skin tightening with aura ir l.
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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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Presentation Transcript
aura ir
AURA IR
  • Large area of treatment: 30x25mm
  • Cooling system by integrated skin contact
treatment area
Treatment Area
  • Large area of treatment25 X 30mm
tehcnology
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

controlled cooling
Controlled Cooling
  • The refrigerated handpiece keeps cold the treatment area
aura ir6
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
aura ir8
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
remodeling and contraction of collagen
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
slide11

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

slide12

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
slide13

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
slide14

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
treatment expectations
Treatment Expectations
  • Realistic expectations can help to improve the results after treatment
  • Variable Factors
    • Application Technique
    • Patient expectations
    • Patient elastosis grade
aura ir16

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

aura ir17

12°C

Cooled sapphire plate

AURA IR

The thermal modulation of the plate determines the new thermal gradient

Epidermis

Dermis

37°C

slide18

AURA IR

  • Denaturation of collagen causes a immediate contraction.
  • Activate the collagen generation through fibroblasts for a long time remodelling

Epidermis

Dermis

treatment parameters
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
control of the expectatives
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
desired clinic point
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
combinaci n de tratamientos
Combinación de tratamientos
  • AURA+IPL
  • Ideal for results:
  • Acne Injuries
  • Irregular pigmentation
  • Surface and deep Wrinkles
  • Fortifying and tightening