CoolTouch Varia Overview

cooltouch varia laser vein removal

The CoolTouch Varia laser in San Diego is a highly effective long-pulsed laser system used in the treatment of veins, fine lines, and wrinkles, as well as hair removal. The dermatologists at CLDerm often use the CoolTouch Varia laser to treat patients with the following conditions:

If you are living with unwanted facial veins, leg veins, fine lines, or unwanted hair, contact the laser experts at Cosmetic Laser Dermatology in San Diego to see if the CoolTouch Varia laser treatment is right for you.

What Does CoolTouch Varia Treat?

Spider Veins

When treating your unwanted spider veins on your face and/or legs, our dermatologists will use the CoolTouch Varia to target the visible blood vessels and diminish their appearance. Our specialists will adjust the spot size of the laser depending on the size of the area being treated to ensure only the unwanted veins are targeted and no surrounding tissue is damaged. The 1064 nm wavelength light is absorbed by the blood vessel and causes it to stop working. Your body then absorbs the unnecessary vein and it is no longer visible. The CoolTouch Varia is a great alternative to sclerotherapy.

Hair Removal

The CoolTouch Varia is good for treating unwanted hair in small areas like the face, underarm, or bikini region. The non-invasive procedure has no downtime, produces long-lasting results, and the built-in cooling system keeps the pain of this treatment minimal.

Fine Lines & Wrinkles

CoolTouch Varia is a non-invasive way to attain younger-looking skin in San Diego. The long-pulsed laser stimulates collagen cells during treatment and the results gradually improve over time as your skin continues to produce more collagen. There is no downtime and it is often a great option for treating fine lines and wrinkles around the mouth, eyes, and cheeks.

What to Expect

CoolTouch Varia Treatment

During a CoolTouch Varia treatment, light energy is delivered through a special handpick to the targeted vein. This energy is then absorbed by the blood vessels. The heat and energy absorption causes the blood vessels to clog and to become slowly absorbed by the body.

The CoolTouch Varia is a long-pulsed laser that specifically targets the treatment area without damaging the surrounding skin. Because of that, CoolTouch Varia is safe to use on patients of all skin tones. There is little to no discomfort after the laser treatments. In some cases, patients may experience some swelling, redness or blistering, and the skin might feel tender for a few days. However, applying ice to the treated area can help to minimize swelling and inflammation. Our doctors in San Diego will answer any post-procedure questions you may have.

Read our pre/post treatment guidelines for CoolTouch Varia.

During Your CoolTouch Varia Procedure:

  • Your eyes will be protected with metal goggles.
  • Topical or injected numbing is not used with this treatment.
  • You will feel the sensation of heat (similar to a “rubber band snapping” against your skin).

After The Procedure

  • Redness and swelling are to be expected immediately after the treatment. Swelling can vary from no swelling at all to significant swelling and can last from several hours up to a week or longer.
  • There is the possibility that one or more of the vein(s) being treated will appear larger and darker for a few days after treatment. This usually subsides within a week, but in most patients, the vein goes away immediately after treatment.
  • The treated area may be sore or tender after treatment. This usually subsides in a few hours but if it persists you can take Tylenol or Ibuprofen.
  • If necessary, ice packs can be applied to the treated area the day of the procedure will help reduce the heat sensation and minimize swelling. Use a handkerchief under the ice pack when applied on the skin.
  • Swelling typically peaks at 12-48 hours. If treatment was performed on your face, sleeping with your head slightly elevated for the first night will help minimize swelling.
  • It is possible you may get a bruise immediately after the treatment or within 1-2 days after the treatment. If bruising occurs, it can take 3-10 days to resolve.
  • Apply sunscreen with zinc oxide and/or titanium dioxide daily. Protect the treated area from sun exposure (hat, sunglasses, sunscreen, etc).
  • It is ok to shower and/or wash the treated area on the day of the procedure.
  • It is ok to gently cleanse the face, as well as use skin products and makeup.
  • It is always a possibility that you may not get the desired results after one treatment. Additional treatments may be necessary to achieve desired results.
  • Follow any additional specific post-treatment instructions from your physician.
  • Follow up with your physician in as needed.


CoolTouch Varia Results
Before and After CoolTouch Varia on the Face
CoolTouch Varia Around the Eyes
1 Month After CoolTouch Varia
Removal of visible veins underneath the eye using the CoolTouch Varia by Dr. Groff
Removal of visible veins underneath the eye using the CoolTouch Varia by Dr. Groff
Removal of visible veins underneath the eye using the CoolTouch Varia by Dr. Groff
Mole removal using CoolTouch Varia by Dr. Wu
Cooltouch Varia laser to remove bulging temple veins by Dr. Fabi


CoolTouch Varia to Remove Facial Veins with Dr. Groff (0:59)
Temple Vein Reduction with CoolTouch Varia (1:41)
Treating Facial Veins with Dr. Groff (3:05)
CoolTouch Varia Treatment with Dr. Groff (1:39)
Cooltouch Varia to Temples with Dr. Wu (0:46)


Q: Is the CoolTouch Varia treatment painful?

A: Because of the cooling spray applied before treatment, the pain associated with the laser treatment is minimal. Patients may feel a slight snapping sensation as the laser hits the skin, but there is rarely any pain felt after treatment. If concerned about pain, discuss your concerns with your doctor during your consultation and they will be able to answer all of your questions.

Q: How long does treatment take?

A: A CoolTouch Varia treatment session is typically only a 20-30 minute appointment. With only a few sessions necessary to see optimal results, CoolTouch Varia is a great option for busy individuals.

Q: How many treatments does it take to see results?

A: The number of treatments can vary based on several factors including the size and depth of the vein. Usually multiple treatments (2-5) are require to produce pleasing results.

Q: How much does a San Diego CoolTouch Varia treatment cost?

A: Cost of the laser treatment will depend on the individual case. Because the laser can be used to treat a variety of conditions, one flat rate is not available. Call us today to discuss your unique case and to get more information.

Q: Who should perform a CoolTouch Varia laser treatment?

A: You should only undergo laser treatments that are performed by a highly experienced, board-certified dermatologist like those here at CLDerm Cosmetic Laser Dermatology in San Diego. Every one of our doctors is an expert in laser treatments and has a very high success rate.

Q: Is CoolTouch Varia safe?

A: When performed by a laser expert, the CoolTouch Varia laser is a very safe procedure. It is indicated for use on all skin tones and typically produces little to no side effects. Please feel free to discuss any concerns you may have with your doctor during your consultation.

Q: What causes facial veins?

A: We do not know all of the causes of facial veins, but they are often related to heredity, sun exposure, oral contraceptives, hormone therapy or the aging process. Facial veins can also be related to rosacea, another treatable skin condition.

Q: What are spider veins?

A: Spider veins are very small and usually red or blue in color. They are much closer to the surface compared to varicose veins. They can look like a thin red line, tree branches or a spider web. Spider veins can be found on the legs, face, and may cover a small or large area.

Q: Do facial vein treatments hurt?

A: In general pain is minimal. Many patients say the laser treatment feels like the snap of a rubber band on the skin as the pulses of energy are delivered. If you want, a topical anesthetic can be applied to further reduce the amount of pain. After the treatment, the pain is minimal to nonexistent.

Q: Will the veins return after a laser treatment?

A: Optimal results can be maintained if you apply sunscreen to the treated area and avoid excessive sun exposure. Over time it is possible for new veins to grow in, but these too can be treated and erased.

Other Options

cooltouch ctev spider vein treatment sd

If you’re suffering from problematic veins, the specialists at CLDerm offer additional options for vein removal. Among our most popular and successful procedures include the following:


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The information available on this website is provided for informational purposes only. This information is not intended to replace a medical consultation where a physician's judgment may advise you about specific disorders, conditions and/or treatment options. We hope the information will be useful for you to become more educated about your health care decisions.

*Free consultations are available with Drs. Butterwick, Groff, Wu, Boen, and Leysin Fletcher, PA-C. General Dermatology consultations are subject to a fee.