Treatment Guide

PicoWay® Resolve

Treatment Guide

Optimizing Results in Acne Scar and Wrinkle Treatments

The picosecond laser with high peak power and the shortest pulse durationsa for a photoacoustic effect that transforms skin.

PicoWay Resolve work from the inside out
  • PicoWay Resolve uses sub-surface ablation, leaving the stratum corneum intact
  • Picosecond treatment leads to new collagen and elastin formation, reducing acne scars and wrinkles1-3
  • Patients enjoy high satisfaction with low to no downtime
aBased on available 510(k) summaries as of October 2017.
Treatment Guide

PicoWay® Resolve

Treatment Prep

Face Treatment

For optimal treatment, follow proper patient preparation, safety, and treatment techniques

  • Clean the treatment area
  • Topical anesthesia is not necessary, but may be used
    • Some facial area may be more sensitive than others, and some patients may prefer to have anesthesia
    • Apply topical anesthesia approximately 30 minutes prior of treatment, and completely clean it from the skin before beginning treatment.
  • Safety eyewear
    • Patients MUST wear patients goggles; for increased comfort, gauze can be placed under the goggle edges
    • PicoWay operators and anyone else in the treatment room MUST wear safety eyewear
Facial Treatment

PicoWay® Resolve

Treatment Tips

Click the "play" icon to watch a brief video on Treatment Tips

Facial Treatment

  • Treatment areas may include the forehead, cheeks, chin, nose, periorbital area, perioral area and jawline/submental.
  • The entire facial area should be treated, with the additional focus given to area with deeper rhytids and acne scars.
Facial Treatment

PicoWay® Resolve



Click the "play" icon to watch a brief video on Recommended Pulse Settings

Laser Settings

  • Energy settings will vary by patient skin type, patient comfort level, and operator experience. Start with lower settings and move to higher settings, if appropriate.
  • Typically, treatments should begin with the 1064 nm wavelength and then, if indication and skin type is appropriate, switch treatment to 532 nm.
PicoWay Resolve 1064 nm PicoWay Resolve 532 nm
(Fitzpatrick skin type)
Wrinkles (l-lV)
Acne Scars (ll-lV)
Wrinkles (l-lV)

PicoWay® Resolve

Optimum Technique

Technique Tips

Click the "play" icon to watch a brief
video on the Optimum Technique

Using a painting technique in a crossed-hatched or circular pattern, make up 4 passes with the PicoWay Resolve until the clinical endpoint of uniform erythema and mild edema is achieved (setting may be adjusted to achieve this endpoint)

Alternate passes: perform a pass in one direction with a subsequent pass in a different direction

Typical number of passes (your usage may vary):

2 passes of Resolve 1064 nm

1 pass of Resolve 532 nm

(depending on skin type and indication)

  • Be sure to treat the entire face. In areas with deeper rhytids or acne scars, you may increase the number of passes, as long as you do not go past the clinical endpoint

  • Petechiae may occur and can be managed by decreasing fluence and increasing the number of passes, or ceasing treatment if the clinical endpoint of achieved


  • Keep moving the laser
  • Keep the laser distance gauge flat on the skin - keep skin contact
  • Gently stretch the skin to help keep it flat
  • Keep track of which areas you have already treated by watching for erythema
  • Stop if the treatment is not tolerable to the patients - treatment should not be painful


  • Treat infected skin
  • Treat near open active lesions
  • Use in patients with active acne

Click the "play" icon to watch a brief video on Do's

PicoWay® Resolve

Post Treatment

Post-Treatment Expectations

Explain to your patients what to expect from PicoWay
  • With PicoWay Resolve, most patients experience low to no downtime
  • As with any fractional treatment, acneiform eruptions can occur
  • Itching (urticaria) is common and may last up to a few days

Post-Treatment Care

Remind your patients to:
  • Avoid makeup 24 hours following treatments
  • Utilize SPF 30 or greater before going outside and every couple of hours thereafter
  • Wash the treatment area twice daily with the gentle cleanser, apply a non-comedogenic moisturizer, and avoid the use of any acids or irritants to the skin for 7 days post treatments

Additional Training Resources

Candela provides a customer-focused approach with the 360ADVANTAGE to help practices achieve measurable and consistent treatments outcomes and attain unparalleled patient satisfaction. In addition to providing educational and practice marketing materials, detailed in-person clinical training on PicoWay is provided in the practice's own office.

Visit the Practice360 Portal at for the latest Quick Reference Guide (QRG) and User Manual.

For more information about PicoWay, call 800-733-8550, or visit