Dr.

Maša Goršič Krisper

Key benefits
• Q-switch laser with 14 laser modes and 4 laser
wavelengths
• ASP (Adaptive Structured Pulse)
• MaQX mode for 10 J
• Long pulse green VERDE and infra-red VERSA3 modes
• Intuitive and intelligent graphical user interface
• Automatic real-time handpiece type and spotsize
detection
 Pico within nano
• combines the high energy capabilities of nanosecond lasers
with the ultrashort pulse peak powers of traditional
picosecond lasers

• TMD (Transverse Mode Discrimination)

laser oscillator + ASP pulse control
delivers 5 nsec pulses consisting of a
high energy train of ultra-short bursts of
energy in trillionths of a second

• photomechanical impact shatters tiny skin targets without injury to the

surrounding skin
Intuitive and intelligent graphical
user interface

• Preset applications

• Recommended settings
Preset application parameters
Application overview
 Tattoo removal

4 different wavelengths
o 1064 nm Nd:YAG for removal of DARK
PIGMENTS
o 532 nm KTP for RED, TAN, PURPLE and
ORANGE tattoo inks
o 650 nm KTP for GREEN tattoo inks
o 585 nm KTP for SKY BLUE inks
Tattoo removal
4 wavelenghts for complete colour pallet
Photoacoustic interaction of Q-switched
laser beam with pigment
 Tattoo Removal
Mechanism (1)

● Working mechanism: Selective

Photothermolysis - Absorption of laser light by
tattoo pigment granules

● Photoacoustic (shock wave) effect is

breaking pigment-containing cells and pigment
granules into smaller particles

● White light flash occurs as the laser pulse

strikes the tattoo pigment (caused by the laser-
induced plasma or ink particles burning)

● Immediate whitening appears, caused by

rapid, micro-localized heating with steam or
gas formation

Name Surname, ver x.y., dd.mm.yyyy

 Tattoo Removal
Mechanism (2)
● Temperatures exceeding 500 to 1000°C
develop locally, causing thermal damage to the
collagen in vicinity of the irradiated tattoo
pigment

● Within one microsecond, an optical shield

above the affected pigment area is formed,
preventing any subsequent laser pulses from
reaching the remaining deeper lying pigments.

● Fragmented ink and cells particles are

phagocytized by macrophages

● Immediate reduction in visible pigment occurs

in the first week after treatment, followed by
gradual fading over the next several weeks.

Name Surname, ver x.y., dd.mm.yyyy

 Tattoo Removal
Mechanism (3)
● Only lasers with pulses in nanosecond
region (1-100 ns) are able to successfully
remove tattoos without significant skin
destruction

● The dermis and the epidermis sustain

mechanical injury from the photoacoustic
wave, but this trauma is highly repairable,
leaving no scars

● Skin textural changes generally resolve

within 4-6 weeks, suggesting an optimal
treatment interval of 6 weeks or longer.
Only after this interval it is effective to treat
the remaining tatoo pigments with a
subsequent laser pulse.

● Depending on the tattoo density and depth 1 Tx pigment reduction effect

3 -10 treatments may be needed.

Name Surname, ver x.y., dd.mm.yyyy

Treatment case: Black Amateur Tattoo

Before Tx2 Before Tx2 Before Tx4 Before Tx4

Treatment case: Black-red Tattoo

Before After Tx4 18 months after Tx4

Dr. Serafettin Saracoglu

Treatment case: Black - red Tattoo
Session #1 Courtesy of Dr. Jasmina Kozarev

Q-switched1064 nm, Spot 4mm, Fluence 4.2 J/cm2, Frequency 8 Hz

Q-switched 532 nm, Spot 3 mm, Fluence 2.6 J/cm2, Frequency 5 Hz
Treatment case: Black - red Tattoo

Before After 4Tx 12 months After 4Tx

 Courtesy of Dr. Jasmina Kozarev

1064 nm, 4 treatment sessions, Spot 4mm,

Fluence 3.6 -5.2 J/cm2, Frequency 10 Hz
Treatment case: Professional multicolor Tattoo
Before After Tx10 in almost 2 years time
Treatment case: Professional Black Tattoo

Before After Tx7

Treatment case: Professional Red-Black Tattoo

Courtesy of Dr. Uroš Ahčan

Before After Tx5
Advance tattoo removal

1st step 2nd step

FracTAT Full beam QS

 Advance tattoo removal
1st step
FracTAT
 Advance tattoo removal
2nd step
Full beam QS
 Fractional Q-s + Full-beam Q-s
FracTAT

o Eliminates the need to have two lasers systems to enhance tattoo

removal

o Improves tattoo removal efficiency by drilling micro holes in the

skin with fractional Q-s procedure (1st Step) before full-beam Q-s
tattoo treatment (2nd Step)
o This allows gas and steam to escape, eliminating the frosting
effect and allowing the tattoo to be treated again after just a few
minutes (in the same session).
FracTAT tattoo removal

Courtesy of Dr. Marini

Before Immed. After Tx1 10 Days After Tx1 3 Months After Tx1
 Fractional Ablative
Q-s NdYAG

FS20A

0.4 mm
 FracTAT tattoo removal
Courtesy of Dr. Marini

Courtesy of Dr. Marini

FracTAT tattoo removal

Courtesy od Dr. Kukovic

Non ablative FracTAT
Pigmentations with FracTAT
Courtesy of Dr. Kaliterna
Redness with FracTAT
Courtesy of Dr. Kaliterna

Before After
Redness with FracTAT
Courtesy of Dr. Kaliterna

Before After
 Acne with FracTAT
Acne-Pt.003
Courtesy of Dr. Kaliterna
Rejuvenation with FracTAT

Before Immediately After

Before 7 Days After

Rejuvenation with FracTAT
Rejuvenation with FracTAT
Courtesy of Dr. Kaliterna
Strech marks with FracTAT

Courtesy of Dr. Kaliterna

Before Immediately after

Strech marks with KTP FracTAT

Courtesy of Dr. Kaliterna

Before 30 Days after one treatment

Skin imperfections with KTP FracTAT
Fractional Qs KTP
Courtesy of Dr. Melanie Schulz
Pigment lesions
Cafe-au-Lait

532 nm, Spot 4 mm, Fluence 2 J/cm2, Frequency 3 Hz

Courtesy of Medica Persada, Indonesia

Before After the treatment 3 weeks After the treatment

Cafe-au-Lait Courtesy of Dr. Serafettin Saracoglu
Freckles

Courtesy of Soaring, Hong Kong

Lentigines

Courtesy of dr. U. Florijančič, Slovenia

Treatment case: Age Spots (Lentigo Senilis)
Removal

10 min after 1 Month After Tx2

Before
6 Months After single session

Courtesy of Dr. Jasmina Kozarev, Serbia

 Before
PIH

After Tx4

Courtesy of Dr. Serafettin Saracoglu

Nevus of Ota

Before
After
 Melasma

Treatment parameters
Mode Q-s
Handpiece R28
Wavelength (nm) 1064
Fluence (J/cm2) 1.5-2
Spot size (mm) 8
Courtesy of dr. W. K. Book Frequency (Hz) 5-0
 Melasma

Before After
Melasma

Before After
Melasma treatment

Courtesy of dr. Velez & dr. Velez

Skin toning
Green Toning

Treatment parameters
Mode Q-s Q-s
Handpiece R28 R28
Wavelength (nm) 1064 532
Fluence (J/cm2) 2-3 0.5-2
Spot size (mm) 6-8 8
Frequency (Hz) 10 10
Before 6 months after 3rd Tx

Courtesy of dr. A. B. Goodall, Australia

Green Toning

Treatment parameters
Mode Q-s Q-s
Handpiece R28 R28
Wavelength (nm) 1064 532
Fluence (J/cm2) 2 0.5
Spot size (mm) 8 8
Frequency (Hz) 10 10

Courtesy of dr. A. Zorman, Slovenia

Green Toning
Protocol and parameters:
● Manual brushing / painting
technique, 2 passes across the
face with low fluence, big spot

Before
size and relatively high speed
● 1. step: Qs Nd:YAG,
2.0 J/cm2, 8mm, 8Hz
● 2. step: Qs KTP,
0.3 J/cm2, 8mm, 8Hz

1M After Tx2
● End point: slight erythema and
edema (30-60 min)
● Three sessions with 4 weeks
intervals

Courtesy of A. Bartram Goodall, BodyRecon, Geelong

57
 Green Toning
Courtesy of Yegor Kolodchenko

Before 1M After After Tx3

Skin Toning - depigmentation
Depigmentation

Courtesy of Soaring, Hong Kong

1064nm, Q-switched, 2-3 J/cm2, 8mm spot, 5-10 Hz, 2-4 pass
Angel whitening

Courtesy of Nguyen Linhlan

Skin Whitening – Body Brightening

Courtesy of SpectruMed, Phillipines

Skin Whitening – Panda eyes

Immediately after – one side treated only

Courtesy of Spectrumed, Phillipines

Vascular treatments

• 532 nm is located at one of the

oxyhemoglobin peaks, which makes the
StarWalker VERDE mode an ideal candidate
for superficial vascular treatments
• 1064 nm is used for treating deeper and
larger vessels
Spider angioma

Treatment parameters
Mode VERSA3
Handpiece R28
Wavelength (nm) 1064
Fluence (J/cm2) 160
Spot size (mm) 3
Frequency (Hz) 1
Hemangioma
Hemangioma

Treatment parameters
Mode VERDE
Pulse duration 20 ms
Handpiece R58
Wavelength (nm) 532
Fluence (J/cm2) 13
Courtesy of Fotona
Spot size (mm) 2
 Port wine Stain
Treatment parameters
Courtesy of dr. L. Volovec, Slovenia
Mode Q-s
Handpiece R28
Wavelength (nm) 532
Fluence (J/cm2) 2.5-4.4
Spot size (mm) 3-4
Frequency (Hz) 2.5-5
The first sessions began with
lower parameters, which
increased in later sessions.
Colling is necessary to
protect the epidermis.
Courtesy of dr. Volovec
 Capillary vascular malformation

CASE 2 CASE 4
Side effects: transient erythema, edema, and crusting, hypopigmentation
Acne and associated erythema

CASE 4
Thank you!