PicoWay in Calgary

PicoWayat Rejuvenation Dermatology Calgary South.

PicoWay is a picosecond laser. Its pulses are so short that they shatter pigment by shock rather than heat, which makes it the tool for sun spots, freckles, stubborn pigmentation and tattoo ink, with less risk to the surrounding skin than older lasers. At Rejuvenation Dermatology Calgary South, Dr. Paul Kuzel, a board-certified dermatologist, examines every spot before it is treated and performs every treatment himself.

14Years of training FRCPCRoyal College certified VPAlberta Society of Dermatologists
What it is

A picosecond laser that shatters pigment.

A picosecond is a trillionth of a second. Pulses that short deliver their energy before heat can spread, so pigment particles fracture into fragments the body can clear while the skin around them is barely warmed.

Three wavelengthsPicoWay carries 532 nm for superficial brown pigment and red ink, 1064 nm for deeper pigment, black ink and darker skin types, and 785 nm for blue and green ink. Dr. Kuzel selects by the target and the skin type.
Photoacoustic, not photothermalOlder pigment lasers heat the pigment until it breaks. PicoWay breaks it mechanically. The result is fewer sessions for tattoos, less risk of scarring, and a safer profile in darker skin, where heat is what causes pigmentary complications.
Resolve: fractional handpieceA fractional attachment delivers the same pulses in a grid, creating tiny pockets of disruption in the dermis that stimulate collagen without breaking the surface. Used for acne scars, fine lines, pores and melasma with almost no downtime.
PicoWay or resurfacing

Pigment laser versus fractional laser.

Brown spots can be treated by shattering the pigment or by resurfacing the skin that holds it. The right choice depends on how many spots there are and what else the skin needs.

Pigment laser

PicoWay

Targets the pigment itself, spot by spot or across an area. No change to texture. Best for discrete sun spots, freckles, cafe au lait patches, tattoos and pigment in darker skin.

Resurfacing

Fraxel and Clear + Brilliant

Treat pigment and texture together across a whole area. Best when sun damage is diffuse and the skin also needs work on lines, pores or precancer.

Fraxel
Vascular laser

VBeam

Redness, broken capillaries and red spots are blood, not pigment. They need a vascular laser, not a pigment laser.

VBeam
Not a laser case

Moles and suspicious spots

A mole is never lasered. A pigmented spot that could be a melanoma or a lentigo maligna is biopsied, not treated. Dr. Kuzel examines every lesion with a dermatoscope first.

Freckles and moles
Why a dermatologist

A brown spot is a diagnosis before it is a target.

A pigment laser will remove the colour from almost anything. The danger is removing the colour from something that needed to be seen.

Dermoscopy firstSun spots, seborrhoeic keratoses, flat moles, lentigo maligna and early melanoma can all look like a brown spot. Dr. Kuzel examines every lesion with a dermatoscope and biopsies anything in doubt. A lasered melanoma is a melanoma that is harder to find later.
Melasma is not a sun spotMelasma is hormonal and inflammatory, and an aggressive laser makes it worse. Where PicoWay is used for melasma it is at low fluence, with the fractional handpiece, alongside prescription treatment, and never as the first step.
Skin typePicoWay is one of the safer pigment lasers for darker skin, but wavelength and energy still have to be chosen for the skin in front of the physician. The 1064 nm wavelength and conservative settings are used in skin that pigments easily.
CoverageCosmetic PicoWay treatment is not covered by Alberta Health Care. The assessment of a pigmented lesion is covered with a referral. Pricing is per session by area or by tattoo size and is quoted at consultation.
What it treats

Sun spots, freckles, melasma, tattoos and scars.

PicoWay is used on the face, chest, hands and body, and on tattoos anywhere.

532 and 1064 nm

Sun spots and age spots

Discrete lentigines on the face, chest and hands clear in one or two sessions. The spot darkens, crusts and flakes off within a week.

Sun damage
532 nm

Freckles and cafe au lait patches

Scattered freckles and flat birthmarks lighten over one to three sessions. Freckles return with sun exposure.

Birthmarks
Resolve, low fluence

Melasma and post-inflammatory pigment

Gentle fractional passes over a course, always alongside prescription lightening treatment and strict sun protection. Improvement, not cure.

Melasma
All wavelengths

Tattoo removal

Black, blue, green and red ink, professional and amateur. Fewer sessions than older lasers, usually six to ten for a professional tattoo, eight weeks apart.

Tattoo removal
Resolve

Acne scars and pores

The fractional handpiece stimulates collagen beneath the scar with a day of redness. A course of three to five sessions.

Acne scarring
Resolve

Fine lines and texture

Collagen stimulation for fine lines and uneven texture in patients who cannot take resurfacing downtime.

Fine lines and wrinkles
Your visit

Examination first, then a session or a course.

A PicoWay session takes fifteen to forty-five minutes depending on the area. Spot treatment is usually performed at the first visit; tattoos and courses are booked after consultation.

ConsultationWhat concerns you, your sun history, skin type, and for tattoos the age, colours and any previous treatment.
ExaminationDr. Kuzel examines each pigmented lesion with a dermatoscope and confirms it is safe to treat. Anything in doubt is biopsied instead.
Plan and consentWavelength, handpiece, number of sessions, expected result and side effects. The price is confirmed before treatment.
TreatmentProtective eyewear. Topical anaesthetic for larger areas and tattoos. The pulses feel like the snap of an elastic band.
Follow-upReview at four to eight weeks; repeat as needed. Tattoos are re-treated at eight-week intervals.
Aftercare and downtime

Spots darken, then flake.

Downtime depends on the indication. Spot treatment leaves dark crusts for a week; the fractional handpiece leaves a day of pinkness; tattoos blanch and swell for a few days.

After treatment

  • Treated spots turn darker within hours and flake off over five to ten days; do not pick
  • Fractional treatment: pinkness and mild swelling for one day, fine texture for a few days
  • Tattoos: whitening for minutes, then swelling, redness and sometimes blistering for a few days; keep covered and clean
  • Gentle cleanser and a bland moisturiser; no active skincare for a week
  • Strict sun avoidance and daily SPF 50 for four weeks; treated skin pigments easily
  • Contact the clinic for spreading blistering, unusual pain, or darkening that persists beyond a month
  • Not used on a recent tan, in pregnancy, with isotretinoin in the past six months, or on any lesion that has not been examined

Booking and fees

No referral is needed for cosmetic treatment. PicoWay is priced per session by area, or by tattoo size, and quoted at consultation. The price is confirmed before treatment.

Call (403) 286-6888 for current pricing.

What to expect

Expected outcomes.

Sun spots and freckles respond fastest: most clear or lighten substantially after one or two sessions, once the crust has shed. New spots form with further sun exposure, so the result is maintained with protection rather than repeat treatment.

Tattoos fade progressively over a course. Black and dark blue ink respond best; green, yellow and light blue are slower. Most professional tattoos need six to ten sessions to fade to near invisibility, and some leave a faint shadow. Amateur tattoos need fewer.

Melasma improves rather than clears, and only with the prescription treatment and sun protection that go alongside. Acne scars and texture improve over a course of fractional sessions, with the collagen response building for three months after the last.

1 to 2Sessions for sun spots 6 to 10Sessions for a professional tattoo 1Day of downtime with Resolve
Questions

Questions about PicoWay, answered.

How much does PicoWay cost in Calgary?

PicoWay is priced per session by area, or by tattoo size, and quoted at consultation. Call (403) 286-6888 for current pricing.

How many sessions do I need?

One or two for sun spots and freckles. Three to five fractional sessions for scars, texture or melasma. Six to ten for a professional tattoo, eight weeks apart.

Does it hurt?

The pulses feel like the snap of an elastic band. Spot treatment is brief and rarely needs anaesthetic; tattoos and larger areas are numbed first.

Is there downtime?

Treated spots darken and flake over five to ten days. Fractional treatment leaves a day of pinkness. Tattoos swell and may blister for a few days. Makeup can usually be worn the next day on the face.

Is PicoWay safe for darker skin?

It is among the safer pigment lasers for darker skin because it works by shock rather than heat, and the 1064 nm wavelength passes through the skin's own pigment. Settings are still adjusted to skin type, and a test spot is sometimes done first.

Can PicoWay treat melasma?

With care. Low-energy fractional treatment can improve melasma alongside prescription lightening treatment and strict sun protection. Aggressive treatment makes melasma worse, so it is never the first step and never used alone.

Will you laser a mole?

No. Moles are not lasered, because laser destroys the tissue a pathologist would need if the mole were ever a melanoma. Moles that bother you are removed surgically and sent for examination. Every pigmented spot is examined with a dermatoscope before any laser treatment.

PicoWay or Fraxel for sun damage?

PicoWay for discrete spots on otherwise good skin. Fraxel where the sun damage is diffuse and the skin also needs texture or precancer treatment. Some patients have both.

Can it remove a tattoo completely?

Most tattoos fade to near invisibility over a course, and black ink responds best. Some colours and some inks leave a faint shadow. Dr. Kuzel gives an honest estimate at consultation.

Who performs the treatment?

Dr. Paul Kuzel, MD FRCPC, a board-certified dermatologist and the founder and Medical Director of Rejuvenation Dermatology Calgary South, examines every lesion and performs the treatment personally. He sees patients in English and Czech.

Begin here

Book a consultation.

Book a consultation with Dr. Kuzel. No referral is needed for cosmetic treatment, and spot treatment is usually performed at the first visit.

Rejuvenation Dermatology Calgary South
10201 Southport Rd SW #102
Calgary, AB T2W 4X9
Two blocks west of the Delta Hotel

(403) 286-6888
Referrals by fax: (403) 225-2914

Open seven days a week, with early mornings and evenings on weekdays.

Contact Rejuvenation Dermatology

Take the first step toward achieving healthy, radiant, and flawless skin. Contact Rejuvenation Medical Aesthetics today to schedule your personalized consultation and explore the advanced treatments tailored to your unique needs.