Transcript Document
DRAFT CONCEPT 4 Joseph Lepselter, Director Clinical Department March 1, 2012 Face Rejuvenation 4 © כל הזכויות שמורות Décolleté Rejuvenation Photos Courtesy: Fernando Stengel, M.D., Dermatologist, Buenos Aires, Argentina 4 Hand Rejuvenation 4 © כל הזכויות שמורות 4 Program • The aim of the new program is to treat the major photodamaged photoaged face, décolleté and hand-related imperfections - pigmentation, laxity, rhytides and volume, using 4 Harmony XL advanced light and laser technology. Objective • The objective of the 460 rejuvenating program is to remove photodamaged photoaged skin pigmentations and superficial blood vessels, tighten the laxed aged skin, décolleté and the dorsal aspect of the hand Background (I) • Face, décolleté and hands are one of the first parts of the body to show signs of aging because they receive so much exposure. • Sunlight, the elements and the natural aging process all contribute to the development of darkened spots, precancerous growths and a loss of fatty tissue. Background (II) • Veins become much more prominent with deepening color enhancement. The anatomy of the tendon becomes more accentuated. • Skin wrinkles become much more prevalent with the loss of fullness and elasticity in the deep dermal layer. • Intermetacarpal wasting becomes more enhanced with volume loss. Photdamage • The most typical cause of darkened areas of skin, brown spots or areas of discoloration is unprotected sun exposure. Once incorrectly referred to as liver spots, these pigment problems are not connected with the liver. The Aging Face, Décolleté, Hand • Level I – Epidermis – Pigmentation – Vascular lesions • Level II – Dermis – Rhytides – Laxity • Level III – Hypodermis – Laxity 460 Rejuvenation Pigmented/Vascular Lesions Rhytides Laxity Texture, Tone Rejuvenation Modules Dye-SVL iPixel Er:YAG QSW Pixel IMPACT Dye-PL QSW iPixel Er:YAG NIR Modules • • • • Dye-PL NIR Nd:YAG QSW Pixel Er:YAG iPixel • • • • Light 500-600-nm Light 800-1600-nm Laser 1064-nm Laser 2940-nm Modules Intended Use • Dye-PL • NIR • Nd:YAG QSW Pixel • Er:YAG iPixel • Vascular/pigmentati on shading • Topical Heating • Non-ablative skin remodeling • Fractional ablative skin remodeling Dye-PL Indications • Vascular & Pigmented Lesions – port wine stains – facial telangiectasia – Rosacea – Solar lentigenis iPixel Er:YAG Indications • • • • • • Fractional skin resurfacing Fine-lines and wrinkles Skin laxity Scars including acne scars Stretch marks Photodamaged and photoaged skin QSW Pixel Indications • • • • • • Fractional skin resurfacing Fine-lines and wrinkles Skin laxity Scars including acne scars Stretch marks Photodamaged and photoaged skin QSW Pixel Secondary Indications • • • • • • • Crows feet Frontal lines Melasma Deeper dark scars Deeper pigmentation Dark eye circle Unwanted dermal filler / lumps from dermal filler • Rosacea • Telangiectasia NIR Indications • Skin tightening 4 Protocol Day 1 Color + Tightening Day 20 Color +Tightening Dye-PL, NIR QSW, NIR Day 30 Rhytides iPixel Er:YAG Day 50 Color +Tightening Dye-PL, NIR Day 60 Rhytides iPixel Er:YAG Before After 4th txt 3 weeks After 1 Tx Before Before 3 weeks After 1 Tx Before R 3 weeks After 1 Tx Before L 3 weeks After 1 Tx