Energist VPL - CANAM Aesthetic Inc.

CanAm Aesthetic Inc.
UltraPlus VPL
By: Energist Group
Who are Energist Ltd?
• Pioneer of world renowned
Variable Pulsed Light (VPL™) technology
• Researching, developing & Manufacturing Pulsed
Light systems since 1999
• Specialists in Light Treatment systems
• Distribution network worldwide in 40 countries
• Over 6000 VPL/iPulse systems sold to date
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Manufactured in UK
ISO 9001:2000 & ISO 13485:2003 Certifications
CE 0120 medical mark
FDA clearance No. K060216
Energist Clinical Partners
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Dr Richard Fitzpatrick – Dermatologist
Goldman, Butterwick, Fitzpatrick, & Groff, Cosmetic Laser Dermatology, La Jolla, California (USA)
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Dr Christopher Zachery - Professor and Chair, Department of Dermatology
University of California, Irvine, USA
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Dr Michael H. Gold – Dermatologist & Clinical Assistant Professor
Vanderbilt University School of Medicine & Gold Skin Care Center, Nashville, Tennessee (USA)
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Prof Robert Knobler – Associate Professor of Dermatology
University Hospital, Vienna (Austria)
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Prof Rolf-Markus Szeimies – Professor of Dermatology
University Hospital, Rechlinghausen (Germany)
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Dr Maria Gonzalez - Senior Clinical Lecturer in Dermatology
University Hospital, Cardiff (UK), Home of the UK’s largest post-graduate dermatology unit.
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Dr Johannes Lang - President of ELAS (European Laser Aesthetic Surgery)
Erlangen, Germany
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‘Dr Panagiotopoulos Antonios – Dermatologist & Ass. Director
Andreas Siggros’ Hospital, Athens (Greece)
Reference
‘The VPL system presents itself as an efficient and
safe method for long-term hair removal. In
addition, the VPL system was effective in a
selected group of patients which included those
who had previously failed other forms of
treatment.’
DIVISION OF SPECIAL &
ENVIRONMENTAL DERMATOLOGY
Robert. Knobler, MD
Assoc. Prof. of Dermatology
Department of Dermatology, University of Vienna Medical School
Währinger Gürtel 18-20, A-1090 Vienna, Austria
Treatments with the Ultra Range
• Hair Removal
• Skin Rejuvenation
– Collagen Stimulation
– Epidermal Pigmentation
– Vascular Lesions /
Thread Veins
– Active Acne
– Rosacea
- all VPL systems
UltraPlus
How Does
Pulsed Light
Work?
How Does
VPL
Work?
VPL™ Pulsing
• Delivers a series of very
rapid, short pulses of light
energy to the skin
• Aim - to effectively heat the
hair follicle/vessel whilst
keeping the surrounding skin
cool
• Result - the hair follicle is
disabled through the
absorption of particular
wavelengths of light
• The client only feels a
momentary mild heating
sensation
VPL™ - wide range of pulse types
• Variable Pulsed Light allows the operator to
select the exact treatment parameters for each
individual client:
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Number of Micro-pulses: 2 – 15
Micro-pulse length: 3, 5 & 7 milliseconds (ms)
Delay between micro-pulses: 1 – 20ms
Total pulse time: 7ms – 385ms
840 possible pulse combinations!
Why VPL™ - Variable Pulsed Light?
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Increased safety
Delivers right wavelength to target chromophore
Reduces side effects – esp. on darker skins
Increased energy density
Increased effectiveness
Kinder to skin
Pulse Train Examples
Hair
Skin Type IV, Hair Thin – 5x3x6
Max Energy = 27J/cm2
• Short on-time to put the energy into the hair quickly
• 5 pulses to get enough energy, but keep heating time
short
• 6ms Off time for sufficient skin cooling on dark skin
3ms
6ms
31ms
Pulse Train Examples
Hair
Skin Type V, Hair Thick – 5x7x8
Max Energy = 44J/cm2
• Long on-time to make sure the hair is heated sufficiently
• 5 pulses to get enough energy
• 8ms Off time for sufficient skin cooling on darker skin
7
8
51ms
Pulse Train Examples
Thread Veins - Face
Skin Type II, Vein Medium – 5x5x2
Max Energy = 38J/cm2
• Long on-time to make sure the blood is heated sufficiently
• 5 pulses to get enough energy but still heat quickly
• 2ms Off time is enough time for skin cooling
5
2
33ms
Pulse Train Examples
Epidermal Pigmentation
Skin Type III, Surface – 2x7x1
Max Energy = 30J/cm2
• 2 pulses to create a short sharp shock
• Long on-time to maximise available energy
• 1ms Off time as minimal heating of surrounding skin
7
1
15ms
UltraPlus System
10000
Melanin
Nd:Yag 532nm
1000
Oxyhaemoglobin
Dye Laser 585nm
Absorptin
Ruby Laser 694nm
Alexandrite 755nm
100
Diode 810nm
Nd:Yag 1064nm
10
1
400
500
600
700
Wavelength (nm)
800
900
1000
1100
UltraPlus System
530-950nm
10000
Melanin
Nd:Yag 532nm
1000
Oxyhaemoglobin
Dye Laser 585nm
Absorptin
Ruby Laser 694nm
Alexandrite 755nm
100
Diode 810nm
Nd:Yag 1064nm
10
1
400
500
600
700
Wavelength (nm)
800
900
1000
1100
Filtered Energy
100.0%
Intensity
80.0%
60.0%
Skin Rejuvenation
Hair Removal
40.0%
20.0%
0.0%
400
500
600
700
Wavelength (nm)
800
900
1000
NEW Acne Applicator
Acne Handpiece
415nm / 630 – 950nm
10000
Melanin
Nd:Yag 532nm
1000
Oxyhaemoglobin
Dye Laser 585nm
Ruby Laser 694nm
Absorptio
n
Absorption
Alexandrite 755nm
100
Diode 810nm
Nd:Yag 1064nm
10
1
400
500
600
700
800
900
1000
1100
Wavelength, nm
© Copyright Energist Ltd. 2009
NEW Acne Applicator
Acne Handpiece
415nm / 630 – 950nm
10000
Melanin
Nd:Yag 532nm
1000
Oxyhaemoglobin
Dye Laser 585nm
Ruby Laser 694nm
Absorptio
n
Absorption
Alexandrite 755nm
100
Diode 810nm
Nd:Yag 1064nm
10
1
400
Absorption
in PpIX
500
600
700
800
900
1000
1100
Wavelength, nm
Treatments
using
UltraPlus VPL™
Treatment Indications
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Hair Removal
Photo-ageing
Epidermal Hyper-pigmentation
Cherry spots (Campbell de Morgan spots)
Spider Naevi
Thread veins
Diffuse redness
Rosacea
Acne Vulgaris
Energist ULTRA VPL™
(Variable Pulsed Light)
Treatment of Excess Hair
Criteria for Hair Reduction
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Skin colour
Hair colour
Hair thickness
Depth of hair follicle
Stage of growth cycle
Hair Growth Duration Chart
Body
Region
Telogen
Hair %
Anagen
Hair %
Telogen
Duration
(weeks)
Anagen
Duration
(weeks)
Follicle
Density, cm2
Depth of
Follicle,
mm
Scalp
15
85
16
104
350
3.0 - 5.0
Beard
30
70
10
52
500
2.0 - 4.0
Upper Lip
35
65
6
16
500
1.0 - 2.5
Breasts
70
30
12
16
65
3.0 - 4.5
Trunk
70
30
14
16
75
2.0 - 4.5
Pubic Area
70
30
12
10
70
3.5 - 4.5
Arms
80
20
18
8
80
2.0 - 4.5
Axilla
70
30
12
16
65
3.0 – 4.0
Legs/Thighs
80
20
24
16
60
2.5 - 4.0
Hair Removal
Hair Removal
Before treatment
Reduction 6 weeks
after 1 Treatment
Hair Removal
Before treatment
Reduction 6 weeks
after 2 Treatments
Hair Removal
Before
3 treatments
9 months post last treatment
Hair Removal
Before
After
Hair Removal
Before
After
Hair Removal
Before treatment
After 3 treatments
Hair Removal
Before
3 Treatments
12 months post final treatment
Treatment Protocol
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Medical history, informed consent form
Prepare area
Patch test
Treat area methodically
Apply soothing gel
Hair will fall out usually 1-4 weeks later
Redness of treated area can occur
Repeat treatment approx. every 4-6 weeks
VPL - Clinical End Point
Mild to moderate peri-follicular erythema
VPL - Clinical End Point
Mild to moderate peri-follicular erythema
Energist ULTRA VPL™
(Variable Pulsed Light)
Treatment of skin problems and
premature photoageing
Skin Rejuvenation
Chronic UV light exposure
Epidermal & dermal changes
•Coarse skin texture
•Pigmentation alterations
•Loss of elasticity
•Wrinkles
•Red veins, Rosacea
•Open pores
Goals of VPL™ Treatment
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Improve texture of skin
Softening of epidermal hyper-pigmentations
Reduction of fine lines and wrinkles
Treatment of vascular lesions
Shrinkage of pore size
Restoration of even skin colour
Acne Management
Hair Removal using
Energist ULTRA VPL™
Positive side-effect
Skin Rejuvenation Results
Collagen Stimulation
Collagen Stimulation
Before
After
Collagen Stimulation
Before
After
Epidermal Pigmented Lesions
Sun Damage
Before
After 2x Tx (2x7x1,30J/cm2)
Courtesy of Russell Smith, New Zealand
Facial Epidermal Pigmented Lesions
1 Treatment. (Courtesy of S. Summons, Beautique Salon, Reigate, UK)
Client: Skin Type III, Mid 30yrs - No. pulses: 5, On: 3ms, Off: 1ms. 30 J/cm2
Immediately after treatment
1 week after treatment
3 weeks
after
treatment
1 Treatment. (Courtesy of© Copyright
S. Summons,
Beautique Salon, Reigate, UK)
Energist Ltd. 2009
Specialist Applicator - Sun Damage
Before
After Single Tx 9-3-1 70 Jcm2
Courtesy of Absolute Aesthetics, UK
Vascular Lesions
Facial Thread Veins
Before treatment
After 3 treatments
Facial Thread Veins
Before treatment
After treatment
Vascular Lesions
Specialist Applicator - Vascular Lesions
Before
After Single treatment
Courtesy of Joshua Fink, MD, USA
Acne Management
Treatments with the Ultra Range:
Acne Management
Before
After
Photographs courtesy of Dr. Gramlich, Germany
“VPL is an outstanding method for the
treatment of acne vulgaris at every level of
severity. The therapy is important and
valuable in the treatment of this
dermatological complaint.”
Gebhard Gramlich, M.D.
Chefarzt Privatklinik Hagenmühle GbR,
Germany
Rosacea
Rosacea
Before
4 weeks after Tx1
Rosacea
Treatment Protocol
• Medical history, informed consent form
• Cleanse skin
• Select energy as per guidelines
• Apply contact gel
• Apply waveguide to skin and activate a pulse
• Methodically cover treatment area with pulses
• Remove gel and apply soothing gel or cool if necessary
Contraindications
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Oral acne medication in the last six months (Accutane)
Certain Medication
Photosensitivity in the last six months
Pregnancy
Epilepsy (consult a Physician)
History of skin cancer
Tanned skin
Malignant or suspicious tissues
Haemophilia
Diabetes (certain drugs can cause photosensitivity). Treat cautiously due to loss of
sensation in extremities and poor healing rate.
Vitiligo
Use of St Johns Wort
Tattoo over treatment area
Be aware of Moles
Any anti-inflammatory medication taken daily
We do not treat anything raised
Treatment Frequencies
• Pigmentation:
– 2-5 treatments
– Appointments every 4 weeks
• Vascular:
– Normally 3-5 treatments (diffuse redness often needs
several treatments)
– Appointments every 4 -6 weeks. Can be extended after
third treatment to about 8 -10 weeks
Treatment Frequencies
• Collagen Stimulation:
– 3 - 5 treatments every 4 weeks
– Maintenance treatments every 3 - 6 months
• Acne Management
– Treatment every 2 - 4 weeks
– Inflames the acne in days following treatment
UltraPlus VPL Features
4 Treatment-Specific Applicators
4 applicators available with UltraPlus
(SR, HR, Acne, Specialist)
• HR – Hair removal
(610-950nm)
• SR – Skin Rejuvenation
(530-950nm)
• ACNE – Acne Vulgaris
(415nm and 630-950nm)
• SPECIALIST – Pigment & Vascular
(530-950nm)
High Energy
Higher
energy
delivered
Better
chance of
absorption
Better
results
• However - energy must be delivered safely
or side effects can occur
• VPL Systems give up to 51J/cm2
Energist launch their NEW
High Energy 530nm applicator
To meet the exacting demands
of the medical sector in gaining
more effective treatment of
more difficult vascular and
benign pigmented lesion cases,
Energist have developed the
new High Energy 530nm
applicator.
© Copyright Energist Ltd. 2012
High Energy 530nm applicator - Reference
“We are getting great results
with this applicator on photodamaged skin. In fact we are
using this in preference to our
various lasers for photoaging,
Rosacea, and solar lentigo
treatments”
Dr Maria Gonzalez, Senior Clinical lecturer, Cardiff
University Hospital
plus… NEW High Energy 530nm applicator
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Up to 108J/cm2 – Market-leading energy output
1 cm2 Spot size - Specifically designed for treatment of
benign vascular and pigmented lesions, including:
– Telangiectatic matting
– Venous lakes
– PWS
– Pyogenic Granuloma
– Strawberry haemangioma
Short pulse train for more effective treatment
5000 shots lifetime
Available after 18 month development programme
with our lamp manufacturers
Improvements in lamp technology and processing,
combined with the latest HV technology ensures
higher energy lamp with greater reliability
Available exclusively on the UltraPlus VPL™ System
For medical/specialist use only
© Copyright Energist Ltd. 2012
Specialist Applicator Energy Table
No. Pulses
On
Off
Max Energy (J/cm2)
5
3
1
68
9
3
1
90
5
5
1
85
9
5
1
99
2
7
1
68
5
7
1
93
9
7
1
108
© Copyright Energist Ltd. 2012
Consistent Power Output
• High energy gives the best effect when output is consistent
• Energist VPL systems are able to maintain power output over the
whole shot
• Many IPL’s are not able to maintain consistent high power over the
whole shot – slow rep rates & inconsistent outputs
Energist VPL
Multi-Pulse IPL
Single Pulse IPL
Water Versus Air Cooling
High energy outputs need water
cooling and multiple pulses
• Water is far more efficient for cooling
than air
– Air cooled systems generally require
a cooling down period after a
number of shots
– Energist systems will function 24
hours a day at full power
Highest Quality Parts
Applicators
• Applicators get extremely hot during
use
• Energist uses very high quality parts to
withstand very high temperatures
– Stainless steel cavity
– Ceramic reflectors
• Many air cooled systems use plastic
parts in applicators
– may melt or lose reflectivity
– reducing light output & treatment efficacy
often after just a few shots
Highest Quality Parts
Energist Waveguides
• Very high quality BK7 Glass
• Increases the distance between the lamp/filter and the
skin without losing energy
• High transmittance of light
• Does not heat up
• Decreases amount of conducted heat reaching the skin
from cavity
Filters
• Energist uses high performance absorption filters for
safe & effective treatment, resulting in
– Sharper filtering
– Exact & constant cut-on
– Even output over lifetime
– Withstand high energy densities
UltraPlus VPL™ Features - Summary
• Multiple Applications - hair, skin & acne
• VPL™ - Widest range of pulse types
available - 840
• High & safe fluence – 51J/cm2
• Consistent power output
• Water cooling
• Effective filtering
• High quality durable parts
• Minimal client discomfort
• In depth clinical training & support
• Efficient technical support