List of Treatments

LASERS FOR PIGMENTATION & REJUVENATION

PICOWAY^Ⓡ (SYNERON-CANDELA PICOSECOND 532/1064NM LASER)

Clear Solutions, Ground-breaking Technology.

PicoWay^Ⓡis a remarkable and innovative dual wavelength picosecond laser boasting non-fractional & fractional efficiency from Syneron Candela, a trusted name amongst aesthetic lasers.

Delivering laser light energy in one trillionth of a second, the PicoWay laser differs from the conventional nanosecond laser which only delivers light energy in one billionth of a second. PicoWay^Ⓡ delivers high peak power with precise picosecond pulses that is incomparable with other picosecond devices available in Singapore.

The PicoWay^Ⓡ system comprises of a unique mode of action by distributing ultra-short picosecond bursts of energy directly to the skin tissue. These pulses of energy then create a “photoacoustic” impact, breaking up the pigmentation into particles that can be easily eliminated naturally.

WHY PICOWAY^Ⓡ?

High peak power with shortest pulse duration, allowing non-thermal, photoacoustic effect, transforming skin from the inside out.
Flexible treatment parameters, allowing dermatologists control of wavelength, fluence, repetition rate and spot size, for highly customisable treatments.
Skin treatment palette extends from lightest to darkest skin tones.
Ultra-short picosecond pulses that are 100 times shorter than Q-switch lasers minimise risk of side-effects such as hyperpigmentation and scarring. Perfectly suitable for darker skin tones.
3 different wavelengths – 532nm, 785nm and 1064nm accord flexibility to treat any type or colour of tattoos. Helps removal of professional, amateur, traumatic, surgical and cosmetic tattoos. Safe method with less downtime compared to conventional lasers.
Minimal to no side-effects, including thermal damage that is considerably less. Requires fewer sessions than Q-switched technology.

PICOWAY^Ⓡ IS ALSO EFFECTIVE IN TREATING EPIDERMAL AND DERMAL PIGMENTATION:

Epidermal pigmentation:
- Solar lentigines
- Freckles
- Seborrheic keratoses
- Café-au-lait macules
- Nevus spilus
- Post-inflammatory hyperpigmentation
Dermal pigmentation:
- Nevus of Ota
- Nevus of Ito
- Becker’s nevus
- Melasma
- Acquired dermal melanocytosis
- Hori’s nevus
- Acquired bilateral nevus of Ota like maculae
- Tattoo pigment

PicoWay^Ⓡ Resolve^TM

PICOWAY^Ⓡ RESOLVE FRACTIONAL RESURFACING

PicoWay^Ⓡ Resolve is an effective, non-invasive, non-surgical anti-aging device that uses short laser pulses to stimulate natural collagen production for a younger-looking skin. The laser beam in PicoWay^Ⓡ Resolve uses the same beam-type in the PicoWay^Ⓡ Zoom, but split into over 100 identical small beamlets. These beamlets reach below the skin’s surface in areas that are spaced evenly apart. As the laser is fast and powerful, this leads to a photoacoustic effect where tiny areas under the skin being vaporized with a non-thermal effect. Tiny open spaces are created under the skin which is then filled in over time with the growth of new collagen and elastin. The PicoWay^Ⓡ Resolve truly works from inside out. The treatment does not cause the outer layers of skin to break, so patients can get back to their routine quicker.

WHY PICOWAY^Ⓡ RESOLVE^TM ?

Designed for stellar results

The PicoWay^Ⓡ ResolveTM Fractional Resurfacing utilises a picosecond holographic fractionator for the delivery of consistent and precise laser energy to the skin. There are two Resolve hand pieces, one with 532nm wavelength for shallow lesions and one with 1064nm wavelength for deeper lesions.
First and only laser with ground-breaking holographic fractional technology. Delivering predictable energy with uniform treatment.
Utilises picosecond pulses in which Laser Induced Cavitations (LICs) are formed in the dermis of the skin, whereas Laser Induced Optical Breakdown (LIOBs) is formed in the dermal-epidermal junction. LIC stimulates a healing response and skin remodelling, while LIOB produces more of an effect on pigmentation.
Picosecond pulses improve skin clarity, skin tone, pore size and texture with negligible downtime while rejuvenating skin. Post treatment transient redness is observed, which subsides quickly allowing patients to resume regular activities.
Enables the treatment of acne scars, offering improvement to skin tone, brightness, texture and wrinkles with visible results after one or two sessions.

PicoWay^Ⓡ Resolve^TM targets unwanted signs of aging and skin irregularities such as:

Scars
Wrinkles
Dark spots
Sun damage
Fine lines
Acne scars
Pigmented lesions
Stretch marks

Why patients love the PicoWay^Ⓡ system:

Reduced acne scarring after just 3 sessions
High rates of improvement in wrinkle severity
A high rate of benign pigmented lesion clearance
Removal of multi-colored tattoos

PICOSURE^Ⓡ (CYNOSURE PICOSECOND 755NM LASER)

Technology that is light-years ahead The world’s first picosecond aesthetic laser, PicoSure^Ⓡ is an unparalleled breakthrough in laser technology. It distributes ultra-short pulses of energy to the skin in trillionths of a second. With a pulse width 100 times shorter than nanosecond technology, its photoacoustic impact allows for better, effective clearance in fewer treatments and less fluence. The ultra-short pulse duration goes beyond photothermal action, creating intense photoacoustic impact, the patented PressureWave^TM. This enables removal of dark, indelible blue and green inks, as well as previously treated recalcitrant tattoos with 755nm wavelength.

BOOST ADJUSTABLE PRESSURE

Boost amplifies PicoSure^ⓇPressureWave^TM to levels never before possible, and magnifies pressure by 70% through shortening pulse widths from 750 to 550 picoseconds. This enables unprecedented treatment options, and is ideal for recalcitrant tattoos and allows for enhanced shattering of pigment for optimised results. PicoSure^Ⓡ is the world’s first and only 755nm picosecond laser and is able to target both unwanted epidermal and dermal pigmentation such as:

Epidermal pigmentation:
- Solar lentigines
- Freckles
- Seborrheic keratoses
- Café-au-lait macules
- Nevus spilus
- Post-inflammatory hyperpigmentation
Dermal pigmentation:
- Nevus of Ota
- Nevus of Ito
- Becker’s nevus
- Melasma
- Acquired dermal melanocytosis
- Hori’s nevus
- Acquired bilateral nevus of Ota like maculae
- Tattoo pigment

PicoSure^Ⓡ Focus^TM

The standard for skin revitalisation treatments

Picosecond technology combined with the powerful Focus Lens Array has shown marked skin revitalisation outcomes. The diffractive lens array hand piece is capable of delivering laser energy as apexes of high-fluence regions surrounding by low-fluence regions. Known as Focused Lens Array (FOCUSTM), it consists of over a hundred micro lenses per square centimetre which redistribute the picosecond pulse into highly concentrated beams surrounded by a lower fluence background. As a result of this hexagonal closely packed diffractive lens array, 70% of the total energy is delivered throughout the micro-spots whilst the remaining 30% results in a low-fluence background. This results in less than 10% of the tissue being exposed to ultra-high-fluence ensuring no thermal injury to surrounding tissue, no columns of tissue damage as with traditional fractional lasers, and importantly, minimal erythema for a truly no-downtime rejuvenation procedure.

PicoSure^Ⓡ FOCUS^TM Lens Array targets unwanted signs of aging and skin irregularities such as:
- Scars
- Wrinkles
- Dark spots
- Sun damage
- Fine lines
- Acne scars
- Pigmented lesions
- Stretch marks

PICOSECOND VS NANOSECOND

PICOSECOND	NANOSECOND
PICOSECOND PULSE – ONE TRILLIONTH OF A SECOND	NANOSECOND PULSE – ONE BILLIONTH OF A SECOND
Takes advantage of photoacoustic effect (non-thermal) to target ink and pigment	Relies on photothermal action
Fewer treatment sessions usually required	More treatment sessions typically required
Less fluence required to achieve similar results	Higher fluence typically required to achieve similar results

HYBRID TREAMENT USING PICOWAY^Ⓡ AND PICOSURE^Ⓡ

Not all picosecond lasers are the same, so be sure to ask your physician about the technology being employed to treat your problem. Superior efficacy and results rely not only on the physician’s experience and expertise in diagnosing and identifying the precise type of pathology, but also on wielding the best, most scientifically-backed technology. At Angeline Yong Dermatology, both ground-breaking PicoWay^Ⓡ and PicoSure^Ⓡ technologies are being utilised to treat the widest range of pigment problems as Dr Yong firmly believes in not just delivering one option for patients, but a wholistic care and customised treatment based on the specific type of pigmentary issue. In addition to the ability to treat with the widest range of wavelengths suited for pigment removal, Dr Yong employs different pulse durations for different treatments. Aside from the picosecond mode for 532nm, 755nm, 785nm and 1064nm wavelengths, Dr Yong also selectively utilises other pigment lasers in a long-pulsed 755nm mode and the Q-switched 532nm and 1064nm mode to achieve better outcomes in more complex pigmentary problems that require precise calibration not just of fluence, but wavelength and pulse duration. The wide range of lasers available in Singapore enables superior results and each specific individual is provided with a unique, customised solution to target a wide spectrum of pigmentation issues.

Q-switched Nd:Yag

Dr Yong utilises a combination of treatment methods to give patients desirable outcomes. In order to treat a wide range of pigment problems, Dr Yong employs the most innovative and reliable technologies available, including the BiAxis Q-switched Nd:Yag laser which is effective in treating epidermal and dermal pigmented lesions, tattoos and stimulating collagen remodelling. For Dr Yong, patients come first. By fostering a partnership with the patients, Dr Yong formulates an effective medical intervention that is best suited to them, enabling optimum results that allow them to achieve their goals.

GENTLEMAX PRO^TM

The GentleMax Pro^TM by Syneron-Candela is a double platform laser that utilises the 755nm Alexandrite laser and the 1064nm Nd:YAG laser, enabling for the widest treatment options available in all 6 skin types.

Some of the conditions treated with the GentleMax Pro include:

Permanent removal of unwanted or excess hair in all 6 skin types
Removal of benign keratoses and/or sun spots on all parts of the body
Removal of pigmented lesions
Correction and rejuvenation of areas with diffuse sun damage on the face and body
Treatment of facial redness and broken blood vessels
Vascular lesions such as venous lake and hemangioma

In general, numbing with topical lidocaine for 20-30 minutes is conducted prior to the procedure. Below are descriptions of the various procedures performed with the GentleMax Pro^TM.

SUN SPOTS & BENIGN KERATOSES

Sun Spots and Benign Keratoses Removal

The GentleMax Pro^TM can also effectively remove unwanted brown sun damage spots and benign keratoses without scarring. The skin should be shielded from sun exposure before and after treatment for best results.

COLOUR CORRECTION & SKIN REJUVENATION

Colour Correction and Rejuvenation of Skin with Diffuse Sun Damage

The GentleMax Pro^TM can treat diffuse sun damage, which is often seen on the face, neck, chest and arms. Depending on the extent of sun damage, a series of treatments may be necessary, but significant improvement is seen with each treatment.

VASCULAR LESIONS

Treatment of Vascular lesions, Facial Redness and Broken Blood Vessels

The GentleMax Pro^TM can treat vascular lesions, background redness, and broken blood vessels on the cheeks, nose and chin. Redness, swelling and possible bruising is experienced for several days after the treatment. It is recommended to refrain from taking aspirin or NSAIDS for 1 week prior to the procedure.

FAQ

In general, pigmentation occurs when melanin (pigment cells) are concentrated in one area of the skin. Pigmented lesions can be further grouped into epidermal or dermal pigmentation depending on where they are located within the skin. Although the majority of pigmentation is caused by frequent and excessive sun exposure, some people are born with them (in the case of birthmarks) or have them as a result of hormonal changes during pregnancy. Regardless of the cause, proper diagnosis with an experienced dermatologist in Singapore is critical in successful pigmentation removal.

The magic behind pico lasers lies in their extremely fast speeds and ultra-short pulse duration, which translates to a higher peak power that doesn’t harm surrounding healthy tissues. Belonging in a special category of laser technology that works in one trillionth of a second, pico lasers can shatter pigmentation into smaller fragments that are then naturally removed by the body. This leads to more effective pigmentation removal in a shorter time with minimal downtime and side effects! With the help of different wavelengths and handpieces, pico lasers can target a multitude of skin issues ranging from fine lines and wrinkles, acne scars and tattoo removal to bring about a more healthy, youthful complexion.

Dr Angeline is a dermatologist in Singapore who has years of experience and knowledge in dealing with different types of pigmentation and how to effectively remove them. As the asia-pacific key opinion leader for both Cynosure and Candela lasers, she is highly experienced in using various lasers to treat mixed and complex pigmentary concerns optimally. She typically employs both the PicoWay and PicoSure laser as a hybrid treatment to target multiple types of pigmentation and produce better results in fewer sessions.

The number of treatments you need will depend on the type of pigmentation you have as well as the size and location of your pigmentation. In general, a series of 3 to 6 treatment sessions may be recommended. However, do take note that pigmentation that is larger, darker and found deeper within the skin will likely need additional treatments. During your initial consultation, Dr Angeline will discuss your treatment options and also let you know what you can expect from your treatment.

Pico lasers are effective in treating a wide range of pigmentation include sun spots, freckles and even stubborn melasma. In addition, the laser can also be used to treat other skin concerns such as ageing skin, acne scars, enlarged pores as well as tattoo removal.

Specialized range of treatments

Surgical
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Cosmetic

LASERS FOR PIGMENTATION & REJUVENATION

PICOWAYⓇ (SYNERON-CANDELA PICOSECOND 532/1064NM LASER)

WHY PICOWAYⓇ?

PICOWAYⓇ IS ALSO EFFECTIVE IN TREATING EPIDERMAL AND DERMAL PIGMENTATION:

PicoWayⓇ ResolveTM

PICOWAYⓇ RESOLVE FRACTIONAL RESURFACING

WHY PICOWAYⓇ RESOLVETM ?

PICOSUREⓇ (CYNOSURE PICOSECOND 755NM LASER)