Laser hair removal and Vascular Treatment with Excell HR Laser

Excell HR Laser - Hair Removal and
Vascular Treatments.
My Personal Experiences
www.ekremcivas.com
www.civashairtransplant.com
civasestetik@gmail.com

Titles
Part I
a. Key Parameters for Successful Laser Hair Removal
b. Excel HR Technical Properties
c. High Power 755nm Alexandrite
d. Long Pulse 1064nm ND Yag
e. Clinical Applications and results
Part II
– My Laser Journey
– My Personal Experiences with Lasers
– A short history of my experience with Excell HR laser
and Its advantages

excel HR™
21st Century Hair Removal
PART Ia
Key Parameters for Successful Laser
Hair Removal

What Makes a Successful LHR System?
Wavelength
Pulse
Duration
CoolingFluence
Spot Size

Wavelength (nm): 585 694 755 810 1064 2790 2940 10600
Laser Type: PDL Ruby Alex Diode Nd:YAG YSGG Erbium CO2
 Wavelength determines absorption target
 Absorption spectra help determine ideal wavelengths to heat desired
targets
 Wavelength affects light scattering (spread)
 Shorter wavelengths experience more scattering
 Scatter and absorption limit depth of heating
PenetrationDepth
Key Parameters for Successful LHR
1. Wavelength

Nd:YAG
• 1064 nm
• Skin Types I-VI
• Safest wavelength for darker
skin and tanned patients
• Effective on dark, coarse hair
Pulsed Light (IPLs)
• 590 to 1200 nm
• Skin Types I-V; best for light
skin and dark hair
• Shallower penetration –
deeper, thicker hairs not
treated as effectively
• Less precise – can lead to
heating of skin pigment
Alexandrite
• 755 nm
• Skin Types I-V; ‘gold standard’ for
I-IV
• More effective for finer, lighter hair
• Most globally requested, trusted
and utilized wavelength
Diode Laser
• 800, 810 nm
• Skin Types I-III; less for IV, V
• Peak Power/Brightness is a
fraction of Nd:YAG/Alex lasers –
can be less effective on finer,
lighter hair
• Blind to treatment area
Hair Removal Light Source Comparison

Wavelength - Depth
Visible Infrared
Dalgaboyu (nm): 532 585 694 755 810 1,064
Laser Type: FD 1064 PDL Ruby Alex Diode Nd:YAG

Wavelength - Chromophore
532 1064585 694 810755
1
10
100
Melanin
Hemoglobin
Pulsed
Dye
Ruby Alex Diode Nd:YAG
Wavelength
(nm)FD Nd:YAG

2. Spot Size
• Treat target and reduce risk to deeper structures by selecting
appropriate spot size (particularly for 1064 nm)
• Smaller spot size = less penetration, more scatter
– Targets more superficial structures (superficial, fine hair follicles)
• Larger spot size = deeper penetration, less scatter
– Targets deeper structures (hair)

3. Pulse Duration (PD)
• Measured in milliseconds (ms), based on target size and skin type
• Pulse duration controls efficacy
– Speed of heat escape is proportional to target size
– Shorter pulses are effective because energy is delivered faster than it can
escape
– Longer pulses protect the epidermis because heat can escape preventing heat
rise (Nd:YAG)
• Pulse must be shorter than the thermal relaxation time of the hair
– Coarse hair = 25-45 ms
– Fine hair = 3-10 ms

4. Fluence
• Measured in Joules/cm2 (J/cm2), amount of energy applied in a given area
• Total energy delivered is determined by both fluence and spot size
• Adjustments should be made based on clinical endpoints and epidermal
response
Decrease
Large Spot Sizes
Darker Skin Types
Increase
Small Spot Sizes
Lighter Skin Types
Fluence

5. Cooling
• Laser targets melanin in target hair follicles – cooling protects the
epidermis
• Cooling reduces the temperature rise in the epidermis and protects it
from damage, permitting higher fluences to be delivered
• Cooling acts as a local anesthetic for improved comfort
• Types of cooling
– Contact Cooling
– Cryogen (refrigerant) Cooling
– Refrigerated Air Cooling
• Contact cooling is superior as Cryogen cooling does not provide the
same level of variable protection and safety

5. Cooling
COOLING
Fluence
Cooling
Pre-Cooling
Pre-Cooling
+
Post-Cooling
Pre-Cooling
+
Parallel
+
Post-Cooling
Improved Comfort & Safety

excel HR™
PART Ib
excel HR technical properties

• Versatile, High Performance
– High-Power 755 nm Alexandrite + Versatile 1064
nm Nd:YAG
– Effectively treats ALL skin types
– Easily set 3-18 mm spot sizes optimized for hair
and vascular
• Rapid, powerful energy delivery
– Coverage rate 5.1 cm2/sec (755 nm)
– truPulse™ consistent long pulse energy delivery
(1064 nm)
• Comfortable treatments with Sapphire
contact cooling
– The only high power Alex product on the market
with contact cooling
– Effective, safe, comfortable
– Superb visibility of treatment site
15
excel HR

What can I treat with a premium 755 nm /
1064 Nd:YAG nm laser?
Hair
Removal
Vascular
Lesions
Benign
Pigmented
Lesions

excel HR
Indications for Use
• Hair reduction on all skin types (Fitzpatrick I –
VI) all hair type, including tanned skin
• Vascular lesions treatment
• Skin Rejuvenation
• Benign pigmented lesions treatment
• Onychomycosis
• Planter verruca treatment
• Seborrheic keratosis

Compact & Modern
Design
• Small footprint
• Quick start up
• Runs quiet and cool
• Plugs into 220v
No Disposables or
Consumables
• No consumables, no CFC’s, no
per shot, per patient costs
Intuitive User Interface
• Easy to navigate
parameters
Real Time Calibration
• System continually monitors
laser output to ensure each
laser pulse is exactly the
same.
• No waiting for calibration
High-power Alexandrite and Long-
pulse Nd:YAG Laser
• 50J Alex/80J Nd:YAG Max Energy
• Proprietary truPulse™ technology – the
only true long pulse Nd:YAG
• Up to 2 Hz Alex/10 Hz Nd:YAG
Superior Sapphire Contact
Cooling
• Pre, parallel and post-cooling
excel HR
Advanced Design, Modern Ergonomics
18
Modern Ergonomics
• Robust, extra-long 3 meter fiber
for optimal reach and easy
patient access
• Motorized spot size adjust – no
switching of fiber-optic
assemblies

Excellent Visibility
• Large diameter sapphire window
• Visibility throughout treatment
Adjustable Spot Size
• Motorized, on-the-fly adjustments
• No switching of fiber-optic assemblies
• 3-18 mm (Nd:YAG); 5-18 mm (Alex)
• Real time calibration
• Without wasting time
Sapphire Contact Cooling
• Clinically superior for laser hair removal
• Pre-, parallel-, and post-cooling
• Adjustable temperature sapphire window
4°C to 20 °C
excel HR
Intelligent Energy Delivery
19

•30% Smaller Footprint
•HALF the Volume
35”
45”
excel HR
Space Saving Footprint

Patient Preference
• Patient preference study*
– 5 subjects, Single LHR treatment
– ½ Tx with excel HR, ½ Tx with GentleMax Pro
– Energy delivery levels closely matched
– Patients rated pain score, overall satisfaction level
0
5
10
15
20
25
0
1
2
3
4
5
6
7
8
9
10
Back #1 Thigh #1 Chest #1 Chest #2 Legs #1
EnergyDelivered(J)
TxDiscomfortScore
Subject
excel HR competitor (cryo)
Energy (J) excel HR Energy (J) competitor (cryo)
100% of subjects preferred the
excel HR treatment overall!
All subjects found excel HR to be
the more comfortable Tx!
excel HR was 20% more
comfortable on average!
*Data on file

The Importance of Cooling
• Melanin is the target in hair follicles, but is
also a target in the epidermis
– Cooling reduces the temperature rise in the epidermis and protects it
from damage, permitting higher fluences to be delivered to the hair
follicles
• Cooling acts as a local anesthetic for improved
comfort
• Cryogen (refrigerant) cooling does not provide
this level of variable protection and safety

The Physicians Choice for Comfort & Safety
• “Sapphire contact cooling is superior for laser hair removal –
index matching and compression enable target structures to be
heated more efficiently while pre-, parallel-, and post-cooling spares
the epidermis.”
Source: Lasers Surg Med 2000; 26(2): 130-144
Evaluation of Cooling Methods for Laser Dermatology
H.H. Zenzie, MS, G.B. Altshuler, PhD,
M.Z. Smirnov, PhD, and R.R. Anderson, MD
• With a sapphire window temperature variable from 4oC to 20oC, physician
have controllable cooling to maximize safety, comfort and results

Improved Efficacy with Refractive Index Matching
• When the refractive index is “matched”, there is little or no bending (refraction)
when the light enters the transmission medium
• Refractive index values of sapphire and epidermal tissue are optimally
matched – as a result, the coupling of laser energy into tissue is more
efficient than through air
Sapphire refractive index is optimally
matched to skin and results in more
efficient coupling of laser energy to
follicular target structures
Refractive index mismatch
between air and skin results in
less efficient coupling of laser
energy to target structures
excel HR Other Technology

Index Matching & Optical Damping with Sapphire Lens
• Minimizing the light bending (refraction) ensures that more of the
light reaches the target tissue
• Matching the light path with the refractive index allows the light to
back scatter and escape without causing heat build up at the skin’s
surface – this is referred to as optical damping
• Sapphire contact cooling creates near ideal conditions for optical
damping – a thin liquid layer can be used to provide optical coupling
and enhance the optical damping effect
Index matching between
sapphire and skin allows
back scattered light to
escape, further protecting the
epidermis from heat build-up
Refractive index mismatch
causes internally reflected
laser light to accumulate
under the skin and contribute
to epidermal heating

Index Matching & Optical Coupling
Sapphire, n = 1.7
Air , n = 1.0
Antireflective coating w/
99.5% transmission
Gel, n = 1.4
Skin, n = 1.4
Sapphire, gel and skin
refractive indexes are
closely matched and step
down in index for direct
optical coupling of laser
photons into skin
WINDOW

excel HR
Enhanced Efficacy With Compression
• Skin compression collapses blood vessels, stretches the
skin and often decreases its thickness – thus shortening the
distance to follicular target structures for more efficient
heating

Patient Safety Benefits
• Contact cooling guarantees that laser treated areas are cooled and
protected
– Effective as long as the sapphire is in contact with the skin.
• Cryogen-spray cooling can result in burns if laser and cryogen are
misaligned
– Only cools until the cryogen evaporates
– Incorrect positioning can result in burns, hyperpigmentation
“Now it’s over 2 months after and I
have scars everywhere where I was
treated!”
LASER TREATED AREA
LASER TREATED BUT
NOT COOLED AREA
CRYOGEN
SPRAY
AREA

Other Operational Benefits
• Environmental
– No contribution to global warming like cryogen spray
• Tetrafluoroethane (R-134a) has a high global warming potential
• Candela DCD inventors @ Beckman Institute urging alternative1,2
• Operating Environment
– Doesn’t expose operator and patient to harmful CFCs3 like cryogen spray
• Operating Efficiency
– Doesn’t require 15 minute “warming time” like cryogen
– No pre-treatment alignment of “spray pattern” required
• System operating costs
– No impact to operating costs – disposable cryogen canisters impact operating
costs significantly ($5-45K/year)
1. Jia W, Svaasand LO, Nguyen TB, Nelson JS Dynamic skin cooling with an environmentally compatible alternative cryogen during laser surgery. Lasers Surg
Med. 2007 Dec;39(10):776-81; 2. US 2008/0071332 A1; 3. Material Safety Data Sheet, Clickmed Corporation, Gloucester, MA.

excel HR™
PART Ic
High Power 755 nm Alexandrite

excel HR
Hair
Removal
Vascular
Lesions
Benign
Pigmented
Lesions

755 nm Alexandrite
Fitzpatrick Skin Types I – IV

Overview
• Most trusted and utilized wavelength for laser hair removal
globally
• Only laser with sufficient melanin absorption and peak
power to effectively remove finer, lighter hair
• Has proven long-term results for permanent hair reduction in
skin prototypes 1-IV1,2 and is considered the ‘gold standard’
for treatment of these skin types
• The Alex wavelength is preferentially absorbed by melanin
and an optimized pulse width efficiently targets small to
medium follicular structures with less thermal diffusion
1. Grunewald S et al. Lasers Surg Med 2014; 46: 13-19. 2. Davoudi SM et al. Arch Dermatol 2008; 144(10):1323-7.

• Max Delivered Energy: 50 J
• Fluence: 4 - 100 J/cm2
• Spot Size: 5 – 18 mm Automatic
Adjustable
• Pulse Duration: 3 ms
• Repetition Rate: 0 to 2 Hz
• High power – 16.7 Kilowatts Peak Power
– no system faster or more powerful
• Epidermal Cooling: Cold Sapphire,
Adjustable 4-20°C
Technical Specifications

excel HR™
PART Id
Long Pulse 1064 nm ND YAG with
Exclusive truPulse Technology

excel HR
Long Pulse 1064nm Nd:YAG
Hair
Removal
Vascular
Lesions
Superficial
Pigmented
Lesions

1064 nm Nd:YAG
Long Pulse1064 nm Nd:YAG
Fitzpatrick Skin Types I – VI

Overview
• Cutera recognized as world leader in 1064 nm technology
• Neodymium yttrium aluminum garnet (Nd:YAG)
• Use of long pulse Nd:YAG for laser hair removal first published in 2001
– Lévy JL, Trelles MA, de Ramecourt A. J Cosmet Laser Ther. 2001 Dec;
3(4):175-9.
– Goldberg DJ, Silapunt S., Dermatol Surg. 2001 May; 27(5):434-6.
• Only truPulse™ 1064 nm laser on the market
• Greater depth of penetration than other lasers (>5 mm when used with
epidermal cooling)
• Lower melanin absorption (ideal for darker skin types)
• Long-pulsed Nd:YAG is considered the safest wavelength for hair removal
in skin types IV-VI, as well as tanned skin1,2 – it safely and effectively targets
larger deeper follicular structures in darker skin types
1. Wanner M. Dermatol Ther 2005; 18(3):209-216. 2. Battle EF Jr. J Drugs Dermatol 2011; 10(11): 1235-9

Technical Specifications
• Max Delivered Energy: 80 J
• Fluence: 3 – 300 J/cm2
• Spot Size: 3 – 18 mm
Automatic Adjustable
• Pulse Duration: 0.1 – 300 ms
• Repetition Rate: 0 to 10 Hz
• High power – 14 Kilowatts
Peak Power – fastest, most
powerful system
• Epidermal Cooling: Cold
Sapphire, Adjustable 4-20°C

Penetration Depth

excel HR
Long Pulse 1064 nm Nd:YAG
• truPulse™ – the only Nd:YAG laser with a true long pulse
temporal beam profile that measurably delivers
consistent levels of long pulse energy, pulse after pulse
(not a composite pulse)
10 msec truPulse™
Competitor “10 msec”

excel HR™
PART Ie
excel HR Clinical Applications and
Results

excel HR
Contraindications and Potential Complications
Contraindications include:
– Patients who are pregnant
– Patients who are undergoing treatment for
skin cancer

excel HR
Precautions
• Do not treat patients who have taken Accutane in the past 6
months
• Anticoagulants may increase the risk of purpura or bruising
• Gold therapy may cause blue-gray discoloration
• Vitiligo may cause de-pigmentation
• Pre-treatment with an antiviral may be indicated for patients
with herpes
• Use caution when treating patients with a history of keloids or
hypertrophic scarring
• Patients with hormone disorders (e.g., Polycystic Ovarian
Syndrome) may not see effective hair reduction
• Do not treat over open wounds

excel HR
Warnings
• Do not treat over dysplastic nevi or questionable
pigmented lesions
• Do not treat over or close to:
– Tattoos or permanent make-up
– Metal or electronic implants

excel HR
Patient Selection
• Patients should have brown or black hair
– Laser light is not absorbed by white, gray, red or light-blond hair
• excel HR is indicated for use on all skin types
– The 755 nm wavelength is recommended to treat skin types I-V
– The 1064 nm wavelength is recommended to treat skin types I-
VI including tanned skin

excel HR
Pre-Treatment Guidelines
• Clean the skin by removing all make-up and/or topical
anesthetic
• Ensure that the treatment area is clean shaven
• Instruct patients to not wax, pluck or tweeze hair
between treatments
• Topical anesthetic is optional and must be removed
before treatment
– CAUTION: Toxicity may result from overuse. Consult
the product labeling for any anesthetic used
• Ensure that ALL people in the treatment room are
wearing safety eyewear

excel HR
Treatment Precautions
• Be extra cautious when treating delicate or highly sensitive areas
(knuckles, genitalia, ears, upper lip, etc.)
– Provide extra cooling with handpiece and/or frozen gel pack. Thinner
skin is more easily damaged
– Insert damp cotton ball inside ear canal when treating the ear
– Pull skin away from testes to treat
– When treating near the mouth, a moist gauze can be placed between
the lips and teeth to protect teeth from discomfort
• Use extreme caution when treating near the eye
– Always treat outside the orbital rim of the eye aiming the beam away
from the orbit.
– Always use patient eye protection
– Point the treatment window away from the eye and apply to the skin
outside of the orbital rim

excel HR
Patient Comfort
• Cool Compress
– May be applied to increase patient comfort and increase
epidermal protection
• Topical anesthetic can be applied
– For highly sensitive areas
– For patients with low pain tolerance
– Must be removed before treating
– CAUTION: Toxicity may result with overuse
– Consult the manufacturer’s labeling

excel HR
Post Treatment Guidelines
For best results, ensure patient adheres to post-care
instructions:
– Avoid sun exposure and use a broad spectrum (UVA/UVB) sunscreen
– Redness and peri-follicular edema (looks like a rash/bug bites) are
common and resolve with time
– Bruising and swelling are less common but may occur and will resolve
with time
– If a blister develops, treat as a wound
– Hair may take up to 2 weeks to fall out
– Avoid heat – hot tubs, saunas, etc. for 1-2 days
– Avoid skin irritants (examples below) for a few days post-treatment
Products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids,
astringents, etc.
– Do not wax or pluck between treatments

excel HR
Treatment Intervals
• Treatment Interval recommendations are a general
guideline only and are a compilation of intervals
used by successful operators
• Facial hair: 6-8 week intervals between
treatments
• Body hair: 8-10 week intervals between
treatments
• Back or Leg hair: 10-12 week intervals between
treatments
• To maximize hair response, it is often best to space
the treatments further apart

Clinical Results
Preliminary Clinical Treatment (755 nm) – Patient X (Chest)
Pre-
Tx
6 Weeks Post 1 Tx
Photos courtesy of Cutera Research Center

Clinical Results
Preliminary Clinical Treatment (755 nm) – Patient Y (Full Back)
Skin Type V
Pre-Tx 6 Weeks Post 1 Tx 3 Months Post 1 Tx

Clinical Results
Preliminary Clinical Treatment (755 nm) – Partial Back
Pre-Tx 6 Weeks Post 1 Tx 3 Months Post 1 Tx

Clinical Results
Preliminary Clinical Treatment (755 nm) – Patient Z (Under Arm)
Pre-Tx 6 Weeks Post 1 Tx
3 Months Post 1 Tx

Clinical Results
1064 nm Nd:YAG Laser Hair Removal
Pre-
Tx
Post-
Tx
Photos courtesy of Eliot F. Battle, Jr., MD
Skin Type V

Clinical Results
• Pseudofolliculitis Barbae
Pre-Tx Post-
Tx

Clinical Results
Pre-Tx 8 Wks Post 3 Txs
Photos courtesy of Greg Waslen, MD

Clinical Results
Skin Type IV (Indian)
Pre-Tx Post 4
Txs
Photos courtesy of Kevin Smith, MD

Clinical Results
Pre-Tx Post-Tx
Photos courtesy of Samuel Lederman, MD

excel HR
Summary
• excel HR is the modern day solution for hair removal,
redefining safe, effective, and comfortable laser hair removal
treatments
• Combination of 755 nm + 1064 nm can treat ALL skin types
• Fastest, most powerful hair removal system on the market
• Integrated Sapphire contact cooling
• Only true long pulse Nd:YAG
• Rapid ROI with low cost of ownership & no consumable costs
• Efficient operation with motorized spot size adjust & real time
calibration
• Handpiece design provides superb visibility of treatment site
• Versatile – best Nd:YAG on the market for treating veins
61

www.ekremcivas.com
www.civashairtransplant.com
civasestetik@gmail.com

Part II
a. My Laser Journey
b. My Personal Experiences with Lasers
c. My short history of working with Excel
HR laser and its advantages

Education and Practice
1993 – Graduated from medicine school
1999 – Completed my residency in Dermatology
1999 – Introduced to hair surgery and began my
practice in hair transplantation.

The ‘All About Hair Clinic’ Idea
• My patients wanted to do both;
– Hair transplant
– Hair removal of unwanted hair
at the same time.
• I needed to have Laser
• The ‘All About Hair Clinic’ idea developed

The ‘All About Hair Clinic’ Idea
+ +
=

My Laser Journey
2003 - Decided to buy laser
– I spent a whole year researching on which laser to buy
– I did not want to do just laser hair removal.
2004 – Bought Cutera ND Yag :
– Was able to do vascular treatment, laser hair removal
and skin rejuvenation.
– Improved myself in vascular treatments
– Started making money out of it
– Laser hair removal was running seamlessly without
any problems.

My First Laser
Cutera Vantage, 2004

I started with treatment of easy lesions
One session, results immediately after

Vascular treatment around the nose area
Results after 1 session

My Laser Journey
Second Laser; ND Yag Cutera Excel
2008 – One laser could not cater for both laser
hair removal and vascular treatment
I bought my second laser; ND Yag Cutera Excel

I was becoming more experienced

Port wine stain

Hemangioma

Publication
ND Yag laser treatment for vascular lesions
2010 – I co-authored the
book “ND Yag Laser
Treatment for Various
Vascular Lesions” that
was published in the
United States.

Laser Genesis
At the same time, I was profiting from other
benefits of ND Yag laser

2 Months Post 6 TxsBefore
Photos Courtesy of David Vasily, M.D.
Laser Genesis
Diffuse Redness Treatment

Laser Genesis
Scar and superficial wrinkles treatment

My Laser Journey
Cynosure Alexandrite
2011 – The demand for laser hair removal was
increasing;
– To be better placed in the market, I needed a laser
specifically for hair removal
– I bought Cynosure Alexandrite laser.
– The patients were more pleased with it than I
expected
– I had made the right decision.

More applications of ND Yag laser
Meanwhile, I was continuously expanding my
applications of NdYAG laser

Laser Genesis
Surgery Scar Treatment

Laser Genesis
Acne Scar Treatment
6 Tedavi sonrasıÖncesi
Photos Courtesy of Tomei & Ashraf Badawi, M.D.

Onychomycosis and Verruca
In the last 3 years I’ve been treating
onychomycosis and palma plantar verruca.

Before 6 months after
Before and After Clinical Documentation
Infected Area=23.6% Infected Area = 9.4%

Before After 1 month
Plantar verruca

My Laser Journey
Cutera Excel HR
2014 - Cutera Excel HR was introduced
– I did not need another laser.
– However, due its good technical parameters and
low consumable costs, I saw its advantage and
bought it.

How could I use both Cynosure and Excel HR?
Could Cynosure patients adopt to Excel HR?
• Could we convince Cynosure patients to
continue their sessions with Excel HR?
– To take advantage of the low consumable cost
• I requested them to try Excel HR
• If they were not pleased with the results and
comfort, they would go back to Cynosure.
• Patients were more pleased with Excel HR.
• Once again, I had made a good choice.

Summary
My great experiences with Excel HR:
– Alexandrite
– NdYag

My great experiences with excel HR
Alexandrite
• With the continuous (pre, parallel, post)
cooling ;
– There is less pain, less risk of side effects hence
safer and certainly effective laser hair removal.
• No breaks needed during treatment because
of less pain
– Treatment takes a shorter time.

Alexandrite
With quick start time, real time calibration and quick
switching time, there is no wasting of time.

Alexandrite
The matching of the laser path and refractive index of
the skin, gel and contact window reduce scattering of
laser light.
– Thus, the light only reaches the targeted location.

Alexandrite
I have never observed
the Paradoxical
hypertrichosis effect
with this laser.
This is because, laser
light is not scattered
to the edges due to
the contact window.

Alexandrite
More effective with fine hairs

ND Yag
Due to truPulse technology,
– Stable energy can be supplied throughout the pulse
duration, in the remaining spot area.

ND Yag
Flexibility in pulse duration.
– Ability to set up the pulse duration in milliseconds
(e.g. 0.3ms) to warm up the area under the skin
during rejuvenation
– For thick hairs or veins, you can set up the
required energy with high pulse duration (e.g. 40
ms)

ND Yag
With contact cooling and parallel cooling;
• Vascular treatments and laser hair removal procedures are
less painful.
• Before, only pre and post cooling was available.
With large spot size up to 18mm;
• Laser hair removal can be done faster

Percentage of North American laser
procedures
102
34%
19%
12%
10%
7%
6%
5%
4%
3%
Hair Removal
Skin Rejuvenation
Skin Resurfacing
Vascular Lesion
Benign Pigmented Lesion
Skin Tightening
Tattoo Removal
Acne
Onychomycosis
SOURCE: US MARKETS FOR LASER, LIGHT, AND ENERGY DEVICES 2013

We are able to accomplish over 73% of the
laser procedures with excel HR…
Hair Removal %34
Skin Rejuvenation %19
Skin Resurfacing %12
Vascular lesion %10
Benign pigmented lesion %7
Skin Tightening %6
Tatoo Removal %5
Acne %4
Onychomycosis %3
Verruca %?
Total %73+?

Thank You
for your undivided attention.
Questions?

Laser hair removal and Vascular Treatment with Excell HR Laser

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