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Rex Moulton-Barrett, MDRex Moulton-Barrett, MDPlastic & Reconstructive SurgeryPlastic & Reconstructive Surgery
San Leandro Surgery CenterSan Leandro Surgery Center
Managing Plastic Surgery PatientsManaging Plastic Surgery Patients Part Five Part Five
Single Treatment RecoverySingle Treatment RecoveryFraxel™ MicroLaserPeel™
Fraxel is a trademark of Reliant Technoloies Inc., MicroLaserPeel is a trademark of Sciton Inc.
Immediately after each treatment
Fraxel: 1550nm wavelength, 100 um spot, 250 spots/cm2=25% density, 350 um depth, 1 pass
Several months later MLP performed:2 passes at 25um: 50um total depth
Single Treatment RecoverySingle Treatment Recovery
Fraxel™ MicroLaserPeel™
Fraxel is a trademark of Reliant Technoloies Inc., MicroLaserPeel is a trademark of Sciton Inc.
5 days after treatment
Rex Moulton-Barrett, Rex Moulton-Barrett, MDMD
ScitonSciton ProfileProfile
Combination Combination therapytherapy
QuickTime™ and aTIFF (Uncompressed) decompressor
are needed to see this picture.
Botox - Asian Pt.Sciton Laser Resurfacing
Before Treatment - Relaxed 3 Mths. After - Relaxed
Note: No Transition Color Changes
Photos courtesy of Kent Remington, MD
Upper Blepharoplasty Sciton Resurfacing
Before Treatment “6” Days After
Photos courtesy of Kent Remington, MD
Rex Moulton-Barrett, MDRex Moulton-Barrett, MD
ScitonSciton ProfileProfile
Broad Band Light: BBLBroad Band Light: BBL
BBL – BroadBand Light
BBL Interchangeable FiltersBBL Interchangeable Filters
7 Filters (nm)7 Filters (nm)– 420 - Blue light420 - Blue light– 515 - Pigment515 - Pigment– 560 - 560 - VascularVascular & Pigment & Pigment– 590 - 590 - VascularVascular & & Hair Hair – 640 - 640 - VascularVascular & & Hair Hair– 695 - 695 - HairHair– ST ST -- Collagen Remodel Collagen Remodel
Collagen Remodeling & Collagen Remodeling & ContractionContraction
• Thermally injure a dermal region Thermally injure a dermal region
• Initiates wound healing responseInitiates wound healing response
• Stimulates fibroblast activityStimulates fibroblast activity
• Denatured collagen leads to contractionDenatured collagen leads to contraction
• Create collagen remodel or replacementCreate collagen remodel or replacement
Epidermis
Dermis
SkinTyte elevates subsurface temperature.A subsurface layer is briefly heated.Then is cooled.
Sciton SkinTyteSciton SkinTyte
Chilled Sapphire Plate12°C
55°C
Epidermis
Dermis
• Denatures collagen causing immediate contraction• Activates collagen generating fibroblasts leading to
long-term remodeling
Sciton SkinTyte
SkinTyte treatment
Before Immediately After
Untreated hand Immediately After Treatment
SkinTyte treatment