Quazar IP

L800

Keep this manual in a convenient place for quick and easy

reference at all tim

es.

The product n

ames in

this g

uidebook are tra

demarks o

r regis-

tered tra

de m

arks o

f each sp

ecific m

anufactu

rer. In

the in

terest

of p

roviding su

perio

r equipment, Q

uazar In

dustrie

s reserves th

e

right to

modify

or a

mend equipment sp

ecifica

tions w

ithout n

otice

or o

blig

atio

n.

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Quick Setup Guide

Read this guidebook firs

t to set up your

equipment fo

r use.

Instru

ction Material fo

r Quazar IP

L800

Instru

ction Material fo

r Quazar IP

L800

Instru

ction Material fo

r Quazar IP

L800

Instru

ction Material fo

r Quazar IP

L800

Precision O.E.M. IP

L and Driver Unit

Precision O.E.M. IP

L and Driver Unit

Precision O.E.M. IP

L and Driver Unit

Precision O.E.M. IP

L and Driver Unit

Quazar

IPL and Driver

Repla

cem

ent P

arts

IP

L S

upplie

s

IP

L E

yew

ear

Eyewear #

D-213-4600 Each $199.95

IP

L800

D L

am

p R

epla

cem

en

t IPL # D-213-6700 Each $399.95

Carbon D

ye 2

00

ml

Carbon Dye # P-213-2500 Each $99.95

Price

s are su

bject to

change with

out n

otifica

tion. T

o order o

n-lin

e, g

o to

http

://w

ww

.centr

e-b

iote

chniq

ue-a

vance.c

om

For te

chnica

l assista

nce beyond what th

is manual p

rovides, p

lease e-m

ail

adm

in1

@cen

tre-b

iote

chniq

ue-avance.c

om

Please allow 24 hours fo

r processin

g.

Quazar IPL produces la

ser ra

diatio

n w

hich can be harm

ful to

the eyes. A

lways w

ear p

rotectiv

e eyewear w

hile

operatin

g this equipment.

Intense Pulsed Light has the capability

to burn the skin if the technician does not

closely observe th

e patie

nt’s re

actio

n to

the procedure. IP

L tre

atm

ents re

sult in

full d

estru

ctio

n of th

e hair fo

llicle

and is irreversible. A

lways plan ahead before underta

king detail w

ork such as eyebrow shaping or h

airlin

e con-

tourin

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

deter-

mine th

e patie

nt’s re

actio

n before applying fu

ll treatm

ent.

Handlin

g P

recau

tion

s:

The IP

L flash tu

be ca

n be damaged beyond re

pair if th

e handpiece is

dropped or b

umped sh

arply. H

andle with

care.

UL

85

29

00

1

Prin

ted in

UK

Hair

Rem

oval w

ith L

ight

The newest p

rocedure to

reach th

e epilatio

n co

smetology m

arket is ca

lled In

tense Pulse

d Lig

ht. It's

a re

volutio

nary advancement to

'laser' co

smetology (w

hich

inclu

des h

air re

moval a

nd m

ore) a

nd is

similar to

laser e

pilatio

n in

many w

ays. T

he ra

diatio

n emissio

n so

urce

; however, is fa

r superio

r in

cost, re

liability

, fluence (p

ower) a

nd adjusta

bility

. A very powerfu

l flash tu

be delivers a

photon emissio

n 10-20 tim

es la

rger th

an a ty

pica

l epilatio

n

laser (in

diameter a

t 120-180 jcm

2). T

his lig

ht e

nergy is ca

refully filte

red with

precisio

n optics. T

he

heat is re

moved fro

m th

e energy w

ith a S

chott K

G1 Filte

r, then all w

avelengths a

bove 800 are

removed with

a MgF2

coated le

ns.

The photons are sent through Ruby, Sapphire

or a BK7 Glass

con-

denser (d

epending on re

quire

ments). T

he end re

sult is a

safe, u

sable,

high-density

photon emissio

n with

perfo

rmance equal to

(or greater

than) th

at o

f an ordinary la

ser.

Power Compariso

n: Standard laser epilators

produce CW or Pulse

d

output p

ower a

round 20-60 W

atts. A

n IP

L typica

lly produces 3

00-600

Watts.

This

allows

for a much larger tre

atm

ent diameter,

which

equates to

far g

reater sp

eed and efficie

ncy fo

r the te

chnicia

n.

One of th

e greatest b

enefits o

f the IP

L, over th

at o

f the la

ser, is th

e

diffe

rence in

cost. T

he ty

pica

l 'price

per w

att' o

f a sta

ndard la

ser is

$1,000-$2,000 w

hereas th

e price

per w

att o

f an IP

L is roughly $

100-

$200.

Average life

expecta

ncy of th

e fla

sh tu

be is o

ver o

ne m

illion pulse

s. This e

quates to

3-5 years o

f reliable se

rvice

, nearly

the sa

me as a

Long

Pulse

Diode. T

he fla

sh tu

be is e

asily

service

able w

hen it co

mes tim

e

for re

placement a

nd co

sts around $300-$500 (d

epending on unit).

The B

enefits o

f IPL o

ver La

ser: La

rger a

reas ca

n be tre

ated at o

ne

time. A

typica

l man's b

ack w

ould re

quire

about 2

0-30 m

inutes w

ith a Lo

ng Pulse

Diode. T

he

IPL800 would do th

e sa

me jo

b in

under 1

0 m

inutes.

IPL w

orks o

n perso

ns w

ho are outsid

e of th

e acce

ptable lim

it for th

e Fitzp

atrick

skin pigment g

rad-

ing sca

le. A

type 6 co

uld be tre

ated sa

fely (w

ith sk

in bleaching).

No hair is v

aporize

d so

there is m

uch lo

wer risk

of p

itting around th

e hair fo

llicle itse

lf (from in

tense

heat).

IPL g

ives a

dded benefits a

s a re

sult o

f the hair re

moval tre

atm

ent. Im

proved to

ne, te

xture, a

nd

vita

lity of th

e sk

in is co

mmonly noted.

C

lient P

re-Q

ualific

atio

ns

The best ca

ndidate fo

r IPL h

air removal h

as fair skin

with

dark te

rminal h

airs. Skin

typing fo

r exposure to

ultra

violet

light ca

n be ca

tegorize

d by th

e Fitzpatrick cla

ssification

, develo

ped by D

r. Thomas Fitzp

atrick o

f Harvard M

edical

School.

Skin Type I: N

ever ta

ns, always burns (extremely fa

ir skin, b

londe hair, b

lue/green eyes)

Skin Type II: O

ccasionally ta

ns, u

sually burns (fair skin, sandy to

brown hair, g

reen/brown eyes)

Skin Type III: O

ften ta

ns, sometim

es burns (medium skin, b

rown hair, b

rown eyes)

Skin Type IV: A

lways ta

n, n

ever burns (olive skin, b

rown/black hair, d

ark brown/black eyes)

Skin Type V: N

ever burns (dark brown skin, b

lack hair, b

lack eyes)

Skin Type VI: (

black skin, b

lack hair, b

lack eyes)

Types 1

through 4 are outsta

nding ca

ndidates. T

ype 5 will h

ave e

xcelle

nt re

sults a

s well, b

ut ca

re m

ust b

e taken to

assu

re th

at the IP

L will n

ot b

urn th

e skin

. Type 6

should not u

ndergo la

ser h

air removal u

nless u

sed in

conjunction

with

skin bleaching due to th

e high risk o

f burning and hypo/hyper p

igmen

tation

issues.

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

IP

L800 I

nstr

um

ent

The IP

L800 co

mes w

ith a 220jcm

2 adjusta

ble pulse

frequency (fix

ed pulse

duratio

n) in

strument

for su

perio

r operator contro

l. D

ropping or b

umping th

e instru

ment m

ay re

sult

in irre

versib

le

damage to

the in

ternal co

mponents a

nd w

ould not b

e co

vered by w

arra

nty. A

ctivatin

g th

e IP

L while th

e glass co

ndenser is in

contact w

ith an object (su

ch as th

e ca

rbon te

st sheet) m

ay dam-

age th

e optics. W

hen te

sting against th

e ca

rbon sh

eet a

lways h

old th

e co

ndenser a

t least 5

mm

from th

e su

rface.

Trouble

Shootin

g

Should you en

counter tech

nica

l problem

s with

your Q

uazar IP

L syste

m, re

fer to

the fo

llowing guide fo

r poten

tial p

roblem

s and th

eir solution

s. —

Unit is

plu

gged in

to th

e w

all, a

ll accessorie

s a

re c

orre

ctly

inserte

d in

to th

e u

nit

but n

o la

ser o

utp

ut is

bein

g r

egis

tere

d.

++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 b

ending and fa

tigue, w

ires m

ay fra

y or b

reak re

sult-

ing is fu

ll loss of p

ower.

++Check Fuse: T

he Quazar u

nit h

as a fa

st-a

ctin

g fu

se m

ounted on th

e to

p panel o

f your

unit

to protect the delicate flash tube fro

m volta

ge spikes, on-lin

e power surges and

electro

-static discharge (ESD damage).

Replace with

15 amp fast actin

g type only.

Failure to

comply with

these specific

atio

ns m

ay re

sult in

serio

us damage to

your IP

L and

will v

oid all w

arra

ntie

s.

—U

nit h

um

s o

r m

akes n

ois

es.

++Unit n

eeds servicing.

—IP

L o

utp

ut is

weak.

++Emitte

r optic is blocked with

carbonized debris (b

urnt h

air e

tc.). C

lean th

oroughly with

a cotto

n tip

ped applicator a

nd alcohol. If th

e perfo

rmance of th

e IP

L does not im

prove

afte

r cleaning th

e head your u

nit n

eeds servicing by a qualifie

d agent. C

ontact te

chnical

support fo

r assistance.

—N

o outp

ut

from

th

e IP

L is

regis

tere

d afte

r all

trouble

-shootin

g suggestio

ns

liste

d a

bove h

ave b

een c

hecked.

++Probable fla

sh tu

be fa

ilure. U

nit n

eeds servicing.

Lig

ht U

nit C

ounte

r

The m

eter m

ay need re

-calibratio

n by adjustin

g th

e on

-board

potentio

meter. T

wo re

sistors, R

a and Rb m

ay be used in

order

to alte

r the

full

scale reading (F.S

.R.)

of the mete

r. LC

4H

functio

n is fo

r advan

ced ca

libratio

n and programming.

Specific

atio

n

Un

it Jcm

2/

Sec.

Settin

g

Accu

racy

%(+

1 co

unt)

80

8-9

Linearity

count

100

10-11

Sample ra

te

Samples/se

c 140

12-16

Op. te

mp

˚C

180

17-22

Temp. S

tbl.

Ppm/˚C

220

23-28

WA

RN

IN

G: T

his d

evice produces

high level of

hazardous

light

which

may injure the eyes.

Alw

ays

use

eye

protectio

n when usin

g

the IP

L.

Warnin

g: In

tense lig

ht is e

mitte

d fro

m th

is apertu

re. U

nprotecte

d eye exposure m

ay cau

se serio

us

injury re

sultin

g in

loss o

f vision or b

lindness. A

lways u

se IP

L eyewear.

IPL fla

sh tu

be tem

perature sen

sor. D

o

not

allow to exceed 50C or

serio

us

damage to

the tu

be will o

ccur.

Trig

ger S

witch

Cool T

ip BK7 Glass

Condenser

Temperatu

re Sen

sor

Coolin

g Ports

RE

SE

T

LC

4H

UP

DO

WN

1234

17

Counter R

eset

IP

L R

esurfa

cin

g

IPL re

surfa

cing is p

erfo

rmed usin

g a beam of lig

ht e

nergy which

vaporize

s the upper la

yers o

f dam-

aged sk

in at sp

ecific a

nd co

ntro

lled le

vels o

f penetra

tion. T

he procedure of-

fers m

any advantages w

hich

others d

o not h

ave. U

nlike M

icroderm

abrasion,

the IP

L penetra

tes d

eeply in

to th

e derm

is where promotio

n of co

llagen pro-

teins ca

n be stim

ulated. C

hemica

l peels ca

n be very unpredicta

ble and dan-

gerous w

hile an IP

L can be dialed in

to deliver p

recise

ly th

e rig

ht a

mount o

f radiatio

n to

produce sa

fe and effe

ctive re

sults.

All re

surfa

cing tre

atm

ents w

ork esse

ntia

lly th

e sa

me w

ay. F

irst, the outer

layers o

f damaged sk

in are strip

ped away. T

hen, a

s new ce

lls form

durin

g th

e

healing process, a

smoother, tig

hter, y

ounger-lo

oking sk

in su

rface appears.

For su

perficia

l or m

edium re

surfa

cing, th

e IP

L can be lim

ited to

the epiderm

is and papilla

ry derm

is. For d

eeper re

surfa

cing, th

e upper le

vels o

f the re

ticulas

derm

is can also

be re

moved. V

arie

d penetra

tion allows tre

atm

ent o

f specific

spots o

r wrin

kles.

It's also

importa

nt to

consid

er th

e le

ngth of re

covery w

hen ch

oosin

g among

skin-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 re

covery is lik

ely to

be. "Lig

ht" re

sur-

facin

g procedures, su

ch as su

perficia

l chemica

l peels o

r superficia

l laser re

sur-

facin

g, o

ffer sh

orte

r recovery tim

es. H

owever, th

ese lig

hter p

rocedures m

ay need to

be re

peated

multip

le tim

es to

achieve re

sults co

mparable to

those achieved with

more aggressiv

e te

chniques.

General D

erm

ato

logy Treatm

ent o

f additio

nal sk

in afflictio

ns su

ch as R

osacea, F

ine W

rin-

kles, S

un Damaged Skin, A

cne Scars, S

cars fro

m CO2-la

ser re

surfa

c-ing, A

ge Spots, La

rge Pores, A

cne Prone Skin.

As th

e IP

L goes o

ver th

e derm

is, vascu

lar sp

aces w

ith hemoglobin in

them absorb th

e lig

ht e

nergy th

ereby heatin

g th

e su

rrounding tissu

e

and stim

ulatin

g th

e fib

roblasts to

produce ty

pe 1 co

llagen and derm

al

proteins. T

he tre

atm

ent re

arra

nges a

nd/or re

places th

e so

lar e

lasto

-sis in

the upper d

erm

is, resultin

g in

NEW co

llagen fo

rmatio

n.

What used to be loose, irre

gular collagen in the derm

is is

now

tighter, re

freshed and re

juvenated.

The benefits o

f each IP

L treatm

ent o

ver a

ll other sk

in re

juvenatio

n

procedures

inclu

de: Low downtim

e, non-su

rgica

l, little

pain and

disco

mfort,

immediate results

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

esurfa

cin

g a

nd W

rin

kle

Reductio

n

Deliver 7

pulse

s per se

cond (a

pproxim

ately 130 jo

ules) to

each area

of 2

.5 cm

square. B

e very sy

stematic a

nd th

orough, b

ut re

sist the

temptatio

n to

over tre

at. A

pplying m

ore th

an 180 jo

ules m

ay se

-verely burn th

e sk

in.

Figure 1 sh

ows n

orm

al sa

gging and wrin

kling of th

e sk

in which

can be

expecte

d as h

umans a

ge. F

igure 2 sh

ows e

xcellent im

provement o

n

a 47 year o

ld fe

male afte

r 6 tre

atm

ents.

Always sta

rt any IPL tre

atm

ent with

a 5 minute derm

al cold pack

applica

tion. This

will

substa

ntia

lly reduce patie

nt disco

mfort

and

protect th

e derm

is from excessiv

e th

erm

al re

tentio

n or d

amage fro

m

heat.

Call y

our p

atie

nt b

ack in

for a

follow up in

48 hours. A

dditio

nal tre

at-

ments m

ay be applied in

2-4 w

eeks d

epending on th

e le

vel o

f derm

al

trauma th

e patie

nt e

xperie

nce and th

eir ra

te of h

ealing.

8

Correct H

and Positio

n fo

r

Treatm

ents.

IP

L S

tartu

p P

rocedure

Put o

n your IPL eyewear before powering up your system. W

ear th

e eye protectio

n

throughout th

e entire procedure.

Place th

e blue plugs in

to th

e IP

L driv

er u

nit firm

ly. T

hese ja

cks p

roduce high

volta

ge cu

rrent so

the sy

stem m

ust b

e off d

urin

g plug in

sertio

n (k

ey lo

ck in

the

‘lock off’ p

ositio

n). A

s an added sa

fety m

easure, d

o not to

uch th

e m

etal p

or-

tion of th

e plug w

hile in

sertin

g or re

moving fro

m th

e driv

er (e

ven if y

ou as-

sume th

e unit is o

ff). Turn th

e key lo

ck sw

itch fro

m sy

stem sta

tus n

eutra

l (off) to

enabled (fig

ure 1).

At th

is time your IP

L hand piece is LIV

E. E

xtre

me ca

re m

ust b

e exercise

d while

handling th

e IP

L. This sy

stem produces h

igh le

vels o

f potentia

lly hazardous

light w

hich

could in

jure unprotecte

d eyes.

Lig

ht M

ete

r P

rogram

min

g

Usin

g th

e Lig

ht U

nit T

able in

this in

structio

n m

anual, se

t a number w

hich

is appropria

te fo

r the ty

pe of tre

atm

ent y

ou are perfo

rming (in

joules p

er cm

2/

second). A

settin

g of 1

4-17 is id

eal fo

r epilatio

n as it w

ill cut o

ff emissio

n at

120jcm

2. F

or ta

ttoo re

moval, th

e se

tting sh

ould be 18-23. If y

ou re

fer to

fig

ure 2 it w

ill show w

here to

press to

change th

is value (w

hich

is in yellow on

your re

adout).

The re

d n

umber is to

tal e

nergy delivered (m

easured durin

g

treatm

ent).

It is recommended to

use th

e IP

L on se

tting 5 (6

pulse

s per se

cond: se

e fig

ure

3) a

t all tim

es to

avoid over tre

atm

ent (o

r the Lig

ht M

eter b

e se

t on 17 or le

ss). If y

ou ch

oose to

deliver m

ore th

an 6 pulse

s per se

cond or 1

80jcm

2/se

c. (17-22

units o

n th

e m

eter) th

ere is a

risk of b

urning th

e epiderm

is of th

e clie

nt. It is

bette

r to deliver le

ss energy per tre

atm

ent b

ut m

ore tre

atm

ents o

verall a

s the

risk of o

ver tre

atm

ent is re

duced.

IP

L S

afe

ty C

onsid

eratio

ns

IPL m

ust b

e used on sh

aved (o

r waxed) sk

in. T

he fo

llicle being ta

rgeted is

about 1

/8 to

1/4 in

ch below th

e sk

in (th

e fo

llicle and papilla

). If usin

g ca

rbon

dye, re

move any excess w

hich

may co

me in

contact w

ith th

e optics u

sing ethyl

alco

hol.

Lam

p O

verheatin

g

Keep th

e fla

sh tu

be te

mperature at o

r below 50 degrees C

entig

rade fo

r optim

al

perfo

rmance. Pushing the IPL

beyond the lim

its of perfo

rmance (operatin

g

above 50C) m

ay damage th

e tu

be, re

sultin

g in

loss o

f intensity

, perfo

rmance

and life

expecta

ncy of th

e IP

L (which

is not co

vered by your sta

ndard w

ar-

ranty).

IP

L O

ptic

s M

ain

tenance

Clean th

e co

ndenser o

ptics fre

quently

. For lig

ht m

aintenance use acetone or

alco

hol o

n a co

tton tip

applica

tor. F

or m

ore aggressiv

e cle

aning use an ‘E

xacto

’ blade to

scrape any ca

rbonize

d m

ateria

l from th

e glass. T

here is a

lso a tin

y

sensor ju

st below your o

ptics w

hich

must b

e kept cle

ar (a

s it is responsib

le fo

r sending in

form

atio

n to

your lig

ht m

eter co

unter).

Lig

ht U

nit C

ounte

r

Your IP

L800 co

mes w

ith a co

nvenient p

ulse

counter to

track to

tal p

hoton emis-

sions in

light u

nits (fo

r conversio

n to

joules, se

e back page fo

r inform

atio

n). T

o

reset to

zero press th

e re

d butto

n on th

e sid

e of th

e hand piece.

Ship

pin

g D

am

age:

The high w

atta

ge fla

sh tu

be in

your h

and piece is se

nsi-

tive to

shock and m

ay be damaged if th

e unit is d

ropped of m

ishandled. If

your sy

stem arriv

es in

non-w

orking co

nditio

n (th

e hand piece does n

ot p

roduce

pulse

s of lig

ht e

nergy w

hen activ

ated) it h

as lik

ely been damaged durin

g sh

ip-

ping. S

ee ’La

mp Replacement P

rocedure’ fo

r instru

ctions o

n re

moval a

nd re

-placement o

f the high watta

ge tu

be.

3

Key L

ock S

witc

h

Puls

e

Frequency

Treatm

ent P

rocedure: R

osacea

Deliver 6

pps (a

pproxim

ately 120 jo

ules) to

each area of 2

.5 cm

square. B

e very sy

stematic a

nd

thorough but re

sist the te

mptatio

n to

over tre

at. A

pplying m

ore th

an 180 jo

ules m

ay se

verely burn

the sk

in.

Figure 1 sh

ows se

vere la

te sta

ge R

osacea of a

30

year o

ld m

ale. F

igure 2 sh

ows th

e su

bsta

ntia

l im-

provement achieved with

20 tre

atm

ents

over 24

months. S

pider v

eins a

nd enlarged ca

pilla

ries re

-quire

more tre

atm

ents o

verall th

an m

ost o

ther la

ser

procedures.

Apply ‘IP

L Capilla

ry Post T

reatm

ent G

el’ (se

e back page of p

amphlet fo

r orderin

g in

form

atio

n). T

his

form

ula co

ntains a

ctivated phylloquinone, w

hich

supports h

ealth

y re

generatio

n of n

ew ca

pilla

ries

(reducin

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 S

pots

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

c-curs

in all

ages.

IPL

treatm

ents

are remarkably

effe

ctive fo

r this a

ffliction.

Deliver 7 pulse

s per second (approxim

ately 130

joules) to

each area of 2

.5 cm

square. Fa

ding of

the age sp

ots (a

lso known as ’liv

er sp

ots’) w

ill be

evident a

fter 4

-6 weeks.

Figure 3 sh

ows m

oderate age sp

ot a

ctivity

on a 46

year o

ld fe

male. N

ote th

e im

provement in

figure 4 sh

owing nearly

complete re

gressio

n of th

e sk

in

diso

rder. T

his p

atie

nt u

nderw

ent 3

treatm

ents o

ver 1

1 weeks.

Apply th

e ‘IP

L Post T

reatm

ent A

loe’ w

hich

contains b

enzocaine. T

his w

ill speed healing and re

duce

any disco

mfort a

ssocia

ted with

the la

ser tre

atm

ent.

Treatm

ent P

rocedure: S

cars a

nd L

esio

ns

This co

nditio

n ca

n be ca

used by any tra

uma to

the

skin fro

m acne, su

n burn, cu

ts, scrapes a

nd su

rgica

l procedures. T

o re

duce th

e appearance of th

e sca

r, it w

ill be necessa

ry to

rebuild th

e co

llagen proteins

in th

e sk

in with

IPL ra

diatio

n. T

his p

rocess is e

xten-

sive (e

specia

lly in

cases w

here se

vere sca

rring ex-

ists). It

may take 15-20 tre

atm

ents

over 12-24

months to

achieve desire

d re

sults.

Deliver 7 pps (approxim

ately 130 joules)

to each

area of 2

.5 cm

square. R

emember, a

pplying m

ore

than 180 jo

ules m

ay se

verely burn th

e sk

in. E

ach pulse

from th

e IP

L800 on m

axim

um in

tensity

will d

eliver a

pproxim

ately 40 jo

ules p

er 2

.5 cm

2. Y

ou m

ust d

eliver th

e fiv

e pulse

s in under o

ne

second fo

r maxim

um th

erm

al h

eat e

xchange in

the tissu

e.

Figure 5 sh

ows a

28 year o

ld fe

male w

ith acne sca

rring 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

scars (in

cluding th

e pock) h

as im

proved 90%.

Apply th

e ‘IP

L Post T

reatm

ent A

loe’ w

hich

contains b

enzocaine. T

his w

ill speed healing and re

duce

any disco

mfort a

ssocia

ted with

the la

ser tre

atm

ent.

Treatm

en

t arou

nd th

e eyes m

ust

be done w

ith adequate

prote

ctio

n.

Exposure to

IP

L

radia

tion (

even th

rough th

e e

ye lid

) c

an p

erm

anently

inju

re th

e e

yes u

p to

and in

clu

din

g

blin

dness.

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

IPL 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

IP

L800 C

ontr

ol L

ocatio

ns/Featu

re D

escrip

tions

A.

Key Lockou

t: This fe

ature is re

quire

d by la

w on all h

igh-power la

ser a

nd lig

ht d

evice

s. The first ste

p in

the co

rrect se

quence to

power-u

p your la

ser is to

turn th

is clockwise

us-

ing th

e sp

ecia

l key in

cluded in

your k

it. The lig

ht (ce

nter LE

D la

mp) w

ill be off w

hen th

e

power sy

stem is o

ff and re

d when th

e power sy

stem is o

n.

B.

Lig

ht

Energy M

ete

r and C

oun

ter:

This p

rogrammable digita

l readout m

easures a

nd

counts (in

light ‘u

nits’) to

tal e

nergy delivered th

rough th

e sk

in. It a

lso ca

n te

rminate th

e

emissio

n at a

pre-se

t level o

r simply co

unt lig

ht u

nits w

ithout co

ntro

lling to

tal e

nergy.

C.

Puls

e C

on

trol: T

his a

llows th

e operator to

set th

e number o

f laser p

ulse

s per se

cond.

D.

IP

L Jacks:

An eight-p

rong co

axial p

ower ja

ck fo

r the IP

L hand piece and tw

o blue ba-

nana plug re

ceptacle

s. E.

Pow

er

Cord:

Rated fo

r 60Hz, 1

20-240 V

, 10 A

mp w

ith co

rresponding plug-sty

le fo

r country

of d

estin

atio

n.

F. IP

L I

nstr

um

ent: A

n 800 W

att h

igh in

tensity

pulse

d lig

ht w

ith th

umb sw

itch.

G.

Eyew

ear:

This is a

n esse

ntia

l part o

f the tre

atm

ent p

rocess. D

irect o

r refle

ctive IP

L 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 IP

L is enabled or a

ctivated. E

yewear is in

tended fo

r acci-

dental e

xposure only. N

ever sta

re dire

ctly in

to an IP

L optic.

H.

Carbon D

ye:

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 IP

L energy 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. H

igh-P

recis

ion Tw

eezers:

Apparatus fo

r the extra

ction of fo

llicle prio

r to ca

rbon dye

applica

tion.

J. Tem

peratu

re

Readout:

Contro

l feature fo

r the re

gulatio

n of th

e fla

sh tu

be in

ternal

temperature. D

o not e

xceed 50C.

K.

Sensor R

eset: T

his w

ill set th

e lig

ht u

nit co

unt to

zero and re

-enable th

e emissio

n.

2

Equip

ment W

arranty

We w

arra

nt to

the orig

inal p

urch

aser th

e eq

uipment m

anufactu

red by u

s to be fre

e from defects in

material an

d w

ork-

manship under n

orm

al u

se and se

rvice

. Our o

bligatio

n under th

is warra

nty sh

all be lim

ited to

the re

pair o

r exch

ange of

any part o

r parts w

hich

may prove defe

ctive under n

orm

al u

se an

d se

rvice with

in 12 ca

lendar m

onths fro

m th

e date of

shipmen

t and which

our e

xam

inatio

n sh

all d

isclose to

our sa

tisfactio

n to

be th

us d

efective

. When

necessa

ry, p

urch

aser

shall a

pply fo

r a Retu

rn M

ateria

ls Authorizatio

n and in

structio

ns o

n proper re

turn procedures fro

m th

eir orig

inal sale

s asso

ciate. T

he lase

r diode (h

ead) re

quire

s specia

l operatin

g precautio

ns w

hich

, if defie

d, m

ay vo

id warran

ty.

Warranty

Exte

nsio

n C

ertific

atio

n:

Cu

stom

er Nu

mb

er A

uth

orizatio

n N

um

ber

Warran

ty E

xten

sion

( ) y

ears W

arranty

Typ

e: A B

C D

A

B

C

D

E

F

G

H

I

J

K

Pre-T

reatm

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 in

side th

e fo

llicle prio

r to tre

atm

ent.

Isolate th

e hairs to

perm

anently

destro

y. It w

ill be necessa

ry to

remove th

em by sw

iftly plucking

(or w

axing) in

the dire

ction of g

rowth. P

ullin

g slo

wly generally le

aves m

ost o

f the fo

llicle tissu

e

insid

e th

e pore which

will b

lock th

e dye.

Photo

-Reactiv

e D

ye A

pplic

atio

n

Usin

g a co

tton-tip

ped applica

tor, co

mpletely co

ver th

e tre

atm

ent a

rea with

the sp

ecia

l dye in

cluded

in your k

it. Massa

ge th

e dye in

to th

e fo

llicle pore with

a firm

downward circu

lar m

otio

n. R

epeat 2

-3 tim

es to

saturate th

e fo

llicle pore. U

se an ethyl alcohol based w

ipe (iso

propyl a

lcohol w

ill not

disso

lve th

e dye) to

lightly

clean th

e excess fro

m th

e su

rface of th

e sk

in. A

t this p

oint y

ou w

ill have all d

esire

d fo

llicles v

isibly highlig

hted 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.

Derm

al C

oola

nt A

pplic

atio

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 burn.

Should th

e liq

uid become dry, it w

ill be necessa

ry to

re-apply fre

quently

. The use of a

humidifie

r in dry clim

ates w

ill substa

ntia

lly prolong th

e duratio

n fo

r which

the derm

al p

rep w

ill retain its co

ol-

ing propertie

s.

The T

reatm

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 will a

lso m

inim

ize any pain.

Treatm

ent

Around or N

ear th

e Eyes:

Great ca

re m

ust b

e exercise

d w

hen

workin

g near th

e eyes. T

he la

ser

emissio

n is p

owerfu

l enough to a

ctually p

enetra

te the e

yelid

and perm

anen

tly damage th

e eye. H

avin

g th

e patie

nt

close th

eir eyes is n

ot sa

tisfacto

ry protectio

n. T

he u

se of a d

ark-colo

red damp wash clo

th which

is folded over fo

ur

times w

ill defle

ct the h

arm

ful ra

diatio

n; h

owever, o

nly la

ser p

rotectiv

e eyew

ear is re

commended.

Treatm

ent A

round o

r N

ear M

ucus M

em

branes: 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 N

ear th

e G

enita

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 N

ear th

e A

reola

(nip

ple

):

Laser 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

. P

ost-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

oling and healin

g gel (su

ch as

Aloe) is e

ncouraged to

speed healin

g an

d re

duce se

nsitivity

. Instru

ct the p

atien

t to refrain

from applyin

g co

smetics

or su

nbathing fo

r at le

ast 2

4 hours.

Inte

nse P

uls

ed L

ight P

rogressiv

ely

Perm

anent H

air

Rem

oval

The IP

L can be co

nsid

ered an excellent re

placement fo

r laser h

air re

moval a

s the re

sults a

nd over-

all p

rocedure are sim

ilar in

many w

ays. It ca

n be noted th

at IP

L treat-

ments a

re m

ore efficie

nt d

ue to

the su

bsta

ntia

l incre

ase in

overall e

nergy

being used (w

hich

equates to

less o

verall tre

atm

ent tim

e).

Like la

ser, IP

L will in

jure th

e ce

lls which

are re

sponsib

le fo

r hair g

rowth

by w

ay of th

erm

olysis (h

eat in

the fo

llicle tissu

e). T

his tra

uma is ju

st below th

e th

reshold of in

jurin

g other ce

lls (notably sk

in) a

round th

e fo

lli-cle

. IPL w

orks b

est o

n clie

nts w

ho have lig

ht sk

in co

mbined w

ith dark

hair g

rowth. S

hould a hair fo

llicle su

rvive th

e IP

L treatm

ent, it w

ill grow

back slo

wer a

nd th

inner. A

fter a

serie

s of tre

atm

ents th

e co

ntin

ual ‘site

specific’ lo

calize

d tra

uma to

the fo

llicle tissu

e w

ill eventually destro

y th

e hair g

rowth. O

nce de-

stroyed, a

follicle

cannot p

roduce another h

air.

Dis

com

fort a

nd C

lient R

eactio

n

Remarkably, the sensatio

n felt

with

an IPL tre

atm

ent is

no more intense than that of a laser

(alth

ough m

uch m

ore to

tal e

nergy is b

eing delivered to

the tissu

e). T

he first tw

o pulse

s from th

e

IPL g

enerally are not fe

lt by th

e clie

nt. T

he th

ird (if th

e te

chnicia

n ch

ooses to

deliver th

at m

any)

begins to

feel lik

e a sn

ap of a

rubber b

and (a

s the tissu

e absorbs a

nd re

tains th

e energy). F

ive or

more pulse

s in le

ss than one se

cond m

ay be uncomforta

ble fo

r some clie

nts. T

he use of a

topica

l desensitizin

g sp

ray or p

re-tre

atm

ent co

ld pack will a

lleviate m

ost se

nsatio

n.

Pre-T

reatm

ent P

reparatio

n

First sp

ray th

e area w

ith a lid

ocaine or b

enzocaine to

pica

l numbing co

mpound. N

ow place a co

ld

pack over th

e area in

tended to

be tre

ated fo

r a m

inim

um of 5

minutes p

rior to

treatm

ent. T

he

patie

nt w

ill be able to

with

stand as m

any as 7

pulse

s per 2

.5 cm

2/se

cond w

ithout m

uch se

nsatio

n.

It is generally not n

ecessa

ry to

deliver m

ore th

an 5 pulse

s for e

ffectiv

e hair re

moval tre

atm

ent.

IP

L H

air

Rem

oval V

aria

tion 1

This

procedure is th

e most p

opular a

mong professio

nals a

s it re

quire

s only

shaving prio

r to th

e applica

tion. It w

ill be necessa

ry to

remove all h

air a

bove

the sk

in w

ith a ra

zor. A

ny hair w

hich

protru

des a

bove th

e sk

in m

ay ca

use pits

in your o

ptics w

hich

will re

duce th

e overall e

fficiency of th

e device

. Turn your IP

L driv

er to

settin

g 5 pulse

(180 jcm

2 per se

cond) a

place th

e IP

L condenser a

gainst th

e sk

in in th

e area where th

e u

nwanted h

air g

rowth is

occu

rring. P

ress th

e trig

ger sw

itch th

en re

lease (d

eliverin

g fo

ur to

tal e

missio

n

equatin

g to

180 jcm

2 of e

nergy density

) then m

ove th

e co

ndenser to

the next

treatm

ent a

rea. T

he tre

atm

ent w

ill effe

ctively damage or d

estro

y all a

nagen fo

llicles in

an area of

2.5 cm

2. A

n area 25cm

square (a

bout 1

0 in

ches) w

ill require

d 100 pulse

s spaced evenly fo

r effe

c-tiv

e hair re

moval.

IP

L H

air

Rem

oval V

aria

tion 2

: Deep T

issue T

raum

a W

ith F

ollic

le E

x-

tractio

n w

ith C

arbon D

ye

Before applying tre

atm

ent, re

move all h

air fro

m th

e area by tw

eezin

g or w

axing. IP

L hair re

moval

is most 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

the 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

targets, 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 applicato

r, completely

cover th

e tre

atm

ent a

rea w

ith th

e sp

ecial d

ye in

cluded in

your kit.

Massa

ge th

e dye in

to th

e follicle

pore w

ith a firm

downward circu

lar m

otio

n. R

epeat 2

-3 tim

es to

saturate th

e follicle p

ore. U

se an ethyl alcohol based w

ipe (iso

propyl alco

hol w

ill not d

issolve th

e dye) to

lightly

clean th

e excess fro

m th

e su

rface of th

e skin

. At th

is poin

t you will h

ave all d

esire

d follicle

s visibly highlighted w

ith a dark

spot (a

s seen above). P

erfo

rm th

e stan

dard IP

L treatm

ent a

s outlin

ed in

‘IPL H

air R

emoval V

ariatio

n 1’ a

s norm

al. Don not o

ver tre

at. A

pplyin

g 10 or m

ore pulse

s in 1 se

cond to

the sa

me area m

ay re

sult in

a se

vere b

urn (le

ading

to bliste

ring).

4

IP

L T

atto

o R

em

oval

To begin th

e process it w

ill be necessa

ry fo

r you to

scrub th

e sk

in over th

e ta

ttoo w

ith an abrasiv

e

applica

tor. T

his is w

ill remove th

e outer la

yers o

f the epiderm

is which

will a

llow fo

r greater p

ene-

tratio

n of th

e IP

L radiatio

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 IP

L radiatio

n fro

m enterin

g th

e ta

ttoo. F

ollicle

s in th

e 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 T

reatm

ent P

rocedure

Carefully power u

p your IP

L (see page 4). D

ial in

PPS. P

lace th

e glass co

ndenser sid

e down (in

contact w

ith th

e sk

in) o

n to

p of th

e ta

ttoo.

Deliver 7

pulse

s (approxim

ately 130 jo

ules) to

each area of 2

.5 cm

square (d

epending on co

lor).

Be very sy

stematic a

nd th

orough, b

ut re

sist the te

mptatio

n to

over tre

at. A

pplying m

ore th

an 180

joules p

er cm

2 m

ay se

verely burn th

e sk

in. B

lack in

k ca

n be su

ccessfu

lly tre

ated w

ith 100 jcm

2.

Blue and green norm

ally re

quire

s 120 jcm

2, a

nd re

d re

quire

s up to

180.

The example ta

ttoo at rig

ht w

ould re

quire

427 pulse

s for a total of roughly 10,000

joules.

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. Alth

ough the gel does contain the

desensitizin

g co

mpound benzocaine it w

ill be quite

common for the patie

nt to feel

some burning in the minutes

and hours

following the procedure.

This

is quite

norm

al. If th

e patie

nt re

quests e

xtra

relief, a

pply a co

ld pack as n

eeded.

In pictu

re number 4

, 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 5

and 6, y

ou ca

n se

e so

me fa

ding of th

e ta

ttoo,

but a

lso a m

ild fo

rm of h

ypo pigmentatio

n (lo

ss of th

e patie

nt’s n

atural sk

in co

lor). T

his co

nditio

n

is temporary and will su

bsid

e as th

e m

elanin re

generates w

ith natural h

ealing.

In pictu

re number 7

, you ca

n se

e th

at th

e ta

ttoo has fa

ded to

a point w

here it is n

ot re

cogniza

ble.

This ty

pe of ta

ttoo sh

ould re

quire

about 6

treatm

ents o

ver 7

months. It is a

lways a

good id

ea to

take pictu

res 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

stay co

mmitte

d and m

otiv

ated as th

e process re

quire

s a su

bsta

ntia

l investm

ent o

f tim

e.

7

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

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

Inte

nse P

uls

ed L

ight T

atto

o R

em

oval

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. A

newer p

rocedure used an in

-tense pulse

d lig

ht. S

urprisin

gly, la

sers a

nd IP

L’s do not a

ctually burn th

e in

k out; th

ey fra

cture it

into 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, sp

aced approxim

ately 2-4 w

eeks a

part. T

he number o

f treatm

ents d

epends 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 c

harge fo

r th

e p

rocedure? 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 tr

eatm

ent

be lik

e? It is le

ss painful to

have a ta

ttoo re

moved th

an gettin

g it p

ut

on. A

numbing sp

ray and ice

pack sh

ould be applied before th

e procedure. A

fter th

e procedure th

e

treated area m

ay bliste

r, swell, cru

st, scab, o

r bleed slig

htly

. Care fo

r the tre

ated area daily in

order to

prevent in

fectio

n and to

get th

e best p

ossib

le healing re

sults. T

he ta

ttoo w

ill then gradu-

ally fa

de 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

several 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.

Im

porta

nt C

onsid

eratio

ns fo

r S

afe

IP

L T

atto

o T

reatm

ent

Treatm

en

t on S

kin

w

ith H

air

G

row

th:

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 ‘d

esira

ble’ h

air 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

en

t A

round or N

ear th

e G

enita

ls: IP

L tatto

o re

moval is sa

fe fo

r applica

tion to

the pubic

regions in

cluding th

e re

productiv

e organs o

f both se

xes. C

are m

ust b

e ta

ken in

to co

nsid

eratio

n in

these areas d

ue to

the in

creased le

vel o

f neural se

nsitiv

ity. T

he patie

nt m

ay fin

d th

e process u

n-

comforta

ble with

out a

topica

l desensitizin

g sp

ray.

Treatm

en

t A

rou

nd or N

ear th

e Eyes: G

reat ca

re m

ust b

e

exercise

d w

hen w

orking near th

e eyes. T

he IP

L emissio

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 radiatio

n; however,

only IPL protectiv

e eyewear is

recommended.

Post-T

reatm

en

t: 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 tim

e or

intensity

. The applica

tion of a post-

treatm

ent co

oling and healing gel (su

ch as A

loe) is e

ncour-

aged to

speed h

ealing and re

duce se

nsitiv

ity. In

struct th

e

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

IPL tre

atm

ents.

—Green and Blue in

k absorbs 670-890nm lig

ht b

est a

nd re

sponds very well to

IPL tre

atm

ents.

—Red, O

range, a

nd Purple in

ks absorb 500-700nm lig

ht b

est a

nd re

sponds very well to

IPL tre

atm

ents.

—Turquoise re

sponds varia

bly, d

epending on th

e pigments in

the in

k.

—Flesh to

nes te

nd to

reflect lig

ht a

nd does not re

spond well to

IPL tre

atm

ents.

—Yellow te

nds to

reflect lig

ht a

nd does not re

spond well to

IPL tre

atm

ents.

before

afte

r

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 growth activ

ity

should lo

ok lik

e fro

m 30, 6

0 , a

nd 90 days o

f treatm

ents.

Im

porta

nt C

onsid

eratio

ns fo

r S

afe

IP

L H

air

Rem

oval T

reatm

ent

Treatm

ent

Around or N

ear th

e Eyes:

Great ca

re m

ust b

e exercise

d when

working near th

e eyes. The IPL em

is-sio

n is p

owerfu

l enough to

actu

ally penetra

te th

e ey

elid an

d perm

anently

damage th

e eye. H

aving th

e patien

t close

their e

yes is n

ot 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 radiatio

n; however,

only laser protectiv

e eyewear is re

commen

ded.

Treatm

ent

Around or N

ear M

ucus M

em

branes: IP

L radiation

will sev

erely

damage th

e tissu

es in

side th

e nose an

d ear ca

nal. T

reatm

ent sh

ould be av

oided in

these areas alto

-gether.

Treatm

ent

Around or N

ear th

e G

enita

ls: IP

L hair re

moval is safe

for a

pplica

tion to

the

pubic re

gions in

cluding th

e reproductive

organs o

f both sex

es. C

are m

ust b

e ta

ken in

to

consid

eratio

n in

these areas d

ue to

the in

creased le

vel of n

eural sen

sitivity. T

he p

atie

nt m

ay fin

d th

e process u

ncomforta

ble w

ithout a

topical d

esen

sitizing sp

ray.

Treatm

ent

Around or N

ear th

e A

reola

(nip

ple

):

IPL h

air re

moval is sa

fe and effe

ctive 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 tre

atm

ent area will

experien

ce short-te

rm

erythmia (re

ddening) w

hich

will su

bsid

e w

ithin 12-24 h

ours. S

hould th

e trea

tment a

rea

show sig

ns of e

xcess sca

bbing you m

ay wish

to re

duce th

e overall tre

atm

ent tim

e or in

ten-

sity. T

he a

pplica

tion of a

post-tre

atm

ent co

oling an

d healin

g gel (su

ch as A

loe) is e

ncour-

aged to

speed healin

g an

d re

duce se

nsitivity

. Instru

ct the patie

nt to

refrain

from applyin

g

cosm

etics o

r sunbath

ing fo

r at le

ast 2

4 hours.

Over T

reatm

ent: E

ach IP

L pulse

sends a

serie

s of photon

‘bundles’

deep in

to th

e skin

where it d

amages th

e hair follicle

tissues. T

his

IPL ra

diatio

n also

will h

ave m

ild effe

cts on ca

pilla

ries a

nd skin

tissue. If too

many IP

L pulse

s are administe

red th

e ca

pilla

ry netw

ork w

ill begin to

break down. T

his w

ill create a

bruise

which

will ta

ke se

veral d

ays to

subsid

e. A

lthough th

e use o

f lasers to

destro

y ca

pil-

larie

s in th

e skin

is quite

common (fo

r spider vein

s, port w

ine stain

s, birth

mark

s etc), it is

not th

e in

tent o

f this tre

atm

ent a

s outlin

ed fo

r hair re

moval to

damage o

ther tissu

es. Fo

r that re

ason th

e te

chnicia

n sh

ould ca

refully te

st and document h

ow m

any la

ser p

ulse

s each

patie

nt ca

n with

stand befo

re ca

pilla

ry breakdown (b

ruisin

g) o

ccurs.

The gen

eral ru

le of th

umb is to

patch

test the skin

with

7 pulse

s (on fu

ll power) th

en se

nd th

e patien

t home. H

ave

them 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

dministe

r the fu

ll tre

atm

ent. It is n

ot re

commended to

deliver m

ore th

an 10 pulse

s to one sta

tionary area a

t a time. If m

ore th

an 10

pulse

s are deliv

ered th

e te

chnicia

n sh

ould m

ake a sm

all circular m

otio

n w

ith th

e IP

L head to

avoid

sending all th

e energy th

rough th

e exact sa

me e

ntry p

oints.

This IP

L can cau

se serio

us b

urns to

the skin

. All te

chnician

s should adopt th

e ‘le

ss is more’ p

hilosophy. It is fa

r safer to

have th

e patie

nt co

me b

ack fo

r additio

nal tre

atm

ents th

an to

administe

r too m

uch ra

diation

in one se

ssion

resultin

g in

tissue tra

uma an

d 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 @

100-1000nm (m

inim

um)

suggested.

Electrical re

quire

ments

100/120 VAC, 5

0/60 Hz nominal, 1

.0 A

max. 2

20 or 2

40 VAC, 5

0/60 Hz

nominal, 1

.2 A m

ax.

Ambient o

peratin

g

temperature

10°C to

30°C

Ambient storage

temperature

-25°C to

70°C

Emittin

g wavelength

(100-800 ± 10) n

m

Classific

atio

n: E

xempt

Output p

ower

User-a

djustable 0 to

220 Jo

ules

Designatio

n: O

EM

Generatio

n m

odes

IPL

Manufacturer: Q

uazar In

dustrie

s,

UK

Beam characteristic

Flash Lamp

Warra

nty: 1

Year

Pulse duratio

n

Manual A

djust

Emission In

dicator: Y

es

Weight

15 kg m

ax

Key Lock: Y

es

Optics

Glass

Beam Shutte

r: No

Dimensions

170 x 500 x 370 m

m

21CFR 1040, IE

C 825-1:1993: N

o

Patie

nt #

hair

counts

12 w

eek c

learance

1 fe

male

s, 1

male

s

pre

post

num

ber o

f treatm

ents

percent

#1: d

eep tissu

e with

hair

225

11

10

95%

#2: d

eep tissu

e with

dye

166

1

7

99%

Over-tre

atm

ent

capilla

ry b

ruis

ing

min

or b

liste

rin

g

befo

re

afte

r