Picosecond lasers can vary significantly depending on the technology, pulse structure, and optical systems used. The Etherea MX handPICO delivers energy in picosecond-duration pulses, which interact with pigment primarily through a photoacoustic effect rather than relying heavily on heat. This approach allows the practitioner to work with very short bursts of energy, which can be adjusted depending on the individual’s skin type and treatment goals. The handPICO also includes a fractional micro-lens array mode, which creates microscopic treatment zones within the skin. This option allows the practitioner to address concerns relating to skin tone, pigmentation, pores, and texture using different treatment patterns. In addition, the 1064 nm wavelength available on the handPICO has lower absorption by epidermal melanin compared with shorter wavelengths. Because of this, it may be considered when treating a wide range of skin types, including Asian and darker skin tones, when used appropriately and after practitioner assessment.

Treating pigmentation in Asian, Middle Eastern, and other melanin-rich skin types requires careful consideration. Higher levels of melanin in the skin can make darker skin tones more responsive to heat-based treatments, which means selecting the appropriate wavelength and treatment parameters is particularly important. Picosecond lasers deliver energy in extremely short pulses. These short pulses create a predominantly photoacoustic interaction with pigment, rather than relying heavily on heat. Because of this mechanism, certain picosecond wavelengths — particularly 1064 nm — may be considered when addressing pigmentation concerns in darker skin types. At LadyGrace Aesthetics, the handPICO allows practitioners to adjust wavelengths, pulse structures, and treatment patterns depending on the individual’s skin type and concerns. During consultation, the practitioner will assess factors such as skin tone, the type of pigmentation present, and treatment history to determine whether picosecond treatment may be appropriate. As with all laser procedures, responses vary between individuals, and treatment suitability is determined through professional assessment.

Pigmentation concerns can be more complex to manage in Asian, Middle Eastern, and other melanin-rich skin types. This is because darker skin contains higher levels of melanin, the pigment responsible for skin colour. While melanin provides natural protection against ultraviolet exposure, it can also make the skin more reactive to certain treatments that generate heat. When the skin experiences inflammation or excessive thermal energy, it may respond by producing additional pigment. This process is known as post-inflammatory hyperpigmentation, which is why careful treatment planning is particularly important for darker skin tones. For this reason, practitioners often take a cautious and individualised approach when addressing pigmentation concerns in melanin-rich skin. Factors such as the type of pigmentation present, skin tone, previous treatments, and overall skin condition are assessed before recommending treatment. Technologies such as picosecond lasers use very short pulses of energy that interact with pigment in a different way compared with traditional heat-based lasers. Depending on the individual’s skin characteristics, these technologies may be considered as part of a treatment plan designed to support gradual changes in skin tone and overall skin appearance. At LadyGrace Aesthetics, many of our patients have Asian or melanin-rich skin, and treatment plans are carefully tailored to suit each person’s skin characteristics and concerns.

Suitability depends on skin type, medical history and treatment goals. Both handPICO and ProDeep may be considered across a wide range of skin types, including melanin-rich skin, when parameters are appropriately adjusted following assessment. A consultation is required prior to commencement.

Pico treatments may be considered for: • Uneven pigmentation • Dull or uneven tone • Tattoo removal ProDeep treatments may be considered for: • Texture irregularities • Visible pores • Mild acne-related scarring • Early fine lines

Treatment plans vary. Most individuals require multiple sessions spaced approximately 4–5 weeks apart for gradual improvement. Maintenance sessions may be recommended depending on individual response.

To reduce any risks and complications, it is very important that you follow post-care instructions. Your skin is renewed and sensitive during the first 3-5 days depending on your treatment, and needs to be cared for carefully to reduce complications such as hyperpigmentation, scars, and irritation. Following your after-care instructions carefully helps avoid these risks. As these treatments target the deeper layers of your skin for cell renewal, you may have to prep your skin with specific products to reduce your chances of complications. At LadyGrace Aesthetics, we are trained in assessing your skin and in devising a treatment plan specially made for you. We will assess your skin and your concerns to recommend you the most effective and safe way to achieve your results. BEFORE your treatments, it is recommended that you: • Avoid prolonged sun exposure for at least 2 weeks before your treatment as this can increase your chances of hyperpigmentation • Stop using any actives such as Vitamin A, Vitamin C, and acids (except for hyaluronic acid) for about 1 week before your treatment • Advise us if you have had any procedures in the last 2-4 weeks as this can affect your treatment results • Advise us of your allergies, medications, and medical health history to prevent complications • Avoid alcohol, intense exercises and heat-inducing procedures for at least 48 hours as this can induce more inflammation / hyperpigmentation • Continue using your SPF 50+ everyday, gentle cleanser, and moisturiser • If you have any current infections, skin irritation, rashes, and open wounds on your treatment area, please advise us as soon as possible to reschedule your appointment • Consistently used prep products to reduce your chance of post-inflammatory hyperpigmentation (vitamin A, vitamin C, brightening serums) for at least 4 weeks prior to your treatment

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All laser treatments carry risks and outcomes cannot be guaranteed. Possible side effects include: • Temporary redness • Swelling • Mild discomfort • Dryness or flaking • Temporary pigment darkening • Changes in skin tone • Rare blistering or scarring Risk varies based on skin type and individual response. Patch testing may be recommended.

• Pick or peel at your flaking skin as this can cause scarring or hyperpigmentation. Your skin must flake off naturally. Please use a scrub about 5 days after your treatment to gently exfoliate your skin • Expose your skin to direct or prolonged sun exposure • Drink alcohol, or do any intense exercises or heat-inducing activities for at least 48 hours • Use any actives on your skin such as Vitamin A, Vitamin C, or acids (except for hyaluronic acid) for at least 5-7 days after your appointment Contact the clinic if you have any concerns.