Quazar
Diode Module and Driver
Replacement P
arts
Laser Eyewear
Eyewear #
D-213-4600 Each $99.95
Laser Handpiece Replacement
Laser M
odule # D-213-6700 Each $699.95
Carbon Dye 200ml
Carbon Dye # P-213-2500 Each $99.95
Laser Tatto
o Post T
reatm
ent G
el
Stock # P-216-2500 Each $49.99
Laser Capilla
ry Post T
reatm
ent G
el
Stock # P-216-2600 Each $49.99
Laser Post T
reatm
ent A
loe
Stock # P-216-2700 Each $29.99
DermalCool P
re Treatm
ent G
el
Stock # P-216-2606 Each $29.99
DermalPlast T
opical D
esensitiz
ing Spray
Stock # P-216-2606 Each $29.99
Price
s are su
bject to
change w
ithout 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 w
hat th
is manual p
rovides, p
lease e-m
ail
Please allow 24 hours fo
r processin
g.
Quazar SDL90C produces laser radiatio
n which can be harm
ful to the eyes. Always wear protectiv
e eyewear
while operatin
g this equipment.
Laser radiatio
n has the capability
to burn the skin if the technician does not
closely observe the patie
nt’s reactio
n to the procedure. Laser electro
lysis results in full destru
ctio
n of the 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 patie
nt’s re
actio
n before applying fu
ll treatm
ent.
ESD Handling Precautio
ns: T
he 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
Quazar S
DL90-C
Keep th
is manual in
a convenient p
lace fo
r quick and easy
reference at a
ll times.
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.
2010 Quazar In
dustrie
s Ltd.
2010 Quazar In
dustrie
s Ltd.
2010 Quazar In
dustrie
s Ltd.
2010 Quazar In
dustrie
s Ltd.
Quick Setup Guide
Read th
is guidebook firs
t to set u
p your
equipment fo
r use.
Instru
ctio
n Material fo
r Quazar S
DL90
Instru
ctio
n Material fo
r Quazar S
DL90
Instru
ctio
n Material fo
r Quazar S
DL90
Instru
ctio
n Material fo
r Quazar S
DL90-- -- CC CC
Precision O.E.M. Laser D
iode Module and Driver U
nit
Precision O.E.M. Laser D
iode Module and Driver U
nit
Precision O.E.M. Laser D
iode Module and Driver U
nit
Precision O.E.M. Laser D
iode Module and Driver U
nit
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 h
as th
e d
istinct a
dvantage of sh
owing im
mediate co
smetic im
provement. A
new
patie
nt m
ay w
alk in
to a la
ser h
air re
moval o
ffice co
vered w
ith unwanted hair th
en le
ave hairle
ss and sm
ooth 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
for th
e visit) 9
5% of th
eir h
air w
ill return in
about 6
weeks. P
rogressiv
e perm
anency has b
een
esta
blish
ed at a
bout 5
% per tre
atm
ent w
ith th
e m
arginally in
efficie
nt ‘la
ser sh
aving’ m
ethod. T
he
average in
vestm
ent o
f treatm
ents (q
uantita
tively) is 1
0-12 applica
tions b
efore hair g
rowth is p
er-
manently
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
8% 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).
Only 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 d
amage to
the fo
llicle. T
he deep tissu
e m
ethod re
quire
s that th
e hair b
e sh
aved prio
r to
treatm
ent. T
he hair b
elow th
e sk
in w
ill remain as a
target fo
r the la
ser e
n-
ergy.
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 P
re-Qualific
atio
ns
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: Never tans, always burns (extremely fair skin, blonde hair, blue/green eyes)
Skin Type II: Occasionally tans, usually burns (fair skin, sandy to brown hair, green/brown eyes)
Skin Type III: Often tans, sometimes burns (medium skin, brown hair, brown eyes)
Skin Type IV: Always tan, never burns (olive skin, brown/black hair, dark brown/black eyes)
Skin Type V: Never burns (dark brown skin, black hair, black eyes)
Skin Type VI: (black skin, black hair, black 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
, Christiansen K, T
roiliu
s A. H
air re
ductio
n using a new intense pulsed lig
ht irra
diator a
nd a norm
al
mode ru
by laser. J C
utan Laser T
her 2
000; 2
: 63-71.
2. K
auvar A
N. T
reatm
ent o
f pseudofollic
ulitis
with
a pulsed infra
red laser. A
rch Derm
atol 2000; 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 s
essions: 1
-year re
sults. D
erm
a-
tol 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, Luci 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. Long-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
intervals. D
erm
atol S
urg 2
000; 2
6:633-7
1
SDL90-C Laser Instrument
The SDL9
0-C co
mes w
ith a high output 1
80 jcm
2 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. .
WARNING: Do not operate the laser in CW mode on full power (setting 5) for more
than 1 second at a tim
e. The diode will o
verheat and may burn out. F
ailure to comply
will void warranty.
Trouble Shootin
g
Should you encounter te
chnical p
roblem
s with
your Q
uazar S
DL9
0-C La
ser sy
stem, re
fer to
the follo
wing guide fo
r potential p
roblems a
nd th
eir solutio
ns.
—Unit is
plugged into th
e wall, a
ll accessories are correctly
inserted in
to th
e unit b
ut n
o 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 and alcohol. If
the perfo
rmance of the laser does not
improve afte
r cleaning the head your unit needs servicing by a qualifie
d
agent. C
ontact te
chnical support fo
r assistance.
—No output from the laser is registered afte
r all trouble-shootin
g
suggestio
ns lis
ted above have been checked.
Digita
l Pulse Counter
The meter
may need re-
calibratio
n by adjustin
g th
e on-board
potentio
meter.
Two resisto
rs, Ra
and Rb
may
be
used in order to
alter th
e full scale
reading
(F.S.R.) o
f the m
eter. T
his
counter con
tains
a lith
ium
ion
batte
ry
and
may
explode if in
cinerate
d. U
se proper
disp
osal
methods
when
discard
ing
this
device
.
10
Warning: La
ser ra
diatio
n is e
mitte
d fro
m th
is apertu
re. U
nprotecte
d ey
e exposure m
ay ca
use se
rious
injury re
sultin
g in
loss o
f vision or b
lindness. A
lways u
se la
ser e
yewear.
Trig
ger S
witch
Laser E
mission
Ball O
ptics
Coolin
g Fa
n
Coolin
g Vents
Laser E
mission
Specific
atio
n
Min
Typ.
Max.
Unit
Reading/Second
Jcm2
Accu
racy
0.05
0.1
%(+
1 co
unt)
3
20
Linearity
+1
count
4
60
Sample ra
te
3
Samples/se
c 5
100
Op. te
mp
0
50
˚C
6
140
Temp. S
tbl.
150
Ppm/˚C
7
180
00211
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, the laser penetra
tes
deeply into the derm
is where
promotio
n of co
llagen proteins ca
n 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 the rig
ht amount of radiatio
n to produce safe and effe
ctive
results.
All re
surfa
cing tre
atm
ents w
ork esse
ntia
lly th
e sa
me way. F
irst, the outer
layers o
f damaged sk
in are strip
ped away. T
hen, a
s new ce
lls form
dur-
ing th
e healin
g process, a
smoother, tig
hter, y
ounger-lo
oking sk
in su
r-face appears.
For su
perficia
l or medium re
surfa
cing, th
e laser ca
n b
e lim
ited to
the
epiderm
is and papilla
ry derm
is. For d
eeper re
surfa
cing, th
e upper le
vels
of th
e re
ticulas d
erm
is can also
be re
moved. V
arie
d penetra
tion allows
treatm
ent o
f specific sp
ots o
r wrin
kles.
It's also
importa
nt to
consid
er th
e le
ngth of re
cove
ry 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 D
ermatology
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,
Scars
from CO2-la
ser
resurfa
cing,
Age Spots,
Large 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 the laser
energy thereby
heatin
g th
e su
rrounding tissu
e and stim
ulatin
g th
e fib
ro-
blasts
to produce type 1 collagen and derm
al proteins.
The tre
atm
ent re
arra
nges a
nd/or re
places th
e so
lar e
las-
tosis in
the upper d
erm
is, resultin
g in
NEW co
llagen fo
r-matio
n.
What u
sed to
be lo
ose, irre
gular co
llagen in
the derm
is is now tig
hter, re
freshed and re
juvenated.
The benefits o
f each D
iode La
ser tre
atm
ent o
ver a
ll other
skin rejuvenatio
n procedures
inclu
de: Low downtim
e,
non-su
rgica
l, little pain and disco
mfort, im
mediate re
sults
afte
r 1 - 2 tre
atm
ents,
affo
rdable, enhances your own
collagen growth, p
roduces m
ore derm
al p
roteins a
nd tre
ats a
ll types o
f skin.
Treatm
ent P
rocedure: R
esurfacing and W
rinkle Reductio
n
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
syste
matic a
nd th
orough, b
ut re
sist the te
mptatio
n to
over tre
at. A
pplying m
ore th
an 180 jo
ules
per cm
2 m
ay se
verely burn th
e sk
in.
Figure 1
shows n
orm
al sa
gging and w
rinkling of
the sk
in w
hich
can be expecte
d as h
umans a
ge.
Figure 2 shows excellent im
provement on a 47
year o
ld fe
male afte
r 6 tre
atm
ents.
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 contains
benzocaine, aloe and glycolic
acid
, which
produces a
very m
ild ch
emica
l peel. C
all y
our 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 d
epending on th
e le
vel o
f derm
al tra
uma
the patie
nt e
xperie
nce and th
eir ra
te of h
ealin
g. 8
Laser Startup Procedure
Put on your laser eyewear before powering up your system. W
ear the eye protection
throughout the 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
the laser pulse
to settin
g 1, 2 or 3. By pressin
g the 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.
Testin
g th
e Laser
With
the power se
tting on 3, p
oint th
e la
ser b
all o
ptics to
wards th
e black te
st sheet in
cluded w
ith your in
structio
n m
ateria
l. Make
sure to
keep th
e optics
from to
uching th
e te
st strip (h
old ro
ughly 1/4 in
ch away). P
ress th
e trig
ger
switch
in pulse
mode fo
r a brie
f duratio
n (1
second or le
ss). A se
ries o
f bril-
liant laser fla
shes will
be evident which
will
ignite
the test
pad producin
g
vapor a
nd sm
oke. If n
o re
actio
n occu
rs, check power se
tting.
If you h
ave n
o laser te
st sheet you may u
se a
clear b
alloon w
ith a b
lack
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
the la
ser y
our u
nit is in
need of se
rvice
.
Pulse Mode 3 and Diode Overheatin
g
While usin
g th
is laser in
pulse
mode on se
ttings 1
-2, th
ere is little
chance of
overheatin
g (w
hich
could le
ad to
diode fa
ilure). H
owever, u
sing high power
settin
gs (#
3) in
may le
ad to
excessiv
e heat b
uild up. S
hort b
ursts o
f 1 se
c-ond w
ith a 1
second w
ait b
efore th
e next e
missio
n are best o
n se
tting 3
. Pushing th
e la
ser b
eyond th
e lim
its of p
erfo
rmance w
ill damage th
e galliu
m
arse
nide cry
stal, re
sultin
g in
loss o
f intensity
, perfo
rmance, life
expecta
ncy of
the la
ser (w
hich
would not b
e co
vered by warra
nty).
Laser Head Maintenance
Clean th
e la
ser h
ead and optics fre
quently
. For lig
ht m
aintenance use ace-
tone or a
lcohol o
n a co
tton tip
applica
tor. Fo
r more aggressiv
e cle
aning use
an ‘E
xacto
’ to scra
pe any ca
rbonize
d m
ateria
l from th
e ball le
ns. C
arbonize
d
debris
(resid
ue fro
m vaporize
d hair)
can obstru
ct the laser tre
atm
ent by
occlu
ding th
e optics. If th
is contin
ues w
ithout m
aintenance th
e la
ser ra
dia-
tion w
ill pit a
nd sca
r the optics.
Important U
sage W
arning: T
he SDL-C
ball le
ns o
ptics e
mits d
angerous le
vels o
f laser radiatio
n which
can severely burn
the clie
nt’s sk
in (if to
uched dire
ctly to
the
tissue with
out
protectiv
e Derm
al
Cool
gel). A
lways u
se ca
utio
n w
hen applying
this la
ser to
your clie
nt.
It is not in
tended to
touch th
e sk
in w
ith-
out g
el. If la
ser sh
aving procedures a
re done, k
eep th
e optics
at le
ast 1
/4 in
ch fro
m th
e derm
is at a
ll times a
nd avoid to
uching th
e hair.
3
Always use caution when turning on and/or operating this system. The laser is very
powerful and can cause serious eye or skin injury
if used incorrectly.
Key Lock Switch
Flashing Red Enabled’
Pulse
Frequency
Laser
Power
Treatm
ent P
rocedure: R
osacea
Deliver 1
second pulse
s (approxim
ately 120 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 R
osacea 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.
Treatm
ent P
rocedure: 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 (approxim
ately 120 jo
ules)
to each area of 1
cm sq
uare. F
ading of th
e age
spots (a
lso known as ’liv
er sp
ots’) w
ill be evident
afte
r 4-6 weeks.
Figure 3 shows moderate age
spot activ
ity on a 67 year old female. Note the
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 w
ith th
e la
ser tre
atm
ent.
Treatm
ent P
rocedure: 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 (approxim
ately 120 jo
ules) to
each area of 1
cm sq
uare. R
emember, a
pplying m
ore
than 180 jo
ules p
er cm
2 m
ay se
verely burn th
e sk
in.
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
improve. In
figure 6, th
e appearance of th
e sca
rs (in
cluding 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 w
ith th
e 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.
Treatm
ent around the eyes must be done with
adequate protectio
n. Exposure to laser
radiatio
n (even th
rough th
e eye lid
) can permanently
injure th
e eyes up to
and in
cluding
blindness.
Photos are fo
r example purposes only and m
ay not in
dicate re
sults which will b
e achieved on every patie
nt. 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
atie
nt to
expect im
provement
but c
autio
n th
em as to
which degree of im
provement th
ey will b
e able to
achieve.
9
SDL90-C Control Locatio
ns/Feature Descriptio
ns
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). W
hen th
e
light is p
ulsin
g re
d th
e sy
stem is liv
e.
C.
Pulse Control: This a
llows th
e operator to
set th
e number o
f laser p
ulse
s per se
cond (u
p
to 7).
D.
Laser Jack: A
n eight-p
rong co
axial p
ower ja
ck fo
r the diode la
ser h
and piece.
E.
Power Cord: Rated fo
r 60Hz, 1
20-240 V
, 10 A
mp w
ith co
rresponding p
lug-sty
le fo
r country
of d
estin
atio
n.
F. Laser Instrument:
A 2cm
single emitte
r 180jcm
2/se
c. high in
tensity
pulse
d la
ser w
ith
thumb sw
itch.
G.
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.
H.
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.
I. High-Precision Tweezers: Apparatus fo
r the extra
ction of fo
llicle prio
r to ca
rbon dye
applica
tion.
J. Intensity
Dial: Contro
l feature fo
r the re
gulated output o
f the la
ser m
odule. S
ettin
gs
range fro
m 0-3.
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.
2
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
5.4
2 jc
m2
In
tensity
Settin
g 1
S
ingle
Pu
lse (one
pu
ll of th
e trigg
er switc
h, th
en relea
se)
9
.25
jcm
2
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)
110 jcm
2/se
cond
Intensity
Settin
g 1
Pulse
Frequency 3 (7
pulse
s/sec)
65 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)
78 jcm
2/se
cond
Intensity
Settin
g 1
Pulse
Frequency 2 (5
pulse
s/sec)
46 jcm
2/se
cond
Intensity
Settin
g 3
Pulse
Frequency 1 (3
pulse
s/sec)
84 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
A
B
c D
E
G
H
F
I
K
J
Laser Diode Tatto
o 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 and 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 Treatm
ent P
rocedure
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 90-180 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 b
enzocaine 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 w
ill subsid
e as th
e m
elanin re
generates w
ith natural h
ealin
g.
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-Treatm
ent
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
insid
e 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-Reactiv
e Dye Applicatio
n
Usin
g a co
tton-tip
ped applica
tor, co
mpletely co
ver th
e tre
atm
ent a
rea w
ith th
e 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 visibly 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
alte
rnate 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-
reactiv
e dye is highly re
commended.
Dermal Coolant A
pplicatio
n
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 b
urn.
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 Treatm
ent P
rocedure
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 w
ill also
minim
ize any pain.
Treatm
ent 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 w
ash 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.
Treatm
ent A
round 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.
Treatm
ent Around or Near the Genita
ls: 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.
Treatm
ent 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
reatm
ent:
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
olin
g 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 Y
our Client F
irst
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 7 sin
gle pulse
s (pull th
e trig
ger sw
itch fo
r one se
cond and re
lease). If th
is test b
urns 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 su
itable fo
r laser
epilatio
n or la
ser p
rocedures o
f any kind. T
his is g
enerally a co
nditio
n of p
erso
ns w
ho have black
skin (F
itzpatrick
level 5
and 6).
Treatm
ent 1
: Deep Trauma on Shaved Hair
With
this p
rocedure, th
e h
air is a
ctually sh
aved w
ith a ra
zor p
rior to
laser
applica
tion. T
his
leaves th
e follicle
intact,
which
provides a
target fo
r the
laser ra
diatio
n. T
he sk
in m
ust b
e th
oroughly cle
aned to
allow fo
r nearly
98%
of th
e ra
diatio
n to
be se
nt d
eep in
side th
e tissu
e. If th
ere is d
irt, hair, o
r dead skin, the laser radiatio
n may become blocked, thereby reducin
g the
efficie
ncy of th
e device
. Place th
e la
ser b
all le
ns o
n th
e sk
in as sh
own in
figure ‘b
’ (with
the ball o
p-
tics touching th
e tre
atm
ent a
rea). N
OTE: Never to
uch th
e la
ser b
all le
ns
optics to
the clie
nt’s sk
in w
ithout th
e aid of a
topica
l gel p
aste
). Activ
ate th
e
laser o
n pulse
settin
g 3 (7
pulse
s per se
cond) w
hile in
tensity
is set a
t 3.
Move th
e ball le
ns a
cross th
e tre
atm
ent a
rea at a
rate of 1
/2 in
ch per se
c-ond. T
he clie
nt sh
ould only fe
el th
e pinch se
nsatio
n w
hen th
e le
ns m
oves
dire
ctly over a
follicle
.
Treatm
ent V
ariatio
n 2: L
aser Shaving
To cle
ar th
e sk
in w
ith a high power la
ser, trim
the hair to
1/4 in
ch. If th
e
hair is to
o lo
ng it w
ill create debris w
hich
will b
lock and obstru
ct the emis-
sion output re
sultin
g in
loss o
f photon in
tensity
(and m
ay damage th
e op-
tics). Should vaporize
d hair b
uild 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 above th
e sk
in as sh
own to
the le
ft in fig
ures ‘c’ a
nd ‘d
’. The op-
tics should sh
ould co
ntact th
e derm
is. Activ
ate 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 tre
atm
ent a
rea at
a ra
te of 1
/2 in
ch per se
cond at 1
30jcm
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 w
ill improve re
sults.
Treatm
ent V
ariatio
n 3: D
eep Trauma by Carbon Dye
Before applying tre
atm
ent, re
move all h
air fro
m th
e area b
y 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 sh
aft. H
uman hair sim
ply does n
ot n
orm
ally have 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
compensate fo
r this la
ck 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 w
ith th
e 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 circu
-lar m
otio
n. R
epeat 2
-3 tim
es to
saturate th
e fo
llicle pore. U
se an ethyl alco-
hol b
ased wipe to
lightly
clean th
e excess fro
m th
e su
rface of th
e sk
in. A
t this
point y
ou w
ill have all d
esire
d fo
llicles visibly highlighted with
a dark sp
ot
(as se
en above) a
nd are re
ady to
power u
p your la
ser fo
r treatm
ent.
Place th
e ball le
ns o
n th
e sk
in as sh
own in
figure ’f’ (g
ently
pressin
g in
to th
e
treatm
ent a
rea). A
ctivate th
e la
ser o
n pulse
settin
g 3 (7
pulse
s per se
cond)
while in
tensity
is set a
t 3. T
reat th
e area at a
rate of 1
/2 in
ch per se
cond.
4
Radiatio
n Emission
Zon
e
Radiatio
n Emission
Zon
e
Radiatio
n Emission
Zon
e
1
2
3
4
5
Treatm
ent E
fficacy
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 g
rowth a
ctivity
should lo
ok lik
e fro
m 30, 6
0 , a
nd 90 days o
f treatm
ents.
Important C
onsideratio
ns fo
r Safe Laser Hair Removal Treatm
ent
Treatm
ent 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.
Treatm
ent 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.
Treatm
ent A
round or Near th
e Genita
ls: 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.
Treatm
ent 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
reatm
ent:
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
olin
g 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 Treatm
ent: 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 w
ith 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
180J/c
m2 m
ax
Energy Instability
19% m
aximum
Safety goggles
OD 8.0 @
700-1000nm @
2W CW
(minim
um) s
uggested.
Electrical requirements 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 operating
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 power
User-a
djustable 0 to
180 Jo
ules
Designatio
n: O
EM
Generation modes
LP/CW
Manufacturer: Q
uazar In
dustrie
s,
UK
Beam characteristic
Semiconductor D
iode
Warra
nty: 1
Year
Pulse duration
Manual A
djust
Emission In
dicator: Y
es
Weight
15 kg m
ax
Key Lock: Y
es
Optics
None
Beam Shutte
r: Yes
Dimensions
170 x 500 x 370 m
m
21CFR 1040, IE
C 825-1:1993: N
o
Patie
nt #
hair counts
12 week clearance
1 fe
males, 2 males
pre
number of tr
eatm
ents
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
atm
ent
capilla
ry bruising
minor blistering
before
afte
r
Laser Diode Tatto
o 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 a
pproxim
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 s
hould I charge fo
r 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 treatm
ent 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 healin
g 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 C
onsideratio
ns fo
r Safe Laser Tatto
o Treatm
ent
Treatm
ent 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.
Treatm
ent A
round or Near th
e Genita
ls: 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 w
ithout a
topica
l desensitizin
g sp
ray.
Treatm
ent 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
reatm
ent:
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
olin
g and healin
g 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
electiv
e Phototherm
olysis", S
kin & Aging, Ja
nuary 1998.
Lask, Gary, MD, Elm
an, Monica, MD, Slatkine, Michael, PhD, Waldman, Amir,
PhD,
Rozenberg, Zvi,
PhD, "Laser-A
ssisted Hair
Removal by Selectiv
e 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
the in
k.
—Yellow te
nds to
reflect lig
ht a
nd does not re
spond well to
diode laser tre
atm
ents.
before
afte
r
