PicoSure Pro Laser Treatment in San Diego
PicoSure Pro® is the latest and most advanced picosecond laser designed to address unwanted pigmentation, acne scars, wrinkles, uneven skin texture, and tattoo pigment with highly precise bursts of energy.
At Cosmetic Laser Dermatology in San Diego, our board-certified dermatologists have extensive experience using picosecond laser technology for both skin rejuvenation and tattoo removal.
What is PicoSure Pro?
PicoSure Pro is a picosecond laser that delivers 755 nm laser energy in extremely short pulses. This rapid delivery targets pigment while limiting unnecessary heat exposure to surrounding tissue.
The PicoSure Pro laser can also be equipped with the Platinum Focus™ Lens for skin revitalization and additional 532 nm and 1064 nm capabilities for selected tattoo treatments. Its versatility allows our board-certified dermatologists to use a PicoSure Pro laser treatment for concerns ranging from pigmentation to acne scars and wrinkles.
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HEAR FROM OUR HAPPY PATIENTS
5/5 STARS 
I trust Farzaneh Momeni completely with my skin. She is by far the best clinical aesthetician I’ve ever known. My skin has improved dramatically since I began monthly facials with her. Her treatments are 100% results-driven so if this is what you seek, look no further. Also, the entire Team at West Dermatology are top-notch. They’re always friendly, professional, & helpful, & greet everyone with a smile. 10 Stars all around!
My new regular cosmetic dermatology office. Dr Zubair is amazing and really patient with me. He has helped me over the last year with keloid scar removal, jaw Botox, and full facial acne scar treatment (ultra clear). The office is clean and the nursing/medical assistant staff is accommodating on all levels. I will always recommend this office and Dr Zubair to friends and family.
Most professional and most impressive! The service from the physicians to office staff is superb!
I live in Orange County and drove all the way out to see Dr. Wu because a friend of mine referred him (she had amazing results from her face and neck procedure). Dr. Wu is truly an artist! He made me feel extremely comfortable during my procedure. I was anxious when I got there, but he (and his staff) have such great energy and are so very kind and gentle that you can't help but feel at ease! The office was immaculate and they adhered to covid rules (sanitizing, temp checks, masks). This is my go-to place from now on and Dr. Wu is my go-to guy! Can't wait to see my final results! Thank you Phyllis (pre-op) for being so wonderful and informative! You were so very helpful and kind! I'll definitely be back!
Leysin and the entire team at Cosmetic Laser Dermatology are fantastic. They are professional, caring and communicative. The laser treatment was comfortable, efficient and effective! I highly recommend this practice. I definitely will come back and recommend her and Cosmetic Laser Dermatology to my family and friends.
Dr. Goldman is amazing! I came here for my permanent eyeliner removal (which is not offered anywhere near me), and they are completely removed in just one session. They use a special contact lens to protect your eyes from the laser, and there are no damages to my eyelashes. The healing was also nice and smooth. They have everything you need. I live almost 3 hours away, but it was totally worth the trip. For anyone who is looking to remove their permanent makeup, this is the right place to go :)-
Dr. Butterwick is fantastic, all of her team as well. They make sure your experience is pleasant and painless as possible. My tattoo removal and my injectables look amazing. I highly recommend her for any skin treatment.
Cosmetic Laser Dermatology was recommended to me by my dermatologist. He recommended Dr. Monica Boen. I'm so glad I took his recommendation. Everyone here at Cosmetic Laser Dermatology was super nice and friendly. Very welcoming. I came here for hair removal treatment. I did 4 sessions with Dr. Boen. Dr. Boen made me feel so comfortable and at ease when I talked to her. She explained everything before she did my treatment. I loved that. She was really easy to talk to. I definitely will come back and recommend her and Cosmetic Laser Dermatology to my family and friends.
This office is awesome. My visit today was with Dr. Groff. His bed side manner is so fun and welcoming. He understood my concerns and recommended a treatment plan that I feel was reasonable. I love his staff! They take there time to make sure you understand the treatment and after care. Everyone in the office, from the front desk to the nurses in the back, are so friendly and beautiful. They are very prompt and I trust my care with CLD. I can't wait for my next visit. See you guys in a few weeks!
"Dr. Sabrina Fabi is genius! Her technique is unlike anyone, her eye is precise, and her kindness and caring manner comes from the depth of her soul. She's simply brilliant! It's no wonder people travel the country just to be treated by her."
I wish I could give them 10 stars! I had such an awesome experience for my first visit and I am referring everyone I know to this office. From the super friendly staff to the state of the art procedures, they are the cream of the crop.
“I came to participate in a research study. All of the Doctors and staff at C.L. Dermatology are very professional, warm and friendly. All our my needs were anticipated and the hospitality of this office is like a five star hotel.”
What Can PicoSure Pro Treat?
Picosecond laser technology can address several different skin and pigmentation concerns depending on the wavelength, treatment configuration, and individual patient.
PicoSure Pro may be considered for:
- Melasma
- Unwanted brown pigmentation
- Nevus of Ota
- Hori macules
- Acne scars
- Fine lines and wrinkles
- Uneven skin texture
- Enlarged pores
- Selected tattoo colors
How Does PicoWay Complement PicoSure Pro?
PicoWay gives our board-certified dermatologists additional wavelengths and treatment configurations when PicoSure Pro is not the ideal choice for a particular concern.
PicoWay is another picosecond laser used at Cosmetic Laser Dermatology for pigmentation, tattoo removal, acne scars, wrinkles, and skin rejuvenation. Current PicoWay technology provides 532 nm, 730 nm, 785 nm, and 1064 nm wavelengths. Different wavelengths can target different pigment and tattoo ink colors, while PicoWay Resolve™ and Resolve Fusion™ provide additional options for skin treatments.
For acne scars and wrinkles, PicoWay can create a controlled response below the skin’s surface that supports fibroblastic function and hyaluronic acid, collagen, and elastic fiber production.
Offering both PicoSure Pro and PicoWay means treatment does not have to revolve around a single device. Instead, our physicians can evaluate the concern, skin characteristics, pigment, and desired degree of improvement before recommending the appropriate technology.
How Does PicoSure Pro Work?
PicoSure Pro delivers energy in picoseconds, creating a strong photoacoustic effect that breaks unwanted pigment into smaller particles. These smaller pigment particles can then be gradually processed and cleared by the body.
When PicoSure Pro is used for skin revitalization, the treatment can also enhance fibroblastic function to support hyaluronic acid, collagen, and elastic fiber production, helping improve skin texture and overall skin quality.
Can PicoSure Pro Be Used for Laser Tattoo Removal?
Yes. PicoSure Pro laser tattoo removal can target selected tattoo pigments using its available wavelengths, while PicoWay provides additional wavelength options for different tattoo colors.
Since tattoo ink varies in color, depth, density, location, and previous treatment history, one laser is not always the best solution for every tattoo. Cosmetic Laser Dermatology also offers TotalTat³, our signature pico laser tattoo removal approach that may incorporate multiple lasers, wavelengths, treatment parameters, and advanced techniques to address challenging tattoos.
What Should You Expect from a PicoSure Pro Laser Treatment?
Your treatment begins with a consultation to evaluate your skin concern and determine the appropriate treatment approach. Your eyes are protected during treatment, and comfort measures may be used when appropriate.
Temporary redness or swelling can occur after pico laser treatment and may be resolved within hours or several days depending on the treatment performed. Sun protection is particularly important following treatment.
The number of sessions varies according to the concern being treated, their severity, the selected technology, and how your skin responds. Some patients may begin noticing improvement following an initial treatment, with additional changes developing through a series of treatments when recommended.
Why Choose Cosmetic Laser Dermatology for PicoSure Pro?
First PicoSure in Southern California
Cosmetic Laser Dermatology was home to the first PicoSure laser in Southern California. Our experience with the technology began early and continues with the latest PicoSure Pro system.
Picosecond Laser Research
Our board-certified dermatologist, Dr Goldman and Dr.Wu, have completed multiple research trials involving pico laser technology. This research experience provides our physicians with an in-depth understanding of how picosecond technologies can be used for different cosmetic concerns.
Board-Certified Dermatologists
PicoSure Pro treatments are performed by our board-certified dermatologists. Treatment settings and technology are selected according to your skin, concern, treatment history, and desired degree of improvement.
Advanced Laser Technology
Cosmetic Laser Dermatology has an extensive collection of laser, light, and energy devices, including PicoSure Pro and PicoWay. This gives our physicians greater flexibility when determining which technology is appropriate for a particular concern.
Comprehensive Treatment Planning
We do not approach every pigmentation concern, acne scar, or tattoo with the same device or settings. Instead, our physicians can evaluate whether PicoSure Pro, PicoWay, another technology, or a combination approach may provide the most appropriate treatment plan.
Natural-Looking Results
Our goal is to make meaningful improvement that still looks natural. Depending on the concern, PicoSure Pro laser treatment may also be incorporated into a broader skin rejuvenation plan using complementary technologies when appropriate.
Our Renowned Dermatologists
We are proud to share that Dr. Goldman, Dr. Butterwick, Dr. Groff, Dr. Fabi, & Dr. Boen have once again been recognized as Castle Connolly Top Doctors in 2026!
Cosmetic Laser Dermatology has been voted Best Cosmetic Dermatology Practice in San Diego Magazine’s 2025 “Best of San Diego” readers’ poll!
Dr. William Groff was voted Best Cosmetic Dermatologist, Best Cosmetic Surgeon, and Best Dermatologist for 4 consecutive years by the San Diego Reader Best Poll.
Dr. Mitchel Goldman was voted #1 Cosmetic Dermatologist in America by Newsweek
Dr. William Groff was voted Best Cosmetic Dermatologist and Best Cosmetic Surgeon for 8 consecutive years by the San Diego U-T Best Readers Poll.
Drs. Goldman, Butterwick, and Fabi made the top 8 in Newsweek’s Best Cosmetic Dermatologists in America for the last two years in a row
Voted in the top 10% of Realself Doctors by achieving high patient satisfaction and getting favorable feedback on Q&A
Dr. William Groff was voted Best Dermatologist for 10 consecutive years and Best Cosmetic Surgeon for 9 consecutive years by the La Jolla Light Best Readers Poll.
Drs. Goldman, Butterwick, Groff, Fabi, and Boen were named Castle Connolly Top Doctors in 2025, making us one of the Top 3 Practices in California with the most Castle Connolly Top Doctors in Dermatology.
Dr. Boen has been recognized as a Top Doctor in 2023 and 2024 by San Diego County Medical Society.
Dr. Butterwick, is a distinguished facial cosmetic surgeon certified by the American Board of Facial
Cosmetic Surgery (ABFCS).
PicoSure Pro FAQ
Yes. PicoSure Pro is the current generation of PicoSure technology and retains the signature 755 nm picosecond wavelength while offering updated treatment capabilities and handpiece options. Our board-certified dermatologists determine which configuration is appropriate based on the concern being treated.
PicoSure Pro has an FDA cleared indication for treatment of melasma pigment using its 755 nm wavelength. However, melasma is complex and can recur, so our board-certified dermatologists evaluate skin type, triggers, pigmentation pattern, and previous treatments before recommending laser treatment.
PicoSure Pro may be appropriate for some patients with darker skin tones, but suitability depends on the specific concern, treatment setting, wavelength, and individual skin type. Because darker skin has a greater risk of pigment changes after laser treatment, careful evaluation and conservative treatment planning are especially important. At Cosmetic Laser Dermatology, our board-certified dermatologists assess skin tone, pigmentation, treatment history, and goals before determining whether PicoSure Pro, PicoWay, or another laser, light, and energy device is the better option.
PicoSure Pro and PicoWay are both picosecond lasers, but they offer different wavelengths and treatment configurations. Having both technologies allows our board-certified dermatologists to choose the device based on pigmentation, tattoo color, skin type, acne scarring, wrinkles, and other treatment goals.
The number of PicoSure Pro laser treatments varies according to the condition being treated and your individual response. Pigmentation, acne scars, wrinkles, and tattoo ink do not necessarily require the same treatment schedule, so your physician will recommend an appropriate plan following evaluation.
Yes, both systems can treat all ink colors, including challenging red and yellow pigments. PicoWay’s three wavelengths and PicoSure’s advanced technology make them effective for multicolored tattoos. A consultation is essential to determine the best approach for your specific tattoo.
Both PicoWay and PicoSure have been shown to more effectively and rapidly treat black tattoos than conventional Q-switched lasers, requiring fewer treatment sessions for optimal clearance.
Treatment costs depend on various factors, including size, color, location, and specific concerns being addressed. We offer consultations with board-certified dermatologists to determine the best treatment plan and associated costs for your unique needs.
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