Rex Moulton-Barrett, MD Plastic & Reconstructive Surgery San Leandro Surgery Center

Rex Moulton-Barrett, MDRex Moulton-Barrett, MDPlastic & Reconstructive SurgeryPlastic & Reconstructive Surgery

San Leandro Surgery CenterSan Leandro Surgery Center

Managing Plastic Surgery PatientsManaging Plastic Surgery Patients Part Five Part Five

Single Treatment RecoverySingle Treatment RecoveryFraxel™ MicroLaserPeel™

Fraxel is a trademark of Reliant Technoloies Inc., MicroLaserPeel is a trademark of Sciton Inc.

Immediately after each treatment

Fraxel: 1550nm wavelength, 100 um spot, 250 spots/cm2=25% density, 350 um depth, 1 pass

Several months later MLP performed:2 passes at 25um: 50um total depth

Single Treatment RecoverySingle Treatment Recovery

Fraxel™ MicroLaserPeel™

Fraxel is a trademark of Reliant Technoloies Inc., MicroLaserPeel is a trademark of Sciton Inc.

5 days after treatment

Rex Moulton-Barrett, Rex Moulton-Barrett, MDMD

ScitonSciton ProfileProfile

Combination Combination therapytherapy

QuickTime™ and aTIFF (Uncompressed) decompressor

are needed to see this picture.

Botox - Asian Pt.Sciton Laser Resurfacing

Before Treatment - Relaxed 3 Mths. After - Relaxed

Note: No Transition Color Changes

Photos courtesy of Kent Remington, MD

Upper Blepharoplasty Sciton Resurfacing

Before Treatment “6” Days After

Photos courtesy of Kent Remington, MD

Rex Moulton-Barrett, MDRex Moulton-Barrett, MD

ScitonSciton ProfileProfile

Broad Band Light: BBLBroad Band Light: BBL

BBL – BroadBand Light

BBL Interchangeable FiltersBBL Interchangeable Filters

7 Filters (nm)7 Filters (nm)– 420 - Blue light420 - Blue light– 515 - Pigment515 - Pigment– 560 - 560 - VascularVascular & Pigment & Pigment– 590 - 590 - VascularVascular & & Hair Hair – 640 - 640 - VascularVascular & & Hair Hair– 695 - 695 - HairHair– ST ST -- Collagen Remodel Collagen Remodel

Collagen Remodeling & Collagen Remodeling & ContractionContraction

• Thermally injure a dermal region Thermally injure a dermal region

• Initiates wound healing responseInitiates wound healing response

• Stimulates fibroblast activityStimulates fibroblast activity

• Denatured collagen leads to contractionDenatured collagen leads to contraction

• Create collagen remodel or replacementCreate collagen remodel or replacement

Epidermis

Dermis

SkinTyte elevates subsurface temperature.A subsurface layer is briefly heated.Then is cooled.

Sciton SkinTyteSciton SkinTyte

Chilled Sapphire Plate12°C

55°C

Epidermis

Dermis

• Denatures collagen causing immediate contraction• Activates collagen generating fibroblasts leading to

long-term remodeling

Sciton SkinTyte

SkinTyte treatment

Before Immediately After

Untreated hand Immediately After Treatment

SkinTyte treatment