Why We Selected PicoWay
Many lasers rely on heat to affect pigment, which asks the surrounding skin to tolerate that heat too. PicoWay was selected because its picosecond technology works differently: it treats pigment primarily through a rapid mechanical effect rather than sustained heating. For patients, that difference is the point. It allows precise treatment of a specific pigment concern while limiting unnecessary stress on the skin around it.
Before & After Results
Our clinical results library is continuing to grow. Additional authentic patient photographs will be added as patients grant permission to share their outcomes.
Our clinical results library is continuing to grow.
We are continually expanding our library of authentic patient photography as additional patients grant permission to share their outcomes.
Our clinical results library continues to grow
Individual results vary. Outcomes depend on anatomy, treatment selection, treatment plan, and individual healing response.
How PicoWay Works
PicoWay delivers energy in picoseconds, or trillionths of a second, creating a photoacoustic effect that shatters pigment and ink into tiny particles the body can naturally clear. Because the effect is more mechanical than thermal, less unwanted heat reaches the surrounding skin. A fractional Resolve capability applies the same picosecond energy beneath the surface to encourage renewal, helping to smooth texture and refresh the complexion.
Technology chosen for what it means for your skin.
Every technical capability below was part of why Gerrish MedEsthetics selected this platform, and each one translates into something a patient can feel or see. Nothing here is a specification for its own sake.
Ultra-Short Pulse Durations
Trillionths of a second
Pulses this short affect pigment through a rapid mechanical effect rather than sustained heating. For you, that means treatment can focus on the pigment itself while limiting unwanted heat in the surrounding skin, which supports comfort and recovery.
High Peak Power
Energy concentrated into each pulse
Concentrating energy into an ultra-short pulse is what fractures pigment into fragments small enough for your body to clear. The benefit is effectiveness without asking your skin to absorb prolonged heat to get there.
Multiple Wavelengths
Matched to the pigment being treated
Different pigments, from sun-related spots to different tattoo ink colors, absorb different wavelengths of light. Having several wavelengths available means your treatment can be matched to your specific pigment rather than approximated by a single setting.
Fractional Resolve Capability
Renewal beneath the surface
The same picosecond energy can be delivered in a fractional pattern beneath the skin's surface to encourage renewal and smoother texture over time, typically with minimal downtime.
Where PicoWay May Be Used
PicoWay is one tool within a broader treatment philosophy. Each concern below has its own dedicated page explaining how we evaluate it and when PicoWay, or another approach, makes sense.
Pigmentation & Sun Damage
Defined, stubborn spots can respond to picosecond energy that fragments pigment so the body can gradually clear it.
Explore Pigmentation & Sun DamageMelasma
Melasma is biologically different from ordinary sun spots and often calls for a conservative, low-energy strategy, and recurrence remains possible even after successful treatment.
Learn more about MelasmaTattoo Removal
PicoWay's wavelengths and picosecond pulses help break down a range of ink colors over a series of sessions.
Explore Tattoo RemovalPermanent Makeup Removal
Cosmetic pigments in brows, lips, and eyeliner behave differently from tattoo ink and call for careful, individualized evaluation before treatment.
Explore Permanent Makeup RemovalAcne Scars
Fractional picosecond treatment may help soften the appearance of acne scarring by encouraging renewal beneath the surface.
Explore Acne ScarsSkin Rejuvenation
The Resolve capability can support overall tone and texture as part of a broader rejuvenation plan.
Explore Skin RejuvenationWhat PicoWay Treatment Involves
Planning the treatment course
Our Clinical Team assesses your tattoo, pigmentation, or scarring and maps out an appropriate course, matching the wavelength and settings to the specific pigment being treated.
During the session
The area is cleansed, and comfort measures are applied based on the treatment being performed. Rapid picosecond pulses are delivered with careful attention to your skin's response, and most patients tolerate the sensation well.
Recovery
Temporary redness, swelling, or frosting may occur and generally subsides within a few days. Most patients return to their routine quickly with proper aftercare and sun protection.
Results between sessions
Improvements build gradually over multiple sessions as the body clears the fragmented pigment, so visible change continues to develop for weeks after each visit.
Distinct Roles in a Combined Plan
Medical Facials
Nurture and maintain your skin between picosecond sessions.
Chemical Peels
Complement pigment correction with additional tone and texture refinement.
Understanding the Treatment
PicoWay works differently from traditional lasers, and matching the settings to the specific pigment is what makes it effective.
Why ink color and depth change the settings
Different tattoo inks and pigments absorb different wavelengths of light, and ink sits at different depths in the skin. Matching the wavelength and settings to a particular color and depth is what allows treatment to target the pigment you want to clear, which is one reason multi-color tattoos often call for more than one approach across a series of sessions.
Breaking pigment into smaller pieces
Tattoo ink and stubborn pigment sit in particles too large for your body to clear on its own. Because energy is delivered in trillionths of a second, PicoWay's effect is more mechanical than thermal, fracturing those particles into much smaller fragments your immune system can gradually carry away, with less heat spreading into the surrounding skin.
Why results build between sessions
The visible change after each session continues to develop for weeks as your body clears the fragmented pigment. That is why sessions are spaced apart, the clearing happens on your body's timeline, not the laser's.
Frequently Asked Questions
Where This Fits in Your Treatment Strategy
PicoWay is often selected for tattoo removal, pigment concerns, or selected rejuvenation protocols. It may be used independently or as part of a pigment-focused treatment strategy designed around your skin and goals.
Commonly considered with
You do not need to know whether this is the right treatment before you arrive. That is exactly why the consultation comes first.
Begin with a conversation.
A consultation helps determine which options belong in your plan and what may be more appropriate.
Continue Learning
Tattoo Removal
Understand how picosecond energy breaks down ink and why removal happens over a series.
Learn MoreBrown Spots & Sun Damage
See why pigment concerns are evaluated differently from ink before any laser treatment.
Learn MoreThe Consultation Experience
See how a physician evaluation determines where to begin and which approach fits your anatomy and goals.
Learn More