WelcomeWelcomeSeminar Optima/Crystal/Record Seminar Optima/Crystal/Record

GEM TechnologyGEM TechnologyJune 1June 1

Las Vegas , NevadaLas Vegas , Nevada

Victor Maines Ph.D.Victor Maines Ph.D.

Laser Vs. IPLLaser Vs. IPL

Normal Light Laser

Effect of light on tissueEffect of light on tissue

UV: Chemical effectUV: Chemical effect

Visible: abs. Pigments (Melanine, Visible: abs. Pigments (Melanine, HemoglobineHemoglobine))

IR A - dispersion (heat, coagulation)IR A - dispersion (heat, coagulation)

IR B - abs. HIR B - abs. H220 (cut, ablation)0 (cut, ablation)

UV: Chemical effectUV: Chemical effect

Visible: abs. Pigments (Melanine, Visible: abs. Pigments (Melanine, HemoglobineHemoglobine))

IR A - dispersion (heat, coagulation)IR A - dispersion (heat, coagulation)

IR B - abs. HIR B - abs. H220 (cut, ablation)0 (cut, ablation)

Laser ApplicationLaser Application

Dermis

Hypodermis

Epidermis

755

Ale

x

Dio

de

Nd:

YA

G

694

Rub

y

810

1064

IPL Application (GEM)IPL Application (GEM)

Filtro

450 1100

Dermis

Hypodermis

Epidermis

66

Laser Vs. IPLLaser Vs. IPL

755

Ale

x

Dio

de

Nd:

YA

G

694

Rub

y

810

1064

Filtro

Espectronocivo

450 1100<450

ConclusionConclusion

LaserLaser: More specific to a particular : More specific to a particular structure or pigment but less structure or pigment but less versatile for other applications at versatile for other applications at different wavelengths.different wavelengths.

IPLIPL: More versatile to different target : More versatile to different target structures but less specific to a structures but less specific to a particular one.particular one.

Hair FolicleHair Folicle

Cromphores and cicle phasesCromphores and cicle phases

Anágen: Active phase Catagen: Regresion phase Telogen: Latent phase

COMPETITORS: PLATFORMCOMPETITORS: PLATFORM

Hair Removal

Rejuvenation

Vascular

1100 nM450 nM10

64N

d:Y

AG

810

Dio

de

755

Ale

x

Total Energy

Less energy with each hand piece

Growing phasesGrowing phases

AreaArea TELOGENTELOGEN ANAGENANAGEN TOTALTOTAL

   mesmes mesmes mesmes

BackBack 3 a 63 a 6 3 a 63 a 6 6 a 126 a 12

TighTigh 3 a 63 a 6 3 a 63 a 6 6 a 126 a 12

ArmArm 3 a 53 a 5 1 a 21 a 2 4 a 74 a 7

Lower LegLower Leg 3 a 43 a 4 4 a 54 a 5 7 a 97 a 9

Arm pitArm pit 2 a 32 a 3 3 a 43 a 4 5 a 75 a 7

LipsLips 1 a 21 a 2 3 a 43 a 4 4 a 64 a 6

BikiniBikini 3 a 43 a 4 2 a 32 a 3 5 a 75 a 7

GEM Effect with Regular IPLGEM Effect with Regular IPL

GEM ApplicationGEM Application

GEM Maximum Temperature on GEM Maximum Temperature on the skinthe skin

Dermis

Hypodermis

Epidermis

5030 70 °C

Optima/Record 618Optima/Record 618(GEM) Geometrical Energy Management(GEM) Geometrical Energy Management

Advance Hair Removal SystemsAdvance Hair Removal Systems Broadband:Broadband:

450-1100 nm 450-1100 nm Lamp Lifetime: Lamp Lifetime:

Crystal: 100,000 pulsesCrystal: 100,000 pulses Optima/Record: 200,000 Optima/Record: 200,000

PulsesPulses Max. energyMax. energy: 22J/cm2: 22J/cm2 Repetition rate:Repetition rate: 3-4 sec. 3-4 sec. Spot Size: 15 x 50 mmSpot Size: 15 x 50 mm LCD Computerized LCD Computerized

ControlControl

Optima/Crystal/Record 618Optima/Crystal/Record 618Principal FeaturesPrincipal Features

Excellent and quick treatment results.Excellent and quick treatment results. Safe and comfortable Safe and comfortable Temp. on Skin: Max. 70 centigradeTemp. on Skin: Max. 70 centigrade Suitable for most skin types Suitable for most skin types Long lamp lifetime.Long lamp lifetime. Fast treatments on large areas - 7.5cm2 .Fast treatments on large areas - 7.5cm2 . Very low operating and maintenance cost. Very low operating and maintenance cost. User friendly.User friendly.

AdvantagesAdvantages Controlled energyControlled energy The applied energy is uniform in the The applied energy is uniform in the

treatment area.treatment area. Reduction of dissipated energy. More Reduction of dissipated energy. More

specificityspecificity Painless when compared with standard Painless when compared with standard

IPL or Laser.IPL or Laser. Can overlap treatment areas without Can overlap treatment areas without

discomfort.discomfort.

Advantages over LasersAdvantages over Lasers Much larger treatment area- covers 7.5 cm2Much larger treatment area- covers 7.5 cm2 Painless treatment compared with laser Painless treatment compared with laser

treatments.treatments. No risk of burns and pigmentation.No risk of burns and pigmentation. Ability to treat wider range of hair and skin Ability to treat wider range of hair and skin

colors than lasers due to broadband light colors than lasers due to broadband light compared with a single wavelength.compared with a single wavelength.

The usage of relatively low temperature The usage of relatively low temperature allows deep penetration of light into the skin allows deep penetration of light into the skin with no superficial damagewith no superficial damage

Advantages over other hair removal Advantages over other hair removal systemssystems

High Tech Professional equipment for Hair removal with High Tech Professional equipment for Hair removal with minimum dissipated energy.minimum dissipated energy.

Very comfortable treatment. The operator can overlap Very comfortable treatment. The operator can overlap the treatment area more than two times without any the treatment area more than two times without any patient’s discomfort.patient’s discomfort.

Special patented optical technique that focuses the Special patented optical technique that focuses the light energy under skin level and not superficially.light energy under skin level and not superficially.

Very low operating and maintenance cost Very low operating and maintenance cost

Optima/ Record: 200000 pulsesOptima/ Record: 200000 pulses Designed for self-maintenance by the operator.Designed for self-maintenance by the operator. Large treatment area and pulses every 3 to 4 seconds.Large treatment area and pulses every 3 to 4 seconds.

Hair RemovalHair Removal

Treatment and ResultsTreatment and Results

Hair Removal : Mechanisms of actionHair Removal : Mechanisms of action

The Optima/Record 618 emits a flash of high intensity light who penetrated through the epidermis, absorbed and assimilated in the hair bulbous region.

The light flash causes the following effects:• Melanine absorption Thermolysis- Coagulation of the hair

follicle cells• Triggering the Ca +2 pumps of un coagulated matrix

cells to hyper work, resulting in exhaustion of the cell’s ATP pool.

• Clotting of the vain blood in the hair follicle capillaries. The clotting disturbs blood flow to the hair follicle resulting in less nutrition to the follicle’s cells.

OBJETIVE # 1OBJETIVE # 1 IN EVERY HAIR IN EVERY HAIR

REMOVAL TREATMENTREMOVAL TREATMENT

NO PRODUCE NO PRODUCE SECONDARYSECONDARY

EFFECTSEFFECTS

How to avoid secondary How to avoid secondary effects?effects?

1) Using the appropiate energy for each skin 1) Using the appropiate energy for each skin

phototype with cool gel.phototype with cool gel. 2) Phototypes: I-VI2) Phototypes: I-VI 3) Lower phototypes: Higher energy + cool gel3) Lower phototypes: Higher energy + cool gel 4) Darker the skin: Less energy.More cooling to apply4) Darker the skin: Less energy.More cooling to apply 5) Start conservative and increase energy gradually 5) Start conservative and increase energy gradually

between treatmentsbetween treatments 6) Know the patient history. No photosensible substances6) Know the patient history. No photosensible substances 7) Patient cannot sunbath 15 days prior and 15 days after 7) Patient cannot sunbath 15 days prior and 15 days after

treatment treatment

ALWAYS USE COOL GELALWAYS USE COOL GEL

Hair RemovalHair Removal

Before After

Upper AbdomenUpper Abdomen

Before treatment the patient was shaved. Only a small area in the middle was treated

Results treatment upper abdomenResults treatment upper abdomen

Second treatment. 17 days later. Results 20 days after second treatment.

Arm treatmentArm treatment

Before treatment part of the arm was shaved and only one

treatment was made.

Results at 33 days after treatment.

COMMON ERRORS!!!!COMMON ERRORS!!!!

Man’s chest and abdominal area 21 days after

only one treatment

Hair Removal treatmentHair Removal treatment 1) Identify skin types: I-VI1) Identify skin types: I-VI 2) Find out the history of the patient2) Find out the history of the patient 3) Start conservative until know the patient’s 3) Start conservative until know the patient’s reactionreaction 4) Higher skin type: lower energies4) Higher skin type: lower energies 5) Use gel: cooler gel will lead to more comfortable treatments 5) Use gel: cooler gel will lead to more comfortable treatments for the patientfor the patient 6) Divide large areas with a white pencil. The gel absorbs the 6) Divide large areas with a white pencil. The gel absorbs the heat and gets hot.heat and gets hot. 7) For phototypes V-VI use cool packs + cool gel 7) For phototypes V-VI use cool packs + cool gel 8) Overlap in both directions except large areas (save time) 8) Overlap in both directions except large areas (save time) 9) Be patient9) Be patient

Safe start protocol: Hair removalSafe start protocol: Hair removal

Hair removal: USE COOL GELHair removal: USE COOL GEL Ideally: Test siteIdeally: Test site Phototypes I-II: Program 6-7Phototypes I-II: Program 6-7 Phototypes III-IV: Programs 5-6Phototypes III-IV: Programs 5-6 Phototype V: Programs 3-4 + cool packPhototype V: Programs 3-4 + cool pack Phototype VI: Programs 1-2 + cool packPhototype VI: Programs 1-2 + cool pack Once you know the patient reaction , Once you know the patient reaction ,

increase the programs between sessionsincrease the programs between sessions

Other indicationsOther indications

Age spots Acne treatments Skin rejuvenation Capillary vascular treatments

AGE SPOTSAGE SPOTS

BeforeTreatment

12 days

TreatmentTreatment

14 days14 days

Protocol: Age spotsProtocol: Age spots Very little gel at room temperature. NO Very little gel at room temperature. NO

COOL GELCOOL GEL Spot can be delimited: program 10-11Spot can be delimited: program 10-11 If cannot: program 8-9If cannot: program 8-9 Wait 16 daysWait 16 days Day 7-10 should be darkerDay 7-10 should be darker After 16 days evaluateAfter 16 days evaluate Alternative second treatmentAlternative second treatment Helpful: draw with brown pencil the aged Helpful: draw with brown pencil the aged

spotsspots

ACNEACNE Optima/Crystal/ ecord 618 treats Optima/Crystal/ ecord 618 treats

three types of ACNE:three types of ACNE: Acne vulgaris: Clogging of the hair follicles that

leads to unsightly, and sometime painful, skin lesions and pimples.

Acne conglobata: Covers the back, chest, and buttocks with pustules and nodules, which might cause a severe bacterial infection, as well as extensive scarring

Acne rosacea: An inflammation of the face, neck or chest.

ACNEACNE High intensity broad spectrum light is absorbed in the

photo excitation process and releases a sing-let oxygen, which is fatal to the bacteria, and effectively clears the

inflammation. This reaction is confined to the bacteria and has no effect on surrounding tissue. The protoporfirine, a metabolite in the bacteria’s cycle is

photosensible and is destroyed.

Skin RejuvenationSkin Rejuvenation

Low light energy inserted into cells proliferates and induces collagen and elastic tissue synthesis.

Mild erythema Inflamation-release Cytokines that

act on fibroblasts for collagen production

Skin Rejuvenation with IPLSkin Rejuvenation with IPL

IPL

t

Chemical Mediators

Colagen

Protocol Skin RejuvenationProtocol Skin Rejuvenation

Identify skin typeIdentify skin type Use little gel at room temperatureUse little gel at room temperature Apply enough energy to produce a Apply enough energy to produce a

mild erythemamild erythema Phototypes I-IV programs 3-4Phototypes I-IV programs 3-4 Phototypes V-VI programs 1-2Phototypes V-VI programs 1-2 Start conservativeStart conservative Treatments between 30-45 daysTreatments between 30-45 days

Successful Combination TherapySuccessful Combination Therapy

Day 1- MicrodermabrationDay 1- Microdermabration Day 2-7 Leorex applicationDay 2-7 Leorex application Day 8 IPL TreatmentDay 8 IPL Treatment Day 9-40 Leorex applicationDay 9-40 Leorex application Day 40-45 IPL TreatmentDay 40-45 IPL Treatment

Vascular TreatmentVascular Treatment Superficial lessionsSuperficial lessions The Optima/Crystal/Record treatment of

capillaries has two levels: • To break the layer of clotted blood and open

the capillary again, resulting free blood flow and disappearance of the purple color

• Estimulating the collagen layer to produce more collagen resulting in wider skin and concealed veins.

Rosacea: program 3-4 each 20-30 daysRosacea: program 3-4 each 20-30 days Spider veins-Cuperosis: draw with brown Spider veins-Cuperosis: draw with brown

pencil and apply programs 3-5pencil and apply programs 3-5

ComparativeComparativeOptima/Crystal/Record :Optima/Crystal/Record :

100K-200K pulses 100K-200K pulses 1000€ / lamp1000€ / lamp 1 cent-0.5 cents/pulse1 cent-0.5 cents/pulse 22 Joules/cm22 Joules/cm22

CompetitorCompetitor:: 2500/10000/50000 pulses2500/10000/50000 pulses More 20 cents/pulse More 20 cents/pulse 7-30 Joules/cm7-30 Joules/cm22

0

5 000

1 0000

1 5 000

2 0000

2 5 000

3 0000

3 5 000

4 0000

4 5 000

5 0000

Pulses Cost/pulse Energy

Optima/Record

Competidor

OPTIMA-CRYSTAL-RECORDOPTIMA-CRYSTAL-RECORDTreatment RevenueTreatment Revenue

Area Treatment Pulses Cost perAverage

price

Profit 

$(US)

  time used session per session

  (minutes)   $(US) $(US)

Upper lip 1 6 0.06 40 39.94

Bikini line 5 20 0.20 60 59.80

Armpit 10 40 0.40 60 59.60

Lower Back 20 180 1.80 200 198.2

Entire Back 30 360 3.60 300 296.4

Arms 30 200 2.00 180 178

Half legs 50 400 4.00 220 216

Complete legs 90 900 9.00 350 341

ENDEND

Thank youThank you