Real uneven-skin-tone treatment cases by Dr. Xu
The following four cases were treated personally by Dr. Dan Xu at the Toronto · Markham clinic and are used with Media Release Form authorization. The causes of uneven skin tone are complex, subtypes differ significantly, and individual responses vary — actual results are subject to consultation assessment.


Case 4 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick I
- Concerns addressed
- VISIA Dual pigment + erythema metrics · Uneven skin tone · Mixed pigment and redness
- Treatment plan
- Dual picosecond combination + Pico® brightening rejuvenation + PicoSure® honeycomb + AI BBL HEROIC™ photofacial — 6 treatments total (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Uneven skin tone before treatment · Asian female · Fitzpatrick I · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Laser treatment for telangiectasia + Genius™ + Infini™ second-generation RF microneedling + Lutronic INFINI® gold RF microneedling (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 01: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 2 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick IV · 3–5 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Fotona® redness-reduction laser + laser treatment for telangiectasia + Vbeam Perfecta® pulsed dye laser + Vbeam® redness removal and 12 other items (1 session)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 -month maintenance + at-home care
Case 02: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick IV · present for the past 3-5 years · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 3 · Documented uneven skin tone journey
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 03: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 04: Uneven skin tone before treatment · Asian female · Fitzpatrick I · 2–3 year history · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual picosecond combination + Pico® brightening rejuvenation + PicoSure® honeycomb + PicoSure Pro® platinum honeycomb — 8 treatments total (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick IV · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual pico-laser combination + Pico® brightening rejuvenation + PicoSure® + PicoSure Pro® and 9 other treatments (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 05: Uneven skin tone before treatment · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Documented uneven skin tone journey
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D + Fotona™ 4D® lifting — 17 treatments total (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 06: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick IV · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 7 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 07: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick I · present for the past 2-3 years · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 8 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 08: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual pico-laser combination + Pico® brightening rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- PRP Quarterly × 1 + Ultherapy 18-month maintenance + strict sun protection
Case 08: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick IV · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Documented uneven skin tone journey
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 09: Uneven skin tone before treatment · Asian female · Fitzpatrick I · 2–3 year history · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 10: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick I · present for the past 2-3 years · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 11 · Real Uneven Skin Tone Record
- Client profile
- Asian female · Fitzpatrick I · 2–3 year history
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Hyaluronic acid fillers + eye rejuvenation/brightening injections (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Reassessment every 6–12 months · Re-treatment if needed + at-home eye-cream maintenance
Case 11: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 12 · Documented uneven skin tone journey
- Client profile
- Asian female · Fitzpatrick IV · long-standing condition
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 12: Uneven skin tone before treatment · Asian female · Fitzpatrick IV · Long-standing · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Real uneven-skin-tone record
- Client profile
- Asian Female · Fitzpatrick IV · Visible for approximately 1–2 years
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Pico® Brightening rejuvenation + PicoSure® + PicoSure Pro® + PicoWay® and 12 other treatments (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 16: Uneven skin tone pre-treatment comparison · Asian female · Fitzpatrick IV · noticeable for the past 1-2 years · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 38 · Real Uneven Skin Tone Record
- Client profile
- Asian male · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual picosecond combination treatment + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 other items (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 38: Uneven skin tone before treatment · Asian male · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Documented uneven skin tone journey
- Client profile
- Asian male · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual picosecond combination treatment + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 other items (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 40: Uneven skin tone pre-treatment comparison · Asian male · Fitzpatrick IV · multimodal combination treatment led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic Toronto·Markham


Case 41 · Real uneven-skin-tone record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns addressed
- Uneven skin tone (comprehensive improvement with multimodal combination treatment)
- Treatment plan
- Dual picosecond combination treatment + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 other items (multiple sessions within 3 months)
- Improvement results
- Marked improvement in uneven skin tone · naturally balanced result
- PIH status
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 41: Uneven Skin Tone Before Treatment · Asian Female · Fitzpatrick IV · Multi-modal combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham















































