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1 !"#$%&'()*+,-'.'/0#$%&'()*-1233'' ' A2%::;',176B27'CDED'''',66583;5)FG'H4 SUMMARY!"#$%&#$'($)$*'+,-.)/-'.$'($)$.'.0),1)/-2#$(3)*/-'.)1$43561)&&$1)$789:;.+<$*'+,-.#=$>-/"$).$),1)/-2#$(3)*/-'.)1$ &/%=C$ '($ H;$ G)/-#./&$ =#+'.&/3)/#=$ D''=$ /'$ #I*#11#./$ 3#&'1%/-'.$ '($ ()*-)1$ >3-.E1#&J$ /'.#J$ ).=$ /#I/%3#$ '.$ )11$,%/$ '.#$G)/-#./F OVERVIEW the search for safer and more effective methods of treatment, patient needs and technological developments should together produce the best solutions. In I'In or CO 2 laser systems have been used as the primary op- have been used with some great success but at the cost of prolonged downtime, which requires much patient handholding, and issues in post-care compliance. For this reason, CO 2 systems, although considered the gold - helped to develop treatment settings but at the current treatment levels, studies have shown that suitable results have been shown only after two or three treatments. Because the ablative fractional CO 2 laser still requires mini- a very painful procedure, multiple treatments are not the tive of this study is to describe a newer and more effective way to successfully resurface a patient s facial tissue. ternative to ablative fractional CO 2 laser for most physi- - fect that is responsible for most of the tightening resulted in a very nice resurfacing treatment for pigmentation and systems that are able to sustain longer pulse durations, the amount of coagulation that they can achieve has in- short ablative pulse into the tissue, and then a subsequent longer pulse follows into the ablated column of tissue in has provided the ability to more successfully treat deeper - Optic, Palomar delivery of the coagulative pulse independently of the ab- - wavelength, the coagulation of the dermal tissue occurs at a lower temperature, so it can be created using portion of the treatment will then be followed by a frac- independent and separate delivery of fractional coagulation and fractional ablation permits for deeper coagulation with higher density and results in less downtime as opposed to having the entire trauma concentrated around a single column where fractional non-ablative laser technology and fractional ablative technology are combined. MATERIALS Device Descriptions: Both fractional lasers used in these case studies were developed as handpieces for the Palomar Icon - laser that can be used with interchangeable optics for varying patterns of thermal injury. For the clinical examples optic was used on ates a groove injury pattern of 5 lines, 6mm long, spaced 1
2 can be used in either a short-pulse ablative mode (primari- long-pulse coagulative mode which increases the zone of coagulation around the ablative zone or a dual-pulse mode - ted with one of two interchangeable tips, the XF or the to displace water in the tissue to allow for deeper penetra- areas, and the XF microlens is used for the rest of the face. age for each handpiece have been extensively character- METHOD cam- - cream was then applied to the area being treated (full face - mj/mb in the target areas and two passes of XF microlens over the entire face (one additional pass over the target ar- optic (described above linear ablation, it was necessary to change the orientation of the aperture in order to cross hatch the grooves to more tal, left leaning diagonal, and right leaning diagonal orien- oral areas were then treated again with two passes using more resistant areas. Upon completion of the procedure, the patients faces were cleansed with sterile gauze that to remove any debris from the tissue in a gentle fashion. Patients were then photographed for an immediate post treatment picture and had a topical barrier/healing promotion ointment applied. In the case of the patients be- post-lasering program from bio2 Cosmeceuticals International Inc. was a barrier/healing ointment, gentle cleanser, and soothing - SUMMARY OF RESULTS - one responded very well to the treatment and claimed to cation amongst the treatment group and that was a post treatment infection that resolved through a proper course included patient photographs have been physician graded photos are representative of the total experience of all ment scenario has been and continues to be very high. CONCLUSION tional non-ablative laser technology, patients can achieve are comparable to that of the gold standard systems, and in many cases, are superior, with the downtime typically being less than that of CO 2 mented lesions from a single treatment. Combining these fractional treatment modalities offers a new strategy for mal ratio of fractional ablative and fractional non-ablative 2
3 PATIENT 1 3
4 PATIENT 1 (CONTINUED) 4
5 PATIENT 2 5
6 PATIENT 2 (CONTINUED) 6
7 PATIENT 3 Two days post treatment One week post treatment 7
8 PATIENT 3 (CONTINUED) 8
9 PATIENT 3 (CONTINUED) 9
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