©Sharon McQuillan, MD. All rights reserved. 1

©Sharon McQuillan, MD. All rights reserved. 2

Sadick N and Sorhaindo L. Cutaneous and Cosmetic Laser Surgery, Goldman M editor.

Mosby 2006 p. 264.

Sadick N and Sorhaindo L. Cutaneous and Cosmetic Laser Surgery, Goldman M editor.

Mosby 2006 p. 264.

Sadick N and Sorhaindo L. Cutaneous and Cosmetic Laser Surgery, Goldman M editor.

Mosby 2006 p. 264.

©Sharon McQuillan, MD. All rights reserved. 3

Goldman MP et al, editors. Sclerotherapy: Treatment of Varicose and Telangiectatic Leg Veins, Fourth Edition, 2007 Elsevier Ltd.p.339.

Goldman MP et al, editors. Sclerotherapy: Treatment of Varicose and Telangiectatic Leg

Veins, Fourth Edition, 2007 Elsevier Ltd.

©Sharon McQuillan, MD. All rights reserved. 4

Goldman MP et al, editors. Sclerotherapy: Treatment of Varicose and Telangiectatic Leg

Veins, Fourth Edition, 2007 Elsevier Ltd.

Goldman MP et al, editors. Sclerotherapy: Treatment of Varicose and Telangiectatic Leg

Veins, Fourth Edition, 2007 Elsevier Ltd.

©Sharon McQuillan, MD. All rights reserved. 5

©Sharon McQuillan, MD. All rights reserved. 6

©Sharon McQuillan, MD. All rights reserved. 7

©Sharon McQuillan, MD. All rights reserved. 8

West TB, Alster TS: Dermatol Surg 24:221, 1998.

©Sharon McQuillan, MD. All rights reserved. 9

©Sharon McQuillan, MD. All rights reserved. 10

Goldman MP et al, editors. Sclerotherapy: Treatment of Varicose and Telangiectatic Leg

Veins, Fourth Edition, 2007 Elsevier Ltd.

Goldman MP et al, editors. Sclerotherapy: Treatment of Varicose and Telangiectatic Leg

Veins, Fourth Edition, 2007 Elsevier Ltd.

©Sharon McQuillan, MD. All rights reserved. 11

Goldman MP et al, editors. Sclerotherapy: Treatment of Varicose and Telangiectatic Leg

Veins, Fourth Edition, 2007 Elsevier Ltd.

©Sharon McQuillan, MD. All rights reserved. 12

©Sharon McQuillan, MD. All rights reserved. 13

At 1064 nm there is enough absorption in oxyhemoglobin to selectively heat veins.

From Smith MFW, McElveem JT. Neurological Surgery of the Ear.Mosby 1992

Near-IR absorption spectra for oxyhemoglobin and

deoxyhemoglobin

Ref. S. L. Jacques

4.0

3.5

3.0

2.5

2.0

1.5

1.0

0.5

0 AB

SO

RPT

ION

CO

EF

FIC

IEN

T (m

m-1

cm-1)

600 700 800 900 1000 1100 WAVELENGTH (nm)

l1

l2 l3

©Sharon McQuillan, MD. All rights reserved. 14

585nm - Purpura

1064nm – No Purpura

Pulse widths for the small vessels must be on the order of 1-millisecond or less.

©Sharon McQuillan, MD. All rights reserved. 15

©Sharon McQuillan, MD. All rights reserved. 16

©Sharon McQuillan, MD. All rights reserved. 17

Goldman MP et al, editors. Sclerotherapy: Treatment of Varicose and Telangiectatic Leg

Veins, Fourth Edition, 2007 Elsevier Ltd.

©Sharon McQuillan, MD. All rights reserved. 18

©Sharon McQuillan, MD. All rights reserved. 19

©Sharon McQuillan, MD. All rights reserved. 20

Sadick N and Sorhaindo L. Cutaneous and Cosmetic Laser Surgery, Goldman M editor.

Mosby 2006 p. 264.

©Sharon McQuillan, MD. All rights reserved. 21

©Sharon McQuillan, MD. All rights reserved. 22

©Sharon McQuillan, MD. All rights reserved. 23