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Skin tightening with AURA IR

Skin tightening with AURA IR. AURA IR. Large area of treatment: 30x25mm Cooling system by integrated skin contact . Treatment Area. Large area of treatment 25 X 30mm. Tehcnology. When high energy is used the lamp life rapidly decreases

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Skin tightening with AURA IR

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  1. Skin tightening withAURA IR

  2. AURA IR • Large area of treatment: 30x25mm • Cooling system by integrated skin contact

  3. Treatment Area • Large area of treatment25 X 30mm

  4. Tehcnology • When high energy is used the lamp life rapidly decreases • IR AURA system uses two infrared lamps placed one over another, in this way each lamp emits half of the energy required increasing the life of the lamp respect other systems of single lamp • 100,000 shots guaranteed Lamps

  5. Controlled Cooling • The refrigerated handpiece keeps cold the treatment area

  6. AURAIR • AURA is a system for a selectively photocoagulation of soft tissue in the dermo-epidermal conjunction with a thermo-electric cooling system to cool the skin during and after treatment to reduce the hassle and minimize thermal damage to the adjacent skin structures

  7. Light absortionby H2O

  8. AURAIR • The design of the device is based in the theory of contraction, choosing water as the reporter group (chromophorous). • The 900-1800nm wavelength has the ideal penetration to produce disruption of the reticular dermis with selective heating of collagen tissue • Wavelength is filtered between 1400-1500nm due to excessive absorption coefficient, leaving the most important peak in 1300nm

  9. Remodeling and contraction of collagen • Thermal damage in the dermal region of the skin • Collagen denaturisation causing the contraction of itself. • Enable the healing process of the tissue in response. • Stimulates the activity of fibroblast

  10. Collagen helix restructure

  11. AURA IR Triple helices transformation collagen restructure from a crystalline structure to an amorphous state due to the hydrogen bridges breaks. This creates a thickening and shortening of the collagen fibers to establish a chemically more stable configuration

  12. AURA IR • There is no an exact temperature for denaturing but if it is known that this process responds to the Arrhenius equation according to which for every 5 ° C decreasing the temperature is needed to increase 10 times the treatment duration to achieve the same denaturising

  13. AURA IR • Several studies suggest that the temperature of denaturation is above 85 ° C if the light source exposure is of milliseconds whereas if exposure to this light source is of seconds the temperature would be between 60-65 ° C

  14. AURA IR • The conclusion in the studies of Ruiz-Esparza is that in order to observe an immediate contraction of the tissue the energy emitted by the IR source should not be above 30 J because if not there is a liquefaction of collagen that will not produce the desired effect of immediately contraction

  15. Treatment Expectations • Realistic expectations can help to improve the results after treatment • Variable Factors • Application Technique • Patient expectations • Patient elastosis grade

  16. Ambient temperature 28°C - 32°C 37°C Temperatura corporal AURA IR The skin is cooled at the surface The temperature will depend on the environment Epidermis Dermis

  17. 12°C Cooled sapphire plate AURA IR The thermal modulation of the plate determines the new thermal gradient Epidermis Dermis 37°C

  18. AURA IR • Denaturation of collagen causes a immediate contraction. • Activate the collagen generation through fibroblasts for a long time remodelling Epidermis Dermis

  19. Treatment Parameters • Multiple passes: Until 3 • Moderate fluency: 40 - 45 J/cm2 • Pulse duration: 6-10 seconds • Cooling: 12 ° C • Treat and check to observe: • Immediate tightening • Erythema

  20. Control of the expectatives • The patient has to know the real results and we must change their expectations if are unrealistic • Management of patient satisfaction: Insist on the visible cosmetic results and on the deep long treatment results

  21. Desired clinic point • Visual stretch or lifting • Improving the desired area • Smooth the Mesolabial and nasolabial fold • Raising and contraction of the cheekbone • Sharpness or delimitation of the jaw area. • Stretch of the double chin • Immediate visible results (general tightening) • Moderate erythema

  22. AURAIR

  23. AURAIR

  24. Treatment Time Comparisons

  25. Combinación de tratamientos • AURA+IPL • Ideal for results: • Acne Injuries • Irregular pigmentation • Surface and deep Wrinkles • Fortifying and tightening

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