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I figured that a wee hole in a wooden spatula would mask off much of the energy, that is not required, for small targets. I tried this idea my wife and it worked! I wrote an article about it here.
The good thing about this idea is that it allow for higher than usual fluences and/or longer pulses, without damaging the skin, since much of the energy is blocked (it is absorbed by the stick).
Mike’s Blog Posts 336