Pearl Fusion Technique

Size: px
Start display at page:

Download "Pearl Fusion Technique"

Transcription

1 Pearl Fusion Technique Combined Treatment Advanced Technique

2 General Considerations The Pearl Fusion Technique is an advanced procedure intended for operators with previous knowledge and experience with Pearl and Pearl Fractional devices, and is in no way complete. Please consult the Clinical Training CD for each of these devices for more complete information. The decision to treat with light therapy should be based upon appropriate diagnostic evaluation and consideration of all patient factors. The Pearl and Pearl Fractional lasers should only be operated by qualified practitioners who have received appropriate training and have thoroughly read the operator manual. It is important to observe tissue reaction during treatment. Excessive thermal damage to the skin, or excessive depth of treatment, can result in unwanted adverse effects such as blistering, burns, erosion, hyperpigmentation, and/or hypopigmentation; some of which may result in scarring. 2

3 Why Combine Treatments? Customize treatments depending on patient concerns Surface epidermal combined with deep dermal ablation provides dual benefit Treatments are better tolerated than comparable individual treatments Short recovery time, about 5-7 days Improved efficacy Fewer residual lentigines Overall improvement in photo-aging Rhytids Texture Mild Laxity Scarring 3

4 Patient Selection Patients with moderate photoaging Lentigines Wrinkles Peri-oral and peri-ocular Diffuse facial Textural concerns Laxity Also younger patients Acne or surgical scarring Minimal photoaging 4

5 Pre-Op Medical History The following conditions are not contraindications but should be considered before treating: Current medications (both routine and occasional use) Accutane (Isotretinoin) do not treat if taken in the last 6 months Anti-Coagulants may increase post treatment oozing Gold Therapy May cause blue-gray discoloration History of vitiligo Heat from the treatment could induce a flare-up in patients with pre-existing vitiligo. Wound Infections 5

6 Pre-Op Medical History The following conditions are not contraindications but should be considered before treating: Herpes Pre-treatment with an antiviral. Some physicians prescribe antivirals for all patients regardless of history Outbreak may impede wound healing and increase risk of scarring Tattoos, including permanent make-up, in treatment area Do not treat over tattoos or permanent make-up Keloids or Hypertrophic Scarring Coagulopathies/bleeding disorders Implants or surgeries in treatment area Do not treat over dysplastic nevi or any questionable pigmented lesions Evaluate lesion(s) for potential skin cancer warning signs and treat only if diagnosed as benign Online Melanoma Resources 6

7 Determine Skin Type Fitzpatrick Skin Type Scale I II III IV V VI White White White - Light Brown Light Brown - Olive Moderate - Dark Brown Black Burns easily, never tans Burns easily, tans minimally with difficulty Burns moderately; tans moderately and uniformly Burns minimally, tans easily and moderately Rarely burns; tans profusely Never burns; tans profusely Current combination guidelines are for skin types I III. 7

8 Pre-Op Patient Consent Patient Consent Provide treatment information. Inform of expected and unexpected side effects. Set realistic patient expectations regarding downtime, usually 5-7 days, and potential results. 8

9 Patient Prep - Clean Remove all make-up, sunscreen, etc. Any creams or products left on the skin may interfere with the light and may cause irregular results or unwanted side-effects. 9

10 Patient Prep - Hair The beard area should be closely shaven prior to treatment. Excess hair will interfere with the light and may cause irregular results. 10

11 Pre-Op - Photos Pre-op photos are your MOST valuable tool and protection. You only have one chance to obtain good pre-op photos. Document baseline condition Use for comparison purposes later on in treatment Consistent technique is important for useful, comparable photos. Matched patient positioning Camera settings Lighting Cutera Photography Blog 11

12 Commonly Used Supplies Topical anesthetic e.g. lidocaine; benzocaine and/or tetracaine Some patients are offered an oral anti-anxiety or mild narcotic pre-op in addition to topical. A cooling device, such as Zimmer, can be used during treatment. Acetone (medical grade). 4x4 gauze pads Wood cotton-tipped applicators Tongue depressors Gloves Laser masks that filter to 0.1 µm Smoke evacuator Eye protection for patient and provider Occlusive ointment such as plain Vaseline or Aquaphor ointment 12

13 Anesthetic Application and Removal A topical anesthetic should be applied liberally to the entire area to be treated for a minimum of 45 minutes. Avoid getting topical anesthetic into the eyes. CAUTION: Toxicity may result with the overuse of topical anesthesia. Consult the manufacturer s labeling. Anesthetic must be completely removed before treatment. Following removal of anesthetic, wipe the skin with medical grade acetone or alcohol, to remove any residual anesthetic. Residual anesthetic will absorb light and may cause irregular results. Allow the skin to dry before treating with the laser. 13

14 Patient Eye Safety Patient eye protection must be used. Metal, laser-safe, lightblocking patient goggles are recommended. When treating eyelids internal corneal shields (metal, lasersafe) should be used. 14

15 Patient Prep Marking If you want to avoid treatment of the neck, the skin may be marked along the mandible using a surgical marker. This provides a reminder during treatment not to treat beyond the marked line. The surgical marker can also be used to mark areas that you want to treat only with Pearl Fractional, such as around the perioral area. 15

16 Safety Eyewear Safety eyewear must be worn by all persons in the treatment room Appropriate safety eyewear must have an optical density (O.D.) of 2.5 or greater at the wavelength of 2,790nm 16

17 Pre-treatment Laser masks with filtration of 0.1µm should be worn by all personnel in the treatment room to minimize exposure to laser generated airborne contaminants. Note: Standard surgical masks are not designed to provide protection from plume contents. 17

18 *Parameter Selection *For advanced procedure only. Consult Pearl and Pearl Fractional Clinical CD for complete treatment information. SINGLE PASS PEARL SETTINGS Treatment Area Fluence Pulse Duration Overlap Face 3 3.5J/cm 2 0.3ms 10% - 20% Treatment Area Energy Density Passes Eyelids mJ Crow s Feet Peri-Oral Other areas as required PEARL FRACTIONAL SETTINGS 120mJ Scarring mJ Treatment parameters for treatment of the neck as well as off the face have not yet been developed. Skin types IV-VI are at higher risk for side effects, specifically post-inflammatory pigment alteration. Treatment recommendations have not yet been developed for these patients. 18

19 Parameter Selection (cont.) Higher energy may be selected for deeper lines and/or areas of scarring which may result in greater efficacy. May increase downtime and risk of unwanted side effects. Lower energy and/or density may be selected to increase patient comfort 19

20 Treatment Order Always begin with Pearl first, followed by Pearl Fractional to areas of concern. This order is important to ensure that Pearl is performed on clean, dry, skin, following an acetone wipe. Oozing from Pearl Fractional prevents Pearl from being properly absorbed. 1. Pearl full face, single pass Overlap may be decreased to 10% when combining lasers to reduce thermal impact. 2. Pearl Fractional Immediately follow with Pearl Fractional to peri-orbital and peri-oral areas and, if indicated, other areas with significant wrinkles or scarring Minimum 2 passes 2 nd pass at a angle to the first pass 2-pass limit over lids to lash line Optional 3 rd pass over crow s feet, peri-oral, and other indicated areas 20

21 Smoke Evacuator A smoke evacuator is required for both Pearl and Pearl Fractional. Attach smoke evacuator hose to the laser handpiece or have an assistant hold it next to the treatment site. Ensure that the suction is set high enough to capture the laser generated airborne contaminants to prevent plume odor Ensure that the tube is not making contact with the filter inside the smoke evacuator. 21

22 Post Treatment Immediate Immediately after treatment apply an occlusive ointment such as new, plain Vaseline or Aquaphor ointment. Some patients experience a burning sensation immediately after treatment. This usually resolves a few minutes after the application of an occlusive ointment. Vinegar soaks can help relieve these symptoms 22

23 Post Treatment Provide the patient with a post-treatment instruction sheet for proper post-treatment care. An example set of post-treatment instructions is provided on the Pearl and Pearl Fractional Clinical Training CD. Erythema is a normal reaction to treatment, with deeper treatments resulting in longer lasting erythema which resolves with time. Minimal oozing from micro spots during and after treatment may occur. Edema (swelling) may occur in some patients. While this is temporary, sleeping with the head elevated may help to minimize this effect. The coagulated skin will slough off at 3 to 7 days after treatment for most patients. If repeat treatments are performed, the recommended treatment interval is 3 weeks or longer. 23

24 Example Patient Female 56yr Pre-Tx 5 weeks post Photos courtesy of Adele Makow,MD Pearl: Full Face, Single pass at 3.5J/cm² - 0.4ms with 20% overlap. (Peri-orbital not tx) Pearl Fractional: Cheeks, periorbital (no upper lid) and perioral, 2 passes at 160 mj with Density 2 24

25 Example Patient Female 58yr Pre-Tx 5 weeks post Photos courtesy of Brian Biesman, MD Pearl: Full Face, Single Pass at 3.0J/cm² - 0.3ms with 10% overlap Pearl Fractional: Full Face, Single Pass at 160 mj with Density 4 25

TREATMENT GUIDELINES. September 2012 D0592 Rev. B Cutera 3240 Bayshore Boulevard Brisbane California PH:

TREATMENT GUIDELINES. September 2012 D0592 Rev. B Cutera 3240 Bayshore Boulevard Brisbane California PH: TREATMENT GUIDELINES September 2012 D0592 Rev. B Cutera 3240 Bayshore Boulevard Brisbane California 94005 PH: 415.657.5500 www.cutera.com Pearl Treatment Guidelines The following guidelines are based on

More information

Case Study for Ablative and Non-Ablative Facial Treatment with Lux2940 Groove and Lux1440 Handpieces

Case Study for Ablative and Non-Ablative Facial Treatment with Lux2940 Groove and Lux1440 Handpieces Case Study for Ablative and Non-Ablative Facial Treatment with Lux2940 Groove and Lux1440 Handpieces Prepared by: Felicia Whitney, RN Date: June 26, 2009 the client, the diagnostic and treatment options

More information

Laser Resurfacing Post Op

Laser Resurfacing Post Op Laser Resurfacing Post Op RECOVERY TIMETABLE: Approximate recovery after laser resurfacing surgery is as follows: DAY 1: Return home. keep treated areas moist by reapplying ointment or vaseline frequently.

More information

AREA OF BODY TATTOO IS SITUATED?

AREA OF BODY TATTOO IS SITUATED? CLIENT CONSULTATION LASER TATTOO REMOVAL FORM Address: Date of Birth: Suburb: State: Postcode: Telephone: Work: Mobile Home: Other: Email Address: How did you hear about us? Tattoo Removal Colours in tattoo

More information

Depth of Penetration by Wavelength (not to scale)

Depth of Penetration by Wavelength (not to scale) Depth of Penetration by Wavelength (not to scale) Intense Pulsed Light Micro= dermabrasion 2940 Er:YAG 1440 Nd:YAG 1540 Er:Glass 1550 Fiber Laser 585-595 Pulse Dye 694 Nd:YAG Ruby 1320 755 Alexandrite

More information

Micro-fractional Laser Skin Rejuvenation : Enhanced Outcomes with Novel Multi-Modality and Multi-Wavelength Treatment Paradigms

Micro-fractional Laser Skin Rejuvenation : Enhanced Outcomes with Novel Multi-Modality and Multi-Wavelength Treatment Paradigms Micro-fractional Laser Skin Rejuvenation : Enhanced Outcomes with Novel Multi-Modality and Multi-Wavelength Treatment Paradigms J. David Holcomb, MD Sarasota Memorial Hospital, Florida, USA -------------------------------------------------------------------------------------------------------------------------------------------

More information

Lux2940 Laser Advances Resurfacing. September/October 2007 Circulation 18,000

Lux2940 Laser Advances Resurfacing. September/October 2007 Circulation 18,000 September/October 2007 Circulation 18,000 www.miinews.com Lux2940 Laser Advances Resurfacing A new single treatment micro-fractional Er:YAG laser device has restored ablative treatments, this time with

More information

Forename Surname... SOPRANO ICE SHR LASER CONSULTATION FORM

Forename Surname... SOPRANO ICE SHR LASER CONSULTATION FORM Forename Surname... SOPRANO ICE SHR LASER CONSULTATION FORM 1 SOPRANO ICE SHR PERSONAL INFORMATION Gender: Male/Female Date of birth.age. Home address..postcode.. Telephone..Mobile.. Email address.. GP

More information

RevLite SI. Q-Switched Laser Technology

RevLite SI. Q-Switched Laser Technology RevLite SI Q-Switched Laser Technology 1 Q-Switch Lasers 5 Nanosecond Pulse Duration Extremely Selective Peak energy is dispersed throughout the epidermis faster than the relaxation time of the healthy

More information

Chapter 15: FotoFacial RF Pro Treatments

Chapter 15: FotoFacial RF Pro Treatments Chapter 15: FotoFacial RF Pro Treatments The FotoFacial RF Pro procedure always involves a full face treatment using the FotoFacial RF Pro (FFI) parameters. All patients, whether being treated on a Galaxy

More information

Phone [850] Fax [850] Web Send s to: Search Millseye to download App Page 1 of 5

Phone [850] Fax [850] Web  Send  s to: Search Millseye to download App Page 1 of 5 I hereby authorize David M. Mills, MD, FACS and/or any assistants as may be appointed to perform the following procedure or treatment: Lumenis Encore Ultrapulse Fractional CO 2 Laser Skin Resurfacing Informational

More information

Post Treatment Progression

Post Treatment Progression Post Treatment Progression Please see Pearl Fractional Post Care Instructions for detailed instructions on how to properly care for treated area Below is a list of what you may or may not experience after

More information

Pre- & Post Hair Removal Instructions and Home-Care Regimen

Pre- & Post Hair Removal Instructions and Home-Care Regimen Pre- & Post Hair Removal Instructions and Home-Care Regimen Pre-Hair Removal Regimen: Avoid sun exposure or tanning beds to the area being treated. The laser may be less effective on burned or tanned skin.

More information

IPL CONTRAINDICATIONS

IPL CONTRAINDICATIONS IPL CONTRAINDICATIONS CONTRAINDICATIONS AND EXCLUSION CRITERIA FOR IPL APPLICATOR TREATMENTS CONTRAINDICATIONS - Please initial that you don t have any of these conditions. Superficial metal or other implants

More information

Client Medical History Form

Client Medical History Form Client Medical History Form Date Birthdate Name Address Phone Email Emergency Contact Person Phone Do you have or previously had any of the following: (Circle YES or NO) YES NO History of MRSA YES NO Botox

More information

Consent and Release Agreement

Consent and Release Agreement Consent and Release Agreement This form is designed to give information needed to make an informed choice of whether or not to undergo a 3D Eyebrow Embroidery Semi-permanent make up application. If you

More information

What is Pico second laser?

What is Pico second laser? What is Pico second laser? Pico second laser is the latest new generation technology for aesthetic use. Through trillions of a second and powerful laser energy to grind the pigment in the skin tissue to

More information

Pre and Post Procedure Information for Cosmetic Laser Skin Resurfacing with the DOT laser. James A. Rieger, MD (316)

Pre and Post Procedure Information for Cosmetic Laser Skin Resurfacing with the DOT laser. James A. Rieger, MD (316) Pre and Post Procedure Information for Cosmetic Laser Skin Resurfacing with the DOT laser James A. Rieger, MD (316)-652-9333 You have scheduled a delicate cosmetic laser procedure. The following information

More information

Q-Plus Series. Taking care of people, our masterpieces. Q-Switched Laser Platform Tailored to Your Needs. Aesthetics

Q-Plus Series. Taking care of people, our masterpieces. Q-Switched Laser Platform Tailored to Your Needs. Aesthetics Taking care of people, our masterpieces Q-Plus Series Q-Switched Laser Platform Tailored to Your Needs This brochure is not intended for the U.S. market. Certain Intended Uses/Configurations/Models/Accessories

More information

Hair Removal Using a Combination of Electrical and Optical Energies Multiple Treatments Clinical Study Six Months Follow up

Hair Removal Using a Combination of Electrical and Optical Energies Multiple Treatments Clinical Study Six Months Follow up Hair Removal Using a Combination of Electrical and Optical Energies Multiple Treatments Clinical Study Six Months Follow up Antonio Del Giglio M.D., James Shaoul M.D. Introduction In the past decade, intense

More information

Dermabrasion. Dermabrasion can decrease the appearance of wrinkles. It can also improve the look of scars, such as those caused by surgery or acne.

Dermabrasion. Dermabrasion can decrease the appearance of wrinkles. It can also improve the look of scars, such as those caused by surgery or acne. Dermabrasion Introduction Dermabrasion is a procedure that resurfaces a person s skin. A health care provider uses a device known as a dermabrader to quickly sand away the outer layers of skin. After dermabrasion,

More information

Peri-Orbital Non-Invasive and Painless Skin Tightening-Safe and Highly Effective Use of Multisource Radio-Frequency Treatment Platform

Peri-Orbital Non-Invasive and Painless Skin Tightening-Safe and Highly Effective Use of Multisource Radio-Frequency Treatment Platform Journal of Cosmetics, Dermatological Sciences and Applications, 2015, 5, 206-211 Published Online September 2015 in SciRes. http://www.scirp.org/journal/jcdsa http://dx.doi.org/10.4236/jcdsa.2015.53025

More information

Q-switched Nd:YAG Carbon Laser Facial Further treatment possible using your Tattoo Removal Laser

Q-switched Nd:YAG Carbon Laser Facial Further treatment possible using your Tattoo Removal Laser Q-switched Nd:YAG Carbon Laser Facial Further treatment possible using your Tattoo Removal Laser Carbon Laser Peel plus a mild form of Skin Rejuvenation Course Topics What is a Carbon Laser Facial? How

More information

Portable Picosecond Nd Yag Laser System

Portable Picosecond Nd Yag Laser System Portable Picosecond Nd Yag Laser System What is Pico second laser? Pico second laser is the latest new generation technology for aesthetic use. Through trillions of a second and powerful laser energy to

More information

Endoscopic Brow Lift Post Op

Endoscopic Brow Lift Post Op Endoscopic Brow Lift Post Op RECOVERY TIMETABLE: Approximate recovery after endoscopic brow lift is as follows: DAY 1: Return home, leave any surgical dressing undisturbed until it is removed in the office.

More information

Skin remodeling from the inside out CONSULTATION GUIDE

Skin remodeling from the inside out CONSULTATION GUIDE Skin remodeling from the inside out CONSULTATION GUIDE Achieve younger looking skin with Secret RF Secret RF microneedling is an innovative new aesthetic treatment that improves signs of aging skin including

More information

Newport Cosmetic Center

Newport Cosmetic Center Shirin Afrasiabi, M.D, Inc. 2301 Newport Blvd, Costa Mesa, Ca 92627 (949) 548-5700 Appointment: Initial. We require a valid Credit Card at the time of booking to secure your appointment Cancellation and

More information

We are here for you 24/7 If you have any concerns, at anytime please page Dr. Khorasani s on-call Fellow at (917)

We are here for you 24/7 If you have any concerns, at anytime please page Dr. Khorasani s on-call Fellow at (917) Chief Division of Dermatologic and Cosmetic Surgery E85th Street Skin & Laser Center 234 East 85 th Street 5 th Floor New York, NY 10029-6574 Tel 212.731.3311 Fax 212.731.3395 We are here for you 24/7

More information

Treatment Guide Version 2.0. Reform Your Youth. Micro and Macro Focused Ultrasound Non-surgical Lifting, Tightening & Contouring System

Treatment Guide Version 2.0. Reform Your Youth. Micro and Macro Focused Ultrasound Non-surgical Lifting, Tightening & Contouring System Treatment Guide Version 2.0 Reform Your Youth Micro and Macro Focused Ultrasound Non-surgical Lifting, Tightening & Contouring System Table of Contents Introduction 1. Introduction of the ULTRAFORMER III

More information

Client Medical History Form

Client Medical History Form Client Medical History Form Date Birth Date Age DL or ID# Name: Address City State Zip Phone Email Emergency contact person Phone Do you presently have or previously had any of the following: (Circle yes

More information

What is Pico second laser?

What is Pico second laser? What is Pico second laser? Pico second laser is the latest new generation technology for aesthetic use. Through trillions of a second and powerful laser energy to grind the pigment in the skin tissue to

More information

Feel. Like A. New Person

Feel. Like A. New Person Feel Like A New Person Medi Spa Facials COSMED Signature Anti-Aging Facial (shock) (50 min).......... $75.00 Restores skin tone and smoothness, minimizes fine wrinkles and gives a fresh luminous radiance

More information

Microblading Consent and Release Agreement

Microblading Consent and Release Agreement Microblading Consent and Release Agreement This form is designed to give information needed to make an informed choice of whether or not to undergo a Microblading semi-permanent make up application. If

More information

Information about Plexr Soft Surgery

Information about Plexr Soft Surgery Information about Plexr Soft Surgery This information has been prepared to help you make a decision about whether to have treatment with Plexr Soft Surgery, its risks and benefits and expected outcomes.

More information

Introducing the new LUMINA Laser and IPL platform

Introducing the new LUMINA Laser and IPL platform LUMINA Introducing the new LUMINA Laser and IPL platform helping you Build as you Grow LUMINA The ultimate Build as you Grow laser & IPL platform, offering practitioners the opportunity to dramatically

More information

Patient Instructions for Fractional CO2 Laser Resurfacing

Patient Instructions for Fractional CO2 Laser Resurfacing 17560 South Golden Road, Suite 100, Golden, Colorado 80401 Patient Instructions for Fractional CO2 Laser Resurfacing Fractional laser resurfacing has revolutionized the treatment of fine lines and wrinkles,

More information

NEW CLIENT FORM. Address: City: State: Zip: FITZPATRICK CLASSIFICATION SYSTEM: Please select the skin type seems to best describe your skin

NEW CLIENT FORM. Address: City: State: Zip: FITZPATRICK CLASSIFICATION SYSTEM: Please select the skin type seems to best describe your skin OREGON LASER & WELLNESS CENTER 4370 SE KING ROAD SUITE 105 MILWAUKIE, OR 97222 PHONE: 503 305 7704 or 971 263 7679 Date: Name: NEW CLIENT FORM Address: City: State: Zip: Email: Home Phone: Work Phone:

More information

Module 1. Introduction to Aesthetic Medicine: Nonsurgical

Module 1. Introduction to Aesthetic Medicine: Nonsurgical Module 1 Introduction to Aesthetic Medicine: Nonsurgical What is aesthetic medicine? Well really it s about treatments, whether it be nonsurgical or surgical, to reshape normal structures of one s body

More information

513 West Maple Ave West, Vienna, VA

513 West Maple Ave West, Vienna, VA `MEDICAL HISTORY FORM Last Name: First Name: Address: City: State: Zip Code: Telephone: Home: Work: Cell: Date of Birth: Sex: Female Male Family Doctor: Phone: Pharmacy: Phone: Emergency Contact: Phone:

More information

New Patient Registration

New Patient Registration New Patient Registration Today s Date: Social Security Number: Name: Last First MIddle How do you like to be addressed: Date of Birth: Address: Street City State Zip Email Address: Preferred Contact Number:

More information

Post Op Instructions for Laser Resurfacing Joe Niamtu, III DMD copyright

Post Op Instructions for Laser Resurfacing Joe Niamtu, III DMD copyright Post Op Instructions for Laser Resurfacing Joe Niamtu, III DMD copyright 3-1-2014 Laser resurfacing is still considered the gold standard for skin rejuvenation including skin tightening, wrinkle improvement,

More information

PRODUCT YES / NO BRAND NAME PRODUCT NAME FREQUENCY OF USE

PRODUCT YES / NO BRAND NAME PRODUCT NAME FREQUENCY OF USE Consultation Form Today s Date: Name: Your Birthday: Spouses Name: Spouses Birthday: Anniversary: Address: City: St: Zip Home Phone: Office Phone: Cell Phone: Email Address: Purpose for visit: How did

More information

Microblading Consent Form Client Medical History: Date Birthdate Age Name Form of Id # Address

Microblading Consent Form Client Medical History: Date Birthdate Age Name Form of Id # Address Microblading Consent Form Client Medical History: Date Birthdate Age Name Form of Id # Address Phone Email Emergency Contact Person Phone Do you have or previously had any of the following: (Circle YES

More information

IPL CONSULTATION AND LIABILITY DOCUMENTATION

IPL CONSULTATION AND LIABILITY DOCUMENTATION Name...... Address:... Date of Birth:... Suburb:... Postcode:... Home Phone:... Mobile:... Email Address:... How did you hear about us?... Contact in case of emergency:... Place a tick in the areas of

More information

Seiler Skin Co2 Laser Skin Resurfacing Pre-Care Instructions: (Active FX, Deep FX, Total FX)

Seiler Skin Co2 Laser Skin Resurfacing Pre-Care Instructions: (Active FX, Deep FX, Total FX) Seiler Skin Co2 Laser Skin Resurfacing Pre-Care Instructions: (Active FX, Deep FX, Total FX) Contraindications: No Accutane use in the past one year. Any history of vitiligo, scleroderma, collagen disorders,

More information

Informed Consent For Facial Rejuvenation/Collagen Remodel

Informed Consent For Facial Rejuvenation/Collagen Remodel Informed Consent For Facial Rejuvenation/Collagen Remodel Client s name: Date: I authorize SilkySkin Laser Centers to perform the laser procedure. You will be treated with the Cynosure Elite TM laser,

More information

HEALTH HISTORY. Name Date DOB Age. Home Phone Work Mobile Other

HEALTH HISTORY. Name Date DOB Age. Home Phone Work Mobile Other HEALTH HISTORY To ensure both the effectiveness and the safety of your treatment, please complete this health history as accurately as you can. PERSONAL INFORMATION Name _ Date DOB Age Address _ City State

More information

MAXIMUM POWER TRIPLE MODE Q-SWITCHED, LP AND QLP ND:YAG LASER SYSTEM 3 PULSE DURATIONS 4 DISTINCTIVE WAVELENGTHS MULTIPLE INDICATIONS

MAXIMUM POWER TRIPLE MODE Q-SWITCHED, LP AND QLP ND:YAG LASER SYSTEM 3 PULSE DURATIONS 4 DISTINCTIVE WAVELENGTHS MULTIPLE INDICATIONS ALMA-Q MAXIMUM POWER TRIPLE MODE Q-SWITCHED, LP AND QLP ND:YAG LASER SYSTEM 3 PULSE DURATIONS 4 DISTINCTIVE WAVELENGTHS MULTIPLE INDICATIONS INTRODUCTION ALMA-Q presents the most powerful triple mode Nd:YAG

More information

Laser Hair Removal. Name Date of Birth. Address City State Zip. Home Tel. # Cell # How Referred

Laser Hair Removal. Name Date of Birth. Address City State Zip. Home Tel. # Cell #  How Referred Laser Hair Removal Name of Birth Address City State Zip Home Tel. # Cell # Email How Referred Ethnic Background Previous Treatments Year Area(s) Hair and Skin Question - DO NOT use White, Jewish or Caucasian.

More information

Hair To Bare South. Client Name: Date:

Hair To Bare South. Client Name: Date: Hair To Bare South Client Name: Date: I authorize Rachelle Stokes (Hair To Bare South) to perform the treatments. The purpose of these treatments is to diminish or remove unwanted hair. The quantity of

More information

NEWS RELEASE. CONTACTS: Investors: Lisa DeFrancesco (862) Media: Mark Marmur (862) Ember Garrett (714)

NEWS RELEASE. CONTACTS: Investors: Lisa DeFrancesco (862) Media: Mark Marmur (862) Ember Garrett (714) NEWS RELEASE CONTACTS: Investors: Lisa DeFrancesco (862) 261-7152 Media: Mark Marmur (862) 261-7558 Ember Garrett (714) 246-3525 JUVÉDERM VOLBELLA XC APPROVED BY U.S. FDA FOR USE IN LIPS AND PERIORAL RHYTIDS

More information

Areas of Concern. Patient s Name Last First Date

Areas of Concern. Patient s Name Last First Date Areas of Concern What are your main concerns for today s visit? Please check the problem areas that concern you. Include anything you wish to discuss, even if it is not the main reason for your visit.

More information

Client Training Guide

Client Training Guide Imagine never having to shave ever again Client Training Guide CONFIENT IMAGE CHEZ FRANCE (905) 931-0686 confidentimage@cogeco.net (905) 931-0686 confidentimage@cogeco.net - 1 - LASER HAIR REMOVAL Client

More information

AESTHETIC PRECISION THE SAFEST AND MOST PRECISE LASER TREATMENT SOLUTION AVAILABLE FOR PIGMENTED LESIONS AND MULTI-COLOR TATTOO REMOVAL

AESTHETIC PRECISION THE SAFEST AND MOST PRECISE LASER TREATMENT SOLUTION AVAILABLE FOR PIGMENTED LESIONS AND MULTI-COLOR TATTOO REMOVAL Q-SWITCHED RUBY LASER SYSTEM AESTHETIC PRECISION THE SAFEST AND MOST PRECISE LASER TREATMENT SOLUTION AVAILABLE FOR PIGMENTED LESIONS AND MULTI-COLOR TATTOO REMOVAL INTRODUCTION The SINON II Q-switched

More information

STATEMENT OF CONSENT AND RECITALS: Please read and initial all lines. Signed

STATEMENT OF CONSENT AND RECITALS: Please read and initial all lines. Signed STATEMENT OF CONSENT AND RECITALS: Please read and initial all lines Aftercare instructions have been explained to me and a written copy will be given to me to retain in my possession, which I will follow

More information

Think Outside the Eye. Treat Skin and Eyelid Inflammation. *

Think Outside the Eye. Treat Skin and Eyelid Inflammation. * Optima IPL Think Outside the Eye. Treat Skin and Eyelid Inflammation. * Do your patients suffer from dry, itchy, red or burning eyes? This may be caused by skin and eyelid inflammation that affects their

More information

LASER HAIR REMOVAL: SCIENTIFIC PRINCIPLES AND PRACTICAL ASPECTS

LASER HAIR REMOVAL: SCIENTIFIC PRINCIPLES AND PRACTICAL ASPECTS LASER HAIR REMOVAL: SCIENTIFIC PRINCIPLES AND PRACTICAL ASPECTS ABSTRACT Christine C. Dierickx, MD Visiting Faculty Member Wellman Laboratories of Photomedicine Harvard Medical School The use of lasers

More information

The new MÖ Laser Nd Yag 532nm & 1064nm uses the latest generation Pico technology. Powerful trillions of a seconds laser energy to grind the pigment

The new MÖ Laser Nd Yag 532nm & 1064nm uses the latest generation Pico technology. Powerful trillions of a seconds laser energy to grind the pigment The new MÖ Laser Nd Yag 532nm & 1064nm uses the latest generation Pico technology. Powerful trillions of a seconds laser energy to grind the pigment in the skin tissue resulting of complete tattoo and

More information

East Hill Medical Group

East Hill Medical Group Name: of Birth: Address: City: State: Zip: Home Tel. #: Cell #: Employer: Occupation: Emergency Contact: Relationship: Phone: Email: How Referred: Parents Ethnic Background: Previous Treatments Year: Area(s):

More information

direct brow lift Lift your spirits procedure using the fixation device

direct brow lift Lift your spirits procedure using the fixation device direct brow lift procedure using the fixation device Lift your spirits What is upper eyelid rejuvenation? In general, aging around the eyes is exhibited in two areas: The eye lids and the eyebrows. The

More information

Cutera. September/October 2017 INNOVATIVE SOLUTIONS. Optimizing New Laser Technologies in Aesthetic Practices

Cutera. September/October 2017 INNOVATIVE SOLUTIONS. Optimizing New Laser Technologies in Aesthetic Practices Supplement to Sponsored By Cutera September/October 2017 INNOVATIVE SOLUTIONS Optimizing New Laser Technologies in Aesthetic Practices INNOVATIVE SOLUTIONS: OPTIMIZING NEW LASER TECHNOLOGIES IN AESTHETIC

More information

It is under the author s own responsibility

It is under the author s own responsibility Peter Bjerring, MD, PhD Medical Director and Head of The Laser Centre, Mølholm Hospital, Denmark Consultant, ZBC Multicare, Hilversum, Netherlands Professor, Faculty of Medicine, University of Swansea,

More information

LASER TREATMENT INFORMED CONSENT

LASER TREATMENT INFORMED CONSENT LASER TREATMENT INFORMED CONSENT PRINT NAME: BIRTHDATE: / / DATE: The following Larson Modality Services are performed by trained, certified, licensed personnel and healthcare providers of Margaret L.

More information

(Injection of collagen, hyaluronic acid or other filler materials) INFORMED CONSENT FOR DERMAL FILLER

(Injection of collagen, hyaluronic acid or other filler materials) INFORMED CONSENT FOR DERMAL FILLER INFORMED CONSENT FOR DERMAL FILLER (Injection of collagen, hyaluronic acid or other filler materials) INTRODUCTION Dermal fillers are injected just under the skin s surface in order to temporarily correct

More information

Pearl Fractional Post Care Instructions

Pearl Fractional Post Care Instructions Pearl Fractional Post Care Instructions Thank you for choosing us as your anti-aging provider! Please review the following instructions prior to your scheduled treatment. Arrive 15 minutes prior to your

More information

Clinical Studies Confirm Superior Tattoo Clearance with PicoSure

Clinical Studies Confirm Superior Tattoo Clearance with PicoSure Clinical Studies Confirm Superior Tattoo Clearance with PicoSure By Jeffrey Frentzen, Executive Editor Tattoo removal has graduated from the days of non-selective ablation using carbon dioxide and continuous

More information

Feel. Like A. New Person

Feel. Like A. New Person Feel Like A New Person Medi Spa Facials COSMED Signature Anti-Aging Facial (shock) (50 min).......... $75.00 Restores skin tone and smoothness, minimizes fine wrinkes and imparts a fresh luminous radiance

More information

East Hill Medical Group

East Hill Medical Group Name: of Birth: Address: City: State: Zip: Home Tel. #: Cell #: Employer: Occupation: Emergency Contact: Relationship: Phone: Email: How Referred: Parents Ethnic Background: Previous Treatments Year: Area(s):

More information

HYBRID FRACTIONAL LASER RESURFACING FOR SKIN AND VAGINAL MUCOSA. Robert Aycock, MD, FACS

HYBRID FRACTIONAL LASER RESURFACING FOR SKIN AND VAGINAL MUCOSA. Robert Aycock, MD, FACS HYBRID FRACTIONAL LASER RESURFACING FOR SKIN AND VAGINAL MUCOSA Robert Aycock, MD, FACS DISCLOSURES Sciton Clinical Investigator and Physician Educator BOTOX Trainer OUTLINE Background Hybrid Fractional

More information

Patient Contact Information. Name. Home Address. City State Zip

Patient Contact Information. Name. Home Address. City State Zip Patient Contact Information Name Home Phone Work Phone Cell Phone Home Address City State Zip E-Mail Date of Birth Emergency Contact Name and Phone Who Referred You To This Clinic? Would you like to receive

More information

Would you like to receive informational updates, specials and newsletters? Yes No

Would you like to receive informational updates, specials and newsletters? Yes No Patient Contact Information Name Home Phone Work Phone Cell Phone Home Address City State Zip E-Mail Date of Birth Emergency Contact Name and Phone Who Referred You To This Clinic? Would you like to receive

More information

Chemical Peels Corporate Medical Policy

Chemical Peels Corporate Medical Policy Chemical Peels Corporate Medical Policy File Name: Chemical Peels File Code: UM.SURG.13 Origination: 08/2016 Last Review: 10/2018 Next Review: 10/2019 Effective Date: 01/01/2019 Description/Summary A chemical

More information

Everything you need to know about TATTOO REMOVAL

Everything you need to know about TATTOO REMOVAL Everything you need to know about TATTOO REMOVAL LASER TATTOO REDUCTION Tattoos are meant to last forever, but sometimes it would be good if they didn t! Whether you wish to erase a mistake or fade a tattoo

More information

Client Intake Form. Name: Date: Address: City: ST: Zip: Phone:

Client Intake Form. Name: Date: Address: City: ST: Zip:   Phone: Client Intake Form Name: Date: Last First Address: City: ST: Zip: Email: Phone: How did you hear about Skin Renew Day Spa? What are your main concerns? How long have you been experiencing your current

More information

Complete Dermal Integration. Proven Duration.

Complete Dermal Integration. Proven Duration. Complete Dermal Integration. Proven Duration. Introducing BELOTERO BALANCE Dermal Filler. BELOTERO BALANCE Dermal Filler is uniquely manufactured with CPM Technology to give you precision to treat a wide

More information

Micro-Fractional & Whole Beam Technology Ablative Vaporization + Non-Ablative Coagulation Multiple Profitable Indications

Micro-Fractional & Whole Beam Technology Ablative Vaporization + Non-Ablative Coagulation Multiple Profitable Indications A 2940 nm Micro-Fractional Laser for Signs of Aging, Photodamage & Dermal Imperfections Micro-Fractional & Whole Beam Technology Ablative Vaporization + Non-Ablative Coagulation Multiple Profitable Indications

More information

Pre Treatment Advice and Procedures

Pre Treatment Advice and Procedures Pre Treatment Advice and Procedures 1. Since delicate skin or sensitive areas may swell slightly, or redden, it is advised not to make social plans for the same day. Lip liner may appear crusty for up

More information

Informed Consent for Light Energy Tattoo Removal

Informed Consent for Light Energy Tattoo Removal Dr. Joseph G. Protain 813 Kentwood Dr. Boardman, OH 44512 (330)953-3515 Informed Consent for Light Energy Tattoo Removal Customer s name: Date: I, consent to and authorize and members of his/her staff

More information

Tattoo Removal With an Electro-optic Q-Switched Nd:YAG Laser With Unique Pulse Dispersion COS DERM

Tattoo Removal With an Electro-optic Q-Switched Nd:YAG Laser With Unique Pulse Dispersion COS DERM Study Tattoo Removal With an Electro-optic Q-Switched Nd:YAG Laser With Unique Pulse Dispersion Michael Gold, MD The objective of this study was to evaluate the clinical effectiveness of an electro-optic

More information

COSMETIC INTEREST QUESTIONNAIRE

COSMETIC INTEREST QUESTIONNAIRE COSMETIC INTEREST QUESTIONNAIRE Patient Name: Date: General appearance or products of interest to you (please check all that apply). Skin care consult Facial veins Neck elasticity Skin care products Facial

More information

EndyMed PRO Application Guide

EndyMed PRO Application Guide EndyMed PRO Application Guide Guidelines for the EndyMed PRO User Page 1 Copyright EndyMed, 2010 All rights reserved. Document number: Rev. August, 2011 No part of this publication may be reproduced in

More information

Menter Cosmetic Institute 3900 Junius Street, Suite 105 by Texas Dermatology Associates Dallas TX, (972) Ext. 255

Menter Cosmetic Institute 3900 Junius Street, Suite 105 by Texas Dermatology Associates Dallas TX, (972) Ext. 255 PRECAUTIONS TO CONSIDER BEFORE FRAXEL TREATMENTS SIX TO TWELVE MONTHS BEFORE TREATMENT: Stop use of Accutane TWO WEEKS BEFORE TREATMENT: Stop use of all Retinols - Retin-A, Tazorac, anti-aging products

More information

EVERYONE WILL NOTICE. No One Will Know.

EVERYONE WILL NOTICE. No One Will Know. THE WORLD S #1 SELLING DERMAL FILLER COLLECTION EVERYONE WILL NOTICE. No One Will Know. Get the natural-looking, long-lasting results you desire. Ask your aesthetic specialist about JUVÉDERM today. Actual

More information

a revolution in Q-Switched technology

a revolution in Q-Switched technology a revolution in Q-Switched technology Proven Reliability and Versatility Revlite s proven reliability and versatility enable fast treatments on all skin types for predictable and reproducible results.

More information

The legacy behind Q-switched technology. MedLite C

The legacy behind Q-switched technology. MedLite C The legacy behind Q-switched technology MedLite C 6 A Booming Market Laser treatment of tattoos and pigmented lesions will expand with aging populations in the U.S., Europe and Asia. Worldwide procedure

More information

Pre & Post (BBL)Laser Hair Removal Treatment Instructions

Pre & Post (BBL)Laser Hair Removal Treatment Instructions Pre & Post (BBL)Laser Hair Removal Treatment Instructions Pre-Treatment Recommendations: Apply SPF 30 (or higher) sunblock at all times on areas to be treated that are exposed to any sun. Shave the area

More information

Enhancing your appearance with a facelift

Enhancing your appearance with a facelift PROCEDURE FACT SHEET PLASTIC SURGERY FACELIFT This is a guide for people who are considering a facelift surgery. We advise that you talk to a plastic surgeon and only use this information as a guide to

More information

Fraxel re:store. system. Treatment using the 1927 nm wavelength PATIENT DIARY

Fraxel re:store. system. Treatment using the 1927 nm wavelength PATIENT DIARY Fraxel re:store system Treatment using the 1927 nm wavelength PATIENT DIARY BEFORE CASE STUDY A 47-year-old female Executive Assistant seeking treatment for sun spots, which have worsened over the years.

More information

Contact Information. Idaho Falls. Idaho Falls, ID (208) (307) NAME. City / state / zip

Contact Information. Idaho Falls. Idaho Falls, ID (208) (307) NAME. City / state / zip Contact Information NAME physical street address City / state / zip Home phone cell phone email address want monthly specials? date of birth Age gender Male female How did you hear about us? WHICH AREAS

More information

Cosmetic Surgery: Eyelid Surgery (Blepharoplasty)

Cosmetic Surgery: Eyelid Surgery (Blepharoplasty) Cosmetic Surgery: Eyelid Surgery (Blepharoplasty) This is a guide for people who are considering an eyelid surgery. We advise that you talk to a plastic surgeon and only use this information as a guide

More information

INFORMED CHEMICAL PEEL CONSENT. 1. I authorize the chemical peel listed above, to my face and / or neck, chest and hands.

INFORMED CHEMICAL PEEL CONSENT. 1. I authorize the chemical peel listed above, to my face and / or neck, chest and hands. INFORMED CHEMICAL PEEL CONSENT 1. I authorize the chemical peel listed above, to my face and / or neck, chest and hands. 2. Depending on the chemical peel site, there may be redness and/or irritation and

More information

Vider Itzhak MD2, Harth Yoram MD2,, Elman Monica MD, Gottfried Varda PhD3, Shemer Avner MD4, Beit Harofim

Vider Itzhak MD2, Harth Yoram MD2,, Elman Monica MD, Gottfried Varda PhD3, Shemer Avner MD4, Beit Harofim EFFECTIVE AND SAFE TREATMENT OF FACE, ARMS AND NECK, WRINKLES, RHYTIDES AND SKIN LAXITY USING A MULTISOURCE PHASE CONTROLLED RADIOFREQUENCY DEVICES 1234 Vider Itzhak MD2, Harth Yoram MD2,, Elman Monica

More information

Chapter 13: Informed Consent

Chapter 13: Informed Consent Chapter 13: Informed Consent At this point, the various methods of rejuvenation, chemical, mechanical, photon and RF based, as well as laser or surgery should be outlined briefly for the patient. If, upon

More information

Be an artist of the new

Be an artist of the new Be an artist of the new era. QX MAX Treats All Pigmented Lesions and Tattoo Colors Five Laser Sources in One System Patented Vacuum Cell Technology Uniform Beam Profiles More Efficiency with Highest Single

More information

Laser Skin Resurfacing what to expect

Laser Skin Resurfacing what to expect Laser Skin Resurfacing what to expect Laser skin resurfacing is a treatment to reduce facial wrinkles and skin irregularities, such as blemishes or acne scars. The technique directs short, concentrated

More information

M22. All you need. All in one. LUMENIS.COM/AESTHETIC

M22. All you need. All in one. LUMENIS.COM/AESTHETIC M22 All you need. All in one. LUMENIS.COM/AESTHETIC M22 All you need. All in one. M22 is a modular multi-application platform for the treatment of over 30 skin conditions and hair removal. Used by physicians

More information

Brilliant Bodywork. Name: Date: Address: City: State: Zip: Home Phone: Business Phone: Cell Phone: Date of Birth: address:

Brilliant Bodywork. Name: Date: Address: City: State: Zip: Home Phone: Business Phone: Cell Phone: Date of Birth:  address: Brilliant Bodywork Skin Care History Questionnaire and Waiver Please answer the following questions so that your Skin Care Specialist may have a better understanding of your general health and lifestyle,

More information

EXTREMELY POWERFUL AND COMPACT Q-SWITCH Nd:YAG LASER

EXTREMELY POWERFUL AND COMPACT Q-SWITCH Nd:YAG LASER EXTREMELY POWERFUL AND COMPACT Q-SWITCH Nd:YAG LASER Studio EXTREMELY POWERFUL AND COMPACT Q-SWITCH Nd:YAG LASER The Studio laser system consists of the laser source emitting at both Q-Switched 1064 nm

More information

An average of 6-10 treatments is recommended for best results.

An average of 6-10 treatments is recommended for best results. LASER LASER HAIR REMOVAL We offer the latest laser hair removal technology from Syneron Candela. Our laser treats light and darker skin types, faster and in fewer sessions. Client discretion and comfort

More information

WHERE HEALING HAPPENS TWO-STEP HOSPITAL-GRADE SYSTEM RADIATION SKIN CARE

WHERE HEALING HAPPENS TWO-STEP HOSPITAL-GRADE SYSTEM RADIATION SKIN CARE AT HOME WHERE HEALING HAPPENS TWO-STEP HOSPITAL-GRADE SYSTEM RADIATION SKIN CARE Cleanses, moisturizes and protects red, irritated skin Helps protect against redness, drying and peeling Radiation Dermatitis

More information