Pixel – Fractional Ablative Skin Resurfacing Technology Flexibility, Efficacy, Value Pixel Module for Harmony Platform Fractional Ablative Skin Rejuvenation Skin Resurfacing – The Gold Standard • CO2 and Erbium remain the gold standard technologies for skin resurfacing. The pain, downtime and post operation side effect caused major decline in patient demand and a shift into none ablative procedures until the arrival of the Pixel Ablative Skin Resurfacing Effectiveness CO2 Erbium Pixel Chemical Peeling Microdermabrasion/JET PEEL Down Time Migration of Skin Resurfacing Technology CO2 Mid 1980’s to Early 1990’s Erbium Mid 1990’s to Late 1990’s Pixel 2011 Plastic Surgeons Dermatologists Plastic Surgeons Family Pract. Plastic Surgeons Medical Esth Dermatologists CO2 Laser Skin Resurfacing: Erbium Lasers Resurfacing: Pixel – Fractional Ablative Skin Resurfacing •Fractional ablative Procedures •Ablative procedure •Less ablative procedure •Minimal or no down time •Long down time •Less down time •No Special Care no pain •Pre and Post operation special care •Less special care •No side effects •Less side effects •No surgical skill require •Side effect •Required surgical skill •Less surgical skill required •Require less medical expertise Pixel provides remarkable clinical results: • Reduces wrinkles and fine lines • Causes immediate skin tightening • Noticeably improves skin tone and texture • Restores the skin to a healthy state What is Fractional Ablative Skin Resurfacing? • From “Bulk Ablation” to “Localized Ablation” – Treat small "fraction" of skin – Leave intact, undamaged skin around each treated area to act as a reservoir for rapid healing – Re-epitheliazation of treatment zones occurs rapidly, significant reduction in risk of infection • Pixel 2940nm laser treats about 20% of the skin • Each pixel spot within the spot size receives optimal energy – more effective treatment Pixel 2940nm Treatment How the Pixel works • During the Pixel fractional treatment, only a portion of the skin’s surface is treated by the laser, leaving small “bridges” of untouched skin. This technique makes the healing process much quicker and enables patients to get back to their normal life styles sooner PixelTM Fractional Laser Resurfacing The Effect of Multiple Passes First Pass 20% ablation 30% thermal Second Pass ~30% ablation ~45% thermal Third Pass ~40% ablation ~60% thermal Fourth Pass ~50% ablation ~75% thermal The first Pixel pass is 20% ablative and 30% thermal Each subsequent pass increases ablative by ~10% and increases thermal by ~15% Fractional Laser Resurfacing The Effect of Multiple Passes First Pass 20% ablation 30% thermal Second Pass ~30% ablation ~45% thermal Third Pass ~40% ablation ~60% thermal Fourth Pass ~50% ablation ~75% thermal The first Pixel pass is 20% ablative and 30% thermal Each subsequent pass increases ablative by ~10% and increases thermal by ~15% Fractional Laser Resurfacing Stacking of Pulses Ablation + thermal zone depth (microns) # of Stacked Pulses Clinical Indications Single Stack Surface Smoothing 100+150 Double Stack 150+225 Triple Stack Fine Lines Perioral/Thick Skin 200+300 Quadruple Stack 250+375 Five Stack 300+450 Six Stack Epidermis ~1,000 microns 50+75 Deep Acne Scars Pixel FDA-approved applications include: • Skin resurfacing • Wrinkles and fine lines • Scars and acne scars Appropriate for the face, neck, chest, arms and hands Immediately after 3 Pixel passes at 2 different patients The Laser Swing Laser Skin Resurfacing: Past, Present and Future CO2 Erbium 10600 2940 ActiveFX Pixel Affirm Palomar Fraxel 10600 2940 1440 1540 1550 Ablative 1980’s 1990’s Non Ablative 2006 2004 What makes Alma Lasers’ Pixel 2940 unique? • Painless procedure • Superb and lasting results • Immediate improvement with no patient downtime • No dye, gels or consumables Patients appreciate the Pixel 2940 – Painless: No pain – Effective: High-quality results – Fast: No downtime, No 40 minutes wait for numbing – Convenient: Return to work immediately – Enduring: Results continue over several weeks, months – Safe: No infections, swelling, edema hyper- or hypo-pigmentation Photo Courtesy: John Hamel, M.d., Complete Laser Clinic, NC. USA 1 week after 1 Pixel Tx. 3 passes @ 1100 mJ/Pulse, long pulse Before Photo Courtesy: John Hamel, M.d., Complete Laser Clinic, NC. USA 24 Hrs. after 1 Pixel Tx. 3 passes @ 1100 mJ/Pulse, long pulse 72 Hrs. After 1 Pixel Tx. Photo Courtesy: Dhepe Niteen, M.d., Skin City Laser Institute, Pune, Maharashtra, India 4 weeks after 1 Pixel Tx. 3 passes @ 1300 mJ/Pulse, long pulse Photos Courtesy: Guilherme Olsen de Almeida, M.D. Hospital Sirio-Libanes, São Paulo, Brazil 15 days after 1 Pixel Tx. 3 passes @ 600 mJ/Pulse, short pulse 2 passes 7x7 Pixel, 1 pass 9x9 Pixel. Treats pigmentaton After 1 Tx. Pixel 7x7, 1200mJ, 1 full face pass; 9x9, 1200 mJ/Pulse, 2 passes full face Photos Courtesy: Guilherme Olsen de Almeida, M.D., Hospital Sirio-Libanes, São Paulo, Brazil Treats Skin Texture Photos Courtesy: Sona MedSpa, Raleigh, NC 2 weeks after 2nd Pixel Tx. 1st Tx: 2 passes, 7x7 Pixel Tip @ 1400 mj/Pulse, Long Pulse. Triple stack on periocular area and nasolabial fold. 2nd Tx: 1 pass, 7x7 Pixel Tip @ 800 mj/Pulse, Long Pulse. Double stack on periocular area and nasolabial fold. Learn more about Pixel 2940nm Er:YAG module Call 905.825 8800