D1091 Rev.M August. 2016
SELECTING TREATMENT PARAMETERS FOR HAIR REMOVAL TREATMENTS
Select parameters in the order listed below. Always start with the least aggressive settings for a specific lesion.
Observe laser-tissue interaction and clinical response to determine appropriate settings for each patient.
Skin Type
• CAUTION: When treating darker skin types, additional pre-cooling and lower repetition rates or single pulses
are recommended to maximize epidermal protection.
Hair Color and Thickness
• For darker, coarser hair, use lower fluence and longer pulse duration.
• For lighter, finer hair, use higher fluence and shorter pulse duration.
Hair Density
• For dense hair, extended pre-cooling, lower fluence, lower repetition rates, and less overlap are
recommended.
• Parameters may need to be adjusted as density decreases, skin type permitting.
o Use caution when transitioning from lower density areas to higher density areas such as men’s’ necks
approaching the hairline and the bikini line.
Actinic Bronzing Patients
• Actinic bronzing is chronic “tan-like” pigmentation damage resulting from long-term sun exposure.
• Patients with actinic bronzing are at higher risk for crusting and other adverse events.
• Patients with actinic bronzing should be treated as though they are one skin type darker than their underlying
ethnicity would suggest.
o For example, treat a skin type II patient with skin type III settings.
TREATMENT PARAMETERS – 1064 NM HAIR REMOVAL WITH COOLVIEW HANDPIECE
The following parameters are provided as a guide only and are based on practitioner feedback. Start at the lowest fluence
and observe laser-tissue interaction and clinical endpoints to determine appropriate settings.
It is important to note that though the 1064 nm wavelength can effectively treat hair removal, the excel V system was not
designed as a hair removal system; therefore faster treatments at high repetition rates may not always be possible. Use
slower repetition rates whenever possible or treat smaller areas.
Treatment parameters are interrelated. Therefore, not all parameter combinations are simultaneously available. If
you attempt to select a treatment setting that is not available, the system emits a distinct audible tone. Changing
one or more of the other parameters may enable you to select the desired treatment setting.
CAUTION: It is important that the operator not use a fast repetition rate. A slow repetition rate is advised to ensure
adequate precooling of the skin prior to each pulse.
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