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Joseph Lepselter, Director Clinical Department

March 1, 2012

DRAFT CONCEPT

©כל הזכויות שמורות

Face Rejuvenation

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Photos Courtesy: Fernando Stengel, M.D., Dermatologist,Buenos Aires, Argentina

Décolleté Rejuvenation

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Hand Rejuvenation

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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.

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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 RejuvenationPigmented/Vascular Lesions

Laxity

Texture, Tone

Rhytides

Rejuvenation Modules

Dye-SVL

QSW Pixel

IMPACT

iPixel Er:YAG

iPixel Er:YAG

QSW

Dye-PL

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/pigmentation 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

Protocol

Day 1 Color + Tightening Dye-PL, NIR

Day 20 Color +Tightening QSW, NIR

Day 30 Rhytides iPixel Er:YAG

Day 50 Color +Tightening Dye-PL, NIR

Day 60 Rhytides iPixel Er:YAG

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Before After 4th txt

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Tx

Before

3 weeks After 1 Tx

Before R 3 weeks After 1 Tx

Before 3 weeks After 1 TxL