Features of Picotoning Treatment at Our Clinic

1. Fine Pigment Decomposition in Picosecond Units

Picotoning utilizes short laser pulses, measured in picoseconds (one trillionth of a second), to break down melanin pigments into smaller fragments for removal.

Rather than simply using strong energy, we prioritize precise equipment settings to ensure even pigment breakdown while minimizing stimulation to the skin.

2. Customized Picotoning Considering Pigment Type and Skin Depth

Melasma, blemishes, and freckles differ in their depth within the skin and their responsiveness to laser treatment.

At our clinic, we approach sensitive pigments like melasma with gentle methods, and for dermal pigments, we adjust energy as needed for intensive treatment.

When multiple types of pigments are present, we apply different output strengths and irradiation methods to each area for delicate management.

3. Monitor Skin Reaction During Treatment and Adjust Immediately

Picotoning is not merely about using a laser device.

During the treatment, our medical staff closely observes the skin's reaction and immediately adjusts the spot size, energy intensity, and laser irradiation range accordingly.

We perform treatments while checking the skin condition with the patient using a mirror, striving to provide customized treatment optimized for each individual's actual skin condition.

4. Precise Pigment Analysis Using JANUS Pro

We meticulously analyze the depth and distribution of pigments, which are difficult to discern with the naked eye, using a Mark-Vu skin diagnostic device.

Whether the pigment is in the epidermis or dermis significantly impacts the treatment approach. Therefore, we develop treatment plans based on objective skin data.

5. Comprehensive Pigment Treatment Beyond Simple Whitening

When melasma and blemishes are present together, aggressive treatment with a single method can make the pigments more sensitive.

We carefully consider the skin condition and apply individualized methods suited to each pigment type, while minimizing irritation.

We continue treatments in a way that restores skin condition and promotes pigment improvement.

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Picotoning Treatment from Our Clinic's Perspective

Picotoning is a treatment method that delivers energy with a shorter pulse width than traditional nanosecond lasers, breaking down pigments into smaller particles.

This treatment can be applied to various pigmentary conditions such as melasma, blemishes, and freckles, and can be expected to improve skin tone and overall clarity.

However, picotoning treatment results are not solely determined by the name of the equipment.

The energy intensity and laser irradiation method need to be adjusted based on the type of pigment, skin sensitivity, and melanin activity.

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1. Fine Pigment Decomposition with Ultrafast Laser

Picotoning uses the principle of breaking down pigment particles more finely and uniformly through short irradiation times in picosecond units.

Thanks to the concentrated energy over a short period, we can expect pigment improvement effects while reducing the burden of thermal damage to surrounding tissues.

We delicately adjust the output strength, irradiation speed, and spot size according to the skin condition, aiming to minimize skin irritation during treatment.

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2. Picotoning Treatment According to Disease Type

1) Melasma

Melasma is a condition where melanocytes are sensitive, so excessive stimulation can actually make the pigment more prominent.

At our clinic, after analyzing the extent and depth of melasma with a Mark-Vu diagnostic device, we apply Picotoning in a way that minimizes irritation, considering the skin's reaction.

We consider it important to subtly break down melanosomes with short picosecond pulses, while reducing skin irritation and leading to gradual improvement.

During the treatment, we observe the patient's skin reaction together in a mirror and, if necessary, immediately adjust the laser's output and irradiation range.

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2) Blemishes, Freckles, and Other Pigmentary Conditions

Blemishes and freckles are considered relatively fast-responding pigmentary conditions, but when accompanied by melasma, it is crucial to delicately control stimulation.

Instead of aggressive treatment, we closely observe your skin's reaction during the procedure. We adjust the treatment direction by changing the device's handpiece or finely tuning its settings as needed.

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Understanding Pico Toning

Pico Toning is a treatment for pigmented lesions that uses instantaneous laser energy in picoseconds to break down melanin pigments in the skin into smaller particles, helping to improve their appearance.

This procedure is characterized by a shorter pulse duration compared to traditional laser toning. This can contribute to breaking down pigment particles more finely and minimizing unnecessary heat transfer to surrounding tissues.

Through this method, improvement in various pigmented lesions such as melasma, sun spots, freckles, and ABNOM can be expected, along with positive changes in overall skin brightness and evenness.

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Expected Effects of Pico Toning

• Can help achieve a more even and clearer overall skin tone.

• Improvement of pigmented lesions such as melasma, sun spots, and freckles.

• Contributes to brightening uneven skin tone.

• Skin appears more uniform due to finely broken down pigment particles.

• Can help smooth skin texture and revive a natural glow.

• Relatively short recovery period after treatment, minimizing disruption to daily life.

Pico Dual Toning: Kkeuthan Clinic's Unique Approach

Dual Toning, Kkeuthan Clinic's Special Considerations

Combining Pico Toning and Genesis Toning does not guarantee the same treatment results for all patients.

Our Pico Dual Toning meticulously diagnoses each patient's skin and develops a customized treatment plan to

ensure precise and satisfactory improvements.

We don't just focus on the number of treatments or the names of the devices used.

We comprehensively evaluate various factors, including the depth and distribution of pigmented lesions, how your skin actually responds to the treatment, and issues such as reduced elasticity, redness, and enlarged pores.

Based on this diagnosis, we categorize patient skin conditions into five types and create the most appropriate treatment plan for each individual.

① Pigment-Centric Type: Skin primarily characterized by melasma, sun spots, and epidermal pigmentation.

This can be seen as a condition where melanin pigments are mainly distributed in the epidermal layer of the skin.

For this skin type, a delicate Pico Toning treatment can be an effective approach.

The goal is to improve the skin to a clearer and more even-looking tone.

② Complex Type: Skin where melasma and redness are observed together.

This type is characterized by deep skin pigmentation alongside vascular redness.

It is important to avoid excessive stimulation, gently treat a wide area with low energy, and adopt an approach that encourages a gradual skin response.

This can be a suitable approach for individuals with sensitive skin or those who have not experienced desired improvements from previous treatments.

③ Redness-Centric Type: Skin with prominent redness around the cheeks or nose.

This type of skin often feels warm and shows redness easily due to thin, finely dilated blood vessels.

In such cases, the Genesis laser is applied multiple times with relatively high energy to

stabilize blood vessels and positively support the healthy recovery of the skin's protective barrier.

④ Fine Lines Type: Skin that is thin, dry, and has many fine lines.

This type appears as skin lacking moisture, resulting in rough texture and reduced elasticity.

During Genesis Toning, by applying overlapping passes to deep and wide areas,

we focus on stimulating collagen production in the dermal layer of the skin to achieve a smoother overall skin texture.

⑤ Pore-Centric Type: Skin concerned with acne scars and enlarged pores.

This type often involves reduced elasticity around pores or small scars caused by acne.

For skin remodeling, treatment methods utilizing deep thermal stimulation can be an effective alternative.

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*Pico Dual Toning, Why Kkeuthan Clinic Recommends It

Kkeuthan Clinic's Pico Dual Toning

The Pico Dual Toning we perform goes beyond simply combining two types of lasers.

1. Depth and degree of pigment deposition

2. Skin type-specific sensitivity and recovery ability

3. Complex factors such as elasticity, redness, and pores

By meticulously analyzing the various factors mentioned above,

We tailor the treatment plan to each individual's characteristics, from laser wavelength and output intensity to handpiece type and number of shots.

It is crucial to create a treatment plan optimized for each individual's skin condition and concerns.

This can be considered one of the distinguishing features of dual toning treatment.

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Cases to Consider the Treatment

• You may consider this treatment if you find it difficult to achieve satisfactory results with general toning alone and desire simultaneous improvement in pores and skin texture.
• It may be suitable for those who wish to reduce the burden with fewer treatment sessions while still seeking skin improvement.
• It is suitable for cases where skin concerns are exacerbated by deep melasma or various forms of hyperpigmentation.

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Treatment Process

• STEP 01. Cleansing
• STEP 02. After a personalized consultation, the treatment will proceed.

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Precautions After Treatment

• Cleansing and makeup are both possible on the day of treatment. However, it is especially important to pay close attention to protecting your skin from UV rays.
• After treatment, more thorough soothing and moisturizing care than usual is needed for temporarily sensitive skin.
• Mild swelling or redness may appear in the treated area, but in most cases, it will naturally subside over time. If these symptoms persist for more than a few days, we recommend contacting the clinic and consulting with the medical staff.

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What is Melasma, and How is it Different from Blemishes?

Melasma is different from the typical phenomenon where melanin pigment is simply overproduced and deposited in the skin.

Abnormal activity of pigment cells called melanocytes, which produce melanin deep within the skin, is observed.

The produced melanin spreads over a wide area, and symptoms tend to recur.

This type of melasma is understood as a complex pigmentary disorder that affects the dermis and can persist for a long time.

External environmental factors such as UV exposure or hormonal changes can be major causes that stimulate melanocytes.

During this process, subtle inflammatory reactions and vascular factors can interact complexly within the skin.

Unlike the shape of a typical mole, melasma is characterized by pigments appearing diffusely spread over a wide, hazy area.

Although the number of melanocytes may be within the normal range upon tissue examination,

cell size increases, and dendrites, which are dendritic processes that transfer melanin to the surroundings, show a significant increase.

This results in melanin pigment being more widely transferred to other surrounding skin cells.

In some patients, melasma lesions may also exhibit subtle capillary dilation or redness.

This pattern is sometimes classified and described separately as 'vascular melasma'.

It's better to understand melasma not as a standalone disease, but as a condition where your skin overreacts to external stimuli.

This is more like a phenomenon that occurs when your skin's structural stability is weakened and it's exposed to various irritants.

Therefore, instead of just removing the pigment, a treatment approach that simultaneously addresses the root causes of melasma and strengthens the skin's structural weaknesses is more crucial.

PICO Dual Toning can be expected to be effective for various pigment disorders. Especially for melasma, PICO Dual Toning may be a more suitable treatment than conventional toning methods.