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Rex Moulton-Barrett, MD Lisa Derita, RN Alameda & Brentwood, CA Sciton Profile Thermascan. 2007. ThermaScan: 1319 Nd:Yag. No absorption into melanin and hemoglobin Secondary heating from water and protein
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Rex Moulton-Barrett, MD Lisa Derita, RNAlameda & Brentwood, CAScitonProfileThermascan 2007
ThermaScan: 1319 Nd:Yag • No absorption into melanin and hemoglobin • Secondary heating from water and protein • Highest water content in papillary dermis Relative sparing of epidermis • Surface cooling provides epidermal protection • Heating of deep dermis to 60C: • Reduces sebaceous gland oil production • Depending on cooling temperature and fluence • The degree of dermal heating can be tuned accurately upper mid lower
Temperature in the Region Near theD/E Junction Versus Cooling Time 12C Cooling Devise Scattering and conduction pre-heats the tissue under an adjacent pulse. papillary dermis Brief 60C Heating It can take several seconds for subsurface tissue to cool
ThermaScan Features • Non-sequential scanning • Fast treatment of large surface areas • Precise placement • No pulse stacking • Eliminates heat buildup • Flat-top beam profile • No central hot spot • Uniform heating • Controlled contact cooling
Collagen Remodeling • Thermally injure a dermal region in the skin • Initiate the body’s wound healing response • Stimulate fibroblast activity • Exercise the skin’s wound healing ability to remodel or replace collagen
Fibroblast Stimulation Following Dermal Heating before treatment 3 weeks post 1319 tx James Newman, M.D.
Collagen Remodeling Initiated 4 months after 1319 Tx Photodamaged, aged skin New collagen Photos courtesy of David Goldberg, M.D.
ThermaScan Skin Rejuvenation Low Fluence + High Plate Temp = Superficial Heating High Fluence + Low Plate Temp = Deep Heating
ThermaScan TreatmentPerioral Before After
ThermaScan TreatmentCheek Before After