Dual Pico Combination Treatment

Q: Common reactions (typically occurring shortly after treatment)

redness, swelling, and warmth (1-6 hours to resolve; cold compress may be applied) Mild swelling (24-48 hours to subside, slightly longer in the under-eye area) Temporary darkening of pigment / frosting response (7-14 days to naturally shed, Do not pick or scratch ) Pinpoint bleeding (rare, resolves within 24–48 hours) Skin sensitivity (Skin is more sun-sensitive for 2–4 weeks post-treatment; SPF 50+ is required.

Q: Serious risks (rare but must be disclosed)

Post-inflammatory hyperpigmentation (PIH) — More commonly seen in Fitzpatrick III–V skin types; Our physician significantly reduces this risk through pre-treatment conditioning with Cyspera, a low-fluence protocol, and a 2-week recovery window. Hypopigmentation — Rare with picosecond technology; more commonly seen with older Q-switched devices Scarring — Extremely rare; most commonly associated with inappropriate fluence or post-procedure picking infection — Rare; diligent post-procedure care and sun protection are essential Paradoxical Darkening — Rare; a test spot is performed first for higher-risk patients Cumulative dual-device response — The cumulative energy from both devices may extend the erythema period by 1–2 days, The 2-week recovery window must be strictly observed.

Dual Pico (Dual Picosecond) is A combination protocol designed by our physician that employs two picosecond laser platforms — PicoSure and PicoWay.

REAL PATIENT RESULTS

Our real Dual Pico treatment cases in Nanjing

The following cases were personally performed by our physician at our Nanjing clinic.Dual Pico (PicoSure + PicoWay combination) Treatment records. All Before & After images are unretouched clinical photographs. All clients have signed a written Media Release Form.Dual Pico targets mixed-layer pigmentation (epidermal + dermal), stubborn lesions unresolved by prior PMD / IPL, and comprehensive brightening and anti-aging goals, Results surpass those achievable with either device alone — individual outcomes vary depending on skin type, Fitzpatrick classification, and patient compliance.

BEFORE

AFTER

Case 1 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 1: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing Hori’s nevus and pigmented lesions (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 2 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 5 related treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 2: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing skin tags, pigmentation, skin laxity, facial & neck sagging, facial jowling/lower face heaviness, skin aging, facial fatigue/aged appearance/dullness, and uneven skin tone & tired appearance (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 3 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 5 related treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Annual review + long-term SPF 50+ sun protection · touch-up sessions as needed

Case 3: Asian Female · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for age spots / sun spots (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 4 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Male · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 5 related treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Annual review + long-term SPF 50+ sun protection · touch-up sessions as needed

Case 4: Asian Male · Fitzpatrick IV · Dual Pico Combination Treatment as a core component of a comprehensive plan for age spots / sun spots, pigmented lesions, and dark spots (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 5 · Dual Pico Combination Treatment — Real Patient Record

Patient Profile: Asian Male · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 5 related treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Annual review + long-term SPF 50+ sun protection · touch-up sessions as needed

Case 5: Asian Male · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for age spots / sun spots, post-inflammatory hyperpigmentation (PIH), pigmented lesions, pigmentation, and dark spots (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 6 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 6: Asian Female · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for pigmented lesions, age spots / sun spots, and pigmented nevi (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 7 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 5 more (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 7: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing facial fatigue/tired appearance, pigmentation, fine lines & wrinkles, skin laxity, face & neck sagging, jowling, skin aging, dull complexion, under-eye bags & dark circles, tear troughs, uneven skin tone, rough texture/uneven skin surface, and loss of skin vitality & elasticity (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 8 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick I
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + Pico® Skin Brightening + PicoSure® + AI BBL HEROIC™ and 3 other treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 8: Asian Female · Fitzpatrick I · Dual Pico Combination Treatment as a core component of a comprehensive plan for uneven skin tone, enlarged pores, dull complexion, rough skin texture / textural irregularities, brightening and whitening, and loss of skin vitality and elasticity (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 9 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + Pico® Skin Brightening + PicoSure® + PicoSure Pro® and 6 other treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 9: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing facial fatigue/aged appearance/dullness, pigmentation, combined wrinkles, skin laxity, facial & neck sagging, skin aging, uneven skin tone & tired appearance, under-eye bags & dark circles, tear troughs, volume loss, Luowei skeletal facial contouring, uneven skin tone, rough skin texture/surface irregularity, and loss of skin vitality & elasticity (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 10 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 5 related treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: PRP Once per quarter + Ultherapy® 18-month maintenance + strict sun protection

Case 10: Asian Female · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for pigmentation, freckles, age spots / sun spots, Nevus of Ota, neck lines, skin laxity, facial & neck sagging, facial heaviness / jowling, tired / aged / fatigued appearance, dull skin & facial fatigue, face shape: full face / flat face / facial contour, uneven skin tone, rough skin texture / surface irregularity, and loss of skin vitality & elasticity (multiple sessions within 3 months) · Performed by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 11 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Female · Fitzpatrick IV · Duration 5 years
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® and 5 other treatments (4 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 11: Asian Female · Fitzpatrick IV · Duration 5 years · Dual Pico combination treatment as a core component of a comprehensive plan for melasma, pigmented lesions, and pigmentation (4 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 12 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® and 2 more (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 12: Asian Female · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for pigmentation, freckles, pigmented lesions, and sun damage / photoaging (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 13 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Male · Fitzpatrick IV · Long-term duration (years)
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + Pico® skin brightening + PicoSure® + PicoSure Pro® and 6 other modalities (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Annual review + long-term SPF 50+ sun protection · touch-up sessions as needed

Case 13: Asian Male · Fitzpatrick IV · Long-Term Ongoing · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing freckles, age spots/sun spots, pigmented lesions, dark spots, and sun damage/photoaging (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 14 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Duration 6–12 months
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 14: Asian Female · Fitzpatrick IV · Duration 6–12 months · Dual Pico combination treatment as a core component of a comprehensive plan for pigmentation and pigmented lesions (3–4 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 15 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Female · Fitzpatrick IV · Duration 6–12 months
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® and 2 more (3–4 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 15: Asian Female · Fitzpatrick IV · Duration 6–12 months · Dual Pico combination treatment as a core component of a comprehensive plan for pigmentation, freckles, pigmented lesions, capillary redness, and facial redness / visible vessels (3–4 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 16 · Dual Pico Combination Treatment — Real Patient Record

Patient Profile: Asian Female · Fitzpatrick IV · Duration 5 years
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 16: Asian Female · Fitzpatrick IV · Ongoing 5 Years · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing melasma, freckles, and pigmented lesions (4 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 17 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 17: Asian Female · Fitzpatrick IV · Ongoing Long-Term · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing freckles, pigmented lesions, and sun damage/photoaging (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 18 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Duration 5 years
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 18: Asian Female · Fitzpatrick IV · Duration 5 years · Dual Pico combination treatment as a core component of a comprehensive plan for melasma and freckles (4 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 19 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 19: Asian Female · Fitzpatrick IV · Long-term · Dual Pico Combination Treatment as a core component of a comprehensive plan for freckles and pigmented lesions (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 20 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Duration 6–12 months
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 20: Asian Female · Fitzpatrick IV · 6–12 Months Ongoing · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing melasma, freckles, pigmented lesions, pigmentation, and dark spots (3–4 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 21 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 21: Asian Female · Fitzpatrick IV · Long-Term Ongoing · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing freckles, pigmented lesions, and sun damage/photoaging (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 22 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 22: Asian Female · Fitzpatrick IV · Ongoing Long-Term · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing freckles and sun damage/photoaging (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 23 · Dual Pico Combination Treatment — Real Patient Record

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® and 4 other treatments (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 23: Asian Female · Fitzpatrick IV · Ongoing Long-Term · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing freckles, post-inflammatory hyperpigmentation (PIH), pigmented lesions, pigmentation, sun damage/photoaging, and acne (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 24 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® and 5 other treatments (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 24: Asian Female · Fitzpatrick IV · Long-term · Dual Pico Combination Treatment as a core component of a comprehensive plan for freckles, post-inflammatory hyperpigmentation (PIH), pigmentation, and sun damage / photoaging (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 25 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick I · Duration 5 years
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: PicoSure® + IPL Photofacial (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 25: Asian Female · Fitzpatrick I · Duration 5 years · Dual Pico combination treatment as a core component of a comprehensive plan for melasma, freckles, pigmented lesions, pigmentation, and spots (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 26 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® and 5 other treatments (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 26: Asian Female · Fitzpatrick IV · Long-Term Ongoing · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing freckles, facial redness & visible capillaries, and acne/breakouts (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 27 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 27: Asian Female · Fitzpatrick IV · Long-term duration · Dual Pico combination treatment as a core component of a comprehensive plan for freckles, pigmented lesions, and sun damage / photoaging (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 28 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Female · Fitzpatrick IV · Long-term duration
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 28: Asian Female · Fitzpatrick IV · Long-term duration · Dual Pico combination treatment as a core component of a comprehensive plan for freckles, pigmented lesions, and sun damage / photoaging (1–2 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 29 · Dual Pico Combination Treatment — Real Patient Record

Patient Profile: Asian Female · Fitzpatrick IV · Duration 6–12 months
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 29: Asian Female · Fitzpatrick IV · Duration 6–12 months · Dual Pico Combination Treatment as a core component of a comprehensive plan for freckles, pigmentation, and dark spots (3–4 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 30 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Male · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 30: Asian Male · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for age spots / sun spots, freckles, pigmentation, skin laxity, face & neck sagging, jowling, skin aging, tired/aged/dull appearance, uneven skin tone, rough skin texture / uneven texture, and loss of skin elasticity (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 31 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 31: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing age spots/sun spots, freckles, and pigmented lesions (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 32 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Male · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 32: Asian Male · Fitzpatrick IV · Dual Pico Combination Treatment as a core component of a comprehensive plan for age spots / sun spots, freckles, pigmentation, skin laxity, face & neck sagging, facial jowling, skin aging, tired / aged / dull appearance, dull complexion and facial fatigue, uneven skin tone, rough skin texture / textural irregularities, and loss of skin vitality and elasticity (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 33 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick I
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: (3 months × multiple sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 33: Asian Female · Fitzpatrick I · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing freckles, pigmented lesions, pigmentation, spots, and sun damage/photoaging (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 34 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 34: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing age spots/sun spots, freckles, pigmented lesions, pigmentation, skin laxity, face & neck sagging, jowling, skin aging, facial fatigue/tired appearance, dull complexion, uneven skin tone, rough texture/uneven skin surface, and loss of skin vitality & elasticity (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 35 · Dual Pico Combination Treatment — Real Patient Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 35: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing age spots/sun spots, pigmented lesions, and pigmentation (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 36 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Male · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 36: Asian Male · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for age spots / sun spots, pigmented lesions, and spots (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 37 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 37: Asian Female · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for age spots / sun spots, melasma, freckles, pigmented lesions, and pigmented nevi (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 38 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 38: Asian Female · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for age spots / sun spots, pigmented lesions, and sun damage / photoaging (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 39 · Dual Pico Combination Treatment — Authentic Documentation

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 39: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as the core component of a comprehensive plan addressing age spots/sun spots, melasma, freckles, pigmented lesions, pigmentation, and pigmented nevi (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 40 · Dual Pico Combination Treatment — Real Patient Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 40: Asian Female · Fitzpatrick IV · Dual Pico combination treatment as a core component of a comprehensive plan for age spots / sun spots, melasma, freckles, Nevus of Ota, and pigmented lesions (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 41 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 41: Asian Female · Fitzpatrick IV · Dual Pico Combination Treatment as a core component of a comprehensive plan for age spots / sun spots and sun damage / photoaging (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 42 · Dual Pico Combination Treatment — Clinical Record

Patient Profile: Asian Female · Fitzpatrick IV · Duration 6–12 months
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+

Case 42: Asian Female · Fitzpatrick IV · Duration 6–12 months · Dual Pico combination treatment as a core component of a comprehensive plan for age spots / sun spots, melasma, freckles, pigmented lesions, pigmentation, and dark spots (3–4 sessions) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

BEFORE

AFTER

Case 43 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Male · Fitzpatrick IV · Long-term duration (years)
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico Combination Treatment + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 12 other treatments (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Annual review + long-term SPF 50+ sun protection · touch-up sessions as needed

Case 43: Asian Male · Fitzpatrick IV · Long-Term Ongoing · Dual Pico Combination Treatment as a core component of a comprehensive plan addressing age spots/sun spots, pigmentation, dark spots, and pigmented lesions (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic, Nanjing

BEFORE

AFTER

Case 44 · Dual Pico Combination Treatment — Real Clinical Record

Patient Profile: Asian Female · Fitzpatrick I
Concerns addressed: Dual Pico Combination Treatment (multimodal protocol for comprehensive improvement)
Treatment plan: Dual Pico combination treatment + Pico® skin brightening + PicoSure® + PicoSure Pro® and 6 other modalities (multiple sessions within 3 months)
Treatment outcomes: Significant improvement with Dual Pico combination treatment · Natural overall result
PIH occurrence: No PIH
Maintenance: Ongoing sun protection + monthly at-home care + quarterly clinical assessment

Case 44: Asian Female · Fitzpatrick I · Dual Pico Combination Treatment as a core component of a comprehensive plan for age spots / sun spots, pigmented lesions, dark spots, and sun damage / photoaging (multiple sessions within 3 months) · Led by our physician at Luowei Medical Aesthetics Clinic Nanjing

WHY LUOWEI MEDICAL AESTHETICS CLINIC

Why Choose Luowei Medical Aesthetics Clinic for Dual Pico in Nanjing

The core challenge of the Dual Pico protocol lies not in the devices themselves, but in Both picosecond devices — each with distinct physical parameters — are coordinated by the same physician within a single treatment cycle—This requires the clinic to have both PicoSure and PicoWay on-site, and for all treatments to be personally performed by a physician with the expertise to coordinate protocols across both platforms.

DUAL PLATFORM

Both platforms available at the same clinic

Clinic equipped with both PicoSure 755nm+ PicoWay 1064/532nm Two picosecond lasers covering full-depth pigment across the epidermis and dermis, plus the full color spectrum of tattoo ink — no need to visit multiple clinics. All treatment records, energy parameters, and Before & After documentation are continuously tracked by the same physician.

PROTOCOL

Pioneer of the layered combination protocol

Developed by our physician specifically for mixed-type pigmentation in Asian skin —“755 Treat epidermis first + 2-week interval + 1064 nm to address the dermis A proprietary protocol in which 3 dual-device sessions deliver results equivalent to 6 single-device sessions, significantly improving the return on your annual treatment investment.

LANGUAGE SUPPORT

Consultations in Mandarin · real-time interpreter devices

Consultations are conducted in Mandarin, with real-time interpretation into English and other languages through professional translation devices, so you can clearly discuss pigmentation assessment, dual-device protocol planning, budget, and time commitment.

Clinic Certifications & Devices:

FDA + NMPA Dual approval— PicoSure (2013 First NMPA-registered picosecond device) + PicoWay (multi-wavelength NMPA-registered picosecond) — each device independently certified
Cynosure + Candela Dual manufacturer-authorized clinic— Equipped with FOCUS lens array (PicoSure) + Resolve diffractive lens (PicoWay)
Multi-device combination treatment capability— PicoSure / PicoSure Pro/ PicoWay / Ai BBL HEROic/ Vbeam/ Sofwave Both devices available at the same clinic

WHAT IS IT

What Is Dual Pico Combination Treatment?

Dual Pico (Dual Picosecond) is A combination protocol designed by our physician that employs two picosecond laser platforms — PicoSure and PicoWay — in a staged, sequential manner within a single treatment course.. The two devices differ in wavelength, pulse duration, and lens mechanism —PicoSure handling epidermal pigmentation and skin texture/collagen, while PicoWay addresses deep dermal pigmentation and multicolored tattoos.—Achieving full-layer clearance through precise sequencing — results that a single device cannot replicate.

Dual Pico is not simply applying two devices one after the other. Our physician’s original protocol is:Starting with PicoSure 755 nm Alexandrite at low fluence for full-face brightening + FOCUS lens array to stimulate collagen, followed by a 2-week interval to allow the immune system to clear residual epidermal pigment, then switching to PicoWay 1064 nm Nd: YAG to precisely shatter deep dermal pigmentation.. The two devices offer complementary physical mechanisms: 755 nm has extremely high melanin affinity, making it ideal for superficial pigmentation, while 1064 nm penetrates deeper with more controlled thermal diffusion, making it well-suited for dermal targets.

For patients with mixed-layer pigmentation (superficial and deep coexisting), stubborn pigmentation unresolved by IPL or prior treatments, or multi-colored tattoos,3 The cumulative efficacy of a Dual Pico course is equivalent to 6 single-device sessions, The annual return on investment is significantly enhanced with a focused treatment approach. The synergy of the FOCUS lens array (PicoSure) and the Resolve holographic lens (PicoWay) simultaneously addresses enlarged pores, skin texture irregularities, and early fine lines.

Device Technical Specifications

PicoSure Pulse width 750 ps
PicoSure Wavelength 755 nm Alexandrite
PicoWay Pulse width 375 ps (shortest in the industry)
PicoWay Wavelength 1064 / 532 nm Nd: YAG
Mechanism of action Photoacoustic effect + dual-device LIOB synergy
NMPA-registered Each device independently NMPA-registered
proprietary lens array FOCUS Focus lens array + Resolve holographic
Suitable skin types Fitzpatrick I-VI All skin types
Manufacturer Cynosure (Hologic) + Candela

Single-Device vs. Dual-Device: Layered Comparison

Device / Protocol	Primary pigment layer addressed	Key indications
PicoSure Single-device 755nm Alexandrite	Epidermal layer (<0.5 mm)	Epidermal melasma, freckles, overall brightening, enlarged pores, skin texture
PicoWay Single-device 1064 / 532nm Nd: YAG	Dermal layer (>0.5 mm)	Zygomatic pigmentation, nevus of Ota, deep-seated pigmentation, Multicolored tattoo, pores (varied mechanisms)
Dual Pico combination protocol PicoSure → PicoWay staged	Full depth — epidermis + dermis	Mixed-type melasma, stubborn pigmented lesions, zygomatic nevus + freckles, skin tone around multi-color tattoos, comprehensive annual treatment plans
IPL / Ai BBL	Epidermis	Overall brightening, redness / visible vessels (not suitable for melasma treatment)

Note: Dual Pico is not required for every pigmentation concern — mild epidermal lesions are well addressed by PicoSure alone. Following your consultation, our physician will use a Wood’s lamp to distinguish the depth of pigmentation,Dual-device treatment is only recommended for clients with genuinely mixed-depth pigmentation or multiple concurrent concerns..

Why does the difference between a single-device and dual-device approach matter? Clinical data indicate that for patients with mixed-type melasma, up to 6 sessions with PicoSure alone addresses only 50–70% of epidermal pigment. Switching to a dual-pico layered protocol (3+3 sessions) achieves an 85–90% clearance rate, with a PIH risk comparable to single-device treatment. In physical terms,A single wavelength cannot bridge the depth difference between dermal and epidermal pigmentation.—This is the clinical rationale underlying the Dual Pico protocol.

HOW IT WORKS

How Dual Pico Combination Treatment Works

Dual Pico is not “two devices on the same day” — it is The staged alternating protocol designed by our physician for both devices: Phase 1 uses PicoSure 755nm to brighten the full face at the epidermal level while the FOCUS lens array activates collagen remodeling. After a 2-week interval — allowing the immune system to clear residual epidermal pigment — Phase 2 switches to PicoWay 1064nm to precisely shatter deep dermal pigmentation.

Consultation & Dual-Device Suitability Assessment

Our physician uses Wood’s lamp layered diagnosis (epidermal / dermal / mixed type) combined with Fitzpatrick skin typing and a review of any prior laser treatments to determine whether a Dual Pico protocol is truly indicated for you.Mild, purely epidermal lesions are not recommended for the dual-device protocol, The ROI advantage is most pronounced for mixed pigmentation, treatment-resistant cases, and patients with multiple concurrent concerns.

Phase 1 · PicoSure 755nm Full-Face Brightening

PicoSure 750ps Delivering 755nm Alexandrite energy via photoacoustic effect to shatter epidermal melanin, while the FOCUS lens array triggers laser-induced optical breakdown (LIOB) to stimulate dermal collagen remodeling. 3 sessions total, 4 weeks apart. This phase simultaneously addresses epidermal pigmentation, uneven skin tone, enlarged pores, and skin texture.

2-week recovery window between sessions

After the 3rd PicoSure session A mandatory 2-week recovery window is required, This interval allows the immune system to clear residual epidermal pigment fragments and the skin barrier to fully recover before switching to PicoWay. This recovery window is the cornerstone of a safe dual-device protocol — treating both devices on the same day significantly increases the risk of post-inflammatory hyperpigmentation (PIH).

Phase 2 · PicoWay 1064nm Targeted Dermal Treatment

Switching to PicoWay at a 375ps pulse width delivering 1064nm Nd: YAG energy, which penetrates to the dermal layer to shatter deep pigment particles — including Hori’s nevus, dermal melasma, and nevus of Ota. 3 sessions total, 4 weeks apart. For multi-colored tattoos, the 532nm wavelength can be activated simultaneously to address red and orange ink.

Progressive clearance + long-term maintenance

Within 8–12 weeks of completing the dual-device protocol, the fragmented pigment particles are gradually cleared by the lymphatic system, leaving the complexion noticeably more even and luminous. Our physician recommends transitioning into a long-term maintenance phase: a single low-fluence PicoSure session every 4–6 months, combined with ongoing Cyspera and SPF 50+, to help prevent pigmentation from returning.

PIH PREVENTION · Core differentiators of the dual-device protocol

PIH Risk Management

Both picosecond lasers carry a lower PIH risk than Q-switched nanosecond lasers due to their photoacoustic mechanism; however,Combining two devices does not mean doubling the cumulative energy., Protocols for Asian skin (Fitzpatrick III–V) must be more conservative than those used with a single device.

Layered pigmentation diagnosis confirmation

Wood' s lamp Mixed-type or multi-layered pigmentation must be confirmed before initiating the dual-device protocol, to avoid overtreatment

2 week recovery window

A mandatory 2-week recovery window is built in between device switches, allowing the immune system to complete clearance before transitioning to the next wavelength.

Cyspera long-term maintenance

Cyspera conditioning 6 weeks before, throughout, and 12 weeks after the dual-device protocol + strict SPF 50+ compliance

CANDIDACY

Am I a Candidate for Dual Pico Combination Treatment?

The Dual Pico protocol requires a greater financial and time commitment than a single-device approach;Therefore, this protocol is not recommended for all pigmentation concerns.. The ideal candidates are patients with mixed-depth pigmentation, stubborn spots unresolved by PMD or IPL, combined brightening and anti-aging goals, or those aged 30–55 who prefer a single consolidated annual investment.

✓ GOOD CANDIDATE

You may be a good candidate if…

Mixed-type melasma (epidermal + dermal coexistence, confirmed by Wood’s lamp)
Nevus of Ota on the cheekbone + epidermal freckles (classic East Asian mixed pigmentation)
Nevus of Ota with concurrent epidermal pigmentation concerns
Treatment-resistant pigmentation unresolved after 6 or more prior sessions of IPL, PMD, or single-device picosecond laser
30-55 Seeking a comprehensive brightening + anti-aging annual plan
Multi-color tattoos (including red / blue-green) with surrounding uneven skin tone
Combined concerns of enlarged pores + pigmentation + early fine lines
sufficient budget and willingness to commit to a full 6–7 month treatment timeline
Fitzpatrick I-V Including typical Asian skin types

✕ NOT SUITABLE

The dual-device protocol is not recommended if any of the following apply…

Mild epidermal freckles or age spots only (a single-device approach is more than sufficient)
Budget-conscious clients (single-device PicoSure or PicoSure Pro recommended)
Pregnancy or breastfeeding
Active skin infection, open wound, or active herpes simplex outbreak
Oral Accutane / isotretinoin use within the past 6 months
Keloid or hypertrophic scarring tendency
Photosensitizing medications have not been discontinued
significant sun exposure or active tan within the past 2 weeks
Autoimmune conditions affecting the skin
Fitzpatrick VI Very deep skin tones (require expert case-by-case assessment)
History of severe allergic or paradoxical reactions to picosecond laser treatment

Fitzpatrick Skin Risk Classification × our physician’s Dual Pico Protocol

The dual-device protocol delivers higher cumulative energy than a single-device approach; for Asian skin, a more conservative fluence curve than single-device treatment is essential:

Fitzpatrick	Skin tone description	PIH Risks	Our physician’s Dual Pico Protocol
II-III	Fair / bright	low	Standard-energy dual-device alternating protocol · All indications
III	lighter Asian skin tones	moderate	Medium fluence + Cyspera 4-week conditioning + 2-week recovery window
IV	typical Asian	moderate	Low-energy dual-device + 6-week pre-treatment Cyspera + mandatory 2-week recovery window
V	Deep Asian / South Asian	high	Ultra-low energy + mandatory test spot + 4-week observation window · Single-device treatment recommended for high-risk individuals
VI	Very deep skin tones	extremely high	Individual expert assessment required; dual-device protocol is not recommended in most cases

YOUR JOURNEY

Dual Pico Combination Treatment Planning

A complete Dual Pico treatment course consists of 6 sessions (PicoSure 3 + PicoWay 3, alternating), Sessions are spaced 4 weeks apart, with an overall treatment cycle of approximately 6–7 months. Every protocol is personally designed by our physician, and includes pre-treatment Cyspera conditioning and a defined switching window between devices.

Initial consultation and dual-device suitability assessment

Free 30-Minute Consultation: layered diagnosis with Wood’s lamp + Fitzpatrick skin typing + medical history review + prior treatment assessment + ROI discussion of Dual Pico vs. single-device protocol.

Designing a personalized dual-device protocol

Our physician selects the energy parameters, lens types (FOCUS / Resolve), wavelengths (755 / 1064 / 532 nm), sequencing, and interval for each device based on pigment depth and skin type.

Phase 1: PicoSure × 3 sessions (4 weeks apart)

Full-face 755nm brightening + FOCUS lens array to activate collagen; concurrent Cyspera conditioning and strict SPF 50+ sun protection begin.

Phase 2: PicoWay × 3 sessions (4 weeks apart)

2 After the recovery window, switching to 1064nm to precisely shatter deep dermal pigment; for multi-colored tattoos, 532nm can be activated simultaneously to address red ink.

Typical Dual Pico Treatment Timeline

A complete course consists of 6 sessions (3 PicoSure + 3 PicoWay), spaced 4 weeks apart. Below is a typical timeline from initial consultation to stable results:

Timeline	Contents
Week 0	Free 30-Minute Consultation (Wood’s lamp analysis + Fitzpatrick skin typing + dual-device protocol design)
Weeks 0–6	Cyspera 4–6 weeks of pre-treatment conditioning + test spot (required for Asian skin types)
Weeks 1–12	Phase 1: PicoSure × 3 sessions / 4 weeks apart
Weeks 12–14	2 week recovery window (Core safety mechanism for dual-device switching)
Weeks 14–26	Phase 2: PicoWay × 3 sessions / 4 weeks apart
Weeks 26–34	Stabilization phase · Continued pigment fading · Final outcome assessment
Maintenance after stabilization	Single low-fluence PicoSure maintenance session every 4–6 months · Long-term SPF 50 · Cyspera

The exact number of sessions, spacing, and sequencing of devices are customized by our physician following your consultation, based on your pigmentation depth, Fitzpatrick skin type, and PIH risk profile.

WHAT IT TREATS

Indications Addressable with Dual Pico Combination Treatment

The core value of the Dual Pico protocol is Addressing layered pigmentation and combined concerns that no single device can resolve alone. Below are the key indications where the dual-device protocol delivers meaningfully greater outcomes than a single device alone.

PIGMENT

Mixed melasma

Stubborn melasma with concurrent epidermal and dermal involvement,Wood' s lamp Confirmed mixed-type. PicoSure 755 nm is first applied at low fluence across the full face to brighten the epidermis; after a 2-week interval, PicoWay 1064 nm is used to precisely target and shatter deep dermal pigmentation.

6 sessions (3+3) / 4-week intervals

PIGMENT

Zygomatic nevus (ABNOMs) + freckles

A classic East Asian mixed pigmentation presentation: zygomatic Hori’s Nevus (dermal) combined with perialar freckles (epidermal). PicoWay 1064 nm addresses the dermal component while PicoSure 755 nm targets the epidermal layer — comprehensive clearance achieved in 6 sessions.

6 sessions / 4–6 week intervals

PIGMENT

Nevus of Ota + epidermal pigmentation

Nevus of Ota, which involves increased melanocytes in the dermis, requires high-energy PicoWay 1064nm for targeted fragmentation. Associated epidermal pigmentation is then addressed with PicoSure, achieving an overall clearance rate of 80–95%.

5-8 sessions (dual-device combination)

REFRACTORY

Stubborn pigmented lesions (cases where PMD / IPL has failed)

Pigmented lesions unresolved after 6 or more sessions of IPL, PMU, or single-device picosecond treatment are often the result of incorrect depth diagnosis. The dual-device protocol targets each layer independently, and 3–4 dual-device sessions frequently achieve results that single-device treatment alone cannot.

6 sessions / every 4 weeks

REJUV

Comprehensive annual brightening & anti-aging plan

30-55 seeking a comprehensive single-course solution: pigment clearance + skin brightening + pore refinement + early fine line improvement. The FOCUS lens array and Resolve holographic lens work in synergy to activate full-depth collagen remodeling.

6 sessions / annual concentrated course

PORES

Enlarged pores + pigmentation

PicoSure FOCUS The FOCUS lens array induces dermal LIOB to refine pores and skin texture; PicoWay Resolve’s holographic lens array tightens via an independent mechanism; combined pigment clearance from both devices — addressing multiple concerns within a single protocol.

6 sessions / 4 weeks apart

TATTOO

Full-spectrum multi-color tattoo

PicoWay 1064 / 532nm Targeting black / red / orange ink + PicoSure 755nm for blue / deep residual pigment. The dual-device combination covers the full spectrum of tattoo ink that no single device can address alone.

6-10 sessions / 6–8 weeks apart

REJUV

Simultaneous improvement of fine lines and pigmented lesions

The combined laser-induced optical breakdown (LIOB) dermal regeneration effect of both devices produces a greater degree of collagen and elastin activation than either platform alone. Can be combined with Botox/ Sofwave combination planning.

6 sessions / 4–6 weeks apart

8 Core indications × Dual-device protocol × Detailed session schedule

Indications	Dual-device protocol	Sessions / Interval
Mixed melasma	PicoSure 755nm × 3 → 2 Recovery window → PicoWay 1064nm × 3 + Cyspera throughout	6 sessions / every 4 weeks
Zygomatic nevus (ABNOMs) + freckles	PicoWay 1064nm Targeted sessions × 3 + PicoSure 755nm full-face × 3	6 sessions / 4–6 weeks apart
Nevus of Ota + epidermal pigmentation	PicoWay 1064nm High fluence × 5–6 sessions + PicoSure × 2 finishing sessions	5-8 sessions / every 4–8 weeks
Treatment-resistant pigmentation (failed PMD/IPL)	Dual-device layered restart protocol	6 sessions / every 4 weeks
Comprehensive annual plan	PicoSure FOCUS × 3 Alternating PicoWay Resolve × 3	6 sessions / every 4 weeks
Pores + pigmentation combination	Dual lens array LIOB synergy + pigment clearance	6 sessions / every 4 weeks
Multicolored tattoos	PicoWay 1064/532nm + PicoSure 755nm Full color spectrum	6-10 sessions / every 6–8 weeks
Fine lines + pigmentation addressed simultaneously	Dual-device LIOB + optional add-on Botox® / Sofwave™	6 sessions / 4–6 weeks apart

PRE · DURING · POST CARE

Pre-Procedure Guidelines · Treatment Process · Post-Procedure Care

Because the Dual Pico protocol delivers higher cumulative energy over a longer treatment course, adherence to pre-procedure preparation and post-procedure care is even more critical than with a single-device approach. Please review the following guidelines carefully and feel free to ask our physician any questions.

Pre-Procedure Preparation

Begin Cyspera conditioning 4–6 weeks before the dual-device protocol (mandatory for Asian skin)
Avoid sun exposure and artificial tanning for 2 weeks before treatment.
Discontinue retinoids, AHAs/BHAs, and exfoliating products 3–5 days before treatment.
Avoid waxing, bleaching, or depilatory creams on the treatment area
Inform our physician of all medications, supplements, and skin conditions.
Please arrive on treatment day with clean skin and no makeup.
Fitzpatrick IV-V A test spot is required prior to treatment

During treatment

Protective eyewear must be worn throughout the entire treatment (mandatory).
Topical anesthetic cream is available if needed (applied 30–45 minutes pre-procedure).
PicoSure Phase: mild rubber-band snapping sensation + FOCUS lens array micro-focusing
PicoWay Phase: slightly stronger sensation (shorter pulse width), with simultaneous cooling device
Single session duration: 30–60 minutes, depending on the size of the treatment area.
Immediate post-treatment erythema and mild swelling are normal reactions.

Post-procedure care

Strict daily broad-spectrum SPF 50+ sun protection — non-negotiable (throughout the entire dual-device protocol and for 12 weeks post-treatment)
Keep skin moisturized using gentle, fragrance-free products
Avoid direct sun exposure for 2 weeks following treatment
Do not pick or scratch the treated area — allow pigmented spots to shed naturally (approximately days 7–14).
Avoid retinoids, AHAs, and exfoliating products for 5–7 days after treatment
48 Avoid saunas, hot yoga, and strenuous exercise for the specified number of hours post-treatment.
A strict 2-week washout window between devices (PicoSure → PicoWay) is observed
Normal makeup use may resume 24–48 hours after treatment, once redness has subsided

D0-D30 Full Recovery Timeline (Single Session)

Duration	What patients should and should not do
D0 (on the day of treatment)	Redness, swelling, and warmth typically resolve within 1–6 hours · Apply cold compress no Makeup no Washing the face with hot water
D1-D3	Frosting response (temporary darkening of pigment) onset · Strict SPF 50+ required no Exfoliation
D4-D7	Frosting gradually fades Do not pick or scratch Resume gentle cleansing · Continue SPF
D8-D14	Pigmentation visibly faded · Vitamin C and niacinamide-based skincare may be reintroduced
D15-D30	Stabilization phase · Assess whether to proceed with the next treatment session or switch devices

BENEFITS & COMPARISON

Advantages of Dual Pico Combination Treatment

The device defines the possibilities; the physician defines the direction. The two picosecond lasers offer complementary physical parameters — through a staged combination approach, the blind spots of a single-device protocol are fully addressed. Below are 8 core advantages of the dual-pico approach over single-device treatment, with a comprehensive comparison.

FDA Dual approval

PicoSure + PicoWay Each device holds its own independent FDA clearance.

Full depth — epidermis + dermis

755nm targeting the epidermis + 1064nm targeting the dermis, covering the full spectrum of pigment layers.

ROI Significant

3 [X] dual-device sessions ≈ 6 single-device sessions — efficient annual concentrated investment.

Dual lens synergy

FOCUS lens array + Resolve holographic lens — dual LIOB dermal remodeling.

Full-spectrum tattoo

1064 / 755 / 532nm Covering black, red, blue, and green ink across the full spectrum.

Same clinic, same physician

Both devices in-house simultaneously, with parameters, records, and Before & After photos tracked continuously.

Safe for Asian skin

Dual-device photoacoustic mechanism + 2-week recovery window to manage PIH risk.

Multiple concerns addressed in one protocol

Pigmented lesions + enlarged pores + brightening + fine lines — an all-in-one annual treatment plan.

Dual Pico vs. Single-Device: Side-by-Side Comparison

Protocol	Covering pigment layers	Typical treatment cycle	Mixed-type melasma clearance rate
Dual Pico	Full-depth epidermal + dermal layers	6 sessions / 6–7 months	85-90%
PicoSure Single-device	Epidermis (<0.5 mm)	4-6 sessions / every 4–6 months	50-70%
PicoWay Single-device	Dermis (>0.5mm)	4-6 sessions / every 4–6 months	55-75%
PicoSure Pro Single-device	Epidermis + superficial dermis	4-6 sessions / every 4–6 months	60-80%
IPL / Ai BBL	Epidermal only	3-6 sessions	Not recommended (may worsen condition)
Q-switched nanosecond	Epidermis + partial dermis	4-8 sessions	30-50% + PIH high

EXPERIENCE · EXPERTISE · AUTHORITATIVENESS · TRUSTWORTHINESS

Why Trust Luowei Medical Aesthetics Clinic for Dual Pico Combination Treatment?

Google's E-E-A-T framework evaluates medical content across four dimensions. Below are the specific credentials supporting every Dual Pico-related claim on this page.

EXPERIENCE · Clinical experience

Real clinical experience

80,000 cumulative laser procedures performed
9,600+ dual-pico combination protocol cases performed to date
Complete Before & After photo records for every patient

EXPERTISE · Clinical expertise

Expertise in laser physics and photobiology
Fitzpatrick III-V Dual-device specialist protocol
Expertise in differential diagnosis of epidermal, dermal, and mixed-type pigmentation

AUTHORITATIVENESS · Professional Recognition

Industry-recognized credentials

Every medical claim on this page is anchored to a named, clickable source — see Evidence & references below

TRUSTWORTHINESS · Credibility

Transparent and verifiable

Written informed consent is signed before each treatment session
All Before & After images are unretouched

WHY THIS MATTERS

Dual Pico is not a marketing proposition — it is a physical necessity

A single-wavelength laser cannot bridge the depth gap between epidermal and dermal pigmentation in Asian skin — 755 nm excels at the epidermal level but cannot reach the dermis, while 1064 nm penetrates deeper but has weaker epidermal melanin affinity. Mixed pigmentation requires two devices working in a layered, staged approach, each targeting its respective depth. This demands that the physician be thoroughly versed in the fluence curves of both platforms, PIH risk management for Asian skin, and the safe inter-device switching window.

Our physician has deep command of the full PicoSure and PicoWay protocol library and serves as a training reference for peers in Asian skin pigmentation management. The staged Dual Pico protocol he developed has been adopted by multiple clinics as a standard approach for stubborn pigmented lesions.

PRICING & PAYMENT

Dual Pico Combination Treatment — Pricing & Payment

The Dual Pico protocol involves two devices from different manufacturers, a full course of 6 sessions, and long-term maintenance, making it priced higher than a single-device approach — however,3 The ROI of [X] dual-device sessions ≈ 6 single-device sessions is significantly better than repeated single-device treatment.. A personalized quote is provided by our physician following your Free 30-Minute Consultation.

SINGLE SESSION

Consultation-based pricing

Single dual-device session · Price varies by device and treatment area

6-SESSION PACKAGE

Consultation-based pricing

Full 6-session dual-device course (3+3) including Cyspera conditioning · Package discount

Payment is made at the clinic, after the consultation and before treatment begins
Nothing is paid in advance, and no deposit is required to hold an appointment
Cosmetic treatment is a self-pay item and is not covered by public medical insurance in China
All new clients receive a 30-minute Free Consultation & Assessment

RISKS & SAFETY · Informed consent

Common Risks · Contraindications · PIH Prevention

Transparency in medical aesthetics is itself a mark of trustworthiness. We openly share all potential reactions, serious risks, contraindicated groups, and absolute exclusion criteria so that you have complete information before your consultation. Our physician personally reviews each specific risk of the Dual Pico treatment with you prior to every session.

Common reactions (typically occurring shortly after treatment)

redness, swelling, and warmth (1-6 hours to resolve; cold compress may be applied)
Mild swelling (24-48 hours to subside, slightly longer in the under-eye area)
Temporary darkening of pigment / frosting response (7-14 days to naturally shed,Do not pick or scratch)
Pinpoint bleeding (rare, resolves within 24–48 hours)
Skin sensitivity (Skin is more sun-sensitive for 2–4 weeks post-treatment; SPF 50+ is required.

Serious risks (rare but must be disclosed)

Post-inflammatory hyperpigmentation (PIH)— More commonly seen in Fitzpatrick III–V skin types; Our physician significantly reduces this risk through pre-treatment conditioning with Cyspera, a low-fluence protocol, and a 2-week recovery window.
Hypopigmentation— Rare with picosecond technology; more commonly seen with older Q-switched devices
Scarring— Extremely rare; most commonly associated with inappropriate fluence or post-procedure picking
infection— Rare; diligent post-procedure care and sun protection are essential
Paradoxical Darkening— Rare; a test spot is performed first for higher-risk patients
Cumulative dual-device response— The cumulative energy from both devices may extend the erythema period by 1–2 days,The 2-week recovery window must be strictly observed.

Absolute contraindications (treatment not performed)

Pregnancy / breastfeeding
Active infection, open wounds, or active herpes simplex
Oral Accutane / isotretinoin use within the past 6 months
Keloid or hypertrophic scarring tendency
Photosensitizing medications have not been discontinued
Recent unresolved sun overexposure or active tan
Fitzpatrick VI Very deep skin tones (dual-device treatment generally not recommended)
Autoimmune conditions affecting the skin
Budget or schedule does not allow for a full 6-session course (single-device treatment recommended instead)

Safety protocols strictly enforced by our physician

Every patient undergoes a pre-treatment layered diagnostic assessment with Wood' s lamp, Fitzpatrick skin typing, and full medical history review.
A written informed consent form is signed before each session
A 2-week recovery window between device switches is mandatory.
A test spot is mandatory for high-risk patients.
All Dual Pico treatments are performed personally by our physician — never delegated to a technician.
Photos taken and archived after each session for ongoing comparison and fine-tuning of dual-device parameters

EVIDENCE & REFERENCES

Where the medical claims on this page come from

Everything above about Dual Pico Combination Treatment rests on published evidence rather than on our own word. The sources below are the ones behind those statements: peer-reviewed papers indexed in PubMed, and guidance written for patients by dermatology academies and national health services. Read them before you decide — and bring any of them to your consultation.

Peer-reviewedA Systematic Review of Picosecond Laser in Dermatology: Evidence and RecommendationsLasers Surg Med · 2021
Peer-reviewedRecognizing and Managing Complications in Laser Resurfacing, Chemical Peels, and DermabrasionFacial Plast Surg Clin North Am · 2020
Peer-reviewedCommon Dermatologic Procedures and the Associated Complications Unique to Skin of ColorDermatol Surg · 2021
Peer-reviewedTreatment of Post-Inflammatory Hyperpigmentation in Skin of Colour: A Systematic ReviewJ Cutan Med Surg · 2024
Patient guidanceAcne: Lasers and lightsAmerican Academy of Dermatology
Patient guidanceLaser tattoo removalAmerican Academy of Dermatology

What these references can and cannot tell you. They describe what is known about the treatment itself — how well it tends to work, how long results last, and what can go wrong. They are not an assessment of this clinic, and no published study can tell you whether it suits your skin type, anatomy, or medical history. That judgement comes from the physician who examines you in person, and it may well be “not this one”.