May 2010 | Practical Dermatology | 23Special editorial section.

Resurfacing DermaSculpt Offers Er:YAG Trifecta. Proponents of Er:YAGresurfacing now have the option of utilizing the 2940nmwavelength in three different ways. The new DermaSculptfrom HOYA ConBio (conbio.com) provides a fractionated mode(Sculpturization), light to deep ablation (Polish Peel), andtargeted treatment of discrete lesions (Chisel Touch).Clinicians can use the three available settings for comprehen-sive treatment of a single patient or selectively apply individ-ual settings to address specific concerns in a given patient.

The fractionated Sculpturization mode allows for treatmentof fine lines and photodamage, using a scanning handpiece.Penetration depths of up to 180 microns into the dermis areavailable at the 15J/cm2 setting. Non-ablative, no-downtimeor light ablative treatment are possible. Multiple patternshapes are available to customize treatment.

The Polish Peel ablative setting permits light-to-deep abla-tion, including treatment of deeper rhytides and

scars (including acne scars). Handpieces areavailable in 3, 5, and 8mm.

Finally, the Chisel Touch setting utilizes 400and 600 micron tips for treatment of smallanatomic sites, such as crevices and sides ofthe nose. It is also ideally suited for treat-ment of discrete lesions, such as seborrheickeratoses (SKs).

In a single patient, a PolishPeel could beused to improve tone, texture, and pigment,while Sculpturization could be applied forcollagen remodeling and overall skinsmoothing and tightening.

DermaSculpt can be used in darker skintypes, including types IV and V. Modalitiescan be obtained all at once or customized.

Fractional and Ablative Fusion for Pearl. Relatively new tothe market from Cutera (cutera.com) is the Pearl Fusion,the latest Fractional and Ablative Solution from the CuteraAesthetic Solutions family of devices. The Pearl Fusioncombines the benefits of Pearl ablative resurfacing with

those of Pearl Fractional into a single therapy. Pearl, PearlFractional, and Pearl Fusion feature Cutera’s exclusive YSGG2790nm wavelength. Pearl ablative resurfacing is a minimaldown-time (three to four days, no weeping and oozing)procedure performed with only topical anesthetic for thetreatment of fine lines/wrinkles, dyschromia, andimprovement of tone and texture. Pearl Fractional offersdeep fractional ablation (more than 1mm) for treatment ofsignificant dermal damage and photoaging, also with mini-mal downtime. The novel Pearl Fusion, indicated for wrin-kles, fine lines, dyschromia, pore size, skin tone and tex-ture, offers full ablation plus deep frac-tional energy deposition, while maintain-ing minimal downtime. Cutera says treat-ment can be delivered rapidly. The com-bined therapy provides the benefits ofeach individual laser in one treatmentsession.

Rejuvenation/TighteningC5 Added to MedLite C Series. Anothernew offering from HOYA ConBio is theMedLite C5, a new addition to theMedLite C series Q-switchedNd:YAG lasers. The system deliverstwo wavelengths: 1064nm and

24 | Practical Dermatology | May 2010

Patient is shown before (left) and six weeks after (right) PearlFractional therapy. Photos courtesy of Dr. Janet Turkle, provided byCutera.

Special editorial section.

The anti-aging market has more than one face,more than one type of skin.

RevLite’s PhotoAcoustic Technology Pulse

Imagine one laser for all patients who want to treat the pigment, wrinkle

and texture problems of photodamaged skin. The RevLite Q-Switched

Nd:YAG harnesses sophisticated PhotoAcoustic Technology Pulse for a

superior collagen rebuilding effect different from photothermal systems.

Waves of energy safely, gently, vibrate the collagen fibers, reorganizing the

skin’s scaffolding and stimulating new collagen growth.

It’s a revolutionary approach to a more refreshed appearance, even tone,

smoother texture, tighter skin and smaller pores. Comfortably.

Regardless of age, gender or skin type.

One laser. Multiple indications. Disruptive technology.

Wrinkles | Acne Scars | Epidermal, Dermal & Pigmented Lesions

Vascular Lesions | Multi-Color Tattoos | Hair

Contact HOYA ConBio™ at 800-532-1064 or visit www.conbio.com

Visit HOYA ConBio at ASLMS in Booth 311.

532nm with nano-second pulse widths (PhotoAcoustic Therapyor PhotoAcoustic Technology Pulse (PTP)). PTP delivers highpeak power with short pulse durations. The nanosecond pulseconfiguration is intended to deliver a photoacoustic and subtlephotothermal effect.

Intended for skin rejuvenation, wrinkle/scar reduction, andbasic red and black tattoo removal, the MedLite C5 is offeredas an affordable entrée into the MedLite C platform. The C5system can be upgraded to the C6, which adds 585 and 650nmwavelengths via the Multi-Lite dye handpieces.

Reaction Introduces Multi-Channel RF. For radiofrequencyskin tightening and body contouring, the multi-frequencyReaction from Viora (vioramed.com) permits 144 differenttreatment settings. Three frequency channels are available forvarious depths of penetration, and a fourth multi-modeoption delivers all three frequencies. Reaction features

Channeled OptimalRF Energy or CORETechnology thatenables the multi-channel approach.Each frequency(2.4Hz, 1.8Hz,0.8Hz) provides adifferent depth ofpenetration, tar-geting of the der-mis, subcutaneouslayer, and hypoder-mis. Multi-RF tar-gets all threedepths. Treatmentcan be customizedfor skin tightening,lipolysis, or cel-lulite treatment andcircumferential

reduction. Theinclusion of vacuum

therapy facilitates deeper energy penetration and, accordingto Viora, it can “increase local blood circulation, promotelymphatic drainage and induce lipolysis.”

Treatments can be applied to the face, arms, belly, but-tocks, hips and thighs, and legs and range from about 20 to30 minutes, depending on the treatment site. There is nodowntime and no significant discomfort associated withtreatment.

Reaction joins Viora’s other product offerings, includingthe Trios IPL for long-term hair reduction, removal of vascu-lar and pigmented lesions, photodamage (age spots, finelines/wrinkles), and acne. The system provides a large spotsize (7.5cm2) with fast repetition rates to support rapidtreatments.

Thulium Laser a Market First. The1927nm Thulium laser is new tothe aesthetics market and isfeatured in the Fraxel re:storeDual system from Solta(soltamedical.com; fraxel.com).The Thulium fiber laser targetsunwanted pigmentation, whilethe 1550nm Erbium fiber laserallows non-ablative skin resur-facing. According to Solta, the1927nm Thulium laser is associ-ated with greater patient com-fort, allowing treatment of largeareas. Focal cooling is also builtinto the handpiece. A new scan-ner design is intended toincrease procedure speed by 25percent.

Early data suggest the bene-fit of the Fraxel re:store Duallaser to treat actinic keratoses(AKs) on the face or other pho-todamaged areas of the body.Initial results from an ongoing

26 | Practical Dermatology | May 2010

Patient is shown before (top) and after(bottom) Reaction therapy. Photos providedby Viora.

Patient is shown before (top)and two weeks after twoFraxel re:store Dual sessions(bottom). Photos courtesy ofSolta Medical Aesthetic Center.

Special editorial section.

Photos courtesy of G. Munavall i, MD & R. Weiss, MD, J. Niamtu, DMD

Here's what your colleagues are saying about IRIDEX lasers:

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I have been using the Gemini® laser from IRIDEX for the past 6 years for a multitude of applications. The Gemini is one of my go-to lasers for treatment of telangiectasia and dyspigmentation of the face.”

Edward V. Ross, M.D.DermatologistSan Diego, CA

“ “The VariLite™ is a significant addition to our extensive laser practice. It is easy to operate and provides the staff and patients with instant gratification as almost all of the larger vessels disappear immediately and permanently.”

Diana D. Parnell, M.D.DermatologistGreenbrae, CA

“Patients are really surprised how little discomfort there is and how little time the treatment takes. The Gemini is the most popular laser in my practice. I would recommend it to anyone who desires to provide top notch clinical results.”

William Baugh, M.D.DermatologistFullerton, CA

“

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Iridex Results Ad 8-375x10-5.pdf 1 4/27/10 4:52 PM

clinical study found that treatment with the new Fraxelre:store DUAL laser resolved 86 percent of AK lesions whileimproving skin texture and pigmentation.

Thermage Introduces CPT. The new Thermage CPT system fea-turing Comfort Pulse Technology from Solta Medical offersimprovements over older Thermage systems(thermage.com). Thermage delivers pulsed radiofrequencyenergy for skin tightening and contouring. According toSolta, CPT features a new energy delivery algorithm that isdesigned to mimic Transcutaneous Electrical NerveStimulation or TENS therapy, which is commonly used tomanage chronic pain conditions by interfering with thebrain’s neural response mechanisms. The new algorithminterweaves pulsed radiofrequency delivery with coolingbursts. Additionally, a vibrating handpiece offers anotherapproach to pain control. Solta notes that controlled, split-faced clinical studies involving over 40 patients found thattreatment with vibration was preferred to treatment withoutvibration.

Additional features of the new system include aredesigned Face Tip 3.0 and seamless integration with theThermage Body Tip 16.0 for faster, more comfortable faceand body treatments.

Lux2940 Gets in the Groove. Now available from Palomar(palomarmedical.com) is the Groove Optic for the Lux2940fractional handpiece that creates a unique, grooved injurypattern on skin to increase ablative tissue coverage whilemaintaining the benefits traditionally associated with frac-tional approaches.

Other fractional ablative devices remove vertical columnsof tissue, however, the Groove Optic ablates lines of tissue.According to Palomar, this results in a uniform, high-cover-age pattern that “more effectively disrupts the structuralmemory of wrinkles.”

Hair RemovalSciton Rolls Out ClearScan. More comfortable, speedy hairremoval may be possible with the new 755nm AlexandriteClearScan ALX from Sciton (sciton.com). TheClearScan ALX uses a high-speed scannerand Large Area Pattern Generator (LAPG)technology for non-sequential energydelivery that is intended to provide pre-cise, uniform coverage. Continuouscontact cooling adds to the comfortof treatment. The scanningalexandrite technology isdesigned for rapid treatment.

The ClearScan ALX can also beused to treat vascular lesions,benign pigmented lesions andwrinkles, and the wavelength issuitable for use in all skin types.

Single spot settings are alsopossible. The system has no consumables, and treatment hasno downtime.

StriaeFirst Clearance for Striae Granted. The first device cleared byFDA for treatment of striae is the Lux1540 Fractional non-ablative laser handpiece from Palomar Medical Technologies,Inc. The StarLux laser and IPL platform permits a range of

28 | Practical Dermatology | May 2010

Patient is shown before (left) and three months after Thermagetreatment (right). Photos courtesy of Ivan Rosales, MD, providedby Solta.

Special editorial section.

May 2010 | Practical Dermatology | 29

Research and Industry NewsIridex ‘s 532nm long-pulsed Nd:YAG laser (Gemini,iridex.com) offers greater efficacy and lower risk of post-inflammatory hyperpigmentation compared to other systemsin the management of freckles and lentigines in darker skintones. That’s according to a recent comparison of the efficacyof four lasers (595nm long pulsed dye (LPDL), 755nm LPAlexandrite , 532nm QS Nd:YAG, and 532nm LP Nd:YAG) inthe treatment of 40 (randomized 10 per laser) Chinesepatients with Fitzpatrick skin types III and IV that was pre-sented at the American Society for Laser Medicine andSurgery last month (Abstract No. 136). Subjects received oneto four sessions provided four to six weeks apart and wereassessed after three to 12 months. In the Gemini group, 70percent of subjects had optimum improvement after six to 12months, compared to 50 percent of LPDL patients after threemonths and 60 percent of QS Nd:YAG patients after three to12 months. Alexandrite laser therapy did not provide statisti-cally significant improvement. There was no risk for post-inflammatory hyperpigmentation in the LP Nd:YAG group,compared to 38 percent risk with Alexandrite, 33 percent riskwith QS Nd:YAG, and six percent risk with LPDL.

Solta Medical, Inc. entered into a definitive agreement toacquire privately-held Aesthera Corporation for $5.25 millionin Solta common stock and cash, with potential additionalbaseline milestones of $750,000 for a consideration of $6.0million. Aesthera’s Isolaz and Isolaz Pro platforms, based onproprietary Photopneumatic technology, are the only laser orlight based devices with FDA marketing clearance for thetreatment of inflammatory acne, comedonal acne, pustularacne, and mild-to-moderate inflammatory acne.

Candela Corporation, a Syneron company will begin the sales

process and launch official marketing programs for the AlexTriVantage multi-wavelength, Q-switched laser system andthe GentleMax multiple wavelength workstation for salethroughout the People's Republic of China, including HongKong, following recent SFDA (State Food and DrugAdministration) of China approval. The Alex TriVantage laserprovides 755nm, 532nm and 1064nm output wavelengths, TheGentleMax integrates the GentleLASE and GentleYAG, into aconfigurable, upgradeable workstation featuring both 755nmand 1064-nm wavelengths for permanent hair reduction on allskin types and tanned skin as well as the treatment of vascularand pigmented lesions, wrinkle reduction and skin tightening.Syneron completed its acquisition of Candela in January (candelalaser.com).

Sciton has established its Sciton Japan subsidiary and opened acorporate office in Tokyo. According to the company, the Joulesystem is especially appropriate for Japanese clinics wherequality expectations are high and space is typically at a premi-um. The Joule offers a combination of 10 best-in-class mod-ules on a single platform with multiple methods of deliveringlaser and light energy. Physicians can start with one or moremodules and add more based on practice demand.

Ulthera, Inc., a therapeutic ultrasound medical device compa-ny has launched a first-of-its-kind technology to achieve anon-invasive eyebrow lift following FDA clearance for the useof its Ulthera System (ulthera.com). The device combinesvisualization beneath the skin’s surface using “DeepSEE”technology with non-invasive delivery of ultrasound energyat depths that enable significant lifting of the skin. Focusedultrasound energy triggers the body’s natural healingresponse, resulting in new and improved collagen supportand gradual firming, tightening and actual lifting of skin tis-sue over time, Uthera says. ●

aesthetic treatments through the selection of specific hand-pieces. The Lux1540 fractional non-ablative laser is also usedfor skin resurfacing and treatments of surgical and acne scars,and melasma. In ongoing clinical studies, subjects treated

with the Lux1540 have had an average improvement ofbetween 51 and 75 percent in the appearance of striae, basedupon a blinded review of pre-treatment and three-monthpost-treatment photographs. ●

Special editorial section.