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8/14/2019 Infoderma+Accent Ultra (May-jun 10)
1/4
M H N I A I O E P M AT O O I K H E N H M E P 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 I S S N 1 1 0 6 5 1 8 4. : 4632
2 1 5
, 1 1 5 2 5
T E Y X O 8 8 - 2 0 1 0
, 26-28 2010 Divani Caravel
3
6
14
- 24
32
42
44 58
8/14/2019 Infoderma+Accent Ultra (May-jun 10)
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48
, (ULS) (RF) - -
. - , . - , ULS, - ,, , - - , - .
Accent Ultra (AlmaLasers, Caesarea, Israel), - , - ( - ).
& (22 / 2 ) 19 60 ( 34 ) 23 30 ( 26,3 kg/m 2) 4 - 2 . - (shear) ( coldmode) (compression) - ( hot mode) ( ULS) ( RF). 2 - 150cm 2 -. - (B), (A) (C) - 2 - . ,
(ULS), - (RF).
- 3 -4,37cm (), -5,88cm ( ) -5,32cm (- ), 2 4 . - . - - .
- - - .
-
- , , (RF) - , ) , ) - ) - .
, (ULS) (RF) - - . - (
cavitation) - , - . , -, - , - - , .
, ULS, , ,, - , .
ccent Ultra Alma Lasers (Caesarea, Israel)
Accent Ultra ( 1). Ultra - ( 1). - Ultra - , Uniform .
Uniform RF, , . Ultra - (hot cold mode). , -
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. AccentUltra [] - Ultra (ULS) [ -] Uniform(RF+) [ ].
8/14/2019 Infoderma+Accent Ultra (May-jun 10)
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50
20 - ( 5 ) ( 15 ). , hot mode 5 , 5 - 15 . hot mode , cavitation, cold mode , - .
Uniform - , -. , , (RF) - , , -
- - , - .
Accent Ultra
, - , - , . - .
, - , , - ( 2). - , - .
, , - () - ( 2). - , cavitation -
. , .
cavitation ( : - ) . , - - , .
- , - (microexplosion),
. ,
-, cavitation, , - , .
, , cavitation, , -, . - , - - .
ccent Ultra -
(sonotrode) Ultra (), - . Ultra, -, cold mode ( ), - , hot mode ( ), -
. , , - - .
: i) - -, - ii) , .
, , - - , ,, -, , ., ( 2).
(22 / 2 ) 19 60 ( 34 ) 22 33 ( 26,3 kg/m 2) - (ULS) (RF) .
: -, , - (, , , ), - ,
(AICD) - , (.. - ), - , - , - ( ) 30 , -
- 30 , Acutane() 6 - , -, / - . Fitzpatrick - . - .
( ) - - 5cm ( 3) - -
2. (compression wave) (shearwave) .
3: 15x10 cm (). (b)
8/14/2019 Infoderma+Accent Ultra (May-jun 10)
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. - - - (Nikon D-70).
, - 10x15cm -. 7,5x5cm . - . (ULS compression waves hot) (ULS shear wavescold) 1:3 (5:15 , -) . , -, . - -
.
150cm 2, - Uniform . 300cm 2 . RF Uniform - 150-180Watts - 60-80kJ. , -
. - laser, ,, -. (60-80kJ) - 40-43C.
. 35-40 . - -. 2-3 -. , -
- 150cm 2 (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 5-15m - . - - , , - . - , - , , , , - ,
, - - . , , Accent Ultra .
- - ULS ( ) RF () Uniform, -. Uniform, - , , -
, - - , - .
ULS RF
.
4: ( cm)
ID
4
B 105,5cm 101,5cm (-4) A 114,0cm 107,0cm (-7)C 120,5cm 113,0cm (-7,5)
4 B 100,0cm 92,5cm (-7,5)
A 106,5cm 95,5cm (-11)C 107,0cm 98,0cm (-9)
4
B 86cm 92cm (-6) A 94,5cm 98cm (-3,5)C 102cm 103cm (-5)