215, 115 25

TEYXO 88 - 2010

MHNIAIO
. : 4632

, 26-28 2010
Divani Caravel

E P M AT O O I K H

ENHMEP
ISSN 1106 5184

To I N F O D E R M A : w w w . i a t r i k i o n l i n e . g r

14

24

32

42

44

58

 ALMA LASERS

Rafael Nunes, M.D. Slim Clinique Laser Center, Bonsucesso Hospital Dermatology, Rio de Janeiro, Brazil

:
M. Sc. Biomedical Engineer, Ben Gurion University of the Negev, Israel

1. Accent
Ultra [] Ultra (ULS) [ ] Uniform
(RF+) [ ].

,
(ULS) (RF)
.
,
. ,
ULS, ,
, , , .

Accent Ultra (Alma
Lasers, Caesarea, Israel), ,
( ).
&

(22 / 2 )
19 60 ( 34 )
23 30 (
26,3 kg/m2) 4 2 . (shear)
( cold
mode) (compression) ( hot mode)
( ULS)

( RF). 2 150cm2 .
(B), (A) (C) 2 .
,

(ULS), (RF).

3 -4,37cm (
), -5,88cm ( ) -5,32cm ( ), 2
4 .
. .

,
, (RF) ,
)
, ) ) .
,
(ULS) (RF)
. (

48

cavitation) ,
. , ,
,
,
.
,
ULS,
, ,
,
,
.

ccent Ultra
Alma Lasers (Caesarea, Israel)
Accent Ultra
( 1).
Ultra

( 1). Ultra , Uniform

.
Uniform RF,

,
. Ultra (hot
cold mode). , -

 20 ( 5 )
( 15 ).
,
hot mode 5 ,
5
15
. hot mode
,
cavitation, cold mode
, .
Uniform ,
. , ,
(RF) ,

,
, .

2.
(compression wave) (shear
wave) .

Accent Ultra
, , , .

.
, , , ( 2).
,
.
, , ()
( 2). ,
cavitation
. ,


.
cavitation ( : )

.
,
, .
,
- (microexplosion),

.
, , .

: i) , ii)

,

.
, , , ,
, ,
, .,
( 2).

3: 15x10 cm ().
(b)

. ,
-,
cavitation,
,
,
.

,
,
cavitation,
,
,
.
, .

ccent Ultra -
(sonotrode)
Ultra
(), . Ultra, , cold mode ( ),
,
hot mode ( ), -

50

(22 / 2 )
19 60 ( 34 )
22 33 (
26,3 kg/m2) (ULS) (RF)
.
:
, , (, ,
, ), ,

(AICD) ,
(.. ), ,

,
( )
30 ,

30
, Acutane
() 6 , , /
. Fitzpatrick .
.
(
) - 5cm
( 3) - -

 .
(Nikon D-70).

,
10x15cm .
7,5x5cm . .

(ULS compression waves hot)
(ULS shear waves
cold) 1:3 (5:15 , ) .

, , . .

150cm2,

Uniform
. 300cm2

. RF Uniform 150-180
Watts 60-80kJ.

, . laser
, ,
, .
(60-80kJ) 40-43C.

.
35-40 . .
2-3 . , 150cm2 (15x10cm)
.

(: , A:
C: ) 78,5cm
( 62-107cm), 83,9cm ( 67-108,4cm) 89,6cm
( 73,2-116cm).

(A, B, C) -4,37cm ( , 4), -5,88cm ( ), -5,32cm ( , 4).

,
.

.
( cavitation) ,
.

ULS, .
Accent Ultra
.
, , , )
)
.
Accent Ultra

(self resonance).
90% , 50-150 m 5-15
m .
, ,
. ,
, ,
, ,
- ,
, . , ,
Accent Ultra
.
ULS ( ) RF (
)
Uniform, . Uniform, ,
,


,


, .

ULS RF


ID
.

4:
( cm)

B
A
C

4
105,5cm
114,0cm
120,5cm

B
A
C

(-4)
(-7)
(-7,5)

4
100,0cm
106,5cm
107,0cm

B
A
C

101,5cm
107,0cm
113,0cm

92,5cm
95,5cm
98,0cm

(-7,5)
(-11)
(-9)

4
86cm
94,5cm
102cm

92cm
98cm
103cm

52

(-6)
(-3,5)
(-5)