Comprehensive Non-ablative Laser Skin Rejuvenation Using a Novel 650 microsecond Pulsed Nd:YAG 1064nm Laser

Kevin S. Pinski, MD, Kayla Mannausa, LE, Chicago, IL

Presented at the American Society for Laser Medicine & Surgery Annual Conference 2017

Abstract: This study was conducted to evaluate a novel Nd:YAG 1064nm laser with 650-microsecond pulse duration to perform comprehensive non-ablative skin rejuvenation, to improve texture and tightening through neocollagenesis but also to clear erythema, spider veins, pigmented conditions and active acne.  Normally the treatment of this range of conditions requires 3 or 4 different types of lasers. The objective was to evaluate whether a single laser with a single wavelength can produce a similar result. 73 subjects with skin types I-VI and ages 15-77 were treated an average of 3.5 times each, with a treatment interval of 3-4 weeks.  Treatment areas included the face, neck, hands and chest. The laser treatment was well tolerated with no anesthesia or any form of skin cooling.  No complications were observed; subjects reported little or no treatment discomfort. Improvements in texture were observed as well as reduction in erythema, spider veins, melasma, pigmented lesions and active acne. Of the 73 subjects, 80% rated their satisfaction as Medium or High while 20% rated it as Low.  

Background and Objective: Skin rejuvenation with non-ablative laser offers patients the possibility to obtain cosmetic improvements in many areas such as the face, neck, hands and chest including texture improvement for reduction of pore size, softening of fine lines and general skin tightening; clearance of vascular lesions including facial erythema and spider veins; pigmentary issues including melasma, lentigenes and general PIH (post-inflammatory hyperpigmentation); and active acne in its various forms. Normally the treatment of this range of conditions has been performed with 3 or 4 different types of lasers and light-based therapies. The objective of this study was to evaluate an Nd:YAG 1064nm laser with 650-microsecond pulse duration and a peak power of more than 15,000 watts per pulse.  The 1064nm energy from this laser is absorbed in three primary chromophores: hemoglobin, melanin and water. Hemoglobin is targeted for clearance of erythema, acne (thermocoagulation of sebaceous glands) and spider veins; melanin is targeted for melasma, sun damage and pigmented lesions; and water is targeted for neocollagenesis to improve texture and tightening, as well as superheating p. acnes bacteria to treat active acne. The efficacy of this laser on this uniquely broad range of conditions, aside from the underlying versatility of the 1064nm wavelength, is related to its ability to produce a very wide range of fluences at the 650-microsecond pulse duration, which in turn enables the clinician to treat areas with multiple passes or pulses of the laser even on tanned or darker skin tones, for maximum tissue response.

COMPREHENSIVE NON-ABLATIVE LASER SKIN REJUVENATION USING A NOVEL 650 MICROSECOND PULSED Nd:YAG 1,064 nm LASER​, Kevin Pinski​, MD, Pinski Dermatology and Cosmetic Surgery, S.C., Chicago, Illinois​, The Journal of Laser Surgery & Medicine, Vol 49, Issue 4, pp. 417-467, E77.​

Table of Contents

Hyperpigmentation

Photos Courtesy of Cheryl Burgess, MD.

Photos Courtesy of Jennifer Parker-Porter, MD.

Learn more about treating hyperpigmentation today.

Vascular Lesions

Photos Courtesy of Dr. Guilia Kasimova.

Photos Courtesy of Michael Gold, MD.

Learn more about treating vascular lesions today.

Rosacea / Redness

Photos Courtesy of Yelena Kipervas, DO.

Photos Courtesy of Dr. Nabil Fakih.

Learn more about treating rosacea and redness today.

Hair Removal

Photos Courtesy of Dr. Andrew Nnadi.

Photos Courtesy of Steik Spa.

Learn more about treating hair removal today.

PFB

Photos Courtesy of Dr. Michelle Henry.

Photos Courtesy of Wendy Roberts, MD.

Learn more about treating PFB today.

Scars

Photos Courtesy of Dr. William Watfa.

Photos Courtesy of Bradley Bloom, MD.

Learn more about treating scars today.

Autoimmune Disorders

Photos Courtesy of Dr. Passeron.

Photos Courtesy of Dr. Sakhiya.

Learn more about treating autoimmune disorders today.

Skin Rejuvenation

Photos Courtesy of Catie Cutler, LE.

Photos Courtesy of Chesahna Kindred, MD.

Learn more about skin rejuvenation today.

Acne

Photos Courtesy of Michael Gold, MD.

Photos Courtesy of Michael Gold, MD.

Learn more about treating acne today.

Staff Accountant / Junior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Staff Accountant / Junior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Staff Accountant / Junior Accountant

• Provide support to the Controller and the management team
• Maintain day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Support the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Uploading annual budget and tracking actual to budget variances
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Participation in quarterly inventory reconciliations
• Assist team with projects such as policy creation, system implementation, client support etc.

• Some experience with and strong understanding of the monthly close process and technical accounting
• Detailed oriented, with ability to see the big picture
• Self-starter who can work independently and employ time management skills to meet deadlines.
• Knowledge of MS Excel (V-lookup, formulas, pivot tables).
• Strong interpersonal and communication skills
• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP
• 1-3 years’ experience in an accounting function (including internship)
• General Ledger/Operational Accounting experience
• Knowledge of Quickbooks or other reporting software a plus (more the better)
• Industry experience a plus

Senior Accountant

Aerolase Corporation, a leading aesthetic laser innovator, seeks a Senior Accountant. Having made the Inc. 5000 list as one of the world’s fastest growing private companies as well as annual best-in-class product awards, Aerolase has transformed the market with products that provide uniquely tolerable treatments to the patients and exceptionally high ROI for the practitioners. The company offers competitive and an exciting high-growth company culture.

Senior Accountant:

• Provide support to the Controller and the management team
• Own day-to-day financial accounting functions, including A/P, A/R, expense tracking
• Assist in establishing and maintaining policies & procedures in accordance with GAAP and Aerolase policy
• Key contributor to the month-end close process, ensuring accurate and timely monthly, quarterly, and year-end financial statements.
• Assist in the preparation of management reports – (cash management, various projections, month end reporting package)
• Involvement with the annual budget process
• Use of financial reporting software
• Support external auditors and other required outside reporting requirements
• Prepare and submit payroll
• Participation in quarterly inventory reconciliation to the perpetual
• Ad hoc projects

• Strong knowledge of the monthly close process and technical accounting

• Detailed oriented, with ability to see the big picture

• Experience in continuous improvement and accounting best practices

• Self-starter who can work independently and employ time management skills to meet deadlines.

• System savvy – ability to learn new financial software

• Intermediate knowledge of MS Excel (V-lookup, formulas, pivot tables).

• Global consolidations experience a plus

• Strong interpersonal and communication skills

• Sound judgment and problem-solving skills

• Bachelor’s or master’s degree in Accounting a MUST, good understanding of GAAP

• 3+ years’ experience working as a staff/senior accountant

• General Ledger/Operational Accounting experience a must

• Extensive knowledge of Quickbooks and other reporting software

• Prior involvement with system implementation

• Prior public accounting experience (any size firm) a plus

• Industry experience a plus

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