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DRAFT CONCEPT
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Joseph Lepselter, Director Clinical Department
March 1, 2012
Face Rejuvenation
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© ‫כל הזכויות שמורות‬
Décolleté Rejuvenation
Photos Courtesy: Fernando Stengel, M.D., Dermatologist,
Buenos Aires, Argentina
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Hand Rejuvenation
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© ‫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
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Dye-PL
NIR
Nd:YAG QSW Pixel
Er:YAG iPixel
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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
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Fractional skin resurfacing
Fine-lines and wrinkles
Skin laxity
Scars including acne scars
Stretch marks
Photodamaged and photoaged skin
QSW Pixel Indications
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Fractional skin resurfacing
Fine-lines and wrinkles
Skin laxity
Scars including acne scars
Stretch marks
Photodamaged and photoaged skin
QSW Pixel Secondary Indications
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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
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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