I am satisfied with my Vnus Closure system to treat GSV insufficiency. However, I would like to expand into the treatment of spider veins using laser (poss start Med Spa). Dornier states that their D940 FlexiPulse is the significantly better than any other wavelength(1064) or product. The Dornier D940 also treats the GSV insuficiency. Cutera claims that their Coolglide (1064) system treats spider veins just as well. Are all 1064 alike? Should I keep my Vnus Closure System for the GSV and purchase a 1064 for spider veins? Is the Dornier D940 clearly that much better for spider veins? I am trialing the Coolglide in the morning. Finally, why not purchase a used Xeo with Titan to enter the med spa field? (long term goal) Thank-You drgmack

Drgmack:
DO NOT listen to any salerep when it comes to making a purchase decision. Call them only when you ALREADY make the final decision on that specific technology. You need to know your client profile based on the preponderance of Fitz skin type. I favor pulse dye laser (595nm). But I believe 1064 is also very effective and safer for darker skin types but make sure you know what therapeutic settings are (fluency, pulse width, spot size) and that the machine has adequate power and specifications to support such settings, o/w what you end up with is a weak, mickey mouse box. Not all 1064's are created equally. Good luck

Your questions actually demonstrates that you may need more training.

Let me explain. By the way this is in no way to flame you in any form or shape.

If you are closing GSV's with closure then you will know that the remaining tributary veins will need some for of attention before the spider veins.

Ambulatory phlebectomy or duplex guided chemical ablation.

Also, to date, there has NEVER been a laser or IPL system that can perform better than visula sclerotherapy. You can use the laser AFTER sclerotherapy of all feeder veins and tributary veins if needed. OR you can just inject the spider veins.

does anyone where I can get good training on sclerotherapy?
thanks

I do laser endovenous ablation as well as sclerotherapy and laser treatment of spider veins. I have used the Dornier 940 diode for these procedures for almost 9 years. There is nothing that compares to the results from the 940nm for spider veins. You teat the spider veins FIRST with the laser, then do injection sclerotherapy of the reticular veins. 3 or more sessions are sometimes (but not always) needed, as in sclero alone, but there is much less matting, staining, and trapped blood. I have used 1064 in the old Vasculight, and now with an Alma system, both quite powerful. 940 works much better for spider veins. That being said, the Dornier is a very expensive laser. They claim that the price is necessary because so much more power is necessary for treatment of spider veins.
I began to use a 1470nm laser 6 months ago for enodvenous laser treatment because I had heard that there was less discomfort for the patient. Though the 940 is certainly well tolerated, the 1470 has almost NO pain, and almost never any bruising. The ideal system would have a 1470nm wavelength for endovenous closure, and a high-powered 940nm for spider vein treatment. No-one makes that combo with enough power for adequate spider vein treatment. I still love the 940 for spider veins, I definitely think it yields good results, but expense is an issue.