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Skin pigmentation issues, especially in the face or neck areas, can be difficult to live with because of their prominent location. Similarly, a tattoo you no longer want can bring constant emotional discomfort, embarrassment, and difficulty with concealment.

Improving skin pigmentation and the appearance of tattoos can be very difficult. Coloration problems require highly specialized and versatile lasers which can modulate both the intensity and frequency of the laser energy to destroy pigment, whether natural or caused by tattooing. The laser must also have a large and variable “spot size” to destroy pigment molecules of all sizes.


Lasers which lack versatility in these key areas can leave patients with less than optimal results and even put them at higher risk. Smaller lasers, for example, lead to longer procedure times, multiple office visits, and additional costs. Patients also face higher risks when they are forced to have too many treatment sessions to get the results they desire. A better solution exists!

Cheng Plastic Surgery proudly provides Lumenis PiQo4 laser treatments. The PiQo4 can improve skin pigmentation issues, remove unwanted tattoos, and rejuvenate the skin. The PiQo4 laser provides patients with comprehensive, effective, and fast treatment for these concerns while also improving their skin tone and texture.

PiQo4 Benefits

PiQo4 offers four crucial advantages over alternative laser-based skin treatments. The PiQo4 laser offers:

  • pico and nanosecond laser pulses which progressively shatter pigment molecules into smaller and smaller sizes for more effective removal
  • four laser wavelengths which treat the maximum spectrum of ink colors simultaneously
  • a high energy laser which means shorter and fewer treatment sessions for patients
  • larger spot sizes which allow a deeper reach into your skin for visibly better results

The PiQo4’s ability to treat larger spot sizes also makes the laser treatment safer, reducing the likelihood of blistering, discoloration or scarring where you have the treatment.

PiQo4 Laser San Jose

PiQo4 Risks

A PiQo4 laser treatment, like all cosmetic procedures, carries some risks, although these risks remain small.

Risks from this laser treatment include: scarring in individuals prone to skin keloids; risk of hypo-pigmentation in individuals with dark skin; and possible risk of hypo or hyper pigmentation. Patients may also experience purpura, erythema or slight edema in the treatment area. Patients may also experience a mild sensation similar to a sunburn. The PiQo4 laser treatment is not suited for concern areas around the eye or suspected cancerous lesions.

Your PiQo4 Procedure

Your PiQo4 laser treatment will be both fast and effective, and you won’t have any special preparations to endure prior your treatment.

Most patients find the procedure extremely comfortable and do not require any topical anesthetic before having their PiQo4 treatment. However, be sure to talk with us if you have concerns about pain or discomfort.

During your PiQo4 laser treatment, you will experience a mild, warming sensation in the areas being treated by the laser, but you will remain comfortable at all times.

The length of your treatment session will vary depending on the size and complexity of your pigmentation issue or tattoo, but a typical PiQo4 laser treatment session lasts on average about 20 minutes.


Recovering From Your PiQo4 Procedure

You will have minimal downtime after your PiQo4 procedure. Patients may experience minor redness and swelling in the treatment areas, similar to a sunburn; but these symptoms generally subside within a few hours. So long as you are comfortable, you may immediately resume normal activities.

An evaluation of your symptoms and the amount of skin you wish to have treated will help us determine how many PiQo4 treatment sessions you will need to improve your symptoms and obtain optimal results.

After each PiQo4 treatment, you can quickly return to your usual, daily routines. You will have no special aftercare requirements to follow. As soon as swelling and redness subside, you can begin enjoying your new, clearer skin.

Improve Your Skin’s Appearance With a PiQo4 Laser Treatment at Cheng Plastic Surgery

Call Cheng Plastic Surgery today at (408) 255-3223 to schedule your appointment with one of our two board-certified facial plastic surgeons and see if a PiQo4 laser treatment is right for you. During your visit, you can also explore the many other skin care options available to you to clarify, refresh, and rejuvenate your skin and help you look and feel younger.

The surgeons at Cheng Plastic Surgery spend considerable time with each patient to understand their particular skin care needs and desired aesthetic goals. We approach every procedure as a unique opportunity to give you the results you expect and deserve. Your journey to a younger you begins at Cheng Plastic Surgery.

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