DRAFT CONCEPT
4
Joseph Lepselter, Director Clinical Department
March 1, 2012

© תורומש תויוכזה לכ
4
Face Rejuvenation

Décolleté Rejuvenation
Photos Courtesy: Fernando Stengel, M.D., Dermatologist,
Buenos Aires, Argentina 4

© תורומש תויוכזה לכ
4
Hand Rejuvenation

• The aim of the new program is to treat the major photodamaged photoaged face, décolleté and hand-related imperfections - pigmentation, laxity, rhytides and volume, using 4 Harmony
XL advanced light and laser technology.

Objective
• The objective of the 460 rejuvenating program is to remove photodamaged photoaged skin pigmentations and superficial blood vessels, tighten the laxed aged skin, décolleté and the dorsal aspect of the hand

Background (I)
• Face, décolleté and hands are one of the first parts of the body to show signs of aging because they receive so much exposure.
• Sunlight, the elements and the natural aging process all contribute to the development of darkened spots, precancerous growths and a loss of fatty tissue.

Background (II)
• Veins become much more prominent with deepening color enhancement. The anatomy of the tendon becomes more accentuated.
• Skin wrinkles become much more prevalent with the loss of fullness and elasticity in the deep dermal layer.
• Intermetacarpal wasting becomes more enhanced with volume loss.

Photdamage
• The most typical cause of darkened areas of skin, brown spots or areas of discoloration is unprotected sun exposure. Once incorrectly referred to as liver spots, these pigment problems are not connected with the liver.

The Aging Face, Décolleté,
• Level I – Epidermis
Hand
– Pigmentation
– Vascular lesions
• Level II – Dermis
– Rhytides
– Laxity
• Level III – Hypodermis
– Laxity

460 Rejuvenation
Pigmented/Vascular Lesions
Rhytides Laxity
Texture, Tone

Rejuvenation Modules
Dye-SVL iPixel Er:YAG QSW Pixel
IMPACT

Dye-PL iPixel Er:YAG
NIR
QSW

• Dye-PL
• NIR
• Nd:YAG QSW Pixel
• Er:YAG iPixel
• Light 500-600-nm
• Light 800-1600-nm
• Laser 1064-nm
• Laser 2940-nm

• Dye-PL
• NIR
• Nd:YAG QSW Pixel
• Er:YAG iPixel
• Vascular/pigmentati on shading
• Topical Heating
• Non-ablative skin remodeling
• Fractional ablative skin remodeling

• Vascular & Pigmented Lesions
– port wine stains
– facial telangiectasia
– Rosacea
– Solar lentigenis

• Fractional skin resurfacing
• Fine-lines and wrinkles
• Skin laxity
• Scars including acne scars
• Stretch marks
• Photodamaged and photoaged skin

• Fractional skin resurfacing
• Fine-lines and wrinkles
• Skin laxity
• Scars including acne scars
• Stretch marks
• Photodamaged and photoaged skin

QSW Pixel Secondary Indications
• Crows feet
• Frontal lines
• Melasma
• Deeper dark scars
• Deeper pigmentation
• Dark eye circle
• Unwanted dermal filler / lumps from dermal filler
• Rosacea
• Telangiectasia

• Skin tightening

Day 1
Day 20
Day 30
Day 50
Day 60
4
Protocol
Color + Tightening
Color +Tightening
Dye-PL, NIR
QSW, NIR
Rhytides iPixel Er:YAG
Color +Tightening Dye-PL, NIR
Rhytides iPixel Er:YAG

Before After 4 th txt

Before
3 weeks After 1 Tx

Before
R
3 weeks After 1 Tx

Before
L
3 weeks After 1 Tx