The Vbeam prima™ is a comprehensive and advanced vascular laser which currently represents the most effective and state-of-the-art vascular platform in medicine. The advanced and enhanced features compared to the previous model — the Vbeam perfecta™ — relate to wavelength, spot size, cooling methods, software, and properties of the dyes used.

The Vbeam prima™ has the two most efficient wavelengths for vascular treatments; the 595 and 1064 nm that primarily target hemoglobin, which is present in the red blood cells circulating in blood vessels, leading to vessel coagulation via photothermal effects. The addition of the 1064 nm Nd:YAG provides enhanced efficacy of treating all vascular conditions with the advantage of the depth and preferential response to the Nd:YAG wavelength for deep and venous lesions.

Hemoglobin has absorption peaks in the blue, green, and yellow bands (414, 542, and 577 nm), as well as a peak in the near-infrared portion of the spectrum (700 to 1100 nm). These peaks correspond mainly to the oxygenated form of hemoglobin (oxyhemoglobin). Other forms of hemoglobin, such as deoxyhemoglobin and methemoglobin, have other absorption spectra in the near-infrared range, hence the 1064 nm Nd:YAG laser in the Vbeam prima™ can successfully target venous blood that is rich in deoxyhemoglobin. The depth of penetration of light originating from a laser is proportional to its wavelength (up to 1200 nm) and the longer wavelength of 1064 nm can reach deeper vessels (blue veins), such as venules, venous lakes, leg vessels and venous malformations.

In addition to the benefits of 1064 nm Nd:YAG, the Vbeam prima™ has a new larger spot size of 15 mm (the largest vascular laser spot size in medicine), which targets deeper vessels, previously not possible with the pulsed dye laser. With a larger spot size, there is less scattering of light and more efficient energy delivered at a deeper level.

The unique features of the 1064nm Nd:YAG addition and the larger 15mm spot size of the Vbeam prima represent a new exciting era of targeting deep vessels by allowing for customization of targeted treatments of blood vessels of various sizes, at different levels of the skin, without unnecessary targeting of the surrounding skin.

Vascular conditions treated by Vbeam prima include rosacea, telangiectasias (small visible, broken blood vessels), facial veins, photoaging, poikiloderma (broken capillaries and red brown discoloration in sun damaged skin), cherry angiomas, venous lakes, venules, portwine stain and venous malformations (vascular birthmarks) and superficial leg veins or spider veins.