Laser Skin Treatments
At Chiswick Clinic, our dermatology-led laser treatments target a range of skin concerns, including facial redness and visible vessels, sun spots and uneven pigmentation, acne and surgical scarring. We also offer laser resurfacing to improve fine lines and wrinkles, enhance skin texture, and rejuvenate sun-damaged skin.
Our approach is simple: consultation first, then the type of laser that best matches your target skin concern. That is why we invest in two complementary platforms:
- QuadroStar PRO YELLOW (577 nm) — a true yellow laser for vascular redness and fine vessels, widely described as the “gold standard” wavelength for vascular lesions, and associated with 40% higher absorption in blood than standard 532 nm green systems.
- Asclepion Dermablate® Er:YAG (2,940 nm) — an erbium YAG laser for controlled ablative laser resurfacing and precision ablation, with high water absorption and less residual thermal damage than carbon dioxide laser systems in comparative studies.
Consultation first. Conservative protocols. Realistic outcomes.
Lasers
treatment options
We categorise our types of laser treatments by condition so you can choose the right pathway — and understand what to expect in the treatment area, recovery, and results.
Laser treatment options
We categorise our types of laser treatments by condition so you can choose the right pathway — and understand what to expect in the treatment area, recovery, and results.
Vascular laser (redness & veins)
The “gold standard” pathway for suitable vascular redness and fine vessels.
We use a 577 nm yellow laser designed to focus a precise beam of light into haemoglobin-rich targets. Compared with standard green 532 nm systems, this wavelength is reported to have 40% higher absorption in blood, which requires lower energy for similar vascular endpoints and, in suitable patients, a more controlled treatment profile.
Best for: rosacea-related redness patterns, broken capillaries (telangiectasia), spider naevi, angiomas.
Pigmentation laser (sun spots)
Targeted treatment for sun spots and defined benign pigmentation.
Pigmentation can sit in different layers of the skin. Some pigment is confined to the top layer of skin; other pigment sits deeper or is hormonally driven. For selected sun spots (solar lentigines) and defined benign pigmentation, a laser can be used to target melanin while limiting disruption to surrounding skin — but only when the diagnosis and pattern are right.
Best for: sun spots, age spots, defined uneven pigmentation.
Laser scar treatment
Remodelling for acne and surgical scars.
Scar work is rarely about “one treatment”. We choose the type of laser used based on scar type and depth, your skin type, and your capacity for downtime. A fractional laser approach can create controlled micro-columns deep into the skin, stimulating collagen remodelling while leaving untreated bridges of skin to support healing.
Best for: atrophic acne scars, surgical scars, selected trauma scars, selected hypertrophic scars.
Laser resurfacing (texture, lines and wrinkles)
Skin resurfacing to improve fine lines, wrinkles and uneven skin texture.
Laser resurfacing works by renewing the top layer of your skin in a controlled way to improve uneven skin, uneven skin texture, enlarged pores, photodamage, and the appearance of wrinkles. With Er:YAG at 2,940 nm, energy is strongly absorbed by water in the outer layer of skin, enabling controlled ablation of the top layer of your skin with less residual thermal injury than CO2 in comparative studies.
That matters because the way skin heals influences recovery time, redness, and risk of pigment change. In the right patient, erbium laser skin resurfacing can be an effective rejuvenation treatment for:
- fine lines and wrinkles (including wrinkles around the mouth and eyes)
- texture and dullness in sun-damaged skin
- acne scars and enlarged pores
- early sagging skin where skin tightening is realistic (not a facelift substitute)
We will tell you clearly if a lighter non-ablative laser approach is more appropriate than ablative laser resurfacing, and whether combination treatment is needed for deeper lines or deep wrinkles.
Best for: fine lines, wrinkles, dull texture, pores, sun damage, acne scars (selected).
Benign lesion removal
Precise removal of certain benign lumps and bumps — always diagnosis-first.
We can remove selected benign lesions using an ablative laser, targeting the lesion tissue precisely with a controlled laser beam. This can be a stitch-free option in suitable cases. However, we do not treat lesions cosmetically without diagnosis. Any suspicious change must be assessed medically first even with a biopsy if needed.
Best for: skin tags, seborrhoeic keratoses, milia, xanthelasma, syringoma (selected).
Important: all lesions require medical diagnosis before removal to rule out malignancy. See our Dermatology page for assessment.
Specialist laser applications
These pathways are doctor-led only at Chiswick Clinic. Assessment and suitability come first.
Juliet (women’s intimate health laser) — doctor-led
A hormone-free option for carefully selected symptoms.
Juliet is an Er:YAG vaginal laser approach used in some settings for GSM/VVA symptoms (vaginal dryness, irritation, discomfort) and selected cases of mild stress urinary incontinence (SUI). Evidence is mixed across outcomes and study designs, so we discuss what is known, what is uncertain, and what alternatives may be better. Professional statements emphasise shared decision-making and careful counselling for vaginal energy-based devices.
Some women report “noticeable relief after one session”, but many protocols use a course of treatments, and results vary by symptom, baseline tissue changes, and medical context.
Best for: GSM/VVA symptoms and selected mild SUI after assessment.
Romeo (snoring laser) — doctor-led
For primary snoring only — screening is essential.
Romeo is designed to deliver gentle laser energy to the soft palate to reduce vibration-related snoring in selected people. It is not a treatment for obstructive sleep apnoea (OSA). If OSA is suspected, investigation must come first. Where appropriate, we plan treatment as a staged pathway, with clear goals and realistic limits.
Best for: primary snoring (non-OSA) linked to soft palate laxity after screening.
Why we use yellow and Er:YAG laser technology
There are many different types of lasers, and the type of laser resurfacing or vascular laser you choose affects both results and risk.
The yellow advantage (577 nm)
For vascular problems, 577 nm aligns closely with haemoglobin absorption. This wavelength is considered as the “gold standard” for vascular lesions with higher absorption in blood than other laser systems.
The Er:YAG difference (2,940 nm)
Er:YAG is strongly absorbed by water, which supports controlled ablation in a defined layer of skin. In comparative literature, Er:YAG shows less residual thermal damage and faster healing than CO2 in typical parameters — one reason it’s widely used for laser resurfacing treatment and precision ablation.
Safety and suitability
Consultation first
We prioritise medical safety. We never laser an undiagnosed lesion, and we do not treat suspicious changes cosmetically. Your consultation is about diagnosis, options, and a conservative plan, or recommending a different treatment instead of laser.
When a laser may not be suitable
A laser treatment may not be suitable if you:
- have an active infection in the treatment area
- are pregnant (elective laser is usually deferred)
- have taken isotretinoin recently (timing is individual — we advise conservatively)
- are recently tanned (higher pigment risk)
- have a condition where laser could worsen pigment or inflammation
Skin tone note: suitability for darker skin (including brown or black skin) depends on the condition and settings. Your skin colour and risk of pigment change will be discussed plainly.
Frequently asked questions
Answers to Your most common questions
Why is the yellow laser better for redness than IPL?
IPL uses a broad spectrum; a yellow laser delivers a single, targeted wavelength designed for vascular absorption. 577 nm wavelength is considered highly selective for haemoglobin, with higher absorption in blood than 532 nm systems. That selectivity is why we refer to it as a “gold standard” vascular wavelength in suitable cases.
What downtime should I expect from laser skin resurfacing?
It depends on the intensity and whether we choose fractional or more intensive ablative laser resurfacing. After lighter fractional treatment, the skin may be pink and tight; after deeper treatment, the skin will be red and peel as the skin is healing. We’ll guide you through the aftercare and timeline for your facial treatment.
Can laser resurfacing improve wrinkles?
In suitable patients, laser resurfacing removes a controlled layer from the surface and can support collagen remodelling, helping fine lines, lines and wrinkles, and the appearance of wrinkles. Deeper wrinkles often need combination treatment and realistic expectations.
Do you numb the skin?
Sometimes. For more intensive laser skin resurfacing, we may numb the skin with topical anaesthetic. Vascular and small pigment treatments often don’t require it.
Does the Juliet laser help with bladder leakage?
Juliet is used for selected mild SUI, but evidence is mixed and outcomes vary; recent sham-controlled trial data raise important questions about durability for SUI endpoints. We discuss alternatives (pelvic floor therapy, medical options, and surgical pathways where appropriate) and only proceed when the risk–benefit case is clear. ScienceDirect+1
Is Romeo painful?
Romeo is generally well tolerated. Suitability matters most: it is for primary snoring only, not OSA.
Can you remove skin tags and milia?
Yes, in selected cases. Dermablate can precisely ablate benign lesions, but diagnosis is always required first.
Not sure which laser is right for you?
Book a consultation to discuss your skin concerns, skin type, suitability, downtime, and the safest plan. We’ll explain the types of laser treatments available, the type of laser used for your concern, and what is realistically achievable.