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Quick Reference Guide

TRIO 4cm2 Applicator


(755nm/810nm/1064nm)
TRIO 4cm2 Applicator

SHR Mode Treatment Protocol


Recommended Treatment Parameters

Skin Type Hair Fluence Energy (kJ/Grid)


(Fitzpatrick) Density (J/cm2)
600cm2 700cm2 800cm2 900cm2

I-III Sparse 9 28 32 34 38
I-III Dense 7 26 30 32 36
IV-V Sparse 8 26 30 32 36
IV-V Dense 6 24 28 30 34

• Before the first treatment perform a • Treat each grid until treatment
skin test on the treatment area with time completion (treatment time is
the treatment parameters presented determined automatically per grid).
in the table. Assess skin reaction:
• If excessive erythema is apparent
after 30min for skin types I-III, and 24
during treatment, reduce fluence by
hours for skin types IV-V.
1J/cm2.
• Set treatment parameters according
• No waxing, plucking, bleaching or
to skin test.
chemical depilatories 2 weeks prior
• Verify applicator tip cooling. to treatments.
• Apply ultrasound gel or spray. • 6 - 10 treatments are recommended.
• Perform treatment with In-Motion™ • Intervals: face - 4 - 8 weeks
technique, keeping applicator tip in body - 6 - 8 weeks.
full contact with skin.

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SHR Stack Mode- Small Areas – Treatment Protocol
Recommended Treatment Parameters
TRIO 4cm2 Applicator

Treatment Skin Type Hair Fluence # Stack Energy


Area
(Fitzpatrick) Density (J/cm )2 Pulses (kJ)
(cm2)

Sparse 7
I-III
Dense 6
25 2 1
Sparse 6
IV
Dense 5
Sparse 7
I-III
Dense 6
50 3 2
Sparse 6
IV
Dense 5
Sparse 6
I-III
Dense 5
75 4 3
Sparse 5
IV
Dense 4

• Before the first treatment perform a • Move to adjacent grid with minimal
skin test on the treatment area with overlapping <10%.
the treatment parameters presented
• If the patient is feeling
in the table. Assess skin reaction:
uncomfortable during treatment
after 30min for skin types I-III, and 24
reduce fluence or number of stacks.
hours for skin types IV.
• No waxing, plucking, bleaching or
• Set treatment parameters according
chemical depilatories 2 weeks prior
to skin test.
to treatments.
• Verify applicator tip cooling.
• 6 - 10 treatments are recommended.
• Apply ultrasound gel or spray.
• Intervals: face - 4 - 8 weeks
• Perform treatment with the body - 6 - 8 weeks.
In- Motion™ technique, keeping
applicator tip in full contact with skin,
until reaching the set Energy (kJ)
levels.
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HR Mode – Treatment Protocol
Recommended Treatment Parameters
TRIO 4cm2 Applicator

Skin Type Fluence


Hair Type
(Fitzpatrick) (J/cm2)

Sparse 15-25
I-III
Dense 10-15

Sparse 8-15
IV
Dense 5-10

• Before the first treatment perform a • Pulse once and move to adjacent
skin test on the treatment area with spot with minimal overlapping
the treatment parameters presented <10%.
in the table. Assess skin reaction:
• If the patient is feeling
after 30min for skin types I-III, and 24
uncomfortable during treatment
hours for skin types IV.
reduce fluence by 1J/cm2.
• Set treatment parameters according
• No waxing, plucking, bleaching or
to skin test.
chemical depilatories 2 weeks prior
• Verify applicator tip cooling. to treatments.
• Apply ultrasound gel or spray. • 6 - 10 treatments are recommended.
• Place applicator perpendicular and in • Intervals: face - 4 - 8 weeks
full contact with skin. body - 6 - 8 weeks.
• Press footswitch and trigger to pulse.

4
Trio Applicator
(755nm/810nm/1064nm, 2cm²)
Trio Applicator

SHR Mode - Treatment Protocol


Recommended Treatment Parameters

Skin Type Fluence Grid Size Energy


(Fitzpatrick) (J/cm2) (cm2) (kJ)

I-III 10 300 16-20


IV 8 300 16-20
V 7 300 14-18

• Before the first treatment perform a • Treat each grid until treatment
skin test on the treatment area with time completion (treatment time is
the treatment parameters presented determined automatically per grid).
in the table. Assess skin reaction:
• If excessive erythema is apparent
after 30min for skin types I-III, and 24
during treatment, reduce fluence by
hours for skin types IV-V.
1J/cm2.
• Set treatment parameters according
• No waxing, plucking, bleaching or
to skin test.
chemical depilatories 2 weeks prior
• Verify applicator tip cooling. to treatments.
• Apply ultrasound gel or spray. • 6 - 10 treatments are recommended.
• Perform treatment with In-Motion™ • Intervals: face - 4 - 8 weeks
technique, keeping applicator tip in body - 6 - 8 weeks.
full contact with skin.

5
SHR Stack Mode - Face and Small Areas – Treatment Protocol
Trio Applicator

Recommended Treatment Parameters

Skin Type Fluence


# Stack Pulses # Passes
(Fitzpatrick) (J/cm2)

I 10 3-4 2
II 9-10 3-4 2
III 8-9 2-3 2
IV 7-8 2-3 2

SHR stack mode is recommended for treatment areas under 50cm².

•B
 efore the first treatment perform • Perform 2 passes on the area if
a skin test on the treatment area skin does not show excessive
with the treatment parameters erythema.
presented in the table. Assess skin
• If the patient is feeling
reaction: after 30min for skin types
uncomfortable during treatment
I-III, and 24 hours for skin types IV.
reduce fluence by 1J/cm2.
• S et treatment parameters
• No waxing, plucking, bleaching
according to skin test.
or chemical depilatories 2 weeks
•V
 erify applicator tip cooling prior to treatments.
•A
 pply ultrasound gel or spray. • 6 - 10 treatments are recommended.
•P
 ress footswitch and trigger until • Intervals: face - 4 - 8 weeks
the set of stacked pulses is emitted body - 6 - 8 weeks.
on one spot.
•M
 ove to adjacent spot with
minimal overlapping <10% and
pulse.

6
HR Mode - Treatment Protocol
Trio Applicator

Recommended Treatment Parameters

Skin Type Fluence


Hair Type
(Fitzpatrick) (J/cm2)

Coarse/Dark 30
I-III
Fine/Light 35

Coarse/Dark 15
IV
Fine/Light 18

•B
 efore the first treatment perform • Pulse once and move to adjacent
a skin test on the treatment area spot with minimal overlapping
with the treatment parameters <10%.
presented in the table. Assess skin
• If the patient is feeling
reaction: after 30min for skin types
uncomfortable during treatment
I-III, and 24 hours for skin types IV.
reduce fluence by 1J/cm2.
• S et treatment parameters
• No waxing, plucking, bleaching
according to skin test.
or chemical depilatories 2 weeks
•V
 erify applicator tip cooling. prior to treatments.
•A
 pply ultrasound gel or spray. • 6 - 10 treatments are recommended.
•P
 ress footswitch and trigger to • Intervals: face - 4 - 8 weeks
pulse. body - 6 - 8 weeks.

7
Compact Applicator (810nm, 1cm²)
& Speed Applicator (810nm, 2cm²)
Compact Applicator & Speed Applicator

SHR Mode – Treatment Protocol


Recommended Treatment Parameters
Skin Type Fluence Grid Size )cm2) Energy (kJ)
(Fitzpatrick) (J/cm2) Compact Speed Compact Speed

I-III 8 150 300 8-10 16-20


IV 7 150 300 8-10 16-20
V 6 150 300 7-9 14-16
VI 5 150 300 7-9 14-16

• Before the first treatment perform a • Treat each grid until treatment
skin test on the treatment area with time completion (treatment time is
the treatment parameters presented determined automatically per grid).
in the table. Assess skin reaction:
• If excessive erythema is apparent
after 30min for skin types I-III, and 24
during treatment, reduce fluence by
hours for skin types IV-VI.
1J/cm2.
• Set treatment parameters according
• No waxing, plucking, bleaching or
to skin test.
chemical depilatories 2 weeks prior
• Verify applicator tip cooling. to treatments.
• Apply ultrasound gel or spray. • 6 - 10 treatments are recommended.
• Perform treatment with the • Intervals: face - 4 - 8 weeks
In-Motion™ technique, keeping body - 6 - 8 weeks.
applicator tip in full contact with skin.

8
SHR Stack Mode - Face and Small Areas – Treatment Protocol
Compact Applicator & Speed Applicator

Recommended Treatment Parameters


Skin Type Fluence
# Stack Pulses #Passes
(Fitzpatrick) (J/cm2)

I-II 7-8 4-5 2


III 6-7 3-4 2
IV 5-6 3-4 2
V 3-4 3-4 2
VI 2-3 3-4 2

SHR stack mode is recommended for treatment areas under 50cm².

• Before the first treatment perform • Perform 2 passes on the area if skin
a skin test on the treatment area does not show excessive erythema.
with the treatment parameters
• If the patient is feeling
presented in the table. Assess skin
uncomfortable during treatment
reaction: after 30min for skin types
reduce fluence by 1J/cm2.
I-III, and 24 hours for skin types
IV-VI. • No waxing, plucking, bleaching or
chemical depilatories 2 weeks prior
• Set treatment parameters
to treatments.
according to skin test.
• 6 - 10 treatments are recommended.
• Verify applicator tip cooling.
• Intervals: face - 4 - 8 weeks
• Apply ultrasound gel or spray.
body - 6 - 8 weeks.
• Press footswitch and trigger until
the set of stacked pulses is emitted
on one spot.
• Move to adjacent spot with
minimal overlapping <10% and
pulse.

9
HR Mode Treatment Protocol
Compact Applicator & Speed Applicator

Recommended Treatment Parameters

Skin Type
Hair Type Fluence
(Fitzpatrick)

Coarse/Dark 30-35
I-III
Fine/Light 35-40

Coarse/Dark 15-20
IV
Fine/Light 18-22

Coarse/Dark 10-14
V-VI
Fine/Light 11-15

• Before the first treatment perform • Pulse once and move to adjacent
a skin test on the treatment area spot with minimal overlapping
with the treatment parameters <10%.
presented in the table. Assess skin
• If the patient is feeling
reaction: after 30min for skin types
uncomfortable during treatment
I-III, and 24 hours for skin types
reduce fluence by 1J/cm2.
IV-VI.
• No waxing, plucking, bleaching
• Set treatment parameters
or chemical depilatories 2 weeks
according to skin test.
prior to treatments.
• Verify applicator tip cooling.
• 6 - 10 treatments are recommended.
• Apply ultrasound gel or spray.
• Intervals: face - 4 - 8 weeks
• Press footswitch and trigger to body - 6 - 8 weeks.
pulse.

10
Alex Applicator
(755nm, 1.5cm²)
Alex Applicator

SHR Mode - Treatment Protocol


Recommended Treatment Parameters

Skin Type Fluence Grid Size Energy


(Fitzpatrick) (J/cm2) )cm2) (kJ)

I 8 300 12-15
II 8 300 12-15
III 6-7 300 12-15
IV 6-7 300 9-12
V 5-6 300 9-12

• Before the first treatment perform a • Treat each grid until treatment
skin test on the treatment area with time completion (treatment time is
the treatment parameters presented determined automatically per grid).
in the table. Assess skin reaction: after • If excessive erythema is apparent
30min for skin types I-III, and 24 hours during treatment, reduce fluence by
for skin types IV-V. 1J/cm2.
• Set treatment parameters according • No waxing, plucking, bleaching or
to skin test. chemical depilatories 2 weeks prior
• Verify applicator tip cooling. to treatments.
• Apply ultrasound gel or spray. • 6 - 10 treatments are recommended.
• Perform treatment with In-Motion™ • Intervals: face - 4 - 8 weeks
technique, keeping applicator tip in body - 6 - 8 weeks.
full contact with skin.

11
SHR Stack Mode - Face and Small Areas – Treatment Protocol
Alex Applicator

Recommended Treatment Parameters

Skin Type Fluence


# Stack Pulses # Passes
(Fitzpatrick) (J/cm2)

I 8 3-4 2
II 7-8 3-4 2
III 6-7 2-3 2
IV 5-6 2-3 2

SHR stack mode is recommended for treatment areas under 50cm².

•B
 efore the first treatment perform minimal overlapping <10%.
a skin test on the treatment area
with the treatment parameters • If the patient is feeling
presented in the table. Assess skin uncomfortable during treatment
reaction: after 30min for skin types reduce fluence by 1J/cm2.
I-III, and 24 hours for skin types IV.
• No waxing, plucking, bleaching
• S et treatment parameters or chemical depilatories 2 weeks
according to skin test. prior to treatments.

•V
 erify applicator tip cooling. • 6 - 10 treatments are recommended.
• Intervals: face - 4 - 8 weeks
•A
 pply ultrasound gel or spray.
body - 6 - 8 weeks.
•P
 ress footswitch and trigger until
the set of stacked pulses is emitted
on one spot.

•M
 ove to adjacent spot with

12
HR Mode Treatment Protocol
Recommended Treatment Parameters
Alex Applicator

Skin Type Fluence


Skin Type Hair Type
(Fitzpatrick) (J/cm2)

Course/Dark 30-32
I Light
Fine/Light 30-35

Course/Dark 30-32
II Light
Fine/Light 30-35

Course/Dark 20-25
III Light
Fine/Light 25-30
Course/Dark 14-16
IV Dark
Fine/Light 16-18

• Before the first treatment perform spot with minimal overlapping


a skin test on the treatment area <10%.
with the treatment parameters
• If the patient is feeling
presented in the table. Assess skin
uncomfortable during treatment
reaction: after 30min for skin types
reduce fluence by 1J/cm2.
I-III, and 24 hours for skin types IV.
• No waxing, plucking, bleaching
• Set treatment parameters
or chemical depilatories 2 weeks
according to skin test.
prior to treatments.
• Verify applicator tip cooling.
• 6 - 10 treatments are recommended.
• Apply ultrasound gel or spray on
• Intervals: face - 4 - 8 weeks
treatment area.
body - 6 - 8 weeks.
• Press footswitch and trigger to
pulse.
• Pulse once and move to adjacent

13
Facial Tip
Facial Tip

Recommended Treatment Parameters

Skin Type Fluence (J/cm2)


# Passes
(Fitzpatrick) Compact
or Speed Alex Trio

I-III 7-8 6-7 7-8 2-3


IV 6-7 5-6 6-7 2-3
V-VI* 5-6 4-5 5-6 2-3
*Up to skin type V for Alex and Trio.
Note: The facial tip delivers 2 stacks per pulse.
Treatment area should not include more than 2-3 hairs.

• Before the first treatment perform tab on the top left.


a skin test on the treatment area • Lasing should be done on groups
with the treatment parameters of 2-3 hairs.
presented in the table. Assess skin
• Apply ultrasound gel or spray on
reaction: after 30min for skin types
treatment area.
I-III, and 24 hours for skin types
IV-VI. • Treatment should be done in a
stationary stacked pulse mode.
• Set treatment parameters
DO NOT use the In-Motion™
according to skin test.
technique.
• The Facial Tip is intended for hair
• If the patient is feeling
removal of very small areas such
uncomfortable during treatment,
as the ears, eyebrows, fingers, toes
stop lasing for 5-10 seconds and
etc. IT SHOULD NOT be used on
then continue the treatment.
larger treatment areas.
• No waxing, plucking, bleaching
• Access Facial Tip mode by
or chemical depilatories 2 weeks
selecting the SHR mode facial area
prior to treatments.
and then pressing the Facial Tip
14
NIR APPLICATOR -
NIR Face Applicator - Face & Neck Areas

FACE & NECK AREAS

Recommended Treatment Parameters

Skin Type Power Setting Energy (kJ) per


(Fitzpatrick) (Watts) 150 cm2 Grid

I - III 20–25
IV 20-24
8-10
V 20-22
VI 18–20

•B
 efore the first treatment perform • Treatment is performed in
a skin test on the intended 2 stages:
treatment area. Assess skin 1. Reach temperature of 39-40°C
condition after 5 min for skin types 2. Reset the Energy count and
I-IV and after 10 min for skin types accumulate the recommended
V-VI. Energy keeping skin temperature
at 40-44°C and with In-Motion™
•A
 pply mineral oil on the treatment
technique.
area.
• If the patient feels uncomfortable
• Treat with In-Motion™ utilizing
during treatment, stop lasing for
large sweeping brush strokes
5-10 seconds and then continue
and keeping the applicator in full
the treatment.
contact with the skin.
• 4-6 treatments are recommended.
• 2 weeks intervals.

15
Alma Lasers GmbH w w w.almalaser s.com CONNECT WITH
ALMA LASERS
Nordostpark 100-102 © 2020 Alma. All rights reserved. Alma, its logo, Soprano
90411 Nuremberg, Germany Titanium,TRIO 4CM2 , SHR & Speed are trademarks and/or
Tel. + 49 911 / 89 11 29-0 registered trademarks of Alma in the United States and/or
Fax + 49 911 / 89 11 29-99 other countries.

Email: info@almalasers.com PBSP26021903_03

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