Questions clinics ask about Alma devices

Answers for Australian and New Zealand clinic owners and practitioners: running costs and consumables, payback, genuine versus lookalike devices, darker and tanned skin, training, service, comfort and downtime. Filter by treatment, platform or technology, or ask your Alma representative.

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Pigmented Lesions

  • Both. Harmony XL Pro combines AFT (IPL) applicators, led by Dye-VL for pigmentation and vascular lesions, with laser applicators including ClearLift, ClearSkin Pro, iPixel and LP Nd:YAG.

    The laser applicators are Class 4 and operator rules are set state by state; IPL applicators are regulated separately in some states. Alma Lasers Australia provides clinical training for each applicator.

  • Harmony XL Pro is configured with the applicators the clinic chooses. The range includes ClearLift (Q-switched 1064 nm Nd:YAG with a 532 nm tip), ClearSkin Pro (1540 nm Er:Glass), iPixel (2940 nm Er:YAG), LP Nd:YAG (1064 nm long pulse), the Dye-VL and Dye-SR AFT (IPL) applicators, Speed AFT for hair removal and NIR Face.

    The platform has a single applicator port and can be extended as the clinic grows.

  • Harmony is configurable, so each console is supplied with the applicators the clinic chooses. The current applicator range includes Iris SHR, Iris VL/PL, Iris Dye-SR, Iris Dye-VL, Iris Acne and Iris SR (filtered flash-lamp light); Alma NIR (near-infrared, peak emission 1300 nm) for skin laxity; ClearLift Pro (Q-switched 1064 nm Nd:YAG, with a KTP tip for 532 nm); ClearSkin Pro (1540 nm Er:Glass); ClearVas (long-pulsed 1064 nm Nd:YAG); SupErb (2940 nm Er:YAG); and VascuPen (520 ±10 nm green diode).

    Availability of individual applicators in Australia should be confirmed with Alma Lasers Australia, which can help a clinic choose a configuration around the treatments it plans to offer.

  • Yes. Harmony separates vascular work into field, deeper and focal roles. Iris Dye-VL (500–600 nm) and Iris VL/PL (540–950 nm) provide field-based light for vascular lesions. ClearVas is a long-pulsed 1064 nm Nd:YAG laser for vascular lesions where a deeper target is involved. VascuPen is a 520 ±10 nm green diode laser for focal vascular lesions where individual vessels can be identified.

    The right applicator depends on the vessel type and the patient, and suitability is always assessed by the treating practitioner. Available applicators depend on the configuration purchased.

  • Alma Harmony is a configurable laser and light platform, so IPL is one part of the system rather than the whole of it. Its Iris applicators use filtered flash-lamp light (AFT): Iris Dye-VL (500–600 nm) for vascular and pigmented lesions and aged or photodamaged skin, Iris Dye-SR (550–650 nm) for pigmented lesions, Iris SR (570–950 nm) for pigmented lesions and photoageing, Iris VL/PL (540–950 nm) for vascular lesions, Iris Acne (420–950 nm) for acne vulgaris and Iris SHR (650–950 nm) for unwanted hair.

    Alongside the light applicators, Harmony can be configured with Q-switched and long-pulsed Nd:YAG, 1540 nm Er:Glass, 2940 nm Er:YAG, green diode and near-infrared technologies. The console is supplied with the applicators purchased, and Alma Lasers Australia provides installation, clinical training and service.

  • Soprano combines wavelengths including 1064 nm, which is the wavelength used for hair removal on darker skin, and its in-motion delivery heats the follicle gradually with contact cooling, which lowers the risk of surface heating. For skin rejuvenation on darker skin, Harmony XL Pro’s ClearLift works below the surface without ablating it. Alma Lasers Australia trains practitioners on protocols for Fitzpatrick IV to VI, including test patches, fluence selection and sun-exposure history, which matters in Australia’s high-UV environment.

    Suitability is always assessed by the treating practitioner.

  • Harmony XL Pro is a single platform that runs many applicators, so a clinic can start with the applications it books most, for example ClearLift for skin rejuvenation and Dye-VL for pigmentation and vascular lesions, and add applicators later as the treatment menu grows. One chassis, one training pathway and one service relationship cover a wide range of skin indications, which keeps capital spread across more billable treatments.

    Alma Lasers Australia installs and trains on every applicator and can advise which combination suits your patient mix.

  • For most Australian clinics a Q-switched nanosecond laser does the job, and the honest answer depends on what you will actually treat. Picosecond lasers deliver pulses roughly a hundred times shorter, which fragments ink and pigment more finely with less heat in the surrounding tissue. That is a genuine advantage on stubborn residual tattoos, some green and blue inks, and on patients where thermal side effects are the main worry. It also comes at a materially higher purchase price and, on most platforms, as a single-purpose device.

    Q-switched Nd:YAG at 1064nm and 532nm remains the workhorse for black and dark inks, red and orange inks, sun spots, freckling and dermal pigment, which between them are the large majority of cases that walk into a clinic. On Alma Harmony that is the ClearLift Pro applicator, one module on a platform that also runs vascular, acne, IPL, non-ablative and ablative treatments. The practical decision is volume: a clinic doing a few tattoos a week alongside skin work is better served by a platform with a Q-switched applicator than by a dedicated pico machine that sits idle between tattoo appointments.

  • Yes, but melasma should not be treated like an ordinary pigmented lesion, and clinics that do make it worse. Melasma is a chronic, relapsing condition driven by hormones, heat and ultraviolet exposure. The melanocytes are overactive rather than simply overloaded, so the aggressive settings that clear a sun spot in one pass tend to provoke it, and rebound hyperpigmentation weeks later is a common outcome. Heat alone is a trigger, which makes IPL and aggressive ablative resurfacing poor first choices.

    What works better is restraint: low-fluence Q-switched approaches, sessions spaced generously, strict daily broad-spectrum sun protection, and an honest conversation before the first treatment that melasma is managed rather than cured. Clinics that set that expectation keep melasma patients for years. Clinics that promise clearance lose them after two sessions.

  • AFT (Advanced Fluorescence Technology) is Alma’s form of IPL, delivered on Alma Harmony through the Iris Dye-VL applicator for pigmentation and vascular lesions (Dye-VL on Harmony XL Pro). A standard IPL flashlamp emits a broad spectrum and then discards the short wavelengths with a cut-off filter, which wastes energy and forces higher peak power to reach the target. AFT adds a fluorescent conversion layer that recycles those short wavelengths into the therapeutic band instead of discarding them, so more usable light reaches the target at lower peak power, with a flatter spectrum and consistent output pulse to pulse. Equal Distribution of Fluence holds the energy steady across the pulse rather than spiking at the start. Together these support consistent output from pulse to pulse, and suitability for each patient is assessed by the treating practitioner. Systems supplied by Alma Lasers Australia come with training and service from Alma Lasers Australia.

  • Yes. Q-switched Nd:YAG lasers and intense pulsed light are among the most studied technologies in aesthetic medicine for pigmentation, with decades of published evidence, and Alma’s implementations on Harmony carry their own clinical studies, including work on melasma with ClearLift. Alma Lasers Australia’s training covers the part the studies stress most: correct assessment of skin type and lesion type before treatment, because outcomes and safety on pigmentation depend on the diagnosis as much as the device.

  • No. Q-switched Nd:YAG, ClearLift, Pixel erbium and CO2 are lasers. AFT is intense pulsed light, a broad spectrum filtered to the wavelengths that pigment absorbs, and it is the applicator most Australian clinics reach for first on sun-damaged skin because it treats the whole area rather than spot by spot. Having both on one Harmony platform is the point: a therapist can clear diffuse pigmentation with AFT and then treat the stubborn individual lesions with the Q-switched laser in the same appointment.

  • Four, chosen by the depth and type of pigment. Q-switched Nd:YAG at 1064 and 532 nm on Alma Harmony breaks up discrete pigmented lesions and is the workhorse for freckles, lentigines and some birthmarks. AFT, Alma’s refined intense pulsed light, treats diffuse sun damage and mottled pigmentation across a whole face or chest in one pass. ClearLift, the fractional non-ablative Q-switched applicator, works on deeper pigment and melasma with no downtime. For textured sun damage, Pixel erbium and Alma Hybrid CO2 resurfacing remove pigment along with the damaged surface. Most Australian clinics run these from a single Harmony platform.

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