Introduction

In aesthetic medicine, understanding the structure of the skin and how different laser wavelengths penetrate to specific depths is essential for optimizing treatment outcomes. Choosing the right device based on laser wavelength penetration depth and target chromophore allows for safer, more effective results. This article will help you scientifically match skin layers with appropriate laser wavelengths and device indications.

Understanding Skin Layer Structure and Thickness

skin layers structure

The outermost layer of the skin is the epidermis, which is avascular and composed of several sublayers arranged from outside to inside: the stratum corneum, stratum lucidum (found only on the palms and soles), stratum granulosum, stratum spinosum, and stratum basale. The integrity, thickness, texture, and hydration level of the epidermis play a crucial role in determining both the appearance and physiological function of the skin.

Beneath the epidermis lies the dermis, a dense connective tissue composed primarily of fibroblasts, collagen and elastic fibers, and extracellular matrix. The upper portion of the dermis, closest to the epidermis, is known as the papillary dermis, while the deeper portion is the reticular dermis, with no distinct boundary between them. The dermis serves as the “lifeline” of the skin, providing essential nutrients to the epidermis.

Between the epidermis and dermis is the basement membrane zone, a critical structure in skin regeneration. In cases of injury or surgery, as long as the wound does not breach the basement membrane or damage the rete ridges embedded in the superficial dermis, the basal layer can complete the repair, allowing the skin to return to its original state without scarring.

The subcutaneous tissue lies beneath the dermis and consists of loose connective tissue and adipose tissue. Fat tissue acts as an energy reserve, provides thermal insulation for body temperature regulation, helps shape body contours, and supports endocrine balance.

The total thickness of the skin (epidermis + dermis + subcutaneous fat) ranges from 4,500 to 10,100 μm (i.e., 4.5–10.1 mm). The typical epidermal thickness is about 100 μm, and the papillary dermis is generally no more than twice the thickness of the epidermis. On the face, the epidermis is even thinner, approximately 60 μm.

thickness of different skin layers

Skin thickness (Layers I–VI): 2.425–4.325 mm, with an average of 3.375 mm

Source: In vivo multiphoton NADH Fluorescence reveals depth-dependent Keratinocyte Metabolism in Human Skin, Biophysical Journal, January 8, 2013.

How to Choose Laser Wavelengths

The Science of Selective Photothermolysis

Theory of Selective Photothermolysis

Skin tissue contains pigments, water, and oxyhemoglobin, each of which absorbs only specific wavelengths of light—a phenomenon known as selective absorption. For example, dye lasers at 595 nm target oxyhemoglobin (red), Nd:YAG lasers at 532 nm target melanin (black), and Er:YAG lasers at 2940 nm target water (colorless). Understanding the absorption wavelengths of each target chromophore is essential for selecting the most appropriate laser treatment device.

Source: Treatment of Hypertrophic and Resistant Port Wine Stains With a 755nm Laser: A Case Series of 20 Patients, Lasers Surg Med. 2009 Aug

Penetration Depth of Common Laser Wavelengths

Penetration depth of lasers of different wavelengths
WavelengthTargetPenetration Depth
1064nm (Nd:YAG)Deep vessels2–8mm
755nm (Alexandrite)Hair/melanin0.9–2.1mm
694nm (Ruby)Melanin0.75mm
595nm (PDL)Hemoglobin0.6–1.2mm
532nm (KTP)Superficial melanin<1mm

Source: Treatment of periorbital wrinkles with 1550- and 1565-nm Er:glass fractional photothermolysis lasers: a simultaneous split-face trial, J Eur Acad Dermatol Venereol. 2011 Jul

Depth of Penetration by Wavelength
Depth of penetration by various lasers

Laser energy also affects penetration:

  1. <10mJ: Superficial dermis (spots, melasma)
  2. 10–20mJ: Mid-reticular dermis (fine lines)
  3. 20–40mJ: Deep reticular dermis (pores, moderate wrinkles)
  4. 40–70mJ: Deeper scars, surgical scars, deep wrinkles

Matching Wavelengths to Laser Equipment and Indications

1. Vascular Lasers

Target Vessel SizeRecommended Wavelength
>3mm (varicose veins)Endovenous 1320nm
1–3mm (leg veins)Long-pulse 1064nm
0.1–1mm (facial vessels)Pulsed Dye 595nm
<0.1mmIPL 540–1200nm

Laser Machines: PicoIris® Pico Laser Machine, RFMStar™ RF Microneedling Machine, Fractional Master™ CO2 Laser Machine
Indications: spider veins, angiomas, rosacea, port-wine stains, vascular scars, psoriasis

Vascular lasers treatment before and after

2. Pigmented Lesion Lasers

TypeWavelength
SuperficialIPL 560nm/640nm
Deep melaninQ-switched 694/755/1064nm

Laser Machines: PicoIris® Pico Laser Machine, Fractional Master™ CO2 Laser Machine
Indications: tattoos, freckles, melasma, lentigines, birthmarks

Pigmented lesion lasers treatment before and after

3. Hair Removal Lasers

DeviceWavelength
GentleLase (755nm)Alexandrite
Diode Laser (800nm)Semiconductor
GentleYAG (1064nm)Nd:YAG
IPL694/755nm

Laser Machines: EosICE® Hair Removal Machines
Indications: axillary, leg, bikini, beard, and facial hair

hair removal laser treatment before and after

4. Resurfacing & Skin Texture Improvement

TypeWavelength
AblativeCO₂, Er:YAG 2940nm
Non-Ablative1550nm Fractional
RejuvenationIPL 560–1200nm, RF

Laser Machines: PicoIris® Pico Laser Machine, RFMStar™ RF Microneedling Machine, Fractional Master™ CO2 Laser Machine
Indications: skin texture, pores, vascular lines, superficial pigmentation

Resurfacing & Skin Texture Improvement laser treatment before and after

5. Skin Tightening & Lifting

ModalityDevices
Radio FrequencyV-Shape PLATINUM®
HIFUMFUpro™

Laser Machines: MFUpro™ Skin Lifting Machine, V-Shape PLATINUM® Face&Body Contouring Machine

Indications: sagging skin, wrinkles, jawline lifting

jawline lifting treatment before and after

6. Body Contouring

TechnologyDevices
HIFUV-Shape PLATINUM®, Ucurve™
CryolipolysisCoolSlimming™

Laser Machines: V-Shape PLATINUM® Face&Body Contouring Machine, Ucurve™ Lipo Laser Machine, CoolSlimming™ Fat Freezing Machine

Indications: abdomen, flanks, thighs, arms

Body Contouring treatment before and after

Conclusion

Understanding how laser wavelengths interact with different skin layers is key to selecting the most effective device for each indication. Whether you’re treating pigmentation, vascular issues, or performing skin rejuvenation, mastering these technical foundations allows for smarter treatment planning and better patient outcomes.