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Understanding ® The 2 nd generation of Fractional Tx. With CIS-F1.

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Presentation on theme: "Understanding ® The 2 nd generation of Fractional Tx. With CIS-F1."— Presentation transcript:

1 Understanding ® The 2 nd generation of Fractional Tx. With CIS-F1

2 2 What is LASER ? R : of Radiation E : Emission S : by Stimulated A : Amplification L : Light

3 Diagram of a laser

4 Diagram of a laser

5 What makes laser different from other light Sources? ■ Monochromaticity ■ Coherence : the waves are in phase in time and space. ■ Collimation

6 For effective use of laser, For effective use of laser, practitioners practitioners must understand must understand ‘ Laser tissue interaction ’ Laser and Tissue Interaction: Laser targets chromophore

7 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)

8 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. “No Absorption No Effect” 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

9 Laser Tissue Absorption Spectrum 532 nm (KTP) 585 nm (Pulsed Dye) 2940 nm (Er:YAG) 10,600 nm (CO2) Hb HbO nm (Er:Glass)

10 3 Skin Layers

11 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

12 Fractional irradiation Benefit 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. Laser and Tissue Interaction

13 Laser and Tissue Interaction Cytokine GF

14 10mJ, Moving mode (50mm tip) Depth: 230 ㎛ Width: 80 ㎛ ** Slides of porcine skin Skin Tissue Interaction(CIS-F1) 250mJ, Stamp mode (50mm tip) Depth: 1800 ㎛ Width: 150 ㎛ 200mJ, Stamp mode (100mm tip) Depth: 1350 ㎛ Width: 200 ㎛

15 Laser Light Absorbed Target Non absorbed target *Temperature in the absorbed target will rise. Selective Photothermolysis

16 Small Blood Vessels are Typically <450 us Melanosome is Typically <10ns to 100 ns Termal Relaxation Time(TRT)

17 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) Comparison Non-ablative approach Excellent in skin rejuvenation Minimal downtime Require less than 5 Tx. Combination enhancement Prone to dermis Tx. (face volume up effect)

18 –Structural change in Keratinized outer layer (enhance absorption of topicals) –Biomodulation < 40˚C (Activity of cytokine ) –Stimulation of functional cells (Cytokine,GF…) -Termal peeling. -How it works.

19 ▪ Specification Laser sourceRF CO2 Laser Wavelength10600nm Operation modeStamping / Moving (Scanning) Pulse energyStamp: 1-250mJ (Depth: 0.2~1.5mm) Moving: 1-50mJ Pattern sizeHandpiece diameter 30mm tip (microbeam dia. 150 ㎛ ) InterfaceTouch Screen Weight30kg Dimension40(W)x55(D)*90(H)cm CIS-F1

20 Tip length (Focal length) 50mm100mm 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 CIS-F1

21 CIS-F1

22 CIS-F1 User mode - easy to pick up the preset protocol

23 Tailoring the spot pattern ▪ 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 treatment zone

24 [ 16 standard regular forms] Regular forms [ Max. 250mJ per micro dot]

25 30% lidocaine gel is applied on face; occlude for mins with BioMask Cooling and topical anesthesia before “ high energy” procedures

26 Immediate redness after Sellas laser Dr. Gabriel Serrano, Spain Terminology of Laser

27 Stamping mode Dr. Gabriel Serrano, Spain Terminology of Laser

28 Moving mode Dr. Gabriel Serrano, Spain Terminology of Laser

29 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 Factors: Moisturizing / Anti-inflammatory / Revitalization / Sunscreen Post-Care Treatment

30 1.C- Vit serum / Lotion + Factor G Lotion + Moisturizing pack 2.Sun screen 3.Away from excessive heat stimulus such as sauna, hot spa Post CIS-F1 treatment: Immediate care & First week after treatment Post-Care Treatment

31 [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 1.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] Post-Care Treatment

32 1.Renal failure 2. Herpes simplex 3. Acute infection 4.Post thermal injury Contraindication for Sellas

33 Only Sellas can represent “True” 2 nd generation fractional laser! Fast high density delivery Able to tailor stamping shape according to lesional shape Thermal peeling Advantages

34 Terminology of Laser

35 Patient age: 28 (Skin type: IV) After 3 Tx Skin Photo Gallery

36 Patient age: 27 (Skin type: IV) After 3 Tx Skin Photo Gallery

37 Patient age: 27 (Skin type: IV) After 3 Tx Skin Photo Gallery

38 Patient age: 29 (Skin type: IV) After 5 Tx Skin Photo Gallery

39 Patient age: 32 (Skin type: IV) After 3 Tx Skin Photo Gallery

40 Patient age: 32 (Skin type: IV) After 3 Tx Skin Photo Gallery Patient age: 46 (Skin type: IV) After 3 Tx

41 Patient age: 25 (Skin type: IV) After 3 Tx Skin Photo Gallery

42 Thank you. The 2 nd Generation of Fractional Ablative Tx. With CIS-F1 ®


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