GentleLASE - PowerPoint PPT Presentation

Loading...

PPT – GentleLASE PowerPoint presentation | free to download - id: 3d1acb-NzM3M



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

GentleLASE

Description:

Face, Axilla, Bikini are approximately 20-35% Trunk and Extremities have approximately 10-20% Hair Growth Information Patient Consult For best results, ... – PowerPoint PPT presentation

Number of Views:157
Avg rating:3.0/5.0
Slides: 54
Provided by: candelala
Learn more at: http://www.candelalaser.com
Category:
Tags: gentlelase

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: GentleLASE


1
GentleLASE
  • Patient Consultation the Management of
    expectations
  • Laser Hair Removal
  • Benign Pigmented Lesions
  • Wrinkle Reduction
  • Vascular Lesions

2
Patient Consult
  • Todays patient is better educated than ever
    thanks to the internet.
  • Before any treatment, ALWAYS review the entire
    process.
  • They should know exactly what is expected of
    them.
  • They should know what to expect as far as
    outcomes.

3
Fitzpatrick Skin Types
  • Skin Type is race dependent and DOES NOT CHANGE.
  • Suntan alters the degree of pigmentation NOT the
    skin type.

4
Fitzpatrick Skin Types
5
  • How does the Laser work?
  • (Hair)

6
Patient Consult
  • Laser Hair Removal
  • Targets the pigment in the hair follicle.
  • Heat is absorbed and destroys the cells lining
    the hair follicle specifically around the bulb,
    bulge, and vascular supply.

7
Permanent Hair Reduction
long-term stable reduction in the number of
hairs re-growing after a treatment regime The
FDA allows us this definition
8
IMPORTANT! Write This Down
  • The Gentlelase will NOT treat white, blonde, or
    gray hairs! Patients should be informed upfront.
  • Some reds hairs will not achieve desired
    efficacy. Patients should be informed upfront.

9
Hair Anatomy
Epidermis Sebaceous Gland Bulge
Follicle Vascular Supply (matrix)
Bulb
Bulb / bulge are critical structures
responsible for hair re-growth
10
Patient Consult
  • What are the 3 cycles of hair growth?
  • Anagen Hair is actively growing
  • Catagen Hair is dormant
  • Telagen Hair is falling out

11
Hair Biology

Anagen
Telogen
Catagen
12
Patient Consult
  • When do you re-treat?
  • Within 7 days of when regrowth is observed.
  • Different areas have different percentages of
    hair in the Anagen phase.
  • Face, Axilla, Bikini are approximately 20-35
  • Trunk and Extremities have approximately 10-20

13
Hair Growth Information
14
Patient Consult
  • For best results, multiple treatments will be
    needed. For most areas 4-6 treatments are
    necessary to achieve desired hair clearance. One
    may need more or less than 6 treatments depending
    on hair type, previous methods of hair removal,
    and skin color. Results may vary from patient to
    patient and to various degrees of efficacy.

15
F.A.Q.
  • Can cancer survivors be treated?
  • Yes, but if there is concern get clearance from
    their treating physician.
  • Can children be treated?
  • Yes, but more treatments maybe required later due
    to hormonal changes.

16
F.A.Q.
  • Can patients use sunless tanning products?
  • With the GentleLASE, NO! Remember pigment is
    pigment.
  • Can you treat a mans head?
  • Yes, but make sure he understands that it is
    permanent and signs an informed consent.

17
F.A.Q.
  • What areas of the body can you treat?
  • All areas are treatable with the exception of
    inside the orbital rim.
  • Can treatments be done over implants?
  • Yes.

18
F.A.Q.
  • Can treatments be performed over orthopedic
    hardware?
  • Yes, however some patients may notice more
    discomfort in those areas.
  • Pacemakers and other cardiac implants?
  • Patients with pacemakers may have treatment once
    cleared by their physician. Treatments are not
    typically performed directly over implant.

19
F.A.Q.
  • What about braces or other dental work?
  • Yes. Frequently gauze is placed between the
    cheek and gum for those patients who experience a
    tingling sensation on their teeth.

20
F.A.Q.
  • Can treatment be done over injectibles?
  • Probably not a good idea to treat directly over
    the injectible. Patients can have laser
    treatment and injections done...But, in different
    areas.

21
Contraindications
  • Accutane
  • Most physicians recommend that patients should
    cease usage for at least 6 months. However, many
    physicians are treating while patient is on
    medication provided the primary chromophore is
    NOT water.
  • Sun exposure
  • Tanning is an absolute contraindication
  • AVOID the Sun for at least 2 weeks prior to a
    treatment and 2 weeks after. The chances of
    pigment changes and other minor skin
    irritations are high.
  • This included tanning sprays and lotions.
    Remember Pigment is pigment

22
Contraindications
  • Pregnancy
  • Pregnant practitioners should check with their
    physician
  • DO NOT TREAT Expecting mothers
  • Liability reasons
  • Hormones are out of whack

23
Contraindications
  • What about Tattoos?
  • Tattoos and permanent make-up should be avoided.
    While the wavelength can sometime be used for the
    removal of tattoos, the GentleLASE has the WRONG
    pulse duration to safely and effectively remove
    tattoos.
  • Areas with permanent make-up should be covered or
    avoided.

24
Patient Consult
  • During consultation explain and obtain an
    INFORMED CONSENT
  • Document, Document, Document. Remember to chart
    the treatment procedure i.e. (Energy, spot size,
    DCD)

25
Patient Consult
  • Photo-Document
  • It is important to take pictures of the area to
    be treated.
  • Patients will sometimes forget what they looked
    like at the starting point.
  • Having before and after photos will allow you to
    market to potential clients using your own
    photographs.

26
Gentlelase Treatment Protocol For Hair Removal
  • Pre-Treatment
  • - Shave hair 24 hours prior to treatment.
  • - If history of cold sores, an antiviral can
    be prescribed.
  • Post Treatment
  • Aloe vera (with Solarcaine and menthol) gel may
    be applied.
  • - Sunblock of spf 30 if treated area is
    exposed to the sun.

27
Treatment Protocol
  • NO Plucking 6 weeks prior or after
  • NO Waxing 6 weeks prior or after
  • NO Tweezing 6 weeks prior or after
  • Patients can only shave

28
Treatment Protocol
  • 3 Things to ALWAYS remember while treating
  • FLUSH
  • PERPENDICULAR
  • NO MORE THAN 30 OVERLAP
  • Say it with me..FLUSH, PERPENDICULAR, NO MORE
    THAN 30 OVERLAP

29
Complications
  • There are risks and complications that can occur
    from laser treatment.
  • Use of conservative DCD settings are important.
  • Complications are rare!
  • Heat rash
  • Bruising
  • Scarring
  • Infection
  • Hyper-pigmentation
  • Hypo-pigmentation
  • Swelling
  • Welting

30
DCD
-Cryogen spray milliseconds before laser
pulse -Cools / protects epidermis from thermal
damage -Protects darker skin types -Good
visibility / does not slow treatment -No messy
gels
31
Dynamic Cooling
-Short spray of cryogen onto skin
milliseconds before laser
pulse -Rapid, efficient cooling of epidermal
layers only -Does not cool subsurface
targeted structures -Does not impede
visibility or treatment speed
32
Laser Hair Reduction
  • Operative Checklist
  • Laser in ready mode and calibrated to correct
    energy with proper hand piece
  • Squeaky Clean Skin
  • Safety goggles or glasses on clinician and patient
  • No flammable substances in operating area
  • - Written post-operative instructions given to
    the patient

33
GentleLase for the Treatment of Pigmented Lesions
  • The Next Chapter

34
Pigmented Lesions
  • A pigmented lesion is caused by an abnormal
    production of melanin which makes it visible on
    the skins surface

35
Pigmented Lesions
  • The following benign pigmented lesions can be
    treated with the GentleLase
  • Mottled or hyperpigmentation
  • Lentigines
  • Ephelides (freckles)
  • Epidermal melasma
  • Café au lait

36
Pigmented Lesions
  • Lentigines
  • Are small, tan to medium brown lesions that are
    located on the skins surface
  • Usually caused by excessive sun exposure
  • Need to be differentiated from the potential skin
    cancers. (i.e., have it checked off by a
    physician)

37
Lentigines
38
Pigmented Lesions
  • Ephelides
  • Also known as freckles
  • Commonly seen on fairer skinned patients

39
Ephelides
40
Pigmented Lesions
  • Café au lait
  • Are typically light tan to pale brown patches
    that are seen at birth or soon after.

41
Café Au Lait
42
Pigmented Lesions
  • Remember that this will treat Epidermal
    pigmentation issues.
  • NOT LIKELY TO RESPOND
  • Nevi of Oto or Ito
  • Melanocytic Nevi
  • Should only be treated by dermatologist
  • Blue Nevi

43
Pigmented Lesions
  • Method of Treatment
  • Treat only on Skin Types I-III (and Asian skin)
  • No DCD is used.
  • May require multiple treatments (2 3 TX)
  • For treatment of smaller lesions a small spot
    size should be used.

44
Pigmented Lesions
  • Some factors that could trigger re-occurrence of
    pigmented lesions are
  • Hormonal Imbalance
  • Pregnancy
  • Medications
  • Menopause
  • Sun Exposure

45
Pigmented Lesions
  • Potential Side Effects
  • Discomfort
  • Bruising
  • Swelling
  • Scabs
  • Hyper-pigmentation
  • Hypo-pigmentation
  • Infection
  • Scarring
  • Lesion Recurrence
  • Side effects are quite rare!

46
Pigmented Lesions
  • Clinical Endpoint
  • You may hear a Snap while treating.
  • The darker the lesion, the louder the Snap
  • It is not uncommon to see a Frosting of the
    lesion
  • Single Pulse Only!

47
Pigmented Lesions
  • Clinical Endpoint
  • The lesion will darken within 5 - 10 minutes
    after treatment and may remain so until the
    lesions forms a micro-crust. Use of an ointment
    is recommended. Aquaphor, bacitracin or even
    vaseline can be used to keep area moist until the
    crust falls off. The skin underneath will be
    pink. There is a gradual return to normal skin
    color over time.

48
Pigmented Lesions
  • Avoidance of direct and indirect sun exposure for
    at least 2 weeks after the laser treatment is
    advisable.
  • Sunblock of at least SPF 30 on the treated area
    daily. Sun exposure may contribute to
    hyperpigmentation in treated area.

49
Pigmented Lesions
  • Operative Checklist
  • Put laser in ready mode and calibrated to
    correct energy with proper hand piece
  • Squeaky Clean Skin
  • Safety goggles or glasses on clinician and patient
  • No flammable substances in operating area
  • Hair protected with headband
  • Written post-operative instructions given to the
    patient

50
Test Spots
  • When skin reaction is a concern, always perform a
    test spot at a couple of different, lower
    fluences in an inconspicuous site.
  • Untoward skin responses may occur if there is sun
    exposure within 1-2 days of treatment.

51
Maintenance
  • Refer to Section 6 of the owners manual
  • User verification test
  • Cleaning of the Distance Gauges

52
  • Safety Procedure Checklist
  • Issue Policy
  • Flammability Fire Extinguisher
  • Water and Wet Cloths
  • Non-reflective Instruments
  • No alcohol preparations
  • Keep Laser in standby when not in
    use
  • Ocular Safety Appropriate eyewear without
    reflective metal
  • Electrical Hazards Dedicated outlets for
    laser use
  • No extension cords
  • No defects in laser cord
  • No water or other solutions near laser
  • Controlled access to laser suite Warning and
    Danger signs posted on doors
  • Opaque material on windows
  • Laser keys locked when not in use
  • Laser plume Smoke evacuator with clean filter
    and tubing
  • Laser masks

53
Thank You!
About PowerShow.com