180 likes | 577 Views
hablemos de. fotodepilación. Dra Lia Valencia. dermatóloga. A broad spectrum of Visible light and near infra red. Microwaves TV and radio waves. x-rays cosmic rays. 1064. 532. 577-630. 694. 755. 2940. 10600. 190 - 390. 488 - 514. UV. VISIBLE. INFRARED. 400. 700.
E N D
hablemos de...... fotodepilación Dra Lia Valencia dermatóloga
A broad spectrum of Visible light and near infra red Microwaves TV and radio waves x-rays cosmic rays 1064 532 577-630 694 755 2940 10600 190 - 390 488 - 514 UV VISIBLE INFRARED 400 700
fuente luz nm melanina target hemoglobina agua
100,000 Er:YAG 10,000 Melanin 1,000 CO2 Water 100 Hemoglobin 10 Oxyhemoglobin 1.0 Absorption Coefficient (per centimeter) 0.1 0.01 0.001 0.0001 0.2 1.0 3.0 10 20 Wavelength (Microns) Absorption Spectrum of Tissue Targets
TECNOLOGIA 1970 1980 1990 1995 2000 Intense Pulsed Light Lasers elōsTM Conducted RF Light Epidermis Dermis Subdermal Fat Same clinical targets
LASER una única longitud de onda. IPL: luz pulsada intensa varias longitudes de onda
Light vs. Laser Light Laser NONCOHERENT POLYCHROMATIC Multiapplication DIVERGENT COHERENT MONOCHROMATIC Limited applications COLLIMATED
Principles of Selective Photothermolysis Photothermolysis - • The absorption of light (photo) in pigments (hemoglobin, melanin) • The transformation of absorbed light into heat (thermo) • The destruction (lysis) of the target cells by the high temperature • Minimal absorption and heat production in epidermis and dermis (without pigments)
Hair Anatomy Epidermis Sebaceous Gland Bulge Follicle Vascular Supply (Matrix) Bulb Bulb / bulge are critical structures responsible for hair regrowth
Hair Biology Anagen Catagen Telogen • Follicles cycle through growth and dormancy stages • anagen - growth • catagen - atrophy / loss of nourishment • telogen - dormancy / Shed off • Various anatomical locations have different cycle durations • Follicles are in various stages of the cycle – not synchronized
Hair Removal Patient Selection • All skin types (I-VI) • All body locations • All hair depths • All hair colors (light hair ~40% clearance and 8-12 sessions) • All hair diameters except villous hair
patologias beneficiadas . hirsutismo . hipertricosis . hipertricosis medicamentosas . foliculitis crónica .nevus de becker . otros
Contraindicaciones • Marcapasos • Piel bronceada • Embarazo • Infecciones locales • Depilación reciente • Otras terapias lumínicas recientes • Hirsutismo sin previo estudio ,ni tratamiento • otros
ESPECTATIVAS REALISTAS • DEPILACIÓN PROLONGADA, NO HAY DEPILACIÓN DEFINITIVA • MULTIPLES SESIONES CON POTENCIALES RECRECIMIENTOS • Nuevos folículos pueden ser activados • RESPUESTA NO ES INMEDIATA • El pelo se cae aproximadamente en 2 semanas • RESPUESTA DEPENDE DE VARIOS FACTORES: • Fototipo • Genético • Hormonal, metabólico El tiempo y % de aclaramiento , número de sesiones y persistencia a largo tiempo es INDIVIDUAL!
Possible Side Effects (rare) • Discomfort • Excessive swelling/reddening • Burn w/wo blister • Damage to natural skin texture • Change of pigmentation: (hyper or hypo - pigmentation) • Scarring . Crecimiento paradójico Most of the possible side effects are transient and treatable and are more common on dark skin