The 2nd generation of Fractional Tx. With CIS-F1

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The 2nd generation of Fractional Tx. With
CIS-F1
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What is LASER ?
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L Light
A Amplification
S by Stimulated
E Emission
R of Radiation
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Diagram of a laser
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Diagram of a laser
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What makes laser different from other light
Sources?
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Monochromaticity Coherence the waves are
in phase in time and space. Collimation
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Laser and Tissue InteractionLaser targets
chromophore
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For effective use of laser, practitioners
must understand Laser tissue interaction
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Laser and Tissue InteractionLaser targets
chromophore
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• Typical chromophores
• (chromophores absorbing laser in tissue)
• Water (Chromophore of CIS-F1)
• Hemoglobin and Oxy-hemoglobin
• Melanin (including Hair)

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Laser and Tissue Interaction
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• Laser interacts with tissue by absorption,
  scatter and/or transmission.
• Grothus Draper Law Laser application of tissue
  is based on the absorption.

No Absorption No Effect
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Laser Tissue Absorption Spectrum
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1550 nm (ErGlass)
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3 Skin Layers
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Laser and Tissue Interaction
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Laser and Tissue Interaction
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Fractional irradiation
Fractional Tx. delivers multiful
micro-beams, which hits the surface of skin in
a fractionated manner and allows for fast healing
by intact surrounding healthy Tissues.
Benefit
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Laser and Tissue Interaction
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Cytokine GF
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Skin Tissue Interaction(CIS-F1)
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250mJ, Stamp mode (50mm tip) Depth 1800? Width
150 ?
200mJ, Stamp mode (100mm tip) Depth 1350? Width
200 ?
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Selective Photothermolysis
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Termal Relaxation Time(TRT)
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Comparison
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Ablative approach Excellent in skin
resurfacing More effective on single Tx.
Require less than 3 Tx. Combination
enhancement Prone to surface of skin Tx. (face
lift effect)
Non-ablative approach Excellent in skin
rejuvenation Minimal downtime Require less than
5 Tx. Combination enhancement Prone to dermis
Tx. (face volume up effect)
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-Termal peeling.-How it works.
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• Structural change in
• Keratinized outer layer
• (enhance absorption of
• topicals)

• Biomodulation lt 40C
• (Activity of cytokine )

• Stimulation of functional
• cells (Cytokine,GF)

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CIS-F1
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? Specification
Laser source RF CO2 Laser
Wavelength 10600nm
Operation mode Stamping / Moving (Scanning)
Pulse energy Stamp 1-250mJ (Depth 0.21.5mm) Moving 1-50mJ
Pattern size Handpiece diameter 30mm tip (microbeam dia. 150?)
Interface Touch Screen
Weight 30kg
Dimension 40(W)x55(D)90(H)cm
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CIS-F1

Tip length (Focal length) 50mm 100mm Surgical tip
Microbeam Size 80? 120?
Power Higher than 100mm tip applied Lower than 50mm tip applied
Application Deep penetration (Deep scar) Skin resurfacing Incision, Cutting, Nevus removal
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CIS-F1
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CIS-F1
User mode - easy to pick up the preset protocol
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Tailoring the treatment zone
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? Tailoring the treatment zone by drawing on
canvas (X-Y scanner). ? Customized design is
allowed for intensive treatment without excessive
damage to surrounding tissues.
Tailoring the spot pattern
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Regular forms
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16 standard regular forms
Max. 250mJ per micro dot
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Cooling and topical anesthesia before high
energy procedures
30 lidocaine gel is applied on face occlude for
30-40 mins with BioMask
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Terminology of Laser
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Dr. Gabriel Serrano, Spain
Immediate redness after Sellas laser
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Terminology of Laser
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Stamping mode
Dr. Gabriel Serrano, Spain
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Terminology of Laser
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Moving mode
Dr. Gabriel Serrano, Spain
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Post-Care Treatment
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Factors Moisturizing / Anti-inflammatory /
Revitalization / Sunscreen

• Sunscreen above SPF 50
• Vitamin C
• Retinol at night
• EGF, bFGF, Amino acid, Mineral, Co-enzymes,
  Necleonic acid
• Copper peptide, Glyco-protein

1. Fast recovery against PIH after laser
treatment (Whitening) 2. Improving skin tone and
firmness (tightening). 3. Anti-aging
restructuring of skin tissue 4. Post-trauma skin
repair
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Post-Care Treatment
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Post CIS-F1 treatment Immediate care First
week after treatment

• C- Vit serum / Lotion Factor G Lotion
  Moisturizing pack
• Sun screen
• Away from excessive heat stimulus such as sauna,
  hot spa

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Post-Care Treatment
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• Medical examination and treatment after 1 week
• Restart skin care at home
• Skin Healing or tighten mask as for cosmetic
  care (propymask, Biomask)
• Post CIS-F1 treatment Second week after
  treatment
• Return to regular skin care C-Vit Lotion
  Factor G lotion (scars)
• 
  RetiseS / Fillderma System (aging), C-Vit
• 
  DaeSeS (DMAE) for flaccidity
• 
  Kojic acid / Alfa lipoic / arbutin
  (bleaching)
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  JuveSeS Teens / SaliSeS(acne)
• Medical examination and treatment after 2
  weeks Combine treatments
• Start aesthetic treatment with chemical peel,
  IPL, RF, Microdermabrasion, electroporation for
  
• complementary approach (Antiaging, Whitening,
  Tightening)
• Second visit for CIS-F1 treatment after 4 weeks

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Contraindication for Sellas
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• Renal failure
• 2. Herpes simplex
• 3. Acute infection
• 4.Post thermal injury

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Advantages
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• Fast high density delivery
• Able to tailor stamping shape
• according to lesional shape
• Thermal peeling

Only Sellas can represent True 2nd
generation fractional laser!
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PHOTOS (BEFORE/AFTER)
Terminology of Laser
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Skin Photo Gallery
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Patient age 28 (Skin type IV) After 3 Tx
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Skin Photo Gallery
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Patient age 27 (Skin type IV) After 3 Tx
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Skin Photo Gallery
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Patient age 27 (Skin type IV) After 3 Tx
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Skin Photo Gallery
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Patient age 29 (Skin type IV) After 5 Tx
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Skin Photo Gallery
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Patient age 32 (Skin type IV) After 3 Tx
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Skin Photo Gallery
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Patient age 32 (Skin type IV) After 3 Tx
Patient age 46 (Skin type IV) After 3 Tx
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Skin Photo Gallery
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Patient age 25 (Skin type IV) After 3 Tx
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