皮肤组织解剖学培训课件.pptVIP

激光脱毛治疗要点 激光对退行期、静止期的毛发无明显作用，只有等这些毛发转入生长期后激光才起作用，所以激光脱毛需要多次治疗效果才明显。 如某部位毛发处于生长期的比例小，则治疗次数就要增多，反之治疗次数可减少。 不同部位的毛发有不同生长周期，因此每次治疗间隔也有差异 头部毛发的静止期相对较短，所以治疗间隔可一个月 躯干和四肢的毛发静止期相对较长，治疗间隔2个月左右 毛囊的深度也因部位而异，深度较深则需采用较长波长的激光 如某一部位的毛囊密度过高，则治疗时应适当减少激光能量 皮肤类型 * * * * Traditionally, the first pulsed dye laser used a 0.5 msec. pulse width. This resulted in a purpuric response that was considered a clinical endpoint * The V-Star with SmartPulse is successful in treating these difficult lesions. * The Multiplex allows you to choose parameters based on the type of lesion you are treating. In this case, a short pulse duration was chosen for the PDL in order to appropriately target the smaller veins, while a longer pulse duration was chosen for the Nd:YAG to effectively target somewhat larger vessels. Because of the vascular density of the region a medium delay was selected between wavelengths, and again, reduced fluences were needed for both the PDL and Nd:YAG for increased safety. * In order to provide true versatility System must be able to accommodate the largest population In considering treatment one of the first factors is skin type Six types detailed in the Fitzpatrick Classification of skin types This classification provides identification of fair to black skin, based on the concentration of melanin and is a necessary step to provide safe effective treatment of vascular lesions, pigmented lesions and for hair removal. For hair removal IPL is cleared for skin types 1-6 For pigmented lesions IPL is cleared for skin types 1-5 and for vascular lesions and veins IPL is cleared for skin types 1-4 治疗5次后 治疗7次后 皱纹的形成 真皮细胞中大约90% 是水，除水以外最主要的成分是弹力纤维和胶原纤维 弹力纤维具有特异的弹力和张力。日光中紫外线照射可使弹力纤维变形、纤维增粗、扭转、分叉，日积月累可使变性的弹力纤维呈团块状堆积，其弹性和顺应性则随之丧失，皮肤出现松弛、过度伸展后出现裂纹。 胶原纤维是人体最主要的结构蛋白 其中最主要的是I型和III型胶原 皱纹的形成 I型胶原约占皮肤胶原成分的80%，在真皮中聚集成与皮面平行的粗大纤维束，相互交织成网，具有高度机械稳定性，是维持皮肤张力和承受拉力的重要成分，也是维持皮肤饱满充盈的物质基础。 III型胶原是幼稚、纤细的胶原纤维，是构成网状纤维的主要成分，在胚胎期皮肤中约占胶原成分的50%，成年后仅见于表皮下和皮肤附属器周围，呈疏松网状排列，在创伤愈合及某些病理情况下可以大量增生。 日光照射可减少I型胶原的