课件：剥脱性激光进展.pptVIP

像束激光的作用过程 50+75 100+150 150+225 200+300 一遍 两遍 三遍 四遍 像束脉冲 气化 + 热损伤深度 (microns) 表皮 ~1,000 microns 250+375 五遍 300+450 六遍 皮肤的光滑 深部痤疮疤痕 唇周皱纹/粗糙皮肤 # 脉冲遍数 临床适应症 术中/术后反应 术中有轻微刺痛 见于重复次数较多者 术后可见不同程度潮红、轻微肿胀 　　与治疗能量、重复次数及患者肤质有关。持续约1--2天。 术后患部呈“纱罩”外观，数日后可有细小痂皮脱落。 无须特殊护理。 未见其它不良反应。 * 飞梭三维点阵铒激光 铒激光的波长是2940nm.该波长能被水份充分吸收,组织中的水份吸收激光能量后会产生热量.根据激光作用的时间长短(脉宽),会产生三种作用: 超短脉宽时,产生汽化现象,及冷磨削作用. 短脉宽时,产生汽化+热凝的热磨削作用. 超长脉宽时,只产生热作用,没有磨削作用. * 剥脱模式: 铒激光剥脱的临床应用 激光换肤 嫩肤 除皱 祛除疤痕 祛斑 祛除皮肤赘生物 Fotona Er:YAG Smooth Mode Microspots Skin Both options are used in procedures: Full-field and Fractionated laser beams 铒激光激光非剥脱模式 How does it work? * 非剥脱模式: 铒激光非剥脱的临床应用 法令纹 无创祛眼袋 妊娠纹 颈纹 88 Before After third monthly treatment 颈部紧肤 * 治疗前 3次治疗后 1step 全新 SmoothLiftin? 口腔内激光疗法 2 step 无创精确嫩肤, 可作用更深层皮肤 无创祛眼袋 THANK YOU SUCCESS * * 可编辑 * * * * 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 * * * * * * * * * 超脉冲点阵换肤 UltraPulse Resurfacing 传统换肤 UltraPulse Fractional