Spectrum Laser FAQs – Erbium YAG (Micro Laser Peel)

- What is Erbium? -

Erbium:YAG uses a 2940nm wavelength for skin resurfacing. The Erbium:YAG on the Spectrum is fully ablative and customizable, having the ability to resurface skin from 10 to 100 microns.  

- What is unique about Erbium? -

 Because water is such a critical component in the epidermal and dermal tissue, the 2940 nm wavelength produced by Erbium:YAG lasers is capable of rapidly vaporizing water residing in the skin. This unique wavelength delivers an almost instant skin ablation while limiting heat damage in the surrounding area. Unlike CO2, Erbium is a more superficial skin resurfacing tool for polishing the skin. The Erbium:YAG laser is capable of achieving superior resurfacing results, while offering many advantages to the patient, e.g., reduced anesthetic requirements, shorter healing time, reduced erythema, less risk of pigmentary change, and more flexibility for facial skin resurfacing. -

- What are some indications for Erbium? -

Erbium-YAG lasers have been used for laser resurfacing of skin. Example uses include treating acne scarring, rhytids, skin texture, and melasma. An Erbium Laser Peel can be very successful at reducing or eliminating these conditions, and, in fact, it is the best way to address the problematic lines that occur around the mouth and eyes.

 - What does it do? - 

Erbium:YAG laser skin resurfacing is an effective technique for minimally invasive and effective management of many cutaneous conditions and lesions. Its main indications include treatment of photoaging, rhytids, wrinkles, and solitary benign and malignant cutaneous lesions.

- How does Erbium differ from other laser treatments? - 

Unlike a CO2 laser, an erbium laser is a gentler approach to the skin, hence why it is named the “micro laser peel.” The erbium laser is usually more of a superficial treatment than a CO2 laser and will help treat fine lines, some hyperpigmentation, and mild scarring.

 - Does it help anti-aging / stimulate collagen? - 

Ablative and non-ablative Erbium laser resurfacing stimulate collagen reorganization and fibroblast activation in photoaged skin. Ablative resurfacing, as on the Spectrum laser, will yield more significant results in a shorter period of time. 

- What to expect? - 

Topical numbing cream is typically used to help mitigate any discomfort. Mild erythema (redness) can last a few hours up to a few days depending on the severity of the treatment. Mild sunburn sensation that may include some mild discomfort may persist for up to 24-48 hours. Patients may use ice to sooth areas of discomfort. A few days after mild peeling of the skin will begin, do not pick. 

- How does it feel? - 

The Erbium laser provides a safer, more accurate and less painful method of restoring a softer, smoother, more youthful-appearing skin. Patients can have their procedure performed in the doctor’s office and be home that same day. 

- Pre-treatment - 

Cannot be performed on tanned skin, please stay out of the sun. Avoid direct exposure to the sun / tanning beds 4 weeks prior to treatment. Wear broad spectrum SPF, pretreat if prone to cold sores. 

- Post-treatment - 

Clean the skin with a gentle cleanser and apply recovery balm several times a day until evidence of dryness, blistering, or swelling has disappeared. Can be a little temperature sensitive. Avoid exfoliants, scrubbing, chlorine, hot tubs, and swimming pools while healing.

- How long does a treatment take? - 

Average treatment takes approximately 20 minutes. 

- Will I need to take time off? - 

Recovery times will vary depending on your treatment. Skin should start sloughing off 2-3 days after the treatment, a rosy “glow” can remain for several weeks. Make-up may be applied to minimize redness. Generally, 2-3 days off should be sufficient, 3-5 days for more aggressive treatments. 

- When will I see results? How long do they last? - 

The top layer of skin will re-grow and can be covered with makeup within about one week, at which time you will see noticeable improvements in your skin’s texture, tone, and wrinkle appearance. Deeper laser treatments also stimulate the growth of new collagen over the next four to six months. 

- How many treatments will I need? - 

Number of treatments vary depending on desired results. Recommended 1-3 sessions, treatment once per month. 

- Can I exercise? - 

Use soft cloth and soft towels to avoid any scrubbing. When showering, avoid getting shampoo directly on the treated area. Avoid strenuous exercise and sweating until after skin has healed. 

- Are there any side effects? - 

Mild complications of Erbium:YAG laser resurfacing include milia, acne exacerbation, contact dermatitis, or perioral dermatitis. Moderate complications include prolonged erythema, transient post treatment hyperpigmentation, and delayed hypopigmentation. 

- Is it safe? - 

Yes, Erbium:YAG treatments have been proven to be safe and effective for the right patient. 

- How much can a procedure cost? - 

Treatment costs are $399 per session. 

- Who is a good candidate? - 

Patients with realistic expectations and mild to moderate skin conditions. If you have fine lines or wrinkles around your eyes or mouth or on your forehead, shallow scars from acne, or non-responsive skin after a facelift, then you may be a good candidate for Erbium Laser Resurfacing. 

- What is IPL? - 

Intense pulsed light (IPL) is a cosmetic skin treatment. People may use it to reduce the signs of aging, pigmentation, vasculature, reduce acne, or remove unwanted hair. An IPL treatment uses the power of broadband light to deliver pulses of intense light to penetrate the layers of the skin. Most patients describe experiencing a fast, pinching sensation during treatment, with minimal discomfort. There is no need for injections or incisions, giving patients the bonus of no downtime required. 

- What is unique about IPL? - 

Unlike lasers, an IPL device sends out more than one wavelength of pulsating light. It can treat a range of skin conditions at the same time. After IPL, you may look younger because your skin tone is more even. While laser therapy uses a set wavelength depending on the procedure, intense pulsed light therapy uses multiple different wavelengths of light released in pulses. You can think of it as a strobe light passing along the skin. IPL isn’t a focused beam like a laser. It instead is dispersed beams of light that work together. As the light penetrates down to the second layer of skin, it allows the cells to absorb its energy, heat up, and eventually destroy the pigmentation within the cell. This is how age spots, other discoloring blemishes, moles, birthmarks, and rosacea are diminished. 

- What are some indications for IPL? - 

Skin tone, wrinkles, photoaging, skin rejuvenation, photo-facials, sun damaged skin, uneven pigmentation, scars, spider veins, vascular lesions, rosacea, acne, and hair reduction. 

- How does it work? - 

IPL works on the same principles as laser in that light energy is absorbed by targeted cells (chromophores) with color in the skin. The light energy is converted to heat energy, which causes damage to the specific target area. IPL systems are different to lasers in that they deliver many wavelengths (or colors) in each pulse of light instead of just one wavelength. This technology uses filters to refine the energy output for the treatment of certain areas. This enhances penetration without using excessive energy levels and enables targeting of specific chromophores (skin components that absorb light). The light heats cells in the skin and breaks them down. The body then removes the damaged tissue naturally. 

- Does it help anti-aging / stimulate collagen? - 

IPL will stimulate collagen growth by treating a deeper layer of skin, while improving texture, and reducing the appearance of fine lines and wrinkles. 

- How does it feel? - 

During the procedure, people may feel a pinching sensation. Some individuals have described this as a feeling similar to an elastic band being “snapped” on the skin. Sensation is moderate and very tolerable. 

- How long does a treatment take? - 

Average treatment takes approximately 30-45 minutes. 

- What to expect? - 

• Your skin may be temperature sensitive for several days after treatment. Brown spots and freckles will appear darker while healing. 

• It should take 4-6 weeks to see the full result and 2-3 treatments may be required to achieve an optimum result. 

• The sessions are designed to provide no downtime however, occasionally you may find that your cheeks and under eye areas are slightly puffy after treatment. You may use cold compresses (5 minutes on and 10 minutes off) several times an hour to help ease both redness and swelling. 

• Sleeping with your head elevated for the first night will also help decrease any swelling you may experience. 

• Redness around the treated area for a few hours to days. 

• Freckles and age spots may darken for three to seven days before starting to fade. 

• Skin flaking for up to 10 days. 

• Minor bruising that may last two weeks or less. 

- What to avoid after IPL - 

• No hot showers for 48 hours. 

• For 2 days after a treatment avoid taking aspirin, Ibuprofen, drinking alcohol, heavy exertion and activities which may cause skin flushing. 

• Avoid harsh topical products such as retinoids and glycolic acid products for one week after each session. 

• Avoid direct sunlight on the treated area and use a sunscreen with SPF 30 or greater for 4 to 6 weeks after treatment. 

• No swimming for a week, especially in pools with chemicals such as chlorine. 

• No strenuous exercise for 48 hours. You can hit the gym after about 2 days post-therapy. 

• No hot tubs or Jacuzzis for 48 hours. 

• Avoid activities that cause excessive perspiration for 24 hours. 

• Do not pick at or remove any loosening or peeling skin. 

• No electrolysis, facial waxing, or depilatories (hair removal products) for 14 days after a treatment. 

- Before your appointment - 

• It is imperative that you avoid significant sun exposure and tanning beds for at least 4 weeks prior to your treatment. 

• Avoid applying self-tanner for 2 weeks prior to treatment. 

• Avoid aspirin and Ibuprofen for one week prior to your treatment. Inform the doctor if you are taking blood thinners or regularly take aspirin or ibuprofen. 

• Avoid alcohol for 2 days prior to treatment. 

• Inform the doctor if have taken Accutane (oral acne medication) in the past year. 

- Pre-treatment, day of appointment - 

• If possible, arrive without creams or make-up on the treatment area. Otherwise please arrive 10 minutes prior to your appointment in order to clean the skin. Cleansing products are available for your convenience. 

• Allow approximately 45 minutes for your appointment depending on the size of the treatment area. 

• Pre-treatment photos will be taken. 

• Just prior to treatment, you will be given eye shields or glasses to wear to protect your eyes. 

- Post-treatment - 

• Use mild cleansers and moisturizers. 

• Avoid Aspirin, Ibuprofen, alcohol, heavy exertion and activities which may cause flushing for 2 days after treatment. 

• Avoid harsh topical products such as retinoids and glycolic acid products for one week after. 

• Avoid direct sunlight on the treated area and use a broad-spectrum UVA/UVB sunscreen of SPF 30 or greater for 4 -6 weeks after your treatment. 

• Anticipate some social downtime following your treatment. 

- Will I need to take time off? - 

The short answer is no. Healing after an IPL treatment varies with the patient although in most cases takes less than a week and as little as a few hours to days. Immediately after the treatment you may notice some minor redness and swelling, similar to that of a sunburn. Ice packs or a cool washcloth can be used as needed. If treating freckles and other dark spots, you may experience dryness and flaking of the treated area. Some of the spots may appear darker, but they should slough off within a few days. You can apply makeup immediately after an IPL treatment if desired. Avoid heavy exertion and activities which may cause flushing of the skin for three days after treatment. 

- When will I see results? How long do they last? - 

Pigment- It will take four to six weeks to see the full results from a single treatment, however you should see dark spots fade and slough off within a week. If you complete a series of treatments about one month apart, the maximum results will be visible in two to three months after the last treatment. 

Veins- The results of IPL begin to appear right after treatment and continue to improve over the next few days to weeks. It does take some time for veins to fully collapse and be reabsorbed by the body, so full results cannot be seen right away. If symptoms accompanied the spider veins, they are usually relieved immediately after treatment. 

- How many treatments will I need? - 

Depending on the indication of treatment, for best IPL results it is generally recommended that patients receive, on average, 3-4 treatments scheduled four weeks apart. 

- Are there any side effects? - 

Mild complications of IPL include: Redness, swelling, light bruising, itching, peeling, and scabbing. 

- How much can a procedure cost? - 

Treatment costs are $399 per session. 

- How does HR work? - 

Laser hair removal uses technology in which a beam of light is applied to unwanted hair on various parts of the body. This light is a specific wavelength that targets the melanin—the pigment in the hair that gives it color, in the hair follicle. When the light enters the follicle, it is converted to heat energy that destroys / inactivates the follicle, preventing the hair from growing again. 

There are three stages of hair growth. They are: Anagen—active growth; Catagen—a brief phase in which growth stops and resting begins, and Telogen—a resting phase in which no further growth occurs. In order for laser treatments to be effective, hair must be in the active growth stage—Anagen. Because individual hairs are at different stages of growth at any given time, multiple laser treatments are required to target all of them when they are in the Anagen stage. This is the reason that each subsequent treatment must be spaced out appropriately. 

- What is an 810 Diode? - 

Often referred to as the gold standard in hair removal, the Diode laser 810nm wavelength is highly reliable, has high papilla absorption, and can address a wide range of skin types, including skin types V and VI. Laser energy is selectively absorbed by melanin (brown) in the hair follicle and converted to heat, injuring the hair follicle during its growth phase to help reduction. Works best on dark black/brown hair follicles on all skin types, will not work on blonde/red/grey hairs. Studies demonstrate that the 810nm Diode’s advanced Speed Technology has the industry’s highest coverage rate and gives operators the ability to treat at 10 hertz (pulses) per second. 

- What is unique about an 810 Diode? - 

Diode lasers for hair removal are highly effective for terminal hair reduction and is safe for all skin types, including darker skin types, due to their longer wavelength and deeper penetration. 

- What are some indications for 810 Diode? - 

810nm Diode has been clinically proven to be safe and effective for hair removal. Diode lasers deliver high frequency, low fluence pulses and can be safely used on all skin types. 

- What does it do? - 

Diode lasers use a single wavelength of light that has a high abruption rate in melanin. As the melanin heats up it destroys the root and blood flow to the follicle disabling the hair growth permanently. When directed at a target area, the light is absorbed by the melanin in the hair follicle. By allowing only the hair follicle to be damaged, preserving surrounding tissue will make your treatment process as comfortable as possible. 

- How does the Spectrum 810 Diode from other laser treatments? - 

The 810 Diode on the Spectrum laser has built-in contact cooling to protect the surface of the skin, making the treatment a comfortable, pain-free experience for patients. 

- What to expect? - 

Hair grows in cycles, making it necessary to receive a series of treatments. This varies from patient to patient. Each treatment is spaced between 4-6 weeks apart and a minimum of 6 treatments is recommended. 

- Pre-treatment - 

Please shave 12-24 hours before (all treatments). Do not tan for two to four weeks prior (technician will advise). Remove all makeup, lotion, and deodorant. Do not wax, thread, or tweeze for two to four weeks prior. A thin layer of gel is applied to the skin to allow for a smooth glide of the handpiece. A gentle warming sensation of the skin will be apparent and very tolerable. Shave one day before treatment, do not pluck or wax. Avoid sun exposure for approximately 4 weeks prior to treatment, tanned skin has extra melanin (pigment) which attracts laser energy from targeting the hair follicle. 

- Post-treatment - 

There is no downtime associated with this treatment and patients may resume their normal activities. Avoid picking or scratching skin, do not use any other hair removal during treatment (waxing, electrolysis, or tweezing). Wash and pat dry for 3 days and on the 4th day start gently exfoliating. SPF is always recommended post treatment. Be advised that treated hair can take one to two weeks to be excreted from the body, and to fall out. Feel free to shave between treatments. Do not wax, thread, tweeze, or use depilatory products—this will remove the hair follicles, making it impossible to remove the hair with laser. Do not exercise, take hot showers, or use hot tubs or saunas for 12-48 hours. 

- How long does a treatment take? - 

Depends on size of area, each area can take 10-15 minutes. 

- Will I need to take time off? - 

No, there is no downtime. 

- When will I see results? How long do they last? - 

You can begin to see hair fall out in approximately 1-3 weeks post-treatment. Laser hair removal can only damage hair that is in its active growth stage. Although hair will appear thinner and less noticeable with just one treatment, you’ll need to return for multiple follow-up appointments to see optimal results. After optimal treatment sessions of laser hair removal, you can enjoy long-lasting hair reduction. Hair removal is not 100% permanent and hormones play a role in hair growth cycles, which may decrease depending on age. Hair that comes out of being dormant after several years will need to be treated. 

- How many treatments will I need? - 

Recommended a minimum of 6. 

- Can I exercise? - 

Yes. 

- Are there any side effects? - 

While extremely uncommon, adverse effects were defined as: discomfort, damage to the natural skin texture, scarring, excessive swelling, blisters, bruising. 

- Is it safe? - 

Yes, 810 Diode for hair removal has been clinically proven to be a safe method for all skin types. 

- How much can a procedure cost? - 

Treatment costs are $50 for small areas, $150 for medium areas, and $400 for large areas. 

- Who is a good candidate? - 

Anyone with unwanted hair. 

 - What is Tattoo and Pigment Removal? - 

The “Q” in Q switched laser treatment stands for “quality.” A Q switched laser pulses high power laser beams with such precision that they don’t have any thermal interaction with tissues. This means that it produces minimal damage to surrounding tissues internally and targets only the tattoo ink pigments. An added benefit of this is a quicker and less complicated healing time. The Q Switched laser has been determined as a gold standard for tattoo removal. It works by producing extremely short pulses of high energy light. The light is then absorbed by the particles of the tattoo pigment but doesn’t get absorbed by the surrounding skin. The tattoo pigment then heats up and starts to break down into small particles. A Q-Switch laser may also be used to treat pigmented lesions including age spots, freckles, sunspots and some birthmarks, it targets the melanin in the superficial layer of your skin. When the pigmented lesion absorbs the light energy from the Q-Switch Laser it gets converted into heat. 

- What is unique about Q-Switched Tattoo Removal? - 

A Q-switched laser is the only technology that is able to penetrate down to the dermis and shatter tattoo ink (via photo acoustic waves) without causing damage to the surrounding skin tissue. All other methods either aren’t capable of reaching and destroying the ink or cause too much damage to the skin, resulting in scarring. The 1064nm and 532nm cover over 80% of tattoo colors. 

- What are some indications for Q-Switch? - 

Tattoos, pigmented lesions including age spots, freckles, sunspots, and some birthmarks. 

- What color tattoo’s can be treated? -

Good - Black, Blue, Dark Blue, Dark Green, Brown, Red, Purple, Orange. 

Difficult – Tan, Yellow, Bright Green, Sky Blue. 

- What to expect? - 

The laser tattoo removal itself may not be uncomfortable but discomfort is a normal response during treatment and recovery. The targeted areas will feel tender and sensitive to touch due to swelling and blistering thereafter. Once these effects subside over the next few days, so does the pain. Immediately after treatment, you will notice frosting on the area where the laser came in contact with the ink. It is caused by the rapid local heating of skin pigment releasing carbon dioxide on the surface of the skin which resembles white frosting. This signals the first stage of healing and it lasts for only a few minutes. More frosting occurs with dark ink compared to lighter ink. This is accompanied by swelling around the treated area. Redness, tenderness and swelling usually subside a day or two after treatment. Blisters start forming within 24 hours after treatment and they may appear alarming, but these indicate that your body is healing as it should. Avoid picking on your blisters because they will drain on their own and dry into scabs. The crust will eventually fall off within 10-14 days after treatment granted that the area doesn’t get irritated. One may even return to your usual activities shortly after treatment. The area will be bandaged to keep it dry for a few days following the treatment. 

- How does it feel? - 

Laser tattoo removal typically does involve some level of pain. That said, many say that it hurts less than they expected. It’s a common belief that tattoo removal is excruciating, yet most patients say that the sensation of removal is comparable to having a tattoo applied. Common descriptions include the sensation of a rubber band snapping against the skin or bacon grease – basically it’s uncomfortable but bearable. 

- Pre treatment - 

Avoid sun exposure / tanning beds for 2 weeks pre and post. Avoid pain medicine, such as Aleve, Aspirin for 3-7 days. Topical numbing cream or local anesthetic may used and cold compress may be applied a prior to treatment. 

- Post treatment - 

Keep out of the sun, out of pools/lakes/bath water until healed. Apply recovery balm and keep it covered for 5-6 days while healing. Apply ice 10 minutes post treatment. 

Basic reminders: 

• Use sunscreen to protect the treated skin which is particularly sensitive to sunlight following treatment. 

• Don’t apply makeup or any potentially irritating product on treated skin while it heals. 

• Avoid shaving treated areas unless the skin is healed. 

• Don’t soak in baths, hot tubs or pools unless the skin has healed completely. 

- How long does a treatment take? - 

Depending on the size of the treated area(s), after numbing, treatments can take several minutes up to an hour. The number of sessions needed to remove a tattoo depends on three factors: the age of the tattoo, the color of the ink, and the density of the ink. 

• Age: Older tattoos can be removed with fewer treatments than newer tattoos. A black ink tattoo that is 10 years old may take one or two treatments fewer than a 1 year old black tattoo. A 20 year old tattoo may take two to three treatments fewer than a 1 year old tattoo, but it’s easy to remove if your tattoo is brand new (1 month old). 

• Color: Certain colors are more easily removed than others. Black and red tattoos are the easiest to remove. Orange, yellow, pink, and other shades are slightly more difficult to remove. The most difficult colors to remove are light green, light blue, and teal/turquoise. 

• Location: Because tattoo removal depends on the body to flush away the shattered ink particles, areas of the body with less circulation often take more time to show results. The toes, fingers, ears, and nose are areas that may show slower results. 

• Ink Density: Shading in a tattoo is easily removed. Some tattoos with letters use shading to fill in the outlines of the letters. Some tattoos with certain designs use shading for clouds or other visual effect. Shading will be removed in only a few sessions in most cases. 

- When will I see results? How long do they last? - 

The sessions are spaced six to eight weeks apart, which allows your skin to process the treatment. Many people start to see their ink fade slightly after each subsequent session and greater improvement after three appointments. Given six to eight weeks between each session, you can expect the results to start showing a few months after the process starts. 

- How many treatments will I need? - 

Recommended 6-10 treatments. 

- Can I exercise? - 

Yes. 

- Are there any side effects? - 

There are a handful of symptoms you might see post-treatment such as blisters, swelling, raising of the tattoo, pinpoint bleeding, redness, temporary darkening, hypopigmentation, hyperpigmentation, and bruising. These are common and usually subside within a couple weeks. As always, consult your doctor with concerns. 

- Is it safe? - 

Yes. 

- How much can a procedure cost? - 

Treatment costs vary from $200 to $700 depending on the size of tattoo being removed. 

- Who is a good candidate? - 

Patients with realistic expectations with tattoo’s or pigment that mirror the optimized colors above.  

 - What is a Long Pulsed YAG (LPY)? -

The 2940nm Long Pulsed YAG Laser allows the practitioner to precisely treat visible vessels, broken capillaries, spider veins, and vascular lesions by using laser energy. The treatment is tailored to match one’s skin condition and desired result. All skin areas can be treated with the LPY laser.

- What is unique about LPY / What does it do? -

The Spectrum’s long pulsed Yag laser will diminish the appearance of existing veins on the face and legs. Once the laser light is applied to the skin, it enters the vein, where the energy from the laser is absorbed and the vein walls collapse and seal shut, eliminating the vein’s appearance on the skin. Eliminating veins with the long pulsed Yag laser is quick and effective.

- How does it work? -

The laser gives energy to the skin, which is absorbed by blood vessels, scars, port wine stains, hemangiomas, and other vascular lesions. This relatively quick, comfortable procedure can eliminate blood vessels by precise tissue heating, i.e. energy is directed against the vessels alone and does not alter the surrounding skin. Usually, the vessels collapse during the treatment session, but there can be some post-treatment redness and swelling. Following treatment sessions with aggressive sun protection practices can produce longer-lasting results and prevent formation of similar lesions.

- What are some indications for LPY? -

Treatment of vascular lesions such as telangiectasias, spider veins, hemangiomas, and leg veins.

- What to expect? -

Discomfort is minimal and is usually compared to the “snap of a rubber band.” Multiple treatments may be required to achieve your desired result.

- Pre-treatment -

Discontinue any medications / supplements that may thin your blood unless prescribed by doctor. You may wish to bring a pair of shorts to wear during your treatment if having your legs treated.

- Post-treatment -

Depending on the area treated, some swelling and irritation may occur. However, most treatments have little to no down time and few side effects. Avoid sunlight and use sunscreen or antibiotic ointments to promote healing and prevent damage. Anti-aging skin care products may be prescribed by your doctor. If a scab forms, it should not be picked or scarring may occur.

>Do’s - Cold packs to reduce redness/swelling, use SPF, wear compression garment/support for 3-5 days as

needed (best results with longer wear).

>Do not’s - exercise for 3 days, take hot baths/showers, use hot tubs/saunas or have any alcohol/blood thinners for 5 days.

- How long does a treatment take? -

Depends on size of area, each area can take 15 minutes or less.

- Will I need to take time off? -

No, there is no downtime.

- When will I see results? How long do they last? -

Best results to be seen after 1-2 treatments. Leg vein resolution usually takes 8-12 weeks. At the end of this process, some vessels may be gone while others may be lighter or not affected. Can be a series of treatments for some veins. Additionally, the further down on the body, the more stubborn veins can be to disappear.

- How many treatments will I need? -

Recommended a series of 3.

- Can I exercise? -

Yes.

- Are there any side effects? -

Discomfort, skin irritation, discoloration, sensation of mild sunburn. Sometimes the pigment cells can be damaged leaving darker or paler patches of skin. White patches or scars are rarely permanent.

- Is it safe? -

Yes, for skin types I-III.

- How much can a procedure cost? -

Treatment costs are $250 per area.

- Who is a good candidate? -

Candidacy for long pulsed YAG laser treatments are dependent upon many factors, including age and overall health, the extent of your spider or varicose veins, your symptoms, your goals, and what your provider expects your condition to be in the future. However, the most common candidates are those with cherry angiomas, matted and superficial vessels, or visible spider veins.