Tattoo Removal, Pigmented Lesion

& Aesthetic Workstation

Q-Switched Market Opportunity

The “Workhorse of Aesthetic Practices” Translates to “Money Maker”

Procedure Time Procedures Per Revenue Per

Procedure Total Revenue
(min) Month Procedure

Tattoo Removal 5 7 $ 250 $ 1,750

Skin Resurfacing 5 7 $ 250 $ 1,750

Acne Scars 5 5 $ 250 $ 1,250

Epidermal Lesions 5 5 $ 200 $ 1,000

Dermal Lesions 5 3 $ 300 $ 900

Sun Damage 5 5 $ 100 $ 500

Laser Peel 5 2 $ 400 $ 800

Total Procedure Time (Hours) 4.9 $1,750 $ 7,950

What Makes a Q-Switched Laser Different

• Photo-Acoustic Pulse Single Pulse

• 5 Nanosecond pulse duration
• Extremely selective
– Peak energy is dispersed throughout the
epidermis faster than the
relaxation time of the healthy tissue
– Energy confined to target, minimizing
damage to surrounding tissue

• Long pulse lasers have

Photo-Thermal Pulse
• Heat energy is transferred to
tissue surrounding target
• Cooling necessary to limit
collateral tissue damage
Product Benefits –
The Industry Gold Standard

• Uniform beam mode – flat top

• Faster heating
• Deeper penetration into tissue
• Faster clearing of pigment
• Minimizes epidermal injury
• True Q-switching
• High quality components
• Unparalleled reliability
• Lasers have excellent service records
• Attention to detail
• Laser platforms known as “Workhorse of an Aesthetic Practice”
• Fast treatments
• Multiple indications
• Consistent clinical results
• Stability
• High power, short pulse!
MedLite® C6 and RevLite® SI

• Q-Switched lasers to address:

• Tattoo removal, pigmentation and skin resurfacing
• Four wavelengths:
• 1064nm, 532nm, 585nm and 650nm means more treatments on all
skin types
• Revolutionary PhotoAcoustic energy:
• High peak power and short pulse duration, shatters the target
chromophore — tattoo ink, pigments or collagen — without harming
the surrounding skin
RevLite® SI Specifications

System type Nd:YAG Dye Impregnated Polymers

Wavelength 1064nm 532nm 585nm* 650nm*

Pulse width 5 - 20 nsec <7 nsec

Spot Size
8mm 2.3 J/cm2 — — —
6mm 4.2 J/cm2 1.5 J/cm2 — —
4mm 9.4 J/cm2 3.5 J/cm2 — —
3mm 12 J/cm2 5 J/cm2 4.4 J/cm2 2.9 J/cm2
2mm 12 J/cm2 5 J/cm2 10 J/cm2 6.5 J/cm2
1.8mm 12 J/cm2 5 J/cm2 — —
1.2mm — 5 J/cm2 — —
PTP Mode
8mm 3.1 J/cm2 — — —
6mm 5.5 J/cm2 1.7 J/cm2 — —

Max rep rate 10 Hz 2 Hz 1 Hz

*Optional Handpieces
MedLite® C6 Specifications

System type Nd:YAG Dye Impregnated Polymers

Wavelength 1064nm 532nm 585nm* 650nm*

Pulse width 5 - 20 nsec <7 nsec

Spot Size
8mm 2.0 — — —
6mm 3.5 1.4 — —
4mm 8.0 3.2 — —
3mm 12.0 5.0 — —
2mm — 5.0 8.0 4.5

Max rep rate 10 Hz 10 Hz 2 Hz 1 Hz

*Optional Handpieces
PhotoAcoustic Technology

• Hallmark of the MedLite and RevLite Q-Switched Nd:YAG lasers

• High-speed light energy is released in a series of nanosecond
pulses, causing it to gently vibrate and shatter the targeted
chromophore (ink or pigment) deep within the skin
• Laser energy also stimulates new collagen growth to replenish
the collagen loss as we age
Wavelength Overview

• 1064nm Nd:YAG
• Most widely used wavelength in tattoo removal
• Increase dermal penetration and decreases melanin absorption
• Removes almost all colors of ink
• Safe for skin types I-VI

• 532nm
• Treats red, brown and orange inks
• Absorbed by melanin and hemoglobin
• Shallower penetration – ideal for superficial pigmented lesions

• 585nm
• Targets difficult colors including sky blue and purple

• 650nm
• Treats green ink
Selective Photothermolysis

532nm YAG 650nm Dye 1064nm YAG

500 600 700 800 900 1000

MOA Selective Photothermolysis
Uniform, Flat Top Beam Mode
Why it Matters

• Hotspots in beam cause:

• Collateral tissue damage
– Bleeding
– Scarring, hypo-pigmentation

• Limits depth of penetration

Competitor ConBio
beam mode beam mode
MedLite® C6 Features

• Superior flat top beam

• Expanded wavelength capabilities
• High rep rate dye handpieces
• Faster healing and higher patient satisfaction
• Tattoo removal, pigmented lesions, skin
resurfacing and more
RevLite® SI

The Benefits of MedLite® C6 plus:

• Photo-Acoustic Technology Pulse (PTP)

• Smart Infinite handpiece

• Increased power

• Accurate aiming beam

• Intuitive user interface

 What is PTP?

Photo-Acoustic Technology Pulse (PTP)

• Unique pulse dispersion proven more effective and more
comfortable than single Q-switched pulse1
• Used for skin resurfacing with a 6 or 8 mm spot size
• Up to 60% more power2, allowing effective treatment at larger
spot sizes
• Converts PhotoAcoustic MOA to PhotoThermal causing
non-ablative skin resurfacing
• Clinical studies indicate PTP mode offers great efficacy with
increased patient comfort

1 J. Garden, A. Bakus, et al. Photodamage Therapy using an Electro-Optic Q-

Switched Nd:YAG Laser. Laser in Surgery and Medicine. 42:699-705 (2010)
2 Compared to MedLite C6
PTP Pulse Structure
PTP Pulse Structure

• PTP converts PhotoAcoustic MOA to Photothermal causing non-ablative

skin resurfacing.
• Double pulse lowers the peak power creating subtle thermal injury
Smart Infinite (SI) Handpiece

• Handpiece is adjustable in 0.1 mm increments

• 1.8 – 8.5 mm in 1064 nm
• 1.2 – 6.0 mm in 532 nm

• Provides more control and accuracy in determining laser settings

• Allows user to consistently treat at maximum fluence with largest

spot size

• Provides user with the ability to match pigmented lesion spot size
Smart Infinite (SI) Handpiece

• Laser consistently recognizes handpiece spot size

• Dye HP pulse count is monitored

• Customer will be notified when handpiece is close to being
depleted and with deplete

• Aiming beam matches the 532 nm beam

• Beam will adjust with actual treatment beam diameter, intensity
remains constant
MedLite Dye Handpieces

• Dye cells for additional treatment

• 585 nm – 2 Hz
• 650 nm – 1 Hz
• RevLite SI auto sensing
RevLite® 532Lite Handpiece

• Low fluence, small spot size treatments, ideal for

pigment
• 1.2 – 3 mm in 0.1 mm increments
• 0.35 – 2.4 J/cm2 fluence range
• SI handpiece spot size auto
selected
• Accurate fluence = correct fluence displayed
– Power cut by 50%, software calculates correct fluence on
display

• Accurate aiming beam = laser beam spot size

Q-Switch Clinical Proof

Indication Clinical Study

The Kirby-Desai Scale: A Proposed Scale to

Tattoo Removal
Access Tattoo-removal Treatments

Treatment of Resistant Tattoos Using a New Generation

Tattoo removal and beam profile Q-Switched Nd:YAG Laser: Influence of Beam Profile
and Spot Size on Clearance Success

3D In-Vivo Optical Skin Imaging for Topographical Quantitative

Assessment of Non-Ablative Laser Technology

Photodamage Therapy Using an Electro-Optic Q-Switched Nd:YAG Laser

Skin resurfacing
Skin Resurfacing with 1064nm Q-Switched Nd:YAG Laser I Asian Patients

Evaluation of clinical, microscopic, and ultrastructural changes after

treatment with a novel Q-switched Nd:YAG laser

Treatment of Refractory Dermal Melasma with the MedLite C6

Q-switched Nd:YAG laser: Two case reports
Pigmentation
Low-dose 1064-nm Q-switched Nd:YAG laser for the treatment
of melasma
 MedLite/RevLite
Workstation Results

B A

Tattoo Removal
Rox Anderson MD
Post 6tx*

*6 treatments with 1064 nm and 532 nm

MedLite/RevLite
Workstation Results

B A

Tattoo Removal
Lauren Chavez, MD
Post 6tx
 MedLite/RevLite
Workstation Results

B A

Tattoo Removal
Rox Anderson MD and Suzanne Kilmer, MD
Post 3tx*

*2 treatments with 532 nm and 1 treatment with 1064 nm

 MedLite/RevLite
Workstation Results

B A

Pigmented Lesions
C.W. Trey, MD
Post 4tx*

*4 treatments, 6 mo post op, 1064 nm at 4 mm, 10 Hz, 6.6 – 7.6 J/cm2

 MedLite/RevLite
Workstation Results

B A

Pigmented Lesions
Peter Peng, MD
Post 5 tx*

*5 Treatments 1064 nm, 6 mm spot, PTP mode

MedLite/RevLite
Workstation Results

B A

Pigmented Lesions
Bruce Saal, MD
Post 1tx
 MedLite/RevLite
Workstation Results

B A

Pigment/Skin rejuvenation
Rebecca Small, MD
Post 2tx*

*Post 2 Treatments 532nm, 0.6J/cm2, 6mm spot size

 MedLite/RevLite
Workstation Results

B A

Skin Rejuvenation
Bruce Saal, MD
Post Multiple tx*

*Treatment series between 5-8 tx, 1064 nm, 6 mm spot, 3.5 J/cm2, 10 Hz
MedLite® C6 and RevLite® SI
Q&A