Abstract: A laser assembly includes a laser and an articulated arm having a plurality of couplers arranged to receive a laser-beam from the laser. The assembly is mounted on a support structure, and is rotatable on the support structure in two axes perpendicular to each other. Six degrees of freedom of motion of the end of the articulated arm can be accomplished with one less coupler in the arm than would be necessary without rotation of the assembly on the support structure.

Abstract: Subjects treated with nonablative fractional photothermolysis (FP) have an intact stratum corneum, but can have microscopic lesions and vacuole formation within the epidermis. The vacuoles thus formed can trap dermal material and extrude it through the epidermis. Thus, FP can be used for the treatment of recalcitrant melasma, solar elastosis, and tattoos.

Abstract: A mechanical element allows the tip of the handpiece of a dermatological treatment system to rotate to adjust for deviations in handpiece angle with respect to the surface of the treatment area. The tip may glide over the surface of the skin, the tip may include wheels or rotating cylinders on which the tip rolls across the skin, or the tip may be removed from the skin and placed in a new location in a stamping motion. The tip of the handpiece rotates around a single axis, or around two perpendicular axes, so that pressure on the tip moves the flat surface of the tip into proper orientation for planar contact with the skin. An element can be included in the handpiece to apply a restoring force on the tip so that the tip rests in its optimal position in the absence of external forces.

Abstract: A laser treatment device and process with controlled cooling. The device contains a cooling element with high heat conduction properties, which is transparent to the laser beam. A surface of the cooling element is held in contact with the tissue being treated while at least one other surface of the cooling element is cooled by the evaporation of a cryogenic fluid. The cooling is coordinated with the application of the laser beam so as to control the temperatures of all affected layers of tissues. In a preferred embodiment useful for removal of wrinkles and spider veins, the cooling element is a sapphire plate. A cryogenic spray cools the top surface of the plate and the bottom surface of the plate is in contact with the skin. In preferred embodiments the wavelength of the laser beam is chosen so that absorption in targeted tissue is low enough so that substantial absorption occurs throughout the targeted tissue. In a preferred embodiment for treating large spider veins with diameters in the range of 1.