Photofacial treatments using intense pulsed light are said to remove spider veins and age spots, but are uncomfortable for the patient. The apparatus shown uses a TECA Model TLC-700 Peltier based liquid chiller to cool the tip of the hand piece which rests on the skin area under treatment. This enhances the comfort of the patient; allowing for a better quality treatment. The chiller is a closed loop system so no water gets on the patient or the instruments. Water temperature is closely adjustable over a wide range.