Breakthrough laser technology for creating clear skin free of irregular pigment from acne, birthmarks, scars, sun spots, age and more

Do imperfections in your skin pigmentation, birthmarks, spots or scars disrupt your natural beauty?

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What is PiQo4?

PiQo4 is the most revolutionary laser technology available today for eliminating an array of skin imperfections. It is the only non-thermal laser with four wavelengths and both nanosecond and picosecond pulse delivery. The highly focused light breaks up pigmentation and causes collagen formation that helps eliminate fine lines and wrinkles.  By targeting the pigment at different levels of skin through adjustable penetration depths, and at various wavelengths, PiQo4 shatters pigment without harming surrounding skin. The final result delivers rejuvenated skin with no downtime.

courtesy of David J. Goldberg, MD, JD Skin Laser & Surgery Specialists of NY and NJ

Individual results may vary

courtesy of David J. Goldberg, MD, JD Skin Laser & Surgery Specialists of NY and NJ

Individual results may vary

How PiQo4 works

PiQo4 is a powerful and versatile system for the effective treatment of a wide range of skin pigmentation problems – from pigmented lesions such as birthmarks and lentigines, to vascular lesions. Its versatile energy matrix, along with the large spot size, ensures effective shattering of pigment deposits with faster, more efficient treatment times. Featuring unsurpassed versatility, PiQo4 is ideally suited for treating general skin pigmentation including toning through treatment of pigmented lesions, resurfacing and whitening. Clinical studies have shown that the optimal method for shattering pigment particles is to treat them with both Nano and Picosecond laser pulses. PiQo4 uses PICO & NANO, high energy, deep reach and 4 wavelengths to shatter pigment. This photoacoustic laser high-energy beam and deep reach is drawn to the pigment in order to disperse it. The laser works by using a focus lense to fractuate a Q switch, treating the pigment in upper and lower layers of skin.

What we love about it

PiQo4 has high power output and the largest spot size on the market, which can effectively reach both shallow and deep pigments for a remarkably better result than previous technologies-- even skin results from the most severe cases of melasma, acne scars, vascular lesions, birthmarks and moles, making it the most advanced laser technology for removal of excess pigmentation. This is the only laser on the market suited for all skin tones, including darker skin tones which are traditionally more difficult to treat due to the high rate of rebound with post inflammatory hypopigmentation.

What to expect

Topical numbing cream can be used to eliminate any discomfort during the treatment. Immediately after treatment, you may see a whitish "frosting" over treated areas where pigmentation was darkest. The skin may be slightly swollen, accompanied by mild redness. The frosting, swelling and redness will resolve in a matter of hours. The small, dot size area may crust slightly as the body repairs itself. This will resolve naturally. Unlike the long recovery period of other fractional lasers, 6 to 8 hours after the PiQ04 treatment, only minimal redness may be noticed. The treatment does not break the skin and therefore the area completely heals within 12 hours.

How many treatments?

Depending on the severity of discoloration, a recommendation of one or a series of treatments spaced weekly may be required for optimal results.

Possible side effects

Persons known to form skin keloids may be more prone to scarring after any skin trauma, including laser administration to the skin. Persons with dark skin may be at increased risk of hypopigmentation. Hypo and hyper-pigmentation are a common risk of treatment. Treatment of lesions or treatment near lesions that are known to be or suspected of being cancerous are contraindicated. Any treatment around the eyes is contraindicated due to the risk of laser light induced eye injury. Immediately after administration of the laser energy to the skin, purpura, erythema, and slight edema may be visible. The patient may experience pruritus and a sunburnlike sensation. Possible long-term potential adverse effects include hypo-or hyper-pigmentation, skin texture change, and scarring, although these effects rarely are manifested.


What others are saying

The result was so radical, I wish I had been able to do this long ago-- it was easy and my skin is amazingly clear.

Questions and Answers

Q: Is the procedure painful ?

A: During your session, you will hear the laser fire as loud, audible popping sounds, then feel heat over the general area of the skin. The treated area will feel as if it were sunburned.

Q: Is there any downtime ?

A: As a non-surgical procedure, you can return to normal activities after your treatment; no downtime required.

Q: How long will the results last ?

A: Results are lasting.

Q: Is it right for you ?

A: This laser is particularly suited for treating numerous types of skin pigmentation concerts including photo aging, melasma, birthmarks, scarring and hyperpigmentation. Skin pigmentation disorders can be caused by sun damage, inflammation, or other skin injuries, including those related to acne. People with darker skin tones are more prone to hyperpigmentation, especially with excess sun exposure. If you have discoloration on darker skin, sun spots, hyperpigmentation, that disrupt your appearance, schedule a consultation to see if PiQo4 is the revolutionary solution for you.

Q: How much faster is PiQ04 ?

A: Older laser systems required about twice as many treatments with lesser results.


Before and After

Individual results may vary

courtesy of David J. Goldberg, MD, JD Skin Laser & Surgery Specialists of NY and NJ

courtesy of David J. Goldberg, MD, JD Skin Laser & Surgery Specialists of NY and NJ

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