Fractional-skin tightening is aimed at the loose or crepey skin present on the face, arms, legs (Fig. 4.15), abdomen (Fig. 4.16), and neck. This is a good combination treatment with the fractional skin resurfacing technology and a pulsed light photo facial system, giving a patient deep tightening, shallow epidermal/dermal resurfacing, and unwanted pigmentation and vascular […]

The Deep IR system is run off a halogen lamp filtered at 850-1,350 nm. This creates a wavelength spectrum that will penetrate to a proper depth and then be absorbed by the water content and converted to heat. The system combines long pulse durations (seconds) and fractional delivery to achieve this penetration. In order to […]

2.5.1 Overview/Principles The same principles utilized in fractional skin resurfacing at roughly a millimeter of depth are applied to the condition of lax and loose skin at 2-4 mm of depth. Using wave­lengths in the 850-1,350 nm, the Palomar Lux Deep IR hand piece uses a halogen lamp to create a pulse duration ranging from […]

Acne scarring is one of the conditions that has been most successfully treated with this type of nonablative fractional technology worldwide. Using high energies and creating enough density, most acne scarring (including ice pick scarring in Asian skin) can be treated to the point of patient satisfaction, as the collagen collapse is not a dynamic […]

As with any type of new technology, there are a number of systems to choose from, rang­ing from $40,000-$130,000, depending on the technology. Palomar Medical Technologies, Inc.’s Lux 1,540 nm erbium:glass laser and the Reliant 1,550 nm erbium “doped” diode fiber Fraxel systems are currently the two top systems in the market, both for the […]

The principle on which this type of technology is based requires the use of nonablative wavelengths of light to selectively coagulate tissue in the epidermis and dermis. The light is focused by sending it through micro-lens arrays to create multiple beams of light or by focusing one beam and using a scanner to create hundreds […]

4.4.1 Overview Using the nonablative fractional delivery of 1,540-1,550 nm light, an operator is able to treat conditions such as scar tissue or melasma and resurface the skin with very little dis­comfort or downtime. By creating spatially confined columns of coagulated tissue, the skin undergoes a natural healing process involving collagen production and tissue replacement […]

Treatments with pulsed light systems involve direct contact to the skin, and can involve multiple passes when the treatment warrants it. One of the unique features of a pulsed light system is the extremely large range of pulse duration options that are available. On some of the top of the line systems, an operator can […]

A key development in the cosmetic light-based technology arena over the past eight years has been the photofacial, which has become one of the most popular treatments on the mar­ket. This “light-based” facial is aimed at the treatment of vascular issues and epidermal pig­mentation (see Figs. 4.8 and 4.9, respectively), which improves the overall appearance […]