The present invention provides a handpiece for optical treatment. In one embodiment, the handpiece for optical treatment comprises: a cylindrical body part that can be held by a user; an ultrasonic generation part provided at one end of the body part so as to emit ultrasonic waves at a treatment area, thereby raising the temperature of the treatment area to a set temperature; a laser emission part which is provided within the body part and which emits a laser at the treatment area; and a housing which is coupled to the front end of the ultrasonic generation part, and in which a medium for transmitting the ultrasonic waves to the treatment area is accommodated, wherein the ultrasonic generation part can include a frame, which is coupled to the top of the housing and has a through hole through which the laser passes, and an ultrasonic element coupled to the frame.