patrick bitter, jr., md, faad bitterjrmd@aol · 2013-01-20 · foto facial bbl patrick bitter jr....

Foto Facial BBL Patrick Bitter Jr. MD 1

Importance of Pulsed Light-Based Skin Rejuvenation in the Anti-Aging

Practice

18TH Annual World Congress On Anti-Aging Medicine December 10, 2010 Las Vegas, Nevada

Patrick Bitter Jr., MD, FAAD, FAAAA

Los Gatos, CA Beverly Hills, CA

Patrick Bitter, Jr., MD, FAAD

[email protected]

Disclosures

•  Equipment: None •  Speaker’s Bureau: Sciton, Sanofi-Aventis,

Edge •  Consultant: Scientific Advisory Board,

Isagenix •  Stock Holder: None


Objectives of Presentation

• Learn the multiple applications of pulsed light treatments and the benefit to the anti-aging practice

• Discuss what anti-aging practitioners should know about pulsed light therapy

• Learn how pulsed light therapy is being used to delay skin aging

Appearance Medicine

The practice of medicine that concerns the enhancement and improvement in the appearance of the patient using surgical or non-surgical therapies

Aesthetic Medicine: What Our Patients Want

 Look “Better”  Look Better Without “Downtime”  Look Better “Right Away”  Look Better “Without Pain”  Look Better “Without Surgery”  Look “Natural”  Look Better without costing too much  A Treatment that “works”  “Delay aging”


Facial Aging Intrinsic Extrinsic

Anti-Aging Medicine: What Our Patients Want

  Feel “Better”   Look Better   Live Better   Prevent Aging   Prevent Disease   Live Longer   Improve sex life   Improve a Chronic Disease   Lose Weight   Improve Body Appearance   “Gain an Advantage”   Be the best they can be


What characterizes youth and vitality?

What characterizes a youthful appearance?


Young Skin is BRIGHT Skin A youthful face is a FULL Face

Youthfulness is characterized by BRIGHT Skin and a FULL Face

Total Aesthetic Wellness

The key to optimal emotional, physical, mental and spiritual well-being is balancing six key areas in

your life.


Total Aesthetic Wellness

Just like our hormone symphony is about optimizing the balance of all

hormones, looking your is about balancing each of the key factors for

wellness.

Six Key Pieces

Skin care

Regimen

-sun protection

-products

Nutritional

Supplements

Hormone

Optimization Aesthetic

Treatments

Lifestyle

-diet

-exercise

-sleep

-relationship

Avoid and eliminate toxins

What I currently offer in my practice

Skin care Products Osmosis Isadermix

Nutritional Supplements Isagenix

Hormone Optimization Optimal Health Labs

Aesthetic treatments

lifestyle


Top Non-surgical Aesthetic Procedures*

•  Skin Rejuvenation Face and Body (FotoFacial BBL) •  Non-invasive skin tightening (BBL) •  Combination laser treatments (MLP, ProFx, TRL) •  Botulinum Toxins (Botox, Dysport) •  Injectable Fillers (Juvederm, Restylane) •  Poly-L-Lactic Acid (Sculptra) •  Laser Hair Removal •  Non-surgical body contouring •  ProLipo (laser-assisted lipolysis) •  Intelligent Use of Skin Care Products *my opinion

What is Broad Band Light?

How Does Broad Band Light Work?


Broad Band Light

420 515 560 590 640 695 ST

Not Drawn to Scale

BBLs

• The single most versatile and valuable technological tool bridging aesthetic medicine and anti-aging medicine

Proper Technology


Different Wavelengths for Different Indications

Proper Technology

FotoFacial®BBL: Selective PhotoThermolysis

Objective:

•  Visible Improvement in all elements of aging skin non-invasively using Pulsed Optical Energy


FotoFacial ® BBL Indications

•  Photodamage •  Rosacea •  Erythema and Flushing •  Dyschromias •  Non-Facial Photodamage •  Non-Facial Erythema and Flushing •  Inflammatory Acne and Acne Scars •  Fine lines and wrinkle reduction •  Large pores •  Skin Health Maintenance •  Anti-Aging •  Skin Cancer Prevention

Broad Band Light (BBL) Indications

Skin Rejuvenation of Photo-aged skin Non-Facial Skin Rejuvenation

Erythematous-telangiectatic Rosacea Inflammatory Rosacea

Erythema Flushing

Dyschromias Inflammatory Acne

Hair Removal

Broad Band Light (BBL) Newer Indications

Post-laser Erythema Erythematous Scars Hypertrophic Scars

Striae Post-sclerotherapy Hemosiderosis

Non-invasive Skin Tightening Non-Ablative Wrinkle Reduction Correction of IPL-Complications


Broad Band Light (BBL) Innovative Uses

Skin Health Maintenance

Delay Skin Aging Post-injection Purpura

Skin Cancer Prevention?

BBL Rejuvenation of Vascular Skin Conditions

FotoFacial BBL for Rosacea

untreated treated BBL face before and after five treatments




BBL Rejuvenation of Photo-aged Skin

Non-Invasive Photo-Rejuvenation Photo-damage/Dyschromia

FotoFacial BBL three treatments



Before and After 3 Treatments








Photo-Rejuvenation with FotoFacial BBL and MLP Dyschromia Skin type IV

untreated treated MLP of spots followed by BBL three weeks later before and after one treatment at four weeks

FotoFacial BBL Photo-Rejuvenation Dyschromia Skin type IV

untreated treated

MLP of spots followed by BBL three weeks later before and after one treatment at four weeks



untreated treated

MLP of spots followed by BBL three weeks later before and after one treatment at four weeks

BBL Rejuvenation of Pigmentation and Dyschromias including

Melasma


untreated treated BBL face before and after one treatment




FotoFacial BBL Photo-Rejuvenation Resistant Melasma Skin type IV


FotoFacial BBL Photo-Rejuvenation Resistant Melasma Skin type IV



IPL and Poly-L-Lactic Acid Two months post

two vials at one session

Adding volume for a more youthful face age 45

IPL and Poly-L-Lactic Acid 4 vials over 3 sessions

Adding volume for a more youthful face Age 62

BBL Rejuvenation of Photo-aged Non-Facial Skin


FotoBody BBL® BBLTreatment of non-facial photo-

aged skin

Rejuvenation of Non-Facial Skin with IPL

After Before





BBL treated hand before and after five treatments

FotoBody BBL BBLTreatment of non-facial photo-

aged skin

After three treatments using BBL 515 14/10/15

FotoBody BBL BBLTreatment of non-facial photo-

aged skin

After three treatments using BBL 515 14/10/15


Rejuvenation of Photo-aged Skin with Combination BBL and

SkinTyte

Rejuvenation of Photo-aged Skin with Combination BBL and SkinTightening

Maximizing Results for laxity and wrinkles for non-ablative, no downtime treatment



Non-Invasive Photo-Rejuvenation Photo-damage/Dyschromia:

FotoFacial BBL/SkinTyte Combo Treatment

BBL and ST treated half of face before and after two treatment

Non-Invasive Photo-Rejuvenation Photo-damage/Dyschromia:

FotoFacial BBL/SkinTyte Combo Treatment

untreated treated BBL and ST treated half of face before and after two treatment


BBL and ST treated half of face before and after two treatments


Non-ablative Skin Tightening with BBL SkinTyte

Goals of Skin Tightening

Visible firming and smoothing of lax and wrinkled tissue

Indications for Skin Tightening

Areas most amenable to visible improvement: -  Sub-mental neck -  Lower face and jowls -  Along mandible -  Malar cheeks and lower lids -  Posterior arms -  Lower abdomen -  Crepiness of cheeks and neck -  Wrinkles of upper lip and chest



BBL and ST treated half of face before and after three treatments






© 2009 Sciton, Inc. All rights reserved. 2600-033-18 Rev. A B&A ST 70

BEFORE / AFTER | 1 tx | courtesy of Gloria Lopez, MD

Non-surgical, non-invasive skin tightening

© 2009 Sciton, Inc. All rights reserved. 2600-033-06 Rev. B B&A ST 71

BEFORE / AFTER | One month post 1 tx | courtesy of Michael McCall, MD

Parameters: 40 J, 5 s, 15 °C, 2 s post-cooling

BEFORE / AFTER | 1 tx | courtesy of Gloria Lopez, MD

© 2009 Sciton, Inc. All rights reserved. 2600-033-69 Rev. A B&A ST 72

patrick bitter, jr., md, faad bitterjrmd@aol · 2013-01-20 · foto facial bbl patrick bitter jr....

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