How a picosecond laser works, why it suits Filipino skin, PicoSure versus PicoLaser, and what it costs: list prices from ₱7,999 in Makati.
Every clinic in Manila advertises a laser. Most of the machines behind those ads work the same way lasers have worked for thirty years, and on Filipino skin that way carries a cost.
PicoLaser works differently, and the difference is a unit of time.
What a picosecond laser is
A picosecond is a trillionth of a second.
Older pigment lasers fire in nanoseconds, which are a thousand times longer. That sounds like splitting hairs until you understand what happens during the pulse.
A long pulse heats the pigment. Heat spreads outward from the target into the skin around it, and skin responds to unwanted heat by producing more pigment. That response is called post-inflammatory hyperpigmentation, and it is the reason so many people leave a laser clinic darker than they arrived.
A picosecond pulse ends before the heat can travel. Instead of cooking the pigment, it delivers a shock that shatters it mechanically into particles small enough for your body to carry away. Because the pulse ends before the heat can spread, far less of it reaches the skin around the target.
Same target. Different physics. Different outcome on the skin type most Filipinos have.
What we treat with it
Melasma and hormonal pigmentation. The patches across the cheeks, forehead and upper lip that darken every summer and come back after pregnancy. This is the condition where heat does the most damage, so the low-heat approach matters most. See melasma treatment in Makati for how we plan a course.
Sun spots and uneven tone. Years of tropical light leave flat brown marks and patchy colour. These clear faster than melasma does.
Congested pores and oily skin. With a carbon layer applied first, the same device clears the inside of the pore. Clinics call that a carbon laser facial.
Skin texture and fine lines. The pulse prompts collagen activity in the deeper layer, so texture improves over a course rather than in one visit.
Picosecond lasers are also the standard for tattoo removal. We list it here because you will read about it everywhere, and you should ask any clinic directly whether they perform it, rather than assuming a device means a service.
PicoLaser against the alternatives
Three things get compared to it in Manila, so here they are plainly.
IPL, sometimes sold as photofacial. Not a laser. It fires broad-spectrum light and works by heat. It is cheap, it is common, and on melasma it is the treatment most likely to make things worse. Fine for redness on pale skin. Less forgiving on melasma-prone and pigment-rich skin, because it works by heat.
Q-switched lasers. Real lasers, nanosecond pulses. They work, and they were the standard before picosecond devices existed. They carry a higher risk of rebound pigmentation on darker skin because the pulse is long enough to heat.
Fractional resurfacing, such as Fraxel. A different job. It removes and rebuilds tissue for scars and deep texture, with real downtime and a recovery period. Pico does not replace it, and it does not replace pico.
A clinic that offers only one of these will tell you it suits everything. Ask what else they have.
PicoSure, PicoWay and PicoLaser
These are brand names for the same kind of machine. PicoSure is made by Cynosure and PicoWay by Candela, and clinics often use the name of their device as the name of the treatment. Pico laser is the category: a laser that fires in picoseconds.
Brand matters less than two things you can ask about directly. Is it a true picosecond laser, or a nanosecond or IPL device sold under a pico name? And will the therapist set it to your skin type? A good answer to both is worth more than a famous label.
Is PicoLaser safe on Filipino skin
Yes, and the reason is the point of the whole article.
Many Filipino patients have Fitzpatrick skin types III to V, which hold more melanin and react more strongly to heat injury. That is why so many people here have a story about a laser that left marks.
The picosecond pulse is too short to heat surrounding tissue, which is what removes most of that risk. It does not remove all of it. Settings still have to match your skin, and a therapist who runs the same parameters on every client is not paying attention regardless of the machine in the room.
We assess skin type and pigment depth before the first pass. That assessment is the safety step, not the brochure.
What a session is like
Sixty minutes at our clinic on Makati Avenue, inside The Peninsula Manila.
We cleanse the skin and apply numbing cream for around twenty minutes. The laser pass itself takes ten to fifteen minutes and feels like a rubber band flicking against the skin. Most clients rate it 2 or 3 out of 10.
You will leave with mild redness that settles within a few hours. No peeling, no recovery day. Clients come on a lunch break and go back to the office.
Wear sunscreen afterwards, every day, without exception. Treated skin that goes unprotected undoes the session you paid for.
How many sessions
It depends entirely on what you came for, and any number quoted before someone looks at your skin is a guess.
Sun spots and general brightening: 2 to 4 sessions.
Epidermal melasma: often 3 to 4.
Dermal or mixed melasma: 4 to 6, then maintenance every few months. Melasma is managed, not cured.
Texture and pores: a course of 4 to 6 spaced two to four weeks apart.
Many clients notice a change within the first few sessions. The full result appears about a month after the last one, once your body has cleared the shattered pigment.
Who should wait
We do not treat during pregnancy or breastfeeding. Nor do we book, if you have an active skin infection or open wound in the treatment area, if you are taking or recently stopped isotretinoin (Accutane), because we may reschedule depending on the dose and your skin, or if you have a recent sunburn or a fresh tan.
Tell us about any of these at your assessment. We will reschedule rather than treat skin that is not ready.
What it costs
Our list prices at The Peninsula Manila are ₱14,950 for the melasma protocol, ₱16,500 for the carbon laser facial and ₱7,999 for underarm whitening, each a sixty-minute session. Introductory rates run for most of the year, and the current one is on the pico laser in Makati page.
When you compare clinics, ask two questions. Which device, and how many passes. A low price often means an IPL machine sold under a laser name, or a single quick pass where the treatment needs several. Neither shows up in the price you are quoted.
The honest part
For pigment on Filipino skin, PicoLaser gives us more room to work than the heat-based devices that came before it. It is not a different category of promise.
It will not cure melasma, because nothing cures melasma. It will not make one session do the work of five. It will not hold a result for a client who stops wearing sunscreen.
What it does is clear pigment without the heat that used to make pigment worse. On skin like ours, that has turned out to be the thing that mattered.
Frequently Asked Questions
What is pico laser?
A laser that fires in picoseconds, meaning trillionths of a second. The pulse is short enough to shatter pigment mechanically instead of heating it, so the skin around the target takes far less heat. On darker skin that difference decides whether the pigment clears or rebounds.
How much does pico laser cost in the Philippines?
Clinics in Metro Manila advertise from about ₱2,000 a session, and the gap usually comes down to the machine and the number of passes. At ICONIQUE inside The Peninsula Manila the list price is ₱14,950 for the melasma protocol and ₱16,500 for the carbon laser facial, sixty minutes each, with introductory rates most of the year. Ask any clinic which device it uses before you compare prices.
Is pico laser safe for Filipino skin?
Yes, and it is safer than heat-based alternatives for Fitzpatrick types IV and V, which covers most Filipinos. The short pulse avoids the heat that causes rebound pigmentation. Settings still have to match your skin type.
Does pico laser hurt?
With numbing cream, most clients rate it 2 or 3 out of 10. The sensation is a light snapping against the skin.
How many pico laser sessions will I need?
Two to four for sun spots, three to four for epidermal melasma, four to six for dermal or mixed melasma with maintenance afterwards. We can only tell you after looking at your skin.
What is the difference between pico laser and IPL?
IPL is not a laser. It fires broad-spectrum light and works by heat, which is the one thing melasma reacts badly to. Pico works by a pulse too short to heat the skin. For pigment on Filipino skin they are not interchangeable.
Is there downtime after pico laser?
Mild redness for a few hours. No peeling, no recovery day. Wear sunscreen daily afterwards.
Can pico laser remove tattoos?
Picosecond lasers are the current standard for tattoo removal. Ask any clinic directly whether they perform it, because owning the device and offering the service are two different things.
How soon will I see results from pico laser?
Many clients notice a change within the first few sessions. The full result appears about a month after the last one, once your body has cleared the shattered pigment.
How much is pico laser in the Philippines?
From about ₱2,000 at budget clinics to over ₱15,000 a session, depending on the device and how many passes are included. Our list price in Makati is ₱14,950 for the melasma protocol, with introductory rates for most of the year.
Is PicoSure the same as pico laser?
PicoSure is one brand of picosecond laser. Pico laser is the general name for the technology, and PicoWay is another brand of it. Ask which device a clinic uses and whether it is set to your skin type.
Read next
- Melasma on Filipino skin: what works and what does not
- Carbon laser facial in Manila: what it does and who it suits
The treatment at ICONIQUE
Written by
Maria Manuela ValenciaSenior Clinical Therapist · Over 10 years in skin and aesthetics
Maria has worked in skin and aesthetics for over ten years, the last two of them at ICONIQUE inside The Peninsula Manila. She runs PicoLaser and HIFU treatments at the Makati branch.
Book with Maria Manuela Valencia
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