Laser vein treatment in Orlando
Physician-led.
Physician-led, non-invasive treatment for spider veins, facial veins, and small leg veins on the Alma Harmony XL Pro long-pulsed Nd:YAG platform. No needles, no incisions, no injected agents. Every plan starts with a medical evaluation by Dr. Saied Shemiranei to confirm the veins are appropriate for laser and to rule out anything that needs a vascular workup.
Physician-led · Alma Harmony XL Pro · Non-invasive · Free 15-min consult · Open today Mon-Fri 9am-5pm
Serving Orlando, Winter Park, and Central Florida from our office at 1400 E Robinson Street, Orlando, Florida.
What laser vein treatment may support
Laser vein treatment uses a focused wavelength of light, absorbed by hemoglobin inside the vein, to heat and close the vessel from the outside of the skin. The body then reabsorbs the closed vessel over several weeks. No needle enters the vein and no sclerosing agent is injected.
At APMUC, laser vein treatment on the Alma Harmony XL Pro long-pulsed 1064 nm Nd:YAG platform may support:
Fading spider veins
on the legs, generally under about 1 mm in diameter, where laser is well supported in the literature [7]
Clearing leg telangiectasias
the fine red or blue web-like vessels that show through the skin
Improving facial telangiectasias
the visible small vessels on the cheeks, nose, and chin
Reducing diffuse facial redness
and rosacea-related vessels, where long-pulsed 1064 nm Nd:YAG and pulsed-light devices have supporting evidence [3][8]
Treating small reticular veins
the slightly deeper blue feeder veins under the skin, in selected cases
Clearing cherry angiomas
and small vascular spots
Treating selected hemangiomas
and small vascular malformations in appropriate candidates [9]
Laser vein treatment on the Harmony XL Pro is an FDA-cleared, multi-application aesthetic laser platform used at APMUC with the long-pulsed 1064 nm Nd:YAG applicator for deeper blue-purple leg vessels and the Dye-VL and 532 nm applicators for red facial vessels [1][2][3]. Long-pulsed 1064 nm Nd:YAG is one of the standard laser wavelengths for superficial cutaneous vascular lesions in peer-reviewed dermatology literature [4][5][6].
Every session is performed after an in-person medical evaluation by Dr. Saied Shemiranei. This is a medical treatment, not a med-spa upsell. Explore the full Alma Harmony XL Pro platform at APMUC on the laser treatments in Orlando hub page.
Is laser vein treatment right for me?
Laser vein treatment tends to be a good fit for people who want a physician-led, non-invasive option for small, surface vessels, and who want an honest read on whether their veins are a laser problem or a vascular problem. You may be a candidate if you:
Laser may fit
Small, surface vessels
Vascular workup first
Laser is not the right tool
Talk to us
Screened at consultation
What we do not treat with laser
Being honest here saves you time, money, and frustration.
Laser vein treatment on the Harmony XL Pro is not the right tool for larger varicose veins, the ropey, bulging veins that stand up above the skin; symptomatic venous disease, including significant leg heaviness, chronic swelling, skin discoloration around the ankle, venous stasis changes, or venous ulcers; or suspected chronic venous insufficiency where the underlying problem is deeper venous reflux, not just a surface vessel.
Those conditions need a vascular workup, typically starting with a venous duplex ultrasound, and are treated with different technologies such as endovenous ablation, sclerotherapy, phlebectomy, or vein ligation performed by a vein or vascular specialist.
If your evaluation with Dr. Shemiranei shows any of those signs, he will tell you and refer you to a vascular specialist rather than treat you with laser. That referral is the right medicine, not a lost sale.
Not sure where to start? Call 407-845-8623 or request a free 15-minute phone consultation.
Why patients in Orlando choose APMUC for laser vein treatment
Physician evaluation first.
You are not walking into a laser room. You are walking into a medical evaluation with Dr. Saied Shemiranei, medical director and founder. He looks at the veins, takes your history, screens for anything that suggests deeper venous disease, and only then designs a laser plan or refers you out.
Honest scope of what laser can and cannot do.
Laser is a strong tool for small, superficial vessels. It is not a substitute for a venous workup when the veins point to underlying disease. We say that plainly on this page, and we say it plainly in the exam room.
One physician-supervised platform.
The Alma Harmony XL Pro is the same FDA-cleared aesthetic laser platform we use for hair removal, tattoo removal, pigment, and rejuvenation, with dedicated applicators for vascular work [1][2].
A calm room, not a spa upsell.
No pressure sales. No before-and-after photo wall of other people’s legs. Just a physician, a real evaluation, and a plan you can say no to.
Local, walk-in-friendly.
We are on East Robinson Street in Orlando, open Monday through Friday 9am to 5pm, serving Orlando, Winter Park, and Central Florida.
What your visit at APMUC looks like
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01
Free 15-minute phone consultation.
A quick, no-pressure call to see whether laser vein treatment is worth pursuing for you or whether a vascular workup would be a better first step.
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02
In-office evaluation with Dr. Saied Shemiranei.
He reviews your history, examines the veins, checks for signs that suggest underlying venous disease, and confirms whether the veins are appropriate for laser or better handled by a vascular specialist.
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03
Vein mapping and candidacy decision.
For laser-appropriate vessels, he identifies the areas to be treated and the applicator that fits your skin tone and vessel type. For anything beyond laser scope, you get a referral.
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04
Test spot.
For most patients, a small test area is treated first to confirm the response and comfort level before a full session.
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05
Treatment plan.
Most spider veins and telangiectasias respond over a series of sessions spaced several weeks apart. The exact number depends on vessel size, location, and how your body clears the treated vessels.
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06
Follow-up.
We reassess after each session, adjust the plan, and continue until the treated vessels have cleared as much as they are going to clear.
The technology: Alma Harmony XL Pro long-pulsed Nd:YAG
The Alma Harmony XL Pro is a multi-application aesthetic laser platform from Alma, cleared by the FDA under 510(k) K072564 [1]. It supports multiple interchangeable applicators, including a long-pulsed 1064 nm Nd:YAG applicator used for deeper vascular lesions and a Dye-VL vascular applicator for surface redness and small facial vessels [2].
Long-pulsed 1064 nm Nd:YAG is one of the standard, widely studied wavelengths for treating superficial cutaneous vascular lesions [4][5]. The 1064 nm wavelength penetrates deeper than shorter wavelengths, which is why it is well suited to blue and purple leg vessels, while shorter wavelengths and pulsed-light applicators are better matched to fine red facial vessels [3][6].
Dr. Shemiranei selects the applicator, wavelength, spot size, and pulse settings based on your skin tone and the vessel being treated, at the time of the appointment. Fixed protocols are not published online because settings are individualized.
Benefits and limitations
Benefits. Non-invasive. No needles into the vein. No injected sclerosing agent. Minimal downtime for most patients. Effective for small, superficial spider veins, facial telangiectasias, and rosacea-related redness in appropriate candidates [3][4][5][6][8]. Physician-supervised on an FDA-cleared platform.
Vascular workup first.
Laser vein treatment is not a substitute for a vascular workup when veins signal deeper venous disease.
Recurrence is possible.
New vessels can form and existing vessels can partially return over time.
Response varies.
Response varies by vessel size, depth, color, skin tone, and location. Some vessels need multiple sessions.
Temporary effects.
Temporary bruising, redness, swelling, and darkening over treated vessels are common.
Skin-tone consideration.
Post-inflammatory hyperpigmentation is a possible side effect, particularly in darker skin tones [9], which is one reason we use conservative settings and a test spot.
Referral when needed.
We do not perform sclerotherapy or endovenous ablation. If your veins are better treated by those, you will be referred to a vascular specialist.
We do not promise specific outcomes, and we do not guarantee no recurrence. Individual results vary.
What patients say
Verified Google reviews of APMUC and Dr. Saied Shemiranei from patients across the practice. Quotes reflect individual patient experiences with APMUC as a practice and are not specific outcome claims for laser vein treatment.
“Dr. Shemiranei is truly one of a kind. He is knowledgeable, professional, and always takes the time to listen and thoroughly explain everything. His genuine care for his patients is evident, and it truly sets him apart.”
“Dr. Shemiranei and his staff are amazing. He takes the time to really listen and works with you on the best plan of care. I feel completely comfortable and confident in his hands.”
“Everyone here is wonderful. The doctor is thorough, kind, and never rushes you. Highly recommend.”
Individual results vary.
Frequently asked questions
How many sessions will I need?
Most patients need a series of sessions spaced roughly 4 to 8 weeks apart. Small facial vessels sometimes clear in 1 to 3 sessions. Leg telangiectasias typically need more, often 2 to 4, and larger or resistant vessels may need additional passes [4][5][7]. Dr. Shemiranei will estimate a range after the evaluation, and reassess after each session.
Does laser vein treatment hurt?
Most patients describe the sensation as a quick snap, similar to a rubber band flick, cooled by the applicator’s built-in cooling. Comfort varies by area and vessel. We use a test spot at the first visit and adjust from there.
Is there downtime?
Usually no true downtime. Temporary redness, mild swelling, small bruising, or a slight tan-like darkening over the treated vessels is common and typically fades over days to a few weeks. You can go back to work the same day.
How is laser different from sclerotherapy?
Sclerotherapy is a needle-based treatment where a solution is injected into the vein to close it from the inside. It is considered the standard of care for many leg spider veins and small varicose veins and is often the first-line choice for vessels above about 1 mm [7][10]. Laser is needle-free and useful for smaller, superficial vessels, for vessels that are too small to inject safely, and for facial vessels where injection is not appropriate. A randomized head-to-head study of leg telangiectasias found long-pulsed Nd:YAG and polidocanol sclerotherapy both effective, with Nd:YAG particularly useful for vessels under 1 mm [7][10]. At APMUC we do not offer sclerotherapy on-site, so if that is a better fit for your veins, you will be referred out.
What about sun avoidance and compression?
Sun exposure on treated areas should be minimized before and after each session, and sunscreen should be used on treated skin. Some patients wear compression stockings after leg treatments to support the closing vessels. Dr. Shemiranei will give you the specific guidance for your case.
How long until I see results?
The treated vessels typically fade gradually over several weeks as the body clears them. Full response is usually judged 6 to 8 weeks after each session, which is why sessions are spaced accordingly.
Are results permanent?
Treated vessels that clear are typically gone for good, but new vessels can form over time due to genetics, hormones, sun exposure, standing occupations, pregnancy, or underlying venous factors. Recurrence is possible, and we do not promise otherwise. Some patients come back for maintenance sessions in future years.
Is laser vein treatment safe for darker skin tones?
Long-pulsed 1064 nm Nd:YAG is generally considered one of the safer laser wavelengths across the Fitzpatrick scale, including in darker skin, because 1064 nm is less absorbed by melanin than shorter wavelengths [9]. Post-inflammatory hyperpigmentation (temporary darkening) is still a possible side effect, particularly in darker skin, which is one of the reasons a physician-supervised test spot matters.
Who is not a candidate for laser vein treatment?
Patients with active infection or wound at the treatment area, patients with photosensitizing medications or conditions, and patients whose veins point to underlying venous disease that needs a vascular workup are not candidates for laser alone. Pregnancy and certain skin conditions are also considered case by case. Dr. Shemiranei screens for all of these at the evaluation.
Ready to talk about your veins?
If you are considering laser vein treatment in Orlando, the easiest first step is a free 15-minute phone consultation with Dr. Saied Shemiranei. If your veins are a fit for laser, he will design a plan. If they are not, he will tell you and point you to the right specialist.
Call (407) 845-8623 or request a free 15-minute phone consultation.
Every plan is designed and supervised by Dr. Saied Shemiranei, medical director and founder.
- 1. U.S. Food and Drug Administration. 510(k) Premarket Notification K072564: ALMA LASERS HARMONY XL MULTI-APPLICATION PLATFORM. Alma Lasers Ltd. Decision date 05/23/2008. https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm?ID=k072564
- 2. Alma Lasers. Harmony XL PRO, Multi-Application Aesthetic Platform product page (indications include vascular lesions, skin rejuvenation, pigment, hair removal, acne, and scars). https://www.almalasers.com/products/harmony-xl-pro/
- 3. Patruno C, Zappia E, Tamburi F, et al. Combination of Specific Vascular Lasers and Vascular Intense Pulsed Light Improves Facial Telangiectasias and Redness. Medicina (Kaunas). 2022;58(5):651. doi:10.3390/medicina58050651. https://www.mdpi.com/1648-9144/58/5/651
- 4. Colgecen E, Baykan H, Ozyurt K, Ozkose M, Ozturk P. Treatment of Superficial Cutaneous Vascular Lesions: Experience with the Long-Pulsed 1064 nm Nd:YAG Laser. The Scientific World Journal. 2012;2012:197139. doi:10.1100/2012/197139. https://pmc.ncbi.nlm.nih.gov/articles/PMC3458278/
- 5. Cannarozzo G, Fusco I, Zingoni T. The effects of 1064 nm laser on red telangiectasias using pulse shape modulation. Skin Res Technol. 2023;29(6):e13379. doi:10.1111/srt.13379. https://pmc.ncbi.nlm.nih.gov/articles/PMC10235999/
- 6. Pennati B, Cannarozzo G, Zingoni T. An insight into Nd:YAG laser treatments for facial telangiectasia in Asian patients. Skin Res Technol. 2023;29(11):e13516. doi:10.1111/srt.13516. https://pmc.ncbi.nlm.nih.gov/articles/PMC10617015/
- 7. Tutunaru C, Calina D, Neagoe D, et al. Comparative study in leg telangiectasias treatment with Nd:YAG laser and sclerotherapy. Exp Ther Med. 2018;16(6):4906-4913. doi:10.3892/etm.2018.6985. https://pmc.ncbi.nlm.nih.gov/articles/PMC6327418/
- 8. Say EM, Gökdemir G, Okan G. Treatment Outcomes of Long-Pulsed Nd:YAG Laser for Two Different Subtypes of Rosacea. J Clin Aesthet Dermatol. 2015;8(9):16-20. https://pmc.ncbi.nlm.nih.gov/articles/PMC4587890/
- 9. De A, Chatterjee G, Gandhi J, et al. Evaluation of the Efficacy and Safety Profile of Long-Pulsed 1064 Neodymium:Yttrium-Aluminum-Garnet Laser in Hemangioma and Vascular Malformation in Darker Skin Types. Cureus. 2022;14(6):e25742. doi:10.7759/cureus.25742. https://pmc.ncbi.nlm.nih.gov/articles/PMC9270095/
- 10. Neagoe C, Tutunaru C, Drăgușin L, et al. Treatment of Lower Limbs Telangiectasias with Nd:YAG Laser, Prospective Study on 446 Patients. Curr Health Sci J. 2018;44(3):243-248. doi:10.12865/CHSJ.44.03.06. https://pmc.ncbi.nlm.nih.gov/articles/PMC6311228/