Caci Chromaclear Manual
Transcription
Caci Chromaclear Manual
V 04.04 CHROMA CLEAR User and Maintenance Manual VERSION 2009 INTRODUCTION In this manual for use and maintenance, the main information regarding the safe functioning of the Chroma Clear® device is provided. The information and graphics contained in this manual are up-to-date at the moment of its publication. However, the manufacturing company reserves the right to make modifications at any moment without notice. The technical information contained in this manual is the property of CACI International and is confidential. The use of this manual for purposes other than those strictly connected to the maintenance of the Chroma Clear® device is forbidden. For no reason must the device or any of its parts be modified or tampered with by the user. Any attempt to tamper with or modify any part of this machine will invalidate the guarantee, absolving CACI International from all responsibility for damage to people or property deriving from this tampering. • This manual must be kept in good condition in order to be available for consultation throughout the entire operating life of the device. • This manual and the E.C declaration of conformity are an integral part of the device. • Before using it consult the use and maintenance manual. This manual and the declaration of conformity must be kept for the entire life of the beauty device and must be given to other users or new owners of the device. __________________________________________________ Contains the E.C. declaration of conformity __________________________________________________ 2 INDEX 1. INFORMATION AND TECHNICAL DATA Page 5 1.2 DESCRIPTION OF THE DEVICE Page 6 1.3 POSITIONING FOR OPERATION Page 11 1.3.1 INITIAL INSTALATION PROCEDURES - Connecting the shelf and bottles - Connecting the bottles and the relative tubes - Connecting to the mains 1.4 MAINTENANCE 1.5 CONDITIONS OF USE 1.5.1 Environmental conditions 1.5.2 Lighting of the work zone 1.6 Cleaning and sterilization Page 11 2. Page 23 2.1 2.2 2.3 2.4 2.5 DEVICE USAGE APPLICATIONS USES NOT PERMITTED CONTRAINDICATIONS OF USE MATERIALS AND PRODUCTS BIOCOMPATIBILITY SPARE PARTS DECLARATION OF CE CONFORMITY Page 15 Page 22 Page 23 Page 23 Page 24 Page 25 Page 25 Page 26 3. SKIN PHYSIOLOGY Page 27 3.1 THE SKIN’S LAYERS Page 27 4. OTHER METHODS of SKIN PEELING Page 41 5. AN OVERVIEW ON CHROMA CLEAR SYSTEM Page 43 5.1 THE MICRO-EXFOLIATION PROCESS USING THE CHROMA CLEAR Page 44 Stage one: Aspiration or vacuuming Page 44 Stage two: Microderm Percussion (MDP) Page 47 6. MICRODERMO PERCUSSION (MDP) APPLICATIONS Page 51 3 7. CONTRA-INDICATIONS (Where Microdermo Percussion is Not suitable) Page 52 8. MICROVIBRATION Page 52 9. CHROMOTHERAPY Page 53 10. HYDRO SMOOTHING GEL MASK Page 59 11. OVERVIEW OF TREATMENT FUNCTIONS Page 60 12. Fig 1. Vacuum/Peeling Page 61 13. Fig. 2 Blue light Chromatherapy / Microvibration Page 62 14. Fig 3 Red Light Phototherapy / Microvibration Page 63 15.Fig 4 Blue Light Chromotherapy / Microvibration(Applied with Mask) Page 64 16. Fig 5 Directional Lymphatic Drainage Movements Page 65 17. Fig 6 Directional Movements For Peeling Phase Page 66 TREATMENT PROGRAMMES Page 67 18. Hydro Regenerating Treatment 19. Anti–Ageing Treatment 20. Acne Blemishes Treatment 21. Stretch Marks and Scar Tissue Treatment Page 67 Page 68 Page 69 Page 70 4 1. INFORMATION AND TECHNICAL DATA 1.1 IDENTIFICATION DATA TYPE SERIAL NUMBER YEAR WEIGHT Measurements: WIDTH DEPTH HEIGHT POWER MAXIMUM CONSUMPTION PARTS SUPPLIED: disposable hoods power cable Glass micro spheres 1.7Kg jar fuses 1,6 A 220V (3,15 A - 110 V) Short plastic tube Chroma Clear 2005 8 Kg 52 cm 61 cm 22 cm 12 V DC using external adaptor 150 W 20 1 2 2 1 Funnel EC Dec. Con. Instruction manual AC/DC external adaptor Dehumidifying crystals 180g jar Chromo therapy blue cap Photo therapy red cap Keys for screwing/unscrewing the hoods 5 1 1 1 1 1 2 2 1.2 DESCRIPTION OF THE DEVICE By exfoliating the stratum corneum the CHROMA CLEAR device corrects skin problems such as: all types of scars (acne, chicken pox, injury, operation, burns, keloids), age spots, stretch marks and wrinkles. The CHROMA CLEAR system combines 4 separate treatment actions: x Exfoliation through the propulsion of glass ball peeling crystals x Hyperaemic stimulation produced by a powerful vacuum pump, x Tissue relaxation through micro vibrations x Skin rejuvenation through light stimulation. The combination of these different actions on the treatment area produces an overall improvement in the clarity of the skin tissue, an increase in skin elasticity, hydration of the skin tissue and an improvement in circulatory function. The CHROMA CLEAR device is equipped with three separate Treatment Phase control buttons that enable the operator to select the type of treatment program to be used: The VACUUM control button will start the suction phase (vacuum-hyperaemia) The PEELING control button will start up the second exfoliation phase with the glass ball micro spheres The abrasive power can be adjusted with the use of the INTENSITY control positioned to the left of the front panel and has a maximum (+) and minimum (-) level. This allows the operator to predetermine the speed of the crystals’ propulsion. If a stronger abrasion is necessary work for longer on the area being treated or carry out more sessions. It is important to remember that: slow movements result in a stronger abrasion whereas fast movements result in a weaker abrasion The CHROMA VIBRATION control button has dual functionality : it will activate the micro vibration phase, and can be selected to work with either VACUUM, PEELING OR CHROMO/PHOTO THERAPY to relax the skin tissue, increase the stimulation of the cellular turnover and provides a pleasant treatment sensation . To activate the Chromotherapy or Phototherapy applications the microdermo percussion tip is simply replaced with the appropriate chromo therapy blue light cap or photo therapy red light cap. NB. The CHROMATHERAPY (BLUE) and PHOTOTHERAPY (RED) treatment applications cannot be activated without micro vibration. 6 1F 1B 1D 1G 1J 1E 1H 1K 1L 1C 1M 1A Description of the primary controls and parts of the device FIGURE 1 1A Hand piece 1B Light indicator: it indicates that the machine has been switched on with the main switch on the external adaptor. 1C RESET button: it sets the operating time to zero. 1D VACUUM button: it starts up the suction phase of the treatment (vacuum). 1E STOP button: it stops the operative phase. 1F Digital display: it shows all the operations of the unit and the operating time (expressed in minutes). 1G PEELING button: it starts up the second exfoliation stage (microspheres). 1H STOP button: it ends the second phase of exfoliation, but the machine continues to vacuum. 1J CHROMA/VIBRATION button: it starts up the third stage (Microvibration and Chromotherapy with blue light and Photo therapy 1K STOP button: it ends the third phase. 1L INTENSITY▲ and ▼ buttons: they set the pressure to the desired values keeping the hole of the hand piece closed with a finger. red light). The microvibration phase can also be used in combination with Vacuum and / or Peeling. 1M Pedal. Temporarily suspends the emission of crystals during exfoliation in order to vacuum up the residual crystals from the skin during the treatment. 7 FIGURE 2 2F 2D 2C 2E 2A 2G 2B 2A – Bottle of clean glass microspheres. 2B – Bottle of used glass micro spheres. 2C – Filter inside the bottle of used glass microspheres. This must be kept clean at all times, following the procedure described in Figure 9. 2D – Caps to unscrew/screw to open/close the bottle of used crystals when emptying and disposing of them. 2E – Hole through which the powder is suctioned (see Figure 5). 2F – Cap to open/close the bottle of clean crystals when replacing them. 2G – Container for the control of air humidity (Dry Air Crystals Bottle). This is filled with “dry-air” dehumidifying crystals that have the function of absorbing the humidity of the air in order to prevent the device becoming blocked in particularly humid zones or certain times of year. The crystals are yellow-orange when new and turn green when they are to be replaced, in which case it will be necessary to empty the bottle and refill it with the new ones provided with the device. The used crystals can be renewed by placing them on a source of heat (oven or pan placed on the stove top) until they regain their yellow-orange colour. 8 FIGURE 3 (Power socket positioned on the external adaptor) 3A 3B 3C 3C1 3A 3B 3C- 3 C1 Power switch with incorporated warning light. Power cable socket. 2 power circuit protection fuses (1,6 A - 220V) / (3,15 A - 110V). The CHROMA CLEAR has an external timer on the back of the device close to the power socket. It displays the number of minutes the machine has been operating. 9 FIGURE 4 (Hand piece) 4A 4B 4A 4B 4C Micro-vibrating probe Chromo-therapy blue light cap/Photo-therapy red light cap Disposable plastic cap 4C THE CHROMOTHERAPY CAP (4B), MUST BE SCREWED/UNSCREWED AT THE HAND-PIECE. DO NOT PUSH OR PULL IT WITH FORCE! The disposable hood should be thrown away and replaced with a new one for each customer. If it cannot be easily unscrewed use the key provided. The hand piece propels the crystals when the hood is placed in contact with the skin. 10 1.3 POSITIONING DURING OPERATION The device is to be placed on a suitably strong and stable horizontal level, no smaller that 40cm. X 40cm. at a height measuring between 80 and 100cm from the floor. Optimal working conditions are obtained when the device is placed on a rotating surface with surrounding free area of 80cm. The machine does not require special arrangements to be connected to the power supply. Insert the plug into its socket first making sure that the device is earthed correctly. 1.3.1 INITIAL INSTALLATION PROCEDURES. FIRST INSTALLATION OF THE UNIT Before proceeding with the first installation of the unit and the use of it, we suggest you to verify that there are no visible damages caused from the transport. In case of damages occurred during the transport, we kindly ask you to contact directly your transport company for any complaint. 11 CONNECTING THE BOTTLES AND THE RELATIVE TUBES. FIGURE [A] If the bottles should be disconnected from the device for any reason, the figure below shows how they should be connected. Match the colours of the tube ends with the colours of the connection receptacles GREEN - Transit tube of the used glass micro spheres. RED - Vacuum tube to the bottle of the used glass micro spheres. BLUE - Transit tube of the clean glass micro spheres. 12 CONNECTING TO THE MAINS. 1. Check that the main power switch is set to “0”. 2. Connect the provided mains cable to the mains socket and the external adaptor socket. 3. Connect the low-tension cable to the device with the plug, inserting it into the device’s socket (entered in only one direction). The plug is plugged in correctly when it clicks. 4. Press the main power switch and set it to position “1” to put the machine on stand by. This device is designed to always be on stand by, therefore the device only needs to be switched off using the main switch at the end of the day. 13 WARNING! FOR REASONS OF HYGIENE IT IS FORBIDDEN TO REUSE THE GLASS MICROSPHERES COLLECTED IN THE USED GLASS MICROSPHERES BOTTLE. The used microspheres are non toxic and harmless refuse and can therefore be disposed of using the same treatment as “domestic” waste. WARNING! The CHROMA CLEAR device is only intended for use by QUALIFIED staff in possession of a PROFESSIONAL BEAUTY THERAPIST DIPLOMA. The user of the CHROMA CLEAR machine is not authorized to carry out interventions of extraordinary maintenance that entails the repair or modification of the interior of the machine, but ordinary maintenance indicated in the use and maintenance manual is authorized. If these instructions are not observed CACI International is released from all obligations of guarantee and responsibility. 14 1.4 MAINTENANCE The Chroma Clear unit may only be serviced and repaired by service personnel employed or authorized by CACI International Only use original parts when servicing the unit, otherwise faults or defects may arise Always unplug the mains cable before opening the unit in order to avoid the risk of electric shock The units may only be opened by authorized service experts in order to avoid damage due to incorrect maintenance x x x x x x x x x Cleaning of the white filter (inside the waste micro spheres bottle) every day/after every two clients Cleaning of the screw thread of the chromo caps every day/after each treatment with a brush. Cleaning of the chromo transparent cap every day/after each treatment with antiseptic wipe (do not use alcohol based product ) Replacement of the white filter (inside the waste micro spheres bottle) every 6 months Replacement rubber gasket (on the top of the waste micro spheres bottle) every 12 months Cleaning of bottle containing new glass micro spheres when needed Replacement of dehumidifying crystals when saturated (grey-green in colour) Cleaning of the abrasion probe nozzle every 30 days or when dirty Replacement of the abrasion probe every 24 months 15 The CHROMA CLEAR device does not require special maintenance. However, always check the device before use: 1) Ensure that the 2A clean glass micro spheres bottle and the 2B used glass micro spheres bottle are closed. 2) Before starting check the level of the crystals in both bottles, which should not under any circumstances be higher than the indicating lines. 3) Every time the hood of the hand piece is replaced (Fig. 4A) ensure that it is completely screwed on. 4) Occasionally check that the white filter inside the used glass micro spheres bottle is clean. If dirty, clean it as described in figure 5. Warning: The level of used micro spheres in the used micro spheres bottle must not under any circumstances exceed the indicating lines. Check the level frequently and make sure the filter is perfectly clean. If the filter is not completely clean it could cause the device to perform poorly. 16 FIGURE 5 CLEANING THE WHITE FILTER INSIDE THE USED MICRO SPHERES BOTTLE (To be done every two clients) Pull RESIDUE Press the VACUUM control button to start the vacuum; Set the pressure value to maximum by pressing the INTENSITY ▲ button (1L); Keeping the hole of the hand piece closed with a finger, lift quickly the purge value positioned on the upper part of the bottle 1-2 times as described above. WARNING! The cleansing of any methacrylate part (transparent parts in the bottles and in the chromo therapy cap) must not, under any circumstances, be done using alcohol; it will cause the material to CRACK !!! 17 FIGURE 6 CLEANING THE BOTTLE CONTAININNG NEW GLASS MICRO SPHERES – (2A) – (Only to be done if there is an irregular emission of crystals) B E C D x INSERT THE PROVIDED SHORT BLUE PLASTIC TUBE A FEW mm INTO THE BENT PLASTIC TUBE INSIDE BOTTLE 2A; x BLOW COMPRESSED AIR INTO THE TUBE, KEEPING THE “C” HOLE CLOSED WITH ONE FINGER IN ORDER TO CLEAN THE SMALL “B” HOLE. x FREE HOLE “C” AND CONTINUE TO BLOW AIR INTO THE TUBE TO CLEAN THE “C” TUBE ITSELF. x BLOW AIR INTO THE QUICK CONNECTION “D” TO CLEAN FILTER “E”. 18 N.B: ⇒ There are obstructions or impurities inside the circuit when: ♦ The pressure indicated on the vacuum gauge, with hand piece open (NOT BLOCKED), is more than –15 cmHg. SOLUTION: ♦ In this case (and if the glass micro spheres do not exit at all from the hand piece while working), it is necessary to carry out the procedures described below until the optimal values are restored and the glass micro spheres exit correctly: Check that there are no obstructions inside the hand piece. Obstructions in the hand piece can be easily noticed by removing the grey tube that covers the hand piece’s transparent tubes and seeing an excessive deposit of glass micro spheres inside it. If this is the case, detach the hand piece by removing the two tubes that flow into it and blow into the circuit inside the hand piece with compressed air. ⇒ If a pressure lower than the optimal pressure is noted, it means that there is a leak in the pneumatic system, in which case carry out the following procedure: ♦ Check the integrity of the tubes connected to all the coloured receptacles at the back of the machine; ♦ Check that the bottles are completely closed; ♦ Check that all the tubes are connected completely, following the indications in figure [B] ♦ Check that the values set are the correct ones; IF THE VALUES ARE STILL LOW IN SPITE OF ALL THESE MEASURES, TELEPHONE 020 8731 5686 OR E-MAIL ([email protected]) WITH A DETAILED DESCRIPTION OF THE PROBLEM. WARNING Before each treatment, the skin must be cleansed carefully and be free of all creams and make-up. These products could obstruct the hand piece if vacuumed and cause the emission of air and powder to become irregular. 19 If the machine will not start, check the fuses incorporated in the power socket Fig. 3 (3C) and if necessary replace with others of equal value (1.6 A – 220 V) (3.15 A - 110V). If this does not work, send a fax to CACI International technical assistance describing the problem in detail. For an even more rapid communication use the email reserved for the solution of small technical problems: [email protected] PROBLEMS AND THEIR SOLUTIONS: PROBLEM Nothing happens when the machine is 1. switched on at the main switch. 2. 3. 4. PROBLEM SOLUTION Check that the socket has been inserted well into the switch. After pressing the main switch “3B”, did you press the VACUUM button? If you did, check the integrity of the fuses in the box incorporated in the main switch. If none of these solutions work, call CACI International SOLUTION The machine is on and all seems well, the 1. Check that the exfoliation phase has been selected by pressing the PEELING value of crystals indicated on the button. vacuum gauge register normal levels. BUT the crystals do not reach the hand 2. Something is blocking the exit of the crystals. It could be a build up of glass piece. micro spheres and make-up or skin oil residue caused by skin that has not been sufficiently cleaned blocking the hole of the hand piece. If this is the case, detach the hand piece from the two connection tubes and blow with compressed air from the tubes towards the interior of the hand piece. 3. Compressed air is a useful tool in the event of obstruction. 20 PROBLEM SOLUTION QUESTION: Why does it appear that the 1. After extensive use of the machine (from 6 months to one year), the small hole in machine is not exfoliating the skin the screw inside the hand piece starts to normally? widen. 2. If this occurs, the quantity of glass micro spheres propelled on the skin will no longer be controlled and the abrasion will be uneven. 3. The only solution is to replace the hand piece with a new one. PROBLEM SOLUTION QUESTION: How can the filter inside the 1. Put the machine on suction mode by pressing the VACUUM button. used micro spheres bottle be cleaned? 2. Set the pressure value to high by pressing the INTENSITY + button (1L). 3. Keeping the hole of the hand piece closed with a finger, lift the purge valve positioned on the upper part of the bottle 1-2 times as described above (figure 5). 21 GENERAL GUIDELINES FOR OPTIMAL FUNCTIONING • In very humid environments or when the device will not be used for 2 or 3 days, it is advisable to: A. Empty the bottle containing the new glass micro spheres (unscrewing it from its support and upturning the bottle) and blow into the circuit as described. THE GLASS MICRO SPHERES MUST BE DRY!!! B. Always make sure that the glass micro spheres are not damp (they absorb moisture from the air!) making sure that the spare bottle is always securely closed. If they get damp, spread them over a sheet of paper placed on something warm and make sure there are no lumps before replacing them in the machine. WARNING! EVERY TIME THE BOTTLE CONTAINING THE NEW MICROSPSHERES IS REFILLED, EMPTY THE USED MICROSPHERES BOTTLE AND CLEAN THE WHITE FILTER FOLLOWING THE PROCEDURE SHOWN IN THE PICTURE 5. If while working you realise the micro spheres are not coming out in spite of having carefully followed the procedures indicated above, check the glass micro- spheres. Make sure that they are completely dry and there are no lumps! (Possibly drying them thoroughly with a hairdryer). 1.5 CONDITIONS OF USE 1.5.1. The environmental conditions for optimal functioning are: - Working temperature: min. + 10°C max + 40°C; Storing temperature: min. +5°C max +45°C; Do not cover the machine with cloths that obstruct the ventilation openings. - The environmental humidity must not exceed 50% as this could cause the micro-crystals to form lumps. For this reason DO NOT PLACE THE MACHINE CLOSE TO SOURCES OF HUMIDITY (vaporizers etc.). 22 1.5.2 Lighting of the work zone It is important to ensure that the zone where the treatment will take place is adequately illuminated, without disturbing the patient and the operator. 1.6 Cleaning and sterilization Before starting the treatment replace the nylon hood and carefully clean the chromo therapy cap. WARNING! The cleansing of any methacrylate part (transparent parts in the bottles and in the chromo therapy cap) must not, under any circumstances, be done using alcohol; it would cause the CRACK and the consequent BREAKING of these parts!!! 2. DEVICE USAGE 2.1 Applications CHROMA CLEAR is a method of exfoliating the skin for gentle anti-aging treatments (wrinkles and age spots), peeling and removal of acne and chicken pox scars, and, represents an effective and long-awaited solution to a common problem: stretch marks. The device must only be used on these problem areas. In particular, do not treat injuries, freckles or moles, birthmarks, mucous membranes, intimate areas (pubic area, nipples etc.), armpits, ears, nails, teeth, eyes and the area around the eyes. 2.2 Uses not permitted Any kind of ordinary maintenance described in this manual must be done when the machine is switched off with electric cable out of the socket. Connection must only be made with an earthed electrical system. CACI International is not responsible for damages resulting from the failure to comply with these safety regulations. The bottle at the rear of the device is only to be filled with glass micro spheres supplied by CACI International . Do not replace the fuses with others of different values. 23 Do not add parts that are not provided by the manufacturing company and do not modify them in any way. Do not pour water on or immerse the machine parts in liquids, apart from the hand piece, distance pieces and spouts, which are to be immersed in sterilizing liquid after being removed from the device. Do not vacuum very small solid materials (such as balls of polystyrene, rice, glass beads, sand, powder, soil etc.) as they could get stuck in the ventilation holes. Do not cover the machine or expose it to direct sunlight. If the machine is not to be used for a while, make sure the bottles of micro-crystals have been emptied, the filters have been cleaned and the machine has been unplugged. If the machine must be transported, replace it in its original packing. Do not ingest the glass micro spheres. Do not use on animals, furniture, objects of any kind, and do not use as a vacuum cleaner. When the face is to be treated, cover the eyes with pads (such as cotton wool pads), as the emission of the crystals could damage the cornea. Do not vacuum anything other than exfoliated cells and micro-spheres. The device must only be used by QUALIFIED PROFESSIONALS (in possession of a PROFESSIONAL BEAUTY THERAPIST DIPLOMA). Keep out of the reach of children and unqualified persons. Ordinary maintenance (refilling and emptying of the bottles containing the clean/used micro spheres, sterilizing of removable parts (hand piece, hoods, connectors) and cleaning of the filters must only be carried out by the user. 2.3 CONTRAINDICATIONS OF USE! - As inert materials such as glass micro-spheres and nylon are used, the cases of allergies caused by the use of this device are virtually inexistent. However, it is 24 • recommended to carry out the following tolerance test before proceeding with treatment. On a hidden part of the body (such as behind the ear or on the arm) perform a skin sensitivity patch test prior to all microdermabrasion procedures. If no immediate reddening, itching, spots or rashes appear on the treated part, proceed with the treatment. Take special care when treating very sensitive skin that reddens easily (such as skin with couperose, children's skin or elderly skin). It is advised that following a microdermabrasion procedure, treated skin exposed during the summer months should be UV protected (i.e. by the application of a sunscreen with a 30-40 SPF) to safely protect against the possible risks of sun damage and hyper-pigmentation/sensitivity. The treated skin should preferably be protected from strong wind and extreme cold weather conditions also as this could cause excessively dry and/or unevenly pigmented skins. - If a skin sensitivity is ascertained, proceed with the treatment adjusting both the VACUUM and the micro sphere INTESITY output speed to low and placing the hand piece on the part to be treated and making fast movements, frequently removing the hand piece from the skin. Do not operate on areas with small cuts or recent burns, rashes of any kind and freckles or moles, the origins of which have not been confirmed. 2.4 MATERIALS AND PRODUCT BIOCOMPATIBILITY - The materials constituting the hood that comes into contact with the epidermis and the micro-crystals are “biocompatible”, and non-toxic. Both substances do not present contraindications in the contact with human skin. 2.5 SPARE PARTS Spare parts and supplementary consumable supplies can be acquired from CACI International at the price list current at that time. 25 DECLARATION OF CE CONFORMITY Chroma Clear is manufactured in accordance to the following rules: EN 60335-2-23 EN 55011, CEI EN 50081-1, CEI EN 60601 – 1- 2 And it satisfies the essential requisites of the Directives 73/23/CEE, 89/336/CEE and its modifications 92/31/CEE, 93/68/CEE. We declare that the unit above manufactured by us does not need the Directive 93/42 as the usage is strictly aesthetical and it is destined to aesthetical centres only as it is not considered to be for medical use. 26 3.SKIN PHYSIOLOGY x x x x x x x x x x Before looking at the process of micro-exfoliation, a discussion regarding some basic concepts of skin physiology can be helpful: The human skin is more than just a living coat; It is responsible for many vital functions. It shields an individual from the environment and is in direct contact with it at the same time. The skin feels warmth and cold as well as a sense of well being and pain. Like a chemical plant, it processes drugs and poisons and produces enzymes and hormones. It offers protection against bumps, pressure and friction. Its natural acidic barrier prevents germs from penetrating. Since our skin performs extraordinary work all day round, it deserves special attention, particularly if some of its normal functions are disturbed. The extension of our skin is directly proportional to age, sex, height and physique. The skin is the largest and heaviest part of the body (from 1.5 to 2 sqm in extension and approx. 15Kg in weight). 3.1 THE SKIN’S LAYERS The surface of the skin or the part visible to the naked eye, is made up of a conglomeration of dead cells. Below the surface, the skin’s multiple functions take place in three very thin and distinct layers made up of different skin tissues: 1. 2. 3. The epidermis, The dermis, and The hypodermis, or subcutaneous tissue. Each layer not only has its own specific task but also works in co-ordination with the layer next to it. The layer to which we will dedicate our main attention, however, is the epidermis since it is the only layer on which aesthetics works upon 27 (Pict. N. 1) 28 SKIN THICKNESS 29 3.1.1 The Epidermis The epidermis is the outer layer of our body and is therefore in closest contact with the environment. This is the layer responsible for the look and health of the skin, as well as for protecting it from moisture loss and the penetration of products and bacteria. It gives the skin its glow, suppleness, youthfulness, texture and good attractiveness. Ultraviolet rays, acne, visible skin diseases and skin cancer all affect this layer. The epidermis is a relatively thin layer, varying in thickness from about 1.6mm on the soles of the feet to about 0.04 mm on the eyelids. It meshes with the next layer, the dermis, by its indented profile. The epidermis is formed through a process of keratinization during which all the different layers are formed. Till the 60th day of life, the embryo is covered by a simple epithelium formed by only one layer of germinative cells with an intense mitotic activity (differentiation) and by one layer of old cells (Periderm). After the 60th day of life, the epidermis begins to have its stratified aspect and each layer corresponds to the Keratinization process. As this process proceeds, new layers are formed. From the 24th week, the Corneum layer is formed and at baby’s birth the epidermis is a keratinized functional epithelium. 30 (Pict. N. 2) The EPIDERMIDIS is an epithelial tissue coating or our organism having specific characteristics: 1. FLATNESS: because it is formed by cells having a plate shape (plate cell) 31 ict. N. 3) 2. STRATIFIED: because it is composed of different cell layers which are continuously regenerated (new cells replaced the scaled ones). (Pict. N. 4) 3. KERATINIZED: because its cells produce and synthesise Keratin. The Epidermis is formed by many cells which live in symbiosis. The main cells are: 32 KERATINOCYTES: cells which produce keratin which fill cells on the uppermost surface forming the stratum corneum; MELANOCYTES: cells which produce melanin which gives the colour to our skin; CELLS OF LANGERHANS: which work as peripheral sentries of our immunity system. CELLS OF MERKEL which are the receptors of touch. (Pict. N. 5) An epithelial tissue (or EPITHELIUM) is a tissue in which the cells lie tightly one to each other. The Epidermis is a typical epithelial tissue since the cells, in fact, lie tightly one to each other But these cells are always isolated from each other by a space known as the intercellular space or Biomatrix, in which flows the interstitial lymph. This “waterbearing stratum” wets and feeds all the cells which receive from it nutrition and oxygen and expel into it the refuse. 33 (Pict. N. 6) 34 The Epithelial cells are thus in close contact to each other (separated by this very thin intercellular space) and are connected to each other by extensions of the membranes. In this way, the cells form a tissue which works as a “border” between the body and the outside environment. The epithelii are not vascularized by the capillary vessels, but by diffusion from the underlying connective tissue (which is much vascularized). (Pict. N. 7) 35 The mediator between the connective tissue and the epithelium coating is the BASAL LAMINA (or membrane). In the skin, this lamina carries out a strategic role between the dermis and epidermis and is part of the dermis-epidermis connection (referred to as GDE). This GDE separates the epidermis from the underlying dermal connective tissue. (Pict. N. 8) The Epidermis is not just a mass of cells. Among the cells flows a liquid coming from the vessels of the underlying dermis which wet the cells and supply them with oxygen and aliment necessary for their metabolism. As mentioned above, in this area our cells expel their refuse and this is something easily demonstrated. When we graze our skin, more than often no bleeding occurs but the secretion of a sticky fluid. This means that the abrasion of the corneum layer has removed the “dam” which keeps in and prevents exit of the intercellular lymph which drips onto the surface of the skin forming a secretion which dries up becoming a yellow scab. 36 The epidermis is divided into five sub-layers of cells, all metabolically very active. From the surface of the skin down to the dermis, the five epidermis layers are: 1. 2. 3. 4. 5. Corneum layer (also referred to as the stratum corneum), Lucidum layer, Granulosum layer, Mucosum layer, and Germinative layer. The epidermal cells are formed in the germinative layer and move upward toward the corneum layer. This process takes approximately from 26 to 28 days in a person with a young and healthy skin. (12 to 14 days are required to reach the granular layer and 13 to 14 days to reach the corneum layer). With age, the speed of this process is much reduced. It is estimated that after the age of fifty, it takes about 37 or more days to complete the same process. Due to this process, cells are transformed into keratin, become bigger and flatter and eventually die. In their upward process, epidermal cells undergo a number of chemical modifications, transforming themselves from soft, protoplasmic cells into flat surface “scales” that are constantly being rubbed off to make room for new cells. Understanding the epidermal layers allows us to comprehend the problems of dehydration, sensitivity, ageing and pigmentation. The cells of the four epidermal layers from the germinative to the lucidum layer are referred to as keratinocytes and are the predominant cell species found in the epidermis. It is believed that the primary function of the keratinocytes is manufacturing the uppermost layer – the corneum layer. An improperly functioning keratinocyte formation system cannot generate a cosmetically acceptable corneum layer. As the cells move upward from the germinative layer, they begin to fill with a granular substance called keratin (hence the term keratinocyte), lose water and flatten. In their last stage of migration, the cells reach and form the corneum layer. 37 The corneum layer, or cornification of the keratinoctyes, is what we see as our skin. It is made up of eighteen to twenty-three layers of flattened, dry cells (corneocytes), firmly cemented together by a material (composed of lipids, ceramides, glycoproteins, dermasomes, peptide breakdown products, sebaceous products and active enzymes) usually referred to as “cellular cement.” The corneum layer is almost fluidless, retaining only some 10-15% of its original moisture. Its principle activities are to prevent excessive dehydration of the skin tissues and prevent foreign matter from penetrating the skin. The proper balance of all the epidermal elements is essential for the appropriate functioning of keratinocytes and the corneum layer. Without such a balance, the beauty of the skin is impaired. 3.1.2 The Hydrolipid film The skin has to be soft, smooth and supple. This is achieved by a thin film of hydrolipid on the corneum layer of the epidermis. It comes up to the surface beside the hairs and fills the space between the cells. It consists mainly of an emulsion of water in oil and sebum, which is excreted by the sebaceous gland present in the dermal layer. The hydrolipid film also contains moisture components which are excreted with sweat. The hydrolipid film performs the following tasks: a. b. c. It keeps the skin supple, It prevents high water loss in the stratum corneum, and It forms the natural acidic coating (pH 5.5) of the skin surface, which in turn prevents the penetration of harmful substances that could cause inflammation, infections or allergic reactions. Any disorder of the hydrolipid film causes problems ranging from skin irritation to skin diseases. Even cleansing the skin disturbs the balance of the hydrolipid film. In healthy skin this is not alarming because the sebaceous glands begin to work instantly. 38 3.1.3 The Dermis The second layer of skin, much thicker than the epidermis (from 2 to 4 mm), is the dermis (or “true skin”). This layer serves two principle functions: 1. It provides nutrition for the epidermis by means of a vast network of capillaries and blood vessels, and 2. It forms a supporting framework that is composed of collagen and elastic protein fibers immersed in a colloidal matrix. The dermis is responsible for the skin’s elasticity. Collagen and elastic protein fibers stabilize the skin and prevent it from being torn. This elasticity depends greatly on a well-balanced water content in the dermis and other skin layers. The high content of chondoitin and hyaluronic acid provides a liquid depot which nourishes the epidermal cells. This layer is highly elastic and has fat cells as well as nutrients, blood vessels, sweat glands and sebaceous glands. About two million sweat gland channels rise up to the epidermal layer to maintain the water/salt equilibrium and also to regulate the temperature of the skin. The structure of the nerves and sensory cells are also located in this layer. All sensations (pain, itching, temperature, etc.) are transferred from the receptors by way of nerves to the brain as electric impulses. 3.1.4 The Hypodermis The hypodermis (or subcutaneous tissue) is the skin’s bottom layer and it connects the skin with the muscle tissues. The hypodermis is distributed differently in the human skin, depending on age, race, sex, type of food nutrition, endocrine and body region where it’s located. The hypodermis may be regarded as the extension of the strong fibrous and elastic bundles forming the dermis. 39 The erector pili muscles for the hairs are located in this layer, which also act as “shock absorbers”, thus supporting delicate structures such as blood vessels and nerve endings. 40 4.Other Methods of Skin Peeling Medical Dermabrasion For many years, the technique of choice for smoothing or refinishing the skin to remove imperfections was medical dermabrasion. Under anesthesia, the patient’s skin is literally frozen to death with liquid nitrogen. The dead skin is then removed with a rotating wire brush attached to the equivalent of a dental hand-piece. Antibiotic creams and ointments are applied. The patient is wrapped mummy-style over the treated area, which initially has the appearance of raw meat. After several weeks of re-wraps and reapplication of creams and ointments, the body replaces the skin that has been removed with new skin that is smooth. The new skin however, is essentially scar tissue and will not have the same look, feel, elasticity, or durability as healthy epidermal tissue. Laser Peels Today pulsed laser treatments are very popular. Under anesthesia, a surgical laser, typically a carbon dioxide laser, or Erbium Yag is passed sequentially in overlapping patterns over the face or area to be treated. The laser is "pulsed". That is, the energy is delivered in repetitive short bursts so that the surgeon has more control and doesn't ablate (i.e. vaporize) too deeply at one time. A CO2 laser delivers coherent light energy at a frequency that does not permit the light to pass through water. When a CO2 light energy beam (which is invisible) strikes water it instantly boils the water to a vapor. Normal healthy tissue is about 80% water so when a CO2 laser is aimed at tissue, the water in the tissue is boiled and the tissue is vaporized. This phenomenon is accomplished by the transfer of energy in the form of heat. In the process of boiling the water in the tissue, the laser creates a second-degree burn to the skin. Healing will occur, but the tissue that replaces the skin that was vaporized is essentially scar tissue. It will not look, feel, and be as durable or as elastic and healthy looking as normal, healthy, epidermal tissue. 41 Chemical Peels Chemical Peels with various active ingredients including “fruit acids” (glycolic and lactic) Trichloroacetic acid (TCA), Phenol and other chemicals are widely used for treating the outer layers of the skin. They work by using an active acid to burn or dissolve skin cells in the stratum corneum. Chemical peels can be effective to varying degrees, but share certain drawbacks, such as prolonged erythema, post treatment discomfort and complications such as pigmentary skin changes. The degree of skin reaction and side effects with chemical peels is very much dependant on the type and percentage of the active acid used. With some of the more aggressive TCA and phenol based peels, the skin can be left looking red, burned and irritated for several days. Traditional Microdermabrasion Traditional Microdermabrasion systems work by utilizing a vacuum pump hand piece to draw chemically inert corundum crystals (usually aluminium oxide Al2O3) across the skin surface. The irregular shape of the crystals has an abrasive action on the skin, so removing skin cells as the rough edges of the crystals pass over the skin surface. The degree of exfoliation is controlled by the size of the crystals used, the strength of the vacuum and the speed at which the vacuum hand piece is passed across the skin surface. Some microdermabrasion systems also utilize a compressor to propel the crystals with greater force across the skin surface. Microdermabrasion is successfully used for exfoliating the skin but the abrasive nature of the crystals can in some instances cause adverse skin reactions. Traditional microdermabrasion systems also have a tendency to suffer from blockage malfunctions. Such blockages are typically due to the crystals irregular shape and their propensity to be affected by humidity. 42 5. AN OVERVIEW ON CHROMA CLEAR SYSTEM The Chroma Clear represents a significant advancement over traditional peeling methods. The Chroma Clear combines five main functions: 1. VACUUM MASSAGE (aspiration only) 2. MICRODERMO PERCUSSION (aspiration and peeling simultaneously) 3. MICRO-VIBRATION (vibration mode) 4. CHROMOTHERAPY (blue light) 5. PHOTOTHERAPY (red light) Microdermo Percussion (MDP) is a technique developed by French inventor Paul Giordana (Patent No. F-1.136.127). Microdermo Percussion occurs through the propelling of chemically inert and perfectly round shaped glass micro spheres (SiO2) onto the skin. The Microdermo percussion method stimulates the skin tissue through a gentle tapping action achieving a gentle exfoliation and when combined with the negative pressure of the vacuum delivers a three dimensional mechanical massage of the base foundations of the connective tissue. Connective tissue stimulation and manipulation revitalizes the cells responsible for producing fibrin, elastin, collagen and glycosaminoglycans. The MDP method is completely painless, producing very little redness or irritation which is often more commonly associated with harsher chemical peels and traditional methods of skin peeling. Immediately after an MDP treatment, the client can continue a normal life-style with no down time recovery period required. 43 The MDP treatment will tone, strengthen and rejuvenate the skin on the face or body. The intensity of the treatment can be easily controlled by the operator, dependent on the pressure used, the quantity of glass micro spheres propelled onto the skin and the proportional speed with which the hand piece is moved over the treated area. 5.1 THE MICRO-EXFOLIATION PROCESS USING THE CHROMA CLEAR The Chroma Clear System is a process requiring repeated treatments. Microexfoliation is a two-stage process: 1. 2. Aspiration (or vacuuming), and Exfoliation (propelling crystals onto the skin). Between each treatment the body replaces the skin that has been removed with new healthy skin. The aspiration phase of the technique brings blood to the surface and with the blood, new nourishment and energy for the epidermal tissue cells. The exfoliation phase of the technique causes the immune system to "kickin” with a repair response that is accelerated to bring new tissue growth to the treated area. New tissue growth will be healthy epidermal tissue and not scar tissue. Rejuvenated skin from the Microdermo Percussion process will be more durable. Epidermal skin will age in a normal fashion. Stage one: Aspiration or vacuuming. Aspiration, or vacuuming, is the first stage of treatment. This is the standard protocol all treatments begin with. Aspiration is designed to increase circulation and bring new life and energy to the area being treated. This process is intended to draw the blood to the surface of the skin without breaking the capillaries. The aspiration process produces a gradual reddening of the skin from blood that is drawn closer to the surface. 44 The Epidermis does not have any capillary vessels and so is fed with the oxygen from the capillary vessels present in the underlying layer, the dermis. The oxygen reaches the Epidermis through diffusion and not by direct contact with the blood present in the capillary vessels. Accordingly, to supply nourishment to the epidermal tissue, we have to stimulate and vascularize the epidermal tissue. Vacuum stimulation has the important function of vascularizing the tissue, so feeding the first epidermal skin layer. A good vacuuming will last at least 10 minutes and cause a slight reddening of the skin. This reddening indicates that the blood has been called to the surface thus supplying oxygenation, vitality, power and energy to the epidermal cells. 45 Stage one: Vacuuming (Aspiration) One step Direction of Vacuum Epidermis’s Corneal Layer. It is aspirated to create a hyperaemia to oxygenate the tissue. Aspiration 46 Stage two: Microdermo Percussion (MDP) The skin works through a continuous process of cornification of the keratinocytes also referred to as “keratinization”. During this process new keratin is continuously produced by the keratinocytes and this fills the most superficial cells thus forming the stratum corneum. This process is continuous in our body and it takes approximately from 26 to 28 days to be completed in a person with a young and healthy skin (12 to 14 days is required to reach the granulosum layer and 13 to 14 days to reach the corneum layer). With age, the speed of this process is greatly reduced. It is estimated that after the age of fifty, it takes about 37 or more days to complete the same process. If nothing should hinder this process, the regenerated tissue will be perfect and without any kind of anesthetic marks. The main aim of Microdermo percussion is to help speed up the turnover of the skin cells reversing the effects of time and earlier damages, smoothing out skin texture and evening out blotchy coloration. The method can also stimulate the formation of our own natural collagen, a protein layer beneath the skin that helps to provide structure and firmness to the skin’s surface. The reaction of our body, following this process, will be the regeneration of new tissue which will replace the micro-exfoliated (removed) one. The new tissue will, naturally, be new, fresh, healthy and elastic. Carrying out weekly treatments, will stimulate the continuous regeneration of new tissue thus erasing the problem completely and replacing same with a new skin. It is to be noted that the treatment is progressive, not aggressive, non invasive and natural. 47 The Microdermo Percussion (MDP) method, propels solid calibrated spheres, in a non abrasive, non irritating way onto the skin, in order to prepare the tissue and make it more receptive. The epidermis is stimulated by the operator with a gentle continuous mechanical micropulsation. The process uses a constant flux of air and glass micro spheres (SiO2), in order to stimulate and activate the natural functions of the epidermis. The propulsion of perfectly round glass spheres, delivers a tapping (percussion) action on the epidermis. The combination of this action with the previous vacuum, function produces a diffusion of the hyperaemia so improving of the cellular activity. The glass micro spheres and any corneum cells that have been exfoliated are absorbed by the vacuum in the hand piece . The Chroma Clear uses a patented “closed loop” system in the hand piece. “Closed loop” means that when you take the hand-piece off a 90-degree angle from the skin, the machine stops spraying crystals. This combined projection-suction action creates a vigorous micro-massage the beneficial effects of which reach deep into the dermis skin layer, stimulating all the cell components right through the epidermis. When the epidermis is stimulated with this controlled tapping, the glass micro spheres provide an adjustable three-dimensional, stimulation of the face or body. This mechanical massage stimulates the base foundations of the connective tissue enhancing the formation of collagen and the protein transfer from one cell to another. A main advantage of using the glass micro spheres compared to the crystals used in traditional microdermabrasion is that their perfect spherical shape does not abrade the skin, but instead promotes skin regeneration through a mechanical and non irritating action. 48 The glass micro spheres have a size of around 100 microns compared to the irregular shaped corundum crystals that are used in traditional microdermabrasion which are usually circa 200 microns in size. Not only does the MDP method provide a more pleasant treatment for the client but the spherical shape and smaller size of the crystals also greatly reduces the potential for machine blockage problems commonly associated with traditional microdermabrasion systems. 49 Stage two: Exfoliation ~Used glass micro spheres and exfoliated cells pass through the second circuit which arrives into the Used crystals bottle. { Passage of glass micro spheres from the New glass micro spheres bottle. } Used glass micro spheres and exfoliated cells (red) are re-aspirated and transported through a separate circuit channel . | New glass micro spheres exfoliate the skin. 50 6. Microdermo Percussion (MDP) Applications Microdermo Percussion is effective and recommended for the following applications: 1. 2. 3. 4. 5. As an "anti-aging" therapy. The softening of lines and wrinkles. The reduction and softening of scar tissue. The minimization of hyper-pigmentation (i.e. age spots.). The smoothing and lessening of acne scars, including "ice pick" type scars. The removal and/or lessening of stretch marks. The repair of sun-damaged skin. Hard skin and calluses 6. 7. 8. Immediately after the treatment, the skin will be clean, clear, smooth, and healthy. This is accomplished by bringing the blood supply to the surface through aspiration. The blood supply feeds the tissue and stimulates the immune system to promote re-growth of new cells to replace those abraded by the corundum crystals. Microdermo Percussion treatments are effective both before and after laser treatment and/or a standard surgical face-lift. If treatment is applied before surgery, it will give the surgeon, smoother, cleaner and healthier skin to work with and thus enhance the results of surgery. If treatment is applied after surgery, it will maintain the results already achieved and smooth out the skin where lines may still be apparent. . NOTICE The sun’s rays will have an adverse effect on anyone who is undergoing treatment regardless of the original pigmentation of their skin prior to treatment. Clients MUST BE PROTECTED from the rays of the sun for A MINIMUM OF five (5) days following treatment. This protection is best accomplished by the application of a sunscreen with a very high sun protection factor (i.e. 30-40 SPF). 51 7. CONTRA-INDICATIONS (Where Microdermo Percussion is Not suitable) Microdermo Percussion (MDP) treatments are NOT suitable for any abnormal condition that is naturally, genetically, or biologically endemic to the patient. MDP will NOT be effective on warts, moles, birthmarks, or lesions caused by a dietary or hormonal imbalance. MDP should NOT be used on wounds, mucous membranes, pubic areas, nipples, armpits, ears, nails, teeth, and the delicate tissue below the eyebrow and surrounding the eye. All questionable lesions or items of unknown origin should be referred to a physician for diagnosis. Patients with active herpes simplex are also contraindicated for treatment until the virus becomes "non-active". 8. MICROVIBRATION By utilizing the patented Chroma Clear probe, micro-vibration can be selected and used during Aspiration, MDP Peeling, Phototherapy and Chromotherapy phases. If used during the MDP Peeling phase it helps the proliferation of basal cells via improvement of arterial-venous micro-circulation. If used in combination with the Chromotherapy, thanks to micro-impulses, it stimulates the basal germinative layer and accelerates cellular renewal. Moreover Microvibration also enables cosmetic products to penetrate to the deepest layers of the epidermis. The combination of Microvibration and light energy Chromotherapy encourages tissue re-epithelization and regenerates the connective tissue. In addition, when combined with blue light this method soothes and calms the skin and so is ideally applied post MDP Peeling 52 9. CHROMOTHERAPY What is chromotherapy? Chromotherapy is a therapy which uses colour and light to help body and mind to find their natural balance. Colour and light has been used to facilitate healing since the beginning of recorded time. 6000 years ago Chromotherapy was considered as the “medicine of the gods” and legends say that in the mythical gardens of Babylon people cured themselves thanks to the thousands of colours and perfumes of innumerable plants and flowers. The ancient Egyptians, Romans, Greeks and other major cultures made significant medical use of light and colour. They instinctively recognized the Sun as the primary source of longevity, health and healing. The first Greek philosopher Pythagoras used colour for healing five hundred years before the birth of Christ. Others classical philosophers such as Hippocrates, Plato, Aristotle and Pliny, all tried to explain the mysteries that colour contain. In astrology, specific colours have traditionally been associated with the different planets. Einstein’s theories inspired 20th century science and the application of colour and light took a quantum leap forward. At the most fundamental level, it is now accepted that every living creation, is dependent on light. What we are witnessing is the marriage of ancient wisdom with modern technology. Today, recent scientific discoveries confirm the validity of using colour and light for healing and harmonizing the balance of body and mind. 53 What is colour? The universe is a magnetic field of positive and negative charges, constantly vibrating and producing electromagnetic waves. Each of these has a different wavelength and speed of vibration; together they form the electromagnetic spectrum. We can see about 40 % of the colours in the elctromagnetic spectrum. These range from red at one end of the visible spectrum to violet at the other end. The visible colours of white light can be broken down into individual colour wavebands using a prism The effect of light and colour does not end when we close our eyes. Light is required for our cells to function normally and individual colours affect them by causing changes in growth and behaviour. Light and colour therefore affect our system at cellular level and the colour vibration patterns gives us life. At death these patterns are broken down and the body begins to decay. 54 How do we sense colours? Our eyes are our main light sensory organs. It is primarily through our eyes that natural sunlight enters the body. However, light also enters our body through our skin. We have all experienced the warming and sometimes burning rays of light when we have been out in the sun for too long. Even when we are clothed we still have a natural sensitivity to colour wavelengths. We know that dark clothing absorbs light and lighter colours will act to reflect it. However, we often favour wearing particularly colours not only because of the physical perception of wearing that colour but also the way specific colours can alter and affect our moods Accordingly, the energy of some colours may agitate and be uncomfortable to wear while others make us feel warm, relaxed and confident. It is not only the texture of the fabric but also the different energy contained in the colours that affect us. How does light affect our body? Light affects the pituitary gland also known as the ”master gland” of the endocrine system since it produces substances that regulate the hormones produced by the endocrine glands. These glands control many of our body functions including our patterns of growth and sleep, our temperature control, our sexual drive and energy levels, our metabolic rate and appetite. The pineal gland located deep within the brain is also light sensitive. The pineal gland acts as an internal body clock, producing a substance called Melatonin. Melatonin regulates our daily sleep cycles and also inhibits the aging of the cells and sexual maturation. At night when there is a lack of natural sunlight, melatonin production is increased which aids sleep, conversely, during daylight melatonin production is suppressed. 55 The amount and intensity of light reaching the pineal gland alters with seasonal daylight hours. Seasonal changes in the intensity of sunlight causes our body functions, like those of animals and plants, to mimic the energy of the season. So during the summer we feel full of vibrant energy, while during the winter months we become sluggish and less active in order to conserve energy. Chromotherapy and Phototherapy Studies Today, the therapeutic application of light and colour known as Chromotherapy is being investigated in major hospitals and research centres around the world. The application of light energy as a treatment therapy has also been termed “Phototherapy” derived from the measurement of light energy in units of photons. A recent scientific study disclosed that each cell in the body emits light. Light energy is in every nerve, cell, gland and muscle of the body and each emits its own unique level of vibration. When our body becomes out of balance, diseases occur. Each colour has it own frequency, vibration which has an effect upon each of us. Chromotherapy uses this approach to restore cells to an even level of balance and to stimulate the healing processes. The FDA has recently approved the application of red and blue light therapy for the treatment of acne. The American Academy of Dermatology has reported that blue light can be successfully used to destroy the bacteria that produces the inflammation associated with propionobacterium acnes. The British Journal of Dermatology recently reported that the combination of red and blue light could successfully treat acne. A recent study at Hammersmith Hospital indicated that the combination of red and blue light phototherapy for the treatment of acne produced quicker results than the application of blue light alone. 56 Researchers at Cornell University have also discovered that applying blue light resets the body’s internal clock, concluding that this could be useful for the treatment of jet lag and the sleep disturbances that often accompany shift work. NASA have recently conducted studies on the use of red LED light for the enhancement of cell growth and found that the application of Red LED light increased fibroblast activity and enhanced DNA synthesis. NASA’s studies were followed by research at Medical College of Wisconsin where it was demonstrated that Red LED light significantly enhanced and accelerated wound healing. The blue and red light emitting caps in the Chroma Clear are based on the beneficial and natural effects of blue and red light that act on the basal germinative layer, enabling the penetration of substances and improving arterial-venous microcirculation. The therapeutic qualities of colours are also successfully employed by “traditional” medicine. For example, treatment with blue light has replaced blood transfusions in the care of the newborn suffering from jaundice. Blue light in fact penetrates the skin and destroys the excess bilirubine, which the liver, not jet mature is unable to digest. After two or three days of this treatment babies have the ability to eliminate bilirubine by themselves. 57 BLUE LIGHT The Blue light used in the Chroma Clear has a wavelength of 435 nm +/-. For the Chinese, blue is the colour of immortality. It is also the colour of silence, calm and tranquillity, and is linked to contemplation and spirituality. In a blue room, it has been shown that a person’s heartbeat slows and body temperature decreases. In Chromatherapy, blue is used for its soothing and relaxing properties for the treatment of insomnia, hypertension, nervousness and palpitations. Treatments with continuous pulsating blue light are a valid aid in healing some afflictions of the circulatory system and are particularly effective in eliminating varicose veins in the legs. Blue is an extremely powerful anti-septic, its anti bacterial properties can help to heal throat problems, laryngitis, tonsillitis and gout. Moreover, it cools down inflammations (rheumatic ones as well), speeding up the healing processes and accelerating the repair response. RED LIGHT The Red light used in the Chroma Clear has a wavelength of 635 nm +/-. Red has the longest wavelength of all visible light and can penetrate to a tissue depth of about 8-10mm. Red light has the ability to increase the circulation and activate the adrenal glands. Red Light produces an anti-inflammatory action and is particularly beneficial in treating wounds, wrinkles and scar tissue. Red light has been shown to stimulate collagen protein and increase DNA and RNA synthesis essential for the repair of damaged tissue. 58 The Chromotherapy / Phototherapy function in the Chroma Clear The blue and red light Chromotherapy function is performed by replacing the tip used for MDP peeling and vacuum suction with the chroma caps that emit red and blue light. The use of the domed tipped Chroma caps provides the ability to touch the skin without irritating it and when combined with the microvibration function delivers a soothing massage. Moreover, when used in combination with the microvibration it enables skin care products to penetrate deeply into the epidermis. The effect of the blue light after MDP peeling has a soothing and calming affect on the skin. When combined with the hydro smoothing gel mask it acts to intensively hydrate the skin. The stimulatory effect of the red light directly on the skin is particular beneficial for the treatment of wrinkles and scar tissue. 10. HYDRO SMOOTHING GEL MASK Ingredients: Pure water, hyaluronic acid, collagen The Hydro Smoothing Gel Mask uses patented transparent colloid technology to deliver active hydrating nutrients to the skin tissue. The unique material of the gel mask delivers true skin hydration from both the outside in and from the inside out. In other words, moisture is both drawn down from the hydrating properties of the mask (pure water, hyaluronic acid and collagen) and pulled up through the dermis into the epidermis. The patented gel mask material forms a tight contact with the skin so separating the air from the skin. The occlusive properties of the mask retard evaporation of water from the skin (skin plaster effect) while at the same time drawing moisture down into the skin. 59 The Hydo Smoothing Gel Mask has been specifically formulated with humectant compounds that attract water from the dermis and harbour them into the epidermal layer. The combination of the gel mask’s humectant and occlusive properties provide a complimentary action in achieving and maintaining optimal skin hydration. 11. Overview of Treatment Functions By exfoliating the stratum corneum the CHROMA CLEAR device corrects skin problems such as: all types of scars (acne, chicken pox, injury, operation, burns, keloids), age spots, stretch marks and wrinkles. The CHROMA CLEAR system combines 5 separate treatment actions: x Exfoliation through the propulsion of glass micro spheres x Hyperaemic stimulation produced by a powerful vacuum pump, x Tissue relaxation through micro vibrations x Skin rejuvenation through light stimulation. x Tissue hydration through the application of hydro smoothing gel mask The combination of these different actions on the treatment area produces an overall improvement in the clarity of the skin tissue, an increase in skin elasticity, hydration of the skin tissue and an improvement in circulatory function. The CHROMA CLEAR device is equipped with three separate Treatment Phase control buttons that enable the operator to select the type of treatment program to be used: The VACUUM control button will start the suction phase (vacuum-hyperaemia) The PEELING control button will start up the second exfoliation phase with the glass micro spheres The abrasive power can be adjusted with the use of the INTENSITY control positioned to the left of the front panel and has a maximum (+) and minimum (-) level. This allows the operator to predetermine the speed of the crystals’ propulsion. If a stronger abrasion is necessary work for longer on the area being treated or carry out more sessions. It is important to remember that: slow movements result in a stronger abrasion whereas fast movements result in a weaker abrasion 60 The CHROMA VIBRATION control button has dual functionality: it will activate the micro vibration phase, and can be selected to work with either VACUUM, PEELING OR CHROMO/PHOTO THERAPY to relax the skin tissue, increase the stimulation of the cellular turnover and provide a pleasant treatment sensation. To activate the Chromotherapy or Phototherapy applications the microdermo percussion tip is simply replaced with the appropriate chromo therapy blue light cap or photo therapy red light cap. 12. FIG 1 VACUUM / PEELING 61 13. FIG 2 BLUE LIGHT CHROMATHERAPY / MICROVIBRATION 62 FIG 3 RED LIGHT PHOTOTHERAPY / MICROVIBRATION 14 63 FIG 4 BLUE LIGHT CHROMOTHERAPY / MICROVIBRATION APPLIED OVER HYDRO SMOOTHING GEL MASK 15 64 16. FIG 5 DIRECTIONAL LYMPHATIC DRAINAGE MOVEMENTS For vacuum /chromotherapy/phototherapy phases 65 17. FIG 6 DIRECTIONAL MOVEMENTS FOR PEELING PHASE 66 18. HYDRO REGENERATING TREATMENT Ideal frequency: once a week treatment length: 25 –30 minutes Ideal No of treatments: 12 –15 sessions Followed by : 1 treatment every month Indications: wrinkles and fine lines, mature skin, dehydrated skin 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Fill the clean micro spheres bottle 2A with the glass micro spheres. Cleanse the area to be treated thoroughly in order to completely degrease the area. Dry the area thoroughly. Switch on the machine using the switch on the external adaptor connected to the mains. Attach suction/peeling nozzle cap Press the VACUUM CONTROL BUTTON to activate the suction (first basic function of the device). Follow the lymph drainage pattern Fig 5 . Make confident and even movements, keeping the skin taut with your free hand. After having carried out a thorough vascularisation for at least 5-10 minutes over the entire area, go to the peeling phase. Press the PEELING CONTROL BUTTON to activate the exfoliation (second basic function). Adjust the strength using the 1P button. The power suitable for the type of skin and type of treatment can be obtained by pressing the Ÿ and ź buttons, while keeping the hand piece blocked in order to view the power on the digital vacuum gauge positioned above these buttons. Focus on flexure lines and dry spots. Follow Peeling movements Fig 6 Make confident and even movements with the hand piece over the area to be treated. If too many Micro spheres accumulate on the area to be treated, press the pedal to temporarily suspend the emission of the glass micro spheres and remove the residual micro spheres with the vacuum generated. This phase should take between 5- 10 minutes When the treatment is finished press stop. This ends the exfoliation phase. Set the timer to zero with the reset button, if necessary. Cleanse the treated area thoroughly with water in order to completely remove the Glass micro spheres from the area. Dry the cleansed area. Apply the HYDRO SMOOTHING GEL MASK. Replace the suction/peeling nozzle with the blue light Chroma Cap. Press the CHROMO VIBRATION CONTROL BUTTON to activate the chromo therapy with BLUE LIGHT function and the MICRO VIBRATION. Work with the chromo cap dome head over the gel mask in gentle sweeping movements following the lymph drainage pattern Fig 5 for at least 10 minutes Remove the hydro smoothing gel mask. Remove any excess moisture on the skin with dry blotting tissue. Apply sunblock To switch off the device entirely press the stop button positioned underneath the VACUUM CONTROL BUTTON and then press the main switch on the external adaptor connected to the mains. 67 19. ANTI-AGING TREATMENT Ideal frequency: once a week treatment length: 30- 40 minutes Ideal No of treatments: 12 –15 sessions Followed by: 1 treatment every month Indications: wrinkles and fine lines, mature skin, dehydrated skin 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Fill the clean micro spheres bottle 2A with the glass micro spheres. Cleanse the area to be treated thoroughly in order to completely degrease the area. Dry the area thoroughly. Switch on the machine using the switch on the external adaptor connected to the mains. Attach suction/peeling nozzle cap Press the VACUUM CONTROL BUTTON to activate the suction (first basic function of the device). Follow the lymph drainage pattern Fig 5 but focus on flexure lines, over risorius, obicularis oculi and corrugator muscles. Make confident and even movements, keeping the skin taut with your free hand. For a Lifting effect combine the Vacuum phase with MICROVIBRATION by pressing the MICROVIBRATION CONTROL BUTTON After having carried out a thorough vascularisation for at least 5-10 minutes over the entire area, go to the peeling phase. Press the PEELING CONTROL BUTTON to activate the exfoliation (second basic function). Adjust the strength using the 1P button. The power suitable for the type of skin and type of treatment can be obtained by pressing the Ÿ and ź buttons, while keeping the hand piece blocked in order to view the power on the digital vacuum gauge positioned above these buttons. Focus on flexure lines. Follow Peeling movements Fig 6 Make confident and even movements with the hand piece over the area to be treated. If too many Micro spheres accumulate on the area to be treated, press the pedal to temporarily suspend the emission of the glass micro spheres and remove the residual micro spheres with the vacuum generated. This phase should take between 5- 10 minutes When the treatment is finished press stop. This ends the exfoliation phase. Set the timer to zero with the reset button, if necessary. Cleanse the treated area thoroughly with water in order to completely remove the Glass micro spheres from the area. Dry the cleansed area. Replace the suction/peeling nozzle with the red light Chroma Cap. Press the CHROMO VIBRATION CONTROL BUTTON to activate the PHOTOTHERAPY WITH RED LIGHT and MICRO VIBRATION. Work with the red light chromo cap dome head following the lymph drainage pattern Fig 5 but focus on flexure lines and wrinkles around the obicularis oculi and frown lines around the corrugator. This phase should take 5-10 minutes Apply the HYDRO SMOOTHING GEL MASK. Press the CHROMO VIBRATION CONTROL BUTTON to activate the PHOTOTHERAPY WITH RED LIGHT and the MICRO VIBRATION function. Work with the red light chromo cap dome head over the gel mask in gentle sweeping movements following the lymph drainage pattern Fig 5 for at least 10 minutes Remove the hydro smoothing gel mask. Remove any excess moisture on the skin with dry blotting tissue. Apply sunblock To switch off the device entirely press the stop button positioned underneath the VACUUM CONTROL BUTTON and then press the main switch on the external adaptor connected to the mains. 68 20. ACNE, BLEMISHES TREATMENT Ideal frequency: once a week treatment length: 30- 50 minutes Ideal No of treatments: 12 – 15 sessions Followed by: 1 treatment every month Indications: acne, blemishes, inflammation 1. 2. Fill the clean micro spheres crystals bottle 2A with the glass micro spheres. Cleanse the area to be treated thoroughly in order to completely degrease the area. Dry the area thoroughly. 3. Switch on the machine using the switch on the external adaptor connected to the mains. 4. Attach suction/peeling nozzle cap Press the VACUUM CONTROL BUTTON to activate the suction (first basic function of the device). 5. Follow the lymph drainage pattern Fig 5 but focus on areas of acne, blemishes and inflammation. Make confident and even movements, keeping the skin taut with your free hand. 6. After having carried out a thorough vascularisation for at least 5-10 minutes over the entire area, go to the peeling phase. 7. Press the PEELING CONTROL BUTTON to activate the exfoliation (second basic function). 8. Adjust the strength using the 1P button. The power suitable for the type of skin and type of treatment can be obtained by pressing the Ÿ and ź buttons, while keeping the hand piece blocked in order to view the power on the digital vacuum gauge positioned above these buttons. 9. Focus on areas of acne, blemishes and inflammation . Follow Peeling movements Fig 6 Make confident and even movements with the hand piece over the area to be treated. If too many micro spheres accumulate on the area to be treated, press the pedal to temporarily suspend the emission of the glass micro spheres and remove the residual micro spheres with the vacuum generated. This phase should take between 5- 10 minutes 10. When the treatment is finished press stop. This ends the exfoliation phase. Set the timer to zero with the reset button, if necessary. 11. Cleanse the treated area thoroughly with water in order to completely remove the Glass micro spheres from the area. Dry the cleansed area. 12. Replace the suction/peeling nozzle with the red light Chroma Cap. Press the CHROMO VIBRATION CONTROL BUTTON to activate the PHOTOTHERAPY WITH RED LIGHT function and MICRO VIBRATION. Work with the red light chromo cap dome head following the lymph drainage pattern Fig 5 but focusing on areas of acne, blemishes and inflammation. This phase should take 5-10 minutes. 13. Replace the red light Chroma Cap with the blue light chroma cap. 14. Press the CHROMO VIBRATION CONTROL BUTTON to activate the CHROMOTHERAPY BLUE LIGHT function and MICRO VIBRATION. Work with the blue light chromo cap dome head following the lymph drainage pattern Fig 5 but focusing on areas of acne, blemishes and inflammation. This phase should take 5-10 minutes. 15. Apply the HYDRO SMOOTHING GEL MASK. 16. Press the CHROMO VIBRATION CONTROL BUTTON to activate the CHROMOTHERAPY BLUE LIGHT and the MICRO VIBRATION function. Work with the blue light chromo cap dome head over the gel mask in gentle sweeping movements following the lymph drainage pattern Fig 5 for at least 10 minutes 17. Remove the hydro smoothing gel mask. Remove any excess moisture on the skin with dry blotting tissue. 18. Apply sunblock To switch off the device entirely press the stop button positioned underneath the VACUUM CONTROL BUTTON and then press the main switch on the external adaptor connected to the mains. 69 21. STRETCH MARKS AND SCAR TISSUE TREATMENT Ideal frequency: once a week treatment length: 30 minutes Ideal No of treatments: 15 - 20 sessions Followed by: 1 treatment every 3 months Indications: stretch marks, scar tissue 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 17. 18. Fill the clean micro spheres bottle 2A with the glass micro spheres. Cleanse the area to be treated thoroughly in order to completely degrease the area. Dry the area thoroughly. Switch on the machine using the switch on the external adaptor connected to the mains. Attach suction/peeling nozzle cap Press the VACUUM CONTROL BUTTON to activate the suction (first basic function of the device) focus on the area affected by the stretch mark or scar. Make confident and even movements, keeping the skin taut with your free hand. After having carried out a thorough vascularisation for at least 5 minutes over the area, go to the peeling phase. Press the PEELING CONTROL BUTTON to activate the exfoliation (second basic function). Adjust the strength using the 1P button. The power suitable for the type of skin and type of treatment can be obtained by pressing the Ÿ and ź buttons, while keeping the hand piece blocked in order to view the power on the digital vacuum gauge positioned above these buttons. Focus on the area affected by the stretch mark or scar and work over the area in alternate zig zag and up and down movements. Make confident and even movements with the hand piece over the area to be treated. If too many crystals accumulate on the area to be treated, press the pedal to temporarily suspend the emission of the glass micro spheres and remove the residual micro spheres with the vacuum generated. This phase should take around 5 minutes When the treatment is finished press stop. This ends the exfoliation phase. Set the timer to zero with the reset button, if necessary. Cleanse the treated area thoroughly with water in order to completely remove the Glass micro spheres from the area. Dry the cleansed area. Press the VACUUM CONTROL BUTTON to activate the suction and press the MICROVIBRATION CONTROL BUTTON to activate simultaneous MICROVIBRATION. Focus on the area affected by the stretch mark or scar. Make confident and even movements, keeping the skin taut with your free hand. This phase should take about 5 minutes. When the treatment is finished press stop. Replace the suction/peeling nozzle with the red light Chroma Cap. Press the CHROMO VIBRATION CONTROL BUTTON to activate the PHOTOTHERAPY WITH RED LIGHT with MICRO VIBRATION. Work with the red light chromo cap dome head over the area affected by the stretch mark or scar. This phase should take 5 minutes. Replace the red light Chroma Cap with the blue light chroma cap. Apply a cut out section of the HYDRO SMOOTHING GEL MASK over the area affected by the stretch mark or scar. Press the CHROMO VIBRATION CONTROL BUTTON to activate the CHROMOTHERAPY BLUE LIGHT and the MICRO VIBRATION function. Work with the blue light chromo cap dome head over the gel mask covering the area affected by the stretch mark or scar for at least 10 minutes Remove the hydro smoothing gel mask. Remove any excess moisture on the skin with dry blotting tissue. Apply sunblock To switch off the device entirely press the stop button positioned underneath the VACUUM CONTROL BUTTON and then press the main switch on the external adaptor connected to the mains. 70