Omnilux

Singapore, 21 December 2012.

The Omnilux is a biomodulation / bioresonance technology. The Omnilux, a gentle light therapy system that promotes healing. in 1996, while using photodynamic light to activate photosensitive drugs on skin cancers, British cancer researcher Dr Colin Whitehurst discovered that the skin surrounding the lesion was rejuvenated and that was how the Omnilux was born. The Omnilux lamp features a matrix of light emitting diodes (LEDs) that deliver narrowband light at a specific wavelength. Different pure colours deliver different results and can be used in combination to target specific issues. Omnilux Blue treats acne by killing bacteria; Omnilux Revive boosts collagen and elastin production; and Omnilux Plus uses a longer wavelength to help rebuild and heal.

How Omnilux works

The Omnilux emits an intense dose of the wavelengths that stimulate a healing response in the skin by increasing the blood flow, moisture and stimulates the skin’s fibroblast. The fibroblast is the connective tissue cell which in turns enable collagen production. Unlike such treatments as intense pulsed light (IPL) therapy, Fraxel and skin needling, whose results depend on inflicting micro-trauma that destroys skin tissue in order to trigger that healing response, Omnilux causes no injury or residual skin damage. Crucially, it incorporates no harmful UVA or UVB rays. And skin will continue to improve for up to three months after treatment.

Omnilux also works on:

• Plumps fine lines and wrinkles

• Smoothens skin texture

• Stimulates collagen and elastin production and firms skin

• Help heal sun damage, psoriasis, dermatitis and eczema

• Improves pigmentation and evens skin tone

• Calms rosacea

• Relieves headaches and minor muscle and joint pain

• Accelerates wound healing

• Reduces scarring

Is Omnilux safe?

Not only is the Omnilux US FDA approved, the Omnilux is the only LED machine on the Australian Register of Therapeutic Goods (ARTG), one of the strictest regulatory bodies in the world. There are more than 20000 Omnilux sold worldwide per annum. Closer to our country, there are about 400 Omnilux machines throughout Australia, 85 of which are used by leading plastic surgeons in conjunction with other more specialised treatments and to help expedite healing and reduce scarring after surgery. There are a lot of LED lights on the market but unfortunately some of them are the equivalent of standing under a fluorescent light or going out in the sunlight.

What is Omnilux like?

As you wear small protective goggles over your eyes, the lamp is lowered to a few centimetres above your face. It makes a whirring white noise when it’s switched on and, as the therapist counts you down from three as one, a fairly bright light is superseded by an intense mega-burst of neon-yellow.

The Omnilux lamp makes your face feel slightly warm, but that’s it. You may not notice much difference to your skin after the first couple of treatments, but by the fourth you’ll not only be used to the bright light, you’ll start seeing a fresh, healthy glow to your skin like the one you get after a good, brisk run. And the next morning you’ll run your fingers over your cheeks and marvel at how baby-soft your skin suddenly feels.

 

The Omnilux Difference for your patients
• Effective - long-term results
• Non-Invasive - no side effects, pain, redness or irritation
• For all skin types - including tanned skin
• Fast - 20 minute, lunch-time treatments
The Omnilux Difference for your practice
• Creates new revenue opportunities
• Maximizes return on investment
• Increases range and type of treatments
• Hands-free treatments

Cosmoprof Hong Kong 2012

 

Hong Kong,17th November 2012.

Radiancy’ put up a very nice booth on the Hall 3e in Cosmoprof Hong Kong. It’s regular flow of visitors proved it’s strong customer and fan base. Lifvation brought well known customers from Singapore and Malaysia to the Radiancy booth where the FTD, STE, Mistral and Omnilux were showcased. Lifvation personnel and partners also got a chance to meet strong partners from the Philippines, Japan, Australia, Hong Kong and China.

NEWEST ANTI-AGING treatment! with RADIANCY

 

Radiancy’s non-invasive US-FDA approved LHE (Light Heat Energy) treatments are far is the most popular anti-aging treatment offered worldwide! LHE addresses addresses aging through it’s unique approach of selective photothermolysis. After LHE treatments, the skin becomes visibly firmer, smoother and luminous. When done in a series sun spots and wrinkles are greatly diminished and your skin has a more youthful glow. The results are long lasting. Non-invasive Facial Sculpting is main staple treatment in the beauty industry. Combination treatments with cutting edge, pain-free technologies in one non-invasive treatment are used to achieve a younger more radiant complexion. Hollywood celebrities like Jennifer Lopez, Madonna, Susan Sarandon, Sandra Bullock and Vanessa Williams love these facial therapies. The promise of looking younger just after a session without surgery is a reality using technologies like  LHE, recognized Ultrasonic technologies, Radio Frequency sculpting, Microcurrent rejuvenation to re-define jaw lines, cheek bones by tightening and toning the skin around the mouth, eyes and forehead. Combination of technology in different sessions produces better longer lasting results. The combined benefits work to stimulate the production of collagen and elastin (the skin's building blocks); while toning the facial muscles that support the skin. LHE light therapy, pioneered by NASA, is used to stimulate the production of ATP, the fuel that powers life at a cellular level. The results of this amazing facial treatment are like getting a “work-out” for your face.

辐射的非侵入美国FDA批准的LHE（光热能源）的治疗是远是最流行的抗衰老治疗在全球范围内提供！ LHE地址通过它的独特的方法，选择性光热老化的地址。 LHE治疗后，皮肤明显变得更坚定，更顺畅，发光。当完成了一系列的太阳斑和皱纹大大减少，而且你的皮肤有一个更青春焕发。结果是持久的。非侵入性的面部雕刻治疗在美容行业是主要的主食。尖端的联合治疗，无痛苦在一个非侵入性治疗技术是用来实现一个更年轻，更容光焕发的肤色。珍妮弗·洛佩兹，麦当娜，苏珊·萨兰登，桑德拉·布洛克和凡妮莎·威廉斯等好莱坞名人爱这些面部的疗法。年轻只是一个会话后，无需手术的承诺是现实的，使用的技术，如LHE，公认的超声波技术，射频塑身，口周围的皮肤收紧和色调的微电流复兴重新定义下颚线，颧骨，眼睛和额头。在不同的会话技术的结合产生更好更持久的结果。合并后的利益工作，以刺激生产的胶原蛋白和弹性蛋白（皮肤的积木），而色调的支持皮肤的面部肌肉。 LHE光疗法，开创了由美国航空航天局使用，以刺激生产，燃料的权力生活ATP在细胞水平上。这个惊人的面部处理的结果就像是一个“工作”为你的脸。

Ugly side of beauty firms

Kelly Ip
Friday, November 16, 2012
The Consumer Council received 141 complaints about beauty treatments in the first 10 months of this year - with 30 percent of complainants saying the cosmetic work caused them to feel ill. The complainants paid a total of HK$3.26 million for the procedures, with one case involving HK$586,000 of intrusive beauty treatment. On her last day in office yesterday, Consumer Council chief executive Connie Lau Yin-hing called on the government to regulate high- risk beauty procedures as soon as possible. "Customers do not even know what kind of treatment they are receiving solely by the name of treatments until they have paid and signed a disclaimer," she said. The council said a Ms Lam who planned to buy a package through a group purchase website for HK$988 for a nose lift was persuaded to increase the treatment to three injections for the nose and three others for the cheeks and lower jaw. During the HK$12,000 treatment, her face and lips became numb and the lack of feeling remained for a week, during which her nose and face became dry and hard. Doctors told her that her nerve system had been damaged, having lost 50 to 70 percent sensation in the sides of the nose and cheeks. After she filed a complaint to the Consumer Council, she was offered a HK$10,000 refund as settlement, but she refused and decided to take legal action. In another case, a bride, Ms Chow, paid HK$380,000 for a beauty package in which she received skin whitening injections for HK$4,500 three days before her wedding. She suffered burns to her face and was prescribed medication by an associated clinic. The beauty center agreed to return HK$200,000 to her as well as medical fees of HK$1,500. Secretary for Food and Health Ko Wing-man set up a committee with the aim of banning risky medical procedures in beauty salons after a woman died after receiving blood transfusion in the DR beauty center in Causeway Bay.

凯利叶
2012年11月16日（星期五）
在今年前10个月，消委会收到141宗关于美容护理 - 30％的投诉者说，化妆品的工作使他们感到不适。
投诉人支付的程序，共为每股港币3.26元，与一宗涉及586,000港元的侵入性美容治疗。
在她的最后一天，在办公室昨日，消委会刘燕卿行政总裁尹兴呼吁政府尽快规范高风险的美容程序。
“客户甚至不知道什么样的待遇完全由他们正在接受治疗的名称，直到他们支付，并签署了一项声明，”她说。该委员会说，一个计划HK $ 988买了包通过团购网站的鼻子电梯的林女士被说服，增加治疗注射三针的鼻子和其他三人的脸颊和下颚。港币12,000元的治疗期间，她的脸和嘴唇变得麻木和感觉缺乏持续了一个星期，在此期间，她的鼻子和脸变得又干又硬。医生告诉她，她的神经系统遭到破坏，失去了50％至70％的鼻子和脸颊两侧的轰动。后，她提交了一份投诉，消费者委员会，她提供了HK $ 10,000退款结算，但她拒绝了，并决定采取法律行动。在另一起案件中，新娘周小姐，支付港币380,000元的美容包，她获得了她的婚礼前三天为HK $ 4,500的皮肤美白注射。她被烧伤了她的脸上和相关联的诊所处方药。美容中心同意归还20万港元给她以及医疗费用HK $ 1,500。食物及生高永文局长成立了一个委员会，目的是禁止风险的医疗程序后，在美容院一名女子死亡后，接受输血的DR美容中心，铜锣湾。

Undo edits

Periorbital skin tightening with a broadband infrared device

Dr. MONICA ELMAN

Elman Aesthetics Clinic, Rishon Le Zion

 

Introduction
Signs of aging in facial appearance can be significantly ameliorated by a reduction of periorbital
rhytids and skin laxity. Use of broadband infra red (IR) light to induce skin tightening has been reported (1). This effect is achieved by utilizing tissue water as a chromophore for dermal heating, consequently enabling shrinkage and neocollagenesis. This report presents preliminary clinical results achieved with a new IR light device specifically developed for aesthetic skin tightening by Radiancy Inc.

Materials and methods
A single-site, open, clinical study was undertaken to assess the safety and efficacy of the new IR skin tightening handpiece for the treatment of skin textural changes primarily in the periorbital area. Eleven subjects were recruited to participate in the study. The participants were screened for inclusion and exclusion criteria and signed an informed consent form. Exclusion criteria included medications that could affect the characteristics of the skin, photosensitive edications, a sun tan in the treatment area, a history of keloid formation, pregnancy, epilepsy and
use of Accutane within the past 6 months. Treatment was performed with the new IR handpiece
attached to Radiancy’s Mistral light and heat energy (LHE™) system. The handpiece consists of a
780–1800-nm broadband, filtered, IR halogen light source which emits a maximum fluence of 25 J/cm2. Spot size adaptors enable a choice of different treatment areas ranging from 13 12 mm to 50 25 mm. IR light energy is emitted from the handpiece in a proprietary, multi-pulse algorithm of 30 seconds total duration, which provides optimal deep dermal heating while preventing epidermal over-heating. This broadband IR light allows a penetration depth of 1–3 mm, targeting the reticular dermis. The dermal temperature is raised to 50–60°C, while the temperature of the epidermis is maintained below 40–42°C to minimize pain and avoid any potential side effects.
A series of 10 biweekly treatments were administered and followed-up for a period of 3 months.
Photographs were taken with a VISIA Complexion Analysis system (Canfield, OH, USA) at
baseline, after five treatments, at the end of the treatment sessions and during each monthly follow-up visit. Photography was carefully standardized since it is known (2) that skin textural changes tend to be subtle and may go undetected. Treatments were administered with an average fluence of 17–18 J/cm 2. Treatment included two to four passes on the treatment area. An ArTek Spot Cooler (ThermoTek Inc., Flower Mound, TX, USA) was used to cool the epidermis before and after IR energy administration. The fluence applied was determined based on the patient’s feedback and immediate skin temperature measurement using a MiniTemp MT6 (Raytek Corp., Santa Cruz, CA, USA) non-contact thermometer. The maximum skin temperature allowed was 42ºC, which assures skin safety and patient comfort. No anaesthesia was necessary for the performance of this procedure. The result was evaluated clinically and by comparing the photographs obtained. Evaluation was scored according to the following scale: 1 no improvement; 2 slight improvement; 3 good improvement; 4 very good improvement. During treatment the patient was requested to grade the discomfort level on a four-point scale (1 no discomfort or pain; 2 slight warmth;3 discomfort; 4 intolerable heat or pain). This scale has been reported to be an effective methodto guide treatment (3). Histological analysis of the specimens was performed using H&E. Patient self-assessment of the clinical improvement was also recorded throughout the trial period using a similar visual analog scale (VAS) score. Patients were also asked to complete a patient questionnaire at the end of the treatment period. Finally, biopsy specimens were taken from two patients prior to treatment and at the 3-month followup visit for staining.

Results
Eleven volunteers were recruited for this study; all females aged 38–66 years with skin types II–V. All the participants completed the full treatment and follow-up regimen. An immediate heating and skin tightening effect was noted by all patients, though pain and discomfort were maintained at a low to moderate level (pain score 1–2). Visible changes could be observed as soon as the fifth treatment (week 3). Textural changes persisted throughout the treatment and follow-up periods. Changes consisted of a smoothing of periorbital wrinkles and a more radiant skin tone which produced an overall rejuvenated ‘new natural look’. At the end of treatments the average investigator VAS score was 3 ( ‘good improvement’) based on VISIA photographic evaluation, while patient self-assessment was rated to be ‘slight improvement’ by four patients (36.4%), ‘good improvement’ by six patients (54.5%) and ‘very good improvement’ by one patient (9.1%). At 3 months’ follow-up the average investigator VAS score was reduced to 2.7 (‘slight improvement’ in four patients, ‘good improvement’ in six patients and ‘very good improvement’ in one patient) while the patients’ average VAS score increased to 3 (‘slight improvement’ in three patients, ‘good improvement’ in five patients and ‘very good improvement’ in three
patients). Projected heat from the treated area was felt for a few minutes following treatment administration. Local erythema and slight edema persisted for up to 2 hours. No other side effects were recorded. There was no need for analgesia. Histological analysis of biopsies taken from two patients before treatment revealed in one patient (aged 53 years) mild to moderate solar elastosis with a focus of seborrheic keratosis at one lateral margin. In the second patient (aged 57 years), severe solar elastosis was found. Analysis of biopsies taken at the 2-month follow-up visit found, in both patients, dermal edema below the solar elastosis.

Elastosis in the sun-exposed skin of old persons or in those who have chronic actinic damage. elastosis [e″las-to´sis]. 1. degeneration of elastic tissue. Seborrheic keratosis (also known as "seborrheic verruca," and "senile wart" :767 :637) is a noncancerous benign skin growth that originates in keratinocytes.

Discussion
Non-ablative laser skin rejuvenation utilizing IR wavelengths such as 1064, 1320, 1440 and 1540 nm has been clinically applied for almost a decade (4) to circumvent complications and the prolonged convalescence often associated with ablative resurfacing techniques. Only recently, however, have broadband IR devices been introduced as an alternative to more costly laser systems.
Ruiz-Esparza (5) was first to report on the use of broadband IR (Titan; Cutera Inc.) to produce skin
contraction leading to lifting of the eyebrows and/or improvement of lower face and neck skin laxity using fluences below pain levels. A group of 25 patients were treated for eyebrow lifting, lower face tightening and neck skin laxity using fluences of 20–30 J/cm 2. Immediate skin contraction was obtained in 22 of 25 patients and was maintained for the whole followup
period, up to 12 months.

 

LHE PhotoFacial Rejuvenation

Lawrence G. Kass, M.D., The Center for Cosmetic Facial & Eye Plastic Surgery
6025 4th Street North St. Petersburg, Florida 33703
LHE was initially branded as IPL (intense pulsed light) or even soft laser it was a brand new technology using light and heat energy to treat skin imperfections. LHE was designed to reduce the risk of injury while providing the same results as lasers or IPL. LHE Photo-rejuvenation takes just ten minutes with NO preparation. This is a big difference as lasers and IPL requires the use of gel or contact cooling. LHE promises no downtime which gives client's the opportunity to squeeze in a lunch hour appointment and still have plenty of time for lunch. Noticeable improvement in pigmentation, facial veins, red blotches, and fine lines and wrinkles occur after just a few treatments.Using the advanced LHE technology, precise amounts of light energy is delivered to the skin's surface. Treatments are spaced at three week intervals. The energy is delivered at specific settings for each treatment to maximize your results.
Rejuvenation is designed to combat the effects of aging and damaged skin in a softer, gentler way. The advanced LHE technology can remove 90-95% of pigmented spots effectively. The redness and flushing of rosacea can be reduced 80-90%. The light energy stimulates the production of collagen, reducing pore size, fine lines, and wrinkles. It can be used to treat the full face, neck, chest and even the hands and is also effective in treating acne.
See Clinical Descriptions of Selected Patients in Photo Galleries
The best candidates for photofacial rejuvenation have red, flushed faces, unsightly facial veins, sun-damaged skin, hyperpigmentation, or enlarged pores.

LHE Skin Photorejuvenation

Lawrence G. Kass, M.D., The Center for Cosmetic Facial & Eye Plastic Surgery
6025 4th Street North St. Petersburg, Florida 33703

Wrinkles, age spots, sun spots and spider veins – medically known as rhytides and pigmented and vascular lesions, are outward manifestations of aging or sun damaged skin. Once accepted as a fact of growing older, these skin imperfections can now be safely and easily treated.A comprehensive skin rejuvenation treatment may include several treatment goals simultaneously; the improvement of fine lines and skin texture and the removal of age spots and spider veins. LHE has demonstrated a clinically proven ability to safely deliver more youthful looking skin and a high level of client satisfaction. Another term often used to describe LHE is photofacial rejuvenation. LHE technology's innovative balance of Light and Heat creates a more efficient photothermal process that enables low energy levels. This low energy level (measured in Joules/cm²) optimizes safety and eliminates the need for pre-treatment protocols or skin cooling techniques. Non ablative, LHE treatments are faster and safer with absolutely no downtime, giving your clients the freedom to squeeze a quick appointment into their busy day.

How LHE Photorejuvenation Works
As skin ages and is exposed to the elements of nature, it suffers from degradation and imperfections. Using LHE technology, short pulses of light and heat selectively target and coagulate chromophores in the epidermis and papillary dermis. Oxy-hemoglobin in vascular lesions and melanin in pigmented lesions are coagulated. The coagulated cells are eliminated by a natural process and replaced by new cells. At the same time, LHE creates a mild thermal insult to the dermal-epidermal junction. The insult triggers a wound-healing process and new collagen remodels under an undamaged outer layer.  As collagen rebuilds, fine lines and wrinkles disappear or fade. LHE results in clearer, smoother, younger looking skin. The best candidates for LHE rejuvenation have red, flushed faces, unsightly facial veins, sun-damaged skin, hyperpigmentation, or enlarged pores.

LHE Skin Photorejuvenation is Non-Ablative Photo Rejuvenation technology. The treatments are Fast and very importantly No Downtime.

Lawrence G. Kass, M.D., The Center for Cosmetic Facial & Eye Plastic Surgery
6025 4th Street North St. Petersburg, Florida 33703
http://www.kassmd.com/psoriasis-treatment.html

Psoriasis affects 100 million people worldwide. With 150,000 – 200,000 new cases being diagnosed in the United States each year. Its annual cost to society is over 3 billion dollars in the U.S. alone. It is a disease of the immune system whose causes are still largely unknown.  Psoriasis is cyclical in nature. Patients experience episodes of flare-ups alternated with periods of remission that come and go over a lifetime. Although the onset of psoriasis can occur at any age, most cases appear between ages 15-35. Far more than just a “simple skin disease”, psoriasis is a chronic, debilitating and often painful condition. Skin regenerates approximately 10 times faster than normal, creating a white flakey buildup over a patch of red inflamed skin. Psoriasis is characterized by dry, rough and scaly skin that constantly flakes and peels as well as almost unremmittent itching and burning. Even in its mildest forms psoriasis can make life miserable. And the costs of psoriasis cannot always be measured in money spent. Visible psoriatic lesions can have a negative impact on careers and social life and a psoriasis patient often feels cut off, abandoned and hopeless. Although rarely life threatening, recent studies have shown that psoriasis sufferers rate their quality of life at a level lower than those of diseases usually considered much more serious such as arthritis, diabetes, and cancer.

LHE Phototherapy for Psoriasis Halts the Cycle
LHE provides relief without the need for topical therapies, oral medications, painful injections or exposure to potentially cancer-causing ultraviolet light. LHE psoriasis phototherapy for mild to moderate chronic plaque and guttate psoriasis is a revolutionary and powerful tool in the never-ending battle against psoriasis. A completely safe and painless light-based therapy, LHE can bring complete relief from itching in as little as 2 – 3 sessions. Most patients experience a 75% clearance in psoriatic lesions after a full treatment course of 8-10 sessions carried out over 4-5 weeks.

How LHE for Psoriasis Works
In normal skin, the cells grow, move to the surface and are sloughed off at a steady unnoticeable rate. This cycle takes about one month. With psoriasis, the immune system sends faulty signals that speed up this cycle to only three or four days. The skin thickens with extra cells and blood vessels grow larger in a attempt to feed those extra cells. Skin cells pile up on the surface with dead cells creating a white, flaky layer over the patch of inflamed skin. LHE uses specialized flashes of green and yellow Light to shrink and eliminate the blood vessels that feed the abnormal growth of psoriatic skin cells. The Heat combined with infrared wavelengths reduce swelling and inflammation and very effectively stop the constant itching associated with psoriasis. Although psoriasis can occur on many areas of the body, LHE’s selective photothermolysis treatments insure that only psoriatic lesions are treated while healthy tissue remains untouched.

 

Treatment of psoriasis with light and heat energy xLHE

Drs. A Leviav, R Wolf, and A Vilan
Dermatology Online Journal 10 (2): 4

Abstract

In psoriasis the earliest observable electron microscopic changes are in the papillary dermis vasculature. Selective photothermolysis of the dermal vasculature using a 585-nm pulsed-dye laser (PDL) for the treatment of psoriasis was reported more than a decade ago. Although clinically effective, the pulsed-dye laser has limited practicality because of small spot size (5-10 mm) and lack of cost effectiveness. The objective of this study is to evaluate the safety and efficacy of a novel Light and Heat Energy (LHE™) selective-photothermolysis system for the treatment of psoriasis. This system delivers controlled heat simultaneously with the light pulse; it has a large beam spot (55 × 22 mm) and is sufficiently cost effective to be widely used. Thirteen patients, seven with plaque psoriasis, five with palmoplantar psoriasis, and one with guttate psoriasis participated in a controlled study. Patients received two therapy regimens in parallel: LHE™ plus salicylic acid or salicylic-acid cream alone as control. Treatments were applied twice weekly spread evenly over 4-6 weeks. In most cases a fluence of 8.6 J/cm² was applied. Efficacy of the treatment was assessed using the psoriasis-severity index (PSI) calculated from the investigator's overall assessment of the plaque's erythema, scaling, and induration. PSI was evaluated at baseline, at every other treatment visit, and during two follow-up visits scheduled 1 and 5 weeks following the last treatment.
In eleven patients who completed the treatment regimen, the average global PSI score for the treated sites was reduced by 65 percent. In contrast, the control sites average global PSI score was reduced by only 7.4 percent. Six patients (55 %) had a significant improvement of 70-percent reduction or above in their PSI score, ten patients (91 %) had a 50 percent or above reduction; only one patient had a poor response (12.5 % reduction in global PSI). Erythema was reported in all cases and resolved within 24-48 hours. Six cases of burns were resolved within 2 days to 2 weeks following appropriate remedy. No cases of dyspigmentation were encountered.
Light and Heat Energy (LHE™) selective photothermolysis combined with salicylic acid appears to be a practical modality for the treatment of mild to moderate psoriasis. Patients experience discomfort that is only mild. There is no convalescence downtime. Clinical results obtained are similar to those reported with the pulsed-dye laser; however, this new system seems more suitable to be widely adopted as a treatment modality. Further followup is required to determine whether remission periods will be as long as those reported for treatment with the pulsed-dye laser.

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Introduction

In psoriasis, the earliest observable electron-microscopic changes are in the papillary dermal vasculature. These vessels have been implicated as participating in the pathogenesis of the disease by facilitating the access of activated T cells to the skin and maintaining the psoriatic plaque [1, 2]. Treatment of psoriasis by selective photothermolysis of the dermal vasculature using a 585-nm pulsed-dye laser (PDL) has been suggested; several studies on the use of this laser to treat psoriasis have been published [3, 4, 5, 6, 7, 8]. Ros et al. [5] found a beneficial clinical effect on six of ten patients treated with PDL. The psoriasis-severity score in these patients was reduced to 2.2 ± 1.3, compared with 7.2 ± 1.7 for control areas (69 % reduction). Plaques readily developed crusting in which the necrotic former epidermis was apparent. Zelickson et al. [6] found significant clinical improvement in chronic plaque-type disease using both short (0.45 ms) and long (1.5 ms) pulsed-dye laser. Patients responding to treatment remained in remission for up to 13 months. A more recent followup found that some of the patients are still clear of the disease 5-6 years out. One patient showed no recurrence 7 years after PDL treatment. Although clinically effective, pulsed-dye laser has limited practicality because of a small (5-10 mm) spot size and lack of cost effectiveness.

The Radiancy Light and Heat Energy (LHE™) system is a new, potentially more effective selective-photothermolysis system for the treatment of psoriasis. In addition to green and yellow light for the coagulation of the psoriatic capillaries, this nonlaser system also emits a pulse of heat, which reduces swelling and inflammation and relieves pruritus [9, 10]. Using a broadband flashlamp, this small, tabletop device delivers a light energy fluence of 4-10 J/cm² with a beam spot of 55 × 22 mm, enabling rapid coverage of large lesion areas.

Methodology and treatment

A study was undertaken to assess the safety and efficacy of this LHE™ system in the treatment of patients with psoriasis. The study was designed as an intrapatient controlled study comparing the efficacy of two therapies for psoriasis given in parallel: LHE™ plus 20 percent salicylic acid (SCA) and 20 percent salicylic acid alone. The study was jointly conducted by the departments of plastic surgery and dermatology, Kaplan Hospital, Israel, following approval of the Helsinki Committee. Thirteen patients were enrolled in the study, seven with plaque psoriasis, five with palmoplantar psoriasis, and one with guttate psoriasis. Patients received two therapy regimens in parallel: ten biweekly treatments of LHE plus salicylic acid for a total of 5 weeks or salicylic-acid cream alone for the same time duration. In both regimens patients were asked to apply SCA daily except during treatment days. Treatment areas were a single (unilateral) plaque or double (bilateral), symmetrical plaques. In case of bilateral lesions, the right side was treated with LHE plus SCA; the left side was treated with SCA alone. In case of a unilateral lesion, the upper segment was treated with LHE plus SCA; the lower segment was treated with SCA alone.

Photographs of the psoriatic lesions were taken at baseline, at every other treatment visit, and during the first and second follow-up visits, conducted at 1 and 5 weeks following the last treatment.

Efficacy of the treatment was assessed using the Psoriasis Severity Index (PSI) calculated from the investigator's overall assessment of the plaque erythema, scaling, and induration. Score was defined as 0 = absent; 1 = minimal, light pink, rare scale, barely perceptible elevation; 2 = mild light red/pink, poorly defined scale, light elevation; 3 = moderate red, defined scales, moderate elevation; 4 = severe. very red, heavy scales, marked ridge. Global PSI score was calculated as the sum of erythema, scaling, and induration scores. PSI was evaluated at baseline, at every other treatment visit and during the first and second follow-up visits. The investigator performing the assessment was not blinded to treatment.

A total of thirteen patients with psoriasis were enrolled to the study in accordance with the following criteria:

• The patient is at least 18-years old.
• The patient has clinically diagnosed mild to moderate psoriasis (at least 10 % body area).
• Psoriasis is relatively symmetric and homogeneous.
• The patient is not on any other treatment.
• The patient is capable of reading, following instructions, and understanding the procedure to be applied.
• The patient is committed to all treatment and follow-up visits.

The patients were excluded according to the following criteria:

• The patient has used topical or systemic antipsoriatic therapy within 3 weeks prior to the start of the study.
• The patient has a history of carcinoma of the skin.
• The patient has used of any medication that can cause photosensitivity or affect integrity of the skin.
• The patient has had sun exposure or artificial tanning in the treatment area 2-weeks prior to study enrollment.
• The patient has a history of photosensitivity or intolerance to ultraviolet radiation.

The patient has a history of hypertrophic scar or keloid formation.

• The patient has a history of pigmentary changes in areas of trauma or burn.
• The patient has existing skin diseases other than psoriasis.
• The patient is pregnant
• The patient has epilepsy.

Before enrollment each patient completed a medical history form and signed an informed consent form. Three patients did not complete the treatment and followup for various reasons: One dropped out after the first visit, another after the third treatment, and the third completed treatments but did not appear for the follow-up visits. Mean age of the patients was 53.6 ± 6.4 years (range 44-67). Ten patients were females and three males. Six patients were Fitzpatrick skin types II (5 female, 1 male), five patients were skin types III (4 female, 1 male), and two were skin types V (1 female, 1 male).

Seven patients were diagnosed with plaque psoriasis, five with palmoplantar psoriasis, and one with guttate psoriasis. Three patients were treated on the elbow, two on the knee, one on the palm, five on the foot, three on the leg, and three on the arm.

Patients were instructed to clean the area thoroughly with soap and water and ensure that the skin surface is dry before treatment. On the basis of a pretreatment test conducted 48-72 hours prior, the highest power level that caused redness and erythema without blisters was used for treatment. Pulses were administered sequentially on the treatment area from right to left with no more than 20 percent overlap. After covering the entire area the investigator waited 5 minutes to allow the skin to cool, and repeated the procedure once more. For small lesions, a small-area adaptor was used. In this case fluence was increased by 10 percent to compensate for light scatter. Treatments were applied twice weekly spread evenly over a 4-6 week period. When no results were seen after 3 treatments, fluence was increased by 10 percent.

In most cases a fluence of 8.6 J/cm² was found to be the most effective and safe treatment parameter.

Results

Plaque assessment on the treated site (LHE plus SCA) and the control site (SCA alone) was conducted by the investigator at baseline, prior to any treatment, at each odd-numbered treatment visit and at the two follow-up visits. Of the eleven patients who completed the treatment regimen, one underwent a total of 8 treatments, three a total of 10 treatments, three a total of 11 treatments, and four a total of 12 treatments.

Figure 1

Average global PSI at different stages of treatment.

Average global PSI score at baseline for the treated sites (LHE plus SCA) was 8.36 (range 6-11). This was reduced by 65 percent to 2.91 (range 0-7) at the final visit. Scaling score in these sites was reduced from an average of 2.82 to 1.00 (64 % reduction); erythema score was reduced from 2.64 to 1.00 (62 %); and induration score was reduced from 2.91 to 0.91 (69 %). Nine patients appeared for the first follow-up visit (FU1), and only seven for the second follow-up visit (FU2). In this latter group, average global PSI score further reduced to 2.57 (69 %) possibly indicating the effect of the final treatment. The reduction in global PSI score, over the treatment course, for the lesions treated with LHE plus SCA is shown in Fig. 1.

Of the eleven patients who completed the treatment regimen only one had a poor response (12.5 % reduction in global PSI). Ten of the patients (91 %) had a 50 percent or above reduction in their PSI score, and six patients (55 %) had a significant improvement of 70 percent reduction or above.

In contrast, on the control sites (SCA alone) average global PSI score at baseline was 7.71 (range 4-10), and this score was reduced by only 7.4 percent to an average of 7.14 (range 3-9). Scaling was reduced by 5.2 percent, erythema by 5.8 percent, and induration by 10.9 percent.

Figure 2a
Figure 2b

Before treatment (Fig. 2). After treatment (Fig. 2a).

Figure 3a
Figure 3b

Before treatment (Fig. 3). After treatment (Fig. 3a).

Figure 4a
Figure 4b

Before treatment (Fig. 4). After treatment (Fig. 4a).

Figure 5a
Figure 5b

Before treatment (Fig. 5). After treatment (Fig. 5a).

The safety of the LHE psoriasis treatment was determined by clinical observation and evaluation of the treated areas. Potential adverse clinical effects, such as erythema, crusting, blistering, scars, and hyper- or hypopigmentation, were evaluated by the investigator in each treated area immediately after treatment, between treatments, and during the follow-up visits. Erythema was reported in all cases and resolved within 24-48 hours. Six cases of burns (five with blistering) were reported; these patients were given appropriate remedy (Silverol or Biafine) and the reaction resolved within 2 days to 2 weeks. No cases of dyspigmentation were encountered.

Conclusions

Radiancy's Light and Heat Energy (LHE™) selective-photothermolysis system, combined with salicylic acid, appears to be an effective modality for the treatment of mild to moderate psoriasis. In most cases (6/10) a significant reduction of over 70 percent in global PSI score was achieved. In almost all cases (10/11) at least a moderate improvement (greater than 50 %) was obtained; only one case resulted in insignificant (12.5 % reduction) response. Overall, average global PSI score for the eleven patients who completed the treatment regimen was reduced by 65 percent from 8.36 to 2.91. In contrast, control treatment of salicylic acid alone resulted in an average global PSI score reduction of only 7.4 percent. No improvement occurred in 71 percent of the control lesions, and 29 percent exhibited very modest improvement.

Side effects were mild and transient with resolution at 2 weeks post-treatment at most. The only discomfort patients experienced was mild. There was no downtime for convalescence.

The clinical results obtained with the Radiancy LHE™ system in the treatment of psoriasis are remarkably similar to those reported with the pulsed-dye laser. In contrast to pulsed-dye laser, the LHE system is compact, simple to operate, and cost effective; we consider this form of treatment to be highly suitable to be widely adopted as a treatment modality for mild to moderate psoriasis. Further followup is required to determine whether remission periods will be as long as those reported for treatment with the pulsed-dye laser.

Conflict of Interest Statement: A Vilan is a medical consultant for Radiancy. Drs. Leviav and Wolf have no financial interest relating to this work.

References

1. Pinkus H, Mehregan AH. The primary histologic lesion of seborrhoic dermatitis and psoriasis. J Invest Dermatol. 46:109-116, 1966.
2. Barker JN. The pathophysiology of psoriasis. Lancet. 1991 Jul 27;338(8761):227-30. PubMed
3. Hacker SM, Rasmussen JE. The effect of flash lamp-pulsed-dye laser on psoriasis. Arch Dermatol. 1992 Jun;128(6):853-5. PubMed
4. Katugampola GA, Rees AM, Laningan SW. Laser treatment of psoriasis. Br J Dermatol. 1995 Dec;133(6):909-13. PubMed
5. Ros AM, Garden JM, Bakus AD, Hedblad MA. Psoriasis response to the pulsed-dye laser. Lasers Surg Med. 1996;19(3):331-5. PubMed
6. Zelickson BD, Mehregan DA, Wendelschfer-Crabb G, Ruppman D, Cook A, O'Connell P, Kennedy WR. Clinical and histologic evaluation of psoriatic plaques treated with a flashlamp pulsed-dye laser. J Am Acad Dermatol. 1996 Jul;35(1):64-8. PubMed
7. Bjerring P, Zachariae H, Sogaard H. The flashlamp-pumped dye laser and dermabrasion in psoriasis--further studies on the reversed Kobner phenomenon. Acta Derm Venereol. 1997 Jan;77(1):59-61. PubMed
8. Hern S, Allen MH, Sousa AR, Harland CC, Barker JN, Levick JR, Mortimer PS. Immunohistochemical evaluation of psoriatic plaques following selective photothermolysis of the superficial capillaries. Br J Dermatol. 2001 Jul;145(1):45-53. PubMed
9. Orenberg EK, Noodleman FR, Koperski JA, Pounds D, Farber EM. Comparison of heat delivery systems for hyperthermia treatment of psoriasis. Int J Hyperthermia. 1986 Jul-Sep;2(3):231-41. PubMed
10. Boreham DR, Gasmann HC, Mitchel RE. Water bath hyperthermia is a simple therapy for psoriasis and also stimulates skin tanning in response to sunlight. Int J Hyperthermia. 1995 Nov-Dec;11(6):745-54. PubMed

Radiancy’s SHALS technology (Smart Heat Accumulation Light Sequence technology)

 

Radiancy’s SHALS Technology is patented and a revolutionary system that protects the epidermis while delivering the correct temperature in the dermis. SHALS is an acronym for Smart Heat Accumulation Light Sequence technology is design for uncompromised patient comfort and safety while ensuring great results. SHALS is used in Radiancy’s Mistral specifically for the skin tightening application. SHALS delivers the right heat into dermis causing a slight thermal insult to initiate collagen rebuilding. The end result will be a smooth supple skin and improved skin texture.

SHALS technology enables infrared light to penetrate deep into the lower dermal levels (1-2 mm) to set off a mild dermal trauma and initiate the wound/heal response. The collagen found in these levels responds with new growth, returning firmness and elasticity to the skin. As a result, fine lines and wrinkles become smoother and skin appears younger and fresher.

In order for this process to work properly, high temperatures in the deeper levels of the dermis are necessary. SHALS technology heats the deep dermal layers without bringing the outer layers of skin above the pain threshold of 42ºC.

SHALS, with proprietary algorithms that support a multi-pulse train, takes advantage of the difference in thermal relaxation times between the outer and inner layers of the skin. This enables the epidermis to remain cooler than the deeper dermal layers as they reach optimal treatment temperatures. A gentle lifting effect takes place, skin loses its laxity and wrinkles fade. Skin appears firmer, smoother and younger looking.

Radiancy’s SHALS技术是专利和革命性的系统，同时提供了正确的温度在真皮层和保护表皮。 SHALS是缩为写智能热积累光序列。它是同时确保伟大成果为不折不扣患者的舒适和安全设计。SHALS使用在Radiancy’s Mistral，专门为皮肤收紧应用程序。SHALS将正确的热传送到真皮造成轻微的热，导致胶原重建。最终的结果将是光滑柔软的皮肤和改善皮肤纹理。

SHALS技术使红外线光要深入到较低的真皮级别(1-2 毫米），以抵销轻度皮肤创伤和启动治愈伤口/响应。在这些级别中找到的胶原响应的新增长返回对皮肤的坚定性和弹性。其结果是，细纹及皱纹变得更平滑和皮肤出现更年轻、 更新鲜。

为了使这一进程能够正常工作，必要在深层的真皮层使用高温度。SHALS技术加热深真皮层，不会使外层的皮肤达到高过42ºC的痛阈。

SHALS，拥有支持多脉冲火车的专有算法，利用热弛豫时间在皮肤的外部和内部的图层之间的差异。这使表皮凉过深入真皮层，达到了最佳的治疗温度。这会造成温柔的提升效应发生、 皮肤失去其松弛和皱纹淡出。皮肤出现更稳固、 更平滑和年轻看。

CELHE (Center of Excellence Light Heat Energy)

 

What is CELHE?

CELHE (pronounced as Celia) is a dedicated group made for LHE practitioners in SE Asia.

Why CELHE?

There are pockets of LHE practitioners who have consistently produced phenomena results for the clients. This is a group where successful practitioners share tips on how they are able to produce phenomenal results.

Who can join CELHE?

CELHE is for all LHE practitioners.

How can I join CELHE?

You must be located either in Malaysia, Singapore or Indonesia. You can write to contact@lifvation.com for meeting schedules. Our first meeting will be on 19th November in Singapore.

What happens in the CELHE group?

Regular sharing session, training, workshops

Pigmentation, LHE and combination treatment

Kuala Lumpur, 20 Sept 2012

In Southeast Asia, having a brilliant fair is the in thing. 4 out of 5 skincare service providers surveyed said that evening out their customer’s skin tone us the top request with whiten the dark pigmentation a close second. Let us first understand pigmentation which is close related to the two popular treatments.

What is pigmentation / hyperpigmentation: Pigmentation / Hyperpigmentation is a common skin condition, where some areas or patches of skin turn darker in colour. It is usually a harmless condition, caused when there is too much of the pigment, melanin, on the surface of the skin. This condition can affect people of all races.

Pigmentation has 2 main forms, hyperpigmentation and hypopigmentation which both have several symptoms. They are both common and usually harmless, but can often be embarrassing. Hyperpigmentation

Hyperpigmentation is where patches of skin become darker in colour than normal, healthy skin. This darkening often occurs because there is an excess of melanin, which forms deposits in the skin. Melanin is the brown pigment that produces our normal skin colour. Hyperpigmentation can affect the skin colour of people of any race. Here at the Pigmentation Clinic, we have years of experience treating clients of all ages and races, achieving successful results. In Asia, this is the biggest business driver for the skin care business.

Hypopigmentation

Hypogigmentation is caused by the reverse process of hyperpigmentation. Hypopigmentation is the result of a reduction in melanin production, causing patches of skin to become lighter than the surrounding skin. 3 common types of hypopigmentation and pigment loss are sun damage, vitiligo and albinism. If you’ve had a skin infection, blister, burn, or other trauma to your skin, you might have a loss of pigmentation, in the affected area. The good news with this type of pigment loss is that it’s frequently of a temporary nature, but it might take a long time to re-pigment. Vitiligo causes smooth, white patches on the skin. In some people, these patches can appear all over the body. It is an autoimmune disorder in which the pigment-producing cells are damaged. There is no cure for vitiligo, but there are several treatments, including cosmetic cover-ups, corticosteroid creams, or light treatments. Albinism is an inherited disorder caused by the absence of melanin. This results in a complete lack of pigmentation in skin, hair, or eyes. People with albinism have an abnormal gene that restricts the body from producing melanin. There is no cure for albinism. People with albinism should use a sunscreen at all times because they are much more likely to get sun damage and skin cancer. This disorder can occur in any race, but is most common among Caucasians.

The different types of pigmentation:

Melasma
Melasma is a skin condition presenting as brown patches on the face of adults. Both sides of the face are usually affected. The most common sites of involvement are the cheeks, bridge of nose, forehead, and upper lip. Melasma usually occurs in women, with only 10% of men being affected. Often women who take birth control pills or have an IUD fitted, develop this type of pigmentation. It can become more prominent if the skin is exposed to sunlight and often worsens during the summer months. Melasma is a skin condition presenting as brown patches on the face of adults. Both sides of the face are usually affected. The most common sites of involvement are the cheeks, bridge of nose, forehead, and upper lip. Melasma usually occurs in women and women who take birth control pills often develop this type of pigmentation. Only 10% of those affected are men. The symptoms of melasma are dark, irregular patches commonly found on the upper cheek, nose, lips, upper lip, and forehead. These patches often develop gradually over time. Melasma does not cause any other symptoms beyond the cosmetic discoloration.

Chloasma
Some pregnant women overproduce melanin and develop a condition called Chloasma or the "mask of pregnancy", on their faces or occasionally on their abdomens. Again this can cover a relatively large area and may worsen after sun exposure. Some pregnant women overproduce melanin and develop a condition called Chloasma or the "mask of pregnancy", on their faces or abdomens. This can cover a relatively large area and may worsen after sun exposure.

Solar Lentigines (Sun Damage).
Age spots, sometimes called 'liver spots', are a form of pigmentation. They usually occur as a result of damage to the skin, from the suns rays. These are often referred to as solar lentigines. The small, dark spots are generally found on the hands and face, but any area exposed to the sun, can be affected. Age spots, sometimes called liver spots, are a form of pigmentation. They usually occur as a result of damage to the skin, from the suns rays. These are often referred to as solar lentigines. The small, dark spots are found generally on the hands and face, but any area exposed to the sun, can be affected. Exposure to the sun’s rays and a daily onslaught of environmental elements such as air pollution and the toxins in our food, all wreak havoc on our skin, damaging cell walls and connective tissue. This results in the visible signs of aging we see in our skin. Skin can look dull and lack lustre, pigmentation and age spots start to appear and wrinkles become more prevalent. The way our skin responds to UVA and UVB damage, is partly due to our genetic make-up but is also greatly influenced by the way we have treated our skin over the years. Excessive sunbathing or sunbed use can have a dramatic effect on the way we age.

Ephelides (Freckles)
Freckles are also common and usually a hereditary skin blemish. Though freckles are often thought of as attractive, some people do seek out treatment to reduce them.

PIH
PIH or post inflammatory hyperpigmentation. This type of pigmentation usually occurs after some type of injury to the skin. It can commonly occur after acne spots or other skin lesions, after traumatic skin treatments, such as inappropriate or overly aggressive laser or after over use of some skin products. PIH or post inflammatory hyperpigmentation. This type of pigmentation usually occurs after some type of injury to the skin. It can commonly occur after acne spots or other skin lesions, after traumatic skin treatments, such as inappropriate or overly aggressive laser or after over use of some skin products.

Dark Eye Cirlces:
There are two types of pigmentation that occur around the eyes.

Melanin basicsDark-skinned people have more melanin than light-skinned people. Melanin, which is produced by cells called melanocytes, is also your body’s natural sunscreen, protecting the skin from ultraviolet light. Suspect number one: the sun! You can’t feel it happening, but ultraviolet rays stimulate melanocytes to produce more melanin. As more melanin is produced, the skin gets darker (hence, you get tan). Hyperpigmentation occurs when the body produces too much melanin, causing dark spots and patches to pop up or making existing freckles and age spots look even more pronounced. Minimizing the chances and effects of hyperpigmentation means practicing smart sun safety: Limit the time you spend in the sun, wear protective clothing, including a wide-brim hat and sunglasses, and use a broad-spectrum, water-resistant sunscreen with a minimum SPF of 15 (though 30 or higher will offer better protection) year-round.

inflammation, which typically occurs when skin is injured by a cut, scrape, burn, or chemical exposure or by acne, eczema, or psoriasis. It’s not the wound itself that’s the problem but rather what happens during the healing process. As the wound closes, you may experience postinflammatory hyperpigmentation, in which the area around the injury turns dark, like a scar. This discoloration can last for months or years or may even be permanent. Early treatment of the original injury is the best method of prevention, but there are steps you can take later on to try to fade the spot, such as chemical peels, microdermabrasion, and skin lighteners. Keep in mind that postinflammatory hyperpigmentation is more likely to affect people with darker skin than those with fair skin and that sun exposure will likely make matters worse.  Hormones: any woman (and some men!) will tell you that hormones can cause all sorts of weird stuff to happen in your body. We’re particularly prone to hormonal fluctuations during pregnancy, when taking birth control pills or undergoing hormone therapy, or during certain illnesses. One such hormonally produced phenomenon is melasma, a common pigmentation disorder that typically occurs during pregnancy. Like postinflammatory hyperpigmentation, melasma (also known as the mask of pregnancy) is more likely to affect people with darker skin tones and tends to appear on the cheeks, nose, forehead, chin, and upper lip in brown or grayish-brown patches. Don’t panic if the mask pops up on you — melasma typically disappears after pregnancy (or the discontinuation of birth control pills). If it doesn’t, your dermatologist can treat it with topical steroid creams, skin lighteners, chemical peels, or laser treatments.  Illness and Medication is also another trigger that causes Hyperpigmentation. These are usually triggered by autoimmune and gastrointestinal diseases, as well as metabolic disorders and vitamin deficiencies. Plus, there are a number of medications known to cause hyperpigmentation, including certain hormone treatments, antibiotics, antimalarial drugs, antiseizure drugs, antiarrhythmics, and others. Talk to your doctor about the potential side effects of any drug you take, and be extra careful about sun exposure while taking medication.

Melanocytes are melanin-producing cells located in the bottom layer (the stratum basale) of the skin's epidermis. Melanin is the pigment primarily responsible for skin color.

Through a process called melanogenesis, these cells produce melanin, which is a pigment found in the skin, eyes, and hair. This melanogenesis leads to a long-lasting pigmentation, which is in contrast to the pigmentation that originates from oxidation of already-existing melanin. There are both basal and activated levels of melanogenesis; in general, lighter-skinned people have low basal levels of melanogenesis. Exposure to UV-B radiation causes an increased melanogenesis. The purpose of the melanogenesis is to protect the hypodermis, the layer under the skin, from the UV-B light that can damage it (DNA photodamage). The color of the melanin is dark and it absorbs all the UV-B light and it blocks it from passing the skin layer. Since the action spectrum of sunburn and melanogenesis are virtually identical, they are assumed to be induced by the same mechanism.[7] The agreement of the action spectrum with the absorption spectrum of DNA points towards the formation of cyclobutane pyrimidine dimers (CPDs) - direct DNA damage. Regulating melanongenesis is the key to treating pigmented lesions.

Treating Pigmented lesions.

Ablative treatment solutions include dermal abrasion, deep chemical peels and laser skin resurfacing. However, there is significant down time associated with these methods and the post treatment complications can make the cure worse than the disease. Non-ablative light based therapy methods are gaining increasing popularity as they are successful removal of pigmented lesions using either non-ablative Laser or Intense Pulsed Light (IPL) systems. Light emitted by these systems selectively targets melanin in pigmented lesions subsequently causing heating of the lesions to the coagulation point of 70-75 ºC causing their disappearance . Normal tissue contains much lower melanin concentration than the targeted lesions and is therefore not damaged. Most non-ablative Laser or IPL systems require large cooling devices to protect the epidermis from burn. This renders the systems too heavy to be portable. Additionally, the practitioner must be skilled in both operating the system and in use of the skin cooling device to ensure the treatment safety. Therefore,the development of compact systems that are simple too operate and safe was desired.

Light and Heat Energy (LHE) based technology joined the arena of non-ablative light based systems used for skin rejuvenation in 2000. The LHE family can roughly be divided into three classes mLHE (modified LHE), sLHE (specialized LHE) and xLHE (eXtended LHE for multiapplication). The sLHE  and xLHE were introduced for pigmented and superficial vascular lesions treatments. The LHE LUA (Light Unit Assembly) contains two tube of flash lamp that emits broad spectrum light of 400-1200 nm. In contrast to lasers and IPL systems that suppress the heat by using various cooling methods while LHE uses dual light to achieve similar penetration depth at lower fluency. LHE uses the same principle of selective photothermolysis to cause a thermal insult on the selected cell structure triggering the body’s wound healing mechanism. LHE also has a special property. The heat opens up the pores, allowing desired products to penetrate easily into the skin. This delivery mechanism reduces the need to use large quantity of products in order to penetrate the dermis. Clinical and field studies have shown that LHE when used together with cleansers, ampoules containing Vitamin C and Arbutin, is effective in lightening the lesion.

Comparison of Pulse Light Systems / Technologies

 

 

FTD (Facial Toning Device) and the Cinderella effect

 

Singapore, 12^th September 2012.

The Cinderella effect is coined by one of Lifvation’s customer. Cinderella was beautiful only temporary and when midnight came the beauty effect vanished. Some first time users of the FTD will experience the Cinderella effect where the toning is most pronounced after the FTD use and then gradually the toning becomes less obvious. This is usually the case when the customer does not complete the full course of treatment or when the duration between the treatments is too far apart. There are two recommended course of treatments, the standard tract and maturity tract. “灰姑娘效应创造由之一Lifvation客户。灰姑娘是美丽只是暂时的，当午夜来临的时候，美容的效果消失了。一些第一次使用的FTD将经历的灰姑娘的色调是最明显的的FTD使用后，和然后逐渐的色调变得不那么明显的效果。这是通常情况下，当客户没有完成整个疗程或治疗之间的时间相距甚远。有两个建议的治疗过程中，标准的道和成熟道

For recommended full treatment courses, see http://www.lifvation.com/forum/index.php?topic=5.0

Shelly Hancock explains it best when she observes gradual improvement especially for homogenization of the skin tone which typically happens after the fourth to fifth treatment. 在美国ShellyHancock一个有经验的美容师解释它最好的时候，她注意到逐步改善，特别是同质化的肤色通常发生后，第四至第五治疗的。See访问此链接 http://www.youtube.com/watch?v=oGgzenly3yY

Lifvation the premier representative of Radiancy and Hairmax invites you to visit us in Aesthetics Asia 2012

Visit in Aesthetic Asia

请你访问莱威盛在Aesthetic Asia

13th - 15th September 2012

10:00AM – 6:00PM

Booth E24, Hall A,

Ground Floor (Level 1)

MARINA BAY SANDS,

10 Bayfront Avenue,

Singapore 018956

tel: +65 6688 8868

is home to the following super brands in Malaysia and Singapore:

Radiancy

Hairmax

Photomedex

Maps:

Click here to register请注册这里点击: http://www.aestheticsasia.com/index.php?option=com_wrapper&view=wrapper&Itemid=226

Click here to save this event in your Ms Outlook 点击这里如果你正在使用的MS Outlook: http://lifvation.com/events/outlookreminder.msg

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LHE and skin whitening

Kuala Lumpur, 8th August 2012

Skin whitening is very big business in SE Asia. Men and women with creamy milky skin is considered more attractive. Big brands like SKII sell into this intrinsic need.

Application specialists in Lifvation have been combining Radiancy’s LHE (Light Heat Energy)treatments with many whitening products from the likes of Payot, Sothys, Dermalogica, Dr. Murad and several indigenous brands found only in SE Asia. The results have been very impressive and the results can be found Lifvation’s customer pages.

Whitening is most effective when done in stages. Protection against UV is the first basic step, followed by the use of good cleansers, whitening treatments and maintenance.

Whitening treatment is difficult as getting the products to penetrate the epidermis is a big challenge. The way round this hurdle is to use technology like LHE in combination with mild retinoic acid that inhibits tyrosinase production during the pre-melanin synthesis and hydroquinone that distrupts mealanin production to achieve the skin lightening. LHE opens up the pores with it’s synergistic formula of heat and light allowing these acids to penetrate the different epidermial layers. When using combination treatment with LHE, retinoid and hydroquinone acid concentration should not surpass 4%.

Products that contain berries, fruit and herb extracts when used with LHE have proven to be very effective. The berry extracts contain Arbutin which has depigmentation properties. The fruit extracts contains Vitamin C, E and L-cysteine contains loads of antioxidants which help to lighten skin. LHE works similarly to gently open the pores allowing these extracts to penetrate the different layers of skin.

美白肌肤是非常大的，在东南亚的业务。滑腻的皮肤白皙的妇女和男子被认为更具吸引力。大品牌如SKII的销售到这方面的需求。
lifvation专家已结合许多美白产品，从柏姿，Sothys，德卡等Radiancy'LHE（光热能源）治疗，穆拉德博士和几个本土品牌发现，仅在东南亚地区。结果已经非常令人印象深刻的结果可以发现Lifvation的顾客页。
美白是最有效的阶段时。对紫外线的保护是第一个基本步骤，BU良好的清洁剂的使用，进行美白护理和保养。
美白治疗是困难的，因为产品无法穿透表皮的不同层次。 LHE光线可以是轻度维生素A酸和对苯二酚美白肌肤使用。 LHE光线开辟了热和光的能量，使这些酸渗透不同epidermial层的孔隙。当使用组合的LHE产品，维甲酸和氢醌酸浓度应不超过4％。
产品含有浆果，水果和草药提取物，使用LHE光线时是有效的。浆果提取物中含有的熊果苷有色素脱失属性。水果提取物中含有维生素C，E和L-半胱氨酸含有的抗氧化剂的负载，这有助于减轻皮肤。 LHE光线同样的工作，轻轻地打开毛孔，使这些提取物穿透皮肤不同层。

Cosmobeaute PWTC

Kuala Lumpur. 20 July 2012

Though it was just a month just after the IBE KL exhibition, we had a different crowd in Cosmobeaute held from 16-19 July in KL’s PWTC.

Cosmobeaute was sandwiched between two other major events, Guruji disciple’s empowerment ceremony on Sunday and the first Goverment Retirees’ Association gathering graced by the Prime Minister of Malaysia.

We received about the same number of visitors as from previous exhibitions. However, missing from Cosmobeaute were medi-spas and spa owners. The exhibitors in Cosmobeaute were primarily distributors. As the only company that carries LHE (Light Heat Energy) we met many dermalogica customers who had bought machines such as the Skinstations, ExtremeClear, first & second generation of FTDs. There were many interest in Radiancy’s advance hair removal system, the STE especially when they saw that the machine could remove hair on the spot without the need of shaving and application of gel. We did a total of 133 demos with STE over a period of four days or between 30-40 demos a day.

As an appreciation to our customers, we are providing a 10% discount to new customers who visited us during the exhibition.

A quick overview on LHE (Light Heat Energy) and Radiancy

1.0          Overview of Radiancy & Photomedex merger: http://www.evenbetterasone.com/
               History of Radiancy: http://www.radiancy.com/en/about-us.html

2.0          Scientific advisory board comprised of luminaries from John Hopkins, Berkley, Harvard:   
http://www.photomedex.com/company/scienceboard.htm
http://www.radiancy.com/en/clinical/doctor-bios.html

3.0          LHE (Light Heat Energy) technology family
http://products.lifvation.com/LHE-print_vW.pdf

4.0          Clinical studies on LHE:
http://www.radiancy.com/en/clinical/clinical-studies.html
               An interesting article on treating Keloids,  
http://www.radiancy.com/images/stories/Support/Downloads/Published/1_KT.pdf
               LHE irradiation causes flattening but the mechanism is not well understood.
               There are two theories: hypoxia & collagen remodelling,
                “softening of mass keloids cells” & collagen remodelling.
              This paper is on Lesion removal based on Radiancy’s first generation equipment the Skinstation,
http://www.radiancy.com/images/stories/Support/Downloads/Published/1_PL.pdf
              The Mistral is a third generation LHE equipment and is far more powerful the 1st
              and 2nd generation LHE devices.

Lifvation in International Beauty Expo, KL.

 

 

 

Visit Lifvation in the International Beauty Expo (IBE)

from 5^th – 8^th May, 11:00AM – 7:00PM

Booth 4804, Hall 4, Ground Floor

Kuala Lumpur Convention Center (KLCC)

Kuala Lumpur, Malaysia

 

For more information, please click here http://events.lifvation.com

FTD / FSD a super treatment for Brides and a boon for Bridal business.

FTD / FSD a super treatment for Brides and a boon for Bridal business.

http://www.accomacinn.com/restaurant/2012/03/new-radiancy-treatment-at-salon-nouveau/

25 MARCH 2012. East Market Street, York, PA, USA

Crystal Hagan from Salon Nouveau in York is back on the blog today for Wedding Wednesday discussing bridal beauty and getting your skin into perfect condition. Salon Nouveau is now offering a new treatment called Radiancy. Salon Nouveau is a wedding event planning agency. http://www.sncrew.com. Their motto we put the smile on your face offers top products to put the extra spiff into any wedding. They use top quality products like Davines, Kevin Murphy, and MO products. Salon Nouveau now adds Radiancy’s FSD / FTD treatment in their menu.

Radiancy is a micro phototherapy treatment using light and heat energy directed at the dermal layer of the skin to stimulate new cells. So, with the same technology being utilized in medical offices for skin rejuvenation, this device allows me to offer a real visible change in the skin with the series of Radiancy treatments. The light and heat energy is emitted in gentle pulses that trigger the skin to rebuild collagen. This helps with firming and line reduction. The other great benefit of the series is that hyperpigmentation (brown spots) are diminished with the skin regaining an over-all creamy, smooth tone. Redness, such as tiny broken capillaries, is also greatly improved. For younger skin not needing as much in the way of repair, the treatments even out oily and dry areas. It also gives the skin a beautiful, healthy glow, while helping to stimulate the collagen that will keep signs of aging at bay. For anyone with a special occasion coming up, such as a wedding, Radiancy treatments are a perfect, non-invasive way to get your skin looking its absolute best. There is no down-time with this treatment, meaning you can come in for a quick 45 minute appointment and leave with glowing skin that doesn’t need covered up. This is especially important for the busy bride who always seems to have to squeeze in appointments between meetings and work. Another benefit is that this is not an uncomfortable procedure. The treatment is tailored to each individual’s comfort level so there is no need for apprehension or pain, and after the first few pulses, the client can relax and enjoy their me-time. Brides and mothers-of-the-bride can expect to see the full result from the Radiancy series within 30-60 days after they have completed their series. The series is done in a 4 week period, with an average of 2 treatments per week. The full series consists of 8 treatments. The reason for the intensive series is to get the maximum results for your skin by continuing to stimulate the new cells deep in the skin to get a long-lasting effect. The skin looks noticeably brighter and refreshed with just one treatment, and they will be amazed how their skin looks even better 30 to 60 days after the series is finished! This is due to the nature of the cell renewal process. This needs to be done only twice a year to maintain your results!

I would recommend starting the Radiancy treatments about 2 months before a wedding for a younger bride, 35 and under, and up to 3 months before a wedding for anyone 35 and over to time their results to coincide with the big day. Radiancy can also be added onto any facial, to enhance absorption of products and give that glow to the skin, which is a great option for any time, especially in between your bi-annual series. Radiancy treatments are fast, safe and effective and I am so excited to be sharing this with my clients and hope you will find this information useful as well!

New Radiancy FTD/FSD Treatment at Salon Nouveau can be found in The Accomac Inn

Salon Nouveau is located at 3602 East Market Street York, PA. Photo by Kim Winey Photography.

Is LHE effective?

Is LHE effective?
Singapore, 2012-03-18
Is LHE effective? The answer is yes and this is from the field as well as from clinical studies which you can access in the following link:http://www.radiancy.com/en/clinical/clinical-studies.html
The typical gripe that my clients often tell me is that LHE takes a long time to get the results. One the other hand I have clients that sing praises to LHE. To understand why the results are so different, one has to understand the
the LHE family of technologies. LHE is roughly divided into 4 categories: mLHE, oLHE, sLHE and xLHE. The technology with each of the sub-family is different. You have to ask your therapist what machine your therapist is using. This will give you the indication of the techology.
The FTD uses mLHE. The FTD is a entry-level medi-spa device for facial toning and skin rejuvenation. It is designed with a huge safety margin. The FTD's low power fluency (only 4Joules/cm2) means that you will need more sessions to get the results. One thing that is nice about the FTD is that there's no downtime and you can resume your normal activies immediately. Safety is something overlook by many clients in their quest for perfection. However, Radiancy, safety is never compromised. http://ftd.lifvation.com
The oLHE is Radiancy's older devices such as the Skinstation, SpaTouch I, SpaTouch II, Duet, Duet Pro series. Though these oLHE devices are 5-10 years old, they are still effective nonetheless. The oLHE has been the work horse for many clinics and spas. The oLHE devices are many times more expensive than the mLHE devices. The results are more immediate.
sLHE are used in very specialized device such as the single application hair removal machine Spa Touch Elite (STE). sLHE devices are built for speed, effectiveness and efficiency. http://ste.lifvation.com
The Mistral, uses xLHE which combines multiple technologies such as SHALS (heat management system) and OPT (variable pulse light). The Mistral is one of the most effective skincare machine that Radiancy offers. http://mistral.lifvation.com

 

For more discussion on LHE: http://www.lifvation.com/forum/index.php?topic=19.0

The Facts About Phototherapy

By: Giora Fishman, September 25, 2009

Phototherapy

According to the 2008 trends survey by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), expensive, invasive skin care treatments and rejuvenation procedures are losing their edge in this economy as clients seek more affordable, less severe options. This presents an interesting opportunity for spas. Despite tight budgets, decreased profit projections and overall belt-tightening, it may be worth investing in phototherapy equipment. Phototherapy is a broad term used to describe treatment procedures that utilize light. The spa industry typically relates it to treatments of skin conditions using intense pulsed light (IPL) or lasers. Phototherapy equipment emits the light and heat energy that is used in treating skin. The ability to offer noninvasive, nonabrasive skin treatments may help your business weather this economic storm and place it in a winning position when the clouds clear.

How can phototherapy equipment help? Investing in phototherapy systems is an efficient way to increase menu offerings, keep up with the latest skin treatments and provide clients with more affordable skin care solutions. Today’s clients are exploring their options and becoming more discerning in their choices about where to spend money and on what services. Many spas have reported that some clients have stopped coming in regularly—even completely—while others have chosen to go elsewhere for less expensive and less invasive treatments. Attracting this loose clientele with photorejuvenation or photoepilation can help to grow a shrinking client base. Offering these treatments may not only bring in more clients, but they also may help keep current clientele from seeking the same types of services elsewhere.

How it works

Phototherapy works by light interacting with chromophores—chemical groups in the skin that absorb light on a specific wavelength. The light interacts with the targeted chromophore and produces the desired reaction. Hair removal, sagging, dullness, wrinkles, sun spots, spider veins and acne can all be treated using phototherapy. An efficient system can treat multiple conditions from one platform, saving the need to invest in more than one unit. Phototherapy treatments are considered fast, safe and virtually painless with very little, if any, downtime. The cost to the client is much less than surgery, injections or lasers, and the results are impressive, with a high rate of client satisfaction.

The price of phototherapy devices varies broadly depending on applications and energy levels. For spas, low-energy devices average approximately $3,500 and for clinics, they can cost $45,000 or more. Laser devices can range from $80,000–150,000. On average, spas can charge $250 for a 75-minute microphototherapy treatment and, in a clinical setting, $400–600 is the average charge for a photofacial.

Accredited cosmetician Susan Harubin is the owner and operator of the Zen Glow Skin Care & Day Spa in Wolfeboro, New Hampshire. She recently invested in a small, multi-application phototherapy system for hair removal, pigmented and vascular lesion treatment, skin rejuvenation and wrinkle reduction. “If someone told me a year ago that I would be making a major purchase to add to my practice, I wouldn’t have believed it,” Harubin says. “ ‘Too expensive,’ I would have said. ‘I can’t afford it,’ I would argue. Well, guess what? I did, and I am thrilled to report that it was the best purchase I have ever made.”

 

Do your research

Harubin emphasizes the importance of doing research to find the right machine. In her case, she needed a results-oriented, easy-to-use, affordable system that would enable her to deliver photofacials and hair removal at reasonable prices. Due to the diverse ethnicity of her clientele, she also wanted a system that would safely treat a wide range of skin types and hair colors. Many machines can be used on all skin types, but light-based devices are typically ineffective in removing hair that lacks pigment, such as blond or gray.

Phototherapy treatments enable spas to upgrade and expand service menus to include a wide range of treatments. Each business and location has its own special needs and circumstances. Before investing in any system, do the research. Understand what your clients are seeking and how much they are willing to pay. Phototherapy is a wonderful tool to help maintain relevance and individuality in an already-saturated market, but is it right for your existing and potential clients? Look for a system backed by a reliable, established company that offers after-sales support covering both marketing and service.

Find the system that is right for you. Does it provide all the treatments you want in one package? Do you have to buy additional accessories for different services? What are the costs of maintenance and replacement parts? Does the price fit into your business plan? Keep in mind that today’s is a buyer’s market. Companies are eager to sell and may have more flexible financing and payment options than they did at this time last year. Market research is no guarantee, but it will help narrow down your possibilities and allow you to make the most informed decision possible.

Smart business owners know when to expand and can look to the future without ignoring the reality of the present. If the beauty field continues to follow historic precedent, people will continue to spend, albeit more wisely and more frugally. Taking positive action by keeping your menu offerings relevant will help build a stronger client base, even today. And for tomorrow, when spending is on a rise, your business will already be in a strong position as a respected and experienced establishment for quality, high-end skin care.