A phototherapy device, system, and method for treating acne and/or acne scarring, includes a light emitting device configured and arranged to emit light from a bottom surface thereof; and an attachment portion having an aperture therethrough configured to permit light through. The attachment portion is configured to retain the device to a user's skin and bathe the skin with phototherapeutic light from the light emitter. Attachment of the device may be preceded with the application of synergistic fluid, ointment, gel, cream, lotion, foam, soap, or other solutions which may or may not consist of known topical acne treatment agents, augment device attachment to the skin, and/or have photodynamic properties. The light emitted may be any wavelength, combinations of wavelengths, intensity, pulse frequency, and exposure duration.

A combination therapy pad that includes a first layer and a second layer operatively coupled to the first layer. A fiber-optic array is disposed between the first layer and the second layer. A third layer is operatively coupled to the first layer. The third layer includes a vacuum tube in fluid communication with a vacuum source and a therapeutic fluid tube in fluid communication with a therapeutic fluid source. The third layer provides at least one of vacuum therapy and therapeutic fluid treatment to a wound area.

A method and apparatus are disclosed for skin wrinkle removal. After applying a tube encircling a relatively small skin area along the wrinkled line, a set of laser beams will be activated. The laser beams are mounted around the tube, pointing to its center to create a mutual point of irradiation located just below the skin's wrinkle line. Optical energy from lasers is directed to a point under the skin by radiating through the transparent tube. For ease of use, the encircled skin portion is lifted, preferably by vacuum, enabling laser radiation to penetrate under the skin from outside the lifting tube. The apparatus is suitable for treating skin wrinkles by targeting the sub skin melanin without damaging skin surface. The apparatus may also be used for other aesthetic face treatments, including disorders located around the eye. The used laser radiation is in the wavelength region of 1500 to 1800 nm, which is regarded to be eye safe. Other laser wavelength could be used, especially in the 700 nm region with confidence, since most radiation is enclosed within the skin portion on the transparent tube. The treatment energy density level on the skin penetration point is relatively low and thus not harmful to the epidermis. However, heating effect is maximized at the central point just beneath the wrinklewhich causes damage to the collagen. Later on, when healing occurs, the skin will be stretched and wrinkles will be diminished. This technology is less damaging to the skin than that of the prior and targets only the under wrinkle collagen. Statistically, most of the recent clinical trials showed a histological evidence of new collagen formation and significant improvement in facial rhytides. Direct, under the skin irradiation, as in our art, will be less damaging to the skin epidermis yielding improved overall results.