True Co2 Fractional Laser is

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1 True Co2 Fractional Laser is

2 Back ground of fractional technology Ablative Conventional CO2 Laser Er-YAG >>> An excessive ablation, too much PIH >>> Low thermal effect, delayed healing Non Ablative PDL IPL >>> Less effective in skin rejuvenation, high costs >>> broad indications but not specific Skin Laxity I2PL, APL RF >>> low risk of PIH but less effects on skin laxity >>> Rejuvenation by thermal effect Fractional Er-Glass Fractional >>>>>>> Good rejuvenation but PIH & high costs Er-YAG Fractional >>>>>>> Good Resurfacing but less thermal effect! CO2 Fractional >>>>>>> Ideal ablation and better penetration!!

3 Principle of Fractional Laser Galvo motor for Scanner CO 2 Laser RF Tube Scanner Lens Fractional Photothermolysis is treatment for partial skin, so if epidermis or superior derma gets damaged, surrounding non-damaged tissue makes possible to recover the damaged tissue, with quickly and easily. So even if Fractional Photothermolysis treatment delivers more high power energy, it can be more safe for dermis and epidermis, than existing NIR treatment.

4 Why CO 2 Fractional? Ablative Er:Yag 2940nm Erbium (2940nm) : ablative, longer down time, less collagen remodelling CO 2 10,600nm CO 2 : strong epidermal ablation with good rejuvenation!! Fractional Er:glass (1520nm, 1540nm) Near-infrared wavelengths (from 1064nm 1600nm) : less effective for scar revision and fine wrinkles

5 The Value of Utilizing CO2 (compared to Er:YAG) more long-term wound contraction and fibroplasias per micrometer depth of injury is achieved with the carbon dioxide laser. Ross E, McKinlay J, Anderson R. Why Does Carbon Dioxide Laser Resurfacing Work. Arch Dermatol. 1999: 135: It is now apparent that clinical improvement following equivalent depth dermal laser wounding with the erbium:yag laser is less than that observed following carbon di oxide laser skin resurfacing. Kauvar A. Laser Skin Resurfacing: Perspectives at the Millennium. Dermatol Surg. 2000;26:2:

6 Ablation & Heat VS Ablation Only VS CO 2 Provides ablation and heat which promotes collagen restructuring and growth of new collagen Ablative Erbium Ablates with minimal heat Therefore, very little collagen promotion unless MULTIPLE passes are used to ablate down to the dermal layer

7 What is Fraxis fractional laser? CO2 Micro focusing conventional Laser Scanner Fractional Laser 10.6um wavelength Laser (high water absorption) More high power is adapted 30W Tube (Made in USA) More high beam quality is adapted RF Tube Fraxis releases micro-sized Laser beams punched into the skin, which gives strong dry ablation & mild thermal damage, the gives good results for scars, wrinkle, rejuvenation, large pore Minute Laser Beam hole is delivered to dermis It help to resurfacing & Remodeling collagen Application : Tightening, Winkle, Rejuvenation, Large pore & Scar Care

8 Why does it work? 1. Heat in the dermis Heat promotes collagen stimulation Similar to Aluma, Thermage, Fraxel, Titan, etc Ablative Erbium does NOT provide heat 2. Ablation Immediate shrinkage of tissue Effective on dyschromia

9 Laser system Duration : Pulse duration / 1 Pixel, 100us~ 5000us Repeat : During steps on the foot switch, time interval between Area & Next Area. single, 0.2s, 0.5s, 0.7s, 1.0s, 1.5s, 2.0s Overlap : how many shot is radiated per one fixel. 1th ~10th Distance : Pixel distance 0.1~2.0mm Aiming Beam : 1 ~ 10 (1) CW Mode Laser Power : 0.5 ~ 30 Watts(0.5step) Pulse & Single Pulse Mode Laser Power : 0.5 ~ 30 Watts(0.5step) On time : 10ms ~ 100ms (10ms step) 100ms ~ 500ms (20ms step) 500ms ~ 1000ms (100ms step) Off time : 10ms ~ 100ms (10ms step) (only Pulse Mode) 100ms ~ 500ms (20ms step) 500ms ~ 1000ms (100ms step) Ultra Mode Width : 100us ~ 200us (10us step) 200us ~ 500us (20us step) 500us ~ 1000us (100us step) Frequency : 1Hz ~ 20Hz (1Hz step) 20Hz ~ 100Hz (2Hz step)

10 To be the best quality of fractional laser? 1 st consideration 2 nd Consideration 3 rd Consideration 4 th Consideration Are each sizes of laser beam uniform? Are each laser beams spread uniformly and equally on all over spot? Is each spot size small enough? Does it have various scanning mode to reduce the thermal damage? Beam hole Heat deposited High risk of thermal damage on overlapped area!! has them all!!

11 To be the best quality of fractional laser? Galvo motor for Scanner CO 2 Laser RF Tube Scanner lens Beam quality depend on Tube, Scanner lens and Galvo motor for scanner Aiming Beam : 1 ~ 10 (1)

12 Comparison of CO2 Laser Tube Merit 1) Simple manufacturing process 2) Low cost!! Sealed Glass DC Tube Demerit 1) Unstable laser power 2) CO 2 mixture gases corrode electrode 3) CO 2 mixture gases are dwindling naturally Regular replacement is necessary!! Merit 1) A high and stable laser power by high pressed waveguide RF and fast pumping 2) Permanent life cycle by metal sealed off 3) Compact size Waveguide RF Tube Demerit 1) High cost adapted RF Tube.

13 Comparison of dot size Conventional CO 2 Fractional Laser FRAXIS CO 2 Fractional Laser -High risk of PIH -Delayed down time - Minimal invasiveness, less pain - Reduced down time

14 Stability of Beam Test Shooting Fraxis system on the acrylic panel by high speed camera Fraxis is more stable by RF tube, Scanner, Micro Lens

15 Fraxis Scan & Shape Mode Shape : more than 4 type Scan Mode : 8 type Depending on patient condition, select proper shape and scan mode It help to reduce thermal damage and any possible side effect It will bring maximum treatment effect

16 Fraxis s Advantage More strong Laser power (Real 30w) Uniform and stable power/ High beam quality Fast Scanning shorter operation time Possible to accurate operation By replacement of hand piece, can use normal conventional CO2 laser function. Minimize thermal damage Maximize treatment effect Easy to operate with Wide Touch screen(10.4inch) & User interface True Co2 Fractional Laser is

17 Specification Laser Type Laser Power Fractional Pulse Energy Laser Mode Pulse Duration Repetition Overlap (Degree) Distance Treatment Area RF CO2 LASER, ALL Metal Sealed Type Normal Mode, CW/Pulse/Ultra: 0.5 ~ 30W 3.5mJ 175mJ TEMoo (10.6um) 100-5,000us sec / Single 1 10 th mm 1 x 1 20 x 20mm Pixel (dot) Quantity Up to 40,401 Pixel Size Cooling Optical Guide Aiming Beam Optional Accessory 100 micron Air Cooling Articulated Arm Semiconductor Diode laser/ Max 5mW/ 650mm Normal(Surgical) Hand-piece, F50/F100 Spot Size, 0.3mm/0.5mm

18 Clinical Data BEFORE AFTER

19 Clinical Data BEFORE AFTER

20 Clinical Data BEFORE AFTER

21 Clinical Data BEFORE AFTER

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