UltraPulse Encore

1
UltraPulse Encore

• Multi-application System for Incisional,
  Excisional and Skin Resurfacing Procedures

2
ActiveFX and MaxFX
Dramatic Results in Tone, Texture, and
Tightening in a Single Treatment!
3
MaxFX has great results but
4
requires downtime
Patients want results but not down-time!
5
ActiveFX vs. MaxFX

• Healing Times for Resurfacing Procedures
• Stratum corneum exfoliation 2-3 days healing
  time
• Basal layer exfoliation 4-6 days healing time
• Papillary dermis peel 7-8 days healing time
• Mid-dermis peel 10-12 days healing time

Trading lower down-time for more modest results
6
What is the Best Wavelength?
Erbium (2940nm) is so ablative there is minimal
dermal heating (therefore, no collagen
stimulation)
CO2 provides an ideal combination of epidermal
ablation and heat to the dermis
Wavelengths below 2000nm provide NO ablation (no
immediate contraction) and only heat
7
ActiveFX Advantages

• Immediate tightening at time of procedure, PLUS
  collagen stimulation for even better long-term
  results
• Short procedure time
• Single treatment
• No consumables
• 3 Ts Tone, Texture, Tightening
• Noticeable results
• Multi-application, multi-specialty system

8
ActiveFX vs. Traditional CO2Smaller Spots Are
Scanned

• 1.3mm diameter versus 2.25mm diameter
• 1/3 surface area (1.3mm2 vs 3.97mm2) for each
  scanned spot, but spots are placed 3 times as
  fast to keep the coverage time very fast
• Less heat build-up around spots ? less erythema
  edema

Old System (UltraPulse 5000c)
ActiveFX System (State-of-the-art)
Ablated areas
? 2.25mm Diameter ?
1.3mm diameter
? ?
9
ActiveFX vs. Traditional CO2Lower density in
the pattern

• Leaves bridges intact
• Allows for thermal relaxation between ablated
  spots

ActiveFX Settings (small bridges of healthy
tissue left intact for faster healing)
Traditional Settings (spots touch or even
overlap)
10
ActiveFX vs. Traditional CO2Lower density in
the pattern
11
ActiveFX vs. Traditional CO2Non-sequential
Pattern Scan
5
3
4
2
1
6
3
9
16
1
6
7
8
9
10
5
12
17
19
20
11
12
13
14
15
4
8
11
15
18
16
17
18
19
20
14
2
10
13
7
CoolScan Non-sequential, non-adjacent Scan
Sequence
Traditional CO2 Uses Sequential Scan Sequence
12
ActiveFX vs. Traditional CO2Different
Parameters

• ActiveFX
• Energy (80-100mj)
• CoolScan
• Very Low Density 1-3
• Low Rep. Rate 50-125 Hz

CO2 Lite Energy 35-60mj No CoolScan
Density 4-6 Rep. Rate 400-600 Hz Nice for
dyschromia, but only minimal tightening and
textural changes
Traditional CO2 Energy100-150mj No CoolScan
Density 5-9 Rep. Rate 400-600 Hz

• ActiveFX Results
• Reduced pain (Low density repetition rate)
• Fast procedure time (20 minutes)
• Good immediate tightening
• Long-term collagen stimulation

13
The ActiveFX Procedure
Courtesy of Jeffrey M. Kenkel, M.D.
14
Before lipstick and mascara 8 hours, 1
day, 3 days Aquaphor only Day 5
lipstick and mascara
Photos courtesy of Glenn DeBias, D.O.
15
ActiveFX Treatment Laxity Rhytids
1 week After
Before
Substantial Improvement
Photos courtesy of Dr. Glenn DeBias
16
ActiveFX Treatment Dyschromia, Rhytids
Before
After
Photos courtesy of Barry DiBernardo, M.D.
17
ActiveFX Treatment Dyschromia, Rhytids
Photos courtesy of Barry DiBernardo, M.D.
18
ActiveFX Treatment Dyschromia, Rhytids
Photos courtesy of Barry DiBernardo, M.D.
19
(No Transcript)
20
Face lift, Blepharoplasty and ActiveFX

• Before After

Photos courtesy of John Fezza, M.D.
21
MaxFX with Same Laser System

• Before After

Photos courtesy of Suzanne Kilmer, M.D.
22
UltraPulse Encore Multi-function,Multi-specialty
System

• MaxFX (traditional resurfacing) - provides
  incredible results in a single treatment
• ActiveFX - provides significant results in a
  single treatment with much less down-time
• Excisional, Incisional and Ablative handpieces -
  treat a wide range of patient needs
• Multi-specialty System - presets, handpieces and
  accessories for virtually every surgeon in the
  hospital

23
Any Questions?
Thank You