The 2nd generation of Fractional
Tx.
®
With CIS-F1
Understanding
What is LASER ?
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L
: Light
A
S
E
R
: Amplification
: by Stimulated
: Emission
: of Radiation
2
Diagram of a laser
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Diagram of a laser
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What makes laser different from other light
Sources?
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■
■
■
Monochromaticity
Coherence : the waves are in phase in time
and space.
Collimation
Laser and Tissue Interaction:
Laser targets chromophore
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For effective use of laser,
practitioners
must understand
‘Laser tissue interaction ’
Laser and Tissue Interaction:
Laser targets chromophore
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 Typical chromophores
(chromophores’ absorbing laser in tissue):
- Water (Chromophore of CIS-F1)
- Hemoglobin and Oxy-hemoglobin
- Melanin (including Hair)
Laser and Tissue Interaction
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 Laser interacts with tissue by absorption, scatter and/or
transmission.
X
Transmission
V
Without
incident angle
“Laser light must
be perpendicular
with skin surface
to minimize
refraction”
Reflection : 4-7% on skin surface
Absorption
Refraction
Scatter
 Grothus Draper Law : Laser application of tissue is based on the
absorption.
“No Absorption No Effect”
Laser Tissue Absorption Spectrum
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585 nm (Pulsed Dye)
20000
2940 nm (Er:YAG)
532 nm (KTP)
1550 nm (Er:Glass)
10,600 nm (CO2)
Hb
1000
100
HbO2
10
1
0.1
200
1000
5000
3 Skin Layers
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Laser and Tissue Interaction
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Ablative Laser (CIS-F1)
LASER
Vaporization (>100 ºC)
Necrosis & Coagulation
(58-85 ºC)
Protein Denaturation
(> 60 ºC)
Benefit
Injury
Photobiomodulation
(< 40 ºC)
Laser and Tissue Interaction
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Fractional irradiation
Fractional Tx. delivers
multiful micro-beams,
which hits the surface
of skin in a
fractionated manner
and allows for fast
healing by intact
surrounding healthy
Tissues.
Benefit
Laser and Tissue Interaction
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Cytokine
GF
Skin Tissue Interaction(CIS-F1)
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10mJ, Moving mode
(50mm tip)
Depth: 230㎛ Width: 80 ㎛
** Slides of porcine skin
250mJ, Stamp mode
(50mm tip)
Depth: 1800㎛ Width: 150 ㎛
200mJ, Stamp mode
(100mm tip)
Depth: 1350㎛ Width: 200 ㎛
Selective Photothermolysis
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Laser Light
Absorbed Target
Non absorbed target
*Temperature in the absorbed target will rise.
Termal Relaxation Time(TRT)
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Small Blood Vessels
are Typically <450 us
Melanosome is Typically
<10ns to 100 ns
Comparison
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CIS-F1
(10600㎛ fractional)
Sellas-evo
(1550㎛ fractional)
Ablative approach
Non-ablative approach
Excellent in skin resurfacing
Excellent in skin rejuvenation
More effective on single Tx.
Minimal downtime
Require less than 3 Tx.
Require less than 5 Tx.
Combination enhancement
Combination enhancement
Prone to surface of skin Tx.
(face lift effect)
Prone to dermis Tx.
(face volume up effect)
-Termal peeling.
-How it works.
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–Structural change in
Keratinized outer layer
(enhance absorption of
topicals)
–Biomodulation
< 40˚C
(Activity of cytokine )
–Stimulation of functional
cells (Cytokine,GF…)
CIS-F1
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▪ Specification
Laser source
RF CO2 Laser
Wavelength
10600nm
Operation mode
Stamping / Moving (Scanning)
Pulse energy
Stamp: 1-250mJ (Depth: 0.2~1.5mm)
Moving: 1-50mJ
Pattern size
Handpiece diameter 30mm tip
(microbeam dia. 150㎛)
Interface
Touch Screen
Weight
30kg
Dimension
40(W)x55(D)*90(H)cm
CIS-F1
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Tip length
(Focal length)
Microbeam
Size
Power
Application
50mm
100mm
80㎛
120㎛
Higher than
100mm tip applied
Lower than 50mm
tip applied
Deep
penetration
(Deep scar)
Skin resurfacing
Surgical tip
Incision, Cutting,
Nevus removal
CIS-F1
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CIS-F1
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User mode - easy to pick up the preset protocol
Tailoring the treatment zone
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▪ Tailoring the treatment zone by drawing on canvas (X-Y scanner).
▪ Customized design is allowed for intensive treatment without excessive damage to
surrounding tissues.
Tailoring the spot pattern
Regular forms
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[ 16 standard regular forms]
[ Max. 250mJ per micro dot]
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Cooling and topical anesthesia before “ high energy” procedures
30% lidocaine gel is applied on face; occlude for 30-40 mins with BioMask
Terminology of Laser
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Dr. Gabriel Serrano, Spain
Immediate redness after Sellas laser
Terminology of Laser
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Stamping mode
Dr. Gabriel Serrano, Spain
Terminology of Laser
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Moving mode
Dr. Gabriel Serrano, Spain
Post-Care Treatment
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Factors: Moisturizing / Anti-inflammatory / Revitalization / Sunscreen
• Sunscreen above SPF 50
• Vitamin C
• Retinol at night
• EGF, bFGF, Amino acid, Mineral, Co-enzymes, Necleonic acid
• Copper peptide, Glyco-protein
1. Fast recovery against PIH after laser treatment (Whitening)
2. Improving skin tone and firmness (tightening).
3. Anti-aging restructuring of skin tissue
4. Post-trauma skin repair
Post-Care Treatment
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Post CIS-F1 treatment:
Immediate care & First week after treatment
1. C- Vit serum / Lotion + Factor G Lotion + Moisturizing pack
2. Sun screen
3. Away from excessive heat stimulus such as sauna, hot spa
Post-Care Treatment
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[Medical examination and treatment after 1 week
Restart skin care at home
Skin Healing or tighten mask as for cosmetic care (propymask, Biomask)
[Post CIS-F1 treatment]: Second week after treatment
1.
Return to regular skin care: C-Vit Lotion + Factor G lotion (scars)
RetiseS / Fillderma System (aging), C-Vit
DaeSeS (DMAE) for flaccidity
Kojic acid / Alfa lipoic / arbutin (bleaching)
JuveSeS Teens / SaliSeS(acne)
[Medical examination and treatment after 2 weeks]: Combine treatments
Start aesthetic treatment with chemical peel, IPL, RF, Microdermabrasion, electroporation for
complementary approach (Antiaging, Whitening, Tightening)
[Second visit for CIS-F1 treatment after 4 weeks]
Contraindication for Sellas
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1. Renal failure
2. Herpes simplex
3. Acute infection
4.Post thermal injury
Advantages
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•Fast high density delivery
• Able to tailor stamping shape
according to lesional shape
• Thermal peeling
Only Sellas can represent “True” 2nd generation fractional laser!
Terminology of Laser
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PHOTOS (BEFORE/AFTER)
Skin Photo Gallery
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Patient age: 28 (Skin type: IV)
After 3 Tx
Skin Photo Gallery
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Patient age: 27 (Skin type: IV)
After 3 Tx
Skin Photo Gallery
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Patient age: 27 (Skin type: IV)
After 3 Tx
Skin Photo Gallery
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Patient age: 29 (Skin type: IV)
After 5 Tx
Skin Photo Gallery
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Patient age: 32 (Skin type: IV)
After 3 Tx
Skin Photo Gallery
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Patient age: 32 (Skin type: IV)
After 3 Tx
Patient age: 46 (Skin type: IV)
After 3 Tx
Skin Photo Gallery
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Patient age: 25 (Skin type: IV)
After 3 Tx
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The 2nd Generation of Fractional
®
Ablative Tx. With CIS-F1
Thank you.