PicoSure is a picosecond laser: it delivers energy in trillionths of a second, creating a pressure effect (PressureWave™) that breaks tattoo ink or pigment into fine particles the body clears over time, with less heat than older nanosecond lasers. On the body it is used for tattoo removal, pigmentation and acne-scar texture.
In the evolving landscape of medical aesthetics in 2026, patients are increasingly seeking treatments that offer maximum efficacy with minimal physiological stress.
At Skin Art MD, located in the heart of Burnaby, BC, we prioritize evidence-based technologies that align with the body’s natural healing mechanisms. Among these, PicoSure is a notable advance in laser science.
Whether you are seeking to address stubborn pigmentation or looking for the PicoSure Body Burnaby BC has to offer for tattoo removal, understanding the underlying physics is the first step in your journey. Learn more about PicoSure Body to see how this technology can be tailored to your specific skin goals.
How does the PicoSure laser work?
PicoSure works mainly through a photomechanical pressure effect rather than heat: ultra-short picosecond pulses shatter ink or pigment into fine particles, which the lymphatic system then clears.
To understand how PicoSure works for tattoo removal and skin revitalization, one must look at the duration of the laser pulse.
Traditional lasers, such as Q-switched systems, operate in nanoseconds (one-billionth of a second). These systems rely heavily on photothermal action, essentially heating the target pigment until it breaks apart. However, excessive heat can lead to collateral damage in surrounding tissue, increasing downtime and the risk of post-inflammatory hyperpigmentation.
PicoSure utilizes picosecond technology, delivering energy in trillionths of a second. This incredibly short pulse duration creates a photomechanical effect known as PressureWave™. Instead of relying on heat to burn away pigment, the rapid delivery of energy creates a localized shockwave that shatters target particles—be it tattoo ink or melanin—into tiny, dust-like fragments. These fragments are then more easily processed and eliminated by the body’s lymphatic system.
Furthermore, when applied to skin rejuvenation, this PressureWave™ technology creates Laser-Induced Optical Breakdowns (LIOBs) in the dermis. This process triggers a biological cell-signaling cascade that stimulates the production of new collagen and elastin without damaging the epidermis.
This is why PicoSure Body treatments in Metrotown and Vancouver are associated with improvements in skin texture and tone and a short recovery: most people resume normal activities the same day, with temporary redness possible. Book a Consultation to discuss your skin concerns with our medical team.
What does the research say about picosecond lasers?
Picosecond technology is well documented in the dermatological literature, and several studies have examined its role in aesthetic medicine:
- Brauer et al., Journal of the American Academy of Dermatology (JAAD): This research highlighted the efficacy of the 755-nm picosecond laser in treating blue and green tattoo inks, which were historically difficult to remove with nanosecond lasers. The study concluded that picosecond pulses achieved faster clearance with fewer treatment sessions.
- Ross et al., Lasers in Surgery and Medicine: This study examined the use of picosecond technology for pigmented lesions. The researchers found that the photomechanical impact allowed for the successful treatment of recalcitrant melasma and solar lentigines with lower fluences, reducing the risk of thermal injury.
- Freed et al., Dermatologic Surgery: Investigations into acne scar revision showed that the LIOBs created by the PicoSure Focus lens array significantly improved skin architecture. The study noted a marked increase in dermal collagen density several months post-treatment.
These findings provide a framework for the physician-led use of picosecond technology in a clinical setting like Skin Art MD.
How does PicoSure compare with a Q-switched nanosecond laser?
PicoSure technology uses a photomechanical mechanism with a much shorter pulse duration and lower thermal risk than a traditional Q-switched laser, which usually means fewer sessions and a shorter recovery.
| Feature | Traditional Nanosecond (Q-Switched) | PicoSure Picosecond Technology |
|---|---|---|
| Primary Mechanism | Photothermal (Heat) | Photomechanical (Pressure) |
| Pulse Duration | One-billionth of a second | One-trillionth of a second |
| Pigment Fragmentation | Large pebbles | Fine dust |
| Risk of Thermal Damage | Moderate to High | Very Low |
| Treatment Sessions | More sessions required | Fewer sessions required |
| Recovery Time | 5–10 days | 0–24 hours |
Who is PicoSure considered for, and how is safety checked?
PicoSure is used for tattoo removal and pigmentation across a wide range of skin types, but settings are adjusted to each person, and a physician-led screening checks for contraindications first.
At Skin Art MD, every patient journey begins with a comprehensive evaluation. PicoSure is used across a wide range of skin types (Fitzpatrick I-VI). However, the parameters must be meticulously adjusted based on the patient's specific skin chemistry and medical history. Dr. Sharon Fong oversees the clinical protocols at our Burnaby clinic.
Dr. Fong ensures that every candidate is screened for contraindications such as active skin infections, history of keloid scarring, or the use of photosensitizing medications. This physician-led oversight is central to PicoSure Body treatments at the Burnaby and Metrotown clinic.
What are the limitations and contraindications of PicoSure?
PicoSure is not a one-size-fits-all solution: treatment is deferred during pregnancy, recent tanning must be avoided, and several sessions are usually needed.
While PicoSure is versatile, it is not a "one-size-fits-all" solution. Limitations include:
- Pregnancy and Nursing: As a standard precaution, laser treatments are generally deferred during pregnancy.
- Recent Sun Exposure: Patients should avoid significant tanning for at least 4 weeks prior to treatment to prevent adverse pigmentary changes.
- Expectation Management: While PicoSure is effective, multiple sessions are typically required for complete tattoo removal or significant scar revision.
Individual results vary based on the depth and type of pigment.
Why Choose Skin Art MD in Burnaby?
Choosing where to receive your treatment is as important as the technology itself. Patients from Vancouver, Coquitlam and the wider region visit our Burnaby location; key features include:
- Physician-Led Care: Dr. Sharon Fong’s expertise ensures that your treatment is both safe and medically sound.
- Advanced Technology: We use current PicoSure platforms with settings tailored to each treatment area.
- Bilingual Service: Our staff is fluent in both English and Mandarin, ensuring clear communication and comfort for our diverse Greater Vancouver community.
- Personalized Plans: We don't believe in cookie-cutter aesthetics. Your treatment plan is as unique as your skin.
Book a Consultation to experience our personalized approach to skin health.
What do people ask about PicoSure?
The questions below cover the PicoSure Focus lens, how the laser works, skin rejuvenation, cost, who performs treatment, PicoSure Pro, comfort and booking.
1. What is PicoSure® Focus?
Our PicoSure® Focus treatment is a specialized delivery system that microscopically concentrates the laser energy to create a "skin-reset" effect. It targets the deeper layers of the dermis to stimulate collagen and elastin production, addressing fine lines, wrinkles, and acne scars with minimal surface disruption.
2. How does picosure laser work?
The PicoSure laser works by delivering ultra-short pulses of energy to the skin. These pulses create a photomechanical impact (PressureWave™) that shatters pigment into tiny particles without burning the surrounding tissue. The body then naturally eliminates these particles through the lymphatic system, while the skin’s natural repair process generates new collagen.
3. Is PicoSure an option for laser skin rejuvenation?
PicoSure is a non-ablative option with a shorter recovery than ablative lasers, and a physician assessment decides suitability. It is used to even out skin tone, refine the look of pores, and smooth texture, which is why it is often called a "lunchtime" procedure.
4. How is the cost of a PicoSure treatment determined?
Every treatment plan is customized to the size of the area and the specific concern being addressed, so a quote tailored to your needs is given during your assessment.
5. Who will actually do my treatments?
At Skin Art MD, treatments are performed by trained medical laser technicians following protocols established by Dr. Sharon Fong, with physician oversight for safety.
6. What is picosure pro?
PicoSure Pro is a newer version of the PicoSure platform, offering increased power and expanded capabilities for treating a wider variety of pigmentary concerns and skin types.
7. What does the treatment feel like?
Most patients describe the sensation as similar to the snap of a small rubber band against the skin. While the treatment is generally well-tolerated, we can apply a topical numbing cream to ensure your comfort throughout the session.
8. How is an appointment booked?
You can Book a Consultation through our website or call the Burnaby clinic at +1 (604) 639-2581 to speak with our bilingual staff.
What is the first step toward PicoSure treatment?
The first step is a professional skin assessment, in which the team evaluates your skin type, discusses your goals for tattoos, sun damage or acne scarring, and determines whether PicoSure is appropriate.
We serve patients across Burnaby, Vancouver, and Coquitlam with a commitment to clinical integrity and natural-looking results. Our medical team at Skin Art MD in Burnaby can create a personalized treatment plan. Book a consultation — available in English and Chinese.
Disclaimer: This article is for educational purposes only and does not constitute medical advice. Please consult with a qualified healthcare professional before undergoing any treatment.




