Focus Medical, Bethel, CT, USA
American Made
NaturaLase QS4 2J
y 2J of energy, 4 wavelengths y 1064, 532, 585, 650
NaturaLase QS4 1J
y 1J energy, 4 wavelengthsLaser Tattoo Removal
Company History
Founded by John Lee, January 2000.
Former Laser Division of Lorad, Mammography manufacturer in Danbury, CT.
y Former parent company is now Hologic
First systems manufactured entirely by Focus Medical were export sales to Asia, Australia, and Brazil.
y NaturaLase QS & NaturaLase Er:YAG
Established USA distribution, January 2002.
Developed NaturaLase LP, Nd:YAG Laser system, January 2004
Developed NaturaLight Pulsed Light System, July 2005
Second generation NaturaLight, August 2007
3rd Generation NaturaLase QS – January 2009
What is Laser Tattoo Removal?
Light energy interacts with the pockets of ink in the
skin that comprise the tattoo
y Light breaks apart the ink into smaller particles, the body
then absorbs the ink, repeat 4 – 8 times for full removal
The Light is delivered in nano-seconds and
delivers an acoustic pulse
y Nano-seconds – One billionth of a second y Photo-acoustic (ns) vs. Photo-thermal (ms)
Different wavelengths react with different tattoo ink
y 1064 - Black, Blue 532 - Red, Orange, Violet y 585 - Yellow, Sky Blue 650 - Green
How does a laser remove a tattoo?
Light energy interacts with the pockets of ink in the skin that comprise the tattoo
Q-switched Light, When it is delivered to the skin becomes photo acoustic energy. Similar to a shockwave.
Photo acoustic energy breaks apart the tattoo ink packets into small enough size to be naturally absorbed by the body
Think of an old faded tattoo, we are harnessing the power of light to
speed up the fading process
To remove multiple colors, different wavelengths must be used
1064, 532, 585, 650, 755, 694 are all wavelengths used in tattoo
removal
The technique is to gradually increase the fluence (j/cm2) after each treatment as tattoo fades
Minimize complications
Typical 4 to 8 treatments required
More or less depending on colors, professional vs amateur, body
location, and health/age of patient
Goal is to leave skin as it was before the tattoo
Millisecond vs. Nanosecond is the same
as Photothermal vs. Photoacoustic
Milliseconds energy is delivered over time to create a
PhotoThermal effect that produces heat to damage hair follicles or heat for rejuvenation.
Lasers that deliver energy in ms milliseconds or thousandths of second and this sounds fast but in the “laser world” this is a very long time.
Long pulse lasers are millisecond pulsed lasers Nanosecond energy is delivered faster than the thermal
relaxation time of cells. Cells cannot tolerate this energy and consequentially burst.
Q-switched lasers deliver energy in ns, billionth of a second.
Why Laser Tattoo Removal?
Why Laser Tattoo Removal?
No other technological way to remove tattoos
y Gels, creams don’t work
y What is Wrecking Balm? Low grade chemical peel that will
burn off a few layers of skin. Using chemical peels deep enough to reach tattoo ink packets will leave a serious scar.
y Please google Wrecking Balm, tell me what you read!
y Other lasers
○ Long Pulse/ IPL/ Other Lasers – Will burn the skin and make tattoo
more difficult to eventually remove as scar tissue will encapsulate ink packets.
○ CO2 – Ablation down to depths of ink packets will leave same scar as
chemical peel.
y Surgical excision is only other way
Popularity of Tattoo Removal
Captive Audience
y Other methods do not work and/or leave awful scars y Compare vs. hair removal, skin rejuvenation, vascular
How many people/patients do you know with
Tattoos?
y Location to Military Base y Nearby Tattoo Artists
Great demographics
y Although, no hard statistics are published on tattoo removal a report by the Food and Drug
Administration estimated as many as 45 million Americans have tattoos. This report was based on a Harris Interactive Poll in 2003, that also found 17 percent of tattooed Americans regretted their tattoos
y About 20 percent of tattoo wearers are dissatisfied with their body art, and about 6 percent have it
removed, according to recent article in Archives of Dermatology
y Women are more likely than men to have tattoos removed, according to the journal article. In the survey of 196 individuals who visited clinics for tattoo removal, 69 percent were female.
Participants also were more likely to be white, single, college educated and between the ages of 24 and 39.
Highest power Q-Switched Nd:YAG
y 2J per pulse – highest worldwide
Used in prominent Dermatology, Plastic Surgery,
Aesthetic offices worldwide
y Establishes new standard in tattoo removal
New features allow for four different wavelengths
y 1064, 532, 585, 650
y Black, Blue, Red, Orange, Green, Yellow, and Violet ink removal.
Laser Tattoo Removal
Technology
Multiple Wavelengths
Multi-colored tattoos
2000 millijoules (mj) of 1064 nm
y Invisible IR radiation
y Ideal for black and dark blue ink
900mj of 532 nm
y Red ink tattoos, pigmented lesions, vascular lesions
500mj of 585 nm
y Sky blue and yellow ink
450mj of 650 nm
Why So Much Power?
More energy allows a bigger spot
Bigger spot means deeper penetration
Deeper penetration means lower intensity
Lowering intensity reduces complications
y
Less skin damage
y
Less scarring
y
Less hypo and hyper pigmentation
Light Penetration
Higher power ->
Deeper light penetration y Penetration to the depth of
the pigment
y Larger spot size with same
or greater energy
y Flat top beam improves
results
y Lower intensity at the
surface reduces complications
Energy Thresholds
Without enough energy an extra
wavelength will not produce results
Wavelength
Skin damage
threshold
Min Fluence
at Ink
1064 nm
7 J/cm2
1.5 J/cm2
532 nm
5 J/cm2
1 J/cm2
585 nm
6 J/cm2
2 J/cm2
650 nm
6 J/cm2
2 J/cm2
Tattoos require a minimum amount of energy to reach the ink and cause disruption, too much will cause skin disruption.
Beam Profile
Treats evenly to the
edge of the spot
No “HotSpots” that
can cause
complications
NaturaLase QS uses proprietary technology to produce the
best beam profile in the industry.
Why Beam Quality Matters?
More even light
penetration
Fewer
complications
y No “hot spots” to cause
epidermal damage
Uniform results
y Cone shaped beam will
have less energy/results away from center of beam
Before and After
4 Treatments
Increasing Fluence
Removal of Amateur Tattoo
Before
During
In Progress Tattoo
Can be considered a typical tattoo that is treated for removal. This tattoo will likely only take 4-5 tx, with a charge of $150-200 per tx.
5 minute procedure time, max.
Tattoo Removal
Full removal took 10 tx and 2yrs, this is a very good result. This type of result can only be accomplished with the best technology.
Progression of three treatments
Pre-treatment 1 Post-treatment 1 3 hours post 1 24 hours post 1
1 hour post 2 Post-treatment 2
Progression of four treatments
Pre-treatment 3 Post-treatment 3 30 min. post 3 hours post 37 days post
Tattoo Removal
High Revenue Procedure
1
sttreatment $750
Follow up treatments
y
$250 each
Total revenues for
this treatment $1500
- 2000
On the Skin Energies
Laser Product 1064 nm
Energy 532 nmEnergy 585 nmEnergy 650 nmEnergy
NaturaLase QS 2J 2000 mJ 900 mJ 500 mJ 400 mJ
NaturaLase QS 1J 1000 mJ 500 mJ 300 mJ 225 mJ
Conbio RevLight 1600 mJ 500 mJ 300 mJ 200 mJ
Conbio C6 1000 mJ 400 mJ 250 mJ 150 mJ
NaturaLase QS Specifications
Wavelength
Energy
Spot size
Fluence
1064 nm
2000 mJ
3 - 10 mm 24 J/cm2
532 nm
900 mJ
3 - 10 mm 18 J/cm2
585 nm
500 mJ
3 - 5 mm
12 J/cm2
Laser Tattoo Removal
Takeaways
If YOUR patients want to remove their tattoos,
only a QSwitched laser can do it!
Tattoo shops refer patients for tattoo removal,
to fade tattoos before they put on a cover up
tattoo and also to remove bad tattoos!
The key are some key demographics to target
y Soccer moms, military/police, people with multiple tattoos
Location matters, if you had a tattoo you
wanted laser treatment on, how far would you
have to drive?
NaturaLase QS 2J
Not only tattoos…
Indications:
All Tattoo Colors
Traumatic Tattoos
Amateur Tattoos
Melasma
Common Naevi
Lentigines
Café-au-Lait Birthmarks
Seborrheic Keratosis
Vascular Lesions
New Standard of Care
Higher energy allows bigger spots
Bigger spots produce higher fluences in the skin.
These effects multiply to produce much lower
fluence requirements.
