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

admin@centre-biotechnique-avance.com

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