Laser Hair Removal & Fraxel Qualification Form (level 1-111 qualify)
Answers About FRAXEL Laser Skin Rejuvenation
Results you can see and feel.T
Fraxel Treatment is a safe, non-invasive procedure that allows you to rediscover the fresh, healthy skin of your youth.
Benefits of Fraxel Treatment
- Improve texture tone and pore size
- Erase unwanted brown spots
- Smooth wrinkles around the eyes and acne scars
- Rejuvenate your face, neck, chest and hands
- Minimal downtime
Until now, two varieties of laser treatment have been available for cosmetic enhancement-ablative and non-ablative. Traditional ablative, which literally means vaporization at a very high temperature, are very effective at destroying unwanted tissue but may have significant side-effects and require a lengthy healing period. Non-fractional non-ablative, on the other hand, have very few side-effects and require almost no healing time, but may involve numerous treatments over many months to achieve only modest results.
At long last, a laser with the potency of ablative treatments and the gentle safety of non-ablative lasers received clearance from the US Food and Drug Administration to treat a variety of important cosmetic conditions.
Fraxel® Laser Treatment is designed to target aging and damaged skin by creating microscopic "wounds" within the targeted areas that penetrate well beneath the skin's outermost layer. In this way, Fraxel® Laser treatments trigger the body's own natural production of new collagen and skin cells. And because Fraxel® Laser Treatment combines the impact of ablative lasers with the gentleness of non-ablative lasers, healing occurs so quickly that there is very little downtime for patients.
Fraxel re:storeT Laser Therapy
Delivery
Delivers thousands of low energy (mJ) pulses in microscopic spots as handpiece glides over the skin. Each pulse creates a Microscopic Treatment Zone (MTZ)
Ablative Resurfacing Problems & Risks (Non FRAXEL Technology)
Infection and scarring
Hypopigmentation
Unnatural sheen to skin
Complex aftercare
Prolonged erythema
Ablative Resurfacing (CO2 Lasers)
Limited to face
A CO2 patient is raw for months where a Fraxel patient is receiveing several treatments which have minimal social interruption.
Non Ablative Treatment
Safer than ablative
Because it requires epidermal cooling:
FRAXEL Treatment
New class of therapy
Stratum corneum intact
Thousands of microscopic thermal wounds completely surrounded by viable tissue for rapid healing
Predictable immediate and delayed results
Epidermal coagulation for resurfacing effect
Dermal denaturation for deep remodeling
CO2 Versus FRAXEL Treatment
CO2 vs. Fraxel® - not much difference
FDA-Cleared Indications
Treatment of periorbital wrinkles
Photocoagulation of pigmented lesions including lentigos (age spots), solar lentigos (sun spots), and dyschromia
Resurfacing
Melasma
Acne scars
surgical scars
stretch marks
This Is Why Patients Heal Quickly
Each treatment targets 5-48% of total tissue, leaving 52-95% untouched. This is why you will need a series of 3-5 treatments
What Happens To The Patient POST-TX
Immediately post = look & feel like bad sunburn (red, swollen, inflammed)
2- 4 days = Bronzed appearance, Rough texture - MENDS come to surface (DO NOT EXFOLIATE) - Flaking, mild crusting and may have some small milk like bumps in nose and chin area.
About 2 - 4 weeks to complete healing - ready for next FRAXEL!!
Patient Screening: Contraindications
Similar to ablative therapies, including:
Accutane or drugs in a similar class 6 months prior to treatment
Predisposition to keloid formation or excessive scarring
Lesion suspicious for malignancy
Unrealistic patient expectations
Patient Screening: Other Treatment Considerations
Active tanning/UV exposure within last two weeks
Active infection: bacterial, viral, fungal
Prophylaxis for oral herpes indicated
Predisposition to hyperpigmentation
Regimen for prophylaxis indicated
Hx of topical retinoids or retinols 2 weeks prior to treatment
Compromised ability to heal
Be aware that current anticoagulant or medication that can affect coagulation and predispose patient to petechiae
Fillers recommended after series of FLT complete
No studies on cosmetic tattoos
Post Procedure Instructions
Do not rub too vigorously
Ice packs for remainder of day
Sleep elevated first night
SPF 30+ sunscreen/moisturizer (non-clogging)
Strict adherence to sun protection
Time Between Treatments
Generally 2-4 weeks, or more Based on:
Treatment condition
Skin-type, propensity for Pigmentation post proceedures
e.g., Fitzpatrick IV, V, VI
longer treatment interval (4-6 weeks)
wait until inflammation subsides
Previous response to treatment
Fractional Resurfacing: Before And After
photo damage before and after photo - Courtesy of J. M. Mazer, M.D.
photo damage before and after photo - Courtesy of S. Wall, Jr., M.D.
photo damage before and after photo - Courtesy of A. Menkes, M.D.
photo damage before and after photo - Courtesy of E. Kelly, M.D.
Fraxel Laser Resurfacing Pre-Procedural Instructions
1. Discontinue use of topical retinoids or glycolics (anti-aging products) two weeks prior to Fraxel treatment.
2. Discontinue use of Accutane at least six months to one year prior to Fraxel treatment.
3. Discontinue sun exposure.
4. Hydroquinone therapy if indicated.
5. Antiviral prophylaxis if history of Herpes Simplex virus.
6. Arrange for transportation to and from the procedure if taking pain or anti-anxiety medication. The treatment will take 1½ to 2 hours; there may be additional time required for preparation.
7. Plan to go home following the procedure.
8. Call the office if you are unable to keep the appointment.
Fraxel Laser Resurfacing Patient Discharge Instructions
1. You may experience some mild discomfort and/or stinging following the treatment. Use ice packs as needed for ten minute intervals every hour for the next 24 hours.
2. Drink plenty of fluids (water or juice is the best) to keep hydrated.
3. You may take showers or baths, but avoid using a washcloth or scrubbing the treated area for 24 hours.
4. Apply Sun Block and moisturizer twice per day.
5. Avoid use of anti-aging products (Retina-A) or petroleum based products (Aquaphor) for two weeks following the last procedure.
6. Continue use of antiviral prophylaxis for Herpes Simplex virus as ordered.
7. Sleep on elevated pillow to decrease inflammation.
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© LAT inc. 2011
All portions and the contents of this webpage, courses and
programs are copyright property of
The Institute of Advanced Medical Esthetics and can not be
copied, distributed or modified in
form. Entry into courses and this website constitute your
acknowledgment of this agreement.