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Laser and Light Treatment of Acquired and Congenital Vascular Lesions

IPL treatment of PWS

IPL devices are broadband filtered xenon flashlamps that work based on the principles of selective photothermolysis. The emission spectrum of 515–1200 nm is adjusted with the use of a series of cut-off filters, and the pulse duration ranges from approximately 0.5 to 100 msec, depending on the technology. The first commercial system, Photoderm VL (Lumenis, Yokneam, Israel) became available in 1994, and has been used to treat vascular anamolies. Another, IPL Technology (Danish Dermatologic Development [DDD] Hoersholm, Denmark) with a dual mode light filtering has also been used to treat PWS. Many other IPL system have recently been developed, and the appropriate parameters for congenital vascular lesions are being developed. The IPL has been used successfully to treat PWS (Fig. 39.7),78–80 but pulsed dye laser remains the treatment of choice.

IPL technology has also been used to treat pulsed dye laser-resistant PWS. In the study by Bjerring and associates seven of 15 patients achieved over 50% lesional lightening after four IPL treatments. Most of these patients had lesions involving the V2 dermatome (medial cheek and nose), which are relatively more difficult to lighten. Six of seven of these patients showed over 75% clearance of their PWS. A 550–950-nm filter was used with 8–30-msec pulse durations and fluences of 13–22 J/cm2 to achieve tissue purpura. The 530–750-nm filter can also be used with double 2.5-msec pulses, with a 10-msec delay and fluence of 8–10 J/cm2. Epidermal cooling was not required. Treatment resulted in immediate erythema and edema, and occasional crusting. Hypopigmentation was observed in three patients, hyperpigmentation in one patient, and epidermal atrophy in one patient.

The basics of body fat

Let’s start with the basics. Not all fat is created equal. We have two distinct types of fat in our bodies: subcutaneous fat (the kind that may roll over the waistband of your pants) and visceral fat (the stuff that lines your organs and is associated with diabetes and heart disease).

From here on out, when we refer to fat, we are talking about subcutaneous fat, as this is the type of fat that cryolipolysis targets. A recent study showed that the body’s ability to remove subcutaneous fat decreases with age, which means we are fighting an uphill battle with each birthday we celebrate.

From popsicles to freezing fat

Cryolipolysis machine — which literally translates into cold (cryo) fat (lipo) destruction (lysis) — was invented, in part, by observing what can happen when kids eat popsicles. No kidding here. The cofounders of this process were intrigued by something called “cold-induced fat necrosis” that was reported to occur after young children ate popsicles that were inadvertently left resting on the cheek for several minutes. Skin samples taken from pediatric patients like these showed inflammation in the fat, but normal overlying skin. Thus, it appeared that fat may be more sensitive to cold injury that other tissue types.

HOW DOES IT WORK?

Coolplas Fat Freeze Machine uses rounded paddles in one of four sizes to suction your skin and fat “like a vacuum,” says Roostaeian. While you sit in a reclined chair for up to two hours, cooling panels set to work crystallizing your fat cells. “It’s a mild discomfort that people seem to tolerate pretty well," he says. "[You experience] suction and cooling sensations that eventually go numb.” In fact, the procedural setting is so relaxed that patients can bring laptops to do work, enjoy a movie, or simply nap while the machine goes to work.

WHO IS IT FOR?

Above all, emphasizes Roostaeian, CoolSculpting is “for someone who is looking for mild improvements,” explaining that it’s not designed for one-stop-shop major fat removal like liposuction. When clients come to Astarita for a consultation, she considers “their age, skin quality—will it rebound? Will it look good after volume is removed?—and how thick or pinchable their tissue is,” before approving them for treatment, because the suction panels can only treat the tissue it can access. “If someone has thick, firm tissue,” explains Astarita, “I won’t be able to give them a wow result.

WHAT ARE THE RESULTS?

“It often takes a few treatments to get to your optimum results,” says Roostaeian, who admits that a single treatment will yield very minimal change, sometimes imperceptible to clients. “One of the downsides of [CoolSculpting] is there’s a range for any one person. I’ve seen people look at before and after pictures and not be able to see the results.” All hope is not lost, however, because both experts agree that the more treatments you have, the more results you will see. What will happen eventually is an up to 25 percent fat reduction in a treatment area. “At best you get mild fat reduction—a slightly improved waistline, less bulging of any particular area that’s concerning. I would emphasize the word mild.”

WILL IT MAKE YOU LOSE WEIGHT?
"None of these devices shed pounds,” says Astarita, reminding potential patients that muscle weighs more than fat. When you’re shedding 25 percent of fat in a handful of tissue, it won’t add up to much on the scale, but, she counters, “When [you lose] what’s spilling over the top of your pants or your bra, it counts.” Her clients come to her in search of better proportions at their current weight, and may leave having dropped “one or two sizes in clothing.”

New design Cryolipolysis is safe for all skin types, with no reported pigmentary changes, and is safe for repeated application. Ferraro et al. suggest that patients who require only small or moderate amounts of adipose tissue and cellulite removal would benefit most from cryolipolysis treatment. Contraindications include cold-induced conditions such as cryoglobunaemia, cold urticaria, and paroxysmal cold haemoglobinuria. Cryolipolysis should not be performed in treatment areas with severe varicose veins, dermatitis, or other cutaneous lesions.

HIFU Decide Guide: Which Device is for you?

High-Intensity Focused Ultrasound also known as HIFU machine is a non-surgical, non-invasive treatment procedure that tightens and lifts the skin using ultrasound energy. It is taken to be a safe and effective procedure for tightening the facial skin.

Why Choosing The Right HIFU Device is Important?

Be sure to get a professional assessment before you start your HIFU treatment. This is because a professional and objective assessment from a specialist will help you discover the best form of treatment using the right multifunctional HIFU that is suitable for you..

What is the working principle for HIFU vaginal machine?

The vaginal HIFU machine uses an noninvasive ultrasonic focusing technique to focus on the mucous membrane fibrous layer and muscle layer directly. Using ultrasonic waves as the energy source and taking advantage of its penetration and focus, the system will send out ultrasonic energy focusing in the the lamina and muscle fiber layer in a predetermined depth. A higher intensity of ultrasonic region, called focus region, is formed. In 0.1 second, the temperature of the region can reach to above 65 ℃ , so the collagen is reorganized and the normal tissue outside the focal region is undamaged. Therefore, the desired depth layer can obtain the ideal effect of collagen concentration, reorganization and regeneration. Ultimately, the mysterious effect of vagina tightening is achieved.

Knowing that you are interested in 3D Hifu machine, we have listed articles on similar topics on the website for your convenience. As a professional manufacturer, we hope that this news can help you. If you are interested in learning more about the product, please feel free to contact us.3D HIFU is ultrasound energy distance of width, length and depth, which more Comprehensive, three-dimensional. Directly delivers heat energy to skin and subcutaneous tissue that can stimulate and renew the skin's collagen and thus consequently improving the texture and reducing sagging of the skin. The high quality handle with German imported motor can be used for life. Total 8 cartridges supply treatmetn for whole body. 1.5mm is for the forehead and around the eyes, 3.0mm is for the dermis layer--face treatment, 4.5mm is for the SMAS layer--face treatment, 6.0mm/8mm/10mm/13mm/16mm for body fat layer. Every cartridge can reach 20000 lines lifetime. 

4D HIFU machine uses the power of High intensity focused ultrasound to safely lift and tighten skin. High intensity focused ultrasound is a form of energy that is significantly different than light such as IPL and Lasers or Electrical (Radio-Frequency) energy. HIFU, protects the skin surface, whilst precisely penetrating at deeper depths and higher temperatures than Radio Frequency for example, treating beyond the Dermis and Foundation layers, where structural weakening starts.

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