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Quazar S
DP
L
Keep th
is m
anual in
a c
onvenie
nt p
lace fo
r quic
k a
nd e
asy
refe
rence a
t all tim
es.
The product n
ames in
this g
uidebook are tra
demarks o
r regis-
tered tra
de m
arks o
f each sp
ecific m
anufactu
rer. In
the in
terest
of p
roviding su
perio
r equipment, Q
uazar In
dustrie
s reserves th
e
right to
modify
or a
mend equipment sp
ecifica
tions w
ithout n
otice
or o
blig
atio
n.
22 22
00 0011 11 00 00
QQ QQuu uuaa aazz zzaa aarr rr II II nn nn
dd dduu uuss sstt tt rr rr ii ii ee ee
ss ss LL LL
tt tt dd dd.. ..
Quic
k S
etu
p G
uid
e
Read th
is g
uid
ebook firs
t to s
et u
p y
our
equip
ment fo
r use.
Instru
ctio
n M
ate
rial fo
r Quazar S
DP
LIn
stru
ctio
n M
ate
rial fo
r Quazar S
DP
LIn
stru
ctio
n M
ate
rial fo
r Quazar S
DP
LIn
stru
ctio
n M
ate
rial fo
r Quazar S
DP
L
Pre
cis
ion O
.E.M
. Laser D
iode M
odule
, Puls
ed L
ight G
un,
Pre
cis
ion O
.E.M
. Laser D
iode M
odule
, Puls
ed L
ight G
un,
Pre
cis
ion O
.E.M
. Laser D
iode M
odule
, Puls
ed L
ight G
un,
Pre
cis
ion O
.E.M
. Laser D
iode M
odule
, Puls
ed L
ight G
un,
Pin
poin
t Laser D
iode M
odule
and C
ontro
ller U
nit
Pin
poin
t Laser D
iode M
odule
and C
ontro
ller U
nit
Pin
poin
t Laser D
iode M
odule
and C
ontro
ller U
nit
Pin
poin
t Laser D
iode M
odule
and C
ontro
ller U
nit
Q
uazar
Bio
tech In
dustrie
s
Replacement Parts
Laser Supplies
Laser Eyewear
Eyewear #
D-213-4600 Each $199.95
Laser and Pulsed Light H
andpiece Replacement
SDPL Laser M
odule # D-213-6700 Each $999.95
SDPL Pulsed Light G
un # D-219-6700 $999.95
Pulsed Light R
eplacement B
ulb # D-219-6701 $99.95
Carbon Dye 100ml
Carbon Dye # P-213-2500 Each $49.95
Laser Tattoo Post Treatment G
el
Stock # P-216-2500 Each $49.95
Laser Capilla
ry Post Treatment G
el
Stock # P-216-2600 Each $49.95
Laser Post Treatment Aloe
Stock # P-216-2700 Each $29.95
Price
s are su
bject to
change with
out n
otifica
tion. T
o order o
n-lin
e, g
o to
http
://www.centre-biotechnique-avance.com
For te
chnica
l assista
nce beyond what th
is manual p
rovides, p
lease e-m
ail
Please allow 24 hours fo
r processin
g.
Quazar SD-PL Standard produces laser radiatio
n which can be harm
ful to th
e eyes.
Always wear protective
eyewear w
hile operatin
g th
is equipment. L
aser ra
diation has th
e capability
to burn th
e skin if th
e te
chnician does
not c
losely observe th
e patie
nt’s re
action to
the procedure. L
aser e
lectro
lysis re
sults in
full d
estru
ctio
n of th
e hair
follic
le and is irreversible. A
lways plan ahead before underta
king detail w
ork such as eyebrow shaping or h
airlin
e
contourin
g. P
atch te
st a
small a
rea (n
o la
rger th
an 1X1 in
ch square) b
efore fu
ll applicatio
n. A
llow 24 hours to
determ
ine th
e patient’s re
action before applying fu
ll treatm
ent.
ESD Handling Precautions: The la
ser m
odule is e
xtre
mely se
nsitiv
e to
electro
static (E
SD) d
is-charge. T
he fo
llowing ste
ps sh
ould be ta
ken to
reduce th
e risk
of d
amage to
the diode.
1.
Secure th
e la
ser a
ccesso
ry to
the power sy
stem by tig
htening th
e exterio
r shroud (sp
anner
nut) clo
ckwise
until it sto
ps. If it is le
ft unsecured, in
term
ittent co
ntact w
ith th
e le
ads m
ay
produce a damaging power su
rge.
Always tra
nsport (o
r store) th
e la
ser in
an ESD protecte
d pouch. S
tatic d
ischarges fro
m th
e
hands ca
n destro
y th
e diode which
would not b
e co
vered by warra
nty.
UL
85
29
00
1
Prin
ted in
UK
Laser Hair Removal
There are cu
rrently
two sta
ndard varia
tions fo
r the perm
anent re
moval o
f unwanted hair b
y w
ay of
laser ra
diatio
n. T
he first o
f which
being re
ferre
d to
as la
ser ’sh
aving’. T
he se
cond is ‘d
eep tissu
e
traumatiza
tion’ w
hich
targets liv
ing m
elanocytes o
r carbon dye in
the fo
llicle organ.
Laser sh
aving has th
e distin
ct advantage of sh
owing im
mediate co
smetic im
provement. A
patie
nt
may walk into a laser hair
removal office
covered with
unwanted hair
then leave hairle
ss and
smooth a fe
w hours la
ter. U
nfortu
nately fo
r the patie
nt (w
ho m
ay have sp
ent $
5,000 or m
ore fo
r the visit) a
s much as 8
0% of th
eir h
air m
ay re
turn in
about 6
weeks. P
rogressiv
e perm
anency has
been esta
blish
ed at about 5-10% per tre
atm
ent with
the marginally inefficie
nt ‘laser shaving’
method. T
he average in
vestm
ent o
f treatm
ents (q
uantita
tively) is 1
0-12 applica
tions b
efore hair
growth is p
erm
anently
halte
d (p
roviding th
ey are a good ca
ndidate fo
r the procedure, se
e below).
The lim
itatio
ns fo
r achieving perm
anent re
sults in
a prompt a
nd expedient m
anner b
y w
ay of la
ser
shaving are m
any. M
ost o
f the la
ser ra
diatio
n is a
bsorbed and blocked by th
e
hair a
bove th
e sk
in. T
he fra
ction le
ft over w
ill be re
flecte
d and absorbed by
the sk
in itse
lf (especia
lly in
cases w
here th
e patie
nt h
as h
igh le
vels o
f pigment
in th
e derm
is). As little
as 1
0% of th
e orig
inal p
hoton output re
aches th
e
papilla
matrix
to produce th
erm
al d
amage to
the live
hair fo
llicle itse
lf. Laser sh
aving procedures a
re co
vered in
this in
structio
n booklet a
nd m
ay be
used fo
r those patie
nts w
ho prefer th
at p
articu
lar m
ethod; h
owever, fo
r the
purpose of e
fficacy and sp
eed fo
r perm
anent re
sults th
is manual w
ill focus
prim
arily
on th
e deep tissu
e tra
umatiza
tion m
ethod.
With
the deep tissu
e m
ethod, a
full 9
0% of th
e la
ser e
nergy is p
asse
d th
rough
the epiderm
is (no re
actio
n ta
kes p
lace on or a
bove th
e su
rface of th
e sk
in)
and as m
uch as 9
8% passe
s with
the use of a
topica
l translu
cency enhance-
ment g
el. O
nly 2-5% lo
ss of e
nergy per m
m of tissu
e depth occu
rs, which
leaves v
ery high le
vels o
f laser ra
diatio
n at th
e precise
areas to
create th
erm
al
damage to the follicle
. The deep tissu
e method require
s that the hair
be
shaved prio
r to tre
atm
ent. T
he hair b
elow th
e sk
in w
ill remain as a
target fo
r the la
ser e
nergy.
A varia
tion to
this p
rocedure re
quire
s the fo
llicle organ to
be re
moved fro
m th
e sk
in by tw
eezin
g or
waxing. T
he empty fo
llicle is th
en tre
ated with
a ca
rbon based dye. T
he advantages o
f this ‘ca
rbon
dye’ p
rotocol a
re su
bsta
ntia
l. Melanin in
human hair is n
ot a
n efficie
nt re
ceptor fo
r laser e
nergy.
Even black hair h
as o
nly a 20-40% efficie
ncy ra
ting fo
r the co
nversio
n of p
hoton energy to
heat.
Carbon dye has a
99.997% heat e
xchange co
nversio
n ra
tio. T
his p
roduces fa
r greater th
erm
al
damage to
the fo
llicle itse
lf. The next a
dvantage to
the ca
rbon dye m
ethod is th
at n
o hair d
ebris
(carbonize
d hair) is le
ft in th
e sk
in. T
he ’b
urnt h
air’ is v
isible th
rough th
e sk
in as a
dark sp
ot a
nd is
poorly
absorbed by th
e im
mune sy
stem (so
metim
es ta
king m
onths to
disa
ppear). T
his ca
n cre
ate
pim
ple-lik
e protru
sions a
nd, in
some ca
ses, in
fectio
ns. T
he th
ird advantage to
usin
g th
e empty
follicle
shaft/ca
rbon dye protocol is th
at la
ser ra
diatio
n w
ill not re
act w
ith blond, re
d or g
rey hair
growth. T
here sim
ply is n
ot e
nough pigment to
create heat. B
y usin
g ca
rbon dye, th
e entire
proc-
ess b
ecomes co
ntro
lled, h
ighly efficie
nt a
nd predicta
ble.
Client Pre-Qualific
ations
The best ca
ndidate fo
r laser h
air removal h
as fair skin
with
dark te
rminal h
airs. Skin
typing fo
r exposure to
ultra
vio-let lig
ht ca
n be ca
tegorize
d by th
e Fitzp
atrick
classifica
tion, d
evelo
ped by Dr. T
homas Fitzp
atrick
of H
arvard M
edical
School.
Skin Type I: N
ever ta
ns, a
lways burns (e
xtre
mely fa
ir skin, b
londe hair, b
lue/green eyes)
Skin Type II: O
ccasionally ta
ns, u
sually burns (fa
ir skin, sandy to
brown hair, g
reen/brown eyes)
Skin Type III: O
ften ta
ns, sometim
es burns (m
edium skin, b
rown hair, b
rown eyes)
Skin Type IV
: Always ta
n, n
ever b
urns (o
live skin, b
rown/black hair, d
ark brown/black eyes)
Skin Type V: N
ever b
urns (d
ark brown skin, b
lack hair, b
lack eyes)
Skin Type VI: (b
lack skin, b
lack hair, b
lack eyes)
Types 1
through 4 are outsta
nding ca
ndidates. T
ype 5 will h
ave e
xcelle
nt re
sults a
s well, b
ut ca
re m
ust b
e taken to
assu
re th
at th
e la
ser w
ill not b
urn th
e skin
. Type 6 sh
ould not u
ndergo la
ser h
air re
moval u
nless u
sed in
conjunc-
tion with
skin bleaching due to th
e high risk o
f burning an
d hypo/hyper p
igmentatio
n issu
es.
References
1. B
jerrin
g P, C
ramers M, E
gekvist H
, Christia
nsen K, T
roiliu
s A. H
air re
ductio
n using a new in
tense pulsed lig
ht irra
diator a
nd a norm
al m
ode ru
by laser. J C
utan Laser
Ther 2
000; 2
: 63-71.
2. K
auvar A
N. T
reatm
ent o
f pseudofollic
ulitis
with
a pulsed in
frared laser. A
rch Derm
atol 2
000; 1
36:1343-6.
3. E
remia S, L
i C, N
ewman N. L
aser h
air re
moval w
ith alexandrite
versus diode laser u
sing fo
ur tre
atm
ent sessions: 1
-year re
sults. D
erm
atol S
urg 2
001; 2
7: 9
25-9.
4. G
orgu M, A
slan G, A
koz T, E
rdogan B. C
omparison of a
lexandrite
laser a
nd electro
lysis fo
r hair re
moval. D
erm
atol S
urg 2
000; 2
6:37-41.
5. B
encini PL, L
uci A
, Galim
berti M
, Ferra
nti G
. Long-te
rm epilatio
n with
long-pulsed neodimium:YAG laser. D
erm
atol S
urg 1
999; 2
5:175-8.
6. L
loyd JR
, Mirk
ov M. L
ong-te
rm evaluatio
n of th
e long-pulsed alexandrite
laser fo
r the re
moval of b
ikini h
air a
t shorte
ned tre
atm
ent in
tervals. D
erm
atol S
urg 2
000; 2
6:633-
7
1
SDL80 QCW Laser Instrument
The SDL80 co
mes w
ith a high output 1
30jcm
2/se
c. adjusta
ble pulse
frequency (fix
ed pulse
dura-
tion) in
strument fo
r superio
r operator co
ntro
l. To prolong th
e life
of y
our d
iode la
ser e
mitte
rs it is advisa
ble to
activ
ate th
e m
odule in
short b
ursts la
sting no m
ore th
an 1 se
cond, w
hile allowing an
equal sp
an of tim
e of co
oling betw
een pulse
s. This w
ill prevent o
verheatin
g and potentia
l damage
to th
e la
ser cry
stals. T
he galliu
m arse
nide la
ser d
iodes (e
mitte
rs) are lo
cated in
side th
e hand
piece. D
ropping or b
umping th
e in
strument m
ay re
sult in
irreversib
le damage to
the in
ternal
components a
nd would not b
e co
vered by warra
nty. P
inching or b
ending th
e fib
er o
ptic le
ads th
at
connect th
e in
strument w
ith th
e driv
er u
nit m
ay also
damage th
e la
ser.
WARNING: D
o not o
perate th
e laser on fu
ll power (settin
g 3) and fu
ll pulse (settin
g 3)
for m
ore th
an 1 second at a
time. T
he diodes will o
verheat a
nd m
ay burn out. F
ailure
to comply will v
oid warranty.
Trouble Shooting
Should you en
counter te
chnical p
roblem
s with
your Q
uazar S
DL80 La
ser sy
stem, re
fer to th
e following guide fo
r potential p
roblems a
nd th
eir solutio
ns.
—Unit is
plugged into the wall, a
ll accessories are correctly inserted into the unit b
ut no laser output is
being registered.
++Check all c
onnectio
ns. P
lug and unplug each one being sure all c
ontacts are sound.
++Check all c
ords. D
ue to
contin
ual bending and fa
tigue, w
ires m
ay fra
y or b
reak re
sultin
g is fu
ll loss of p
ower.
++Check Fuse: The Quazar unit has a fast-a
ctin
g fuse mounted inside your unit to protect the delicate laser
diode fro
m volta
ge spikes, o
n-lin
e power s
urges and electro
-static discharge (E
SD damage). R
eplace with
15 amp
fast a
ctin
g ty
pe only. F
ailure to
comply with
these specific
atio
ns m
ay re
sult in
serio
us damage to
your la
ser a
nd
will v
oid all w
arra
ntie
s.
—Unit c
licks or makes noises.
++This clicking sound is norm
al. N
o service is re
quire
d.
—Laser output is
weak.
++Emitte
r output n
odules are blocked w
ith carbonized debris (b
urnt h
air e
tc.). C
lean th
oroughly w
ith a cotto
n
tipped applicator a
nd alcohol. If th
e perfo
rmance of th
e la
ser d
oes not im
-
prove afte
r cleaning th
e head your u
nit n
eeds servicing by a qualifie
d agent.
Contact te
chnical support fo
r assistance.
—No output from the laser is registered after all trouble-shooting
suggestions listed above have been checked.
++Probable diode fa
ilure. U
nit n
eeds servicing.
Digital Pulse Counter
The meter
may need re-
calibratio
n by adjustin
g the
on-board
potentio
meter.
Two resisto
rs, Ra an
d Rb
may be used in
order to
alter the
full
scale
reading
(F.S.R.) o
f the m
eter. T
his
counter
contains
a lith
ium
ion batte
ry an
d m
ay explode
if incin
erate
d. Use proper
disp
osal
methods
when
disca
rding th
is device
.
10
Specific
ation
Min
Typ.
Max.
Unit
Reading/Second
Jcm2
Accu
racy
0.05
0.1
%(+
1 co
unt)
3
75
Linearity
+1
count
4
100
Sample ra
te
3
Samples/se
c 5
125
Op. te
mp
0
50
˚C
6
154
Temp. S
tbl.
150
Ppm/˚C
7
180
00
211
Trig
ger S
witch
Laser E
mission
Warning: La
ser ra
diatio
n is em
itted fro
m th
is apertu
re. U
nprotected
eye
exposure m
ay cau
se serio
us in
jury re
sultin
g in
loss o
f vision or b
lindness.
Trig
ger S
witch
Laser E
mission
Coolin
g Fa
ns
WARNING:
Do not
touch the glass optics or allow
the optics to contact the
skin (during
emis-
sion). This w
ill create a contact
burn and
could severely
damage
the glass.
WARNING:
Do not
ex
ce
ed
1
60
d
eg
ree
s F
ahrenheit w
hile operating
your laser hand piece or serious
damage
may
occur which w
ould not b
e
co
ve
red
b
y w
arranty.
Laser Startup Procedure
Put o
n your laser eyewear before powering up your system. W
ear th
e eye protectio
n
throughout th
e entire procedure.
1.
Turn th
e key lo
ckout sw
itch clo
ckwise
from sy
stem sta
tus ‘n
eutra
l’ to
flashing re
d ‘e
nabled’ a
s shown.
2.
Adjust th
e laser p
ulse
to se
tting 1
, 2 or 3
. By pressin
g th
e trig
ger
switch
on th
e hand piece you w
ill be deliverin
g pulse
s of la
ser ra
diatio
n.
Adjust th
e pulse
frequency to
the desire
d le
vel.
3.
Set p
ower le
vel fo
r treatm
ent. It is re
commended to
start o
ut o
n se
t-tin
g 2 or 3
. 4.
Use your pulse
counter to accu
rately measure the total laser energy
which
is delivered to
your clie
nt p
er tre
atm
ent se
ssion. T
his co
unter ca
n
be re
set b
y pressin
g th
e butto
n to
the rig
ht o
f the disp
lay as sh
own in
fig
ure 4.
Testing the Laser
With
the power se
tting on 3, p
lace th
e la
ser h
ead on th
e black te
st sheet
inclu
ded with
your instru
ction materia
l. Press
the trig
ger sw
itch in pulse
mode fo
r a brie
f duratio
n (1
second or le
ss). A se
ries o
f brillia
nt la
ser fla
shes
will b
e evident w
hich
will ig
nite
the te
st pad producin
g vapor a
nd sm
oke. If
no re
actio
n occu
rs, check power se
tting.
If you have no la
ser te
st sheet y
ou m
ay use a cle
ar b
alloon w
ith a black
marking pen. F
irst infla
te th
e balloon th
en m
ake a ro
und black m
ark th
e size
of a
quarte
r. When th
e la
ser b
eam strik
es th
e black m
ark it w
ill cause th
e
balloon to
burst. S
hould eith
er o
f these te
sts result in
poor p
erfo
rmance of th
e
laser y
our u
nit is in
need of se
rvice
.
Pulse Mode 3 and Diode Overheating
While usin
g this
laser in pulse
mode on settin
gs 1-2,
there is little
chance of o
verheatin
g (w
hich
could le
ad to
diode fa
ilure). H
owever; u
sing high power se
ttings (#
3)
in m
ay le
ad to
excessiv
e heat b
uild up. S
hort b
ursts o
f 1 se
cond w
ith a 1 se
cond w
ait b
efore th
e next e
missio
n
are best
on settin
g 3. Pushing the laser beyond the
limits o
f perfo
rmance w
ill damage th
e galliu
m arse
nide
crysta
ls, resultin
g in
loss o
f intensity
, perfo
rmance, life
expecta
ncy of th
e la
ser w
hich
would not b
e co
vered by
warra
nty.
The te
mperature strip
on your S
DL h
and piece w
ill turn
black up to
the co
rrect n
umber. It is im
porta
nt n
ot to
exceed 160 degrees
Fahrenheit o
r serio
us d
amage m
ay occu
r to your la
ser d
iode.
Laser Head Maintenance
Clean the laser
head and optics
fre-
quently
. For lig
ht m
aintenance use ace-
tone or a
lcohol o
n a co
tton tip
applica
tor.
For
more aggressiv
e cle
aning use an
‘Exacto
’ to scra
pe any ca
rbonize
d m
ate-
rial fro
m th
e la
ser h
ead.
Carbonize
d debris
(resid
ue fro
m vapor-
ized hair)
can obstru
ct the laser tre
at-
ment by occlu
ding the optics
(lens)
as
well a
s the articu
latin
g arm
bracket.
3
Always use cautio
n when tu
rning on and/or operatin
g th
is system. T
he
laser is very powerful and can cause serious eye or skin injury
if used incorrectly
.
Key Lock Switch
Flashing Red
Pulse
Frequency
Laser
Power
Laser Resurfacing
Laser re
surfa
cing is p
erfo
rmed usin
g a beam of la
ser e
nergy w
hich
vaporize
s the upper la
yers o
f damaged sk
in at sp
ecific a
nd co
ntro
lled le
vels o
f penetra
tion. T
he proce-
dure offe
rs many advantages
which
others
do not have. Unlike Mi-
croderm
abrasion, th
e la
ser p
enetra
tes d
eeply in
to th
e derm
is where pro-
motio
n of co
llagen proteins can be stim
ulated. C
hemica
l peels ca
n be
very unpredicta
ble and dangerous w
hile la
sers ca
n be dialed in
to deliver
precise
ly th
e rig
ht a
mount o
f radiatio
n to
produce sa
fe and effe
ctive re
-sults.
All re
surfa
cing tre
atm
ents w
ork esse
ntia
lly th
e sa
me w
ay. F
irst, the outer
layers o
f damaged sk
in are strip
ped away. T
hen, a
s new ce
lls form
durin
g
the healing process,
a sm
oother,
tighter,
younger-lo
oking skin surfa
ce
appears.
For su
perficia
l or m
edium re
surfa
cing, th
e la
ser ca
n be lim
ited to
the epi-
derm
is and papilla
ry derm
is. For d
eeper re
surfa
cing, th
e upper le
vels o
f the re
ticulas d
erm
is can also
be re
moved. V
arie
d penetra
tion allows tre
at-
ment o
f specific sp
ots o
r wrin
kles.
It's also
importa
nt to
consid
er th
e le
ngth of re
covery w
hen ch
oosin
g among th
e sk
in-re
surfa
cing
alte
rnativ
es. In
general, th
e m
ore aggressiv
e th
e re
surfa
cing procedure is, th
e m
ore prolonged th
e
recovery is lik
ely to
be. "Lig
ht" re
surfa
cing procedures, su
ch as su
perficia
l chemica
l peels o
r super-
ficial la
ser re
surfa
cing, o
ffer sh
orte
r recovery tim
es. H
owever, th
ese lig
hter p
rocedures m
ay need to
be re
peated m
ultip
le tim
es to
achieve re
sults co
mparable to
those achieved w
ith m
ore aggressiv
e
techniques.
General Dermatology
Treatm
ent o
f additio
nal sk
in afflictio
ns su
ch as R
osacea, F
ine W
rinkles, S
un D
amaged Skin, A
cne
Scars, S
cars fro
m CO2-la
ser re
surfa
cing, A
ge Spots, La
rge Pores, A
cne Prone Skin.
As th
e la
ser g
oes o
ver th
e derm
is, vascu
lar sp
aces w
ith hemoglobin in
them absorb th
e la
ser e
nergy th
ereby heatin
g th
e su
rrounding tissu
e
and stim
ulatin
g th
e fib
roblasts to
produce ty
pe 1 co
llagen and derm
al
proteins. T
he tre
atm
ent re
arra
nges a
nd/or re
places th
e so
lar e
lasto
sis in th
e upper d
erm
is, resultin
g in
NEW co
llagen fo
rmatio
n.
What u
sed to
be lo
ose, irre
gular co
llagen in
the derm
is is now tig
hter,
refre
shed and re
juvenated.
The benefits o
f each Diode La
ser tre
atm
ent o
ver a
ll other sk
in re
juve-
natio
n procedures inclu
de: Low downtim
e, non-su
rgica
l, little
pain
and disco
mfort, im
mediate re
sults a
fter 1
- 2 tre
atm
ents, a
ffordable,
enhances y
our o
wn co
llagen growth, p
roduces m
ore derm
al p
roteins
and tre
ats a
ll types o
f skin.
Treatment Procedure: R
esurfacing and Wrinkle
Reduction
Deliver 1
second pulse
s of a
pproxim
ately 130 to
180 jo
ules to
each
area of 1
cm sq
uare. B
e very sy
stematic a
nd th
orough, b
ut re
sist the
temptatio
n to
over tre
at.
Applying more th
an 180 jo
ules per cm
2
may se
verely burn th
e sk
in.
Figure 1 sh
ows n
orm
al
sagging and wrin
kling of the skin which
can be
expecte
d as h
umans a
ge. F
igure 2 sh
ows e
xcellent
improvement o
n a 47 year o
ld fe
male afte
r 6 tre
at-
ments.
Apply ‘La
ser P
ost T
reatm
ent Fa
cial G
el’ (se
e back
page of p
amphlet fo
r orderin
g in
form
atio
n). T
his
form
ula co
ntains b
enzocaine, a
loe and glycolic a
cid, w
hich
produces a
very m
ild ch
emica
l peel. C
all
your p
atie
nt b
ack in
for a
follow up in
48 hours. A
dditio
nal tre
atm
ents m
ay be applied in
2-4 weeks
depending on th
e le
vel o
f derm
al tra
uma th
e patie
nt e
xperie
nce and th
eir ra
te of h
ealing.
8
Correct H
and Positio
n fo
r
Treatm
ents.
Ideal Distance for Treatment: 1/4 inch from the skin.
SDPL Control Locations/Feature Descriptions
A.
Key Lockout: This fe
ature is re
quire
d by la
w on all h
igh-power la
ser d
evice
s. The first
step in
the co
rrect se
quence to
power-u
p your la
ser is to
turn th
is lock clo
ckwise
usin
g th
e
specia
l key in
cluded in
your k
it. B.
System Status LED: This lig
ht w
ill indica
te sy
stem sta
tus (n
eutra
l or liv
e). Fla
shing re
d
means th
e sy
stem is re
ady fo
r use and extre
me ca
re m
ust b
e exercise
d while handling th
e
laser o
r pulse
d lig
ht g
uns.
C.
Pulse Control: T
his a
llows th
e operator to
set th
e number o
f laser p
ulse
s per se
cond.
D.
Laser Jack: A
n eight-p
rong co
axial p
ower ja
ck fo
r the diode la
ser h
and piece.
E.
Pulsed Light Jack: An eight-p
rong co
axial p
ower ja
ck and tw
o co
lor co
ordinated high
volta
ge ja
cks fo
r the SPL h
and piece.
F. Laser Instrument: A sin
gle emitte
r 180jcm
2 high in
tensity
pulse
d la
ser w
ith trig
ger
switch
. G.
Pulsed Light Instrument: A
180jcm
2 pulse
d lig
ht g
un with
trigger sw
itch.
H.
Eyewear: This is a
n esse
ntia
l part o
f the tre
atm
ent p
rocess. D
irect o
r refle
ctive la
ser
radiatio
n ca
n se
riously
injure th
e eye. B
oth th
e te
chnicia
n and th
e patie
nt m
ust u
se th
e
protectiv
e eyewear w
hile th
e la
ser is e
nabled or a
ctivated. E
yewear is in
tended fo
r acci-
dental e
xposure only. N
ever sta
re dire
ctly in
to a la
ser b
eam.
I. Carbon Dye: This is a
n ‘a
tomize
d’ fo
rm of m
olecular ca
rbon w
hich
easily
penetra
tes
deeply in
to th
e fo
llicle sh
aft. T
he dye adds p
igment w
hich
gives a
receptor fo
r the pho-
ton/heat e
xchange re
actio
n. T
he ca
rbon atoms w
ill capture th
e la
ser e
nergy and co
nvert
it into heat fo
r the ra
pid and efficie
nt ca
uteriza
tion of tissu
e fo
r the perm
anent d
estru
ction
of th
e hair fo
llicle organ.
J. High-Precision Tweezers: Apparatus fo
r the extra
ction of fo
llicle prio
r to ca
rbon dye
applica
tion.
K.
Pulse Counter: Panel-m
ount d
igita
l disp
lay sh
owing number o
f actu
al la
ser p
ulse
s deliv-
ered to
the clie
nt. M
ay be re
set to
zero by pressin
g butto
n to
the rig
ht o
f disp
lay.
L. Pinpoint Laser: A
4,000 m
W 808nm lo
ng pulse
diode la
ser fo
r detail w
ork.
2
A B
L
D E
G
H
F I
K C
J
Deliv
ering
the
corre
ct am
ou
nt
of
laser
energ
y to
the
client.
For e
ffectiv
e laser
hair
rem
oval,
a
min
imu
m
of
32
jc
m2
/
seco
nd is req
uire
d. T
he fo
llow
ing c
hart
will h
elp
you
match
the c
om
fort lev
el of
the c
lient w
ith a
n a
dequ
ate settin
g o
n th
e
mach
ine.
Inten
sity S
ettin
g 3
S
ingle
Pu
lse (one
pu
ll of th
e trigg
er switc
h, th
en relea
se)
2
5.7
1 jc
m2
In
tensity
Settin
g 2
S
ingle
Pu
lse (one
pu
ll of th
e trigg
er switc
h, th
en relea
se)
1
8.5
7 jc
m2
Inten
sity S
ettin
g 1
S
ingle
Pu
lse (on
e
pu
ll of th
e trigg
er switch
, then
release) 1
2.8
5 jc
m2
Intensity
Settin
g 3
Pulse
Frequency 3 (7
pulse
s/sec)
180 jcm
2/se
cond
Intensity
Settin
g 2
Pulse
Frequency 3 (7
pulse
s/sec)
120 jcm
2/se
cond
Intensity
Settin
g 1
Pulse
Frequency 3 (7
pulse
s/sec)
90 jcm
2/se
cond
Intensity
Settin
g 3
Pulse
Frequency 2 (5
pulse
s/sec)
130 jcm
2/se
cond
Intensity
Settin
g 2
Pulse
Frequency 2 (5
pulse
s/sec)
100 jcm
2/se
cond
Intensity
Settin
g 1
Pulse
Frequency 2 (5
pulse
s/sec)
80 jcm
2/se
cond
Intensity
Settin
g 3
Pulse
Frequency 1 (3
pulse
s/sec)
90 jcm
2/se
cond
Intensity
Settin
g 2
Pulse
Frequency 1 (3
pulse
s/sec)
50 jcm
2/se
cond
Intensity
Settin
g 1
Pulse
Frequency 1 (3
pulse
s/sec)
30 jcm
2/se
cond
Treatment Procedure: R
osacea
Deliver 1
second pulse
s of a
pproxim
ately 130 jo
ules to
each area of 1
cm sq
uare. B
e very sy
stem-
atic
and thorough but resist
the temptatio
n to over
treat. A
pplying m
ore th
an 180 jo
ules p
er
cm2 m
ay se
verely burn th
e sk
in.
Figure 1 sh
ows se
vere la
te sta
ge Rosacea of a
70
year old female. Figure 2 shows the substa
ntia
l im
provement a
chieved w
ith 16 tre
atm
ents o
ver 1
8
months.
Spider
veins
and enlarged capilla
ries
require
more tre
atm
ents
overall than most
other
laser p
rocedures.
Apply ‘La
ser C
apilla
ry G
el P
ost T
reatm
ent’ (se
e back page of p
amphlet fo
r orderin
g in
form
atio
n).
This fo
rmula co
ntains a
ctivated phylloquinone, w
hich
supports h
ealth
y re
generatio
n of n
ew ca
pilla
r-ies (re
ducin
g th
e re
curre
nce of fu
ture Rosacea) b
y stre
ngthening th
e ca
pilla
ry walls.
Treatment Procedure: A
ge Spots
This co
nditio
n is ca
used by m
elanin deposits in
the sk
in w
hich
do not fa
de. N
orm
al m
elanin w
ill darken (p
rolife
rate) w
ith exposure to
sun, b
ut w
ill also
fade over 4
-6 w
eeks w
hen th
e exposure is
stopped. It is m
ost co
mmon in
the elderly
but o
ccurs in
all a
ges. La
ser tre
atm
ents a
re re
markably
effe
ctive fo
r this a
ffliction.
Deliver
1 second pulse
s of
approxim
ately 130
joules to
each area of 1
cm sq
uare. Fa
ding of th
e
age sp
ots (a
lso known as ’liv
er sp
ots’) w
ill be evi-
dent afte
r 4-6 weeks.
Figure 3 shows moderate
age sp
ot a
ctivity
on a 67 year o
ld fe
male. N
ote th
e
improvement in
figure 4 sh
owing nearly
complete
regressio
n of th
e sk
in diso
rder. T
his p
atie
nt u
nder-
went 6
treatm
ents o
ver 4
months.
Apply th
e ‘La
ser P
ost T
reatm
ent A
loe’ w
hich
contains b
enzocaine. T
his w
ill speed healing and re
-duce any disco
mfort a
ssocia
ted with
the la
ser tre
atm
ent.
Treatment Procedure: S
cars and Lesions
This co
nditio
n ca
n be ca
used by any tra
uma to
the sk
in fro
m acne, su
n burn, cu
ts, scrapes a
nd
surgica
l procedures. T
o re
duce th
e appearance of th
e sca
r, it will b
e necessa
ry to
rebuild th
e co
lla-
gen proteins in
the sk
in w
ith la
ser ra
diatio
n. T
his p
rocess is e
xtensiv
e (e
specia
lly in
cases w
here
severe sca
rring exists). It m
ay ta
ke 15-20 tre
atm
ents o
ver 1
2-24 m
onths to
achieve desire
d re
-sults.
Deliver 1
second pulse
s of a
pproxim
ately 130 jo
ules
to each area of 1
cm sq
uare. R
emember, a
pplying
more th
an 180 jo
ules p
er cm
2 m
ay se
verely burn th
e
skin.
Figure 5 sh
ows a
28 year o
ld fe
male w
ith acne sca
r-rin
g w
hich
was le
ft over fro
m te
enage puberty
. There are very deep pocks, w
hich
are th
e hardest
to im
prove. In
figure 6, th
e appearance of th
e sca
rs (inclu
ding th
e pock) h
as im
proved 90%.
Apply th
e ‘La
ser P
ost T
reatm
ent A
loe’ w
hich
contains b
enzocaine. T
his w
ill speed healing and re
-duce any disco
mfort a
ssocia
ted with
the la
ser tre
atm
ent.
For a
list of la
ser h
air, ta
ttoo, a
ge sp
ot a
nd sca
r removal a
s well a
s general d
erm
atology tre
atm
ent
gel fo
rmulatio
ns w
hich
can aid in
the m
anagement o
f disco
mfort a
ssocia
ted w
ith la
ser tre
atm
ents,
see th
e back page of th
is pamphlet.
Treatment around the eyes must be done with adequate protection. Exposure to laser
radiation (even through the eye lid
) can permanently injure the eyes up to and including
blindness.
Photos are fo
r example purposes only and m
ay not in
dicate re
sults which will b
e achieved on every patient. M
edical
laser tre
atm
ents fo
r derm
atology purposes are ra
ted by ‘im
provement’ a
nd not b
y ‘cure’. M
any skin conditio
ns such
as Rosacea m
ay re
turn and re
quire
future tre
atm
ents to
be contro
lled. A
dvise your p
atient to
expect im
provement
but c
aution th
em as to
which degree of im
provement th
ey will b
e able to
achieve.
9
Laser Diode Tattoo Removal
To begin th
e process it w
ill be necessa
ry fo
r you to
scrub th
e sk
in over th
e ta
ttoo w
ith an abrasiv
e
applica
tor. T
his is w
ill remove th
e outer la
yers o
f the epiderm
is which
will a
llow fo
r greater p
ene-
tratio
n of th
e la
ser ra
diatio
n.
Usin
g a depilatory w
ax or e
pilatio
n paper, re
move all h
air fro
m th
e ta
ttoo area. H
air g
rowth w
ill block so
me of th
e la
ser ra
diatio
n fro
m enterin
g th
e ta
ttoo. Fo
llicles in
the sk
in of th
e ta
ttoo w
ill also
be perm
anently
damaged by th
e ra
diatio
n which
may not b
e desira
ble to
your p
atie
nt.
The Treatment Procedure
Carefully power u
p your la
ser (se
e page 4). D
ial in
full in
tensity
on high pulse
frequency. P
lace th
e
emitte
r side down (in
contact w
ith th
e sk
in) o
n to
p of th
e ta
ttoo as sh
own in
figure 4.
Deliver 1/2 to 1 second pulse
s (approxim
ately 130-180 joules)
to each area of 1 cm
square
(depending on co
lor). B
e very sy
stematic a
nd th
orough, b
ut re
sist the te
mptatio
n to
over tre
at.
Applying m
ore th
an 180 jo
ules p
er cm
2 m
ay se
verely burn th
e sk
in. B
lack in
k ca
n be su
ccessfu
lly
treated with
100 jcm
2. B
lue and green norm
ally re
quire
s 120 jcm
2, a
nd re
d re
quire
s up to
180.
The example tatto
o at rig
ht require
d 51
pulse
s of 1 second each for a total of
5,000 jo
ules.
Apply th
e post tre
atm
ent co
oling gel to
the
tatto
o and allow to dry. This
is a very
importa
nt ste
p w
hich
should not b
e omit-
ted. A
lthough th
e gel does contain th
e
desensitizin
g co
mpound benzocaine it w
ill be quite
common for the patie
nt to feel
some burning in the minutes
and hours
following the procedure.
This
is quite
norm
al. If th
e patie
nt re
quests e
xtra
relief, a
pply a co
ld pack as n
eeded.
In pictu
re number 5
, you ca
n se
e so
me of th
e re
dness, sw
ellin
g and sca
bbing w
hich
may sh
ow up
1-3 days fo
llowing tre
atm
ent. In
pictu
re number 6
and 7, y
ou ca
n se
e so
me fa
ding of th
e ta
ttoo,
but a
lso a m
ild fo
rm of h
ypo pigmentatio
n (lo
ss of th
e patie
nt’s n
atural sk
in co
lor). T
his co
nditio
n
is temporary and will su
bsid
e as th
e m
elanin re
generates w
ith natural h
ealing.
In pictu
re number 7
, you ca
n se
e th
at th
e ta
ttoo has fa
ded to
a point w
here it is n
ot re
cogniza
ble.
This p
articu
lar ta
ttoo re
quire
d 6 tre
atm
ents o
ver 7
months. It is a
lways a
good id
ea to
take pic-
tures o
f your p
atie
nt’s tre
atm
ent a
reas to
show th
em th
e ste
ady im
provement. T
his w
ill help th
em
to sta
y co
mmitte
d and m
otiv
ated as th
e process re
quire
s a su
bsta
ntia
l investm
ent o
f time.
7
Pa
tien
t
Gro
up
Tre
atm
en
t
Are
a
Ta
ttoo
Cle
ara
nce
(Avera
ge)
No
tes
2 P
atie
nts
Bla
ck In
k O
nly
Arm
s 9
0%
afte
r
3 m
os.
5 trea
tmen
t avera
ge
5 P
atie
nts
Blu
e an
d B
lack
Ink
To
rso
90%
afte
r
3 - 1
2 m
os.
8 trea
tmen
t avera
ge
1
2
3
4
5
6
7
8
9
10
1
1
1
2
13
1
4
15
1
6
17
1
8
19
2
0
21
2
2
23
2
4
25
2
6
27
2
8
29
3
0
31
3
2
33
3
4
35
3
6
3
7
38
3
9
40
4
1
42
4
3
44
4
5
4
6
47
4
8
49
5
0
5
1
Pre-Treatment
Before applying tre
atm
ent, re
move all h
air fro
m th
e area by tw
eezin
g or w
axing. La
ser h
air re
-moval is m
ost e
ffectiv
e w
hen applied to
an empty fo
llicle sh
aft. H
uman hair sim
ply does n
ot h
ave
enough pigment to
allow fo
r sufficie
nt h
eat e
xchange to
cauterize
, desicca
te and necro
tize th
e ce
lls which
produce hair. T
o co
mpensate fo
r this la
ck of ‘q
uantita
tive’ a
nd ‘q
ualita
tive’ p
hoton ta
rgets, it
will b
e necessa
ry to
place a high-density
carbon dye in
side th
e fo
llicle prio
r to tre
atm
ent.
Isolate th
e hairs to
perm
anently
destro
y. It w
ill be necessa
ry to
remove th
em by sw
iftly plucking
(or w
axing) in
the dire
ction of g
rowth. P
ullin
g slo
wly generally le
aves m
ost o
f the fo
llicle tissu
e
insid
e th
e pore which
will b
lock th
e dye.
Photo-Reactive Dye Application
Usin
g a co
tton-tip
ped applica
tor, co
mpletely co
ver th
e tre
atm
ent a
rea with
the sp
ecia
l dye in
cluded
in your k
it. Massa
ge th
e dye in
to th
e fo
llicle pore with
a firm
downward circu
lar m
otio
n. R
epeat 2
-3 tim
es to
saturate th
e fo
llicle pore. U
se an ethyl alcohol based w
ipe (iso
propyl a
lcohol w
ill not
disso
lve th
e dye) to
lightly
clean th
e excess fro
m th
e su
rface of th
e sk
in. A
t this p
oint y
ou w
ill have all d
esire
d fo
llicles v
isibly highlighted with
a dark sp
ot (a
s seen above) a
nd are re
ady to
power u
p your la
ser fo
r treatm
ent.
Pointer: If y
our p
atient o
bjects to
having a depilatory process before th
e tre
atm
ent, y
ou m
ay contin
ue w
ithout th
e carbon dye. T
his
alternate procedure is th
e equivalent o
f ‘laser s
having’ (fo
r which long-te
rm perm
anency is m
arginal). F
or b
est re
sults, th
e use of a
photo-
reactive dye is highly re
commended.
Dermal Coolant Application
Place a th
in la
yer o
f laser d
erm
al co
olant sp
ray on th
e tre
atm
ent a
rea prio
r to la
ser a
pplica
tion.
This w
ill protect th
e su
rface of th
e sk
in fro
m burning as w
ell a
s improve th
e tra
nslu
cency of th
e
skin (ra
te at w
hich
light ca
n pass). Fa
ilure to
use th
e derm
al co
olant p
rep m
ay re
sult in
unneces-
sary d
iscomfort fo
r the patie
nt d
urin
g tre
atm
ent a
nd in
crease th
e lik
elihood of a
surfa
ce burn.
Should th
e liq
uid become dry, it w
ill be necessa
ry to
re-apply fre
quently
. The use of a
humidifie
r in dry clim
ates w
ill substa
ntia
lly prolong th
e duratio
n fo
r which
the derm
al p
rep w
ill retain its co
ol-
ing propertie
s.
The Treatment Procedure
Shine th
e re
d dot o
n th
e highlighted hair fo
llicle. A
djust th
e dista
nce of th
e la
ser h
ead fro
m th
e
tissue to
create a pin-point o
f focus. T
he optim
al b
eam diameter fo
r maxim
um in
tensity
is roughly
1 m
m. T
he fo
llicle w
ill begin to
flash as th
e photon energy re
acts w
ith th
e ca
rbon dye. It is a
lso
norm
al to
see so
me gaseous e
missio
ns (v
apor a
nd sm
oke). C
ontin
ue to
hold th
e la
ser in
place until
all v
isible re
activ
ity ce
ases. T
his m
ay ta
ke up to
15 se
conds. M
ove on to
the next fo
llicle and
repeat. S
ome patie
nts m
ay fin
d th
e la
ser tre
atm
ent u
ncomforta
ble. In
these ca
ses th
e use of a
topica
l anesth
etic su
ch as lid
ocaine (a
synthetic a
mide, C
14H22N2O, u
sed ch
iefly
in th
e fo
rm of its
hydrochlorid
e as a
local a
nesth
etic a
nd antia
rrhythmic a
gent) w
ill reduce disco
mfort. A
mild cry
o-
genic (n
itrogen-based) to
pica
l spray will a
lso m
inim
ize any pain.
Treatment Around or Near the Eyes: Great ca
re m
ust b
e exercise
d w
hen
workin
g near th
e eyes. T
he la
ser
emissio
n is p
owerfu
l enough to a
ctually p
enetra
te the e
yelid
and perm
anen
tly damage th
e eye. H
avin
g th
e patie
nt
close th
eir eyes is n
ot sa
tisfacto
ry protectio
n. T
he u
se of a d
ark-colo
red damp wash clo
th which
is folded over fo
ur
times w
ill defle
ct the h
arm
ful ra
diatio
n; h
owever, o
nly la
ser p
rotectiv
e eyew
ear is re
commended.
Treatment Around or Near Mucus Membranes: La
ser ra
diatio
n will se
verely
damage th
e tissues in
side th
e nose and ear can
al. Treatm
ent sh
ould be avoid
ed in
these a
reas alto
gether.
Treatment Around or Near the Genitals: La
ser h
air removal is sa
fe fo
r applica
tion to
the p
ubic re
gions in
clud-
ing th
e reproductiv
e organs o
f both sex
es. C
are m
ust b
e ta
ken
into co
nsid
eratio
n in
these a
reas d
ue to
the in
-cre
ased le
vel o
f neural se
nsitivity
. The patie
nt m
ay fin
d th
e process u
ncomforta
ble w
ithout a to
pical.
Treatment Around or Near the Areola (nipple): La
ser h
air re
moval is safe
and effe
ctive on hair g
rowth which
occu
rs from th
e areola of b
oth se
xes. A
gain, ca
re m
ust b
e tak
en in
to co
nsid
eratio
n in
these areas d
ue to
the in
-cre
ased le
vel o
f neural se
nsitivity
. Post-T
reatment:
The skin
surro
unding the tre
atment area may experie
nce short-te
rm eryth
mia (re
ddening)
which
will su
bsid
e w
ithin 12 hours. S
hould th
e treatm
ent a
rea sh
ow sig
ns of e
xcess sca
bbing you m
ay w
ish to
reduce th
e overall tre
atm
ent tim
e or in
tensity
. The applica
tion of a
post-tre
atm
ent co
oling and healin
g gel (su
ch as
Aloe) is e
ncouraged to
speed healin
g an
d re
duce se
nsitivity
. Instru
ct the p
atien
t to refrain
from applyin
g co
smetics
or su
nbathing fo
r at le
ast 2
4 hours.
Always Patch Test Your Client First
Before administe
ring fu
ll treatm
ent to
any patie
nt y
ou m
ust d
o a patch
test. T
he best tim
e is d
ur-
ing th
eir in
itial co
nsulta
tion. A
pply 130jcm
2 (se
tting 3) to
a sin
gle area (sta
tionary exposure). T
o
apply sin
gle pulse
s set y
our p
ulse
frequency on 1 and pull th
e trig
ger sw
itch once and re
lease. If
this te
st burns th
e patie
nt (p
ain, d
istinct sw
ellin
g and tra
uma to
the sk
in w
ill show) th
ey are not
suita
ble fo
r laser e
pilatio
n or la
ser p
rocedures o
f any kind. T
his is g
enerally a co
nditio
n of p
erso
ns
who have black sk
in (F
itzpatrick
level 5
and 6).
Treatment Variation 1: D
eep Trauma on Shaved Hair
With
this p
rocedure, th
e hair is a
ctually sh
aved by a
razor p
rior to
laser a
ppli-
catio
n. T
his le
aves th
e fo
llicle in
tact, w
hich
provides a
target fo
r the la
ser
radiatio
n. T
he sk
in m
ust b
e th
oroughly cle
aned to
allow fo
r nearly
90-92% of
the ra
diatio
n to
be se
nt d
eeply in
side th
e tissu
e. If th
ere is d
irt, hair, o
r dead
skin, th
e la
ser ra
diatio
n m
ay become blocked, th
ereby re
ducin
g th
e efficie
ncy
of th
e device
. Place th
e la
ser h
ead on th
e sk
in as sh
own in
figure ‘a
’ (with
the brass fo
cal
tip to
uching th
e tre
atm
ent a
rea or 1
/2 in
ch above. N
OTE: N
ever a
llow th
e
laser o
ptics le
ns to
come in
contact w
ith th
e clie
nt). A
ctivate th
e la
ser o
n
pulse
settin
g 3 (7
pulse
s per se
cond) w
hile in
tensity
is set a
t 3. S
can th
e
treatm
ent a
rea at a
rate of 1
/2 in
ch per se
cond at 5
4jcm
2 and 1 in
ch per
second at 1
20jcm
2.
Laser Treatment Procedure 2: L
aser Shaving
To sh
ave th
e sk
in w
ith a high power la
ser, trim
the hair to
1/4 in
ch or so
. If the hair is to
o lo
ng it w
ill create debris w
hich
will b
lock and obstru
ct the
emissio
n output re
sultin
g in
loss o
f photon in
tensity
. Should vaporize
d hair
build up on th
e la
ser h
ead, u
se ethyl a
lcohol o
n a co
tton sw
ab to
clear.
Place th
e la
ser h
ead on th
e sk
in as sh
own to
the le
ft in fig
ures ‘b
’ and ‘c’ a
nd
‘d’. T
he brass tip
may be in
contact w
ith th
e sk
in and th
e hand piece sh
ould
be at a
85 degree angle to
the su
rface so
the optics d
o not co
ntact th
e der-
mis. A
ctivate th
e la
ser o
n pulse
settin
g 3 (7
pulse
s per se
cond) w
hile in
ten-
sity is se
t at 3
. Scan th
e tre
atm
ent a
rea at a
rate of 1
/2 in
ch per se
cond at
54jcm
2 and 1 in
ch per se
cond at 1
20jcm
2. T
his p
rocedure w
orks w
ell o
n
coarse
dark hair g
rowth. F
iner a
nd lig
hter h
air m
ay not co
mpletely vaporize
fro
m th
e la
ser. In
these ca
ses, th
e use of ca
rbon dye on th
e hair (o
r a dark
hair d
ye) w
ill improve th
e heat e
xchange re
actio
n.
Treatment Variation 3: D
eep Trauma by Carbon Dye
Before applying tre
atm
ent, re
move all h
air fro
m th
e area by tw
eezin
g or
waxing. R
efer to
pictu
res 1
-5 below fo
r proper te
chnique fo
r waxing and
carbon dye applica
tion. La
ser h
air re
moval is m
ost e
ffectiv
e w
hen applied to
an empty fo
llicle
shaft. H
uman hair sim
ply does n
ot n
orm
ally have enough pigment to
allow fo
r sufficie
nt h
eat e
x-
change to
cauterize
, desicca
te and necro
tize th
e ce
lls which
produce hair. T
o co
mpensate fo
r this
lack of ‘q
uantita
tive’ a
nd ‘q
ualita
tive’ p
hoton ta
rgets, it w
ill be necessa
ry to
place a high-density
carbon dye in
side th
e fo
llicle prio
r to tre
atm
ent.
Usin
g a co
tton-tip
ped applica
tor, co
mpletely co
ver th
e tre
atm
ent a
rea with
the sp
ecia
l dye in
cluded
in your k
it. Massa
ge th
e dye in
to th
e fo
llicle pore w
ith a firm
downward cir-
cular m
otio
n. R
epeat 2
-3 tim
es to
saturate th
e fo
llicle pore. U
se an ethyl
alcohol based w
ipe to
lightly
clean th
e excess fro
m th
e su
rface of th
e sk
in.
At th
is point y
ou will h
ave all d
esire
d fo
llicles v
isibly highlighted w
ith a dark
spot (a
s seen above) a
nd are re
ady to
power u
p your la
ser fo
r treatm
ent.
Place the laser head on the skin as shown in fig
ure (w
ith the focal arm
touching th
e tre
atm
ent a
rea). A
ctivate th
e la
ser o
n pulse
settin
g 4 (7
pulse
s per se
cond) w
hile in
tensity
is set a
t 5. S
can th
e tre
atm
ent a
rea at a
rate of
1/2 in
ch per se
cond. M
ove th
e la
ser a
nd re
peat. 4
Radiatio
n Emission
Zon
e
Radiatio
n Emission
Zon
e
Radiatio
n Emission
Zon
e
1
2
3
4
5
Laser Diode Tattoo Removal
Nearly
1/2 of a
ll people w
ith ta
ttoos e
ventually w
ant th
em re
moved. U
ntil re
cently
these people
had no viable (a
nd sa
fe) o
ptio
ns a
vailable to
them. In
the m
id 1980’s la
sers h
ad been used experi-
mentally to
remove th
e pigment w
ith encouraging su
ccess ra
tes. B
y th
e 90’s th
ey w
ere producin
g
very co
nsiste
nt a
nd re
liable re
sults. S
urprisin
gly, la
sers d
o not a
ctually burn th
e in
k out; th
ey fra
c-ture it in
to tin
y pieces w
hich
are th
en re
moved fro
m th
e sk
in by your im
mune sy
stem.
On average, p
rofessio
nal ta
ttoos re
quire
5-6 tre
atm
ents, w
hile amateur ta
ttoos m
ay re
quire
3-4
treatm
ents,
spaced approxim
ately 2
-4 weeks a
part. T
he n
umber o
f treatm
ents
depends o
n th
e
amount a
nd ty
pe of in
k used and th
e depth of th
e in
k in
the sk
in. O
ccasio
nally te
chnicia
ns h
ave
needed to
treat a
tatto
o 10-20 tim
es.
What should I charge for th
e procedure? T
he fe
e depends o
n th
e size
of e
ach ta
ttoo, a
nd how
many tre
atm
ents it ta
kes to
lighten or re
move it to
your sa
tisfactio
n. E
ach ta
ttoo tre
atm
ent g
ener-
ally co
sts $135 fo
r the 1st sq
uare in
ch and $25 fo
r each additio
nal in
ch. If m
ore th
an one ta
ttoo is
being tre
ated at th
e sa
me tim
e, y
ou m
ay offe
r pricin
g alte
rnativ
es. A
consulta
tion fe
e of $
40-$60
should be asse
ssed fo
r this q
uote.
What will the treatment be like? It is le
ss painful to
have a ta
ttoo re
moved th
an gettin
g it p
ut
on. A
numbing cre
am sh
ould be applied an hour o
r two before th
e procedure. A
fter th
e procedure
the tre
ated area m
ay bliste
r, swell, cru
st, scab, o
r bleed slig
htly
. Care fo
r the tre
ated area daily in
order to
prevent in
fectio
n and to
get th
e best p
ossib
le healing re
sults. T
he ta
ttoo w
ill then gradually
fade fo
r 2-4 w
eeks w
hen it ca
n be tre
ated again. Y
ou m
ay se
e additio
nal fa
ding fo
r as lo
ng as se
v-
eral m
onths so
you ca
n sp
ace th
e tre
atm
ents fa
rther a
part b
ut n
ot clo
ser th
an 2 weeks.
Important Considerations for Safe Laser Tattoo Treatment
Treatment on Skin with Hair Growth: One of th
e m
ajor sid
e effe
cts of d
iode la
ser ta
ttoo re
-moval is d
estru
ction of h
air fo
llicles. If y
our clie
nt w
ould lik
e a ta
ttoo re
moved fro
m an area in
which
there is w
anted hair g
rowth, m
anually extra
ct all fo
llicles b
efore tre
atm
ent. T
he use of a
n
aggressiv
e depilatory w
ax is b
est. If th
e fo
llicle is re
moved th
ere w
ill be fa
r less d
amage to
the
papilla
cells w
hich
produce growth. T
he hair fo
llicle unit w
ill regenerate in
4-6 weeks.
Treatment A
round or Near th
e Genitals: La
ser ta
ttoo re
moval is sa
fe fo
r applica
tion to
the p
ubic
regions in
cluding th
e re
productiv
e organs o
f both se
xes. C
are m
ust b
e ta
ken in
to co
nsid
eratio
n in
these areas d
ue to
the in
creased le
vel o
f neural se
nsitiv
ity. T
he patie
nt m
ay fin
d th
e process u
n-
comforta
ble with
out a
topica
l desensitizin
g sp
ray.
Treatment Around or Near the Eyes: G
reat ca
re m
ust b
e
exercise
d w
hen w
orking near th
e eyes. T
he la
ser e
missio
n is
powerfu
l enough to
actu
ally penetra
te th
e eyelid and perm
a-
nently
damage th
e eye. H
aving th
e patie
nt clo
se th
eir e
yes is
not sa
tisfacto
ry protectio
n. T
he use of a
dark-co
lored damp
wash clo
th which
is
folded over four tim
es will
defle
ct the
harm
ful ra
diatio
n; h
owever, o
nly la
ser p
rotectiv
e eyewear is
recommended.
Post-T
reatment:
The sk
in su
rrounding th
e tre
atm
ent a
rea
will
experie
nce short-te
rm erythmia (re
ddening) which
will
subsid
e w
ithin 12-24 hours. S
hould th
e tre
atm
ent a
rea sh
ow
signs o
f excess sca
bbing you m
ay w
ish to
reduce th
e overall
treatm
ent
time or
intensity
. The applica
tion of
a post-
treatm
ent co
oling and healing gel (su
ch as A
loe) is e
ncour-
aged to speed healing and reduce sensitiv
ity. Instru
ct the
patie
nt to
refra
in fro
m applying co
smetics o
r sunbathing fo
r at le
ast 2
4 hours.
REFERENCES
Nestor, M
ark S., M
D, P
hD, "L
aser H
air R
emoval: C
linical R
esults and Practical A
pplica-
tions of S
elective Phototherm
olysis", S
kin & Aging, Ja
nuary 1998.
Lask, Gary, MD, Elman, Monica, MD, Slatkine, Michael, PhD, Waldman, Amir,
PhD,
Rozenberg, Zvi,
PhD, "Laser-A
ssisted Hair
Removal by Selective Phototherm
olysis:
Prelim
inary Results", th
e American Society fo
r Derm
atology Surgery, 1
997.
6
—Black in
k absorbs all w
avelengths of lig
ht a
nd re
sponds very well to
diode laser tre
atm
ents.
—Green and Blue in
k absorbs 670-890nm lig
ht b
est a
nd re
sponds very well to
diode laser tre
atm
ents.
—Red, O
range, a
nd Purple in
ks absorb 500-700nm lig
ht b
est a
nd will o
nly show m
arginal im
provement w
ith
diode laser tre
atm
ents.
—Turquoise re
sponds varia
bly, d
epending on th
e pigments in th
e ink.
—Yellow te
nds to
reflect lig
ht a
nd does not re
spond well to
diode laser tre
atm
ents.
before
afte
r
Treatment Effic
acy
Perm
anent h
air re
moval is a
gradual p
rocess w
hich
takes 9
0 days o
r more fo
r complete destru
ction
of th
e fo
llicle tissu
es. E
ach hair m
ust g
o th
rough its e
ntire
growth cy
cle fo
r it to be effe
ctively
treated. G
enerally, it is o
nly durin
g th
e early anagen phase th
at it is v
ulnerable to
destru
ction.
The fo
llowing ch
art w
ill give you an accu
rate example of what th
e re
ductio
n in growth activ
ity
should lo
ok lik
e fro
m 30, 6
0 , a
nd 90 days o
f treatm
ents.
Important Considerations for Safe Laser Hair Removal Treatment
Treatment Around or Near the Eyes: Great ca
re m
ust b
e exercise
d w
hen w
orkin
g near th
e eyes. T
he la
ser
emissio
n is p
owerfu
l enough to
actu
ally penetra
te the ey
elid an
d perm
anently d
amage th
e eye. H
aving th
e patie
nt
close th
eir eyes is n
ot satisfa
ctory protectio
n. T
he u
se of a d
ark-colo
red damp w
ash clo
th
which
is folded over fo
ur tim
es w
ill defle
ct the h
arm
ful ra
diatio
n; h
owever, o
nly la
ser p
rotec-
tive e
yew
ear is re
commended.
Treatment A
round or Near Mucus Membranes: La
ser ra
diation
will severely d
amage th
e tissu
es in
side th
e nose an
d ear ca
nal. T
reatm
ent sh
ould be a
void
ed in
these areas alto
-gether.
Treatment A
round or Near th
e Genitals: La
ser h
air removal is sa
fe for application
to the
pubic re
gions in
cluding th
e re
productive
organs o
f both se
xes. C
are m
ust b
e ta
ken in
to consid
eratio
n in
these a
reas d
ue to th
e incre
ased le
vel o
f neural sen
sitivity. T
he p
atien
t may
find th
e process u
ncomforta
ble w
ithout a
topical d
esen
sitizing sp
ray.
Treatment A
round or Near th
e Areola (nipple): La
ser h
air re
moval is safe an
d effective
on hair g
rowth which
occu
rs from th
e areola o
f both se
xes.
Post-T
reatment:
The
skin surro
unding the
treatm
ent area will
experie
nce short-te
rm
erythmia (re
ddening) w
hich
will su
bsid
e w
ithin 1
2-24 h
ours. S
hould th
e trea
tment a
rea
show sig
ns of ex
cess sca
bbing you m
ay wish
to re
duce th
e overall tre
atm
ent tim
e or in
ten-
sity. T
he a
pplica
tion of a
post-tre
atm
ent co
oling an
d healin
g gel (su
ch as A
loe) is e
ncour-
aged to
speed healin
g an
d re
duce sen
sitivity. In
struct th
e patien
t to refrain
from applyin
g cosm
etics o
r sunbath
ing fo
r at le
ast 2
4 hours.
Over Treatment: Each la
ser p
ulse sen
ds p
hoton ‘b
undles’ d
eep in
to th
e skin
where it d
am-
ages th
e hair follicle tissu
es. T
his la
ser ra
diatio
n also w
ill have m
ild effe
cts on ca
pilla
ries a
nd
skin tissu
e. If to
o m
any la
ser p
ulse
s are administe
red th
e ca
pilla
ry netw
ork w
ill begin to
break down. T
his w
ill create a
bruise w
hich
will tak
e several d
ays to
subsid
e. A
lthough th
e use of la
sers to
destro
y ca
pilla
ries in
the skin
is quite
common (fo
r spider v
eins, p
ort w
ine
stains, b
irth m
arks e
tc), it is not th
e in
tent o
f this tre
atm
ent
as o
utlin
ed fo
r hair re
moval to
damage o
ther tissu
es. Fo
r that re
ason th
e technicia
n sh
ould ca
refully te
st and docu-
ment how man
y laser pulse
s each patie
nt can with
stand
before ca
pilla
ry breakdown (b
ruisin
g) o
ccurs. T
he g
eneral
rule of th
umb is to
patch
test th
e skin with
3 pulse
s (on fu
ll power) th
en se
nd th
e patien
t home. H
ave th
em back in
the
office
in 24 hours to
observe th
e re
actio
n. If th
ere is n
o burning or b
ruisin
g, a
d-
ministe
r the fu
ll treatm
ent. It is n
ot reco
mmended to
deliv
er m
ore th
an 20 pulse
s to one statio
nary area a
t a time. If m
ore th
an 10 pulse
s are deliv
ered th
e techni-
cian sh
ould m
ake a sm
all circular m
otio
n w
ith th
e la
ser h
ead to
avoid
sending all
the en
ergy th
rough th
e exact sa
me e
ntry
poin
ts. This la
ser ca
n ca
use se
rious b
urns to
the skin
. All te
chnicia
ns sh
ould adopt th
e ‘less is m
ore’ p
hilosophy. It is fa
r safer to
have th
e patie
nt co
me back fo
r additio
nal tre
atm
ents th
an to
administe
r too m
uch ra
diation
in one se
ssion re
sultin
g in
tissue tra
uma and bliste
ring.
5
30
da
ys
60 d
ay
s 9
0 d
ay
s
Fluence
130J/c
m2 m
ax
Energy Instability
19% m
aximum
Safety goggles
OD 8.0 @
700-1000nm @
2W CW
(minim
um) s
uggested.
Electrical re
quire
ments 100/120 VAC, 5
0/60 Hz nominal, 1
.0 A
max. 2
20 or 2
40 VAC, 5
0/60 Hz
nominal, 1
.2 A m
ax.
Ambient o
peratin
g
temperature
10°C to
30°C
Ambient storage
temperature
-25°C to
70°C
Emittin
g wavelength
(810 ± 10) n
m
Classific
atio
n: IV
Output p
ower
User-a
djustable 0 to
130 Jo
ules
Designatio
n: O
EM
Generatio
n m
odes
LP/CW
Manufacturer: Q
uazar In
dustrie
s,
UK
Beam characteristic
Semiconductor D
iode
Warra
nty: 1
Year
Pulse duratio
n
Manual A
djust
Emission In
dicator: Y
es
Weight
15 kg m
ax
Key Lock: Y
es
Optics
None
Beam Shutte
r: No
Dimensions
170 x 500 x 370 m
m
21CFR 1040, IE
C 825-1:1993: N
o
Patient #
hair counts
12 week clearance
1 females, 2 males
pre
number of tr
eatments
percent
#1: lase
r shave procedure
274
12
97%
#2: d
eep tissu
e with
hair
327
8
94%
#3: d
eep tissu
e with
dye
187
6
99%
post
9
19
2
Over-tre
atment
capilla
ry bruising
minor blistering
before
after
