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Published byKaitlyn Barret Modified over 9 years ago
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The 2nd generation of Fractional Tx. With CIS-F1
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What is LASER ? L : Light A : Amplification S : by Stimulated
L : Light A : Amplification S : by Stimulated E : Emission R : of Radiation
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Diagram of a laser
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Diagram of a laser
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What makes laser different from other light Sources?
■ Monochromaticity ■ Coherence : the waves are in phase in time and space. ■ Collimation
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Laser and Tissue Interaction: Laser targets chromophore
For effective use of laser, practitioners must understand ‘Laser tissue interaction ’
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Laser and Tissue Interaction: Laser targets chromophore
Typical chromophores (chromophores’ absorbing laser in tissue): Water (Chromophore of CIS-F1) Hemoglobin and Oxy-hemoglobin Melanin (including Hair)
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Laser and Tissue Interaction
Laser interacts with tissue by absorption, scatter and/or transmission. Grothus Draper Law : Laser application of tissue is based on the absorption. Absorption Transmission Scatter Reflection : 4-7% on skin surface Refraction X V “Laser light must be perpendicular with skin surface to minimize refraction” Without incident angle “No Absorption No Effect”
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Laser Tissue Absorption Spectrum
532 nm (KTP) 585 nm (Pulsed Dye) 2940 nm (Er:YAG) 10,600 nm (CO2) 200 1000 5000 0.1 1 10 100 20000 Hb HbO2 1550 nm (Er:Glass)
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3 Skin Layers
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Laser and Tissue Interaction
Vaporization (>100 ºC) Necrosis & Coagulation (58-85 ºC) Protein Denaturation (> 60 ºC) Photobiomodulation (< 40 ºC) LASER Ablative Laser (CIS-F1) Benefit Injury
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Laser and Tissue Interaction
Fractional irradiation Fractional Tx. delivers multiful micro-beams, which hits the surface of skin in a fractionated manner and allows for fast healing by intact surrounding healthy Tissues. Benefit
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Laser and Tissue Interaction
Cytokine GF
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Skin Tissue Interaction(CIS-F1)
10mJ, Moving mode (50mm tip) Depth: 230㎛ Width: 80 ㎛ ** Slides of porcine skin 250mJ, Stamp mode (50mm tip) Depth: 1800㎛ Width: 150 ㎛ 200mJ, Stamp mode (100mm tip) Depth: 1350㎛ Width: 200 ㎛
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Selective Photothermolysis
Laser Light Absorbed Target Non absorbed target *Temperature in the absorbed target will rise.
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Termal Relaxation Time(TRT)
Small Blood Vessels are Typically <450 us Melanosome is Typically <10ns to 100 ns
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Comparison CIS-F1 Sellas-evo (10600㎛ fractional) (1550㎛ fractional)
CIS-F1 (10600㎛ fractional) Sellas-evo (1550㎛ fractional) Ablative approach Excellent in skin resurfacing More effective on single Tx. Require less than 3 Tx. Combination enhancement Prone to surface of skin Tx. (face lift effect) Non-ablative approach Excellent in skin rejuvenation Minimal downtime Require less than 5 Tx. Combination enhancement Prone to dermis Tx. (face volume up effect)
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Keratinized outer layer (enhance absorption of topicals)
-Termal peeling. -How it works. Structural change in Keratinized outer layer (enhance absorption of topicals) Biomodulation < 40˚C (Activity of cytokine ) Stimulation of functional cells (Cytokine,GF…)
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CIS-F1 ▪ Specification www.sellaslaser.com Laser source RF CO2 Laser
Wavelength 10600nm Operation mode Stamping / Moving (Scanning) Pulse energy Stamp: 1-250mJ (Depth: 0.2~1.5mm) Moving: 1-50mJ Pattern size Handpiece diameter 30mm tip (microbeam dia. 150㎛) Interface Touch Screen Weight 30kg Dimension 40(W)x55(D)*90(H)cm
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CIS-F1 Tip length (Focal length) 50mm 100mm Surgical tip Microbeam
Size 80㎛ 120㎛ Power Higher than 100mm tip applied Lower than 50mm tip applied Application Deep penetration (Deep scar) Skin resurfacing Incision, Cutting, Nevus removal
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CIS-F1
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CIS-F1 User mode - easy to pick up the preset protocol
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Tailoring the treatment zone
▪ Tailoring the treatment zone by drawing on canvas (X-Y scanner). ▪ Customized design is allowed for intensive treatment without excessive damage to surrounding tissues. Tailoring the spot pattern
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Regular forms [ 16 standard regular forms] [ Max. 250mJ per micro dot]
[ 16 standard regular forms] [ Max. 250mJ per micro dot]
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Cooling and topical anesthesia before “ high energy” procedures 30% lidocaine gel is applied on face; occlude for mins with BioMask
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Terminology of Laser www.sellaslaser.com Dr. Gabriel Serrano, Spain
Immediate redness after Sellas laser
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Terminology of Laser www.sellaslaser.com Stamping mode
Dr. Gabriel Serrano, Spain
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Terminology of Laser www.sellaslaser.com Moving mode
Dr. Gabriel Serrano, Spain
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Post-Care Treatment www.sellaslaser.com
Factors: Moisturizing / Anti-inflammatory / Revitalization / Sunscreen Sunscreen above SPF 50 Vitamin C Retinol at night EGF, bFGF, Amino acid, Mineral, Co-enzymes, Necleonic acid Copper peptide, Glyco-protein 1. Fast recovery against PIH after laser treatment (Whitening) 2. Improving skin tone and firmness (tightening). 3. Anti-aging restructuring of skin tissue 4. Post-trauma skin repair
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Immediate care & First week after treatment
Post-Care Treatment Post CIS-F1 treatment: Immediate care & First week after treatment C- Vit serum / Lotion + Factor G Lotion + Moisturizing pack Sun screen Away from excessive heat stimulus such as sauna, hot spa
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Post-Care Treatment [Medical examination and treatment after 1 week
[Medical examination and treatment after 1 week Restart skin care at home Skin Healing or tighten mask as for cosmetic care (propymask, Biomask) [Post CIS-F1 treatment]: Second week after treatment Return to regular skin care: C-Vit Lotion + Factor G lotion (scars) RetiseS / Fillderma System (aging), C-Vit DaeSeS (DMAE) for flaccidity Kojic acid / Alfa lipoic / arbutin (bleaching) JuveSeS Teens / SaliSeS(acne) [Medical examination and treatment after 2 weeks]: Combine treatments Start aesthetic treatment with chemical peel, IPL, RF, Microdermabrasion, electroporation for complementary approach (Antiaging, Whitening, Tightening) [Second visit for CIS-F1 treatment after 4 weeks]
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Contraindication for Sellas
Renal failure 2. Herpes simplex 3. Acute infection 4.Post thermal injury
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Fast high density delivery
Advantages Fast high density delivery Able to tailor stamping shape according to lesional shape Thermal peeling Only Sellas can represent “True” 2nd generation fractional laser!
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PHOTOS (BEFORE/AFTER)
Terminology of Laser PHOTOS (BEFORE/AFTER)
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Skin Photo Gallery www.sellaslaser.com Patient age: 28 (Skin type: IV)
After 3 Tx
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Skin Photo Gallery www.sellaslaser.com Patient age: 27 (Skin type: IV)
After 3 Tx
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Skin Photo Gallery www.sellaslaser.com Patient age: 27 (Skin type: IV)
After 3 Tx
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Skin Photo Gallery www.sellaslaser.com Patient age: 29 (Skin type: IV)
After 5 Tx
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Skin Photo Gallery www.sellaslaser.com Patient age: 32 (Skin type: IV)
After 3 Tx
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Skin Photo Gallery www.sellaslaser.com Patient age: 32 (Skin type: IV)
After 3 Tx Patient age: 46 (Skin type: IV) After 3 Tx
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Skin Photo Gallery www.sellaslaser.com Patient age: 25 (Skin type: IV)
After 3 Tx
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The 2nd Generation of Fractional Ablative Tx. With CIS-F1
Thank you. The 2nd Generation of Fractional Ablative Tx. With CIS-F1
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