Dr. Darm Revlite Technical Overview
This multi-purpose laser provides industry-leading treatments for skin resurfacing (including wrinkle reduction and acne scar treatment), multi-color tattoo removal, vascular, dermal and epidermal pigmented lesion removal, and hair removal — for all skin types.
RevLite® features a proprietary variation of the PhotoAcoustic engineering pioneered by HOYA ConBio nearly two decades ago with the original MedLite Q-Switched Nd:YAG lasers. The hallmark of PhotoAcoustic technology is high peak power and short pulse duration. This generates a PhotoAcoustic action against the target molecule, whether it's collagen, tattoo ink or pigment. Forcing energy at such a high rate, the molecules vibrate and shatter, without any harm to the surrounding skin. This PhotoAcoustic action is different from the traditional photothermal effect that many lasers use to target chromophores with bulk heat. A flat-top beam profile delivers high energy evenly over the skin's surface, which significantly minimizes epidermal injury. RevLite takes this PhotoAcoustic action one step further with PhotoAcoustic Technology Pulse (PTP) — a unique dispersion of maximum energy that delivers very narrow pulse widths at up to 60 percent more power. The unique nanosecond pulse configuration cause a dual collagen stimulation action -- delivering both a PhotoAcoustic effect and a subtle photothermal effect from the pulse delivery. Aesthetic treatments with RevLite are safe, patient-friendly and require no downtime, epidermal cooling or messy gels.
Anti-Aging Maintenance™
RevLite is a safe, fast, effective method for skin rejuvenation, whether used as a one-time treatment or as part of an ongoing Anti-Aging Maintenance regimen. The PhotoAcoustic "shockwaves" reorganize the skin's collagen into parallel arrays of compact fibers, giving skin an overall tightening and inducing ongoing dermal remodeling, without any downtime or messy cooling gels. In a recent clinical study of patients treated with the RevLite over 6 bi-weekly sessions, the PTP mode showed superior results in improving wrinkle amount and depth, appearance of pores, number of whiteheads and skin laxity-- with significantly lower patient discomfort than standard Q-switched technology. After an initial treatment series of 6 to 8 sessions, doctors report that patients frequently opt to come in for monthly or quarterly "touch up" sessions to maintain smooth, radiant, younger-looking skin — while continuing to build collagen long-term.
Tattoo Removal
RevLite is built on the same foundation as the MedLite, known as the goldstandard device for multi-color tattoo removal. RevLite harnesses high peak power to gently shatter the tattoo ink particles, which are gradually removed by the body's natural processes. Optional MultiLite handpieces allow physicians to convert RevLite's 532 nm wavelength to either 585 nm or 650 nm. Including the core 1064 nm setting, that's a total of four wavelengths to tackle multi-color tattoos. Award-winning, proven technology treats even stubborn tattoos with virtually no risk of scarring or pigment changes.
Epidermal & Dermal Pigmented Lesions
RevLite's multiple wavelengths make it ideal for treating a wide variety of pigmented lesions on all skin types, including brown "age" spots, solar lentigines, café-au-lait lesions, melasma, Nevus of Ota and aberrant Mongolian Spot. Most lesions can be removed quickly with little to no risk of hypopigmentation.
Acne Scar Reduction
The nonablative skin resurfacing benefits of the RevLite are ideal for treatment of acne scars, providing immediate and long-term benefits. Clinical studies† show that Q-Switched Nd:YAG treatment of mild to moderate atrophic acne scars showed a significant improvement in skin smoothness of 23% after one treatment, increasing to 39.2% six months later. Patients see visible improvement in less than five sessions.
Hair Reduction
Safe for all skin colors and even tanned skin, RevLite
Humanity’s fascination with body art has been with us for millennia. Although most patients are pleased with the appearance of their tattoos, patient surveys have shown that these decorative markings are sometimes obtained impulsively, before the age of 18 or while under the influence of alcohol or recreational drugs. It is therefore not surprising that many will eventually come to regret their decision. These patients may report feelings of embarrassment, low self-esteem, and stigmatization associated with their tattoos, and many will seek removal.
QS laser treatment may effectively remove various kinds of unwanted tattoos. The laser surgeon must be educated in the nuances of laser tattoo removal to ensure safe and effective treatment. Tattoo removal was revolutionized with the invention of the laser, and the continued refinement of this technology has led to better and more-predictable outcomes, but further research is needed regarding the safety of tattoo pigments and the breakdown products formed with exposure to laser lightازالة الوشم والمكياج الدائم باليزر
THE ART OF NON SURGICAL SKIN REJUVENATION. MULTIPLE APPROACHESOsama Moawad
The sudden explosion in recent years of nonsurgical
rejuvenative techniques is patient-driven. The modern
patient, man or woman, desires quick, safe and pre-
dictable nonsurgical techniques that will confer some
form of facial rejuvenation and at the same time allow
them to get back to work or their social lives with a
minimum of downtime. By that is meant a modicum
of bruising and swelling for 2–3 days (i.e., over a week-
end) and not the 2–4 weeks of downtime and scars
that often accompany open surgical techniques.
Whilst nonsurgical techniques are not a substitute
for traditional rejuvenative surgery, the combination
of several nonsurgical tools and procedures has be-
come a powerful adjunct to or a temporizing substi-
tute for open surgery.
Humanity’s fascination with body art has been with us for millennia. Although most patients are pleased with the appearance of their tattoos, patient surveys have shown that these decorative markings are sometimes obtained impulsively, before the age of 18 or while under the influence of alcohol or recreational drugs. It is therefore not surprising that many will eventually come to regret their decision. These patients may report feelings of embarrassment, low self-esteem, and stigmatization associated with their tattoos, and many will seek removal.
QS laser treatment may effectively remove various kinds of unwanted tattoos. The laser surgeon must be educated in the nuances of laser tattoo removal to ensure safe and effective treatment. Tattoo removal was revolutionized with the invention of the laser, and the continued refinement of this technology has led to better and more-predictable outcomes, but further research is needed regarding the safety of tattoo pigments and the breakdown products formed with exposure to laser lightازالة الوشم والمكياج الدائم باليزر
THE ART OF NON SURGICAL SKIN REJUVENATION. MULTIPLE APPROACHESOsama Moawad
The sudden explosion in recent years of nonsurgical
rejuvenative techniques is patient-driven. The modern
patient, man or woman, desires quick, safe and pre-
dictable nonsurgical techniques that will confer some
form of facial rejuvenation and at the same time allow
them to get back to work or their social lives with a
minimum of downtime. By that is meant a modicum
of bruising and swelling for 2–3 days (i.e., over a week-
end) and not the 2–4 weeks of downtime and scars
that often accompany open surgical techniques.
Whilst nonsurgical techniques are not a substitute
for traditional rejuvenative surgery, the combination
of several nonsurgical tools and procedures has be-
come a powerful adjunct to or a temporizing substi-
tute for open surgery.
Micro Needling is a minimally invasive procedure that has little downtime, is safe on all skin types and will leave skin looking smoother and younger.
Micro Needling stimulates the bodies natural healing and will rejuvenate the skin and can reduce:
Lines & Wrinkles
Sun Damage
Skin Laxity
Acne Scars
Stretch Marks
Hair Loss and more
www.MDNeedlePen.com
Profhilo is an excellent alternative to dermal fillers for people wanting to reverse the signs of skin ageing, with dull or tired-looking skin revitalized and rejuvenated with natural hyaluronic acid that is totally broken down once the rejuvenation has been stimulated.
Know More: https://www.regentstreetclinic.co.uk/profhilo/
The Skin Functional Anatomy and Aging. An Injector Eye. Part Two light.pptxOsama Moawad
We live in an "era of injectables." facial fillers and botulinum toxin injections have become popular in facial surgery over the past decade, as they offer remarkable aesthetic benefits with little recovery time. In "The Skin Function Anatomy and Aging In an Injector Eye" course, you will learn about what will help you understand how the skin, the subcutaneous fat, and the facial muscles interact to produce facial expressions and support the facial structure. You will also learn how aging affects the skin's function and how it impacts our well-being and attractiveness. These are the essential factors that influence the results and safety of facial injections.
Whether you aim to treat a disease or reverse signs of aging, you need to understand the functional anatomy of the skin and the various factors that can affect its function. Knowing will help you apply existing knowledge or discover a novel way to achieve your goals and minimize potential complications that might arise.
New modalities in antiaging by Dr. Juliana Ghaben Specialist Dermatologist . ...Spectronix Group
DR Juliana Ghaben http://www.drjulianaghaben.com spoke on new modalities on antiaging at CME for KAYA skin CLinics . She is Board certified in Aesthetic Medicine and a trainer with SPECTRONIX . She spoke on Carboxytherapy , SECRET MICROFRACTIONAL RF AND Q SWITCH ND YAG , ALL MACHINES COURTSEY ; SPECTRONIX . http://spectronixglobal.com/
Micro Needling is a minimally invasive procedure that has little downtime, is safe on all skin types and will leave skin looking smoother and younger.
Micro Needling stimulates the bodies natural healing and will rejuvenate the skin and can reduce:
Lines & Wrinkles
Sun Damage
Skin Laxity
Acne Scars
Stretch Marks
Hair Loss and more
www.MDNeedlePen.com
Profhilo is an excellent alternative to dermal fillers for people wanting to reverse the signs of skin ageing, with dull or tired-looking skin revitalized and rejuvenated with natural hyaluronic acid that is totally broken down once the rejuvenation has been stimulated.
Know More: https://www.regentstreetclinic.co.uk/profhilo/
The Skin Functional Anatomy and Aging. An Injector Eye. Part Two light.pptxOsama Moawad
We live in an "era of injectables." facial fillers and botulinum toxin injections have become popular in facial surgery over the past decade, as they offer remarkable aesthetic benefits with little recovery time. In "The Skin Function Anatomy and Aging In an Injector Eye" course, you will learn about what will help you understand how the skin, the subcutaneous fat, and the facial muscles interact to produce facial expressions and support the facial structure. You will also learn how aging affects the skin's function and how it impacts our well-being and attractiveness. These are the essential factors that influence the results and safety of facial injections.
Whether you aim to treat a disease or reverse signs of aging, you need to understand the functional anatomy of the skin and the various factors that can affect its function. Knowing will help you apply existing knowledge or discover a novel way to achieve your goals and minimize potential complications that might arise.
New modalities in antiaging by Dr. Juliana Ghaben Specialist Dermatologist . ...Spectronix Group
DR Juliana Ghaben http://www.drjulianaghaben.com spoke on new modalities on antiaging at CME for KAYA skin CLinics . She is Board certified in Aesthetic Medicine and a trainer with SPECTRONIX . She spoke on Carboxytherapy , SECRET MICROFRACTIONAL RF AND Q SWITCH ND YAG , ALL MACHINES COURTSEY ; SPECTRONIX . http://spectronixglobal.com/
This lecture reviews the role of laser therapy in dentistry in particular for Periodontal treatment. Dr. Smith reviews many of his own cases with the audience.
Please contact Dr. Smith with questions.
drsmith@cpident.com
Lecture to FACE Conference London by Dr. Patrick Treacy about split face study comparing two recent CO2 resurfacing lasers. Lasers compared were the Lumenis ActiveFx and the Deka SmartXide DOT
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.
Types of tattoos
Techniques of tattoo removal
Mechanism of action of Q switched lasers
Principles of Q switched lasers
Contraindications
Patient selection
Preoperative preparation
Laser procedure and technique
Other new techniques for laser removal
Post operative instructions
Complications
Welcome to Aesthetic Medicine of Portland OR. We are one of the largest nationally-accredited aesthetic and plastic surgery practices in the United States. We offer our patients a wide range of aesthetic and cosmetic procedures along with liposuction and medically-supervised weight loss programs. Founded by Dr. Jerry Darm in 1995, the medical staff at Aesthetic Medicine has performed over hundreds of thousands procedures and is widely recognized as the best-known and largest aesthetic practice in the state of Oregon. In addition to numerous other awards, Aesthetic Medicine is pleased to be consistently rated A+ by the Better Business Bureau (BBB). We are accredited by the Institute for Medical Quality (IMQ). We strive for 100% satisfaction for our services.
In honor of the very special Mother's Day holiday, we will be doing a GROUPON deal on May 8th, 2014. We will also be doing a special LIVINGSOCIAL deal on Mother's Day May 11th, 2014. Aesthetic Medicine will honor both deals in-house if you mention the deal to the medical assistant or physician. Please note that we will only be honoring the deal in-house as long as it's running with GROUPON or LIVINGSOCIAL.
Again Happy Mother's Day!
Aesthetic Medicine
www.drdarm.com - MiniLift before and after pictures. Results may vary. See more before/after pictures at DrDarm.com.
For a limited time only, take 20% OFF MiniLift and other plastic surgery procedures.
www.drdarm.com - Neck lift procedure at Aesthetic Medicine. Results may vary. 5 weeks post surgery. View more neck lift before/after pics at DrDarm.com
www.drdarm.com - 5 weeks post ops MiniLift procedure at Aesthetic Medicine in Portland, Oregon. Results may vary. See more before/afters at www.DrDarm.com
www.drdarm.com - 5 weeks post ops MiniLift procedure at Aesthetic Medicine in Portland, Oregon. Results may vary. See more information and before/after pictures at DrDarm.com
www.drdarm.com - Get rid of the hanging skin fat on your stomach. Tummy tuck at Aesthetic Medicine performed by board-certified plastic surgeon. 5 weeks post surgery. Results may vary. See more before/after pictures at DrDarm.com
www.drdarm.com - Correct drooping eyelids and puffy eye bags. Eyelids surgery at Aesthetic Medicine. 5 weeks post surgery. Results may vary. More pictures at DrDarm.com
Class attendance is part of the program and starts the fourth week. Classes assist in guiding you toward a healthier lifestyle. The classes are small and informative with sharing of issues by all in the group. Meeting with the dietitian individually is available, for an additional fee.
Please arrive 30 minutes before each class for check-ins and physician's visit.
2. Tattoo Reduction Treatments require the Ability to treat the target effectively while minimizing the thermal impact to the surrounding tissue Ability to treat all color tattoos Ability to safely treat all skin type patients Achieve 80% reduction at a minimum without adverse effects on the adjacent tissue
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4. Hoya Con-Bio RevLite Tattoo reduction Q-switched Nd:YAG 1064/532 nm Black, brown, yellow, blue ink with 1064 nm Red ink with 532 nm 585 nm dye handpack for sky blue ink 650 nm dye handpack for green ink Photo rejuvenation/wrinkle reduction Dermal and Epidermal pigmentation Hair reduction 532 nm Laser Peel
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7. True Q-switched Laser with Nanosecond Pulse Widths s – second (101) ds – decisecond (10-1) cs – centisecond (10-2) ms – millisecond (10-3) ms – microsecond (10-6) 1 millionth ns – nanosecond (10-9) 1 billionth ps – picosecond (10-12) 1 trillionth
8. Nanosecond Technology The RevLite Laser is uniquely set apart by the fact that it offers the user the power of nanosecond technology. Our Q-switch allows the RevLite laser to produce an extremely high energy, short pulse (5 ns) of light. This short pulse duration limits the tissue’s exposure to heat build-up, offering extremely safe and fast treatments with repeatable results 10-9 One billionth of a second
9. Absorption and other factors involved to effectively treat Light will reflect, refract, absorb and scatter upon impact with the target tissue Fluence Spot size Wavelength Pulse width Thermal relaxation time of the target tissue (t) Beam profile Gaussian curve vs Flat-top beam
10. ABSORPTION CURVE 1064 nm is weakly absorbed by melanin, and can penetrate deeply to destroy dermal lesions and hair structures without causing epidermal hypopigmentation. 532 nm is well absorbed by melanin and oxyhemoglobin. This permits treatments of epidermal pigmented lesions.
11. Power and Fluence Power is an energy/time term (J/s) Fluence is an energy/density term (J/cm2) The RevLite has a maximum pulse energy of 1.6 Joules with MDP The high pulse power allows for a higher fluence setting with larger spot sizes Higher pulse power allows higher fluence setting with dye handpacks
12. Fluence With a 1064 nm high pulse energy of 1.6 Joules allows 5 J/cm2 with a 6 mm spot size to be treated at 10 Hz 3.5 J/cm2 will effectively reduce the appearance of any darker color tattoo Increase fluence by 0.5 J/cm2 with each treatment to a maximum fluence level of 7 J/cm2 4.5 J/cm2 will effectively treat dermal pigmentation 3.9 – 9.8 J/cm2 with 585 nm dye handpack 2.6 – 6.6 J/cm2 with 650 nm dye handpack Shorter treatment times Petechiae will be observed with multiple passes or high fluence levels over sensitive tissue
13. Selective Photothermolysis Tattoo Ink Example - The specific color of the ink is targeted by the correct wavelength. The high energy, short pulse of light hits only the targeted chromophore, breaking it up into minute particles without harming the surrounding skin. The body’s own natural cleansing system is then able to remove the fine particles.
14. Other factors involved with tattoo reduction Monochromacity of the ink Quality of the ink Depth of insertion Patients ability to recognize the effected pigment as a foreign body and reabsorb Inability to predict the number of treatments to effectively reduce the appearance of the tattoo
15. Beam profile Gaussian curve – bell shaped curve with highest concentration of energy in the center of the beam. Energy will dissipate to zero as you approach the edges of the beam. Causes an explosion of the tissue in the center of the beam. Increased potential for scarring Flat-top beam – energy at any point in the spot is the same as any other point Even treatment over entire surface
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18. Advanced Tattoo Removal by RevLite The “Gold-Standard” for Tattoo Removal Minimal risk of scarring and pigmentary changes Ability to treat all skin types Less discomfort than with other systems 1064 nm for dark inks 650 nm for green inks 585 nm for light blue inks 532 nm for red inks
19. Tattoo Results Tattoo after multiple treatments. Images Courtesy of Bruce Saal, M.D., Los Gatos, CA
20. Tattoo Results Professional Tattoo - No previous treatment. Very good results with several 1064 nm treatments. Photos Courtesy of Dr. Suzanne Kilmer, M.D., Sacramento, CA
21. Tattoo Results Traumatic Tattoo - No previous treatment. Very good results with treatments at 1064 nm. Photos Courtesy of Dr. Suzanne Kilmer, M.D., Sacramento, CA
22. Tattoo Results Professional Tattoo - Red & black ink. 90% of clearing was obtained with one treatment at 532 nm, 5 J/cm2. One additional treatment cleared the red. The black was cleared with 3 treatments at 1064 nm.
31. Photorejuvenation/Wrinkle reduction treatment The flat-top beam profile will allow for an even treatment over the target tissue. Photoacoustic Therapy (PAT) Nanosecond (ns) pulse width Heat not involved in treatment Treat once a week for 6 weeks Return monthly for maintenance treatments
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34. Laser Toning by RevLite Peri-Orbital Area After 6 Treatments Images Courtesy of Paul J. Frank, MD, New York, NY
35. Laser Toning by RevLite Peri-Oral Area After 5 Treatments Images Courtesy of Paul J. Frank, MD, New York, NY
37. Dermal and Epidermal pigmentation 1064 nm wavelength used for dermal pigment treatment Able to fade the appearance of melasma Treat once a week for 8 weeks Treat once a month for a maintenance prn 532 nm wavelength used for epidermal pigment treatment One treatment
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40. Pigmented Lesion Treatment Successful Pigmented Lesion Treatment Images Courtesy of Bruce Saal, M.D., Los Gatos, CA
53. Hair reduction The nanosecond pulse width will better match the thermal relaxation time of the finer vellous hair. You will achieve short term reduction similar to a laser waxing procedure. Patient will be required to maintain prn
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56. Touch screen No more charts to refer to for fluence levels and correct treatment settings. User friendly