Acne Scar Treatment

Addressing
Acne Scars
With Laser

Acne scars can persist long after breakouts resolve. At Renora Clinic, we offer three laser-based treatment options — CO₂, Fotona, and Pico — each suited to different scar types and skin conditions. Our doctors will assess your skin and recommend the most appropriate approach for you.

02

Fotona Laser

Non-ablative · Dual-wavelength · Suitable for darker skin tones

03

Pico Laser

Picosecond pulses · Pigmentation & superficial scars · Minimal downtime

CO₂ Fractional Laser Machine at Renora Clinic -->
CO₂ Fractional Laser
Renora Clinic, KL
10,600nm
Our Equipment

Medical-Grade
CO₂ Fractional
Laser System

Our CO₂ fractional laser is a fully calibrated, clinic-grade device delivering precise micro-ablative treatment. Settings are adjusted per session based on scar depth, skin tone, and individual response — ensuring consistent, controlled energy delivery every time.

10,600nm
Wavelength
Fractional
Delivery Mode
15–30%
Coverage / Session
Adjustable
Penetration Depth

Types of Acne Scars

Not all acne scars are the same. Identifying the type you have is an important first step — it guides which treatment approach is most likely to be helpful for your skin.

🔘

Ice Pick Scars

Narrow, deep channels extending into the dermis. These are among the more challenging scar types to treat due to their depth. Ablative laser resurfacing may help improve their appearance over several sessions.

Boxcar Scars

Round or oval depressions with well-defined, sharp edges. Commonly found on the cheeks and temples. They tend to respond well to resurfacing treatments, though multiple sessions are typically needed.

〰️

Rolling Scars

Wider, undulating depressions caused by fibrous tissue pulling the skin surface downward. Often benefit from a combination approach. Results vary depending on depth and extent.

Hypertrophic Scars

Raised scars resulting from excess collagen during healing. More common along the jawline and chest. These require a different treatment strategy and are generally not suited to ablative laser.

🌑

Post-Inflammatory Hyperpigmentation (PIH)

Dark marks left after acne heals — not true scarring, but a change in pigmentation. Generally more straightforward to address than structural scars. Pico laser is often well-suited to PIH.

💡

Not Sure Which Type You Have?

A proper assessment by our doctors is the right place to start. Many people have a mix of scar types, and treatment plans are typically tailored to what's actually present on your skin.

Before and after acne scar treatment -->
Before & After
Close-up scar texture -->
Texture Detail
Treatment results -->
Post-Treatment
Laser 01 — CO₂ Fractional

CO₂ Fractional
Laser Resurfacing

CO₂ fractional laser is a well-established ablative treatment for atrophic acne scars. It uses infrared energy at 10,600nm to remove thin layers of skin and stimulate the skin's natural healing response, including collagen production. It is one of the more intensive laser options available, with a corresponding recovery period.

3–5
Typical Sessions
5–7 days
Typical Downtime
3–6 months
For Full Results
10,600
Nanometer Wavelength
Skin Layers Targeted
Stratum Corneum
Epidermis
★ Papillary Dermis — Primary Target
Reticular Dermis
Hypodermis

The Mechanism of
CO₂ Fractional Laser

The laser creates thousands of micro-columns in the skin, removing damaged tissue while leaving surrounding skin intact to support the healing process.

01

Energy Absorption

Infrared photons are absorbed by water in skin cells. The high water content of soft tissue means energy is deposited with reasonable precision in the target zone.

02

Controlled Ablation

The laser removes thin columns of skin including scarred tissue. Penetration depth can be adjusted depending on scar severity and skin type.

03

Healing Response

The controlled injury triggers fibroblast activity — your body produces new collagen and elastin as part of the natural wound healing process.

04

Skin Remodelling

Over weeks to months, new skin forms in the treated areas. Surface texture may improve, and the appearance of atrophic scars can become less pronounced.

Clinic Interior / Treatment Room Photo
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Renora Clinic

Precision Care
in a Calm Environment

Every treatment is performed by our doctors in a dedicated, medically equipped space designed for your comfort and safety.

Who Is CO₂ Laser
Suitable For?

CO₂ laser is appropriate for certain scar types and skin conditions. A proper consultation is needed to determine whether it is the right option for you.

🔘

Ice Pick & Boxcar Scars

These are among the scar types most commonly treated with CO₂ fractional laser. The ablative action can help smooth scar edges and stimulate collagen infill over multiple sessions.

🌊

Rolling Scars (Combined Approach)

CO₂ laser may be used alongside subcision for rolling scars — subcision addresses the fibrous tethering beneath, while laser treats the surface. Combination outcomes vary by individual.

Skin Texture & Enlarged Pores

The resurfacing process can improve overall skin texture and reduce the appearance of enlarged pores. This is a secondary benefit rather than a primary indication.

Photoageing & Fine Lines

CO₂ laser is also used to address fine lines and mild skin laxity associated with sun damage and ageing, as collagen stimulation can contribute to improved skin quality over time.

🌈

Surface Pigmentation

By removing the outer layers of skin, CO₂ laser can help even out surface pigmentation. However, it carries a risk of post-inflammatory hyperpigmentation, particularly in darker skin tones.

⚠️

Not Recommended For:

Active acne breakouts, Fitzpatrick skin types V–VI (higher risk of PIH), pregnancy or breastfeeding, history of keloid scarring, or recent isotretinoin use. Individual assessment is essential before proceeding.

CO2 Laser results - before and after -->
🖼️
Results Photo
Before & After CO₂
Add your image here
CO₂ Laser Results

What CO₂ Laser
Can Achieve

Improvement in scar appearance is gradual and cumulative — most patients notice meaningful changes across 3–5 sessions. Results are influenced by scar type, depth, skin tone, and how consistently aftercare guidelines are followed. Realistic expectations are discussed at your consultation.

3–5
Sessions Typical
3–6 mo
Full Remodelling

Why CO₂ Laser May
Be Right For You

CO₂ fractional laser has a well-documented history in the treatment of acne scars. Here is what the treatment offers — and what to keep in mind.

🎯

Ablative Depth

Unlike non-ablative treatments that deliver heat below the surface, CO₂ laser physically removes damaged skin layers. This can allow it to address scars that respond less well to gentler approaches.

🔬

Fractionated Delivery

Modern fractional CO₂ treats approximately 15–30% of the skin surface per session, leaving surrounding tissue intact. This reduces recovery time compared to fully ablative (non-fractional) CO₂ laser.

Visible Improvement Over Time

Many patients notice improvement in scar appearance as the skin heals and remodels. Results typically continue developing over 3–6 months following each session.

💪

Collagen Stimulation

The controlled thermal injury created by the laser prompts the skin to produce new collagen. This is central to how scar appearance can improve over successive sessions.

🕐

Long-lasting Skin Changes

Structural improvements to the skin from collagen remodelling tend to be maintained. Ongoing sun protection and skincare support long-term outcomes.

🩺

Established Clinical Record

CO₂ fractional laser has been in clinical use for over two decades and is supported by a substantial body of published research in dermatology and aesthetic medicine.

What to Expect,
Step by Step

Understanding the timeline helps you prepare and set realistic expectations. Individual experiences may vary.

Stage Timeframe What Happens How It Feels
Consultation & Assessment 30–45 min Scar type and skin type evaluation, photo documentation, treatment planning and discussion of realistic expectations No procedure involved
Pre-treatment (Topical Anaesthetic) 30–45 min Numbing cream (EMLA) applied to the treatment area to reduce discomfort during the procedure Mild numbness
Laser Session 20–40 min Fractional laser applied in passes over the treatment area. Parameters adjusted per zone and skin type Heat and mild stinging
Immediate Post-treatment Days 1–2 Redness and swelling are expected — this is a normal part of the healing response, not a complication Redness, warmth, some swelling
Peeling Phase Days 3–7 The treated skin begins to shed. Allow this to happen naturally — do not pick or peel the skin Dry, tight, mild itching
Early Improvement Visible Weeks 2–4 Fresh skin beneath is often smoother in texture. Some improvement in scar appearance may be noticeable Skin feels softer
Continued Remodelling Months 3–6 Collagen continues to mature and reorganise. Most of the visible improvement from each session occurs within this window Gradual change

Aftercare Following
CO₂ Laser

Proper aftercare supports healing and helps protect your skin during the recovery period. Your doctor will provide specific instructions at your appointment.

Plan for 5–7 Days of Downtime

CO₂ laser requires a longer recovery period than most other laser treatments. We recommend arranging your schedule so you can rest at home during this window and avoid social or professional commitments where visible redness or peeling may be a concern.

✅ Recommended

  • Apply the prescribed moisturiser regularly to keep the skin hydrated and prevent excessive dryness
  • Use a broad-spectrum SPF 50+ sunscreen every day, including indoors near windows
  • Drink adequate water to support your body's healing process
  • Let skin shed naturally — do not pick, rub, or peel it
  • Sleep with your head slightly elevated to help reduce swelling in the first few days
  • Take any prescribed medications as directed by your doctor
  • Contact the clinic if you notice signs of infection or an unexpected reaction

❌ Avoid

  • Direct sun exposure for at least 4–6 weeks following treatment — this is important for healing and to reduce pigmentation risk
  • Active skincare ingredients such as retinol, AHAs, BHAs, or Vitamin C for at least 2 weeks
  • Swimming or hot baths or showers within the first 48 hours
  • Heavy makeup until the skin has healed sufficiently (typically 7–10 days)
  • Strenuous exercise or activities that cause heavy sweating in the first few days
  • Smoking, as it can impair healing and affect overall skin recovery

Common Questions
About CO₂ Laser

Answers to questions we hear regularly. For anything not covered here, our team is happy to help during a consultation.

How many sessions of CO₂ laser are typically needed for acne scars?
This depends on the type and severity of the scars. Most patients require between 3 and 5 sessions, spaced 6 to 8 weeks apart to allow adequate healing between treatments. Some patients with milder scarring may see satisfactory improvement in fewer sessions, while more extensive scarring may require additional ones. Your doctor will provide an individualised estimate after assessing your skin.
Is the treatment painful?
Topical anaesthetic cream is applied 30–45 minutes before the procedure, which significantly reduces discomfort for most patients. During the treatment, you may still feel heat and a mild pricking sensation. Pain tolerance varies between individuals and between different areas of the face. Our team will check in with you throughout the session.
How long is the recovery period?
Most patients experience visible redness and swelling for the first 1–2 days, followed by skin shedding from around day 3 to 7. After the first week, many people are comfortable returning to work, provided they apply sunscreen consistently. Underlying skin improvement continues over the following weeks and months, so the visible healing phase is only part of the process.
Is CO₂ laser safe for darker skin tones (Fitzpatrick III–IV)?
CO₂ laser can be used in Fitzpatrick III–IV skin types, which includes most Malaysian skin tones, but it carries a higher risk of post-inflammatory hyperpigmentation (PIH) compared to lighter skin types. To manage this risk, our doctors typically use more conservative settings and may recommend a course of topical priming beforehand. A thorough consultation is essential before proceeding.
How does CO₂ laser compare to Fotona or Pico for acne scars?
CO₂ laser is an ablative treatment — it removes the surface layer of skin — which allows it to address deeper structural changes in the scar. Fotona uses a non-ablative approach that heats tissue without removing it, with a shorter recovery. Pico laser works through photoacoustic energy and is better suited to pigmentation and shallower scarring. Each has a role depending on the scar type, skin type, and patient preference. A combination approach is sometimes recommended.
How much does CO₂ laser treatment cost at Renora Clinic?
Pricing depends on the treatment area, scar severity, and number of sessions required. Please contact us to arrange a consultation where our doctor can assess your skin and provide an accurate, personalised quote.

Ready to Discuss
Your Skin?

Speak with one of our doctors to find out which treatment approach is appropriate for your skin.
Consultations are available in person at our clinic.

Our Locations

Visit Renora Clinic

Experience doctor-led aesthetic care in a calm, premium clinical environment.

Cheras Branch

Premium aesthetic treatments in a calm, private clinical setting.

📍 Cheras, Kuala Lumpur
📞 +60 11-6098 8315

WhatsApp Cheras

Bangi Branch

Modern aesthetic care with advanced laser and skin treatments.

📍 Bandar Baru Bangi, Selangor
📞 +60 11-6098 8315

WhatsApp Bangi
Acne Scar Treatment — Laser 02

Fotona
4D Laser
Treatment

Fotona is a dual-wavelength, non-ablative laser platform that addresses acne scars and skin texture through deep tissue heating — without removing the skin surface. It is generally considered a gentler option than CO₂ laser, with a shorter recovery period and broader suitability across skin tones.

01

CO₂ Laser

Ablative resurfacing · Collagen remodelling · Atrophic scars

03

Pico Laser

Picosecond pulses · Pigmentation & superficial scars · Minimal downtime

Our Equipment

The Fotona
4D Laser System

Fotona is a CE-marked, FDA-cleared dual-wavelength laser platform used in clinical dermatology and aesthetic medicine worldwide. Our system is maintained and calibrated to manufacturer specification, operated exclusively by trained medical professionals.

1064nm
Nd:YAG Wavelength
2940nm
Er:YAG Wavelength
4 Modes
4D Protocol
I–VI
Fitzpatrick Range
Fotona 4D Laser Machine at Renora Clinic -->
Fotona 4D System
Renora Clinic, KL
Dual-Wavelength

Fotona vs CO₂ Laser:
Key Differences

Both lasers address acne scars, but they work differently and suit different patients. Understanding the distinction helps you make an informed decision with your doctor.

Factor Fotona Laser CO₂ Laser
Mechanism Non-ablative — heats tissue below the surface without removing the skin layer Ablative — physically removes the outer skin layer and underlying scar tissue
Downtime Typically 1–2 days of mild redness Typically 5–7 days of redness, swelling, and peeling
Skin Tone Suitability Suitable for a broader range including Fitzpatrick IV–VI Higher risk of PIH in darker skin types; requires more caution
Scar Depth Addressed Moderate — works well for rolling scars and overall texture Deeper — better suited to ice pick and boxcar scars with more structural change
Sessions Needed Typically 4–6 sessions Typically 3–5 sessions
Best For Patients preferring shorter recovery, darker skin tones, rolling scars, skin laxity Patients with deeper atrophic scars who can accommodate more downtime

Individual suitability depends on a full skin assessment. Many patients benefit from a combination of both treatments over time.

4D
Laser 02 — Non-Ablative

Fotona 4D Protocol

The Fotona 4D protocol combines two laser wavelengths — Nd:YAG (1064nm) and Er:YAG (2940nm) — across multiple treatment modes in a single session. Each mode targets a different depth of the skin, collectively working to stimulate collagen, improve scar appearance, and address skin laxity without breaking the surface.

4–6
Typical Sessions
1–2 days
Typical Downtime
2–4 months
For Visible Results
Dual Wavelength System
1064nm
Nd:YAG
Penetrates deep into dermis · Collagen stimulation · Suitable for all skin tones
2940nm
Er:YAG
Superficial ablation · Skin resurfacing · Precise depth control
Treatment Depth
Epidermis — Er:YAG Surface Mode
★ Papillary Dermis — Primary Target
Reticular Dermis — Nd:YAG Deep Mode
Hypodermis — Not affected
Treatment In Progress / Doctor Photo
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Fotona 4D

Non-Ablative.
Minimal Recovery.

Return to your routine within 24–48 hours while the deep collagen remodelling process continues beneath the surface.

Four Treatment Modes,
One Session

The Fotona 4D protocol layers four distinct laser modes in sequence. Each mode addresses a different aspect of skin quality and scar appearance, from deep tissue to the skin surface.

SMOOTH

Intraoral Collagen

Er:YAG energy is delivered intraorally (inside the mouth) to heat the mucosa and stimulate collagen from within — particularly useful for lower face laxity and perioral lines. This step is specific to the 4D protocol.

FRAC₃

Deep Fractional

Nd:YAG laser is delivered in a fractional pattern, creating micro-thermal zones deep in the dermis. This stimulates fibroblasts to produce new collagen and helps address deeper scar tissue over time.

PIANO

Bulk Heating

A continuous Nd:YAG pass that heats the deeper dermis evenly. The heat is distributed gradually to avoid surface damage while encouraging collagen contraction and remodelling in the mid-to-deep dermis.

SUPERFICIAL

Surface Refinement

A light Er:YAG pass over the skin surface refines texture, reduces superficial irregularities, and gives the skin a smoother appearance. This is a gentle step with minimal recovery required.

Not Every Session Includes All Four Modes

The protocol is adapted based on the individual patient's skin concerns, tolerance, and treatment goals. Your doctor will determine which modes to use and in what combination during each session.

Who Is Fotona Laser
Suitable For?

Fotona's non-ablative nature makes it appropriate for a wider range of patients than ablative alternatives. A consultation is still needed to assess individual suitability.

🌊

Rolling Scars

The deep dermal heating of Fotona — particularly the FRAC₃ and PIANO modes — may help address the fibrous changes underlying rolling scars, improving the wavy surface appearance over time.

Shallow Boxcar Scars

Boxcar scars with less defined or shallower edges may respond to Fotona's collagen stimulation approach. Deeper boxcar scars may benefit from CO₂ laser or a combined approach.

🌈

Darker Skin Tones (Fitzpatrick IV–VI)

Because Fotona does not ablate the skin surface, it carries a lower risk of post-inflammatory hyperpigmentation compared to CO₂ laser. This makes it a more accessible option for patients with melanin-rich skin.

General Skin Texture & Laxity

Beyond scars, Fotona's bulk heating modes can address mild skin laxity and uneven texture — a consideration for patients whose concerns extend beyond scarring alone.

🗓️

Limited Downtime Preference

Patients who cannot accommodate the 5–7 day recovery of CO₂ laser — due to work or social commitments — may find Fotona's 1–2 day recovery more manageable while still progressing toward treatment goals.

⚠️

Considerations & Limitations

Fotona is generally less effective than CO₂ for deep ice pick scars. Active acne, certain skin conditions, pregnancy, and recent isotretinoin use may contraindicate treatment. Individual assessment is required.

Fotona laser results -->
🖼️
Fotona Results Photo
Before & After
Add your image here
Fotona Results

Gradual, Cumulative
Improvement

Because Fotona is non-ablative, changes are subtler per session but accumulate meaningfully across a full course. Most patients notice improving skin texture, softened scar edges, and improved overall tone from around the third session onward — with continued development for weeks after each visit.

4–6
Sessions Typical
1–2 days
Recovery Time

What Fotona Laser
Offers

Fotona occupies a middle ground — more capable than entry-level laser facials, but with a more manageable recovery than fully ablative treatments. Here is an honest look at what it offers.

🛡️

Surface Stays Intact

Because the skin is not ablated, patients generally experience less visible downtime, a lower risk of infection, and reduced likelihood of post-treatment pigmentation changes compared to CO₂ laser.

🎨

Broader Skin Tone Range

The Nd:YAG wavelength is well-tolerated across Fitzpatrick types I–VI. This makes Fotona one of the more versatile laser options for patients with medium to darker skin tones.

🔄

Multi-Layer Treatment

The 4D protocol addresses the skin at multiple depths within one session — from the deep dermis to the surface — which may provide more comprehensive remodelling than single-mode treatments.

🤝

Works Well in Combination

Fotona is commonly used alongside CO₂ laser as part of a staged treatment plan. CO₂ handles structural scar revision, while Fotona supports ongoing collagen maintenance between or after CO₂ sessions.

📈

Cumulative Improvement

Results from Fotona build gradually over the course of treatment. Skin quality and scar appearance can continue to improve for weeks after each session as the collagen remodelling process progresses.

🩺

Established Platform

Fotona is a CE-marked and FDA-cleared laser system that has been in clinical use for many years across dermatology and aesthetic medicine, with a published body of supporting literature.

What to Expect,
Step by Step

The Fotona treatment process is similar to other clinic laser procedures, with a notably shorter recovery window. Individual experiences may vary.

Stage Timeframe What Happens How It Feels
Consultation & Assessment 30–45 min Skin type and scar evaluation, discussion of treatment modes to be used, documentation and goal-setting No procedure involved
Pre-treatment Preparation 15–20 min Topical numbing cream applied where needed. No extended pre-treatment time required for most patients Mild numbness in treated area
Laser Session (4D Protocol) 30–60 min Each of the four modes applied in sequence. The treating doctor adjusts parameters for your skin type and areas of concern Warmth, mild tingling, occasional brief heat sensation
Immediate Post-treatment Hours 1–6 Skin may feel warm and appear flushed or lightly red. This typically settles within the same day or overnight Mild warmth, some redness
Recovery Period Days 1–2 Most patients experience only mild redness that fades within 24–48 hours. No significant peeling expected Mild sensitivity, skin may feel slightly dry
Early Results Visible Weeks 3–6 As collagen begins to remodel, some improvement in skin texture and scar appearance may be noticeable. Results are gradual Skin feels smoother over time
Continued Improvement Months 2–4 Collagen remodelling continues between sessions. Most visible progress occurs when the full course of treatment is completed Gradual cumulative change

Aftercare Following
Fotona Laser

Recovery after Fotona is generally straightforward. The steps below help your skin settle and maintain the conditions for healthy collagen remodelling.

Most Patients Return to Normal Activities Within 24–48 Hours

Unlike CO₂ laser, Fotona typically does not require time off work or social avoidance. Some mild redness and warmth is expected on the day of treatment, but for most patients this settles quickly. Sun protection remains important regardless.

✅ Recommended

  • Apply the recommended moisturiser as directed to keep skin comfortable during the mild recovery phase
  • Use SPF 50+ sunscreen every day — UV exposure can affect healing and pigmentation outcomes
  • Stay well hydrated to support your skin's repair processes
  • Follow any specific instructions given by your doctor regarding the SMOOTH (intraoral) step if it was performed
  • Attend follow-up appointments and complete the recommended course of sessions for best results
  • Contact the clinic if you notice anything unexpected or have concerns after your treatment

❌ Avoid

  • Direct, prolonged sun exposure for at least 2–4 weeks following treatment
  • Active skincare ingredients (retinol, AHAs, BHAs) for 5–7 days post-treatment
  • Hot baths, steam rooms, or saunas within 48 hours of treatment
  • Strenuous exercise that causes heavy sweating on the day of treatment
  • Skipping sessions — the 4D protocol is designed as a course and results depend on completing it
  • Smoking, as it impairs dermal healing and collagen production

Common Questions
About Fotona Laser

Answers to questions we hear regularly about Fotona. For more detailed guidance, our team is available during a consultation.

How many Fotona sessions are needed for acne scars?
Most patients undergo between 4 and 6 sessions, spaced 3 to 4 weeks apart. Because Fotona is non-ablative, the changes per session are more gradual than with CO₂ laser, and a longer course is typically needed to achieve comparable improvement in scar appearance. Your doctor will advise based on your skin assessment.
Is Fotona laser painful?
Most patients describe Fotona as more comfortable than CO₂ laser. The SMOOTH and PIANO modes involve a warm, rubber-band sensation. The FRAC₃ fractional step can feel more intense in some areas. Topical anaesthetic is applied where needed. Overall, tolerance is generally good and the procedure is well-accepted by most patients.
What is the SMOOTH step and why is it done inside the mouth?
The SMOOTH mode involves applying Er:YAG energy to the inner cheek mucosa, which heats the submucosal tissue from the inside to stimulate collagen in the lower face without damaging the skin surface. It is particularly relevant for perioral lines and lower face laxity. Not all patients require this step, and your doctor will determine whether it is appropriate for your concerns.
Can Fotona be used on all skin tones?
Yes — the Nd:YAG wavelength used in Fotona has a good safety profile across all Fitzpatrick skin types, including darker tones (IV–VI). This is one of the reasons Fotona is often preferred for patients with medium to dark skin, where ablative options carry a higher risk of post-inflammatory hyperpigmentation.
Should I choose Fotona or CO₂ laser for my scars?
The answer depends on your scar types, skin tone, and how much recovery time you can accommodate. CO₂ laser is generally more appropriate for deep, structural atrophic scars where ablation of the scar tissue is beneficial. Fotona is well-suited for rolling scars, patients with darker skin, and those who prefer a shorter recovery. Many patients benefit from both at different stages. A consultation with our doctor is the best way to make this decision for your specific skin.
How much does Fotona laser treatment cost at Renora Clinic?
Pricing varies depending on the areas treated, the number of modes used per session, and the total course recommended. Please contact us to arrange a consultation, where our doctor will assess your skin and provide a personalised quote.

Ready to Discuss
Your Skin?

Speak with one of our doctors to find out whether Fotona is the right approach for your scar type and skin.
Consultations are available in person at our clinic.

Our Locations

Visit Renora Clinic

Experience doctor-led aesthetic care in a calm, premium clinical environment.

Cheras Branch

Premium aesthetic treatments in a calm, private clinical setting.

📍 Cheras, Kuala Lumpur
📞 +60 11-6098 8315

WhatsApp Cheras

Bangi Branch

Modern aesthetic care with advanced laser and skin treatments.

📍 Bandar Baru Bangi, Selangor
📞 +60 11-6098 8315

WhatsApp Bangi
Acne Scar Treatment — Laser 03

Pico
Laser
Treatment

Pico laser uses ultra-short energy pulses — measured in picoseconds — to target pigmentation and scar tissue with a predominantly photoacoustic mechanism. It is the lowest-downtime option among the three lasers we offer, and is particularly well-suited to pigmentation concerns and superficial scar texture. For deeper structural scars, it is often used as part of a broader treatment plan.

01

CO₂ Laser

Ablative resurfacing · Collagen remodelling · Atrophic scars

02

Fotona Laser

Non-ablative · Dual-wavelength · Suitable for darker skin tones

Pico Laser Machine at Renora Clinic -->
Pico Laser System
Renora Clinic, KL
Picosecond
Our Equipment

Picosecond Laser
Ultra-Fast Pulses

Our Pico laser system delivers energy in pulses measured in trillionths of a second — significantly shorter than conventional Q-switched lasers. This photoacoustic delivery mechanism enables targeted pigment fragmentation and controlled LIOB-based collagen induction with minimal thermal impact on surrounding tissue.

450–750ps
Pulse Duration
532/1064nm
Wavelengths
I–VI
Fitzpatrick Range
Minimal
Downtime

Pico vs CO₂ vs Fotona:
At a Glance

Understanding where Pico laser sits relative to the other two options helps set realistic expectations. Each laser has a distinct mechanism and a different role in treating acne scars.

Factor Pico Laser Fotona Laser CO₂ Laser
Mechanism Photoacoustic — shatters targets via pressure rather than heat Photothermal — heats dermis without removing surface Ablative — removes outer skin layer
Primary Use Pigmentation, PIH, superficial texture Rolling scars, laxity, texture, darker skin Atrophic scars (ice pick, boxcar), resurfacing
Downtime Minimal — often none 1–2 days mild redness 5–7 days redness and peeling
Depth of Action Superficial to mid-dermis Mid to deep dermis Epidermis to papillary dermis
Skin Tone Suitability All Fitzpatrick types All Fitzpatrick types Fitzpatrick I–IV with caution
Best For PIH, melasma, maintenance, mild texture, combination plan Rolling scars, skin laxity, limited downtime preference Structural atrophic scars, patients tolerating longer recovery

Many patients use Pico laser in combination with CO₂ or Fotona — addressing pigmentation and surface texture while the other treatments handle deeper structural changes.

ps
Laser 03 — Picosecond

Pico Laser — Ultra-Short Pulses

Pico laser delivers energy in pulses lasting hundreds of picoseconds (trillionths of a second) — far shorter than the nanosecond pulses of older Q-switched lasers. This brevity shifts the dominant mechanism from photothermal (heat-based) to photoacoustic (pressure-based), which is thought to fragment pigment particles and stimulate skin remodelling with less collateral thermal damage to surrounding tissue.

4–6
Typical Sessions
Minimal
Downtime
450–750ps
Pulse Duration
Pulse Duration Comparison
Pico Laser 450–750 ps
Q-Switched (Nanosecond) 5–10 ns
CO₂ Laser (CW mode) Milliseconds

Shorter pulses reduce thermal diffusion to surrounding tissue.

Available Wavelengths
532nm
Pigmentation
1064nm
Deep dermis
755nm
Melasma
Results / Lifestyle / Clinic Ambience Photo
Replace with your image
Pico Laser

No Downtime.
Back to Your Day.

Resume your routine the same day. Pico laser works beneath the surface — no visible recovery, no disruption to your schedule.

How Pico Laser
Works

Pico laser's mechanism differs meaningfully from both CO₂ and Fotona. Understanding this helps explain both what it does well and where its limitations lie.

01

Ultra-Short Pulse Delivery

Pulses lasting 450–750 picoseconds are fired at the target tissue. The energy is deposited so rapidly that there is limited time for heat to spread into surrounding tissue — this is the key difference from older laser technologies.

02

Photoacoustic Effect

Instead of burning or vapourising, the rapid pressure wave mechanically fragments pigment granules into smaller particles. These fragments are more readily cleared by the body's immune cells (macrophages) over subsequent weeks.

03

LIOB & Collagen Induction

At higher energy settings with a focused lens array, pico laser can create Laser-Induced Optical Breakdowns (LIOBs) — micro-cavitations within the dermis that stimulate a collagen healing response without surface ablation.

04

Gradual Clearance

For pigmentation, results appear progressively over several weeks as the body clears fragmented melanin particles. For texture improvement, collagen remodelling from LIOBs continues for weeks to months after each session.

Conditions Pico Laser
Is Used For

Pico laser has a broader range of applications than CO₂ or Fotona. Its strength lies in pigmentation and surface-level concerns, with a secondary role in mild scar texture improvement.

🌑

Post-Inflammatory Hyperpigmentation (PIH)

Dark marks left after acne heals are among the most common concerns for patients seeking pico laser. The photoacoustic mechanism breaks down melanin deposits without the thermal risk that can worsen pigmentation in some skin types.

🌫️

Melasma

Pico laser is increasingly used for melasma, particularly with the 755nm wavelength where available. Results can be meaningful but melasma is a complex, recurrent condition — maintenance treatments and strict sun protection are typically required.

Superficial Scar Texture

For shallow, superficial scars and overall skin roughness, the LIOB-induced collagen stimulation mode of pico laser can contribute to gradual texture improvement. It is less suited to deep atrophic scars than CO₂ or Fotona.

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Tattoo Removal

Pico laser is also one of the more effective modalities for tattoo removal, as the photoacoustic mechanism fragments ink particles efficiently. This is a separate indication from acne scar treatment but uses the same underlying technology.

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Generalised Pigmentation & Uneven Tone

Sun spots, freckles, and general pigmentary irregularities respond well to pico laser, particularly the 532nm wavelength which targets superficial melanin deposits. Multiple sessions are typically needed for sustained results.

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Where Pico Has Limitations

Pico laser is not the primary treatment for deep structural scars (ice pick, deep boxcar). Patients expecting the same degree of scar revision as CO₂ laser from pico alone may be disappointed. It is best used for pigmentation, maintenance, or as part of a staged plan.

Who Is Pico Laser
Suitable For?

Pico laser is one of the more broadly suitable laser options, largely due to its minimal downtime and lower thermal burden. Individual assessment is still recommended before treatment.

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All Skin Tones (Fitzpatrick I–VI)

The reduced thermal component of pico laser makes it generally safer across the full range of skin tones. It is often a preferred starting point for patients with darker skin who have pigmentation alongside mild scarring.

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No Downtime Available

Patients who cannot take time off work or social activities will find pico laser the most accessible option. Most patients can resume their routine on the same day or the following day, with minimal visible recovery signs.

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Primarily Pigmentation Concerns

For patients whose main concern is PIH, melasma, or uneven skin tone — with scarring as a secondary issue — pico laser is often the most appropriate primary treatment, with other lasers added if structural scar revision is later needed.

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Maintenance Between Other Laser Sessions

For patients who have completed a course of CO₂ or Fotona, pico laser can serve as an ongoing maintenance option — managing residual pigmentation, supporting skin quality, and extending the results of prior treatments.

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Patients New to Laser Treatment

Pico laser is sometimes a useful first step for patients who are new to laser-based treatments and want to assess their skin's response before committing to more intensive procedures with longer recovery times.

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Cautions & Contraindications

Active acne, open wounds, certain skin conditions, and pregnancy may contraindicate treatment. Patients with a history of photosensitivity or on photosensitising medications require specific assessment before proceeding.

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Post-Treatment
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Texture Improvement
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Pico Results Photo
Pigmentation Before & After
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Pico Laser Results

Clearer Skin,
Session by Session

Pigmentation changes are typically the most noticeable early outcome from pico laser. Treated areas may initially darken in the first 1–2 weeks before gradually lightening as the body clears fragmented melanin. Texture improvements develop more slowly across the course of sessions.

4–6
Sessions Typical
0–24hrs
Recovery Time

What Pico Laser
Offers

Pico laser is not the deepest or most powerful treatment we offer, but it has genuine advantages in specific situations. Here is an honest account of where it is most useful.

Minimal Thermal Damage

The photoacoustic mechanism means less heat is deposited into surrounding tissue compared to longer-pulse lasers. This is associated with a lower risk of post-inflammatory pigmentation and a more comfortable recovery.

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Little to No Downtime

Most patients experience only mild transient redness that resolves within hours. This makes pico laser the most practical option for patients who need to remain socially and professionally active throughout treatment.

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Suitable for All Skin Tones

Pico laser's lower thermal burden extends its safety profile to the full range of Fitzpatrick skin types, making it one of the few laser options that can be used with comparable confidence across lighter and darker complexions.

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Effective for Pigmentation

For PIH and general pigmentation concerns, pico laser's photoacoustic fragmentation of melanin is well-suited. Patients with primarily pigmentation-driven concerns often see meaningful improvement across a course of sessions.

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Complements Other Treatments

Pico laser integrates naturally into a staged multi-treatment plan. It can be used before, after, or between sessions of CO₂ or Fotona — addressing pigmentation while the deeper modalities work on structural scar revision.

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Growing Clinical Evidence

Pico laser technology has a growing body of published clinical studies supporting its use in pigmentation, PIH, and mild scar texture. It is a relatively newer modality compared to CO₂, and research continues to develop.

What to Expect,
Step by Step

Pico laser sessions are generally quick and well-tolerated, with very little impact on your daily routine. Individual experiences may vary depending on skin type and settings used.

Stage Timeframe What Happens How It Feels
Consultation & Assessment 30–45 min Evaluation of pigmentation, scar type, and skin tone. Discussion of treatment goals, wavelength selection, and realistic expectations No procedure involved
Pre-treatment Preparation 15–20 min Topical numbing cream may be applied for comfort, though many patients find pico laser comfortable without it at standard settings Mild numbness if numbing applied
Laser Session 20–40 min Laser delivered across treatment areas using the selected wavelength and handpiece. Settings adjusted for your skin type and the specific concern being targeted Snapping sensation, mild warmth
Immediate Post-treatment Hours 1–4 Skin may appear slightly flushed or pink. Some patients experience mild point-site redness at treated areas, which typically settles within a few hours Mild warmth, slight tingling
Recovery Period Same day to 24 hrs Most patients have no visible signs of treatment by the following day. No peeling or significant shedding is expected at standard pigmentation settings Skin may feel slightly sensitive
Pigmentation Response Weeks 2–6 For pigmentation, treated areas may initially darken slightly before gradually lightening as the body clears fragmented melanin. This is a normal part of the process No discomfort expected
Continued Improvement Across course Results from pico laser are cumulative. Most patients complete 4–6 sessions to achieve their treatment goals, with results building progressively Gradual change session to session

Aftercare Following
Pico Laser

Pico laser aftercare is relatively simple compared to ablative treatments. The key priorities are sun protection and keeping the skin calm while it processes the treatment.

Most Patients Can Resume Normal Activities the Same Day

Unlike CO₂ or even Fotona, pico laser typically requires no social downtime. Any redness following the session usually fades within a few hours. Sun protection is the most important ongoing requirement throughout and after your treatment course.

✅ Recommended

  • Apply SPF 50+ broad-spectrum sunscreen every morning — UV exposure after pico laser can trigger or worsen pigmentation, undermining the treatment's effect
  • Use a gentle, fragrance-free moisturiser to keep skin comfortable in the days following treatment
  • Reapply sunscreen every 2 hours if outdoors, and consider wearing a hat for additional protection
  • Be patient with pigmentation response — treated areas may look temporarily darker in the first 1–2 weeks before lightening
  • Attend all sessions in your prescribed course — results are cumulative and spacing is intentional
  • Inform your doctor of any unusual reactions, persistent redness, or changes that concern you

❌ Avoid

  • Sun exposure without sunscreen — this is the single most important thing to avoid during and after a pico laser course for pigmentation
  • Active exfoliating products (AHAs, BHAs, retinol) for 3–5 days after each session
  • Picking or rubbing any darkened areas that appear after treatment — let the process complete naturally
  • Steam rooms, saunas, or intense heat on the day of treatment
  • Switching products or starting new active ingredients mid-course without discussing with your doctor
  • Smoking throughout the treatment course, as it can affect skin healing and overall skin quality

Common Questions
About Pico Laser

Answers to what patients most commonly ask about pico laser. For personalised guidance, a consultation with our doctor is always the best starting point.

How many pico laser sessions are needed?
Most patients complete between 4 and 6 sessions, spaced 3 to 4 weeks apart. The exact number depends on what is being treated — pigmentation conditions like PIH or melasma may respond in fewer sessions, while texture improvement from LIOB-mode sessions tends to be more gradual and may require more. Your doctor will advise after assessing your skin.
Is pico laser painful?
Most patients describe pico laser as a snapping or mild stinging sensation, similar to the flick of a rubber band. It is generally well-tolerated without numbing cream at standard settings, though topical anaesthetic is available for patients who prefer it or if higher-energy settings are used. The session itself is typically brief.
Why does my skin look darker after treatment — is that normal?
Yes, this is a common and expected part of the process. After pico laser, fragmented melanin particles can transiently aggregate, making pigmented areas appear slightly darker in the first 1–2 weeks. This is sometimes called "darkening before lightening." It typically resolves as the body clears the fragmented particles. If the darkening persists beyond 3 weeks, contact the clinic.
Can pico laser treat my acne scars as effectively as CO₂?
For deep atrophic scars (ice pick, boxcar), pico laser alone is generally less effective than CO₂ laser, which physically revises the scar tissue. Pico is better suited to surface pigmentation, mild texture, and post-inflammatory darkening. If your primary concern is structural scarring, CO₂ or Fotona is likely more appropriate. Many patients benefit from a planned combination — pico for pigmentation, CO₂ or Fotona for deeper scars.
Is pico laser safe for all skin types?
Pico laser is generally considered safe across all Fitzpatrick skin types (I–VI). Its photoacoustic mechanism produces less residual heat than nanosecond or ablative lasers, which reduces the risk of thermal injury and post-inflammatory pigmentation. That said, settings still need to be adjusted for skin tone, and a proper assessment before treatment is important regardless of how broadly suitable the technology is.
Can I use pico laser alongside other treatments like CO₂ or Fotona?
Yes — pico laser is frequently used as part of a staged, multi-modal approach. A common pattern is to use CO₂ or Fotona for structural scar revision, then incorporate pico laser sessions to address residual pigmentation and maintain overall skin quality. The timing and sequencing of treatments are planned by your doctor to allow adequate healing between modalities.

Ready to Discuss
Your Skin?

Speak with one of our doctors to find out whether Pico laser is the right approach for your concerns,
or how it might fit into a broader treatment plan.

Our Locations

Visit Renora Clinic

Experience doctor-led aesthetic care in a calm, premium clinical environment.

Cheras Branch

Premium aesthetic treatments in a calm, private clinical setting.

📍 Cheras, Kuala Lumpur
📞 +60 11-6098 8315

WhatsApp Cheras

Bangi Branch

Modern aesthetic care with advanced laser and skin treatments.

📍 Bandar Baru Bangi, Selangor
📞 +60 11-6098 8315

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