What Aerolase Before-and-After Photos Actually Show (And What They Don’t)
Honest before-and-after documentation is the single most useful thing a medical aesthetic clinic can give you when you’re deciding whether to spend $1,295–$1,795 on a course of laser. It’s also the easiest thing to fake — with lighting changes, makeup, or the wrong angle. This page walks through six real, anonymised Bar Beauty cases session-by-session, with the exact treatment count, total paid, time elapsed, Fitzpatrick type, and what we wouldn’t promise the next patient.
Aerolase Neo (650-microsecond, 1064 nm Nd:YAG) generally delivers visible change between sessions 2 and 4 on most indications. We document at every session under standardised lighting. Patients see their own progression even when they don’t trust the headline photo. If your clinic doesn’t shoot the same angle / same lighting / same makeup-free setup every visit, walk out.
What Realistic Aerolase Results Look Like (Average Outcomes)
| Indication | Avg Reduction | Sessions to Visible Change | Sessions Total | Maintenance |
|---|---|---|---|---|
| Active inflammatory acne | 70–90% lesion count | 2–3 | 4–6 | Every 8–10 weeks |
| Post-inflammatory hyperpigmentation | 50–75% darkness | 3–5 | 6–8 | Every 8–12 weeks |
| Melasma | 40–70% darkness | 3–5 | 6–8 | Every 6–12 weeks |
| Rosacea redness | 50–70% baseline erythema | 2–4 | 4–6 | Every 8–12 weeks |
| Vascular lesions (cherry angiomas) | 80–95% | 1–2 | 1–3 | As needed |
| Sun damage / solar lentigines | 50–80% fading | 3–4 | 4–6 | Every 12 weeks |
| Sebaceous hyperplasia | 60–85% | 2–3 | 3–5 | As needed |
Case 1: Active Inflammatory Acne, 22F, Fitzpatrick V
Presenting: 4–8 painful jawline cysts monthly + 12–20 papules; two years on spironolactone with partial control. PIH on both cheeks from previous breakouts.
Protocol: Aerolase package of 6 ($1,295) + LED red-blue add-on x6 ($75 × 6 = $450). No topical changes; continued spironolactone.
| Session | Week | What Changed |
|---|---|---|
| 1 | 0 | Baseline shot. Active inflammation; PIH visible. |
| 2 | 4 | Inflammation visibly reduced; 5 new lesions instead of expected 12. |
| 3 | 8 | Cysts forming but resolving in 48–72 hours instead of 2 weeks. |
| 4 | 12 | PIH lightening visible at standardised lighting. |
| 5 | 16 | 2 small papules in last cycle; no cysts. |
| 6 | 20 | Skin texture smoother; PIH ~50% lighter. |
Total clinic spend: $1,745. Maintenance: single session every 8 weeks at $245. Result holding: 14 months at time of write-up.
Case 2: Melasma, 34F, Fitzpatrick IV, Post-Pregnancy
Presenting: Bilateral malar melasma triggered by second pregnancy; failed 8 months of hydroquinone (lightened, rebounded). Past attempt at IPL elsewhere — worsened.
Protocol: Aerolase package of 6 ($1,395) + cysteamine 5% topical 3-month kit ($195) + strict mineral SPF 50 daily.
| Session | Week | What Changed |
|---|---|---|
| 1 | 0 | Baseline. Dense malar patches. Began cysteamine. |
| 2 | 4 | Patches mildly less defined at edges. No flare. |
| 3 | 8 | Centre of patches lighter; lateral borders softer. |
| 4 | 12 | ~40% reduction at standardised lighting. |
| 5 | 16 | ~55% reduction. Patient stopped wearing concealer over patches. |
| 6 | 20 | ~60% reduction held through summer. |
Total clinic spend: $1,590. Maintenance: single Aerolase + cysteamine maintenance every 10 weeks. Result holding: 16 months at time of write-up.
Case 3: Rosacea (ETR), 39F, Fitzpatrick II
Presenting: Persistent cheek and nose erythema, visible telangiectasias, flushing 4–5 nights weekly. Past failed IPL at a spa (no PIH but no sustained improvement).
Protocol: Aerolase package of 6 ($1,395) + targeted nasal vessel passes × 2 ($125 × 2 = $250). Trigger management coaching included.
| Session | Week | What Changed |
|---|---|---|
| 1 | 0 | Baseline erythema score 7/10. Visible nasal vessels. |
| 2 | 4 | Mild reduction in baseline pink; minor change in vessels. |
| 3 | 8 | Erythema 5/10; visible vessels 50% reduced (targeted pass). |
| 4 | 12 | Erythema 4/10; flushing frequency 2–3 nights/week. |
| 5 | 16 | Erythema 3/10. Patient stopped wearing colour-correcting primer. |
| 6 | 20 | Erythema 3/10; vessels >80% reduced. |
Total clinic spend: $1,645. Maintenance: every 10 weeks at $245. Result holding: 11 months.
Case 4: PIH, 26F, Fitzpatrick VI, Acne-Cleared
Presenting: Active acne cleared with isotretinoin 18 months prior; persistent PIH on cheeks and temples. Told by two clinics she “wasn’t a candidate” for laser due to skin tone.
Protocol: Aerolase package of 6 ($1,295) at PIH settings + niacinamide 10% topical + strict mineral SPF.
| Session | Week | What Changed |
|---|---|---|
| 1 | 0 | Baseline. Patches −3 to −4 ITA below surrounding skin. |
| 2 | 4 | No visible change; reassured patient (expected). |
| 3 | 8 | First visible lightening at top edges of patches. |
| 4 | 12 | ~35% reduction. |
| 5 | 16 | ~55% reduction. |
| 6 | 20 | ~70% reduction. Patient wore foundation 2 shades lighter. |
Total clinic spend: $1,295. Maintenance: seasonal before summer and after summer.
Case 5: Sun Damage, 47F, Fitzpatrick III
Presenting: Solar lentigines across forehead and cheeks after years of sun exposure. Wanted no scabbing or downtime (sales role).
Protocol: Aerolase package of 4 ($895) at pigment settings.
| Session | Week | What Changed |
|---|---|---|
| 1 | 0 | Baseline. ~14 visible lentigines counted. |
| 2 | 4 | ~5 spots noticeably lighter. |
| 3 | 8 | ~9 spots significantly faded; 2 cleared. |
| 4 | 12 | 4 spots cleared; remainder ~65% lighter. |
Total clinic spend: $895. Note: with IPL she could have cleared in 1–2 sessions but with 5–7 days of scabbing per session. Aerolase preferred for no-downtime.
Case 6: Mixed Vascular + Sebaceous Hyperplasia, 52M, Fitzpatrick III
Presenting: Several cherry angiomas on chest, multiple yellow sebaceous hyperplasia bumps on forehead, mild rosacea redness on cheeks.
Protocol: Targeted spot treatment $85 × 7 cherry angiomas = $595 + sebaceous hyperplasia spot treatment $85 × 4 = $340 + Aerolase package of 4 ($895) for facial redness.
| Session | Week | What Changed |
|---|---|---|
| 1 | 0 | Baseline; all targets photographed. |
| 2 | 2 | Cherry angiomas: 5/7 cleared, 2 require second pass. |
| 3 | 4 | Sebaceous hyperplasia visibly flatter; cheek redness mildly improved. |
| 4 | 8 | All cherry angiomas cleared; sebaceous hyperplasia ~75% reduced. |
| 5 | 12 | Cheek redness ~50% improved. |
Total clinic spend: $1,830.
What Honest Before-and-After Photography Looks Like
Patients are entitled to ask their provider for the following at every session:
- Same room, same chair, same camera, same lens. No phone snapshots; standardised studio camera.
- Same lighting. Diffuse, even, ring or panel lighting; no window light.
- Same makeup status. Either both clean (preferred) or both makeup-set.
- Same angle. Straight-on, 45-degree left, 45-degree right at minimum.
- Same expression. Neutral, no smile, no jaw clenched.
- Time-stamped. Visible date in the file metadata.
Photos that aren’t standardised aren’t evidence — they’re marketing. If your clinic charges $1,400 for a course and doesn’t document it properly, you have no way to know whether you actually improved.
Why Some Patients Don’t Respond to Aerolase
Honest disclosure: ~15–20% of patients across indications are partial responders or non-responders. The common causes:
- Wrong indication. Aerolase treats epidermal-dermal pigment and dermal vasculature. Deep dermal pigment may need fractional laser; structural scars need microneedling-RF.
- Inadequate sessions. Four sessions for a patient who needed eight.
- Topical compliance. Aerolase + no SPF = melasma rebound.
- Hormonal trigger uncontrolled. Active OCP-triggered melasma without changing the trigger.
- Heat or friction triggers. Rosacea patients who still hit hot yoga.
We re-assess at session 4. If response is below expected, we modify or refer rather than running out the package.
Aerolase Treatment Pricing (Toronto 2026)
| Treatment | Bar Beauty (Fort York) |
|---|---|
| Single session (full face) | $275–$285 |
| Package of 4 | $895–$995 |
| Package of 6 | $1,295–$1,395 |
| Targeted spot treatment | $85–$125 |
| LED add-on | $75 |
| Consultation | Free |
Aerolase Across the GTA
Bar Beauty Medical serves patients across Toronto, Mississauga, Brampton, Vaughan, Markham, Richmond Hill, Oakville, and Etobicoke.
Frequently Asked Questions
How fast do Aerolase before-and-after results show?
Most indications show visible change between sessions 2 and 4. Acne is fastest; melasma and deep PIH are slowest (sessions 3–5).
Why don’t all my photos look dramatically different?
Real medical photos are taken in standardised lighting that shows truth, not lifestyle photos that flatter. The change is real even if it’s less dramatic than Instagram comparisons.
How do I know my clinic’s before-and-after photos are real?
Check for: same room, same lighting, same angle, same expression, same makeup status, time-stamped metadata. Anything else is marketing.
What if I’m a non-responder?
We re-assess at session 4. If response is below expected, we modify protocol or refer rather than burning through your package.
Can I see my own before-and-after photos at every visit?
Yes — we walk through them before each session at Bar Beauty.
How long do Aerolase results last?
With maintenance, 6–18 months between visible decline. Without maintenance, gradual return toward baseline over 6–12 months for most indications.
Which indication has the most dramatic before-and-after?
Vascular lesions (cherry angiomas) and active acne show the most visible change. Melasma and PIH show steady but more gradual lightening.
Are these Bar Beauty cases or stock photos?
Real Bar Beauty patient cases, anonymised. We can show you full standardised photo sets at consultation with patient consent.
Can I bring my own before photos for assessment?
Yes — we use them to set Aerolase settings. Better still, we’ll re-shoot in standardised lighting at the consult to establish a clean baseline.
What does Aerolase cost at Bar Beauty?
$275–$285 single session; $895–$1,395 for packages of 4–6. Consult is free.
Book a Free Consultation
Free 20-minute consult with standardised photography included. Book at barbeauty.ca/book or call (416) 366-0000.
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