剥脱性激光进展精选.ppt

无创祛眼袋 * * * * Remember-The energy (heat) radiated from exposure to the CO2 beam is absorbed by the tissue in the form of heat. This tissue surrounds the ablated zone. This creates a reversible injury where the temperature was elevated by heat conducted from the area of ablation, but in which the temperature never reached the threshold above which coagulation of proteins occur. This triggers collagen denaturation. Collagen responds to heat by contracting from a triple helix to a random coil. Temperatures of of 60 °-70° C disrupt the collagen’s bonds (polypeptides) and result in collagen shrinkage without permanently damage to the collagen. The polypeptide bonds of the collagen have the ability to return to it’s original state. Fibroblasts (they repair collagen) rush to the site of injury, collagen remodeling begins and a new even layer of collagen is formed. Collagen remodelling, begins as water is resorbed due to the replacement of hyaluronic acid. The collagen bundles are reoriented to lie parallel to the skin surface * * * * * * * * * * Palomar 点阵 The Lux1540 / 1440? 非剥脱性点阵 点阵式扫描器, 采用一次性扫描方式。其1540 称为 “除皱机”， 1440 称为i“色素机” 波长: 1540 nm 或 1440nm Er:Glass 光斑: 10 mm 和 15 mm 10mm 和15mm – 1000 spots / cm, 70mj/spot, 5-10ms 无需蓝色染料 The LuxDeepIR? Fractional Infrared Handpiece 扫描器发出点阵式红外线扫描，用于治疗颈部，腹部和腿部皮肤松弛。 波长：825—1800nm 光斑：12mm X 28mm FDA：用于治疗肌肉和关节疼痛 * Reliant 近红外点阵 Re:Store 1550 适应症: 眼周皱纹 色素性病变 黄褐斑 痤疮疤痕 光化学性角化 Re:Fine 1410 适应症: 色素性病变 眼周细小皱纹 黄褐斑 皮肤磨削 光斑 – 7 和 15mm 能量： 10mj 穿透深度‘: 500um 实际情况 点阵式非剥脱Er-Glass激光，其能量20%集中在表皮，对于皮肤色调和肤质改善尚可，但无紧肤作用。每次治疗后需要2-5天的停工期。其Tips为耗材，需要大量售后维护费用。 光斑 – 7 和15mm 能量：70mj 穿透深度 1300 um 实际情况 不能用于紧肤，对于表皮没有热量累积作用，之所以转移到研发co2的原因 * 总结：能量大小与治疗深度:Lux1540 50mJ 30mJ 15mJ 能量越大穿透越深 * 8.7mJ 18.5mJ 24.5mJ 33.6mJ 0.5mm 能量大小与治疗深度Affirm * 色沉发生？ 1540nm，1个回合治疗，70mJ时，可见真 表皮连接处明显分离,肯定会有色沉发生 * 1540nm，50mJ, 4 pass