Pico Laser Treatment

Pico laser is a non-invasive laser treatment that uses ultra-short picosecond pulses to shatter pigment mechanically rather than with heat. In addition, it treats pigmentation, melasma, acne scars, enlarged pores, and tattoos with minimal downtime, and is well suited to Asian skin. Moreover, most people need 3 to 6 sessions, costing RM300 to RM1,500 each in Malaysia.

StarWalker® PQX PICO Laser

Picosecond laser technology is the latest and safest tool for effective skin pigment removal without collateral damage to surrounding tissue and unwanted side effects. At CLEO Clinic, we use the latest and most advanced StarWalker PQX Picosecond laser. Furthermore, its pulses induce skin remodeling in a photoacoustic, completely non-thermal way, making it a very safe option for all skin types.
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What is PICO Laser?

Pico laser is a laser that fires energy in picoseconds, trillionths of a second. That's roughly 100 times shorter than the nanosecond pulses of older Q-switched lasers. At that speed, the laser works mainly through a photoacoustic effect: a pressure wave breaks pigment into very fine fragments instead of heating it. CLEO Clinic uses the 3rd Generation StarWalker PQX PICO Laser with patented FracTAT technology, promising better and faster results in the treatment of pigmentation, acne scars, skin rejuvenation, and tattoo removal.

According to DermNet, picosecond lasers fragment pigment through this photomechanical process rather than purely thermal destruction, which is the core difference from earlier laser generations.

Two practical consequences follow:

  • Smaller fragments clear faster, so pigment usually needs fewer sessions than with older lasers.
  • Less heat reaches surrounding skin, which lowers the risk of burns and post-inflammatory hyperpigmentation.

Our guide on everything to know about the pico laser procedure covers the technology in more detail.

How Pico Laser Treatment Works

Pico laser treatment works in two ways, depending on the setting your doctor uses:

1. Pigment clearance (full-beam mode). The laser targets melanin or tattoo ink. In addition, the pulse shatters it into particles small enough for your immune system to carry away over the following weeks. In short, this is how it treats sun spots, freckles, pigmentation, and tattoos.

2. Collagen stimulation (fractional mode). The laser creates tiny, controlled micro-injuries beneath an intact skin surface. Also, as they heal, your skin produces new collagen and elastin. In short, this is how it improves acne scars, enlarged pores, fine lines, and texture.

The StarWalker® PQX uses Fotona’s FracTAT® technology for the fractional mode, and offers multiple wavelengths so settings can be matched to different pigment depths and ink colours.

pico laser malaysia

What Pico Laser Treats

Quick answer: Pico laser works best for pigment problems: sun spots, freckles, post-acne marks, melasma (with caution), and tattoos. It also improves mild to moderate acne scars, enlarged pores, and uneven texture through collagen stimulation.

Pigmentation, Sun Spots, and Freckles

The most common reason people book pico laser. Moreover, it targets sun spots, age spots, freckles, and the dark marks left after acne (post-inflammatory hyperpigmentation). Furthermore, surface pigment often shows visible fading after the first one or two sessions.

See how pico laser treats stubborn pigmentation safely, and our guide to jeragat (freckles and pigmentation).

Melasma

Pico laser can help melasma, but it needs more caution than any other concern on this list. Besides, melasma is chronic and tends to relapse, and overly aggressive settings can make it darker through a rebound effect.

Good melasma treatment uses low-energy, conservative settings, combined with topical or oral treatment and strict sun protection, followed by maintenance sessions. Also, laser is a supporting therapy for melasma, not a cure. In addition, our melasma treatment guide explains where laser fits.

Acne Scars

In fractional mode, pico laser stimulates collagen remodelling in scarred skin. Moreover, it works best on shallow to moderate, diffuse scarring such as mild boxcar and rolling scars.

It is not the right tool on its own for deep ice-pick scars or strongly tethered rolling scars. Instead, those usually need TCA CROSS or subcision first. See our comprehensive acne scar treatment guide and our guide to ice-pick scars.

Enlarged Pores and Skin Texture

By stimulating collagen in the dermis, pico laser gradually refines pore appearance and smooths rough texture. See our guide on reducing enlarged pores.

Tattoo Removal

The StarWalker® PQX offers several wavelengths to target different ink colours, treating both black and coloured tattoos. In addition, black ink clears fastest; colours such as green and blue take more sessions. More detail: why pico is the best laser for tattoo removal.

Skin Rejuvenation and Dull Skin

Low-energy “toning” treatments brighten dull skin, even out tone, and soften fine lines across a short course. See skin rejuvenation with pico laser.

What Pico Laser Can’t Treat

Pico laser is versatile, but it isn’t the answer to every skin concern. However, it is not an effective main treatment for:

  • Deep ice-pick scars or tethered rolling scars — these need TCA CROSS or subcision
  • Sagging skin or jowls — lifting needs energy delivered much deeper, such as Ultherapy PRIME
  • Broken capillaries and redness — vascular lasers are better suited
  • Raised scars or keloids
  • Active, inflamed or cystic acne — this needs to be controlled first; see our guide on cystic acne

Knowing this up front saves you from paying for sessions on a concern that won’t respond.

How Many Pico Laser Sessions Do You Need?

The number of sessions depends on what you’re treating. Overall, these are typical ranges:

ConcernTypical SessionsSpacing
Freckles and sun spots2–43–4 weeks
Post-acne dark marks (PIH)3–53–4 weeks
Melasma6–10, then maintenance2–4 weeks
Acne scars (mild to moderate)4–64–6 weeks
Enlarged pores and texture4–64 weeks
Tattoo removal4–10+6–8 weeks

Your doctor will confirm your plan after assessing your skin, since depth of pigment, scar type, and skin tone all change the number.

Pico Laser Price in Malaysia

Pico laser in Malaysia typically costs RM300 to RM1,500 per session, depending on the concern, area treated, and clinic.

TreatmentTypical Price Per Session
Pigmentation, freckles, sun spotsRM400 – RM1,200
Melasma (low-energy toning)RM400 – RM1,200
Acne scars and pores (fractional)RM800 – RM1,500
Small tattoo (under 3cm)RM300 – RM800
Large or multi-colour tattooRM1,000 – RM2,500+

What affects the price:

  • Concern and area — full-face fractional work costs more than a few spots
  • Number of sessions — packages lower the per-session cost
  • Device — genuine picosecond systems cost clinics more to buy and run
  • Doctor and clinic — experience and location affect pricing

Budget for the course, not one session. A single session rarely clears pigment or scarring fully.

A warning on very cheap “pico” deals. Adverts offering pico laser at unusually low prices are sometimes not genuine picosecond lasers at all. Ask which device the clinic uses, by brand and model, and confirm the treatment is done by an LCP-certified doctor.

Pico Laser Results: What to Expect and When

TimeframeWhat Typically Happens
Right afterMild redness and warmth; pigment may look slightly darker
1–7 daysRedness settles; treated spots may darken and flake off
2–4 weeksVisible brightening and fading of surface pigment
After 3–5 sessionsClearer, more even tone for most pigment concerns
3–6 monthsPeak collagen results for scars and pores

Pigment responds faster than texture. Also, scar and pore improvements build gradually, because they depend on new collagen forming.

Keeping your results: pigment can return with sun exposure and hormones. Besides, daily sunscreen matters, and many people, especially with melasma, need maintenance sessions every few months.

Is Pico Laser Safe for Malaysian Skin?

Yes. In addition, it’s one of the better laser options for Asian skin.

Most Malaysians have Fitzpatrick skin type III to V, which carries a higher risk of post-inflammatory hyperpigmentation after heat-based lasers. Because pico laser delivers less heat, that risk is lower. Find out your type in our Fitzpatrick skin type guide.

“Safer” isn’t “risk-free.” Settings still need adjusting to your skin tone and concern, especially for melasma and deeper skin tones. See how pico laser helps with different skin tones and why pico laser suits Asian skin.

Our #6 most popular PICO laser indications

Pigmentation Disorders

Pico laser is extremely effective in treating various pigmentation disorders. Our PQX Starwalker PICO machine promises fewer treatments , Shorter treatment time and quicker healing with minimal downtime!

Rejuvenation & Toning

PICO laser induces microscopic lesions within tissues and as a result of micro cavitations and plasma forms. Micro wounds are rapidly healed by the intact surrounding tissue, leaving the skin refreshed, more elastic and with fewer visible wrinkles and scars.

Tattoo Removal

StarWalker® PQX delivers a full range of laser wavelengths to cover the complete absorption spectrum of melanin, oxyhemoglobin and water. It can effectively remove both coloured and black tattoo .

Acne Scar Revision

Fotona PQX Lasers are ideally suited for the effective treatment of a wide range of scar tissues. Pico Laser skin resurfacing is used for gentle ablation of scar tissue and activation of collagen remodeling. Acne scars in particular respond well to Er:YAG treatments.

Laser Lip Rejuvenation

Non-Invasive rejuvenation for Fuller Lips without Injectables. Lip Laser treatment stimulate patient's own collagen in their lips. Resulting in fullness, volume, correct balance between the upper and lower lips and a well-defined vermilion border.

FracRevive™

FracRevive™ is an efficient two-step skin rejuvenation treatment with minimal downtime, performed with both full-beam and fractional Q-switched Nd:YAG laser. The treatment improves the patient’s skin tone & texture as well as reduces pore size, pigmentation, and static wrinkles.

PICO laser VS Q-switch laser

The Pico Laser works by delivering ultra-short picosecond laser pulses, compared to the nanosecond pulses used by a Q-Switched Laser. A picosecond pulse is roughly 100 times shorter than a Q-switched laser’s, which allows it to deliver more pulses within the same amount of time, resulting in more effective pigment fragmentation and better results.

A picosecond pulse is roughly 100 times shorter than a Q-switched laser’s nanosecond pulse.

 Pico LaserQ-Switched Laser
Pulse durationPicosecondsNanoseconds
Main mechanismPhotoacoustic (pressure wave)Mostly photothermal (heat)
Pigment fragmentsFiner, cleared fasterLarger, cleared slower
Sessions usually neededFewerMore
Heat-related riskLowerHigher

For a three-way comparison including CO2 laser, see pico laser vs Q-switched vs CO2 laser. If you’re weighing laser against home skincare, see pico laser vs traditional skincare treatments.

Benefits Of PICO Laser Treatment

The Picosecond laser breaks down pigmentation into much smaller fragments and faster as compared to a Q-Switched Laser. In addition, this not only enables the skin to clear these fragments faster and with lesser downtime. Moreover, it also reduces the number of treatments required.

Our Pico Laser Machine: StarWalker® PQX

CLEO Clinic uses the third-generation StarWalker® PQX by Fotona:

  • Very high peak power in picosecond mode
  • Short pulse width for a strong photoacoustic effect
  • Multiple wavelengths for different pigment depths and tattoo ink colours
  • Flat-top handpieces for even energy delivery
  • FracTAT® fractional technology for scars, pores, and rejuvenation

Other picosecond systems in Malaysia include PicoSure, PicoWay, Discovery Pico, and Picocare. Furthermore, the device matters, but the doctor’s settings and judgement matter more, especially for melasma and darker skin.

Pulverization of pigments allow better resorption and reduces the number treatments required.

What to Expect During Pico Laser Treatment

Before: Your doctor assesses your skin and concern, confirms suitability, and agrees a plan. Avoid tanning and stop retinoids or strong exfoliants for a few days beforehand if advised.

During:

  1. Cleansing — makeup and oil are removed
  2. Numbing — numbing cream is applied if needed
  3. Calibration — settings are matched to your skin type and concern
  4. Treatment — rapid pulses across the area; most people describe a mild snapping, around 2 out of 10 for discomfort
  5. Soothing — a calming mask or gel reduces redness

A session usually takes 15 to 30 minutes.

Downtime, Side Effects, and Aftercare

Most people return to normal activities the same day.

Common and temporary:

  • Mild redness and warmth for a few hours to a day
  • Slight swelling
  • Treated spots darkening before they flake off (normal and expected)

Less common:

  • Post-inflammatory hyperpigmentation, more likely with darker skin or aggressive settings
  • Melasma rebound if settings aren’t conservative

Aftercare:

  • Apply broad-spectrum sunscreen daily; see physical vs chemical sunscreen
  • Avoid retinoids, acids, and scrubs for a few days
  • Skip saunas and intense heat for 48 hours
  • Don’t pick at flaking spots

Full detail: what to avoid after pico laser.

Who Should Avoid Pico Laser?

Pico laser is generally not recommended if you have:

  • Active skin infection, cold sores, or an eczema flare in the area
  • A recent tan or recent sunburn
  • Pregnancy
  • Use of photosensitising medication (tell your doctor about any medication)
  • Unrealistic expectations of one-session results

Combining Pico Laser With Other Treatments

Pico laser is often part of a broader plan: chemical peels for surface texture, skin boosters for hydration, or subcision and microneedling for deeper scarring. Also, spacing matters, since stacking treatments too closely increases irritation. See pico laser with other treatments in Malaysia and the broader benefits of pico laser.

Suitable Skin Conditions for PICO Laser

acne scar

age spots

enlarged pores

melasma

pigmentation

tattoo removal

uneven skin tone

wrinkles

Why StarWalker® PQX PICO is the choice?

One of the things that makes the innovative StarWalker® PQX laser system stand out from the competition is that it delivers highest Pico Power & Energy, which, combined with a wide range of sophisticated state-of-the art accessories, offers speed combined with precision in treatments. Also, the machine also offers the widest range of wave length giving the operator full versatility in treat various conditions. 

PICO Laser Steps

1

skin acne treatment

Skin Preparation

Your skin is gently cleansed, and numbing cream may be applied to ensure a comfortable experience.

2

v-line face

Laser Calibration

The Pico Laser settings are adjusted according to your skin type, concerns, and the depth of treatment needed.

3

Pico Laser Application

The laser delivers fast, precise pulses to break down pigmentation, brighten the skin, and stimulate collagen for smoother, clearer results.

4

aesthetic

Soothing Mask

A calming face mask is applied at the end of the session to reduce redness and enhance recovery.

F.A.Q

Typically RM300 to RM1,500 per session, depending on the concern and area. Pigmentation treatments sit lower in the range; fractional treatment for scars and large tattoos sit higher.

Usually 3 to 6. Freckles may need only 2 to 4, while melasma often needs 6 to 10 plus maintenance, and tattoos can need 10 or more.

Most people rate it around 2 out of 10, a mild snapping sensation. Numbing cream is available.

Cleared pigment and tattoo ink don’t come back on their own, but new pigment can form with sun exposure and hormones. Melasma in particular needs maintenance.

Very little. Redness usually fades within hours, and most people return to work the same day.

Pico laser generally clears pigment in fewer sessions with less heat-related risk. Q-switched lasers are older and can still work, but usually need more sessions.

Several picosecond lasers are available in the Malaysian market, including the Discovery Pico, PicoSure, PicoWay, and Picocare. Be cautious of marketing offering “pico laser” treatment below market prices, as these may not be true picosecond lasers and won’t generate the same speed or results as a genuine device. The StarWalker PQX, as a third-generation pico laser, generates the highest peak power currently available, with the widest wavelength range and versatility to target various conditions effectively, meaning faster, more effective results with fewer sessions.

MEET OUR DOCTOR

Dr. Raimie Bin Rahmad

Aesthetic Physician

Dr. Raimie Bin Rahmad
  • Doctor of Medicine (M.D.) – MMA
  • Professional Diploma in Aesthetic Medicine
  • LCP Accredited by MOH
  • Founder & Medical Director of Cléo Clinic

Dr. Tan Choy Ling

Aesthetic Physician

Dr. Tan Choy Ling
  • Doctor of Medicine (M.D.) – MMA
  • Postgraduate Diploma in Dermatology in Clinical Practice – University of South Wales, UK
  • Professional Diploma in Aesthetic Medicine – AAA
  • LCP Accredited by MOH
  • Co- Founder of Cléo Clinic

Dr. Seok Wye Kitt

Aesthetic Physician

  • M.D.(RSMU)
  • Postgraduate Medical Aesthetic Certification (MAC)
  • Medical Aesthetic International Certification (MAIC)
  • Clinical Director of Cléo Clinic
  • LCP Accredited by MOH

Dr. Amy
Lau

Aesthetic Physician

Dr. Amy Lau
  • Doctor of Medicine (M.D.)  – UKM
  • Certificate in Aesthetic
  • Medicine – American Academy of Aesthetic Medicine (AAAM)
  • Postgraduate Medical Aesthetic Certification (MAC)
  • Professional Diploma in Dermatology – Royal College Of Physician Of Ireland
  • LCP Accredited by MOH
  • Clinical Director of CLÉO CLINIC Kepong

Dr. Sara
Thong

Aesthetic Physician

Dr Sara Thong
  • Bachelor of Medicine & Bachelor of Surgery (MBBS) – Manipal
  • Postgraduate Diploma In Dermatology In Clinical Practice – University Of South Wales, UK
  • Professional diploma in Aesthetic Medicine – IIWAM
  • LCP accredited by MOH
  • Clinical Director of CLÉO CLINIC Cheras

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Book Your Pico Laser Consultation at CLEO Clinic

Every skin concern responds differently, so your doctor will assess your skin before recommending a plan. Book a consultation at any of our four branches in Sri Hartamas, Taipan USJ 10, Kepong, or Cheras to find out if pico laser is right for you.

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