Laser facial rejuvenation has been around for a while now. Many lasers can rejuvenate the face. However, many of those on the market have restrictions for use on lighter skin, are painful, need needle and/or topical anesthetics, have down time and have preparation with creams required for a week or more before the treatment. Most of them also work quite slowly. The most effective for facial rejuvenation are CO2 lasers. These have prep time, significant down time and significant pain with the procedure. They are limited by skin type and typically are used in Caucasian skin. What we needed for laser facial rejuvenation was the following: a treatment safe for any skin type, minimal pain, minimal down time, no preparation time, no need for anesthetics, great for blotchy skin, acne scar and wrinkles. We also wanted an effective, visible, skin change within with just two treatments. Enter Cynosure’s Picosure laser with the Focus Lens Array, which is similar to a fractionated laser. Now we have it all in one machine. It works for wrinkles, melasma, blotchy sun damage, rough texture and brown spots. A treatment takes 15-30 minutes and there is minimal pain. A typical facial treatment can take a few years off your face, and you can buy packages of 3 or 4 procedures. Even Dr. Van Reken has had it done on him by his outstanding laser techs.