D1091 Rev.M August. 2016
TREATMENT TECHNIQUE – 1064 NM GENESIS V TREATMENT
• Do not use topical anesthetic. Patient feedback is important.
• Start with low fluence and slow repetition rate to observe laser-tissue interaction.
Adjust to patient tolerance.
• Sensitive areas, darker skin types, and areas of dense hair or recent sun exposure
may require lower fluences or lower repetition rates.
• To create heat to target the microvasculature, divide the face into multiple regions
(see example on right).
o Divide the forehead in half.
o Divide the cheeks into 2-3 sections.
o Do NOT treat upper lids.
o The vermillion border may be treated, but ensure that it is completely clean of
lipstick and that there is no tattoo or permanent makeup in the area.
Place moist gauze between lips and teeth to protect enamel.
• Hold the handpiece approximately 3-4 cm from the skin’s surface.
o Ensure that the distance beam is centered in the aiming beam.
o Move the handpiece continuously in an even, zig-zag motion.
o Adjust the speed according to the patient’s tolerance.
o Treat each region to the point of discomfort and erythema
o Try to maintain 39
°
– 43
°
C for 1 – 2 minutes per region.
o Then move to adjacent regions using multiple passes.
• Dark skin, scars, or hot spots may need a short break during treatment.
o Pause treatment or use a frozen gel pack or wet 4x4 between passes to cool
the skin.
• Treating a scar:
o Check with a surgeon before starting treatment on fresh scars.
o Always include the tissue surrounding the scar, observing for erythema of the
scar as an endpoint.
o The scar will absorb more energy than the surrounding skin.
o Do not rely on heat in surrounding skin as an endpoint.
o Decreased or no sensation of the scar tissue increases the risk of a burn.
o Treat in a zig-zag movement across the scar (see example on right).
o Do not treat linearly.
o Pause occasionally or use a frozen gel pack to cool scar between passes.
o Several treatments may be required.
• Use extreme caution when treating near the eye.
o Only experienced practitioners should treat periorbital vessels.
o Always use patient eye protection.
o Always point the laser beam away from the eye, and never treat near or within the orbital rim.
Post Treatment Care
• Avoid sun exposure, and use a broad spectrum (UVA/UVB) sunscreen to prevent further sun damage.
• If a blister develops, treat as a wound.
• Bruising, redness, and swelling may occur and resolve with time.
• Urticarial reaction (hive-like/bug-bite look) may occur and usually resolves in 1-2 days.
• Avoid heat (hot tubs, saunas, etc.) for 1-2 days.
• Avoid skin irritants (products containing tretinoin, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, etc.)
for a few days post-treatment
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