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Acne Scar & Skin Quality

Pico Majesty

For acne scars, pores, pigment and brighter-looking skin

Pico Majesty combines pigment-targeting handpieces with Fractional MLA for selected atrophic acne scars, enlarged pores and uneven texture. A physician chooses the wavelength, handpiece and settings for each of the three treatment goals.

Pico Majesty Bangkok at Hori Clinic Bangkok

Quick answer

Pico Majesty: what to know before choosing

Pico Majesty (Picocare Majesty) is organised around three goals: (1) selected atrophic acne scars and enlarged pores using Fractional MLA, (2) post-acne dark marks, selected melasma and brighter-looking skin, and (3) freckles and sun spots. These goals require different handpieces and settings, and deeper or tethered scars may need combination treatment.

Three core goals
Acne scars and pores · post-acne marks, melasma and brightening · freckles and sun spots
Discuss first
Discuss pregnancy, infection, recent tanning, photosensitising medicines and previous pigment reactions
Downtime
Redness, swelling, pinpoint bleeding or crusting may occur; pigment change is also possible
See discomfort, timing, evidence and alternatives
Discomfort
Snapping, warmth or stinging; sensation depends on the indication and settings
When change may be noticed
Texture remodelling is gradual; pigment timing varies by diagnosis and melasma can recur
Combination options
Subcision for tethered scars, topical pigment control, sun protection or another device when indicated
Page summary — choose a section

Jump to the answer you need. The complete medical details and evidence remain below.

Pico Majesty: price and treatment planning

From ฿1,999 / session

This is the listed starting price. Ask the clinic to confirm the current quote and what it includes before booking.

What to confirm before booking

  • Skin concern, treatment mode, area and proposed number of visits
  • Total price for the proposed plan and any additional charges
  • Who assesses the plan, aftercare instructions and follow-up arrangements

The starting price alone does not identify the same treatment plan for everyone.

Laser

What is a picosecond laser?

A picosecond laser shortens each pulse to the trillionth-of-a-second range. At that speed the dominant effect shifts from heat (photothermal) to a rapid pressure wave (photoacoustic) that fractures pigment into ultra-fine dust — which the lymphatic system clears more completely than the larger fragments left by older nanosecond (Q-switched) lasers.

Picosecond pulses can limit thermal spread compared with longer pulses, but they are not automatically risk-free. In pigment-prone Asian skin, wavelength, fluence, diagnosis and aftercare still determine the risk of post-inflammatory hyperpigmentation or melasma rebound.

How it works

01

Ultra-short pulses create a photoacoustic (pressure) effect, not just heat.

02

Pigment shatters into ultra-fine particles the body can clear more easily.

03

Less surrounding heat means lower risk of dark marks (PIH) and variable recovery depending on settings and individual response.

Three treatment goals

What Pico Majesty is focused on

01

Acne scars and pores

Fractional MLA may support collagen remodelling for selected atrophic scars, uneven texture and enlarged pores. Scar type determines whether Pico is used alone or in combination.

02

Post-acne marks, melasma and brightening

Pigment and toning settings are selected by diagnosis. Melasma requires a gentle combined plan and ongoing photoprotection rather than aggressive treatment.

03

Freckles and sun spots

Defined pigment spots may use a more targeted approach after the doctor distinguishes freckles, solar lentigines and other lesions that can look similar.

A doctor may consider it for

  • Selected atrophic acne scars, uneven texture and enlarged pores after scar assessment
  • Post-acne dark marks, uneven tone and selected melasma using an individual pigment plan
  • Freckles and solar lentigines after the pigment diagnosis is confirmed
  • Tattoo removal remains an additional capability, not the main focus of this page
Fractional MLA

Acne scars and enlarged pores need scar-type assessment

Pico Majesty's Fractional MLA concentrates energy into microscopic points, creating a photoacoustic tissue response that supports gradual collagen remodelling without ablating the entire skin surface. It may suit selected shallow atrophic scars, rough texture and enlarged pores, with redness or swelling varying by settings.

Pico does not release every tethered scar or rebuild every deep ice-pick scar. Rolling scars with fibrous bands may need subcision, while deep or mixed scars may require a combination plan. The realistic goal is softer edges and more even texture, not perfectly poreless skin.

Pigment and brightening

Post-acne marks, melasma, freckles and sun spots need different plans

Post-acne dark marks follow inflammation and may be treated as part of a pigment and tone-evening plan. Melasma is chronic and more reactive, so Pico is considered only within a gentle combined plan that includes topical care and photoprotection. Brightening means reducing excess pigment and improving visual tone; it does not change a person's natural skin colour.

Freckles are often small inherited spots that deepen with sun exposure, while solar lentigines are more defined spots related to accumulated UV exposure. Targeted treatment may be considered after the doctor excludes lesions that should not be lasered.

Targeted spots may temporarily darken or form fine crusts before fading. Picking crusts, aggressive skincare and unprotected sun exposure increase the risk of PIH, especially in Asian skin.

On the day and afterwards

After cleansing, the doctor passes the laser handpiece over the area; you feel a light snapping sensation and warmth. A session is short — often 15–30 minutes — and energy is set to your skin type and concern.

Mild redness for a few hours is normal; targeted dark spots may form a fine "coffee-ground" crust that flakes off within days. Daily broad-spectrum SPF 50 is essential to protect results.

When changes may appear

Acne-scar edges, texture and the appearance of pores improve gradually as collagen remodels, and deeper scars may need combination treatment. Freckles, sun spots and post-acne marks may fade over a targeted series, while melasma requires gentler ongoing control; Hori Clinic may plan about 6–9 low-energy sessions when suitable. Consistent photoprotection remains essential because pigment can return.

Everyone responds differently. Before treatment, your doctor will examine the area and talk through a plan that makes sense for you.

Pico, answered.

Does Pico laser hurt?+

Most people feel only a light snapping and warmth. Sessions are short, and numbing cream can be applied for sensitive areas.

How does Pico Majesty help acne scars and pores?+

Fractional MLA divides energy into microscopic focal points that support collagen remodelling below the surface. This may help selected shallow atrophic scars, uneven texture and enlarged pores, but deep or tethered scars may need subcision or another treatment in combination.

Can Pico Majesty treat freckles, sun spots and post-acne marks?+

It may be selected for these concerns, but they are different diagnoses. The wavelength, spot-treatment approach, energy and number of sessions must match the pigment type and depth.

How many sessions for melasma?+

Hori Clinic may plan about 6–9 gentle, low-energy Pico Majesty sessions for suitable melasma rather than one aggressive visit. Your doctor will confirm the actual number and interval after assessing your skin.

Pico laser vs IPL — what's the difference?+

IPL is broadband light, while Pico is a laser with ultrashort pulses. Neither is automatically better for every pigment concern; the diagnosis, wavelength, settings, skin type and PIH risk determine the safer choice.

Can I wear makeup afterwards?+

For full-face rejuvenation, light makeup is usually fine the same or next day. If specific dark spots were targeted, let any tiny scabs flake off naturally first.

Will the spots come back?+

Pigment can return or new spots can develop with sun exposure and inflammation. Melasma is chronic and can recur, so ongoing photoprotection and an individual maintenance plan remain important.

Pico Majesty: planning your visit in Bangkok

Hori Clinic is at Times Square Building, 4th floor, Rooms 411–412, Sukhumvit Road, Bangkok, near BTS Asok and MRT Sukhumvit.

Before travelling, confirm your appointment and current total price with the clinic. Ask how much time to allow for the consultation, treatment and any follow-up visits.

Check the clinic and device information

Pico Majesty is listed as Picocare Majesty on Wontech Asia's Hori Clinic page.

A directory listing identifies the clinic and device; it does not guarantee an individual treatment result.

Procedure-confirmed review evidence

Cases connected to Pico Majesty

Verified case media for Pico Majesty at Hori Clinic

Verified treatment case

Pico Majesty

Published only after written-consent and physician-verification checks. Follow-up lighting, pose, expression or timing may differ, so this is contextual evidence rather than a controlled measurement.

See verified Pico Majesty cases →

Individual results vary. Case media is not a guarantee of outcome.

Medical decision support

Suitability, precautions and realistic expectations

May be suitable for

  • Selected shallow atrophic acne scars, uneven texture or enlarged pores after scar assessment
  • Post-acne dark marks, freckles or sun spots after pigment diagnosis
  • Melasma cases where the physician judges laser appropriate as part of a combined plan

Tell the doctor before treatment

  • Pregnancy, active infection, open wounds, recent tanning or sunburn
  • Photosensitising medicines, isotretinoin history and previous pigment reactions
  • The exact device, wavelength, diagnosis and expected number of sessions

Possible effects and limits

  • Redness, swelling, pinpoint bleeding or crusting may occur depending on settings
  • Post-inflammatory hyperpigmentation, hypopigmentation or melasma flare can occur
  • Evidence differs by wavelength; results should not be generalised across every pico device

This page provides general information and is not a diagnosis. A physician must review your medical history, skin or tissue condition, previous procedures and goals before recommending treatment.

Pico Majesty Bangkok at Hori Clinic Bangkok

Your treatment is performed by a doctor

Dr. Peerapol Riawraengsattha (Dr. Lhong)

Anesthesiology · Aesthetic Medicine · Thai medical licence 58253

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