I established my vascular reputation with my Nd:YAG laser and lots of patients come to me because I perform Nd:YAG treatments. I have two long pulsed Nd:YAG devices from Lumenis in my office to coop the great demand for the procedures.
If the patient has both pigment and benign lesions I combine IPL and AcuPulse in a single treatment session. I give botulinum toxin 2 weeks before AcuPulse treatment and fillers 2 to 3 weeks after AcuPulse treatment.
I find the Nd:YAG extremely useful because I can successfully treat both legs with a lot of spider and reticular veins in one session without the risk of thrombosis and hyperpigmentation, a common problems in sclerotherapy. I don’t need a compressive dressing and there’s no risk of PIH.