The present invention relates to a medical skin wrinkle improvement device using a peak of a laser pulse wave, and more specifically, to a medical skin wrinkle improvement device using a peak of a laser pulse wave, thereby lowering the degree of carbonization of a skin tissue having the laser irradiated thereon, thus enhancing a skin generation effect and shortening recovery time. The present invention comprises: a main body (100) which has formed on the upper part thereof a holding groove (110) having a tablet computer (200) attached/detached thereto, and which has mounted therein a controller (120) for controlling a hand piece (300) and the tablet computer (200) the hand piece (300) which comprises a laser oscillation unit (320), an optical unit (330) and a laser scanner, the laser oscillation unit (320) generating a laser to be irradiated for skin treatment, the optical unit (330) irradiating, as a parallel light, the laser generated by the laser oscillation unit (320), and the laser scanner adjusting the irradiation location of the laser transferred from the optical unit (330) and the tablet computer (200) which is provided with data input and screen display functions by means of a touch screen method, and which remotely controls the main body (100) through the transmission/reception of a bi-directional wireless signal.
