CO2 Skin Resurfacing and ActiveFX

As today's image-conscious population matures, greater numbers of patients are seeking procedures to eradicate or minimize photodamaged skin and the ravages of time that cause skin to appear older. Fortunately, there are several technologies to meet the aesthetic needs of your patients, from the gold-standard of laser resurfacing with its broadened utility to the latest generation of non-ablative skin treatments using Intense Pulsed Light, as well as the complementary finishing polish achieved with microdermabrasion techniques.

Laser Skin Resurfacing
CO2 laser resurfacing MaxFX continues to be an ideal method for eliminating moderate to deep lines and creases due to aging and photodamage and with the ActiveFX peel using the CO2 lite features, is now the ideal method for a lighter minimal downtime peel.

Skin resurfacing with heavier settings is a tried and true approach to skin rejuvenation precisely removing layers of skin to correct fine lines and wrinkles, acne scars and smooth skin, soften pucker marks, and repair skin discoloration. The results of laser resurfacing are generally quite dramatic and long-lasting.

The UltraPulse Encore has broadened the applications for CO2 laser technology. This laser not only delivers superior tissue effects when treating moderate to deep wrinkles, but when performing a ActiveFX it also addresses fine lines and uneven pigment. By producing a controlled superficial laser peel confined to the epidermis, the ActiveFX with CO2 Lite improves skin tone and surface imperfections with only minimal downtime.

Laser Skin Resurfacing
Laser resurfacing is a precise, effective and long-lasting method of skin rejuvenation. The carbon dioxide (CO2) laser precisely and evenly ablates the surface of the skin, layer by layer, permitting clear definition of landmarks and optimal depth control—a valuable tool for treating a range of aesthetic conditions, including wrinkles, aging or tired eyelids and acne scarring.

The Ultrapulse Encore offers the versatility of deeper laser resurfacing or the Active-Fx minimal downtime treatment using the exclusive CO2 Lite feature.

UltraPulse Technology
UltraPulse high-energy, short-pulsed carbon dioxide laser technology creates a precise wound by means of thin layer ablation and controlled dermal coagulation, with a predictable zone of residual thermal damage. Clinically, there is global improvement in the appearance of the skin, with a reduction in solar lentigines, actinic keratoses and rhytids, and an improvement in overall pigmentation and skin tone. Histologically, there is cytologic and architectural normalization of the epidermis, and the formation of a dermal repair zone consisting of youthful dense, parallel arrays of collagen bundles in an expanded papillary and reticular dermis.

The depth of dermal heating from residual thermal damage dictates the degree of clinical and histological improvement that will result, along with the duration of wound healing and postoperative erythema. With Max-Fx moderate to deep resurfacing, occlusive or open wound care techniques are employed and reepithelialisation occurs over a 7- to 10-day period postoperatively. Erythema typically endures for 3-4 months following the procedure. The UltraPulse Max-Fx can also be used to create a superficial wound that is confined to the epidermis when only light skin refinement is required or when the patient desires a more rapid recovery. To achieve superficial exfoliation, the CO2 Lite control is utilized with fluencies below the ablation threshold. A single pass imparts intraepidermal coagulation; thermal coagulation that is confined to the epidermis with little to no thermal injury in the dermis. The coagulated epidermis is left intact and serves as a natural wound dressing. Patients typically reepithelialise in 4-7 days and erythema is gone within 2-3 weeks. Healing times and improvements in cosmetic appearance are comparable to a "light" erbium treatment (3-5 passes using 5 J/cm2).


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