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Restore Balance. Refresh Skin. Remove the Past.

At Cheng Plastic Surgery in San Mateo, we offer PiQo4 Laser treatments to dramatically improve uneven pigmentation, reduce unwanted tattoos, and refresh skin tone and texture—all with fewer treatments and minimal downtime. Using advanced picosecond and nanosecond technology, PiQo4 delivers unmatched results for patients seeking non-invasive skin rejuvenation or precise tattoo removal.

Whether you’re addressing age spots, melasma, sun damage, or colored ink tattoos, PiQo4 provides powerful, gentle results that help you look as vibrant as you feel. Under the guidance of our double board-certified facial plastic surgeons, your treatment plan is designed with precision, artistry, and your long-term skin health in mind.

What Is PiQo4?

PiQo4 is a breakthrough laser system that combines four wavelengths and both nano and picosecond pulse durations to target pigment in the skin with remarkable speed and accuracy. This dual-pulse capability allows it to shatter pigment particles of all sizes and depths—making it effective for both natural discoloration and the most stubborn tattoo inks. Unlike traditional lasers that may require multiple treatments with limited outcomes, PiQo4’s high energy and large spot size reduce the number of sessions needed, minimize downtime, and deliver more consistent, even-toned results.

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What Can PiQo4 Treat?

PiQo4 is an exceptional choice for treating:

  • Sunspots and age spots
  • Melasma and hyperpigmentation
  • Freckles and café-au-lait birthmarks
  • Lentigines and pigmented lesions
  • Vascular lesions and redness
  • Tattoo removal (including stubborn blue, green, and black inks)
  • Uneven skin tone or texture
  • Mild skin laxity in treated areas

Key Benefits of PiQo4 Laser Treatments

  • Four wavelengths to treat the full spectrum of skin pigment and tattoo colors
  • Pico and nanosecond pulses for ultra-fast pigment breakdown and minimal skin disruption
  • Large spot sizes for deeper reach and faster treatments
  • Fewer sessions compared to older laser technologies
  • Improves overall tone and clarity for refreshed, glowing skin
  • Safe for all skin types, when guided by expert providers

Your PiQo4 Treatment Experience

Before Your Session

No extensive preparation is required. However, our team will evaluate your skin concerns and discuss the number of sessions likely needed for optimal results.

During Treatment

Most patients describe PiQo4 treatments as comfortable, with a warming or snapping sensation in the treatment area. In most cases, no numbing is necessary, but a topical anesthetic can be applied upon request.

Sessions typically take 20–30 minutes, depending on the size and complexity of the area being treated.

After Treatment

Mild redness, swelling, or a sunburn-like warmth may appear but usually subsides within a few hours. There is no required downtime, so you may resume your daily routine the same day.

We recommend avoiding direct sun exposure and using sunscreen to protect the treated area as your skin heals.

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Am I a Candidate for PiQo4 in San Mateo?

You may be a great candidate if you are:

  • In good overall health
  • Seeking treatment for discoloration, melasma, or tattoo removal
  • Looking to improve skin texture and tone
  • Not currently pregnant or breastfeeding
  • Not on medications that cause photosensitivity
  • Not prone to keloids or severe scarring

A personal consultation at Cheng Plastic Surgery will help us determine if PiQo4 is the safest and most effective treatment for your unique skin goals.

When Will I See Results?

Results typically develop gradually as the body clears broken-down pigment through its lymphatic system. Most patients see visible improvements after just 1–2 sessions, with continued enhancement over time.

For pigmentation:

  • 3–5 sessions may be recommended depending on the depth and type of discoloration.

For tattoos:

  • 4–8 sessions are typical, depending on ink color, size, and location.
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Why Choose Cheng Plastic Surgery for PiQo4?

At Cheng Plastic Surgery in San Mateo, every laser procedure is performed under the supervision of Dr. Jacqueline Cheng and Dr. Elbert Cheng, both double board-certified facial plastic surgeons with over two decades of combined expertise. Their specialized knowledge in facial anatomy and skin health ensures that your PiQo4 treatment is performed with precision, safety, and an eye for natural, elegant outcomes.

Patients trust us not only for results, but for the warm, personalized care that makes each visit a luxury experience. From initial consultation to final follow-up, we prioritize your comfort, confidence, and long-term skin wellness.

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Reimagine What Clear Skin Looks Like

Whether you're saying goodbye to an unwanted tattoo or fading years of sun damage, PiQo4 laser treatments at Cheng Plastic Surgery offer a refined, powerful solution with lasting benefits.

Schedule your San Mateo PiQo4 consultation today to take the first step toward skin that’s smoother, brighter, and unmistakably yours.

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