Rex Moulton-Barrett, MD Plastic & Reconstructive Surgery San Leandro Surgery Center

Single Treatment Recovery Fraxel™MicroLaserPeel™ Fraxel is a trademark of Reliant Technoloies Inc., MicroLaserPeel is a trademark of Sciton Inc. Immediately after each treatment Fraxel: 1550nm wavelength, 100 um spot, 250 spots/cm2=25% density, 350 um depth, 1 pass Several months later MLP performed: 2 passes at 25um: 50um total depth

Single Treatment Recovery Fraxel™ MicroLaserPeel™ Fraxel is a trademark of Reliant Technoloies Inc., MicroLaserPeel is a trademark of Sciton Inc. 5 days after treatment

Botox - Asian Pt. Sciton Laser Resurfacing Before Treatment - Relaxed 3 Mths. After - Relaxed   Note: No Transition Color Changes Photos courtesy of Kent Remington, MD

Upper Blepharoplasty Sciton Resurfacing Before Treatment “6” Days After   Photos courtesy of Kent Remington, MD

BBL – BroadBand Light

BBL Interchangeable Filters 7 Filters (nm) –420 - Blue light –515 - Pigment –560 - Vascular & Pigment –590 - Vascular & Hair –640 - Vascular & Hair –695 - Hair –ST - Collagen Remodel

Collagen Remodeling & Contraction Thermally injure a dermal region Thermally injure a dermal region Initiates wound healing response Initiates wound healing response Stimulates fibroblast activity Stimulates fibroblast activity Denatured collagen leads to contraction Denatured collagen leads to contraction Create collagen remodel or replacement Create collagen remodel or replacement

Epidermis Dermis SkinTyte elevates subsurface temperature. A subsurface layer is briefly heated. Then is cooled. Sciton SkinTyte Chilled Sapphire Plate 12°C 55°C

Epidermis Dermis Denatures collagen causing immediate contraction Activates collagen generating fibroblasts leading to long-term remodeling Sciton SkinTyte

SkinTyte treatment Before Immediately After

Untreated hand Immediately After Treatment SkinTyte treatment