Texture, Reset: How Pico Laser Resurfacing Pairs With LDM
In short
- Pico Laser Resurfacing is the texture-focused use of Picolite, a picosecond laser our clinic uses to smooth skin texture, reduce the look of enlarged pores, and treat active acne and light acne scarring.
- At Genesys it is paired with LDM, an ultrasound treatment with zero downtime that our Picolite page recommends before and after the laser to support the result.
- Door I of our Thanksgiving menu is one session of the pair for $300 + tax through November 28; our Picolite page generally recommends a series of three to five sessions.
Pico Laser Resurfacing is a laser treatment for skin texture: the feel of the surface, the size of visible pores, and the small marks that acne leaves behind. At Genesys it runs on Picolite, a picosecond laser, and it comes paired with LDM, an ultrasound treatment that works on the skin around the laser's work. One refines. The other restores.
Texture is the concern that makeup reveals rather than hides. Foundation settles into pores and catches on rough patches, and the light in a winter office, flat and overhead, does the rest. This article explains what each half of the pair does, why our own treatment pages connect them, what aftercare asks of you, and who the pair suits. It also explains, honestly, what one session can and cannot do.
What is Pico Laser Resurfacing?
A picosecond laser is named for its pulse length. A picosecond is one trillionth of a second, and the laser delivers its energy in pulses that short. Picolite is the picosecond laser we use, and our Picolite page describes it as a cosmetic laser treatment used to smooth out skin tone and texture, reduce pore size, treat active acne, and treat light acne scarring.
The same page describes a second effect: Picolite causes collagen contraction and repair, which works to tighten pores. It lists four key benefits:
- Addresses uneven pigment and texture
- Targets enlarged pores
- Improves scarring
- Builds collagen
The page also says the technology can be used on a variety of skin types, and that the clinic recommends the treatment for maintenance. That last word matters. Pico Laser Resurfacing is not presented as a one-time correction. It is something you return to.
"Pico Laser Resurfacing" is our name for the texture-focused use of Picolite. The same laser, aimed at pigment rather than texture, is what we call Pico Toning. Our October article on pico laser toning covers that use. This one is about the surface.
Why pair a pico laser with LDM?
Because our own treatment pages already do. In its answer to whether Picolite can be combined with other treatments, our Picolite page says that performing LDM water drop lifting before and after the laser can support the result. Door I simply puts the pair together.
LDM stands for Local Dynamic Micro-massage. It is an ultrasound treatment, and the version we use switches between three frequencies: 3, 10 and 19 MHz. Our LDM page explains that most ultrasound systems work at lower frequencies that concentrate energy well below the dermis, while the 10 and 19 MHz frequencies work mainly in the upper layers of the skin, with a half-depth of about 3 mm and 1.5 mm respectively.
Three lines on the LDM page explain why it sits so naturally beside a laser:
- Zero downtime. You can return to work or daily activities straight after.
- Highly compatible. The page describes LDM as well suited as a complementary treatment to enhance other procedures, lasers included.
- Acne and scar improvement. The page describes its skin regeneration properties as effective for scar healing, wound healing and redness reduction.
Put simply, the laser does the refining, and LDM supports the skin that has just been refined.
The laser refines the surface point by point. LDM supports the skin around it. Results build across a series, not in a single pass.
What does each half of the pair do?
| Pico Laser Resurfacing (Picolite) | LDM water drop lifting | |
|---|---|---|
| Type of energy | Picosecond laser pulses | Ultrasound at 3, 10 and 19 MHz |
| What our page says it addresses | Texture, enlarged pores, active acne, light acne scarring, uneven pigment | Fine lines, volume, glow; scar and wound healing; redness |
| Role in the pair | Refines the surface | Supports regeneration around the laser's work |
| Comfort | Very little pain, per our page; numbing cream is available | No downtime |
| Usual rhythm | About three to five sessions, three to four weeks apart, adjusted to skin condition | Used before and after the laser in this pairing |
What does the treatment feel like?
Our Picolite page answers the pain question directly: unlike other lasers, there is very little pain, and an anesthetic cream can be applied beforehand if you prefer. For LDM, our page lists zero downtime among its main benefits.
After the visit, a few days and a few weeks ask for care. That is the next section.
What does aftercare involve?
This is the part to read before you book, not after. Our Picolite page lists the following cautions, in this order:
- The skin may become dry, so apply moisturizing essence or cream carefully.
- Functional cosmetics, such as wrinkle-improvement, whitening or acidic products, may be irritating and should be avoided.
- Avoid touching any scab with your hands, so that the light brown scab falls off naturally.
- Immediately after age spot or epidermal pigmentation treatment, a dressing such as Duoderm should be applied for two to three days to protect the area from infection and outside irritation.
- Avoid strong stimulation such as exfoliation, extraction or massage for about two weeks.
- Swimming, exercise and sauna are possible after a month.
- Apply sunscreen 30 minutes before going out.
- If there is redness or swelling, apply a cold compress with an ice pack.
Two of these deserve emphasis in November. The first: the skin may become dry, in a month when the air is already drying it. Our November barrier guide covers how to keep moisture in, and it applies doubly after a laser. The second: swimming, exercise and sauna wait about a month. If your winter routine leans on a gym or a steam room, plan around that before you book rather than after.
Who is Pico Laser Resurfacing + LDM for?
Based on what our treatment pages describe, the pair fits these concerns most directly:
| If your concern is… | Does door I fit? |
|---|---|
| Enlarged or visible pores | Yes. Our Picolite page lists targeting enlarged pores as a key benefit |
| Rough or uneven texture | Yes. Smoothing tone and texture is the first use the page describes |
| Light acne scarring | Yes, for light scarring. Deeper scarring is a conversation for consultation |
| Active acne | Possibly. The page lists it; a provider confirms whether your skin is ready |
| Pigment such as freckles or melasma | Partly. For pigment-first concerns, Pico Toning (doors VI and VII) is the closer match |
| Sagging or loss of firmness | No. That is a lifting concern; see door V in our menu guide |
How is it different from other texture treatments?
Texture has more than one answer at Genesys, and the right one depends on what is driving the roughness. Three options at our clinic are worth comparing, and they work in different ways.
| Pico Laser Resurfacing + LDM | Exosome (BENEV) MTS | Clear and Brilliant (Permea) | |
|---|---|---|---|
| Works through | Picosecond laser, supported by ultrasound | Exosomes delivered through micro-needling | Gentle fractional laser |
| Best match for | Pores, uneven texture, light acne scarring | Texture that comes with constant dryness and dullness | Regular upkeep of tone and texture |
| Thanksgiving door | I ($300 + tax) | II ($300 + tax) | Not in the Thanksgiving menu |
If your skin feels rough mainly because it is dry, Exosome may be the more direct match; our November barrier guide explains why. If the roughness is structural, pores and small scars that stay put whatever the weather, the pico laser is aimed squarely at it. And if you want light, regular maintenance rather than a focused series, our autumn article on the Clear and Brilliant laser describes that gentler fractional approach.
None of these is a ranking. They are different tools for different causes, and a provider can usually tell which cause is yours by looking at your skin in good light and asking how it changes across the year. Many people find their texture has more than one cause, which is why the first visit is a conversation before it is a treatment.
Who should ask before booking?
Our LDM page lists the people for whom the treatment is unsuitable:
- who are expecting, breast-feeding, or have a positive pregnancy test before treatment
- who have medical conditions affecting the skin
- who take medication to thin their blood
- who have deep vein thrombosis
- who have an infection, tumour, or wound that has not fully healed in the treatment area
Our Picolite page does not publish a separate list, so tell your provider about pregnancy, medications, recent treatments, active skin conditions and anything you are applying at home before the laser. If you are unsure whether the pair suits you, contact us first.
What does the Thanksgiving door include?
Door I of our Thanksgiving promotion is one session of Pico Laser Resurfacing paired with LDM.
| Door | Treatment | Thanksgiving price |
|---|---|---|
| I | Pico Laser Resurfacing + LDM | $300 + tax |
One honest note. Our Picolite page recommends, in general, about three to five sessions at three to four week intervals, depending on skin condition. Door I is a single session. It is a real start, and a good way to learn how your skin responds, but it is not a full course. Ask at your consultation what a complete plan would look like for you.
Sales tax is added at checkout, and the price shown does not include it. Prepaid treatments must be used within one year of purchase. Suitability is confirmed at an in-person consultation, and if the treatment turns out not to be right for you, you may switch to a different treatment or convert your payment to clinic credit. Promotional prices cannot be combined with other offers or discounts. The treatment is available at both our Manhattan and Bayside clinics. All nine doors are explained in our Thanksgiving menu guide.
Frequently asked questions
Is Pico Laser Resurfacing the same as Pico Toning?
They use the same Picolite laser for different aims. Pico Laser Resurfacing focuses on texture, pores and light acne scarring, while Pico Toning focuses on pigment such as freckles, blemishes and melasma. In our Thanksgiving menu, resurfacing is door I and toning is doors VI and VII.
Does Pico Laser Resurfacing hurt?
Our Picolite page says there is very little pain compared with other lasers. An anesthetic cream can be applied beforehand if you prefer. LDM, the ultrasound half of the pair, is listed on our page as having zero downtime.
How many sessions will I need?
Our Picolite page generally recommends about three to five sessions at three to four week intervals, with a slight difference depending on skin condition. The page also recommends the treatment for maintenance. Door I covers one session.
Can I exercise after treatment?
Our Picolite aftercare guidance says swimming, exercise and sauna are possible after a month. It also asks you to avoid strong stimulation such as exfoliation or massage for about two weeks. Plan around both before you book.
Why is LDM included?
Our Picolite page notes that performing LDM before and after the laser can support the result. Our LDM page describes it as an ultrasound treatment with zero downtime that is well suited as a complement to other procedures, including lasers.
This information is for educational purposes only and does not substitute for an in-person clinical assessment by a licensed medical professional at Genesys Laser Skin Clinic. Individual skin results and treatment parameters vary based on clinical diagnostics. Offer details reflect our Thanksgiving promotion page as of November 3, 2026.