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™ Laser Assisted Reduction of Axillary Hyperhidrosis Breakthrough Hyperhidrosis, a chronic disorder caused by over-activity of the sympathetic nerves, results in excessive sweating of the axilla, hands and feet. Affecting around 2.8% of the population, the social embarrassment caused by hyperhidrosis greatly impacts patients’ quality of life. Laser Treatment for Excessive Sweating 1470 nm – The Sweat Absorbing Wavelength ABSORPTION Eccrine sweat is composed primarily of water (hypotonic saline), sodium, urea and ammonia. It has been discovered that the 1470 nm wavelength has the physical characteristic of high absorption in water and is therefore ideal for soft tissue treatment. 105 104 103 1470 Hemoglobin 102 101 100 10-1 Water 10-2 10-3 10-4 Laser Wavelength (nm) 500 1000 2000 3000 How the Anchor fiber coagulates sweat glands ™ 1. Targeting overactive sweat glands The AnchorTM fiber targets overactive sweat glands identified in the treatment area by the iodine test. 2. Sweat gland ablation The AnchorTM fiber is oriented to thermally ablate sweat glands by the bended laser fiber technology, allowing sweat gland ablation in a safe and efficient manner. 3. Reduction of hyperhidrosis Energy is delivered incrementally to the area until sweat glands are ablated, causing a dramatic reduction in the hyperhidrosis. The improvement is immediate. Minimal invasiveness, maximum results + MIL – Minimal invasive surgery + Advanced technology for precision, + + + + + + + + + Minimally invasive laser treatment of the Axillary Hyperhidrosis comfort and safety Bended laser fiber shooting causing gradual thermal damage to the sweat glands In most cases a single treatment permenantly resolves hyperhidrosis Can be done in outpatient clinics Instant relief from sweat patches on shirts, body odor and additional discomfort symptoms No down time- resume normal activity immediately post treatment Fast and effective treatments No sutures No medications Proven results 5 Steps to Eliminate Excessive Sweating 2 1. Severity Scale Test 2. Iodine Test Using a well established method of Iodine testing - composed of Iodine and stretch powder - the accurate area of excessive sweating is visible and is marked as the treatment area. 3. Tumescent Anesthesia The treatment is being performed under local tumescent anesthesia. 4. AnchorTM fiber targets eccrine glads Combining the correct laser wave length to a hydro lipid environment, with high power density, the fiber is adjusted to the previously marked treatment area to deliver the laser energy radially in cross mode. 5. How does it work? When the AnchorTM fiber delivers the energy to the treatment area, it creates acute damage to the eccrine glad. While the laser fires radially, the surrounding tissue remains unaffected and energy is delivered in a controlled and monitored manner. Continuous measurement of temperature is of great importance in the treated area. Temperature measurement is being done with unique infrared temperature measurement device. Prolonged Dryness Proven Results After 6 months Reduction of sweat-producing areas up to six months after the treatment as measured from treated axillas. Before After Before After Images courtesy of Dr. Alex Levenberg Subdermal laser for axillary hyperhidrosis – which wavelength works best? Yitzchak Ramon M.D. Elisha Hospital, Haifa Israel Background & Objectives: Subdermal laser treatment is a new treatment for axillary hyperhidrosis. The aim of this study was to evaluate the results and complications achieved with 980nm vs. 1470nm wavelength for the treatment of axillary hyperhidrosis. Material and Methods: In 2012 a pilot study was conducted on 7 patients with axillary hyperhidrosis, 3 patients were treated with 980nm laser, 3 patients were treated with 1470nm laser and one patient was treated on one side with 980nm laser in the right axilla and with 1470nm laser on the left axilla. Results: The Subdermal laser axillary hyperhidrosis treatment using either 980nm or 1470nm wavelength laser resulted in significant clinical improvement, although there were more hematoma and longer healing time with the 980nm wavelength laser. Conclusions: Subdermal laser is efficient for the treatment of axillary hyperhidrosis although the healing time was shorter with the 1470nm wavelength. Technical Specification Output Delivery System Laser Type GaAlAs diode laser Wavelength 1470nm±10nm Housing Fiber-coupled diode laser Output Power 1-15W Operation Mode cw, single pulse, repetition pulse Pulse Pulse width: 10µs-1s, Pulse repetition rate: 0.5Hz-10KHz Transmission System Contact: fibers of 400µm, 600µm & 1000µm with SMA905; Non-contact: fibers & tips Aiming Beam Diode laser of 650nm, power 5mW, adjustable brightness Operation Interface Color LCD touch screen Power Supply 230Vac, 5A, 50Hz Laser Class 4 Safety Classification Class Type B Cooling Air About Alma Lasers Alma Lasers develops the widest range of high performance laser, light-based, die-electric heating and ultrasound platforms for surgical, dermatologic and aesthetic applications. For over a quarter of a century, surgeons and medical practitioners worldwide have been relying on the ingenuity and thought leadership of the scientists at Alma Lasers. Our global success is based on our hands-on experience in lasers and light-based medical technology, focus on R&D and product innovation, rapid response to evolving industry demand, together with our close work with the surgeons and medical practitioners who use our products. Please contact us for more information: [email protected] International Headquarters 14 Halamish Street Caesarea Industrial Park Caesarea, Israel 38900 Tel +972-4-627-5357 Fax +972-4-627-5368 [email protected]