Personal Experience with Q-Switched Laser Giuseppe Scarcella M.D.

Transcription

1 QS4 Personal Experience with Q-Switched Laser Giuseppe Scarcella M.D.

2 Giuseppe Scarcella M.D. Dermatologist, Verona - Italy National Head of ISPLAD High Tech Department ISPLAD Board Member The present material is merely illustrative. It is not intended to substitute or influence in any way the diligence, prudence and expertise of the operator. Although the present material is updated until the editing date and is considered reliable, the writer is not responsible for errors, omissions, imprecision, lack of completeness, punctuation errors or for the information herein contained.

3 COSMETIC TATTOOS (BLACK & BROWN) PERMANENT MAKE-UP After 6 Treatments

4 COSMETIC TATTOOS (BLACK & BROWN) PERMANENT MAKE-UP After 6 Treatments

5 COSMETIC TATTOOS PERMANENT MAKE-UP FANWISE MIGRATION OF THE PIGMENT Eye shield After 1 Treatment

6 TRAUMATIC TATTOOS After 2 Treatments

7 TRAUMATIC TATTOOS After 2 Treatments

8 TRAUMATIC TATTOOS After 1 Treatment

9 PROFESSIONAL TATTOOS After 1 Tx After 2 Tx After 3 Tx After 4 Tx

10 LENTIGO After 1 Treatment

11 LENTIGO After 1 Treatment

12 LENTIGO After 1 Treatment

13 LENTIGO After 1 Treatment

14 LENTIGO After 1 Treatment

15 LENTIGO After 1 Treatment

16 LENTIGO After 1 Treatment

17 LENTIGO After 1 Treatment

18 CAFÈ-AU-LAIT After 4 Treatments

19 MELASMA After 7 Treatments

20 MELASMA After 7 Treatments

21 HYPERCHROMIA POST SCLEROTHERAPY After 1 Treatment

22 Treatment Wavelength [nm] Fluence [J/cm 2 ] Spot Size [mm x mm] Freq. [Hz] Remarks Dark Tattoo Dark blue, Black and Dark Grey ,5 6 x 6 10 Double Pulse Off. Increase the Fluence with a step of 0,5 J/cm 2 on subsequent treatments as the tattoo fades. Red Tattoo Red, Purple, Yellow, Orange and Brown ,5 6 x 6 4 x 4 10 Double Pulse Off. Increase the Fluence with a step of 0,2-0,3 J/cm 2 on subsequent treatments as the tattoo fades. Sky Blue Tattoo Sky Blue and Purple % I-IV 25% V-VI 2,5 x 2,5 1 Double Pulse Off. Increase the Fluence with a step of 10% on subsequent treatments as the tattoo fades. Green Tattoo % I-IV 25% V-VI 2,5 x 2,5 1 Double Pulse Off. Increase the Fluence with a step of 10% on subsequent treatments as the tattoo fades. Solar and Senile Lentigo, Ephelids 532 1,5 2,5 x 2,5 2 Double Pulse Off. Increase the Fluence up to 2 J/cm 2 for light lesions. Cafè-au-lait 532 1,5 2,5 x 2,5 5/10 Double Pulse Off. Increase the Fluence with a step of 0,2-0,5 J/cm 2 on subsequent treatments as the lesion fades.

23 Treatment Wavelength [nm] Fluence [J/cm 2 ] Spot Size [mm x mm] Freq. [Hz] Remarks Micro-Seborrheic keratosis I-IV 2 V-VI 2,5 x 2,5 2 Double Pulse Off. Increase the Fluence for light or thick lesions. Texture Rejuvenation ,5 I-IV 2,5 V-VI 5,5 x 5,5 10 Double Pulse Off or On. Execute multi- passages in the treated area until reaching the proper end-point: uniform erythema, mild oedema and vellus hair whitening. Melasma ,5 I-III 2,5 IV 5,5 x 5,5 5/10 Double Pulse Off. Execute multipassages in the treated area until reaching the proper end-point: uniform erythema, mild oedema and vellus hair whitening. Hair Removal ,5 I-IV 2,5 V-VI 5,5 x 5,5 10 Double Pulse Off or On. Execute multi- passages in the treated area until reaching the proper end-point: uniform erythema, mild oedema and hair whitening. Hemosiderosis & Hyperchromia Post Sclerotherapy 532 1,5 I-IV 2,5 x 2,5 2 - starting the treatment, perform a skin test to determine the correct values for the treatment parameters based on the subject s skin type. The extremities and the thinner areas must be treated more conservatively. It s suggested to reduce the Fluence for patient with higher Photo-Type classification. It s suggested to start with 1 J/cm 2 for tattoo with high amount of ink.

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