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EXCEL HR OPERATOR MANUAL
D1796, REV. D, 12/16
• Always observe the epidermis during the treatment, watching for signs of damage (e.g.,
epidermal separation, frosting, or gray coloration).
- If damage is observed, stop the treatment, cool the skin, and evaluate the area for
possible complications and wound care.
• Seborrheic keratoses may only be lightened after treatment and may recur
.
- Use caution and less aggressive settings when treating flatter
seborrheic keratoses.
Wrinkle Treatment Guidelines - 1064 nm Only
The following parameters and techniques are provided as a guide only and are based on practitioner
feedback. Observe laser-tissue interaction and clinical endpoints to determine appropriate parameters.
Protocol
Spot
Size
Fluence
Repetition
Rate
Pulse
Duration
Window
T
emperature
A
Low Energy,
Short Pulse Duration
7 mm 5-8 J/cm² 2 Hz 0.3-1.0 ms 20°C
B
Moderate Energy,
Medium Pulse Duration
5 mm 14-18 J/cm² 2 Hz 5 ms 12-20°C
C
High Energy,
Long Pulse Duration
10 mm 40-50 J/cm² 1 Hz 50 ms 4°C
Selection of protocol is based on operator preference and patient
comfort.
Multiple passes are required.
• Protocol A: 10+ passes; clinical endpoint of mild erythema will develop slowly
.
• Protocol B: 2 to 5 passes; clinical endpoint of mild erythema will develop after several
passes.
• Protocol C: 1 to 3 passes; erythema will develop following the first pass.
Treatment
discomfort will be higher on the second pass, and mild edema will develop. Do not exceed 3
passes.
Wrinkle Treatment Protocols
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