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Skin photo rejuvenation with the sharplight formax100 systemSkin Photo Rejuvenation with the SharpLight Formax100
B. Czajkowsky, M.D.1, V. Kipnis, M.D.2 1SharpLight Medical Advisor, 2AML Clinics, Israel ABSTRACT
Pulsed light technology improves the texture and appearance of skin affected by age, sun exposure and
The recent rapid growth in non-ablative, aesthetic, light-based treatments has led to an increased demand
for devices that treat a range of skin conditions, such as pigmented lesions, vascular lesions and textural
Non-ablative pulsed light treatments are effective for all age groups and all skin types.
This paper documents our preliminary experience in performing skin photo rejuvenation on 30 patients
with the SharpLight Formax100, equipped with 535 nm and 580 nm handpieces.
The new Formax100 intense pulsed light (IPL) Non-ablative skin rejuvenation has become popular with patients seeking no-downtime advances: Dynamic Pulse Control and Skin The theoretical basis of skin photo rejuvenation Dynamic Pulse Control (DPC) was developed to lies in the theory of selective photothermolysis allow the practitioner to optimize the light pulse configuration for each particular clinical neocollagenesis which occurs in response to a situation, based on individual patient skin mild thermal injury in the reticular and papillary characteristics and specific dermatological The Formax SR 580 nm handpiece is designed maximize clinical effect while minimizing for the treatment of skin textural damage: fine lines and medium wrinkles, open pores and dull Three different pulse configurations are offered by the DPC: Smooth pulse, Long pulse and The Formax VL&PL 535 nm handpiece is designed for superficial pigmented and/or – Smooth pulse: delivers a square pulse (single vascular lesions and can be combined with the continuous peak) with a slow tissue heating effect. Indicated for skin textural damage on all – Pigmented skin damage such as solar lentigo – Long pulse: delivers a train of pulses at medium height peak and 50% duty cycle (50% – Vascular skin damage such as telangiectasia, on, 50% off). Indicated for dark to medium erythema, rosacea, broken capillaries and – High pulse: delivers the most aggressive train applied on the face, neck, chest and hands. of high peak pulses. Indicated for lighter Contact cooling was developed to prevent weeks, use of Accutane within the past 6 epidermal adverse effects such as burns, by months, history of hypertrophy scarring or maintaining temperature of the epidermis at a keloid formation and any skin condition or low level throughout the treatment. Based on a medications with sensitivity to light. A history thermoelectrically cooled sapphire window, the of herpes requires use of prophylaxis prior to maximizes patient safety, reduces pain and A test spot was first performed on an adjacent provides better patient comfort, yet allows the area to determine optimal fluence, pulse practitioner to deliver higher light fluences for duration and pulse configuration parameters that would result in mild, diffused erythema and These technological advances of the Formax100 edema without any adverse effect. Pigmented lead to better, safer and faster clinical results lesions should darken almost immediately and will exfoliate within a few days while vascular lesions may disappear immediately. Skin texture MATERIALS AND METHODS
overall appearance should improve within 1 hour, resulting in mild erythema and mild edema that will give a skin replenishing glowing look. For darker skin types a waiting period of unexpected delayed response. Once optimal - Pulse duration: 10-12-15-20 and 25 msec treatment parameters were determined, on a totally clean skin surface, two passes were performed over the face and hands area and a single pass over the neck and chest areas, per session. The light guide should float gently over Treatments were conducted at the American Typical initial treatment parameters for light Thirty (30) female subjects aged 35 to 65, with skin patients were; Smooth to Long Pulse, 10 skin types II-IV, were subjected to 4 treatments msec at a fluence of 15 J/cm2, while for darker spaced 4 weeks apart. Subjects were followed- skin patients these were; Smooth Pulse, 25 msec up 48 hours after each treatment to assess at 10 J/cm2. Pending individual patient response treatment parameters were adjusted to be complications, and 1 month after the last slightly more aggressive from treatment to treatment to evaluate results and patient satisfaction with the procedure. Subjective clinical improvement was assessed by the physician by comparing pre- and post-treatment On the majority of patients (90%) a subjective photographs and by the patients by assigning a skin clearance rate of 70% to 90% was assigned grade of 1 to 5, 1 indicating no result and 5 These results were in line with expectations Prior to treatment patients filled a medical rejuvenation results. In some patients results history form and signed a consent form and were above expectation possibly due to the new were questioned to rule out any contraindication Pulse Form technology incorporated in the to intense light treatment. Contraindications include tanning of the area within the past 3-4 Figure 2. Textural skin damage with sun
erythema in only 2 patients (6%) and resolved spots (lentigos)
spontaneously within a few days. No hypo- or hyper-pigmentation or any other complications - 3 patients had positive subjective results Figure 3. textural treatment for open pores
- 27 patients were very satisfied - 2 patients were satisfied Before 4 weeks after 3 treatments Figure 1. Solar pigmentation (lentigo)
Our initial experience with the new Formax100
for skin photo rejuvenation resulted in a high
satisfaction rate in the majority (90%) of the
In cases of pigmented and vascular lesions a subjective skin clearance rate of between 60% to >80% was assessed by the treating physician. There were no adverse effects nor any serious or throughout the treatment sessions, apart from 2 transient cases of marked erythema (6%). The expected skin reaction of diffused erythema and mild edema appeared in 90% of the cases. A high level of safety and comfort was noted by indicating good results in more than 90% of the patients as well as high practitioner confidence in the machine. Safety and low In our experience the new Formax100 system complication rates associated with Formax100 demonstrates similar clinical efficacy and safety pulsed light skin rejuvenation is of particular in reducing pigmented sun damage and vascular significance when treating dark skin. It is irregularities as well as textural damage. Proper concluded that Formax100 photo rejuvenation patient selection and critical diagnosis serves to can be the basis for safe and effective skin rejuvenation in even darker skin patients but this has yet to be confirmed. - Controls the “aggressiveness” of light IPL photo rejuvenation has become the modality of choice for many patients seeking a non-invasive, no- downtime aesthetic treatment for - Allows optimization of clinical treatment signs of aging or sun-damaged skin. Formax100 with DPC pulsing technology and skin contact while minimizing risk to patient’s skin cooling, in combination with the 535 & 580 nm - Increases system effectiveness for a broader handpieces appears to be an excellent system for range of skin types, while maintaining a - Assures effective SR results on a wider Initial experience on 30 female patients resulted in very high satisfaction rates with no serious or practitioners who are experienced with other IPL systems were highly impressed and satisfied incorporated in the Formax100 system. In addition to assuring safety and efficacy, the system was found to be easy and convenient to Our clinical results with the Formax100 system are in line with previous publications describing the use of intense pulsed light for the treatment of skin photo rejuvenation and superficial High patient satisfaction, as found in our study, was noted in published clinical studies, REFERENCES
Adatto MA: Photorejuvenation of the forearms by treating hyperpigmented lesions with intense pulsed light source: a case report, Journal of Cosmetic and Laser Therapy, 2003 Jun; 5(2):117-9 Bitter PH: Noninvasive rejuvenation of photodamaged skin using serial, full-face intense pulsed light treatments. Dermatol Surg. 2000 Sep;26(9):835-42; discussion 843 Bjerring P, Clement M, Heickendorff L, Lybecker H, Kiernan M: Dermal collagen production following irradiation by dye laser and broadband light source. Journal of Cosmetic Laser Therapy 2002; 4(2):39-43 Brazil J, Owen P: Long-term clinical results of photorejuvenation. J. Cosmet. Laser Ther. 2003 Dec; 5(3-4):168-74. Dierickx CC, Anderson RR: Visible light treatment of photoaging. Dermatol Ther. 2005 May-Jun;18(3):191-208 Fodor L, Peled IJ, Rissin Y, Ramon Y, Shoshani O, Eldor L, Gaiman A, Ullmann Y: Using intense pulsed light for cosmetic purposes: our experience. Plast Reconstr Surg. 2004 May;113(6):1789-95 Goldberg DJ, Cutler KB: Nonablative treatment of rhytids with intense pulsed light. Lasers Surg. Med. 2000;26(2):196-200. Goldman MP, Weiss RA, Weiss MA: Intense pulsed light as a nonablative approach to photoaging. Dermatol Surg. 2005 Sep;31(9 Pt 2):1179-87; discussion 1187 Hedelund L, Due E, Bjerring P, Wulf HC, Haedersdal M: Skin rejuvenation using intense pulsed light: a randomized controlled split-face trial with blinded response evaluation. Arch Dermatol. 2006 Aug;142(8):985-90 Kligman DE, Zhen Y: Intense pulsed light treatment of photoaged facial skin. Dermatol Surg. 2004 Aug;30(8):1085-90 Laury D: Intense pulsed light technology and its improvement on skin aging from the patients’ perspective using photorejuvenation parameters. Dermatol Online J. 2003 Feb;9(1):5 Negishi K et al: Photorejuvenation for Asian skin by intense pulsed light. Dermatol. Surg. 2001 Jul; 27(7):627-31; discussion 632. Ross EV, Smirnov M, Pankratov M, Altshuler G:, Intense pulsed light and laser treatment of facial telangiectasias and dyspigmentation: some theoretical and practical comparisons. Dermatol Surg. 2005 Sep;31(9 Pt 2):1188-98 Sadick NS, Weiss R, Kilmer S, Bitter P: Photorejuvenation with intense pulsed light: results of a multi-center study. J. Drugs Dermatol. 2004 Jan-Feb; 3(1):41-9. Sadick NS, Weiss R: Intense pulsed-light photorejuvenation. Semin Cutan Med Surg. 2002 Dec;21(4):280-7 Weiss RA, Weiss MA, Beasley KL: Rejuvenation of photoaged skin: 5 years results with intense pulsed light of the face, neck and chest. Dermatol. Surg. 2002 Dec;28(12):1115-9 33 Lazarov St. Rishon Le Zion, Israel 75654 Tel: + 972 (0) 3 961 1969 Fax: + 972 (0) 3 952 8890
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