Alma Harmony XL PRO Included Handpieces & Pulse Counts: ClearLift 4D Q-switched Handpiece (Award winning, highly effective skin rejuvenation with no downtime and virtually painless, & Tattoo Removal) = 177,780 Pulses, Dye VL Handpiece (Pigment & Vascular Lesions) = 71,402 Pulses; Also Includes: Footswitch, Operator Eyewear, Patient Eyewear, Key, Water Refill Kit, Operator Manual.