Picosecond Laser

Picosecond Laser

Do pitted acne scars and open pores still catch the light, long after your breakouts stopped? Picosecond laser for acne scars is a fractional laser: a special lens splits each ultra-short pulse into tiny points of energy, triggering fresh collagen that softens scars and refines pores, with very little downtime.

Best for rolling and boxcar acne scars, enlarged pores and rough, uneven texture.

Picosecond Laser at a glance

  • Aesthetic-trained doctors
  • Female doctors available
  • Genuine, sealed products
  • 12 clinics, 7 cities
Sessions
3–5 sessions, 4–6 weeks apart
Appointment
20–30 minutes, plus numbing
Downtime
Redness and pinpoints for 2–3 days
Results show
Keeps improving to 3–6 months
Results last
Long-lasting collagen change
Comfort
Warm snaps; numbing cream used

What can a picosecond laser do for acne scars?

Rolling acne scarsShallower dips and smoother cheeks.
Boxcar scarsSoftened edges and a more even surface.
Enlarged poresRefined pores and silky texture.
Brown marks after acneLighter marks and a brighter, even tone.

How does a picosecond laser treat acne scars?

A diffractive or holographic lens turns each picosecond pulse into a grid of tiny, intense beams. Each beam makes a microscopic pocket inside the skin while the surface stays intact, and as it heals your skin builds new collagen and elastin right beneath the scars.

In a split-face trial in people with skin type IV, a common shade of brown skin, it improved icepick, boxcar and rolling scars, and it beat a non-ablative fractional laser on icepick and boxcar scars. And the downtime is short.

Who shouldn’t have picosecond laser for acne scars?

It isn’t suitable during pregnancy, while acne is still active, with a skin infection or cold sore in the area, or soon after isotretinoin. Darker skin marks more easily, so your doctor adjusts the settings carefully.

Picosecond laser for acne scars, step by step

  1. Free consultation: your doctor maps your scar types and checks your acne is under control.
  2. Preparation: the skin is cleansed and numbing cream is left on to take the edge off.
  3. Treatment: the fractional handpiece passes over the scarred areas, taking 20–30 minutes.
  4. Course: a course of 3–5 sessions, spaced 4–6 weeks apart.
  5. Review: your doctor checks progress about three months after your final session.

Acne scar results and recovery

Your skin feels smoother within weeks, and the deeper change keeps coming: scars soften most over the three to six months after your course, as new collagen matures. The reward is scars that are far less visible in daylight and photos.

Redness, mild swelling and tiny pinpoint marks fade within two to three days. Most people are back at work the next day and wear make-up again after 24 hours.

Aftercare

  • Protect healing skin with SPF 30+ daily
  • Skip make-up until the next day
  • Avoid gym, sauna and steam for 2 days
  • Pause retinol and acids for 5 days

Why choose Cutera Aesthetics

  • Doctor-led: your picosecond laser treatment is assessed, planned and performed by our qualified doctors.
  • Free consultation: an honest assessment and a clear plan before you commit to anything.
  • A plan made for you: your treatment is tailored to your goals, your skin and your health.
  • 12 clinics in 7 cities: Karachi, Lahore, Islamabad, Rawalpindi, Faisalabad, Hyderabad and Sialkot. Find your nearest clinic.
Sources
  1. Bernstein EF, et al. Treatment of acne scarring with a novel fractionated, dual-wavelength, picosecond-domain laser incorporating a novel holographic beam-splitter. Lasers in Surgery and Medicine, 2017; 49(9): 796–802.
  2. Lee CH, et al. Efficacy and safety of treatment with fractional 1,064-nm picosecond laser with diffractive optic element for wrinkles and acne scars: a clinical study. Annals of Dermatology, 2021; 33(3): 254–62.
  3. Shi Y, et al. Comparison of fractionated frequency-doubled 1,064/532 nm picosecond Nd:YAG lasers and non-ablative fractional 1,540 nm Er:glass in the treatment of facial atrophic scars: a randomized, split-face, double-blind trial. Annals of Translational Medicine, 2021; 9(10): 862.
  4. Dierickx C. Using normal and high pulse coverage with picosecond laser treatment of wrinkles and acne scarring: long term clinical observations. Lasers in Surgery and Medicine, 2018; 50(1): 51–55.
  5. American Academy of Dermatology. Acne scars: consultation and treatment. Why acne is controlled before scars are treated.

Picosecond laser: your questions answered

It depends on how many scars you have, their type and how many sessions you need. Your doctor gives you the full price at your free consultation, before any treatment. Scars need a course, so ask for the whole-course price.

Yes, for mild to moderate scars and enlarged pores: it smooths skin with only a couple of days of redness. Deep icepick or very wide scars get the most from extra help, such as a TCA peel for acne scars or Infini RF microneedling.

Numbing cream keeps it comfortable for most people. You feel warm, prickly snaps as the handpiece moves, and the session is over in about half an hour. In studies, people found it easy to tolerate.

Texture feels smoother within a few weeks. Then your scars keep softening, with the biggest change from three to six months after your final session, as the new collagen matures.

The collagen you build is your own, so your smoother skin is long-lasting. Keeping your acne under control protects the result from new scars.

Yes, when a trained doctor sets the laser. Expect redness, slight swelling and tiny pinpoint spots for two to three days. Temporary dark marks can happen, more often in darker skin, which is why your doctor tailors the settings to your skin tone.

Active acne should be treated first, because new breakouts keep creating scars. Your doctor can start acne care, such as a salicylic acid peel, and begin scar sessions once your skin has settled.

Both build collagen and both work well. Picosecond laser works through intact skin with a short recovery. Microneedling for acne scars makes tiny channels with fine needles and can be paired with PRP. Your doctor may combine methods for your scar type.

Yes, that is a bonus. Picosecond pulses also break up pigment, so brown marks left by acne fade as the scars soften. If flat marks are your only concern, see picosecond laser for pigmentation.

Yes, it makes pores look smaller. In a clinical study, three sessions improved texture and pores on 3D skin scans. Pore size also depends on oil and genetics, and a good routine keeps them refined.

Most people need 3–5 sessions, 4–6 weeks apart. Mild scars can need fewer; deeper or widespread scarring takes more, or a mix of treatments. Your doctor plans this with you.

Yes, but scars need time. Start about six months before the day so your course is finished and collagen has built. Book your last session at least three to four weeks before, so redness has fully settled.

Ready when you are

Book your free Picosecond Laser consultation

A doctor checks your skin and goals first. No obligation.

  • Mon–Sat, 11:30 AM – 9 PM
  • 4.8 on Google (8,309 reviews)
  • 12 clinics in 7 cities
Dr Iram ShahidDr Misbah Zari QadirDr Sundas FatimaDr Hafsa FatimaMeet our 50 doctors

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Open Mon–Sat, 11:30 AM – 9 PM

4.8

from 8,309 Google reviews

12 clinics in 7 cities

Karachi3 clinics4.8
Lahore3 clinics4.8
Islamabad2 clinics4.9
RawalpindiSaddar4.9
FaisalabadKohinoor City4.9
HyderabadAuto Bahn Road4.9
SialkotSialkot Cantt4.9
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