Laser devices for medical practices and clinics: selection, use and profitability
Laser devices for the medical practice and the clinic must fit the specialty, the patient volume and the economics. This page shows which devices are suitable for dermatology, gynaecology, plastic surgery and for general practices with an aesthetic offering, and how self-pay services are planned.
The focus is on the FRACO CO2 XL, the TULIX, the PICOLO XL, the AlexDUAL UFO, the EUPHEUS M8 and the SIACSKIN x Velaslift. It also provides answers on delegation, room and time planning, documentation, training and the question of which combination of devices covers the most demand.
Which laser devices does a dermatology practice need?
A dermatology practice covers most of the demand with three technologies: a fractional CO2 laser, a non-ablative fractional laser and a pigment laser. The FRACO CO2 XL works ablatively at 10,600 nm and is designed for resurfacing, scars, wrinkles and pores. The TULIX combines 1927 nm and 1550 nm for pigment, sun damage, acne scars and fine lines with little downtime, and SIACSKIN also lists actinic keratoses as a medical application. As a picosecond laser, the PICOLO XL treats tattoos, pigmentary disorders and melasma.
Which device comes first depends on the patient base: many scars and cases of photodamage speak for the CO2 laser, while many pigment cases and working people with no time for healing speak for the TULIX.
For a gynaecology practice, a fractional CO2 laser with a gynaecological applicator is the obvious device. The FRACO CO2 XL comes with this applicator and can additionally be used for skin rejuvenation and scars, for example after a caesarean section. In this way the practice uses one device for several self-pay services.
Treatments that patients ask about anyway are a good complement: stretch marks and tightening of the abdomen with the EUPHEUS M8 RF microneedling device, and laser hair removal with the AlexDUAL UFO, which combines alexandrite and Nd:YAG for skin types I to VI. The advantage of the specialist practice: trust already exists, and hormonal causes of hair growth or skin changes can be investigated at the same time.
Which devices complement a plastic and aesthetic surgery practice?
Devices that complement operations rather than replace them make sense: a CO2 laser for the skin surface, RF microneedling for tightening and scars, and a non-ablative laser for skin quality. A surgical lift tightens but improves neither texture nor pigment. The FRACO CO2 XL takes care of resurfacing for wrinkles and scars and has a Cutting-Head for surgical applications.
The EUPHEUS M8 lists tightening, surgical scars, acne scars and stretch marks among its applications and, with needle depths of up to 7 mm, covers everything from the face to the body. For patients who do not yet want surgery, it is at the same time the entry-level offer. The TULIX improves skin appearance and pigment between the larger procedures, with little downtime.
How does a GP practice get started in aesthetic medicine?
Ideally with a single, easily planned treatment that involves little downtime and can be placed in fixed time slots. Procedures with broad demand and manageable risk are suitable for getting started: RF microneedling or a non-ablative fractional laser. The EUPHEUS M8 starts from approx. €270 per month and covers tightening, scars, pores and underarm hyperhidrosis. The TULIX, from approx. €600 per month, treats pigment, sun damage and fine lines.
Start with one fixed afternoon per week, gain experience and only expand once the appointments are regularly fully booked. At SIACSKIN, training on the device is included in the purchase. Which device suits your patient base is something you clarify in the free consultation.
Which devices are suitable for actinic keratoses, scars and hyperhidrosis in a medical practice?
For these indications SIACSKIN names three devices: the TULIX, the FRACO CO2 XL and the EUPHEUS M8. The TULIX lists actinic keratoses as a medical application, along with acne scars, surgical scars and stretch marks. The FRACO CO2 XL treats scars ablatively and has a gynaecological applicator as well as a Cutting-Head for surgical applications. In addition to acne scars and surgical scars, the EUPHEUS M8 lists underarm hyperhidrosis as an application.
Diagnosis, indication and informed consent remain medical tasks. Before buying, check the intended purpose in the device documentation so that it matches the treatments you want to offer in your specialty and in your country.
Which laser is suitable in a medical practice for thread veins (spider veins), vascular lesions and redness?
Vessels require light that is absorbed by haemoglobin, and at SIACSKIN the SIACSKIN x Velaslift is intended for this. The multi-wavelength diode laser works at 450, 635, 980 and 1470 nm and lists vascular lesions, thread veins, redness, acne, skin rejuvenation and photobiomodulation as applications. At 57 W and around 12 kg the Velaslift is mobile and moves easily between treatment rooms. According to SIACSKIN, further medical applications depend on specialty and approval.
For diffuse redness and couperose on the face, the DERMAFORCE BBL PRO is the complement: broadband light with filters, according to SIACSKIN for skin types I to IV. Before vascular treatment on the legs, an assessment of the veins is part of the process.
What certifications should a laser device for a medical practice have?
A device for a medical practice needs the certification required for medical devices in your country, for example CE marking under the European Medical Device Regulation (MDR). Equally important is the intended purpose: it must cover the treatment you want to carry out. Ask to see the declaration of conformity and the instructions for use before buying.
SIACSKIN states: FRACO CO2 XL and PICOLO XL with FDA and MDR-compliant CE, TULIX with CE and FDA, AlexDUAL UFO with medical approval, CE and FDA. Request the current documentation for every device you are considering. It is also the basis for your liability insurance and for documentation in the practice.
Which laser tasks can the doctor delegate to the practice team?
Who may carry out which treatment is regulated differently from country to country, but in many practices a clear division of tasks has proved its worth. Diagnosis, indication, informed consent, the treatment plan and the management of complications remain with the doctor. Where permitted, trained staff take on standardised course treatments such as hair removal as well as preparation, cooling, photo documentation and aftercare.
The more standardised the way a device works, the better this can be organised. On the AlexDUAL UFO the SIA AI uses cameras on the handpiece to set skin type, body area and energy automatically, while monitoring the skin reaction remains a human task. Ablative treatments with the FRACO CO2 XL remain in medical hands. At SIACSKIN, training on the device is included in the purchase, and the SIAC Akademie offers more advanced courses.
How does a practice plan space and time for laser treatments?
Plan a dedicated treatment room and fixed time blocks, separate from regular consultation hours. The room needs a lockable door, space for the couch and device, suitable protective eyewear and, for ablative lasers, smoke evacuation. As regards time, it is not only the laser time that counts: informed consent, numbing cream, photos and aftercare belong in the schedule, and the team can supervise the time the cream takes to work.
Healing can also be planned for. For the CoolPeel mode of the FRACO CO2 XL, SIACSKIN states 3 to 4 instead of 10 to 14 days, so an appointment before the weekend suits many working people. The AlexDUAL UFO needs no external cooling unit, which saves floor space. The Velaslift weighs around 12 kg and can move between rooms.
How does a laser device pay for itself as a self-pay service in a medical practice?
It pays for itself if the earnings per doctor's hour at the laser are higher than those of regular consultation hours and the monthly instalment is covered with a few treatments. In a practice the bottleneck is not the device but the doctor's time. So for each service, set out doctor's minutes, assistance, consumables and aftercare and compare this with the fee. Services that the team prepares and follows up come off best.
On the cost side, the guide value in leasing is around 1% of the net price per month. The FRACO CO2 XL starts at approx. €800 per month, the TULIX at approx. €600 per month. With the SIACSKIN price calculator you enter your fees and your case numbers.
Which software helps a practice with documentation and before-and-after images?
For this, SIACSKIN provides an AI-assisted cloud platform that manages and evaluates before-and-after images, together with an integrated client management system for contact details, documents and appointments. For a practice this is more than a convenience: complete documentation of findings, parameters and progress is the basis for informed consent, queries and the assessment of the result.
The TULIX works with cloud software that documents the treatments. The Skin Analyzer Pro images the skin with white light, UV and polarised light, assesses pigment, wrinkles, pores and redness and compares before and after. Before use, clarify how patient data must be stored under the requirements of your country.
How does SIACSKIN train doctors and the practice team on a new laser device?
Comprehensive training is included free of charge with the purchase: individual specialist training at handover of the device or on site in the practice, access to an online training platform with video tutorials, and a training certificate. Installation is carried out by SIACSKIN technicians. It makes sense for everyone who will later work on the device to take part, including the assistants who handle preparation and aftercare.
The video platform helps when new members of staff join later. For more in-depth courses there is the SIAC Akademie. After the training, schedule practice sessions before the FRACO CO2 XL or the PICOLO XL goes into regular operation, and define a starting protocol for each indication.
Which combination of devices covers the most demand in a medical practice?
You achieve the broadest coverage with four building blocks: hair removal, skin renewal, pigment and tattoo, and tightening. The AlexDUAL UFO handles hair removal for skin types I to VI. The FRACO CO2 XL stands for resurfacing and scars, the TULIX for pigment and skin appearance with little downtime. The PICOLO XL covers tattoos and pigmentary disorders, the EUPHEUS M8 tightening, scars and pores.
Nobody has to acquire everything at once. Begin with the building block your patients are already asking about today, and add the next device when the first is working to capacity. The SIACSKIN x Velaslift later closes the gap for vessels and redness.
How can tattoo and pigment removal with a picosecond laser be fitted into day-to-day practice?
Tattoo and pigment removal can be scheduled easily, because the appointments are short and recur at fixed intervals. Tattoo removal often takes 4 to 8 sessions at intervals of 6 to 8 weeks, and with picosecond technology rather fewer. For small designs the individual session takes only minutes and fits between other appointments. The first appointment, with informed consent, photo documentation and a test patch, takes more time. Pigment spots and melasma extend the use beyond tattoos.
The PICOLO XL works at 280 ps and the wavelengths 532, 755, 1064 and 1320 nm, optionally with a Dye-Head for 585 and 650 nm, and is also designed for multicoloured tattoos. For practices with a smaller caseload, the Q-switched laser PICOLO L is, according to SIACSKIN, the more economical alternative, with which somewhat more sessions may be needed.
What does a clinic with a high patient volume look for when choosing a laser device?
With a high patient volume, throughput, service life and service count for more than the purchase price. Large spots and powerful cooling shorten the treatment, and a long-lasting laser source keeps the costs per treatment low. The AlexDUAL UFO works at 7500 W, with square spots of 10 to 40 mm and integrated cooling, and the crystal is designed for 100 million shots. The TULIX manages without consumables and without a shot limit.
Equally important is what happens in the event of a failure. SIACSKIN gives a 2-year manufacturer's warranty and lifetime support, and spare parts are generally available within a few days. If you have several locations, clarify maintenance dates and training for all teams in advance.
