What is Polaris (Laser+RF)? The Polaris WR System is intended to treat wrinkles and improve skin color evenness. How does it work? The system technology is a combination of optical (laser) energy and conducted radio frequency (RF). Both of these energies supplement each other to provide epidermal and dermal thermolysis at controlled depth. The System provides individual adjustment of RF energy and LASER energy to achieve maximum efficiency and safety for each patient. Is it safe? The system provides better safety and comfort while minimizing possible side effects, using a contact cooling mechanism in the applicator and “on-line” energy monitoring of the tissue during treatment. What are the preparations before the treatment? Listen to treatment arrangement, typical treatment results and possible adverse effects and discomfort given by your physician Follow the safety warning instructions from your physician What are the after treatment care? It is recommended that a cold pack be applied to the treated area immediately after treatment. During the first five days following the treatment, care should be taken to prevent trauma to the treated area. In addition you should avoid hot baths, massages, exercising, etc. You will be advised to use high factor sunscreen and protect the treated area from sunlight for at least one month after the treatment. Tanning after treatment may cause hyperpigmentation. Follow-up You should return 4-8 weeks after the treatment for evaluation of the treatment site. Interval between treatments should be longer than two weeks. If no results were observed and adverse effects noticed, then treatment should be stopped. Treatment should be stopped when you or your physician are satisfied with the results.

1. Polaris WRPolaris WR
Polaris LVPolaris LV
Dr. P. Tracy

2. PolarisPolaris
• Based on ELOS technology
– Conducted RF
– High power diode laser
– Effective cooling
• Multiple applications
– Wrinkle and skin texture
treatment (WR)
– Leg vein treatment (LV)

3. Polaris Pulse SequencePolaris Pulse Sequence

4. Polaris WRPolaris WR
• Superposition of
RF and light
creates strong
heating of deep
dermis with
minimal risk of
side effects

5. Creating hot spot withCreating hot spot with
Polaris WRPolaris WR
Cooling
Conducted RF
Light
Hot spot

6. Polaris WRPolaris WR--
Ablative skin
resurfacing
Non-ablative skin
resurfacing
Matrix skin
renewal
Ablation of epidermis and
heating the upper dermis
Cooling of epidermis and
weak heating the dermis
Cooling of epidermis and
Strong heating the dermis
in matrix way

7. WR Applicator designWR Applicator design
• Electrode design allows
high energy delivery to
a depth of 2.5mm
• Light energy is
absorbed by micro-
vascularities creating
heat which focuses the
RF at the center of the
target tissue

8. Polaris WRPolaris WR
• High power conductive RF
– Energy - up to 100J/cm3
• Unique diode laser
– Wavelength - 900nm
– Fluence - up to 50J/cm2
• Effective cooling
– Temperature - 2o
C

9. WR mechanism of collagenWR mechanism of collagen
remodeling - preremodeling - pre
• Collagen is normally densely packed and relatively inactive in
mature skin.
• Interfibrillar spacing this compact limits blood supply to the
area inhibiting the formation of new fibres

10. WR mechanism of collagenWR mechanism of collagen
remodelling – immediately postremodelling – immediately post
• The WR treatment creates a deep oedema. This swelling allows lymphatic and
vascular drainage in the dermis.
• Intrafibrillar spacing is increased .
• Fibres are separated and oriented chaotically
• Oedema and erythema appear on the skin surface

11. WR mechanism of collagenWR mechanism of collagen
remodelling –remodelling – 3 weeks post treatment3 weeks post treatment
• After oedema has resolved, the collagen maintains the intrafibrillar spacing.
• Collagen neogenesis stimulated by WR treatment fills the spaces with new fibres,
resulting in dermal remodelling.
• Seen clinically as “tightening” and deep wrinkle reduction.

13. Dr. A. Del Giglio, Italy

14. Dr. M. Kulick, CA, USA

15. Dr. M. Kulick, CA, USA

16. Dr. M. Kulick, CA, USA

17. Dr. M. Kulik, CA, USA

19. Photo courtesy - Hidemi Akai, MD, Japan, Face contouring

20. Dr. Mihata, Japan, treatment of acne scars

21. Dr. Mihata, Japan, treatment of acne scars

22. Polaris LV– Vascular TreatmentsPolaris LV– Vascular Treatments
• Polaris LV (leg veins).
• Effective for all colours
of leg veins up to 5mm
diameter.
• Low treatment pain
levels.
• No late burning.

23. Polaris LVPolaris LV
• Concentrated conductive RF
– Energy - up to 100 J/cm3
• High power diode laser
– Wavelength - 900nm
– Fluence - up to 140J/cm2
• Effective cooling
– Temperature - 2o
C

24. Main requirements to leg veinMain requirements to leg vein
treatmenttreatment
• High energy penetration depth (>2mm).
• High energy density on treated vein
(>100J/cm2
).
• Strong absorption of energy by haemoglobin.
• Epidermal cooling.

25. LV Applicator designLV Applicator design
• Electrode design:
– allows high energy
delivery to the deep
dermis.
• Light energy:
– generated at the peak
of haemoglobin
absorption.

26. Light absorption byLight absorption by haemoglobinhaemoglobin

27. Polaris LV – working principlesPolaris LV – working principles
1. Place probe on skin
over vessel.
2. Light is selectively
absorbed by blood.
3. RF goes through
the pre-heated vessel
4. RF and light combination
creates coagulation of vessel wall