For doctors and medical centres
Medical treatment indications and referral options
Would you like to know what Fine LaserClinic can mean for your patient? This overview shows our treatment options and referral options per indication group. At our locations in Amsterdam, Amersfoort and Arnhem we offer skin therapeutic and medical-aesthetic treatments, and we select a suitable treatment technique for each patient.
You will read what we can offer for scar concerns, hair and follicle conditions, vascular conditions, pigmentation conditions, benign and premalignant skin conditions, acne and other specialist indications. This gives you a clear picture of what we offer for your patient's complaints.
Every treatment starts with an individual indication assessment. We assess which approach is suitable for your patient. If you include a referral, we gain better insight into your treatment preference and can tailor our approach accordingly. In this way we work together to provide suitable care for your patient.
✓ Standard indication◇ On indication only— No standard treatment or insufficient evidence
Equipment per location
| Equipment / technique | Amsterdam | Amersfoort | Arnhem |
|---|
| Candela GentleMax Pro – alexandrite / Nd:YAG | ✓ | ✓ | ✓ |
|---|
| Fotona StarWalker – Q-switched Nd:YAG | ✓ | ✓ | ✓ |
|---|
| Chemical peels – Mesoestetic | ✓ | ✓ | ✓ |
|---|
| Electrofulguration – SpotAway | ✓ | ✓ | ✓ |
|---|
| Fotona Dynamis – Er:YAG / Nd:YAG | ✓ | — | — |
|---|
| Candela Nordlys IPL | — | ✓ | — |
|---|
| Laser Slim Evolution II – CO2 laser | — | ✓ | — |
|---|
| Velure S5 KTP laser | — | — | ✓ |
|---|
| Microneedling | ✓ | ✓ | ✓ |
|---|
Medical indications
Benign and premalignant skin lesions
| Medical indication | Amsterdam | Amersfoort | Arnhem |
|---|
| Acrochordons / fibromata mollia | ✓ | ✓ | ✓ |
|---|
| Verrucae seborrhoicae | ✓ | ✓ | ✓ |
|---|
| Selected benign epidermal lesions | ✓ | ✓ | ✓ |
|---|
| Actinic keratoses* | ✓ | ✓ | ✓ |
|---|
| Naevus naevocellularis dermalis* | ✓ | ✓ | ✓ |
|---|
*Only after a confirmed medical diagnosis, an appropriate indication assessment and within an established protocol. We do not treat atypical or suspected malignant lesions destructively without diagnostics and referral.
Scars
| Medical indication | Amsterdam | Amersfoort | Arnhem |
|---|
| Atrophic acne scars | ✓ | ✓ | ◇ |
|---|
| Postoperative / surgical scars | ✓ | ✓ | ✓ |
|---|
| Scars after gender-affirming surgery | ✓ | ✓ | ✓ |
|---|
| Scars after mastectomy / breast surgery | ✓ | ✓ | ✓ |
|---|
| Post-traumatic scars | ✓ | ✓ | ✓ |
|---|
| Hypertrophic scars | ✓ | ✓ | ✓ |
|---|
| Erythematous scars (vascular component) | ✓ | ✓ | ◇ |
|---|
| Striae distensae | ✓ | ✓ | ◇ |
|---|
Hair and follicle conditions
| Medical indication | Amsterdam | Amersfoort | Arnhem |
|---|
| Hirsutism, including in PCOS | ✓ | ✓ | ✓ |
|---|
| Hypertrichosis | ✓ | ✓ | ✓ |
|---|
| Pseudofolliculitis barbae | ✓ | ✓ | ✓ |
|---|
| Recurrent ingrown hairs | ✓ | ✓ | ✓ |
|---|
Gender transition
| Medical indication | Amsterdam | Amersfoort | Arnhem |
|---|
| Unwanted hair growth during gender transition | ✓ | ✓ | ✓ |
|---|
| Preoperative hair reduction for gender-affirming genital surgery | ✓ | ✓ | ✓ |
|---|
| Postoperative / surgical scars after gender-affirming / sex reassignment surgery | ✓ | ✓ | ✓ |
|---|
Vascular conditions
| Medical indication | Amsterdam | Amersfoort | Arnhem |
|---|
| Facial telangiectasias | ✓ | ✓ | ✓ |
|---|
| Couperose | ✓ | ✓ | ✓ |
|---|
| Erythematotelangiectatic rosacea | ✓ | ✓ | ✓ |
|---|
| Diffuse facial erythema | ✓ | ✓ | ◇ |
|---|
| Spider naevi | ✓ | ✓ | ✓ |
|---|
| Cherry angiomas / angioma senilis | ✓ | ✓ | ✓ |
|---|
| Telangiectatic leg veins (red veins) | ✓ | ✓ | ✓ |
|---|
| Superficial reticular veins | — | — | — |
|---|
Acne, skin texture and photoageing
| Medical indication | Amsterdam | Amersfoort | Arnhem |
|---|
| Comedonal acne | ✓ | ✓ | ✓ |
|---|
| Mild inflammatory acne (adjunctive) | ✓ | ✓ | ✓ |
|---|
| Post-acne skin texture irregularities | ✓ | ✓ | ✓ |
|---|
| Seborrhoea | ✓ | ✓ | ✓ |
|---|
| Photoaging / dermatoheliosis | ✓ | ✓ | ✓ |
|---|
| Superficial rhytides | ✓ | ✓ | ✓ |
|---|
| UV-induced dyschromia | ✓ | ✓ | ✓ |
|---|
Other specialist indications
| Medical indication | Amsterdam | Amersfoort | Arnhem |
|---|
| Onychomycosis | ✓ | ✓ | ✓ |
|---|
| Traumatic tattoos | ✓ | ✓ | ✓ |
|---|
| Professional and amateur tattoos | ✓ | ✓ | ✓ |
|---|
| Permanent make-up (PMU) | ✓ | ✓ | ✓ |
|---|
Pigmentation disorders
| Medical indication | Amsterdam | Amersfoort | Arnhem |
|---|
| Lentigines solares / seniles | ✓ | ✓ | ✓ |
|---|
| Benign epidermal hyperpigmentation | ✓ | ✓ | ✓ |
|---|
| Post-inflammatory hyperpigmentation (PIH) | ✓ | ✓ | ✓ |
|---|
| Melasma | ✓ | ✓ | ✓ |
|---|
| Naevus of Ota | ✓ | ✓ | ◇ |
|---|
| Naevus of Hori | ✓ | ◇ | ◇ |
|---|
| Café-au-lait macules | ✓ | ✓ | ✓ |
|---|
| Selected dermal pigmentation | ✓ | ✓ | ✓ |
|---|
Literature
A selection of peer-reviewed publications that support the relevant treatment techniques and indication groups.
| Indication group | Treatment modality | Sources |
|---|
| Laser hair removal and follicular conditions | GentleMax Pro: alexandrite 755 nm and Nd:YAG 1064 nm | [1, 2] |
|---|
| Vascular indications | Nd:YAG; KTP and IPL | [3, 4] |
|---|
| Tattoos and dermal pigmentation | StarWalker: Q-switched Nd:YAG | [5, 6] |
|---|
| Scars and skin texture | Er:YAG, CO2 and microneedling | [7, 8, 12, 13] |
|---|
| Benign and premalignant skin lesions | CO₂/Er:YAG for selected lesions; actinic keratoses after diagnosis and according to protocol | [14, 15] |
|---|
| Acne, pigmentation and photoageing | Mesoestetic chemical peels | [9] |
|---|
| Melasma | Dermamelan, TCA, phenol and other chemical peels | [9–11] |
|---|
Selected literature
- Haedersdal M, Wulf HC. Evidence-based review of hair removal using lasers and light sources. J Eur Acad Dermatol Venereol. 2006;20(1):9–20.
- Gan SD, Graber EM. Laser hair removal: a review. Dermatol Surg. 2013;39(6):823–838.
- van Zuuren EJ, Fedorowicz Z, Tan J, et al. Interventions for rosacea based on the phenotype approach: an updated systematic review including GRADE assessments. Br J Dermatol. 2019;181(1):65–79.
- Wat H, Wu DC, Rao J, Goldman MP. Application of intense pulsed light in the treatment of dermatologic disease: a systematic review. Dermatol Surg. 2014;40(4):359–377.
- Bernstein EF. Laser treatment of tattoos. Clin Dermatol. 2006;24(1):43–55.
- Chan HH, Fung WK, Ying SY, Kono T. An in vivo trial comparing the use of different laser wavelengths in the treatment of nevus of Ota in skin types IV–VI. Dermatol Surg. 2001;27(2):161–165.
- Kravvas G, Al-Niaimi F. A systematic review of treatments for acne scarring. Part 2: Energy-based techniques. Scars Burn Heal. 2018;4:2059513118793420.
- Majid I. Microneedling therapy in atrophic facial scars: an objective assessment. J Cutan Aesthet Surg. 2009;2(1):26–30.
- Rendon MI, Berson DS, Cohen JL, Roberts WE, Starker I, Wang B. Evidence and considerations in the application of chemical peels in skin disorders and aesthetic resurfacing. J Clin Aesthet Dermatol. 2010;3(7):32–43.
- Ogbechie-Godec OA, Elbuluk N. Melasma: an up-to-date comprehensive review. Dermatol Ther (Heidelb). 2017;7(3):305–318.
- Sarkar R, Bansal S, Garg VK. Chemical peels for melasma in dark-skinned patients. J Cutan Aesthet Surg. 2012;5(4):247–253.
- Preissig J, Hamilton K, Markus R. Current laser resurfacing technologies: a review that delves into the latest advances in skin resurfacing. Semin Plast Surg. 2012;26(3):109–116.
- Alexiades-Armenakas MR, Dover JS, Arndt KA. The spectrum of laser skin resurfacing: nonablative, fractional, and ablative laser resurfacing. J Am Acad Dermatol. 2008;58(5):719–737.
- Kaufmann R, Hibst R. Pulsed Erbium:YAG laser ablation in cutaneous surgery. Lasers Surg Med. 1996;19(3):324–330.
- de Berker D, McGregor JM, Mohd Mustapa MF, Exton LS, Hughes BR. British Association of Dermatologists’ guidelines for the care of patients with actinic keratosis 2017. Br J Dermatol. 2017;176(1):20–43.
