Best Vascular Lasers for Med Spas (2026): Choosing a Laser for Rosacea, 6 Compared
Choosing a laser for rosacea and veins? Vbeam, excel V+, DermaV and 3 more vascular lasers for med spas compared on wavelengths and FDA indications.
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For med spa owners, dermatology practices and medical directors. Updated October 22, 2026 · Prepared by Prospyr. Prospyr makes practice software, not lasers, and none of the manufacturers below is a Prospyr product or partner. If you are choosing a laser for rosacea, facial veins and redness, or pigment, each summary reflects what the company publishes on its own website, checked October 2026, cross-checked against the FDA's 510(k) database where we could find the record. Indications, specifications, pricing and service terms change, so get every number and every cleared indication in writing before you buy.
What should a med spa look for in a laser for rosacea and vascular work?
A laser for rosacea, in the buying sense, is a vascular laser whose FDA-cleared indications list rosacea or facial telangiectasia, usually a 595 nm pulsed dye laser (PDL), a 532 nm KTP-type laser, a long-pulsed 1064 nm Nd:YAG, or a platform that combines them. The wavelength, cooling method and spot sizes decide which vessels, skin types and areas a provider can treat, and many of these systems also carry pigment, wart, scar or hair indications that keep the room booked. Check four things before a demo: the exact cleared indication for each wavelength (rosacea is often listed under one wavelength and not the other), how the skin is cooled, what consumables each treatment uses, and what training and service come with it. Clinical decisions about who to treat, and with what settings, belong to your medical director. For broadband light, which many practices also use for redness, see our list of IPL machines for med spas.
The 6 vascular lasers at a glance
| # | Company | Device and wavelengths | Published pricing or terms | Worth a call if you want … |
|---|---|---|---|---|
| 1 | Candela | Vbeam pulsed dye family: 595 nm, plus 1064 nm on Vbeam Pro | Not published | The PDL name dermatologists know, with cryogen cooling |
| 2 | Cutera | excel V+: 532 nm and 1064 nm | Not published | Two vascular wavelengths and a micro-pulsed 532 nm handpiece |
| 3 | Cynosure Lutronic | DermaV: 532 nm and 1064 nm with cryogen cooling | Not published; states no dye kits are needed | A KTP and Nd:YAG workstation with variable sequential pulsing |
| 4 | Sciton | ClearV 1064 nm Nd:YAG on mJOULE or JOULE | Not published | A vein laser that shares a base with BBL light |
| 5 | Aerolase | Neo Elite and Neo V: 650-microsecond 1064 nm Nd:YAG | Not published | A compact laser with no contact cooling or cryogen |
| 6 | Lumenis | Stellar M22: IPL, Multi-Spot Nd:YAG, ResurFX and Q-switched Nd:YAG | Not published | Vascular, pigment and resurfacing modules on one base |
How we chose this list
We looked for manufacturers that sell a vascular laser to US aesthetic practices and publish real detail on their own site, then checked each against the FDA's 510(k) database. We compared four things a practice manager can confirm before a sales visit: the wavelengths and which indications the company lists for each one, how the system cools the skin, what the company says about consumables, and whether a clearance number or indication text is published. We left out IPL-only systems (covered in our IPL list), used-equipment resellers and home-use devices. We also left out lasers whose US rosacea or vascular indication we could not confirm on the manufacturer's site or in the FDA database. The order is our editorial view, not a measure of results.
1Candela (Vbeam pulsed dye lasers)#
Candela, headquartered in Marlborough, Massachusetts, sells the Vbeam family of pulsed dye lasers. Its current product page describes Vbeam Perfecta and Vbeam Pro, both delivering pulsed laser energy at 595 nm; Vbeam Pro adds a 1064 nm wavelength, which Candela's page marks "Available only in North America." The page lists "facial and leg telangiectasia, rosacea, port wine stains, hemangiomas" among the benign vascular lesions for 595 nm, and cites 510(k) K230990. The FDA database lists K230990 as the "Candela Vbeam Family of Pulsed Dye Lasers (Vbeam Prima, Vbeam Perfecta)," decided June 2023.
What stands out:
- Cooling. Candela's Dynamic Cooling Device sprays cryogen timed before and/or after the pulse, which the page describes as "operator-independent."
- Spot sizes. The page lists 3 x 10, 3, 5, 7, 10 and 12 mm spots for vascular lesions, a 15 mm maximum on Vbeam Pro, and 7 and 10 mm compression spots for pigmented lesions.
- Range of indications. Beyond vascular lesions, the page lists scars, striae, warts, psoriasis and inflammatory acne vulgaris.
Right for: dermatology practices and med spas that want the pulsed dye laser most providers trained on. Ask: which Vbeam model the clearance on your quote covers, whether Vbeam Pro's 1064 nm is cleared in the US for the indications you plan to market, the cost of dye kits and cryogen per treatment, and the service contract after year one. Candela also lists rosacea among the vascular lesions for its GentleMax Pro Plus (510(k) K201111), covered in our laser hair removal machines list.
2Cutera (excel V+)#
Cutera, which its references place in Brisbane, California, sells excel V+, which it calls a "Vascular and pigment laser system" with 532 nm and 1064 nm wavelengths. For 1064 nm, it lists "telangiectasia, rosacea, venous lake, leg veins, spider veins and poikiloderma of Civatte" among benign vascular lesions. For 532 nm, it lists telangiectasia (facial or extremities), leg veins, benign pigmented lesions such as nevi and lentigines, and chloasma. The page cites 510(k) K153671, which the FDA database lists as Cutera's "Family of CoolGlide Aesthetic Lasers" (March 2016).
What stands out:
- Micro-pulsed 532 nm. The Genesis V handpiece delivers micro-pulsed 532 nm.
- Handpieces. Cutera lists a CoolView handpiece for adjusting spot size and wavelength and pencil-style Dermastat handpieces for small vascular and pigmented lesions, with spots up to 16 mm.
- Indication note. On the page, rosacea appears under the 1064 nm indications. "Rosacea and diffuse redness" also appears in the feature list.
Right for: practices that want both 532 nm and 1064 nm for faces, legs and pigment on one laser. Ask: for the clearance and indications that apply to excel V+ specifically, how the skin is cooled, which handpieces are in the base price, and what training is included.
Choosing vendors for your practice?
Prospyr runs the practice they plug into: booking, charting, packages and payments on one patient record. We move your data over for you.
3Cynosure Lutronic (DermaV)#
Cynosure Lutronic, at 5 Carlisle Road in Westford, Massachusetts, sells DermaV, a solid-state 532 nm and 1064 nm laser for vascular and pigmented lesions. Its US labeling text lists, for 1064 nm, hemostasis of vascular lesions including "telangiectasia, rosacea, venous lake, leg veins and spider veins," plus pigmented lesions, wrinkles and hair reduction. For 532 nm it lists coagulation and hemostasis of vascular and cutaneous lesions, including angiomas and telangiectasia, but not rosacea. The FDA database lists the DermaV Laser System under K203788 (March 2021, Lutronic Corporation).
What stands out:
- Variable Sequential Pulsing. Cynosure states VSP "specifically targets vessels" and increases tissue effects without raising fluence.
- Cryogen cooling. It describes intelligent cryogen cooling and states sessions run 5 to 20 minutes.
- No dye kits. The page says DermaV needs no dye kits, which Cynosure links to ROI.
Right for: practices that want KTP-type 532 nm and Nd:YAG on one workstation without dye maintenance. Ask: the price, cryogen cost per treatment, and the current cryogen timing guidance for high-fluence 1064 nm work.
4Sciton (ClearV on mJOULE and JOULE)#
Sciton, at 925 Commercial Street in Palo Alto, California, sells ClearV, a 1064 nm Nd:YAG laser it says can "address veins, vessels, rosacea, and other vascular structures below the skin's surface." ClearV runs on Sciton's mJOULE and JOULE platforms. The page lists a 3 to 10 mm spot, fluence up to 400 J/cm², pulse width up to 200 ms and repetition up to 20 Hz. The ClearV page does not state an FDA clearance; the FDA database lists the "mJOULE System and Accessories" under K213350 (April 2022).
What stands out:
- Cooling built in. An integrated sapphire tip adjusts from 5 to 25 °C in one-degree steps.
- Vein illumination. Orange LEDs around the sapphire plate light up targeted vessels, which Sciton calls Subsurface Vein Illumination.
- Pairs with BBL. Sciton states that ClearV paired with mJOULE's 532+ BBL filter targets telangiectasia, poikiloderma, cherry angiomas and vascular melasma in skin types I to III.
Right for: practices that already own or plan to buy a Sciton BBL platform and want a dedicated vein laser on the same base. Ask: the cleared indications for the ClearV handpiece in writing, its price on mJOULE versus JOULE, and service terms.
5Aerolase (Neo Elite and Neo V)#
Aerolase, based in Tarrytown, New York, sells the Neo family of 1064 nm Nd:YAG lasers using a 650-microsecond pulse. Its Neo page calls Neo Elite an "FDA-cleared 1064nm Nd:YAG laser" and lists acne, rosacea, melasma, pseudofolliculitis barbae and vascular lesions. It markets Neo V as its vascular-focused model, listing "Leg Veins, Hemangiomas, Edema, Port Wine Stains" among its FDA clearances. The site gives no 510(k) number, and its count of indications varies between "30+" and "36+" on different pages.
What stands out:
- No cooling. Aerolase states treatments need "no contact cooling, no cryogen."
- Pulse options. The spec table lists the 650-microsecond mode at up to 255 J/cm² and a 1.5 millisecond mode at up to 318 J/cm².
- Family of models. Neo Elite, Neo V and Neo Derm share the same wavelength; Neo Derm combines features of the other two.
Right for: practices that want a compact laser with broad listed indications and no cooling consumables. Ask: for the 510(k) numbers and the exact cleared indications of the model you are buying, since the vascular indications differ between Neo Elite and Neo V.
6Lumenis (Stellar M22)#
Lumenis sells Stellar M22, a multi-application platform with four technologies: XPL intense pulsed light with nine filters, a Multi-Spot long-pulsed Nd:YAG for deeper, larger vascular lesions, ResurFX non-ablative fractional resurfacing, and a Q-switched Nd:YAG for pigment and tattoos. The page lists rosacea among the conditions treated and tells buyers to "Refer to user manual for region-specific approved applications." The FDA database lists "M22 and ResurFx Systems" under K170060 (August 2017); that clearance places "erythema of rosacea" under the IPL handpiece, and lists coagulation and hemostasis of vascular lesions and leg reticular veins for the Nd:YAG handpiece.
Right for: practices that want vascular, pigment and resurfacing work from one console, and accept that rosacea is treated with the light module rather than the laser. Ask: which modules ship at the quoted price, the clearance that covers the Stellar model, and filter replacement costs. Lumenis also appears in our IPL machines list.
Questions to ask any vascular laser company
- Which wavelength carries the rosacea indication? On several systems above, rosacea is listed under one wavelength or one handpiece only. Get the 510(k) number and indication text for each, and keep your marketing within it.
- What does each treatment cost you? Ask about dye kits, cryogen canisters, filters and handpiece life. Compare the answers with our equipment ROI calculator.
- Which skin types does each wavelength suit? Ask for the published Fitzpatrick guidance per wavelength and what training covers darker skin.
- What training is included? Ask how many providers are trained on-site, whether new hires can be trained later, and whether laser safety training is offered. See our lists of laser certification courses and laser safety officer training.
- What happens when it breaks? Get warranty length, loaner policy and service contract price in writing, and compare against aesthetic laser repair services and extended warranty providers.
- Should you buy, lease or finance? Run the numbers in our equipment lease vs. buy calculator, and see our list of aesthetic equipment financing companies.
- Who may operate it in your state? Delegation and supervision rules for lasers vary by state. Confirm with your medical director before you schedule patients.
Where Prospyr fits
A vascular laser pays off when redness and vein patients come back for their full series and each visit's settings are on record. Prospyr lets a practice sell laser series as packages, track cryogen, dye kits and other supplies in inventory management, and chart wavelength, spot size, fluence and pulse settings per area in the aesthetic EMR so the next provider can repeat them. To see that with your treatment menu, book a practice demo.
If you are pricing a purchase, compare new systems against used and refurbished aesthetic laser resellers or laser rental companies.
Frequently asked questions
What is the best laser for rosacea for a med spa?
There is no single best device; the right one depends on your patients' skin types, the vessels you see most and your providers' training. Pulsed dye lasers such as Candela's Vbeam, 532 nm and 1064 nm systems such as Cutera excel V+ and Cynosure Lutronic DermaV, and 1064 nm lasers such as Sciton ClearV and Aerolase Neo all list rosacea on their pages. Confirm which wavelength carries the cleared indication, and let your medical director set treatment protocols.
Is a pulsed dye laser or a 532/1064 nm laser better for a med spa?
They differ in cost of ownership more than in name. Pulsed dye lasers use dye kits and, on Vbeam, cryogen; Cynosure states DermaV needs no dye kits, and Aerolase states its Neo lasers need no cryogen or contact cooling. Ask every company for the full per-treatment consumable cost in writing.
How much does a vascular laser cost?
None of the six companies on this list publishes a price. Ask for the laser price, handpieces, consumables, training and the service contract together, then model the payback with our equipment ROI calculator.
Are vascular lasers FDA approved?
Lasers are generally FDA-cleared through a 510(k) rather than approved, and each clearance lists specific indications, often per wavelength or handpiece. Of the systems above, the FDA database lists clearances for the Vbeam family (K230990), Cutera's CoolGlide family cited for excel V+ (K153671), DermaV (K203788), mJOULE (K213350) and M22 (K170060). Aerolase calls its lasers FDA-cleared but does not publish the numbers on the pages we checked.
Want your company considered?
We review this list quarterly. Companies that make or distribute vascular or pigment lasers for med spas can send their website and what they offer practices to info@prospyrmed.com. Inclusion is editorial and not paid.
Editorial scope
This list is based on each company's public website and the FDA's 510(k) database, checked October 2026 with AI-assisted research. Companies did not review this article before publication. It is not a guarantee of results, medical advice or a substitute for checking references, FDA clearances and your state's scope-of-practice rules. Read our methodology or report a correction.