Skin Concerns · Real Before & After Photos
Dr. Xu's Real Melasma Treatment Cases
The following before-and-after images are from actual patients treated by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All patients have signed a written Media Release Form authorizing public use. All photos are unretouched clinical records. Individual results vary based on skin type, Fitzpatrick classification, and treatment adherence.


Case 9 · Melasma Clinical Record
- Ideal candidate profile
- Asian Female · Fitzpatrick IV · Duration 5 Years
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® + 2 additional treatments — 5 items total (4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 09: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 Years · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 13 · Melasma — Real Patient Documentation
- Ideal candidate profile
- Asian Female · Fitzpatrick IV · Duration 5 Years
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 13: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 17 · Melasma Clinical Record
- Ideal candidate profile
- Asian Female · Fitzpatrick IV · Duration 5 Years
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 17: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 5 Years · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 18 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 18: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 20 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 20: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 21 · Melasma — Real Patient Documentation
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 21: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 22 · Melasma Clinical Record
- Ideal candidate profile
- Asian Female · Fitzpatrick I · Duration 5 Years
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + M22® IPL Photofacial (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 22: Melasma Before & After · Asian Female · Fitzpatrick I · Duration 5 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Melasma — Real Patient Documentation
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 17 additional treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- 9-12 months later for a Juvéderm® touch-up
Case 01: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 6 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting + 15 additional treatments (multiple sessions within 3 months) — 17 items total
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 06: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 11 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 11: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 11 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Long-term duration
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 11: Melasma Before & After · Asian Female · Fitzpatrick IV · Long-Standing Duration · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 45 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 45: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 46 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 46: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 49 · Melasma — Real Patient Documentation
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 49: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto / Markham


Case 52 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 52: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 53 · Melasma Clinical Record
- Ideal candidate profile
- Asian female · Fitzpatrick IV
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Routine sun protection + monthly at-home skincare + quarterly clinical assessments
Case 53: Melasma Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 71 · Melasma Real Results
- Ideal candidate profile
- Asian female · Fitzpatrick IV · Duration 6–12 months
- areas of concern
- Melasma (comprehensive improvement with multimodal combination protocol)
- treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant melasma improvement · Overall results look natural
- PIH / post-treatment darkening
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 71: Melasma Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham
Dr. Xu's Real Freckles Treatment Cases
The following before-and-after images are authentic clinical records of freckle treatments performed by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form authorizing public use. Photos are unretouched clinical documentation. Individual results may vary based on skin type, Fitzpatrick classification, and post-procedure sun protection compliance.


Case 3 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 03: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 4 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 04: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 5 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 05: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 7 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Vbeam® and 1 additional modality — 5 treatments total (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 07: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 9 · Authentic Freckle Treatment Record
- Client Profile
- Asian Male · Fitzpatrick IV · Long-Term Results
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® — 6 modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Annual follow-up + long-term SPF 50+ · Touch-up session if needed
Case 09: Freckles Before & After · Asian Male · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 11 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 11: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 12 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 12: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 13 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 13: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 15 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 15: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 16 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 16: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 17 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 17: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 18 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 18: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 19 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 19: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 20 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 20: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 21 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® and 4 additional modalities — 7 treatments total (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 21: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 22 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® and 5 additional modalities (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 22: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 23 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® and 5 additional modalities (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 23: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 29 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 29: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 31 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Long-Term Results
- Key concerns
- VISIA Assessment · Solar Freckles · Epidermal Pigmentation
- Treatment plan
- Dual picosecond combination — PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 31: Freckles Before & After · Asian Female · Fitzpatrick IV · Long-Term Results · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 32 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 32: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Lasting 6–12 Months · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 33 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 33: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 34 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 34: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 40 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick I
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- (3 multiple sessions within months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 40: Freckles Before & After · Asian Female · Fitzpatrick I · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 6 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D + Fotona® 4D Lift and 14 additional modalities — 17 treatments total (multiple sessions over 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 06: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 7 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 07: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 8 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 08: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Lasting 6–12 Months · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 8 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + Pico® brightening + PicoSure® + PicoSure Pro® — 5 procedures (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- PRP Once per quarter + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 9 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® and 5 modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 09: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 12 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy — PicoSure® + PicoSure Pro® + PicoWay® and 5 modalities (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 12: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 13 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 5 Years
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 13: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Results Maintained 5 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 14 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + thread-lift double eyelid — 16 procedures (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Botox Micro-dose 4-month maintenance + Juvéderm® lip line enhancement
Case 14: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 17 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 5 Years
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 17: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 5 Years · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 18 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 18: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 20 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 20: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 21 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 21: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 22 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick I · Results Lasting 5 Years
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + IPL Photofacial (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 22: Freckles Before & After · Asian Female · Fitzpatrick I · Results Maintained 5 Years · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 38 · Freckles: Real Patient Results
- Client Profile
- Asian Male · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 38: Freckles Before & After · Asian Male · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 39 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 39: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 40 · Freckles: Real Patient Results
- Client Profile
- Asian Male · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 40: Freckles Before & After · Asian Male · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 41 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® skin brightening + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 41: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 42 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 42: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 45 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 45: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham


Case 46 · Freckles: Real Clinical Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 46: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 49 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 49: Freckles Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 52 · Authentic Freckle Treatment Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 52: Freckle Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 53 · Freckles Real Record
- Client Profile
- Asian Female · Fitzpatrick IV
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Regular sun protection + monthly at-home care + quarterly assessment
Case 53: Freckles Before & After · Asian Female · Fitzpatrick IV · Multi-Modal Protocol Led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Markham/Toronto


Case 71 · Freckles: Real Patient Results
- Client Profile
- Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months
- Key concerns
- Freckles (comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant freckle improvement · Natural-looking overall results
- PIH status
- No PIH
- maintenance
- Mesotherapy Monthly sessions × 3 + at-home retinoid + SPF 50+
Case 71: Freckles Before & After · Asian Female · Fitzpatrick IV · Results Maintained 6–12 Months · Multimodal Combination Protocol Led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto/Markham
Dr. Xu's Real Clinical Cases: Age Spot / Sun Spot Treatment
The following four cases were treated personally by Dr. Dan Xu at the Toronto Markham clinic and are shared with written Media Release Form authorization. Age spots are highly prevalent among Asian Canadians aged 40+, yet they typically respond to treatment better than melasma.


Case 1 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 01: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 02: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 03: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- (3 multiple sessions within months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 04: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 38 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 38: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 39 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 39: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 40 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 40: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 41 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 7 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 41: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 42 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 42: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 43 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 43: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 44 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 44: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 45 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 45: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 46 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 46: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 48 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 48: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 49 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 49: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 52 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 52: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 53 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 53: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 54 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 54: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 71 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 71: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 76 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination therapy + Pico® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 12 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 76: Age Spots / Sunspots Before & After · Asian Male · Fitzpatrick IV · Duration: Long-Term · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 76 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick I
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 2 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 76: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- 9-12 Filler top-up after months
Case 01: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + PicoSure® + PicoSure Pro® + PicoWay® (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 04: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 6 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona® 4D lifting and 17 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 06: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination treatment + PicoSure® brightening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- PRP Once per quarter + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Male · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- Dual picosecond combination + Pico® brightening & skin rejuvenation + PicoSure® + PicoSure Pro® and 2 additional modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Annual review + long-term SPF 50+ · touch-up session if needed
Case 09: Age Spots / Sun Spots Before & After · Asian Male · Fitzpatrick IV · Duration Long-Term · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham


Case 11 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration: Long-Term
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (1–2 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly skin assessments
Case 11: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration Long-Term · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 20 · Age Spots / Sun Spots — Real Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 20: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 21 · Age Spots / Sun Spots Real Patient Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + Vbeam® sensitive skin repair (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 21: Age Spots / Sunspots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 32 · Age Spots / Sunspots — Authentic Clinical Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration 6–12 Months
- Areas of concern
- Age Spots / Sun Spots (Comprehensive improvement with multimodal combination protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® (3–4 sessions)
- Treatment outcomes
- Significant improvement in age spots / sunspots · Natural overall result
- Post-treatment darkening
- No PIH
- Maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 32: Age Spots / Sun Spots Before & After · Asian Female · Fitzpatrick IV · Duration 6–12 Months · Multimodal combination treatment led by Dr. Dan Xu, M.D., CCFP at ID Cosmetic Clinic, Toronto · Markham
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
Real Dull Skin Cases by Dr. Xu
The following four cases were personally assessed and treatment-planned by Dr. Dan Xu at our Toronto · Markham clinic, with Media Release Form authorization. The causes of skin dullness vary significantly (slow metabolism / barrier / glycation / hypoxia), individual responses differ, and actual outcomes are determined during consultation.


Case 5 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I
- Concerns Addressed
- VISIA Assessment · Dull skin · Stratum corneum buildup + poor microcirculation
- Treatment Plan
- Acne Clearing AI BBL HEROIC™ + AI BBL HEROIC™ Redness Repair + LUMECCA IPL + M22® IPL Photofacial, and 19 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Hydrafacial/Monthly mesotherapy × 1 + sun protection
Case 05: Dull skin before treatment · Asian female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV · Persistent for nearly 3–5 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Fotona® Redness Reduction Laser + Laser Vascular Treatment + Vbeam® Perfecta + Vbeam® Redness Clearance and 12 other treatments (1 session)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 month maintenance + home care
Case 02: Dull Skin Before Comparison · Asian Female · Fitzpatrick IV · Persistent for nearly 3-5 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 3 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 03: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 04: Skin Dullness Before Treatment · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination Therapy + Pico® Brightening Rejuvenation + PicoSure® + PicoSure Pro, and 8 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination Therapy + Pico® Brightening Rejuvenation + PicoSure® + AI BBL HEROIC™ Photofacial, and 6 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 04: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 5 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Pico combination + Pico® whitening & rejuvenation + PicoSure® + PicoSure Pro® and 9 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 05: Skin Dullness 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 · Real Dull Skin Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- BTL Exilis Ultra™ + BTL Exilis Ultra 360 + Fotona 4D + Fotona® 4D Lifting and 17 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 06: Dull Skin Before Comparison · Asian Female · Fitzpatrick IV · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 7 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 07: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 8 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 08: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Pico combination + Pico® whitening & rejuvenation + PicoSure® + PicoSure Pro® and 5 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- PRP Quarterly × 1 + Ultherapy® 18-month maintenance + strict sun protection
Case 08: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 09: Skin Dullness Before Treatment · Asian Female · Fitzpatrick I · Duration ~2-3 years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 10 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 10: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 10 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 10: Dull Skin Before Comparison · Asian Female · Fitzpatrick I · Persistent for nearly 2-3 years · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 11 · Real Dull Skin Record
- Client profile
- Asian Female · Fitzpatrick I · Duration ~2-3 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Hyaluronic acid fillers + periorbital rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- 6-month to 1-year follow-up · Re-treatment as needed + home eye cream maintenance
Case 11: Dull skin before treatment · Asian female · Fitzpatrick I · Persistent for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 12 · Real dull skin record
- Client profile
- Asian Female · Fitzpatrick IV · Long-term duration
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- PicoSure® + PicoSure Pro + PicoWay (1-2 sessions)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 12: Dull skin before treatment · Asian female · Fitzpatrick IV · Long-standing · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Real Skin Dullness Record
- Client profile
- Asian Female · Fitzpatrick IV · Noticeably persistent for 1-2 years
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Pico® Whitening & rejuvenation + PicoSure® + PicoSure Pro® + PicoWay® and 12 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 16: Dull skin before treatment · Asian female · Fitzpatrick IV · Noticeable for nearly 1–2 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 38 · Real Dull Skin Record
- Client profile
- Asian Male · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 38: Skin Dullness 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 · Real dull skin record
- Client profile
- Asian Male · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 40: Dull Skin Before Comparison · Asian Male · Fitzpatrick IV · Multimodal combination plan led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 41 · Real Skin Dullness Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns Addressed
- Skin Dullness (Multi-modal Combination Protocol)
- Treatment Plan
- Dual Picosecond Combination + Pico® Brightening & Rejuvenation + PicoSure® + PicoSure Pro® and 7 other treatments (multiple sessions within 3 months)
- Improvement
- Dull skin noticeably improved · Overall natural result
- Post-inflammatory darkening
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly assessment
Case 41: Dull skin before treatment · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham
Dr. Xu's Real Rosacea Treatment Cases
The following four cases were personally treated by Dr. Dan Xu at our Toronto · Markham clinic and are shared with signed Media Release authorization. Rosacea subtypes vary significantly and individual responses differ — actual outcomes are determined at consultation.


Case 2 · Real rosacea documentation
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Rosacea (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness clearance + Vbeam® sensitive-skin repair + Genius™ + Infini™ 2nd-generation RF microneedling, totaling 7 modalities (multiple sessions within 3 months)
- Improvement
- Marked improvement in rosacea · natural overall result
- PIH Risk
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly assessment
Case 02: Rosacea Before Comparison · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 5 · Real Rosacea Record
- Client profile
- Asian Female · Fitzpatrick IV
- Concerns
- Rosacea (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness elimination + Vbeam® sensitive-skin repair + pulsed dye laser, Vbeam® vascular treatment + Genius™ and 7 other services (multiple sessions within 3 months)
- Improvement
- Marked improvement in rosacea · natural overall result
- PIH Risk
- No PIH
- Maintenance
- Daily sun protection + monthly home care + quarterly assessment
Case 05: Rosacea before & after · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 57 · Real Rosacea Documentation
- Client profile
- Asian female · Fitzpatrick I · recurrent flares over multiple years
- Concerns
- Rosacea (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Ai BBL® HEROic™Photofacial + acne clearing — AI BBL HEROIC™ + AI BBL HEROIC™ intelligent photofacial + AI BBL HEROIC™ redness recovery and 23 other services (4–6 sessions)
- Improvement
- Marked improvement in rosacea · natural overall result
- PIH Risk
- No PIH
- Maintenance
- Hydrafacial/Monthly hydrating injection × 1 + sun protection
Case 57: Rosacea Before Comparison · Asian Female · Fitzpatrick I · Persistent, recurrent for years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Dr. Xu's Real Clinical Cases: Facial Redness & Visible Vessels
The following before-and-after images are from real clients treated personally by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form authorizing public use. Facial redness and visible vessels (Facial Erythema · Telangiectasia · including Rosacea spectrum ICD-10 L71) requireDifferentiating vascular component vs. barrier dysfunction vs. rosacea subtype classification, All photos are unretouched clinical documentation.


Case 1 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Laser vascular clearance + Vbeam® redness reduction + Vbeam® sensitive skin repair + Lutronic Genius® and 2 additional treatments (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Annual maintenance energy session + at-home retinoid
Case 01: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 3 · Facial Redness & Visible Capillaries — Authentic Clinical Record
- Patient Profile
- Asian Male · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Fotona® redness-reduction laser + Vbeam Perfecta pulsed dye laser (2–3 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Vbeam Quarterly maintenance session × 1 + sun protection
Case 03: Facial Redness & Broken Capillaries — Before & After · Asian Male · Fitzpatrick IV · Multimodal treatment protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 4 · Facial Redness & Broken Capillaries — Real Patient Record
- Patient Profile
- Asian Female · Fitzpatrick I
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Pico® Brightening & Skin Rejuvenation: PicoSure® + PicoSure Pro® + PicoWay®, and 14 other options (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 04: Facial Redness & Broken Capillaries — Before & After · Asian Female · Fitzpatrick I · Multimodal treatment protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 1 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Male · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Fotona® redness-reduction laser + Vbeam Perfecta pulsed dye laser (2–3 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Vbeam Quarterly maintenance session × 1 + sun protection
Case 01: Facial Redness & Visible Vessels — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 1 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Ultherapy® and 13 additional treatments (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- 9-12 months later for filler top-up
Case 01: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 2 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Diffuse redness reduction + Vbeam® sensitive-skin repair + Genius™ + Infini™ second-generation RF microneedling, and 7 other options (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 02: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick IV · Duration: approx. 3–5 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Fotona® redness-reduction laser + vascular laser + Vbeam® pulsed-dye laser + Vbeam® diffuse redness treatment, and 12 other options (single session)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Sofwave/Ultherapy 18-24 Monthly maintenance + at-home care
Case 02: Facial Redness & Broken Capillaries — Before & After · Asian Female · Fitzpatrick IV · Duration approx. 3–5 years · Multimodal treatment protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive skin repair + Vbeam® vascular treatment + Genius™ and 3 additional treatments (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 05: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 5 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Skin Clearing & Acne: AI BBL HEROIC™ + AI BBL HEROIC™ Redness Repair + LUMECCA IPL + M22® IPL, and 19 other options (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 05: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 6 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive skin repair (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 06: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 7 · Facial Redness & Visible Capillaries — Authentic Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV · Duration: Long-Term
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- PicoSure® + PicoSure Pro® + PicoWay® + Vbeam® Perfecta, and 5 other options (1–2 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 07: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Duration: Long-Term · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 7 · Facial Redness & Visible Capillaries — Authentic Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 07: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Duration: ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 8 · Facial Redness & Broken Capillaries — Real Patient Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 08: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick I · Duration: approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 8 · Facial Redness & Broken Capillaries — Real Patient Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 08: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick I · Duration: approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 9 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Male · Fitzpatrick I · Duration approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 09: Facial Redness & Visible Vessels — Before & After · Asian Male · Fitzpatrick I · Duration: ~2–3 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 9 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 09: Facial Redness & Broken Capillaries — Before & After · Asian Female · Fitzpatrick I · Duration approx. 2–3 years · Multimodal treatment protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 10 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 10: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Duration: ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 10 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 10: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Duration: ~2–3 Years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 12 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick IV · Duration: 6–12 Months
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Dual Picosecond Combination Therapy: PicoSure® + PicoSure Pro® + PicoWay®, and 5 other options (3–4 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Mesotherapy Monthly × 3 sessions + at-home retinoid + SPF 50+
Case 12: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick IV · Duration: 6–12 months · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham


Case 13 · Facial Redness & Visible Capillaries — Authentic Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: approx. 2–3 years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Juvéderm® / Restylane® filler + periocular rejuvenation injections (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Follow-up at 6–12 months · repeat treatment if needed + home eye cream for maintenance
Case 13: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick I · Duration: approx. 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 16 · Facial Redness & Broken Capillaries — Real Patient Record
- Patient Profile
- Asian Male · Fitzpatrick IV
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Vbeam® Vascular Laser + Vbeam® Redness Elimination + Vbeam® Sensitive Skin Repair + Lutronic Genius® Intelligent RF Microneedling — and 5 modalities (multiple sessions within 3 months)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Annual maintenance energy session + at-home retinoid
Case 16: Facial Redness & Visible Capillaries — Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 23 · Facial Redness & Visible Vessels — Real Clinical Record
- Patient Profile
- Asian Female · Fitzpatrick IV · Duration: Long-Term
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Dual picosecond combination therapy + PicoSure® + PicoSure Pro® + PicoWay® and 1 additional treatment (1–2 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Consistent sun protection + monthly home care + quarterly clinical review
Case 23: Facial Redness & Visible Capillaries — Before & After · Asian Female · Fitzpatrick IV · Duration: long-term · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 57 · Facial Redness & Visible Vessels — Documented Results
- Patient Profile
- Asian Female · Fitzpatrick I · Duration: recurrent episodes over many years
- concern / chief complaint
- Facial Redness & Visible Capillaries (Comprehensive Improvement with Multimodal Combination Protocol)
- Treatment plan
- Ai BBL® HEROic™AI BBL HEROIC™ + AI BBL HEROIC™ Intelligent Photorejuvenation + AI BBL HEROIC™ Redness Reduction & Repair — and 23 other modalities (4–6 sessions)
- improvement outcomes
- Significant improvement in facial redness and visible vessels · results look natural
- post-inflammatory hyperpigmentation (PIH)
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 57: Facial Redness & Visible Vessels — Before & After · Asian Female · Fitzpatrick I · Duration: Recurrent flares over many years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto/Markham
Dr. Xu's Real Cases: Comprehensive Acne & Post-Acne Mark Treatment
The following before-and-after images are from real clients treated personally by Dr. Dan Xu at ID Cosmetic Clinic (Toronto / Markham). All clients have signed a written Media Release Form authorizing public use. Acne (Acne Vulgaris · ICD-10 L70.0) requires an extended treatment course. All photographs are unretouched clinical records. Individual results vary based on skin type, Fitzpatrick phototype, hormonal status, and treatment adherence.


Case 1 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser Vascular Reduction + Genius™ + Infini™ Second-Generation RF Microneedling + Lutronic INFINI® RF Microneedling (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 01: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 2 · Acne – Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness Elimination + Vbeam® Sensitive Skin Restoration + Genius™ + Infini™ Second-Generation RF Microneedling, and 7 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 02: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Acne Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser vascular reduction + Vbeam® Perfecta IPL + Vbeam® redness reduction + Vbeam® sensitive skin repair — 8 modalities (multiple sessions over 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 03: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 4 · Acne Real Clinical Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser vascular reduction + Vbeam® Perfecta IPL + Vbeam® redness reduction + Vbeam® sensitive skin repair — 8 modalities (multiple sessions over 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 04: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive skin repair + Vbeam® vascular lesion treatment + Genius™ — 7 modalities (multiple sessions over 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 05: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 6 · Acne – Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness elimination + Vbeam® sensitive skin restoration (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 06: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 7 · Acne Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ Skin Clarifying & Acne Treatment + Laser Vascular Reduction + Vbeam® Perfecta Pulsed Dye Laser + Vbeam® Redness Elimination, and 8 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 07: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 13 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ skin-clearing & acne treatment + laser vascular reduction + Vbeam® intense pulsed dye laser + Vbeam® redness elimination — 5 modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 13: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 15 · Acne – Real Patient Record
- patient profile
- Asian Male · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Lutronic Genius®Morpheus8® + Lutronic INFINI® radiofrequency microneedling + erbium laser (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 15: Acne Before & After · Asian Male · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 16 · Acne Real Patient Record
- patient profile
- Asian Male · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser Vascular Reduction + Vbeam® Redness Elimination + Vbeam® Sensitive Skin Restoration + Lutronic Genius® Intelligent RF Microneedling, and 5 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 16: Acne & Breakouts Before & After · Asian Male · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 17 · Acne Real Clinical Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Lutronic Genius®Smart RF microneedling (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 17: Acne – Before & After · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 18 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Male · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser Vascular Reduction + Vbeam® Redness Elimination + Vbeam® Sensitive Skin Restoration + Lutronic Genius® Intelligent RF Microneedling, and 5 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 18: Acne Treatment Before & After · Asian Male · Fitzpatrick IV · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 22 · Acne Real Patient Record
- patient profile
- Asian Male · Fitzpatrick I · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ Skin Clarifying & Acne Treatment + Mesotherapy (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Hydrafacial Monthly in-clinic session × 1 + home-use AHA/BHA + prescription retinoid + sun protection
Case 22: Acne Treatment Before & After · Asian Male · Fitzpatrick I · Persistent, Recurrent Acne for Years · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 1 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Laser Thread Vein Removal + Vbeam® Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling, and 6 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 01: Acne Before & After · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 5 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick I
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ Skin Clarifying & Acne Treatment + AI BBL HEROIC™ Redness Reduction + LUMECCA IPL + M22® IPL Photofacial, and 19 other modalities (multiple sessions within 3 months)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 05: Acne & Breakouts Before & After · Asian Female · Fitzpatrick I · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 21 · Acne – Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV · Persistent, long-term, years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Dual Picosecond Combination Therapy: PicoSure® + PicoSure Pro® + PicoWay®, and 7 other modalities (1–2 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 21: Acne & Breakouts Before & After · Asian Female · Fitzpatrick IV · Persistent, Long-Term · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 23 · Acne Real Clinical Record
- patient profile
- Asian Female · Fitzpatrick IV · Persistent, long-term, years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Dual Picosecond Combination Therapy + PicoSure® + PicoSure Pro® + PicoWay®, and 5 other modalities (1–2 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 23: Acne – Before & After · Asian Female · Fitzpatrick IV · Persistent, Long-Term · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 53 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ skin-clearing acne protocol + Vbeam® Perfecta IPL + Vbeam® redness reduction + Genius™ — 5 modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 53: Acne – Before & After · Asian Female · Fitzpatrick IV · Persistent, Recurring for Years · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 54 · Acne – Real Patient Record
- patient profile
- Asian Female · Fitzpatrick IV · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- AI BBL HEROIC™ skin-clearing acne protocol + Vbeam® Perfecta IPL + Vbeam® redness reduction + Genius™ — 5 modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Daily sun protection + monthly home care + quarterly in-clinic assessment
Case 54: Acne Treatment Before & After · Asian Female · Fitzpatrick IV · Persistent, Recurrent Acne for Years · Multimodal Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 55 · Acne Real Patient Record
- patient profile
- Asian Male · Fitzpatrick IV · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling + Lutronic INFINI® Gold RF Microneedling, and 5 other modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 55: Acne Before & After · Asian Male · Fitzpatrick IV · Persistent, recurrent breakouts over multiple years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham


Case 56 · Acne Real Clinical Record
- patient profile
- Asian Male · Fitzpatrick IV · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Lutronic Genius® Smart RF Microneedling + Lutronic INFINI® Gold RF Microneedling, and 5 other modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Annual energy maintenance session + home retinoid regimen
Case 56: Acne & Breakouts Before & After · Asian Male · Fitzpatrick IV · Persistent, Recurring for Years · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 57 · Acne & Breakouts Real Patient Record
- patient profile
- Asian Female · Fitzpatrick I · Persistent, Recurring for Years
- Concerns
- Acne (Comprehensive Improvement with Multimodal Combination Protocol)
- treatment plan
- Ai BBL® HEROic™Photofacial + Acne Clearance: AI BBL HEROIC™ + AI BBL HEROIC™ Smart Photofacial + AI BBL HEROIC™ Redness Relief, and 23 other modalities (4–6 sessions)
- Treatment outcomes
- Significant acne improvement · Natural overall result
- post-treatment darkening
- No PIH
- maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 57: Acne Before & After · Asian Female · Fitzpatrick I · Persistent, recurrent breakouts over multiple years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto / Markham
Real Acne Scar Treatment Cases by Dr. Xu
The following four cases were personally treated by Dr. Dan Xu at our Toronto·Markham clinic and used with signed Media Release authorization. Acne scar subtypes vary widely and skin response differs significantly between individuals; actual outcomes are determined by in-person consultation.


Case 1 · Real Acne Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Laser Capillary Reduction + Genius™ + Infini™ 2nd-Gen RF Microneedling + Lutronic INFINI® Gold RF Microneedling (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 01: Acne Scar Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 2 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Genius™ + Infini™ 2nd-Gen RF Microneedling, 7 modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 02: Acne Scar Before Treatment · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham


Case 2 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV · Duration: 3–5 years
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Fotona® 4D redness laser + laser vascular treatment + Vbeam Perfecta + Vbeam® redness reduction, and 12 other treatments (1 session)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 months of maintenance + home care
Case 02: Acne Scar Before Treatment · Asian Female · Fitzpatrick IV · Duration nearly 3–5 years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham


Case 3 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Laser Capillary Reduction + Vbeam® Perfecta + Vbeam® Redness Reduction + Vbeam® Sensitive Skin Repair, 8 modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 03: Acne Scar Before Comparison · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 4 · Real Acne Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Laser Capillary Reduction + Vbeam® Perfecta + Vbeam® Redness Reduction + Vbeam® Sensitive Skin Repair, 8 modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 04: Acne Scar Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 5 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair + Vbeam® Pulsed Dye Laser Vascular Treatment + Genius™, and 7 other modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 05: Acne Scar Before Treatment · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham


Case 5 · Real Acne Scar Record
- Client profile
- Asian Female · Fitzpatrick I
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Acne Clearance Ai BBL® HEROIC™ + Ai BBL® HEROIC™ Redness Repair + LUMECCA IPL + M22® IPL Photofacial, 19 modalities in total (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 05: Acne Scar Before Comparison · Asian Female · Fitzpatrick I · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 6 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 06: Acne Scar Before Comparison · Asian Female · Fitzpatrick IV · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 7 · Real Acne Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Acne Clearing Ai BBL® HEROic™ + Laser Redness Removal + Vbeam® Perfecta Pulsed Dye Laser + Vbeam® Redness Reduction, and 8 other modalities (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 07: Acne Scar Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 13 · Real Acne Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- AI BBL HEROIC™ for acne clearance + laser vascular treatment + Vbeam Perfecta + Vbeam® redness reduction, and 5 other treatments (multiple sessions within 3 months)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 13: Acne Scar Before Treatment · Asian Female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham


Case 53 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV · Recurring for many years
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Acne Clearance Ai BBL® HEROIC™ + Vbeam® Perfecta + Vbeam® Redness Reduction + Genius™, 5 modalities (4–6 sessions)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 53: Acne Scar Before Comparison · Asian Female · Fitzpatrick IV · Recurring for Years · Multimodal Combination Protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 54 · Real Acne Scar Record
- Client profile
- Asian female · Fitzpatrick IV · Recurring for many years
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Acne Clearance Ai BBL® HEROIC™ + Vbeam® Perfecta + Vbeam® Redness Reduction + Genius™, 5 modalities (4–6 sessions)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Routine sun protection + monthly home care + quarterly review
Case 54: Acne Scar Before Comparison · Asian female · Fitzpatrick IV · Recurring for many years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 57 · Real Acne Scar Documentation
- Client profile
- Asian Female · Fitzpatrick I · Recurring for Years
- Concerns
- Acne Scars (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment protocol
- Ai BBL® HEROic™Photofacial + Acne Clearing Ai BBL® HEROic™ + Ai BBL® HEROic™ Smart Photofacial + Ai BBL® HEROic™ Redness Repair, and 23 other modalities (4–6 sessions)
- Improvement
- Marked acne scar improvement · natural overall result
- PIH incidence
- No PIH
- Maintenance
- Hydrafacial/Monthly skin booster × 1 + sun protection
Case 57: Acne Scar Before Treatment · Asian Female · Fitzpatrick I · Recurrent for many years · Multimodal combination protocol led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic Toronto · Markham
Dr. Xu's Real Enlarged Pore Treatment Cases
The four cases below were personally evaluated and treated by Dr. Dan Xu at the Toronto·Markham clinic, all authorized via signed Media Release Forms. Causes and subtypes of enlarged pores vary significantly (oily-dilated, aging-lax, post-acne scarring, mixed), and individual responses differ. Actual results depend on in-person consultation.


Case 1 · Real Enlarged Pores Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Laser Capillary Reduction + Genius™ + Infini™ 2nd-Gen RF Microneedling + Lutronic INFINI® RF Microneedling (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 01: Enlarged Pores Before Treatment · Asian Female · Fitzpatrick IV · Multi-modality combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 2 · Real Enlarged Pore Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive-skin repair + Genius™ + Infini™ 2nd-generation RF microneedling, 7 modalities total (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 02: Enlarged Pores Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 2 · Real Enlarged Pore Record
- Client profile
- Asian Female · Fitzpatrick IV · Duration approx. 3–5 years
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Fotona® redness laser + laser capillary treatment + Vbeam Perfecta pulsed dye laser + Vbeam® redness reduction, 12 modalities total (1 session)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Sofwave/Ultherapy 18-24 Months of maintenance + home care
Case 02: Enlarged Pores Before Treatment · Asian Female · Fitzpatrick IV · Duration approx. 3–5 years · Multi-modality combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 3 · Enlarged Pores Real Record
- Client profile
- Asian female · Fitzpatrick I · Duration: 2–3 years
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Hyaluronic acid filler + eye-area rejuvenation / brightening injections (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- 6-month to 1-year review · retreatment as needed + at-home eye-cream maintenance
Case 03: Enlarged Pores Before & After · Asian female · Fitzpatrick I · Ongoing for nearly 2–3 years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 4 · Real Enlarged Pores Documentation
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Laser vascular treatment + Vbeam® Perfecta pulsed dye laser + Vbeam® redness reduction + Vbeam® sensitive-skin repair, and 8 other treatments (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 04: Enlarged Pores Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 4 · Real Enlarged Pores Documentation
- Client profile
- Asian female · Fitzpatrick I
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Dual Picosecond Combination + Pico® Brightening + PicoSure® Honeycomb + Ai BBL HEROIC™ IPL Rejuvenation, and 6 other treatments (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 04: Enlarged Pores Before Treatment · Asian Female · Fitzpatrick I · Multi-modality combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Real Enlarged Pore Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive-skin repair + Vbeam® pulsed dye laser vascular treatment + Genius™, 7 modalities total (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 05: Enlarged Pores Before Treatment · Asian Female · Fitzpatrick IV · Multi-modality combination plan led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto · Markham


Case 5 · Real Enlarged Pore Record
- Client profile
- Asian female · Fitzpatrick I
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Clear-Skin Acne Therapy with AI BBL HEROIC™ + AI BBL HEROIC™ redness repair + LUMECCA IPL + M22® IPL photorejuvenation, and 19 other treatments (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Hydrafacial/Monthly hydra-injection × 1 + sun protection
Case 05: Enlarged Pores Before & After · Asian female · Fitzpatrick I · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 6 · Enlarged Pores Real Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness Reduction + Vbeam® Sensitive Skin Repair (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 06: Enlarged Pores Before & After · Asian female · Fitzpatrick IV · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 13 · Real Enlarged Pore Record
- Client profile
- Asian female · Fitzpatrick IV
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- AI BBL HEROIC™ acne clearing + laser redness/capillary treatment + Vbeam Perfecta pulsed dye laser + Vbeam® redness reduction, 5 modalities total (multiple sessions within 3 months)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Regular sun protection + monthly home care + quarterly review
Case 13: Enlarged Pores Before Comparison · Asian female · Fitzpatrick IV · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 55 · Enlarged Pores Real Record
- Client profile
- Asian Male · Fitzpatrick IV · Recurrent for several years
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Vbeam®Redness reduction + Vbeam® sensitive-skin repair + Lutronic Genius® intelligent RF microneedling + Lutronic INFINI® gold RF microneedling, and 5 other treatments (4–6 sessions)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Annual energy maintenance session + at-home retinoids
Case 55: Enlarged Pores Before Comparison · Asian male · Fitzpatrick IV · Recurrent for years · Multi-modal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham


Case 57 · Real Enlarged Pores Documentation
- Client profile
- Asian Female · Fitzpatrick I · Recurrent for several years
- Concerns
- Enlarged Pores (Comprehensive Improvement via Multimodal Combination Protocol)
- Treatment plan
- Ai BBL® HEROic™IPL Photorejuvenation + Acne Clearing — Ai BBL HEROIC™ + Ai BBL HEROIC™ Intelligent Photorejuvenation + Ai BBL HEROIC™ Redness Repair, and 23 other treatments (4–6 sessions)
- Improvement outcomes
- Visible improvement in enlarged pores · natural overall result
- Rebound pigmentation
- No PIH
- Maintenance
- Hydrafacial/Monthly hydra-injection × 1 + sun protection
Case 57: Enlarged Pores Before & After · Asian female · Fitzpatrick I · Recurrent for multiple years · Multimodal combination protocol led by Dr. Dan Xu (M.D., CCFP) at ID Cosmetic Clinic, Toronto·Markham
Dr. Xu's Real Scar Cases
The following are real cases personally assessed and planned by Dr. Dan Xu at our Toronto · Markham clinic, shared with client authorization via Media Release Form. Individual results vary; actual outcomes are determined through in-person consultation.


Case 2 · Authentic Scar Documentation
- Client profile
- Asian female · Fitzpatrick IV · Present for approximately 3–5 years
- Key concerns
- Scars (comprehensive improvement through multimodal combination protocols)
- Treatment plan
- Fotona® redness-reduction laser + laser vascular clearance + Vbeam Perfecta IPL + Vbeam® diffuse redness treatment, and 12 additional modalities (single session)
- Treatment improvement
- Significant scar improvement · naturally balanced overall result
- Post-treatment darkening
- No PIH
- maintenance
- Sofwave/Ultherapy 18-24 Monthly maintenance + at-home skincare
Case 02: Scar Treatment Before & After · Asian Female · Fitzpatrick IV · Duration ~3–5 Years · Multimodal Combination Protocol Led by Dr. Dan Xu (MD, CCFP) at ID Cosmetic Clinic, Toronto · Markham

































