Application manual for the Trabeculas-Laser 532 nm wavelength Bessemerstr. 1490411 NürnbergTel.: +49(0)911.21779-0 Fax: +49(0)911.21779-99 For your own safety follow all guidelines for handling the equipment and follow the safety instructions in this manual. © 2010 A.R.C. Laser GmbH all rights reserved. Names other here named carrier companies or products are trademarks theirs respective holder of rights.Every endeavour has been made at guarantee, that all performed informations are accurate in this manual. A.R.C. Laser assume yet no warranty for the trueness of the content in this handbook.November 2010
Omnilux Achieves Integral
May / June 2005
Role in Aesthetic Medicine
Omnilux, a light emitting diode (LED) system from PhotoTherapeutics Mydon Nd:YAG.10 Limited (Altrincham, U.K.), is a surprisingly easy and effective modalityfor treating a wide variety of skin conditions. Based on a dense matrix of Solis Pulsed Light.19 high intensity LED elements, the Omnilux features multiple treatmentheads that are wavelength specific.
DUSA Profile .20 "We use the Omnilux frequently for photodynamic therapy (PDT) appli-
cations," said Mark B. Taylor, M.D., director of the Gateway Aesthetic
OmniLux and Botox.24 Institute and Laser Center in Salt Lake Photos courtesy of Nick Lowe, M.D.
City, Utah. "The most common indications AACS Show Report.37 are acne and in combination with a photo-sensitizer for precancerous lesions, such asactinic keratosis (AKs), basal cell carcino- IMCAS in Paris.45 mas and Bowen's disease." Dr. Taylor alsouses Omnilux with Levulan (DUSA Pharmaceuticals) in patients with severecases of acne. "I've also had success using Radiancy Research .97 the new Omnilux plus 830 nm (near-infrared) treatment head for conditioning Fraxel Roundtable .insert the skin after laser resurfacing." For laser resurfacing, patients are given six minutes of Omnilux plus (830 nm) treat-ment for two days after the procedure. "We then switch to the Omnilux revive (633 nm) head for six minutes at subsequent visits," Dr. Taylor explained. "Patients appear to heal faster with less inflammation and quicker re-epithelialization." The data on photorejuvenation using Omnilux together with the Levulan Kerastick is also encouraging. "I Suzanne Kilmer, M.D.
believe that the light by itself causes subtle improvements in skin tone, firmness and elasticity."
Bruce A. Russell, M.D., a dermatologist in a private research-based prac-
tice in Portland, Ore., uses the Omnilux
primarily to treat acne and AKs. "It hasbeen easy to incorporate the system intoour practice," he stated. "It fits in a niche where other devices do not cur- U.S. POSTAGE PAID rently function well. For instance, prior continued on page 5 from page 1
to the Omnilux, we really didn't have a reliable device Dr. Russell's prospective study of 22 acne patients
for the gamut of acne conditions, even though we have showed that at 12 weeks after final treatment with over 20 lasers. The Omnilux is definitely the most alternative blue and red light, there was a reduction of effective system we have for acne." over 80% in inflamed lesions. "Many of our acne For acne, most patients receive twice weekly treat- patients were considering Accutane as a last resort.
ments for one month. "We use a combination of red However, the Omnilux can provide quicker results and (revive) and blue (415 nm) light," Dr. Russell said. "But offers better patient compliance because there is no for more difficult patients with deeper acne lesions, we flaring as with Accutane. Accutane patients often get use Omnilux plus, along with the other two wave- worse before they get better." Clinical Roundtable Discussion
Editor's Note: We gathered several leading Omnilux researchers together to learn from their clinical experiences and understand the evolving role of this unique LED technology.
What conditions do you treat with the Omnilux and
Photos courtesy of Mario Trelles, M.D., Ph.D.
has it been easy to integrate into your practice?
Nick Lowe, M.D. – I use the
Omnilux blue (415 nm) head
alone for treating inflammatory
acne and as part of an acne treat-
ment protocol. We often combine
the Omnilux with topical thera-
pies, systemic therapies, micro-dermabrasion and peels when idly decrease recovery time. The plumpness of the skin treating acne. I also combine the Nick Lowe, M.D.
significantly improves and we avoid the risk of bruis- Omnilux with 5-ALA for PDT, ing. For blepharoplasty, we're able to reduce edema and mainly for certain skin cancers: Bowen's carcinoma, quicken the healing time of tissue. We consider the superficial basal cell cancers, and multiple, more Omnilux to be an integral component of our total con- severe AKs, particularly on the face, chest, forearms cept of skincare.
Jean Francois Tremblay, M.D. – I use the blue and
Mario Trelles, M.D., Ph.D. –
red (revive) treatment heads for acne, inflammatory I am a plastic surgeon who uses scars, perioral dermatitis, facial eczema, and following the Omnilux to improve the recov- laser resurfacing to accelerate healing. One of our ery time of tissue. We also observe studies using Omnilux blue light alone to treat acne very nice aesthetic improvements vulgaris concluded that there was a significant thera- with surgery. Wound healing after peutic effect on inflammatory lesions, both papules and laser resurfacing responds nicely.
nodules. There were also no side effects among the 14 After facelifting, patients respond Mario Trelles, M.D., Ph.D.
patients. The average improvement after four weeks or well to the Omnilux. We are also eight sessions was around 60% to 70%. Today, though, able to reduce complications from breast augmentation.
we are using both blue and red light to treat acne vul- In addition, we use the Omnilux revive (633 nm) garis. We are definitely seeing better results than head to produce enhanced results after Botox and rap- using the blue light alone.
Aesthetic Buyers Guide May/June 2005 www.miinews.com
Photos courtesy of Mark B. Taylor, M.D.
What are your typical treatment protocols? What
clinical and subjective results are you achieving?
Dr. Lowe – When treating a patient's face, we use pro-
tective light-opaque goggles. We are seeing excellent
results for acne and certain skin cancers. When using
the Omnilux as part of aminolevulinic acid (ALA)-PDT
for these skin cancers, I use Levulan. For superficial
basal cell carcinomas and Bowen's carcinoma, the incu-bation time is normally three to four hours. But formultiple AKs, it is only one hour, after curetting thethicker AKs. When using ALA-PDT for photorejuvena-tion, I mainly restrict it to patients who also have AKs.
Dr. Trelles – Our patients start treatment with the
Omnilux immediately after surgery, then every two
After laser resurfacing in combination with Omnilux plus and Omnilux revive (Derma-K days for a maximum of five sessions. Patients are very Laser CO , 6 watts, 40% duty cycle, 1.4 J/cm2, 12 Hz, 4 mm spot) happy with the treatment.
menting using the Omnilux in combination with the Dr. Tremblay – For acne vulgaris, I normally use the
long-pulse YAG in trying to dis- blue light during the first part of treatment, then a combination of blue and red lightnear the end of treatment. The blue light has more effect on P. Sometimes we use the Omnilux acnes, whereas the red light has a plus in conjunction with the Titan deeper effect on inflammation. I (Cutera) for photorejuvenation.
also usually use retinoids and/or We're getting some interesting benzyl peroxide. There are a total results. I also like that the of 8 to 12 light treatments, again Omnilux has the flexibility of Bruce A. Russell, M.D.
twice a week, depending on the interchangeable treatment heads.
severity and on the patient's Jean Francois
Furthermore, because the Omnilux has no heat, we can treat sensitive post-surgical skin.
The benefits of Omnilux light only treatment for acne include no downtime, no sys-temic medications and no side effects. Duration of What are some of the advantages of Omnilux
clearance ranges from three months to one year.
therapy over conventional treatments?
Furthermore, 30% to 40% of patients report a decreasein sebum production.
Dr. Taylor – There are no sys-
For our psoriasis study, patients so far have expe- temic adverse effects when treat- rienced markedly diminished itching and a decrease in ing with the Omnilux. It is an erythema and scaling.
anti-inflammatory, healing devicethat virtually has no side effects.
Patient compliance is also good Have you used Omnilux in combination with
and there is minimal pain.
intense pulse light (IPL) or other modalities?
Dr. Lowe – Compared to surgery,
Mark B. Taylor, M.D.
Dr. Tremblay – I've used Omnilux with IPL and with
the Omnilux provides superior microdermabrasion to treat wrinkles and mild-to-mod- cosmetic results for multiple AKs and other kinds of erate AKs. For AKs, using a combination of Omnilux cancers. Some of our patients have also shown good and IPL the results are still very preliminary.
photorejuvenation in the surrounding skin.
Mark B. Taylor, M.D. – We're using the Omnilux
Dr. Trelles – Before the Omnilux, our surgical results
together with some of our long-pulse Nd:YAG lasers were not as good. Skin plumpness, recovery time and for the treatment of stretch marks. We're also experi- luminosity have all dramatically improved.
Aesthetic Buyers Guide May/June 2005 www.miinews.com
Dr. Russell – The biggest advantage conceptually is
treatment to their patients. We're currently using the that Omnilux offers the capability of providing continu- Omnilux to treat chronic ulcers to see if healing time ous bombardment with photons of the correct wave- can be speeded up.
length, intensity and dose for up to 20 minutes. This isimportant in treating diseases like AK and acne.
Dr. Russell – Omnilux therapy is here to stay. For
Wavelengths are also a crucial factor in the effectiveness those of us who have been used to high-powered lasers, of an acne treatment, just as it is when treating hair or we need to learn that this low-power approach can blood vessels. One thing that has become very clear offer very, very gratifying results to our patients.
through acne research by others and ourselves is that asingle wavelength will not suffice for all acne patients.
R O U N D T A B L E
Why should physicians incorporate Omnilux into
P A R T I C I P A N T S :
Dr. Lowe – This single platform technology offers
Nick Lowe, M.D.
diversity and flexibility. In my opinion, Omnilux is one Dermatologist in private practice
of the most uniform ways of delivering light energy to London, England, and Santa Monica, Calif.
activate whatever topical porphyrin you are using.
Clinical Professor of Dermatology
Omnilux has a built-in cooling system and a flexible School of Medicine
head-like unit that can be molded to the shape of the University of California, Los Angeles
treatment area. The device has also been totally trou- voice (44) 207 499 3223
ble free in our hands. You can select small areas for treatment, as well as very large areas.
Bruce A. Russell, M.D.
Dr. Taylor – Omnilux has been easy to incorporate
Dermatologist in a private research-based practice
into our practice. It can be used as stand-alone thera- py or in combination with other aesthetic procedures.
voice (503) 574-3376
Treatment is very safe. For rosacea, you can combine fax (503) 641-5841
the Omnilux with IPL. In fact, we've combined IPL, Levulan and up to eight minutes of light. This protocolworks great for patients with telangiectasia.
Mark B. Taylor, M.D.
Gateway Aesthetic Institute and Laser Center
Dr. Tremblay – Some LEDs are not as powerful as the
Salt Lake City, Utah
Omnilux, so results are not as impressive. The voice (801) 595-1600
Omnilux is great technology. We will continue to fax (801) 364-0523
increase our understanding of how to use it alone or in combination with topical photosensitizers for differentmedical and cosmetic applications. Patients are over- Mario Trelles, M.D., Ph.D.
Instituto Medico Vilafortuny
Dr. Trelles – Omnilux decreases the chance of inflam-
mation. Tissue also potentially recovers faster. Several voice (34) 977 36 13 20
fax (34) 977 79 10 24
specialties of medicine can benefit by offering better Jean Francois Tremblay, M.D.
Assistant Professor of Dermatology
University of Montreal
Montreal, Quebec, Canada
voice (514) 739-7444
fax (514) 739-5710
Basal cell carcinoma before Tx Basal cell carcinoma after Omnilux PDTTx with 5-aminolevulinic acid Aesthetic Buyers Guide May/June 2005 www.miinews.com
Omnilux Achieves Integral May / June 2005 Role in Aesthetic Medicine Omnilux, a light emitting diode (LED) system from PhotoTherapeutics Mydon Nd:YAG.10 Limited (Altrincham, U.K.), is a surprisingly easy and effective modalityfor treating a wide variety of skin conditions. Based on a dense matrix of