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Rex Moulton-Barrett, MD    Moulton-    Lisa Derita, RN   Alameda & Brentwood CA             Brentwood,                 200...
BBL – BroadBand Light
Twin-Lamp Technology• Lamp-life decrease as driven to higher energies  Lamp-      p                             g        g...
BBL™Large 15 X 45mm treatment area& smaller 15 X 15mm adapter> 300,000 Pulses/ dual-lamp7 FiltersIntegrated Skin CoolingHi...
BBL Interchangeable Filters                7 Filters (nm)                    – 420 - Blue light                    – 515 -...
Procedures• Skin Tightening• Hair Removal• Epidermal Pigmented Lesions• Junctional Pigmented Lesions• Dermal Pigmented Les...
Controlled Cooling By Degree• Cold sapphire crystal maintains cool treatment zone• S t  System accurately sets temp. from ...
BBL Treatment  before                           after 1tx     Photos courtesy of Michael Gold, MD
BBL Treatment
BBL Treatment
BBL Treatment
BBL Treatment
SkinTyteTM FDA Clearance• selective photocoagulation of soft tissue• with a integral thermo-electric cooler               ...
Collagen Remodeling & Contraction• Thermally injure a dermal region• Initiates wound healing response• Stimulates fibrobla...
Treatment Expectations• Expect subtle changes that can vary  from immediate improvement to  subtle results• Variable Facto...
Sciton SkinTyte      Using a controlled thermal profileSkin is cooler at the surface.Its temperature depends on the enviro...
Sciton SkinTyte Chilled Sapphire Plate                                                     12°C            Epidermis      ...
Sciton SkinTyteChilled Sapphire Plate                                                       12°C           Epidermis      ...
Sciton SkinTyte• Denatures collagen causing immediate contraction• Activates collagen generating fibroblasts leading to  l...
Treatment Guidelines• Multiple Passes: Up to 5• Moderate fluences : 40 – 45 J/cm2• Pulse Width: 5 seconds• Cooling : 12°C ...
SkinTyte treatmentPre     before              Postx’s at 1 month intervals                             3 x’3tx          Ph...
SkinTyte treatment  before               after 3 monthly treatments     Photos courtesy of Jason Pozner, MD
SkinTyte treatment     yBefore      Immediately After
SkinTyte treatment Before      Immediately After
SkinTyte treatment      yUntreated hand   Immediately After Treatment
Spot Size ComparisonsSciton SkinTyte       -A-         -T-         -C-         -S-  15 X 45mm       16 X 40mm   17 X 17mm ...
Treatment Time Comparisons           Spot Size     Cycle Time     Handpiece         Passes        Total Tx Time for       ...
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Bbl

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Bbl

  1. 1. Rex Moulton-Barrett, MD Moulton- Lisa Derita, RN Alameda & Brentwood CA Brentwood, 2007 Sciton ProfileBroad Band Light: BBL g
  2. 2. BBL – BroadBand Light
  3. 3. Twin-Lamp Technology• Lamp-life decrease as driven to higher energies Lamp- p g g• BBL uses two lamps supplying half of the energy needed. needed• Unlimited shots under warranty. Lamps
  4. 4. BBL™Large 15 X 45mm treatment area& smaller 15 X 15mm adapter> 300,000 Pulses/ dual-lamp7 FiltersIntegrated Skin CoolingHigh Power - up to 30 J/cm2Wide pulse width range - to 200msRapid TreatmentAvailability Module for Profile 110V Tabletop BBLs
  5. 5. BBL Interchangeable Filters 7 Filters (nm) – 420 - Blue light – 515 - Pigment – 560 - Vascular & Pigment g – 590 - Vascular & Hair – 640 - Vascular & Hair – 695 - Hair – ST - Collagen Remodel
  6. 6. Procedures• Skin Tightening• Hair Removal• Epidermal Pigmented Lesions• Junctional Pigmented Lesions• Dermal Pigmented Lesions• Vascular Lesions• Photorejuventation• Acne Photodynamic therapy
  7. 7. Controlled Cooling By Degree• Cold sapphire crystal maintains cool treatment zone• S t System accurately sets temp. from 0ºC to 30ºC t l t t f t – Skin surface temperature changes of 4ºC can cause immediate differences in the clinical response• Temperature delivery is consistent = safety & comfort 560 nm filter 12 J/cm2 applied for 10 ms no treatment
  8. 8. BBL Treatment before after 1tx Photos courtesy of Michael Gold, MD
  9. 9. BBL Treatment
  10. 10. BBL Treatment
  11. 11. BBL Treatment
  12. 12. BBL Treatment
  13. 13. SkinTyteTM FDA Clearance• selective photocoagulation of soft tissue• with a integral thermo-electric cooler thermo-• cooling epidermis prior to, during and to after treatment reduces discomfort• minimizes thermal injury to non-target non- skin and skin structures.
  14. 14. Collagen Remodeling & Contraction• Thermally injure a dermal region• Initiates wound healing response• Stimulates fibroblast activity• Denatured collagen leads to contraction• Create collagen remodel or replacement
  15. 15. Treatment Expectations• Expect subtle changes that can vary from immediate improvement to subtle results• Variable Factors –Technique –Patient’s Degree of Laxity Patient s
  16. 16. Sciton SkinTyte Using a controlled thermal profileSkin is cooler at the surface.Its temperature depends on the environment. Room temperature 28°C - 32°CEpidermisDermis 37°C Body temperature
  17. 17. Sciton SkinTyte Chilled Sapphire Plate 12°C Epidermis Dermis 37°C The plate temperature setting BBL s BBL’s Sapphire Chilling plate precisely determines the new thermal gradient fixes the surface temperature.
  18. 18. Sciton SkinTyteChilled Sapphire Plate 12°C Epidermis Dermis 55°C A subsurface layer is briefly heated Then is cooled. cooled heated. SkinTyte elevates subsurface temperature temperature.
  19. 19. Sciton SkinTyte• Denatures collagen causing immediate contraction• Activates collagen generating fibroblasts leading to long-term remodelingEpidermisDermis
  20. 20. Treatment Guidelines• Multiple Passes: Up to 5• Moderate fluences : 40 – 45 J/cm2• Pulse Width: 5 seconds• Cooling : 12°C 12°• Post Cooling: 2 seconds• Treating to a visible, immediate endpoint p• Immediate tightening• Erythema
  21. 21. SkinTyte treatmentPre before Postx’s at 1 month intervals 3 x’3tx Photos courtesy of Jason Pozner, MD
  22. 22. SkinTyte treatment before after 3 monthly treatments Photos courtesy of Jason Pozner, MD
  23. 23. SkinTyte treatment yBefore Immediately After
  24. 24. SkinTyte treatment Before Immediately After
  25. 25. SkinTyte treatment yUntreated hand Immediately After Treatment
  26. 26. Spot Size ComparisonsSciton SkinTyte -A- -T- -C- -S- 15 X 45mm 16 X 40mm 17 X 17mm 10 X 15mm 8 X 12mm 6.75cm2 6.4cm2 30 2 3.0cm 1.5cm2 1.0cm2
  27. 27. Treatment Time Comparisons Spot Size Cycle Time Handpiece Passes Total Tx Time for (cm2) (sec) placement 400cm2 (min) (sec)Sciton 6.75 6.0 1.0 4 27.7 (Website) -A- 6.40 10 1.0 4 (Derm 45.8 Times, March 2006) -T- 3.0 1.9 1.0 5 32.2 (Consensus (Co se sus Guidelines) -C- 1.5 8.0 1.0 4 160.0 (Bunin White Paper) -S- 1.0 0.83 1.0 4 (Sleightholm 97.6* white paper) *Accounts for recommended 50% overlap. Ref: Syneron webinar: 7-06

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