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Understanding
®®
The 2The 2ndnd generation of generation of Fractional Tx. Fractional Tx.
With CIS-F1 With CIS-F1
The 2The 2ndnd generation of generation of Fractional Tx. Fractional Tx.
With CIS-F1 With CIS-F1
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www.sellaslaser.com
2
What is What is LASER LASER ??
R : of Radiation
E : Emission
S : by Stimulated
A : Amplification
L : Light
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Diagram of a laserDiagram of a laser
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Diagram of a laserDiagram of a laser
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What makes laser different from other What makes laser different from other light Sources?light Sources?
■ Monochromaticity
■ Coherence : the waves are in phase in time and space.
■ Collimation
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For effective use of For effective use of laser, laser,
practitioners practitioners must understand must understand
‘‘Laser tissue Laser tissue interaction interaction ’’
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Laser and Tissue Interaction:Laser and Tissue Interaction:Laser targets chromophoreLaser targets chromophore
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Laser and Tissue Interaction:Laser and Tissue Interaction:Laser targets chromophoreLaser targets chromophore
Typical chromophores (chromophores’ absorbing laser in
tissue):
- Water (Chromophore of CIS-F1)
- Hemoglobin and Oxy-hemoglobin
- Melanin (including Hair)
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Laser and Tissue InteractionLaser and Tissue Interaction
Laser interacts with tissue by absorption, scatter and/or transmission.
Grothus Draper Law : Laser application of tissue is based on the absorption.
“No Absorption No Effect”
Absorption
Transmission
Scatter
Reflection : 4-7% on skin surface
Refraction
X V“Laser light must be perpendicular with skin surface to minimize refraction”
Without incident angle
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Laser Tissue Absorption SpectrumLaser Tissue Absorption Spectrum
532 nm (KTP)
585 nm (Pulsed Dye) 2940 nm (Er:YAG)
10,600 nm (CO2)
200 1000 50000.1
1
10
100
1000
20000
Hb
HbO2
1550 nm (Er:Glass)
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3 Skin Layers3 Skin Layerswww.sellaslaser.com
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Laser and Tissue InteractionLaser and Tissue Interaction
Vaporization (>100 ºC)Necrosis &
Coagulation(58-85 ºC)
Protein Denaturation
(> 60 ºC)Photobiomodul
ation (< 40 ºC)
LASER
Ablative Laser (CIS-F1) Ablative Laser (CIS-F1)
Benefit
Injury
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Fractional Fractional irradiation irradiation
Benefit
Fractional Tx. deliversmultiful micro-beams,which hits the surfaceof skin in afractionated mannerand allows for fasthealing by intact surrounding healthyTissues.
Laser and Tissue InteractionLaser and Tissue Interactionwww.sellaslaser.com
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Laser and Tissue InteractionLaser and Tissue Interaction
CytokineGF
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10mJ, Moving mode(50mm tip)
Depth: 230 ㎛ Width: 80 ㎛
** Slides of porcine skin
Skin Tissue Interaction(CIS-F1)Skin Tissue Interaction(CIS-F1)www.sellaslaser.com
250mJ, Stamp mode(50mm tip)
Depth: 1800 ㎛ Width: 150 ㎛
200mJ, Stamp mode(100mm tip)
Depth: 1350 ㎛ Width: 200 ㎛
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Laser Light
Absorbed Target
Non absorbed target
*Temperature in the absorbed target will rise.
Selective PhotothermolysisSelective Photothermolysiswww.sellaslaser.com
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Small Blood Vessels are
Typically <450 us
Melanosome is Typically <10ns to
100 ns
Termal Relaxation Time(TRT)Termal Relaxation Time(TRT)www.sellaslaser.com
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CIS-F1CIS-F1(10600(10600 ㎛ ㎛ fractional)fractional)
CIS-F1CIS-F1(10600(10600 ㎛ ㎛ fractional)fractional)
Sellas-evoSellas-evo(1550(1550 ㎛㎛ fractional)fractional)
Sellas-evoSellas-evo(1550(1550 ㎛㎛ fractional)fractional)
Ablative approach
Excellent in skin resurfacing
More effective on single Tx.
Require less than 3 Tx.
Combination enhancement
Prone to surface of skin Tx.(face lift effect)
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Comparison Comparison
Non-ablative approach
Excellent in skin rejuvenation
Minimal downtime
Require less than 5 Tx.
Combination enhancement
Prone to dermis Tx.(face volume up effect)
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–Structural change in Keratinized outer layer (enhance absorption of topicals)
–Biomodulation < 40˚C(Activity of cytokine )–Stimulation of functional
cells (Cytokine,GF…)
-Termal peeling.-Termal peeling.-How it works.-How it works.www.sellaslaser.com
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▪ SpecificationLaser source RF CO2 Laser
Wavelength 10600nm
Operation mode
Stamping / Moving (Scanning)
Pulse energy Stamp: 1-250mJ (Depth: 0.2~1.5mm)Moving: 1-50mJ
Pattern size Handpiece diameter 30mm tip(microbeam dia. 150 ㎛ )
Interface Touch Screen
Weight 30kg
Dimension 40(W)x55(D)*90(H)cm
CIS-F1 CIS-F1 www.sellaslaser.com
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Tip length(Focal length)
50mm 100mm Surgical tip
Microbeam Size
80 ㎛ 120 ㎛
PowerHigher than 100mm tip
applied
Lower than 50mm tip applied
ApplicationDeep
penetration(Deep scar)
Skin resurfacingIncision, Cutting,Nevus removal
CIS-F1 CIS-F1
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CIS-F1 CIS-F1
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CIS-F1 CIS-F1
User mode - easy to pick up the preset protocol
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Tailoring the spot pattern
▪ Tailoring the treatment zone by drawing on canvas (X-Y scanner).▪ Customized design is allowed for intensive treatment without excessive damage to surrounding tissues.
Tailoring the treatment zoneTailoring the treatment zonewww.sellaslaser.com
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[ 16 standard regular forms]
Regular formsRegular formswww.sellaslaser.com
[ Max. 250mJ per micro dot]
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30% lidocaine gel is applied on face; occlude for 30-40 mins with BioMask30% lidocaine gel is applied on face; occlude for 30-40 mins with BioMask
Cooling and topical anesthesia before “ high energy” proceduresCooling and topical anesthesia before “ high energy” procedures
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Immediate redness after Sellas laserImmediate redness after Sellas laserDr. Gabriel Serrano, SpainDr. Gabriel Serrano, Spain
Terminology of LaserTerminology of Laserwww.sellaslaser.com
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Stamping modeStamping mode
Dr. Gabriel Serrano, SpainDr. Gabriel Serrano, Spain
Terminology of LaserTerminology of Laserwww.sellaslaser.com
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Moving modeMoving mode
Dr. Gabriel Serrano, SpainDr. Gabriel Serrano, Spain
Terminology of LaserTerminology of Laserwww.sellaslaser.com
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• Sunscreen above SPF 50
• Vitamin C
• Retinol at night
• EGF, bFGF, Amino acid, Mineral, Co-enzymes, Necleonic acid
• Copper peptide, Glyco-protein
1. Fast recovery against PIH after laser treatment (Whitening)2. Improving skin tone and firmness (tightening).3. Anti-aging restructuring of skin tissue 4. Post-trauma skin repair
Factors: Moisturizing / Anti-inflammatory / Revitalization / Sunscreen
Post-Care TreatmentPost-Care Treatmentwww.sellaslaser.com
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1. C- Vit serum / Lotion + Factor G Lotion + Moisturizing pack
2. Sun screen
3. Away from excessive heat stimulus such as sauna, hot spa
Post CIS-F1 treatment:Immediate care & First week after treatment
Post-Care TreatmentPost-Care Treatmentwww.sellaslaser.com
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[Medical examination and treatment after 1 week Restart skin care at home Skin Healing or tighten mask as for cosmetic care (propymask, Biomask)
[Post CIS-F1 treatment]: Second week after treatment1. Return to regular skin care: C-Vit Lotion + Factor G lotion (scars) RetiseS / Fillderma System (aging), C-Vit DaeSeS (DMAE) for flaccidity Kojic acid / Alfa lipoic / arbutin (bleaching) JuveSeS Teens / SaliSeS(acne)
[Medical examination and treatment after 2 weeks]: Combine treatments
Start aesthetic treatment with chemical peel, IPL, RF, Microdermabrasion, electroporation for complementary approach (Antiaging, Whitening, Tightening)
[Second visit for CIS-F1 treatment after 4 weeks]
Post-Care TreatmentPost-Care Treatmentwww.sellaslaser.com
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1. Renal failure
2. Herpes simplex
3. Acute infection
4.Post thermal injury4.Post thermal injury
Contraindication for SellasContraindication for Sellaswww.sellaslaser.com
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Only Sellas can represent “True” 2nd generation fractional laser!
•Fast high density delivery
• Able to tailor stamping shape
according to lesional shape
• Thermal peeling
AdvantagesAdvantageswww.sellaslaser.com
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PHOTOS (BEFORE/AFTER)PHOTOS (BEFORE/AFTER) PHOTOS (BEFORE/AFTER)PHOTOS (BEFORE/AFTER)
Terminology of LaserTerminology of Laserwww.sellaslaser.com
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Patient age: 28 (Skin type: IV)
After 3 Tx
Skin Photo GallerySkin Photo Gallerywww.sellaslaser.com
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Patient age: 27 (Skin type: IV)
After 3 Tx
Skin Photo GallerySkin Photo Gallerywww.sellaslaser.com
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Patient age: 27 (Skin type: IV)
After 3 Tx
Skin Photo GallerySkin Photo Gallerywww.sellaslaser.com
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Patient age: 29 (Skin type: IV)
After 5 Tx
Skin Photo GallerySkin Photo Gallerywww.sellaslaser.com
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Patient age: 32 (Skin type: IV)
After 3 Tx
Skin Photo GallerySkin Photo Gallerywww.sellaslaser.com
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Patient age: 32 (Skin type: IV)
After 3 Tx
Skin Photo GallerySkin Photo Gallerywww.sellaslaser.com
Patient age: 46 (Skin type: IV)
After 3 Tx
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Patient age: 25 (Skin type: IV)
After 3 Tx
Skin Photo GallerySkin Photo Gallerywww.sellaslaser.com
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Thank you.
The 2The 2ndnd Generation of Fractional Generation of Fractional Ablative Tx. With CIS-F1Ablative Tx. With CIS-F1
The 2The 2ndnd Generation of Fractional Generation of Fractional Ablative Tx. With CIS-F1Ablative Tx. With CIS-F1
®®