The invention relates to a novel medical device for performing laser sweat ablation (LSA) therapy or skin tightening therapy comprising a skin contact member comprising a skin presenting platform of a smooth nature against which skin can smoothly travel and a laser discharge port, which port has a discharge angle between 20° and 60° with respect to the skin contact surface of said platform whereby, in use, laser energy discharging from said port does so at said constant discharge angle whatever the curvature of the skin.