Dr. Patrick Treacy lectures on behalf of Lumenis on IPL . Intense pulsed light, commonly abbreviated as IPL, is a technology used by beauty studios and medical practitioners to perform various skin treatments including hair removal and photorejuvenation. The technology utilises a broad spectrum lightsource, with a general spectral range of 515 to 1200 nm. Various cutoff filters are commonly used to filter out lower frequencies and narrow this spectrum to target specific structures and chromophores. Because of the broad spectrum of the IPL light source they are unique, as opposed to lasers, in the ability to filter the light spectrum to target various chromophores in the skin
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
Radio Frequency Skin Tightening is an exciting break through for skin tightening, wrinkle treatments, and for facial rejuvenation. It is one of the few effective and lasting treatments to fight loose skin, wrinkles, and the effects of aging without radical invasive cosmetic surgery. Learn what you need to know about this breakthrough in cosmetic medicine in today's presentation, video, and article brought to you by Bay Area Pelleve.com
Laser Hair Removal
Also known as light based hair removal and laser hair reduction
Laser hair removal is a convenient, noninvasive method for permanently reducing or removing unwanted facial or body hair. It leaves the skin looking smoother and silkier than waxing, electrolysis or razors and is a gentle technique that can treat larger areas effectively with minimal discomfort and with no downtime. Today, laser hair removal is one of the most common aesthetic procedures performed in the United States.
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
Radio Frequency Skin Tightening is an exciting break through for skin tightening, wrinkle treatments, and for facial rejuvenation. It is one of the few effective and lasting treatments to fight loose skin, wrinkles, and the effects of aging without radical invasive cosmetic surgery. Learn what you need to know about this breakthrough in cosmetic medicine in today's presentation, video, and article brought to you by Bay Area Pelleve.com
Laser Hair Removal
Also known as light based hair removal and laser hair reduction
Laser hair removal is a convenient, noninvasive method for permanently reducing or removing unwanted facial or body hair. It leaves the skin looking smoother and silkier than waxing, electrolysis or razors and is a gentle technique that can treat larger areas effectively with minimal discomfort and with no downtime. Today, laser hair removal is one of the most common aesthetic procedures performed in the United States.
Radiofrequency. a new tool for non surgical skin tighteningOsama Moawad
Rejuvenation type 3 is deepest and targets deep dermal collagen disorders and skin laxity and sagging. Traditionally, these changes have been treated with surgery, such as rhytidectomy, blepharoplasty, and brow lifts. However, with the increasing demands of patients undergoing cosmetic surgery, minimally invasive procedures have gained popularity. In non-ablative tissue tightening, the epidermal injury is minimized, and thermal energy is directed into the reticular dermis and subcutis, where immediate tissue contraction and delayed remodeling are believed to collectively cause skin tightening. The attractive features of non-ablative skin tightening are limited post-procedure healing time, ability to return to work or social engagements, reduced risk of adverse events compared with ablative resurfacing or lifts procedures, and less need for physician oversight. For all these reasons, more patients are appropriate candidates for non-ablative skin rejuvenation than for ablative or surgical skin tightening. In an effort to increase penetration depth and strive towards collagen shrinkage and skin tightening, radiofrequency wavelengths have been recently employed
Micro needling is a procedure that uses small needles to prick the skin which helps in generation of new collagen and makes the skin smoother,firmer and toned.It is also known as collagen induction therapy.It is used for the treatment of acne,wrinkles,scars, stretch marks,fine lines and other signs of ageing.As we age collagen content in our skin reduces and we lose our radiance. Micro needling is not a quick fix it might take weeks to months to show the desired results as it takes some time for the new skin to be formed.
Dr Sachdeva's Dental clinic and Facial aesthetic center is one of the leading clinics performing micro needling for anti ageing in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
nd yag laser is better hair reduction device than diode and ipl for indian skin colour.i have 15 years work exp.on different devices for hair reduction
Microneedling, A brief review by Dr. Mohammad Baghaei Mohammad Baghaei
Microneedling is a physical method that induces modification in the SC mechanically and produces micron-sized channels or pores in the skin. This characteristic of the microneedling technique provides delivery of various molecules or therapeutic substances, including proteins, which would usually not penetrate ...
Dermal fillers are an excellent choice for minimizing wrinkles and restoring youthful fullness to the face. However, with all the different options available, choosing the right dermal filler can be overwhelming. To help you find the right dermal filler for you Images Med Spa has created a guide to help you through your decision.
Cheek Fillers|Facial Aesthetic| Facial Aesthetic by Dr Rajat Sachdeva| Facial...Dr. Rajat Sachdeva
Cheek Fillers rejuvenate the cheeks and to regain last volume.
Autologous Fat Injection, where your own fat harvested from some other area can be used to restore volume of cheeks.
Some other fillers like Hyaluronic acid, Ca Hydroxide and Polymethyl Metacrylate are injected with fine needles in the target area eliminate wrinkles and enhances cheeks volume.
The major advantage of this therapy is that it increases blood flow naturally. There is a misconception about the benefits of this light treatment. Various devices like lamps, lasers, and stands are used to give this therapy. An expert decides the intensity of light used during the therapy. To know more visit our website.
(http://www.laserheal.in) Being a client centric organization, we are highly engaged in manufacturing, and trading a wide gamut of Laser Hair Removal Machine, Tattoo Removal Machine, Skin Care Machine, Physiotherapy Equipment and Body Massager Equipment. Offered products are highly demanded by the clients for their best performance and longer service life.
Radiofrequency. a new tool for non surgical skin tighteningOsama Moawad
Rejuvenation type 3 is deepest and targets deep dermal collagen disorders and skin laxity and sagging. Traditionally, these changes have been treated with surgery, such as rhytidectomy, blepharoplasty, and brow lifts. However, with the increasing demands of patients undergoing cosmetic surgery, minimally invasive procedures have gained popularity. In non-ablative tissue tightening, the epidermal injury is minimized, and thermal energy is directed into the reticular dermis and subcutis, where immediate tissue contraction and delayed remodeling are believed to collectively cause skin tightening. The attractive features of non-ablative skin tightening are limited post-procedure healing time, ability to return to work or social engagements, reduced risk of adverse events compared with ablative resurfacing or lifts procedures, and less need for physician oversight. For all these reasons, more patients are appropriate candidates for non-ablative skin rejuvenation than for ablative or surgical skin tightening. In an effort to increase penetration depth and strive towards collagen shrinkage and skin tightening, radiofrequency wavelengths have been recently employed
Micro needling is a procedure that uses small needles to prick the skin which helps in generation of new collagen and makes the skin smoother,firmer and toned.It is also known as collagen induction therapy.It is used for the treatment of acne,wrinkles,scars, stretch marks,fine lines and other signs of ageing.As we age collagen content in our skin reduces and we lose our radiance. Micro needling is not a quick fix it might take weeks to months to show the desired results as it takes some time for the new skin to be formed.
Dr Sachdeva's Dental clinic and Facial aesthetic center is one of the leading clinics performing micro needling for anti ageing in Delhi. So hurry up and come book an appointment with us at Dr.Sachdeva’s Dental Institute, Ashok Vihar, Delhi which has state of the art clinic and all the latest and advanced equipments.
To book an appointment contact:
Dr. Rajat Sachdeva
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
Our Websites:
www.sachdevadentalcare.com
www.dentalimplantindia.co.in
www.dentalclinicindelhi.com
www.dentalcoursesdelhi.com
Facebook- dentalcoursesdelhi
Youtube- drrajatsachdeva
Linkedin- drrajatsachdeva
Slideshare- Dr Rajat Sachdeva
Twitter Page- drrajatsachdeva
Instagram page- surgicalmasterrajat
nd yag laser is better hair reduction device than diode and ipl for indian skin colour.i have 15 years work exp.on different devices for hair reduction
Microneedling, A brief review by Dr. Mohammad Baghaei Mohammad Baghaei
Microneedling is a physical method that induces modification in the SC mechanically and produces micron-sized channels or pores in the skin. This characteristic of the microneedling technique provides delivery of various molecules or therapeutic substances, including proteins, which would usually not penetrate ...
Dermal fillers are an excellent choice for minimizing wrinkles and restoring youthful fullness to the face. However, with all the different options available, choosing the right dermal filler can be overwhelming. To help you find the right dermal filler for you Images Med Spa has created a guide to help you through your decision.
Cheek Fillers|Facial Aesthetic| Facial Aesthetic by Dr Rajat Sachdeva| Facial...Dr. Rajat Sachdeva
Cheek Fillers rejuvenate the cheeks and to regain last volume.
Autologous Fat Injection, where your own fat harvested from some other area can be used to restore volume of cheeks.
Some other fillers like Hyaluronic acid, Ca Hydroxide and Polymethyl Metacrylate are injected with fine needles in the target area eliminate wrinkles and enhances cheeks volume.
The major advantage of this therapy is that it increases blood flow naturally. There is a misconception about the benefits of this light treatment. Various devices like lamps, lasers, and stands are used to give this therapy. An expert decides the intensity of light used during the therapy. To know more visit our website.
(http://www.laserheal.in) Being a client centric organization, we are highly engaged in manufacturing, and trading a wide gamut of Laser Hair Removal Machine, Tattoo Removal Machine, Skin Care Machine, Physiotherapy Equipment and Body Massager Equipment. Offered products are highly demanded by the clients for their best performance and longer service life.
Laser Resurfacing, Dermabrasion, Chemical Peel In The Asian Ethnic ClientelePhilip Young
Laser Resurfacing, Dermabrasion, Chemical Peel in the East Asian Clientele
Philip A Young, MD Aesthetic Facial Plastic Surgery, PLLC
Face to Face
Ho Chi Minh City, Vietnam 2014
http://www.drphilipyoung.com/procedures/laser-resurfacing/
My presentation to a group of lifelong students who are interested in knowing more on the science of red light therapy. You will learn:
- What is red light therapy?
- How red light reacts to your body?
- Is red light effective?
- Health benefits of red light therapy
Lupus and Your Skin: Spot It, Stop It, Stay HealthyLupusNY
A presentation by Andrew G. Franks, Jr, MD
Director, Connective Tissue Disease Service
Clinical Professor of Dermatology and Medicine (Rheumatology)
One of New York Magazine’s Best Doctors 2008
at the Manhattan stop on New York City Hospital Tour
NYU Langone Medical Center
October 14, 2008
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/
How to Improve Your Eyesight with Red Light TherapyMarkSloan21
Get 3 FREE books for signing up to our newsletter: https://endalldisease.com/subscribe
In this video you'll learn about how you can treat vision loss, improve your eyesight and other vision problems such as amblyopia and age-related macular degeneration using red light therapy.
We'll also answer the questions that I get most often, which are:
Can red light therapy damage my eyes? Do I need to use eye protection during red light therapy treatment?
After that we will explore the mechanisms behind the incredible vision boosting benefits of red light therapy. If you enjoy the show, please review us on iTunes and share it with everybody you love on social media.
For the show notes, go to:
https://endalldisease.com/episode10
All of my videos, podcasts and articles are and will always be free. If you enjoyed this video and want to support my work, you can do so by donating, buying one of my bestselling books or red light therapy devices below.
Check out our red light therapy store:
https://endalldisease.com/store
Check out my books:
https://endalldisease.com/books
Donate :
https://www.paypal.me/endalldisease
light therapy is meant to compensate for the lack of exposure to sunlight th...jagan _jaggi
Light therapy
Description
DescriptionLight therapy—or phototherapy, classically referred to as heliotherapy—consists either of A. exposure to daylight or some equivalent form of light as a treatment for seasonal affective disorder or B. exposure of the skin to specific wavelengths of light using polychromatic polarized light to treat a skin condition.
A laser procedure that destroys small areas of fat and tightens skin.CoolLipo uses a special type of invisible light (near infrared) that destroys fat cells and heats the collagen in the skin to tighten and improve appearance.CoolLipo is a minimally invasive, fast recovery procedure providing quick results. CoolLipo can also be used in conjunction with conventional liposuction to improve results. Contact Dr. Roque Ramos, www.myslimimage.com
Similar to Dr. Patrick Treacy lectures on IPL (Dublin) (20)
Dr Treacy is considered one of the most influential aesthetic
practitioners in the world, having forever altered the field of
aesthetic medicine. With anecdotes taken from his extraordinary memoir – and reveals why he finally decided to lift the mask.
A 53-year-old Irish female presented with an intractable trigeminal neuralgia pain in the region of her left maxillary nerve (V2) who did not respond to pharmacotherapy including pregabalin 300mgs bd and gabapentin 300mgs bd. She had been admitted to hospital for one month for intravenous oxycodone hydrochloride. She had also more than fifty nerve blocks in the previous years and had undergone stereotactic gamma knife radiosurgery which had work for five months but later resulted in uncontrollable dysesthesia pain in the region of her left maxillary nerve. She defined this as a continual unpleasant sensation of something 'crawling' under her skin in her left periorbital. There was a sensation of intense pain in her left external nasal area and that of electric shock, burning, and pins and needles and left mental area.
One of aesthetic medicines most notable characters,
Dr Patrick Treacy shares some of his favourite anecdotes
from his extraordinary memoir and reveals why he finally
decided to lift the mask.
Although having a facial disfigurement secondary to trauma, a birthmark, a birth defect or some abnormality does not affect a patient’s health; society deems it often leads to stigmatisation and limitations of opportunities afforded to others.
Split earlobe injuries are relatively common in individuals with pierced ears. They result from various forms of trauma, including babies pulling earrings, spousal abuse, and heavy earrings. Complete lobe clefts usually occur from either sudden pull injuries or from chronic traction.
Dr Patrick Treacy shares some of his most challenging cases. This month he ta...Dr. Patrick J. Treacy
A 61-year-old Irish female, presented with complete pulled earlobes bilaterally as a consequence of possible low placement of original piercings and pendulous ear-rings. She wanted repair of the defect so she could begin to wear her earrings again. The patient was in no distress the defect had caused scar tissue along the involved cleft.
Dr Patrick Treacy shares some of his most challenging cases.
This month he talks about treating Cutaneous Malignant Melanoma. Melanoma, also known as malignant melanoma, is a type of cancer that develops from the pigment-containing cells known as melanocytes. They typically occur in the skin but may rarely occur in the mouth, intestines, or eye. In women they most commonly occur on the legs, while in men they are most common on the back. Sometimes they develop from a mole with concerning changes including an increase in size, irregular edges, change in color, itchiness, or skin breakdown
Dr Patrick Treacy shares some of his most challenging cases. This month he talks about treating cutaneous warts. Warts appear in various forms on different sites of the body and include common warts (verruca vulgaris), plane or flat warts, myrmecia, plantar warts, coalesced mosaic warts, filiform warts, periungual warts, anogenital warts (venereal or condyloma acuminata), oral warts and respiratory papillomas.
Dr Patrick Treacy on devices for dealing with post-pregnancy baby weightDr. Patrick J. Treacy
Pregnancy leads to many changes in a woman’s
body, mainly through the interaction of steroid
hormones, lactogen and cortisol on the underlying
tissues and structures. The growing foetus itself
causes mechanical change also by stretching
skin, muscle and fascia and demanding an increased
calorific supply. The amount of extra weight gained
during pregnancy varies among women.
Dr Patrick Treacy shares some of his most challenging cases. This month he talks
about treating post endoscopic thoracic sympathectomy “gustatory sweating” with
botulinum toxin A
Dr Patrick Treacy on combining therapies for optimal outcomes in treating the...Dr. Patrick J. Treacy
This paper looks at the possibility of combining five
established therapies in an attempt to address
common concerns related to facial ageing. The
therapies included microneedling, low dose
Ultralase laser, (PRP) plasma rich protein growth
factors, Omnilux 633 light and neurotoxins. The technique is
called the DUBLiN face-lift as an acronym of the procedures
involved. D Dermaroller U Ultralase Laser B Blood growth
factors Li Light (near red 633) N Neurotoxin.
The author compared this method to fractionalised laser
skin resurfacing (FLSR) in terms of reduction of photoageing
and overall aesthetic effect. Neurotoxin was used in
both studies.
Dr Patrick Treacy shares some of his most challenging cases. This month he talks about treating facial popular sebaceous hyperplasia. Sebaceous hyperplasia is a disorder of the sebaceous glands in which they become enlarged, producing yellow, shiny bumps on the face
Dr Patrick Treacy discusses dermal filler complications and how to deal with ...Dr. Patrick J. Treacy
At present, there’s a paucity of literature regarding both the prevention and management of serious events, despite the fact that these complications are the very things that patients and physicians both continually fear. Many physicians, (including myself), feel that corporate prefer not to address these issues and they are driven underground. Over the years, many of my colleagues have referred me their more serious problems and I consequently have developed a certain experience in this area. This insight into complications of dermal filler use will serve to highlight both of these problems and try to help one manage these complications if they should ever happen to you.
This month sees the publication of Dr Patrick Treacy’s memoirs. Vicky Eldridge reveals what readers can expect from this fascinating insight into the life of one of the industry’s best-known doctors
‘Behind The Mask’ – The Extraordinary Story of The Irishman who Became Michae...Dr. Patrick J. Treacy
Dr. Patrick Treacy is a well-known face within the Aesthetic industry, both in the UK and Ireland, as well as the World. A loveable, Irish rogue with a charming, boyish smile and a cheeky demeanour, Patrick, (what better
name for an Irishman is there) is also a very accomplished and knowledgeable medical professional and humanitarian.
Dr Patrick Treacy on Diagnosis and Treatment of Malignant Melanoma Dr. Patrick J. Treacy
A 23-year-old Siberian female patient presented with a changing lesion on her abdomen. The patient stated the lesion was present for about two years and it started
off from within a freckle, which started to grow larger and somewhat darken in appearance. It had the clinical appearance of a melanoma and the dermoscopy three-point checklist (designed to allow non-experts not to miss detection of melanomas) was used to determine whether this had a high likelihood of malignancy. It included:
Asymmetry: asymmetry of colour and structure in one or
two perpendicular axes
Atypical network: pigment network with irregular holes
and thick lines
Blue-white structures: there was some evidence of blue-
white veil and regression structures
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
4. MEDICAL DISCLOSURE:
Dr. Patrick J. Treacy is a Cosmetic Doctor presently on the Specialist Register in
the UK & Ireland. Specialist Dermatologist.
Previously worked in United States., United Kingdom, Australia, New Zealand,
South Africa and Gibraltar.
No financial interest or stock in Lumenis nor do I receive any additional
remuneration for giving this IPL lecture.
5. Agenda
IPL Skin Treatments Using Photorejuvenation
The Science Behind IPL
What IPL Can Do
Skin Treatments Using Photorejuvenation
Type I Type II Type III (pending FDA clearance)
Technologies Available on IPL Platforms
Unwanted Veins Tattoo Removal
Treatment of Wrinkles and Skin Laxity
Treatment Considerations
Complications of IPL
What’s New in IPL technology
6. Before and After
Female with facial veins
Before and after 3 IPL treatments
Courtesy of Jerry Darms, MD, Lake Oswego, Oregon
Before After
7. Before and After
Female with facial veins
Before and after 3 IPL treatments
Courtesy of Jerry Darms, MD, Lake Oswego, Oregon
Before After
Telangiectasia
8. Before and After
Female with ruddy complexion
Before and after 3 IPL treatments
Courtesy of Robert Weiss, MD, Hunt Valley, Maryland
Before After
9. Before and After
Female with ruddy complexion
Before and after 3 IPL treatments
Courtesy of Robert Weiss, MD, Hunt Valley, Maryland
Before After
Rosacea
10. Before and After
Female with sun damage
Before and after 3 IPL treatments
Courtesy of Nathan Trookman, MD, Colorado Springs, Colorado
Before AfterLentiges
11. Before and After
Female with sun damage
Before and after 3 IPL treatments
Courtesy of Nathan Trookman, MD, Colorado Springs, Colorado
Before AfterSun Damage
12. Before and After
Female with sun damage
Before and after 3 IPL treatments
Courtesy of Nathan Trookman, MD, Colorado Springs, Colorado
Before After
Sun Damage
13. Before and After
Female with poikiloderma
Before and after 3 IPL treatments
Courtesy of Mary Grey, MD, Auckland, New Zealand
Before After
14. Before and After
Female with poikiloderma
Before and after 3 IPL treatments
Courtesy of Mary Grey, MD, Auckland, New Zealand
Before After
Poikiloderma
15. Before and After
Female with age spots (sun-induced freckles)
Before and after 1 IPL treatment
Courtesy of Franklin Johnson, MD, Mineola, New York
Before After
Age Spots
16. Before and After
Male with vascular changes
Before and after 3 IPL treatments
Courtesy of Gayle Rothenberg, MD, Houston, Texas
Before After
Vascular Changes
19. What is IPL?
IPL = Intense Pulsed Light
Visible and near infra-red light, 500-1200 nm
Efficacious
Flexible
Safe
Elora, IPL Quantum and Lumenis One
20. How IPL Works:
Selective Photothermolysis
Selective
Specially selected wavelengths of light penetrate the skin,
reaching the target (hemoglobin, melanin) with minimal
epidermal/dermal absorption
Photothermo-
The light is converted to heat in the target
-Lysis
Heat coagulates the proteins in the target and is
conducted to the cells around, causing mechanical
damage
Clearance by immune system cells
21. How IPL Works:
Selective Photothermolysis
1. Specially selected wavelengths of light penetrate the skin
2. Target (haemoglobin, melanin) absorbs the light with minimal
epidermal/dermal absorption
3. Light is converted to heat, destroying the vessel or lesion
4. Damaged tissue is removed by the body
22. Quick Rule 1: Different objects preferentially absorb
different wavelengths of light. (selective absorption)
23. Quick Rule 2 The right wavelength can selectively destroy
the object without affecting the surrounding tissue.
(selective photothermolysis)
30. Properties of Laser Light
Collimated: Minimal divergence of light bundle
Monochromatic: Only one wavelength
Coherent: Defined phase relation
White light
(Divergent)
White light
(Complete visible spectrum)
Laser Light Laser Light Laser Light
White light
(Incoherent)
31. IPL vs. Laser
Single wavelength targets
single peak of melanin and
hemoglobin’s absorption
spectra to destroy target
Wavelength cannot be
adjusted for individualized
treatment
Multiple wavelengths target
multiple peaks of melanin
and hemoglobin’s
absorption spectra to
destroy target
Wavelengths can be
optimized to individuals’
skin types and
conditions, using filters
Minimal ocular hazard
No down-time, non-
ablative procedure with
minimal side-effects
Laser IPL
32. During the pulses, light
energy is delivered
During the delays, the
tissue cools
More energy can be be safely delivered to
the target
IPL’s Efficacy:
Multiple Synchronized Pulsing
Pulse 1 Pulse 2 Pulse 3
Delay 1 Delay 2
34. Two heads are better than one Nd:YAG Module
2 Spot Sizes (2 x 4 mm and 6
mm) to ensure precision
treatment with computer-
enabled recognition
Continuous contact cooling
with SapphireCool
Light Guides to measurably
increase patient comfort
and enhance Light Guide
durability
35. What IPL Can Do
IPL is the gold-standard for photorejuvenation
Treats redness and rosacea symptoms
Treats brown pigmentation and age spots
Leaves the skin soft and smooth
Treats the full face, neck, chest, and hands
Requires no downtime
36. What IPL Can Do
Type I Skin Treatments Using Photorejuvenation:
Erythema/Flushing
Rosacea symptoms
Telangiectasia
Hyperpigmentation
Melasma
Photoaging
37. Why treat pigmentary conditions?
75% of the Irish population between the
ages of 35 and 65 have some type of
treatable pigmented lesion.
What IPL Can Do
Pigmentary Conditions
38. Treatment options for pigmentary
conditions:
IPL
Lasers
Liquid nitrogen
Chemical peels
(Micro-) Dermabrasion
Surgery
Topicals, including bleaching
Prescription drugs
No treatment
What IPL Can Do
Pigmentary Conditions
40. What IPL Can Do
Vascular Conditions
Treatment options for vascular conditions:
IPL
Lasers
Sclerotherapy
Compression stockings
Combination
No treatment
41. What IPL Can Do
Vascular Conditions
Why treat Vascular Conditions?
1 million Irish people suffer from
benign vascular condition such as:
Spider veins and other telangiectasia
Haemangiomas
Port wine stains and other vascular
malformations - 3 in 1000 births
Rosacea - estimates of 150,000 Irish
people, many who go untreated
45. Before 6 Months After
5-ALA therapy followed by IPL treatment
What IPL Can Do
Type III : Photodynamic
Photos courtesy of Mitchel Goldman, MD
Pending FDA Clearance
46. Before 6 Months After
5-ALA therapy followed by IPL treatment
What IPL Can Do
Type III : Photodynamic
Photos courtesy of Mitchel Goldman, MD
Pending FDA Clearance
47. Procedure
Acetone scrub
5-ALA therapy with
30 minute incubation
Lumenis IPL at 30
J/cm2
Before After
What IPL Can Do
Type III : Photodynamic
Photos courtesy of Dore Gilbert, MD
Pending FDA Clearance
49. Before
Female with hair on the chin
Before and 6 months after 3 IPL treatments
Courtesy of Robert Weiss, MD, Hunt Valley, Maryland
After
What IPL Can Do
Unwanted Hair
50. Before
Female with spider veins
Before and 2 months after 4 IPL treatments
Courtesy of Marc Troxler, MD, Arlesheim, Switzerland
After
What IPL Can Do
Unwanted Veins
51. Why treat leg veins and deep vascular lesions?
Varicose veins are present in approximately 50% of women
and 20% of men before the age of 60.
50% of people with varicose veins are bothered by
symptoms. Almost all are bothered by appearance.
What IPL Can Do
Unwanted Veins
53. Treatment Considerations
Contraindications
Malignancy
Prolonged sun exposure or tanning within four
weeks pre- or post-treatment
Photosensitizing drugs
Relative contraindications
Diabetes
History of keloid scarring
Pregnancy
54. IPL Photorejuvenation
Complications / Adverse Effects
• Dissatisfaction
• Ecchymosis (purpura)
• “Tiger Stripes”
• “Leopard Spots”
• Burns
• No scars to date
• Hyperpigmentation
• Hypopigmentation
• Epidermal Crusting
Adverse reactions can spoil everything -
for the patient, for the dr, for all the drs
Photos: R Weiss MD
pre
1 day post
3 weeks post
59. Causes for Burns
Fluence too high
Filter wavelength too short
Pulse duration too short
Pulse delay too short
Insufficient quantity of gel
NO TRAINING!
63. OPT – Optimal Pulse Technology
“Square Off” the pulse
Typical IPL pulses have
energy peaks, followed by
decline
Lumenis One and M22 have
the ability to control the
pulse shape, each of them
individually
OPT: squares off and
equalizes the pulses,
delivering consistent,
homogeneous energy over
the duration of the pulse
Even more important with a
train of pulses
64. OPT – Optimal Pulse Technology
Safety
Eliminating the energy peak
at the beginning of the
pulse
Efficacy Current Pulse Shape
Addition of energy to the
ineffective decline at the
end of the pulse
New Pulse Shape
Reproducibility
Homogeneous “squared off”
energy distribution
66. Just what you need, when you need it
The new Multi-Application platform
Grows with your business
Allows add-ons
Expands to treatment needs
Adapts to future applications as they emerge
68. A single head with many ideas
• One Treatment Head
• Change Filters instead of hand
piece
• Saves time, storage space and
purchase of multiple,
expensive treatment heads
• 6x Expert Filters:
(515, 560, 590, 615, 640, 695
nm)
• 2x SapphireCool Light Guides
(15 x 35mm; 8 x 15mm)
75. Lentigines
Solar
“Age," "sun" or "liver" spots
Commonly appear as medium to dark brown
Hands, face, forearms and chest
Senile
Most fair-skinned people in middle age
Flat, round or oval-shaped, and have a slightly
irregular border.
76. Solar Keratosis
Warning sign you are prone
to sun damage and skin
cancer
Red, flattish, scaling dry
skin that may sting if
scratched
Appear on areas of skin
most often exposed to the
sun, like hands and face
Most common in people
over forty years.
Keratosis
77. Café-au-lait
Most often present at birth
Determined by color of
coffee and milk
50 % chance of
reoccurrence
Treat with IPL or Q-
Switch
78. Haemosiderin
Brownish pigment
containing iron
May make the skin
appear brown or orange
after a bruise or other
injury heals.
Post injury that causes
red blood cells to leak
i.e. sclerotherapy
79. Becker nevus
Skin disorder predominantly
affecting males
Nevus first appears as an
irregular pigmentation
On the torso or upper arm, and
gradually enlarges irregularly,
becoming thickened and often hairy
80. Ota Nevus
Blue to dark brown
pigmentation
Dermal - Usually at birth
The nevus of Ota is usually
located in the region of the eye
and maxillary division of the
trigeminal nerve
Treat with IPL or Q-Switch
81. Ito Nevus
The nevus of
Ito is usually
located on the
shoulder, side
of neck, and
supraclavicular
areas
82. Hyperpigmentation
Excess skin pigmentation
Can be the symptom of a severe
disease
In certain conditions melanocytes
can become abnormal and cause
an excessive amount of darkening
in the color of the skin
Treatment combination IPL and
Hydroquinone (bleaching cream)
85. PWS – Port Wine Stain
Child
• Present at birth
• Pink to dark or bluish red, abnormal blood
vessels
• Do not change color when gently pressed and
do not disappear over time
Adult
• May become darker and may bleed
86. After 4 TreatmentsBefore
Female, Skin Type II, Port Wine Stain – ARM and SHOULDER
Universal IPL treatment head and Nd:YAG
IPL: Triple pulse, 3/20/3/20/3, 590 nm filter, 20-29 J/cm2
Nd:YAG: Single pulse, 14 ms, 110 J/cm2 Basmat Zamir, MD
87. Port Wine Stain
After 4 TreatmentsBefore
Female, Skin Type II, Port Wine Stain – ARM and SHOULDER
Universal IPL treatment head and Nd:YAG
IPL: Triple pulse, 3/20/3/20/3, 590 nm filter, 20-29 J/cm2
Nd:YAG: Single pulse, 14 ms, 110 J/cm2 Basmat Zamir, MD
88. Facial
• Dilated superficial
blood vessels
• Red, pink or
purple, they will
absorb more of the
laser light than the
surrounding normal
skin
• IPL effective, may
reoccur
89. Telangiectasias
Facial
• Dilated superficial
blood vessels
• Red, pink or
purple, they will
absorb more of the
laser light than the
surrounding normal
skin
• IPL effective, may
reoccur
90. Truncal
• Thin skin secondary
to long-term steroid
use or aging, collagen
vascular disease, and
hormonal variation
(particularly estrogen)
91. Hemangioma
Nodular
Raised, flesh-colored nodule,
which often has a bluish hue or an
overlying telangiectatic patch
Regular
Bright red, flat area resembling a
port-wine stain
Upper layers of skin
94. Rosacea
Progressive Stages of Rosacea
Stage One
• Flushing skin
Stage Two
• Persistent redness and inflammation
• Unexplained bumps and pimples
• Not painful
95. Rosacea
Stage Three
• Visible blood vessels
• Painful to the touch
• Thickening on the nose or cheeks
• Blood pooling under the skin :
bruising
Stage Four: Full-Blown
• Eye irritation
• Burning or stinging, crusty, scaly,
with persistent pain
Combination of topical, antibiotic
medication , and IPL
96. Uniform brown color is usually
seen over the cheeks, forehead,
nose, or upper lip.
Associated with the female
hormones estrogen and
progesterone
Treatment with IPL can be
difficult
Treatment combination with
hydroquinone
Avoid sun exposure
97. Melasma
Uniform brown color is usually
seen over the cheeks, forehead,
nose, or upper lip. It is most
often symmetrical (matching
on both sides of the face)
Associated with the female
hormones estrogen and
progesterone
Treatment with IPL can be
difficult
Combination with
hydroquinone
Avoid sun exposure
98. Poikiloderma
Reddish-brown colour
Erythema and mottled
pigmentation seen on
the sides of the neck
Most commonly seen in
women
Photosensitizing
chemicals in perfumes
or cosmetics
Avoid sun exposure
99. Age Spots/ Telangiectasias
(M) Mild
Over exposure to the
sun
(S) Severe
Dense pigmentation
and enlarge
capillaries
(N-F) Non-Facial
Hands, arms, chest
exposed to sun
Use lower energy