.

The PicoSure Focus Facial – PicoToning (Fractionated Picosecond Laser) – Expectations

The PicoSure Focus Facial treatment has almost no downtime. It results in only a small amount of redness in the skin, which disappears in one to three hours after the treatment session. Pigmented lesions will get gradually darker then exfoliate. Collagen stimulation will occur over ninety days to around nine months. This allows you to continue with your daily routine almost immediately after a session.

Typically, one to three treatments are recommended for acne scarring, along with follow-up maintenance for pigmentary issues.

PicoToning: Safe for Asian Skin Types

PicoSure Focus Treatment is gaining enormous recognition in many Asian countries, including South Korea, Thailand, China, Japan, and Mongolia, where darker skin predominates. There is a classic white paper titled PicoToning: A Novel Laser Skin Toning Approach for the Treatment of Asian Skin Types. Authors: Shamshik Shin, MD, Clear Dermatology Clinic, Gwangju, South Korea. Emil Tanghetti, MD, Center for Dermatology and Laser Surgery, Sacramento, CA.


PicoSure Focus can be safely used for PicoToning of Asian skin types, whereas other methods of toning have the potential to cause side-effects. Asian skin often contains more melanin, and the tissues’ response to heat-based energy is not always predicable.

With the pressure-induced energy of PicoToning, we are able to safely shrink enlarged pores, address acne scarring, get rid of deep pigments, and rejuvenate skin texture for all patients, including those of Asian descent.

Set Up Your Consultation Today

Other laser treatments may promise effective results in the treatment of acne scars, melasma, and hyperpigmentation, but they don’t always deliver safely or with efficacy. With PicoSure, you have the most modern approach available in laser medicine with efficacy, minimal downtime, and a reduced risk profile.

To get started with your PicoSure Focus Facial, contact our office today and make an appointment to meet with Dr. O’Connell during a consultation.