We use the Syris Polarizing Headlamp for veins, tattoos and to look at pigmented lesions. It really helps with our vein treatments and our tattoo treatments. It is worth the price in my opinion. Check out Syris' website to see how the veins look different. They have a very nice video. Someone told me that they will give you a 30 day trial before you purchase.

I agree with JEE. I have the Syris 600 and I love it. I will not do vein work without it.

Great Topic Post CHMD!

When using the Lumenis LightSheer on South Asians (Indians), start at 100 ms pulse duration, but also do test spots at 30 ms during the treatment. This way you can shorten your pulse duration at the next treatment session if needed. Inidans have thin dark hairs which frequently require 30 ms pulse duration, but they are dark skin types so you have to be very careful with 30 ms.

Never (or be very careful) go over 40 j/cm2 in darker skin types when using 30 ms. This can cause burns and hypopigmentation.

JEE,

I just bought the Hoya ConBio Revlite. I am trying it on the fine villous hair in my middle easter population. I will try to let you guys know if it is helping.

UltraPulse & PIH:

When you change handpieces on the UltraPulse from the ActiveFx to the DeepFx and to the Incisional Handpiece, the CoolScan feature is automatically turned OFF. You have to turn it on Manually by going to "Options". If you don't turn it back on, you risk Post Inflammatory Hyperpigmentation (PIH).

LH,

In my opinion the best laser for these fine hairs in Middle East and Southern Asian (India) is the Lumenis LightSheer 810 Diode. The MedLite works in the short term, but I am not sure it is "permanent" hair removal. We have had the MedLite for 2 years now. It does a great "Laser Wax" which means no shaving for 6 weeks, but then the hair grows back. I don't think Hoya has any studies for hair removal yet. Lumenis has a great study in 1000 Pakastani Women. Ask your Lumenis rep for this study or I could forward it.

I currently do not have a 810 diode. I had been looking at adding a 755 Alex but they are a maintenance nightmare. I may have to look at the Lumenis on the secondary market. How much of a maintenance problem are they.

I do not have a large mediteranian population and I am always loking for input. I guess I had been a little concerned about using the 810 on ethnic skin and getting decent reduction.

I actually had not planned to use the Revlite for this but I had a patient that had treatments with a 1064nm at another clinic and she feels the fine hair got worse. I had the Revlite so I gave it a try.

Thanks for your insight.

We LOVE our LightSheer. Patients are getting great results. Great for Ethnic Skin IF you use it correctly.

JEE and LH:
When it comes to LHR of fine/vellous hair, no matter which "laser wavelength" you use, thu the 1064 Nd-YAG is still safest for darker skin people, the key is the pulse width used. You have to set it at 5ms or less (even 3ms). At this PW, you might not get much fluency (use 8 or 10 mm spot size) out of your machine unless it is a Candela or Cynosure. However, you can do many more passes or pulse stacking. Your goal is: follicular edema. Treat the area right after with some cortisone cream BID for 2 days to reduce the risk of PIH or even hypopigmentation. When it comes to the fine and vellous hair, there is not much melanin there. Your goal now is to "burn off" the roots. This is achieved principally by shortening the pulse duration.

see www.geocities.com/foxydog1064 for pulse durations necessary to treat different thickness hairs

Just a random pearl. One of our nurse practitioners, places a damp 4x4 on the upper teeth, between the teeth and lip, when performing laser hair removal on the upper lip. This seems to help with the discomfort. I can not give you an explanation as to why this helps. Perhaps, distraction may be worth a try on "weenie" patients.

Thermage has a photography webinar on their website. This is a must watch for all cosmetic physicians. Check it out.

When I inject fillers and when I do DeepFx, I use a magnifying headset. It helps me see better.

midcity,

It frightens me that you, nor your tech understand the physics of your equipment. Nd:Yag is working close to sub q. IPL is even deeper. They heat up enamel! This is not a "pearl" its a requirrement! Buy mouth guards that were meant for use with laser...

Laser Tech, it frightens ME that you do not understand the physics of YOUR equipment......IPL is NOT deeper than Nd:Yag. Hence, the "1064"nm wavelength....IPL.....Oh, 350-570nm, give or take, much better to get those pesky brown spots and SUPERFICIAL capillaries.