Q: Just how easy is it to upgrade a Lumenis Intense Pulsed Light system?
A: In many cases, it is quite simple to upgrade a Lumenis IPL device. Typically, it involves installing new software and some peripheral hardware, and often involves a new handpiece. Normally, technical support is required, but Lumenis' qualified team of engineers is only a phone call away, ready to assist you with any product inquiry no matter how simple or complicated. M22 comes out of the box and goes right into treatment.
Q: Describe the data collection, storage and retrieval aspect of the equipment.
A: Lumenis recognizes the importance of accurate patient histories and procedure data, particularly in certain cases. The Lumenis One platform is designed with state-of-the art computer software for the greatest possible ease of data entry and retrieval. In addition, many products have pre-set parameters which will be displayed based on the patient information you enter. On some Lumenis systems, thousands of patient records can be stored for accurate histories and convenient treatment protocols.
Q: How does Lumenis help me expand my practice?
A: The company is dedicated to helping its customers grow their aesthetic practices. Lumenis produces marketing tools, educational pieces and public relations materials designed to stimulate interest in laser and light-based aesthetic procedures among prospective patients, while simultaneously building awareness of your role in providing state of the art services. Leveraging the popularity of the internet, Lumenis hosts two web sites--one for consumer information seekers (www.skinandhealth.com) that features an online physician referral listing and this one directed to medical/health professionals who may be your referral sources. In addition, Lumenis offers a variety of tools to help you implement local media relations, advertising and public education activities, along with all the support materials, such as patient brochures, ad slicks and multi-media presentation materials. For more information, click on Value Added Services.
Q: Is training available?
A: Lumenis works closely with a large number of expert users around the globe who are familiar with all aspects of a device and its applications. Additionally, we have a strong network of well-trained clinical educators who can assist you and your office staff regarding IPL and laser treatment services. For more information, click on Value Added Services.
Q: Are IPL and the laser beams of Nd:YAG and LightSheer safe?
A.The wavelengths of all three modalities are within parts of the visible and the near infrared portions of the electromagnetic spectrum. They are longer than dangerous X-ray wavelengths, yet shorter than microwaves which can overheat the tissue. The technologies are designed to cause selective heating of lesions, but are safe for the surrounding tissues. To prevent injury to the eyes, all laser and light systems are shipped with wavelength specific safety eyewear. To prevent injury it is always recommended that physicians read and understand the information in the user manual that accompanies their system.
Q: How does the LightSheer Diode Laser System work?
A: The system emits near-infrared laser light that is absorbed by the pigment located in the hair follicle. The laser is pulsed, or turned on, for only a fraction of a second. The duration of each pulse is just long enough to damage the follicle, while the system's unique, patented contact-cooling handpiece, the ChillTip, helps protect the skin by conductive cooling during the laser energy delivery.
Q: What advantages does the LightSheer have over other laser hair removal systems?
A: The LightSheer Diode Laser System was designed from the ground up for laser hair removal, so it has the wavelength, fluence, pulse width, and active epidermal cooling system—the ChillTip ideally suited for laser hair removal. The system is small, compact, and (in some models) portable, so it fits well into virtually every type of existing practices. The system's solid state construction makes it durable; it's state-of-the-art user interface makes it easy to use. Finally, Lumenis has been in the business of making medical and cosmetic lasers for more than 30 years, so we've been able to develop unparalleled service and support—from our extensive training and practice building resources to our stand-alone systems' 24-hour replacement service (not available everywhere in the world). No other hair removal system offers the same combination of product excellence and customer service and support.
Q: Why should I use the LightSheer Diode Laser System rather than the methods I've been using for years?
A: The LightSheer Diode Laser System's design provides for enhanced comfort during treatment, minimal risk of infection, speed and accuracy. Since the system uses a unique cooling handpiece, it minimizes skin irritation that other methods may create. Since it is non-invasive (no needles to penetrate the skin), the risk of introducing bacteria into the skin is reduced. Because the system is fast, it allows for larger areas to be treated, considerably increasing the efficiency of the hair removal process, which allows more patients to be treated during a typical day. Finally, the LightSheer Diode Laser is a precise instrument that can be adjusted to damage only the hair follicle while minimally affecting the surrounding skin.
Q: Does the LightSheer work on tanned or different skin colors?
A: The LightSheer diode laser system safely and effectively treats all skin types (Fitzpatrick Skin Types I-VI) as well as tanned skin. For darker skin types and people with tans, appropriate fluences are generally lower and appropriate pulse widths are generally longer to prevent damage to the epidermis. Using the appropriate treatment parameters, however, people with all skin types can benefit from laser hair removal with the LightSheer.
Q: Are the Results Permanent?
A: The LightSheer laser has been cleared by the FDA for hair removal and permanent hair reduction on all skin types and tanned skin. To achieve a satisfactory level of clearance, 3-5 treatments are typically required.
IPL Skin Treatments
Q: What are IPL Skin Treatments?
A: Lumenis IPL Technology improves the appearance of photoaged skin, removes age spots (sun-induced freckles), most benign brown pigments, redness caused by broken capillaries and gives the skin a smoother, more even tone through a process called Photorejuvenation for face and body. IPL Skin Treatments help restore a more youthful appearance with minimal downtime.
Q: Are patients satisfied with the results of this gentler, more delicate approach?
A: IPL Skin Treatments are recognized for a very high measure of patient satisfaction. Patients are very pleased with treatment results because the process treats the full face, neck, chest or hands, rather than addressing a single isolated area or imperfection. With a series of treatments, IPL technology can help restore a more youthful appearance without patient downtime or a prolonged recovery necessary after other types of treatments.
Q: Can my system be upgraded as my practice grows?
A: Lumenis has developed the IPL systems with our customers evolving needs in mind. Designed to be truly upgradeable, our M22 and Lumenis One systems grow with the needs of your practice. Purchase the M22 or Lumenis One with applications and technologies to meet your needs today. As your practice expands, add additional applications and technologies.
Laser Skin Resurfacing
Q: How does CO2 skin resurfacing work?
A: The UltraPulse and AcuPulse are CO2 lasers designed to offer the versatility of both deep and superficial, skin resurfacing. The wavelength of light emitted by a CO2 laser is very well absorbed by water in the skin. “Ultrapulses” of the laser vaporize lines, wrinkles, scars, dark spots and other irregularities, layer by layer. This process also stimulates the formation over time of new, underlying collagen to provide better elasticity and support for the skin.
With upper eyelid blepharoplasty, the CO2 laser removes loose skin, and if present, fat pads. On the lower lid, fat pads are removed with no visible incision and no stitches. Because the laser beam seals blood vessels as it touches them, the physician can clearly judge how much tissue to remove, and there is less swelling and bruising than with traditional eyelifts.
Q: Can CO2 laser technology be used less invasively for treating milder indications?
A:With Lumenis' CO2 laser technology, skin resurfacing is so precise that you can tailor treatment according to the nature and extent of photodamage, wrinkling, skin type and individual requirements for recovery time. For instance, the Active-FX peel using the unique CO2 Lite feature allows you to achieve a superficial laser peel with just one pass. CO2 Lite utilizes fluences that are below the ablation threshold and with a single pass imparts intraepidermal coagulation that is confined to the epidermis with little to no thermal injury in the dermis. In addition, the CoolScan program on the UltraPulse places pulses in such a manner as to minimize thermal conduction of heat to deeper tissues and reduce the recovery period. The epidermis is typically left intact and serves as a natural wound dressing. The coagulated epidermis sloughs off in 3-5 days. Downtime is typically 4-7 days and offer substantial results. Offering both superior results for treating deep wrinkles and the ability to achieve controlled superficial resurfacing, the UltraPulse and the AcuPulse are the most logical choice for an "all-in-one" resurfacing laser.
Q: What results can my patients expect, and how long will the benefits of treatment last?
A: Laser resurfacing can restore your patient's skin to a healthy state, similar to that of skin that has not experienced sun damage or scarring. With proper sun protection, results can persist for more than five years. In areas where muscle activity is strong, lines may begin to reappear sooner. After laser eyelid surgery, the cosmetic improvement is usually sustained. Typically, only one blepharoplasty procedure is needed to remove excess skin and fat pads. As skin continues to age at a normal rate, you may advise your patient to maintain results with a 'touch-up' resurfacing treatment. In any event, with cosmetic laser surgery you will have definitively 'turned back the clock.'
Q: What are the advantages of using authentic CO2 vs. erbium lasers with extended pulse widths?
A: A bilateral study comparing resurfacing with long pulse erbium:YAG followed by traditional short-pulse erbium ablation to UltraPulse CO2 followed by short-pulse erbium ablation (Rostan E, Goldman M, Fitzpatrick R. Laser Resurfacing With a Dual-Mode, Long-Pulse Erbium:YAG Laser Compared to the 950-µs Pulsed CO2 Laser. Am J Cosmetic Surg. 2000; 17(4):227-231.) found that there was no statistical difference in healing between the two sides and in 5 patients (26%), greater clinical improvement in periorbital lines, perioral lines, or both was noted on the UltraPulse CO2 side. (A reprint of this article can be ordered from the Lumenis web site, Lumenis Lit. # 5448).
The value of utilizing authentic CO2:
Q: What are the advantages of Lumenis' Nd:YAG technology?
A: Lumenis' proprietary Nd:YAG technology provides multiple synchronized pulsing to selectively heat blood vessels of different sizes and depths. The wavelength of light and pulsing characteristics of the system allow the energy to be virtually invisible to the epidermal melanin, thus protecting the skin and allowing treatment of all skin types and tanned skin. Normally only a few pulses of the laser are required to achieve complete closure and sealing of the vessels. The sapphire cooled Nd:YAG treatment head, available in the M22 and Lumenis One systems (and as an upgrade to other systems), increases patient comfort. Multiple spot sizes available on the M22 and Lumenis One "Multispot" Nd:YAG head allows accurate targeting of vessels anywhere on the body including larger telangiectasia on the face.
Q: How does high-tech laser/light technology compare to traditional sclerotherapy?
A: The combined light sources of IPL and Nd:YAG offer important benefits over injection therapy. The combination of IPL and Nd:YAG therapy allows treatment of injectable leg veins as well as matting and small spider vessels that are often too small to inject. In addition laser / light therapy is fast, less painful; minimally invasive without needles; and typically does not require compression wrapping.
Q: Is aluminum oxide safe?
A:Yes. It is the material recognized as the appropriate abradant for the microdermabrasion procedure. Also, the Material Safety Data Sheet indicates that AI2O3, (in various forms known as Corundum, White Fused Alumina or Bauxite), is non-toxic for ingestion, is not associated with adverse skin contact reactions and is not a known carcinogen.
Q: How does the laser work?
A: The laser delivers high intensity light in pulses of a few billionths of a second into the treated area. The tattoo inks selectively absorb the light without damaging the normal surrounding skin tissue in the process. The tattoo ink is broken into smaller particles that are then harmlessly removed by the body in the weeks following treatment.
Q: How many treatments will it require?
A: Removing a professionally applied tattoo is usually a fading process that requires a series of treatments spaced at least 6 weeks apart. Professional tattoos usually require 5-10 treatment sessions for satisfactory clearing. The depth, color and amount of ink, as well as the location of the tattoo on the body are all determining factors in how quickly the tattoo can be removed. Most amateur, ‘street tattoos" and traumatic tattoos are removed in fewer treatments.
Q: What about lightening an existing tattoo?
A: Many tattoo artists encourage customers to receive a minimum number of laser treatments to lighten an existing tattoo before covering it with a new one. This will dramatically reduce any chance of the old tattoo appearing through the new one. In most cases, a minimum of 2-4 treatments is all that's required to lighten an existing tattoo.
Vascular and Pigmented Lesions
Q: What product solutions are available to treat vascular lesions?
A: Depending on the specific nature of the condition, Lumenis offers two key solutions for the treatment of benign vascular lesions. The IPL family, featuring the M22 and the Lumenis One multi-application platforms, successfully treat a broad range of vascular conditions including telangiectasia, port wine stains, hemangiomas, etc. Deeper vascular lesions can be treated with our Nd:YAG laser systems available on the M22 and the Lumenis One multi-application platforms.
Q: How do the M22 and Lumenis One treat mature hemangioma?
A: Mature hemangiomas can be rather thick, namely part of it is superficial and part is deep. The M22 and Lumenis One are equipped with two treatment heads that can effectively target the different depths of the hemangioma. The Nd:YAG head can be used first to reach the deeper parts of the lesion, while being marginally absorbed by the superficial telangiectasia that often lay on the surface of the hemangioma. Excessive heat production is thus eliminated. Following a few sessions with the Nd:YAG, the IPL can be used to treat the remaining superficial blood vessels.
Q: Can the M22 and Lumenis One effectively treat Rosacea?
A: The high power, short pulses and optimal pulsing technology only available with the M22 and Lumenis One are believed to result in superior treatment for the vascular symptoms associated with rosacea.
Q: Some pigmented lesions have to be removed surgically, as they are potentially harmful. Can they be treated by IPL instead?
A: Technically, it is possible to treat such pigmented lesions with IPL and diminish their brown color; However, doing so does not affect the pre-malignanat cells; it only obscures them and delays the diagnosis. It is therefore essential to consult a dermatologist prior to IPL treatment of any suspect pigmented lesion.
Q: Can IPL treat hairy pigmented lesions?
A: Yes, due to the versatility of filters, IPL is an effective treatment for hairy pigmented lesions. IPL with longer filters can penetrate deeper than IPL with short filters. Thus, a shorter filter may be used to treat the superficial (epidermal) pigmented lesion while a longer filter may be applied to remove the hair.
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