laser and ipl technology

LASER AND IPL

TECHNOLOGY

LASER AND IPL TECHNOLOGY

This Presentation Includes all the EBI Laser

Programs in one including:

Skin Anatomy

Laser Technology

Laser Safety

Laser Hair Removal

SKIN ANATOMY

Introduction

The skin is the largest organ of the body, accounting for about 15% of the total adult body weight.

It performs many vital functions, including protection against external physical, chemical, and biologic assailants, as well as prevention of excess water loss from the body and a role in thermoregulation.

The skin is composed of three layers:

Epidermis

Dermis

Subcutaneous Tissue

Skin Anatomy The epidermis is the topmost layer, and consists of a specific

constellation of cells known as keratinocytes, which function to

synthesize keratin, a long, threadlike protein with a protective role.

The dermis lies below the epidermis, and consists primarily of fibroblasts,

collagen, and elastic fibers. The dermis comprises the bulk of the skin

and provides its pliability, elasticity, and tensile strength. It protects the

body from mechanical injury, binds water, aids in thermal regulation,

and includes receptors of sensory stimuli.

Below the dermis lies fat, also called subcutis, panniculus, or

hypodermis. Considered an endocrine organ, the subcutaneous tissue

provides the body with buoyancy and functions as a storehouse of

energy.

Skin Anatomy

Epidermis There are three main types of cells make up the epidermis:

Keratinocytes

Keratinocytes make up the majority of cells.

Keratinocytes are held together by macromolecular structures that look like stripes (or spines) between cells, called desmosomes (primarily visible in the spinous layer).

Melanocytes

Melanocytes are staggered along the basal layer at around one in every 10 keratinocytes.

Melanocytes are the pigment producing cells, and transfer their pigment, called melanin, to the keratinocytes in the basal cell layer.

Langerhans cells

Langerhans cells are dendritic cells found in the mid-epidermis

Their main function is in the afferent limb of the immune response by providing for the recognition, uptake, processing, and presentation of antigens to sensitized Tlymphocytes, and are important in the induction of delayed-type hypersensitivity.

Epidermis

There are four major layers of the epidermis:

Basal LayerWe will review the layers from bottom up, since that is the order in which epidermal cells mature over their

two-week life cycle from the basal cell layer to the stratum corneum.

They are then shed two weeks after reaching the stratum corneum (for a 28-day cycle). The cells

differentiate as they move upwards through the layers. The basal layer is the source of

epidermal stem cells. Cell division occurs here.

Keratinocytes start in the basal layer and move upwards.

Keratinocytes are the primary type of cell found in the epidermis. In humans, they constitute 90% of epidermal skin cells.

Keratinocytes play an essential role in protection, they form a tight barrier that prevents foreign substances from entering the body, while minimizing the loss of moisture, heat and other constituents.

Spinous Layer

Center of epidermis.

The cells in these layers

have lots of desmosomes,

which anchor the cells to

each other and contain

thick tufts of intermediate

filaments (keratin)

Has a “spiny” appearance

due to the desmosomal

junctions, which hold the

keratinocytes together.

Granular Cell Layer

Lipids are produced by the

keratinocytes in the granular cell layer

and secreted into the extracellular

space between the keratinocyte forms

a water barrier that keeps water in the

skin

Filaggrin is a protein found in the

granular cell layer of the epidermis.

Filaggrin retains water within

keratinocytes Filaggrin - an important

protein in barrier function

Mutations in filaggrin cause atopic

dermatitis and other atopic diseases,

such as asthma.

Stratum Corneum Made up of desquamating

keratinocytes.

Thick outer layers of flattened

keratinized non-nucleated cells provide

a barrier against trauma and infection.

You can think of the stratum corneum as

a wall of bricks and mortar

Bricks: flattened keratinocytes filled

with keratin and filaggrin

Mortar: lipid mixture, which surrounds

the keratinocytes and provides the

water barrier

DermisThe dermis provides a flexible but tough support structure. It is between 1-4 mmthick (depending on age and body location), making it much thicker than theepidermis. It contains the blood and lymphatic vessels and nerves which supply the skin, as well as sweat glands and hair follicles.

There are two layers within the dermis:

The papillary dermis is the uppermost layer of the dermis. It intertwines with the with the rete ridges of the epidermis and is composed of fine and loosely arranged collagen fibres. The papillary layer supplies nutrients to select layers of the epidermis and regulates temperature

The reticular dermis is the lower layer of the dermis, composed of dense irregular connective tissue featuring densely packed collagen fibres. It is the primary location of dermal elastic fibres. Within the reticular region are the roots of the hair, sebaceous glands, sweat glands, receptors, nails and blood vessels.

DermisThis is a biopsy from the scalp to

show the follicles and sebaceous

(oil) glands, found in the dermis.

Note the many hair follicles (yellow

arrow) running through the dermis.

Each follicle has associated

sebaceous or oil glands (blue arrow).

Yellow arrow – epidermis

Green arrow – reticular dermis

Cells of the Dermis

Fibroblasts

Fibroblasts reside in the dermis

Fibroblasts are responsible for the synthesis and

degradation of connective tissue proteins

Fibroblasts are instrumental in wound healing and

scaring

Mast Cells

Masr cells reside in the dermis

Mast cells are specialized cells that are responsible

for immediate-type hypersensitivity reactions in the

skin

Subcutis The subcutis, also called the hypodermis is the fat

layer which separates the dermis from deeper

underlying structures such as fascia and muscles.

The subcutis insulates the body, serves as an

energy supply, cushions and protects the skin, and

allows for its mobility over underlying structures

The subcutis consists primarily of loose connective

tissue and contains larger blood vessels and

nerves than found in the dermis.

Adnexal Structures

Adnexal structures include the

pilosebaceous unit and eccrine

gland

Pilosebaceous unit consists of:

A hair follicle

Sebaceous (oil) glands

Apocrine (sweat glands)

An arrector pili muscle (when these contract you get goosebumps)

Apocrine glands are found in the

axillary and anogenital areas, which

is why we do not see them on this

biopsy of the scalp. These glands

open directly in to the hair follicle.

Eccrine Glands

In contrast to apocrine glands, eccrine sweat glands do not

involve the hair follicle. They open directly onto the skin

surface and are present throughout the body.

Eccrine glands help regulate body temperature by excreting

sweat onto the skin surface, where cooling evaporation

takes place.

Eccrine glands are sometimes genetically absent, which will

predispose a patient to hyperthermia.

Review, Layers of the SkinThe epidermis is the purple stripe at the top of the biopsy, and is

noted with the red arrow. The reticular dermis is noted with the

green arrow. The papillary dermis is the thin bright pink band visible

just below the epidermis. The subcutis (fat) is the mostly clear area

in the bottom half of the image.

Functions of the Skin

Barrier function The skin provides a physical barrier that regulates water

loss and protects against mechanical, chemical and

microbial insults from the external environment.

Dysfunction of the skin barrier leads to injury,

dehydration, infection and inflammation.

Skin conditions such a atopic dermatitis, commonly

known as eczema, is an example of a chronic skin

condition associated with barrier dysfunction.


Immunologic function

As an immunologic barrier, the skin both senses and responds to pathogens.

Dysfunction of the immunologic barrier leads to infection, skin cancer, inflammatory skin conditions and allergy.


Temperature regulation

The skin helps maintain a constant body temperature with the insulating properties of fat and hair and through accelerating heat loss with sweat production and a dense superficial microvasculature.

Dysfunction of temperature regulation leads to hyper- or hypothermia. Another example of thermoregulation dysfunction is Raynaud phenomenon (chronic episodic attacks of digital ischemia provoked by exposure to cold).

Functions of the Skin - Review Chart

LASER AND IPL TECHNOLOGY FOR

SKIN CARE

Eternal Beauty Institute

LASER

L.A.S.E.R

Light

Amplification

Stimulation

Emission

Radiation

IPL TECHNOLOGY

I.P.L. Stands for:

➢ Intensentense

➢ Pulsedulsed

➢ Lightight

COSMETIC LASER THERAPY

Laser therapy use precisely focused light sources (monochromatic coherent) to

treat or remove tissues and can be used for facial skin rejuvenation, medical

aesthetics, body contouring and hair removal

Compared to other procedures, cosmetic laser therapy have been found to be

better tolerated by patients, causing less discomfort.

Side effects include sensations like a prickly heat and can include slight facial

redness and swelling that may last for a few hours to days.

Facial Skin Rejuvenation Medical Aesthetics Body Contouring Hair Removal

Wrinkle smoothingOpen pore contractionFacial skin tighteningBroken capillariesSun damaged skinAge related brown spot removal

Wart removalAcne healingTattoo removalSpider Vein removalScar treatment

Fat reductionCellulite reductionLoose skin tighteningStretch marks reductionMeasurement reduction

Facial & body hair removal

COSMETIC LASER THERAPYLasers work in cosmetic applications through a process called

"selective photothermolysis." When broken down, means that it

modulates the frequency of light (photo) to produce heat (thermo)

in the specific area of the corresponding thing you wish to destroy

(lysis).

Selective photothermolysis was a concept developed by Rox

Anderson in 1983: “Laser Light of a specific wavelength can destroy

a target containing adequate chromophore without damaging the

surrounding tissue”

Laser / IPL is Non-ionizing radiations of light

❖ Non-ionizing radiation refers to any type of electromagnetic

radiation that does not carry enough energy per quantum to

ionize atoms or molecules.

❖ Non-ionizing radiation has sufficient energy only for excitation, the

movement of an electron to a higher state (thermal) that can

lead to structural changes.

COSMETIC LASER THERAPYCharacteristic of Laser Light

Laser Light

Laser only has one color

(monochromatic) and specific

wavelength

Each color has a specific

wavelength and frequency

Laser Light is coherent, meaning it

is a steady, focussed stream of

light. Its photons, or particles of

light energy, possess the same

frequency and its waves are in

phase with one another.

Ordinary White Light

Ordinary white light is composed

of different colors

(multichromatic)

Ordinary white light is non-

coherent, meaning the photons

do not have the same frequency

and the waves are not in phase

with one another

Laser and IPL Adjustment ParametersThere are four basic laser and IPL parameters:

1. Wavelength (WL):

Distance between two peaks

Measured in nanometers

Shorter wavelength = higher energy, more superficial

penetration

Longer wavelength = deeper penetration

Laser and IPL Adjustment Parameters

2. Pulse Duration (pulse width):

How quickly the energy is

delivered to the tissues

Measured in micro-, milli- or

nanoseconds

Longer the pulse, the more gentle

heating of target.

Laser and IPL Adjustment Parameters

3. Fluence:

Fluence = energy per area

Measured in Joules (J)

As fluence increases, so does the destructive force of

the energy

Typical fluences vary between 3 and 150 J/cm2

The relationship between fluence and spot size is

important.

Laser and IPL Adjustment Parameters4. Spot Size:

Dimension of the laser / IPL emission size

Spot size determines the area to be treated

Large spot size = deeper penetration/ decreased scatter

Small spot size = more energy absorbed in superficial

structures/ increased scatter


Differences between Laser and IPL

❖ IPL uses a wide spectrum of wavelengths at the same time that can target any chromophore in that range

❖ Lasers have one wavelength with a specific target. Lasers can hit precisely one target with one shot whereas, IPL can hit several targets at once.

❖ Different wavelengths penetrate the skin to different depths, so using an IPL is like using a group of lasers in a single treatment

❖ Using IPL, the area that can be treated is larger and the treatment is faster

❖ The light from IPL is more scattered and less focussed than a laser.


Fitzpatrick Classification Scale❑ Technicians administrating laser or photo (light) therapy must first assess

the patients skin type to determine the appropriate dose, which is, the

amount of exposure which will provide beneficial effect whilst

minimizing the damage incurred.

❑ The Fitzpatrick Classification Scale was developed in 1975 by

dermatologist Thomas Fitzpatrick, MD.

❑ This scale classifies a persons complexion and their tolerance to sunlight

❑ It is widely used by many practitioners to hair type for laser treatment

and to determine how someone will respond or react to facial

treatments

❑ Fitzpatrick skin type is governed by genetic factors and does not

change throughout their lifetime, despite changes to facultative

pigmentation (tanning)

FITZPATRICK SCALE SKIN TYPE CLASSIFICATION


ContraindicationsWhile laser treatments are safe and effective for most women and men, there are some people that will not be good candidates for these types of treatments. Here is a general contraindications list:

Sun exposure and/or artificial tanning (during the last 4 (I/II/III) -8 (IV/V) weeks depending on skin type)

Pregnancy (or nursing)

Internal defibrillator or pacemaker

Skin Cancer

Epilepsy

Diabetes (unstable)

Accutane or any related acne medication (for a min 6 months prior)

Active Herpes in the treatment area (cold sore infection, etc)

Vitiligo (hypo-pigmentation) or any active inflammatory skin condition (eczema, etc.)

Lupus

Tendency of keloid type scaring

Porphyria

Types of Laser Machines

Ruby Laser Named after the amplification materials used

The Ruby laser is a solid-state laser that uses a synthetic ruby crystal as its

gain medium.

Ruby laser is the original and first system of laser hair removal. It is also

used to treat brown spots, tattoos, and pigmented lesions.

Ruby laser is suitable for those with fair or white skin and works best for

light and fine hair types.

Not a laser of choice for those individuals with tanned or darker skin or

those with white or light hair


DIODE LASER Diode Lasers use a single wavelength of light that has a high abruption

rate in melanin surrounding the hair follicle whilst not impacting the

surrounding tissue.

Made up of tiny diodes or semiconductors assembled together to

produce light.


DIODE LASER Diode laser has a longer wavelength than the Ruby lasers thus it is able to

penetrate deeper into the skin allowing treatment on dark-skinned people as well as white-skinned patients.

Diode lasers deliver high frequency, low fluence pulses and can be safely used on all skin types

Diode lasers are used commonly in the medical/dentistry field and is also used in numerous cosmetic laser treatments

Example of laser

depths for hair

removal


YAG Laser YAG Laser is named after the amplification materials used

YAG laser contains solid material made up of Yttrium,

Aluminum and Garnet. It is a crystal that is used as the

gain medium for solid-state lasers.

YAG is one of the most common types of laser used for

many different applications including cosmetic and

medical purposes.

Yttrium

Aluminum

Garnet


YAG Laser YAG lasers can be used to remove skin cancers and other types of malignant

tumours.

YAG lasers are used in commonly in the medical field and extensively for cosmetic purposes .

Absorbed more slowly by both melanin and hemoglobin, ensuring that its energy can penetrate deeply to reach both hair follicles and varicose veins in the darkest skin types, therefor suitable for Skin type V and VI on the Fitzpatrick scale.

When compared to other lasers, this laser is not effective on white or light hair and the treatments are more painful.


YAG Laser


IPL IPL white light comprises a wide range of colors and wavelengths.

The polychromatic light can reach multiple chromophores in human skin

IPL uses a wide spectrum of wavelengths at the same time that can target

any chromophore in that range

Different wavelengths penetrate the skin to different depths, so using an IPL

is like using a group of lasers in a single treatment

Using IPL, the area that can be treated is larger and the treatment is faster

Laser Treatments

Recommended Number of Sessions1) Hair removala. 3-5 sessions required.

b. interval 3-4 weeks, because the hair has its own growth period and dormant

period, so it’s only effective to remove the hair in growth period.

2)Vascular therapya. 3-6 sessions required.

b. interval 3-4 week, because the human metabolism period is 3-4 weeks, the

stimulated capillary vessel tissues will be shrinking and steady along with the

metabolism.

3) Winkle removal repaira. 3-5 sessions required.

b. interval 3-4 week, because the human metabolism period is 3-4 weeks, the

stimulated collagen fiber tissues and flexibility fiber tissues will be steady along with

the metabolism.

Laser Treatments

Recommended Number of Sessions

4) Skin Rejuvenation

a. 3-5 sessions required.

b. interval 3-4 week, because the human metabolism period is 3-4

weeks, the stimulated collagen fiber tissues and flexibility fiber tissues

will be steady along with the metabolism.

5) Pigment treatment

a. 3-5 sessions required.

b. interval 3-4 weeks, because the human metabolism period is 3-4

weeks, some decomposed pigment cells are phagocytosed by the

lymphocyte, and expel from the body along with the metabolism.

Laser Safety ❖ Always refer to the user information supplied by the manufacturer

or distributer of the equipment, as well as any training resource material and related guidance documents

❖ The wavelength of lasers used in cosmetic skin procedures can pass through glass or windows and can be reflected off of metallic surfaces. All unnecessary reflective items, shiny tools, extra mirrors, jewelry, watches, etc. must be removed from the work table.

Laser Safety ❖ Even with protective eyewear, it is advisable to never look directly

into the hand piece, laser beam or scattered light from reflective surfaces.

❖ Treatment doors should remain closed and treatment windows should be covered with material of sufficient optical density to prevent laser light from escaping and reflective objects such as mirrors should be removed from the treatment room.

Laser Safety ❖ The exterior housing of a laser should never be removed, except by an

authorized service representative

❖ Oxygen and flammable substances should not be stored in a laser room. This

includes alcohol, acetone and flammable anesthetics.

❖ Eyewear is the single most important piece of protective equipment needed.

Both operator and patient must wear protective eyewear appropriate for the

wavelength emitted by the machine. The most important factor in selecting

eyewear is that it must protect against the wavelength emitted by the laser.

❖ No unnecessary idling of machine.

Laser Safety

❖ When choosing eyewear there are many options when working with lasers most commonly used for cosmetic lasers would be the red and orange as well as green styles of goggles.

❖ Your machine will always come with the correct type of goggles that are approved for that wavelength of laser you are working with. But it is a good idea to buy more just as back up.

❖ This guide is very specific and covers all types of goggles. Keep in mind some of these lasers are medical or industrial so you will not encounter them at the cosmetic level; but it will be the most complete visual of what goggles are best to use.

Laser Safety

LASER HAIR REMOVALEternal Beauty Institute

Laser Hair RemovalThe success and safety of laser hair removal is highly dependent on the

pigment present in both the skin and the hair of the patient being treated

❖ The key principal behind laser hair removal is matching specific wavelengths

of light and pulse duration to a specific target, namely melanin in a hair

follicle whilst avoiding the surrounding tissue area.

❖ Lasers target terminal hairs with the pigment melanin thereby, the intense

pulse of laser beam is absorbed primarily by the pigment in the hair follicle.

Laser Hair Removal

❖ Terminal hairs are thick, long and usually have much more

melanin/chromophore that absorb photon/thermal energy of the laser. Hair on

the scalp, underarms, genitals, eyebrows, chest, back, legs and arms are

examples of terminal hairs.

❖ Short and non-pigmented hairs that can be found in most other areas of the

body and face are called Vellus hairs.

❖ Each light pulse lasts only for a very small fraction of a second, so the energy

from the beam is almost completely absorbed by the hair papilla without

significantly spreading to the surrounding tissue.

Laser Hair Removal

❖Without a normal hair follicle, hair cannot survive and falls off.

❖ Lasers are most effective when target the hair follicle in its

active phase of growth cycle called Anagen (active phase).

❖ Destroyed hairs are either dissolved within the skin or rejected

by the body within the next several days.

❖ Successful laser hair removal is achieved by repeated

treatment since a portion of all hairs in the body is in the

Anagen phase at any given time. As a result some follicles are

destroyed, while others are partially traumatized, reduced to

fine hairs or subjected to extended quiescence.

Laser Hair Removal

❖Generally about 30% of hairs will not re-grow after a

single treatment. It is difficult to predict how many

treatments each individual will require to achieve the

best long term results. Therefore, multiple treatments are

needed to provide the best results.

❖ As a result, the FDA has approved laser treatment for

permanent hair reduction, and not permanent hair

removal.

HAIR GROWTH CYCLE

Anagen phase – period of growth. The cells in the hair bulb divide rapidly creating

new hair growth. The length of this phase is dependant on your maximum hair

length, which varies due to genetics, age, health and other factors.

Catagen phase – second phase of the hair growth cycle. This is a short transitional

phase, hair stops growing and detaches itself from the blood supply and is then

named a club hair.

Telogen phase - final stage in the hair growth cycle. This is the resting period where

the club hair rests in the root while new hair begins to grow beneath it.

Laser Hair Removal

Recap: The simple breakdown❖ Dark skin, hair and eyes contain a molecule called melanin.

❖ Melanin absorbs a wide range of wavelengths of light, especially in the ultra violet part of the spectrum. This makes it an ideal shield against the suns harmful rays which is why you get a tan when you go out in the sun (That’s your skin absorbing the rays so it does not harm your body and produces and releases more melanin in the skin)

❖ The melanin in dark hairs absorbs the laser light without the skin around it absorbing much of that energy. As the melanin absorbs the laser energy the hair heats up to well over 100 degrees Celsius causing it to burn and vaporizing the water it contains. The objective is to use the hair to destroy the germ cells in the follicle that produce the hair.

Laser Hair Removal

Recap: The simple breakdown

❖Cells suffer damage when their temperature rises above 60 degrees Celsius. This is because at that temperature the bonds and protein molecules start breaking apart. Process known as denaturation. The hotter it is and the longer that temperature is maintained, the more denaturation occurs and the higher the likelihood that cell will die. If you cause enough damage to the cells in the follicle that make the hair, the hair will never grow back

❖ The sequence of ultra short pulses is uses to ensure that the heat doesn’t spread too far into the region surrounding the hair. As the hair heats up it damages the germ cells and the laser light turns off before that heat can spread too much further, and then you hit the hair with another very short pulse again.

Laser Hair RemovalWHAT IS SHR?

SHR stands for Super hair Removal, a technology of hair removal which is having a

sweeping success.

The system combines laser technology and the benefits of the pulsating light method

achieving painless results.

SHR combined with “In-motion” represents a breakthrough in permanent hair removal

with light technology. The treatment is more pleasant than with the conventional

systems and your skin is better protected.

DIFFERENCE BETWEEN TRADITIONAL IPL & SHRTraditional IPL technologies employ short impulses of approximately 2-300 milliseconds,

applying a vast amount of energy (12-120 Joule on one square centimeter).

Energy is transported to the hair root through melanin, where warmth of 65-72 °C is

produced.

Energy reaches the root of the hair follicle solely through melanin.

Skin and red blood cells have a similar absorption coefficient as melanin and therefore also

absorb the high levels of energy produced by the IPL methods.

Laser Hair RemovalDIFFERENCE BETWEEN TRADITIONAL IPL & SHR

SHR technology, on the other hand, utilizes the melanin path only partially (50%),

it also influences the stem cells that produce new hair. Combining In-Motion

technology, it gently warms the skin helping penetrate down to the follicles which

produce hair growth.

Conventional devices, not using SHR technology, merely transport energy along

the melanin to the follicles.

SHR gently transports the energy through the skin and through the melanin to the

hair follicles.

Research has shown that a slower, but longer heating process is considerably

more effective for permanent hair removal than high and short levels of energy.

Laser Hair RemovalDIFFERENCE BETWEEN TRADITIONAL IPL & SHR

Therefore, when using SHR, The device is passed over the tissue multiple times (In-Motion) using low energy but a high rate of repitition (up to 10Hz, i.e. 10 times/second) instead of using the traditional method with multi, high-energy impulses.

Thus, the hair melanin, as well as the tissue of the stem cells, is heated with low energy at a slow pace and over a longer period of time to a comfortable temperature of 45°C.

Laser Hair Removal

RADIANT LASER

SETTINGS

This Section is specific to the

Radiant Laser ONLY and is

being taught as an example

on how to read each laser’s

settings!

The actual laser setting will be

gone through during your

course!

Laser Hair RemovalSPECIFIE TO RADIANT LASERS ONLY

Laser Hair RemovalCONTROLS ARE SPECIFIE TO RADIANT LASERS ONLY - SHR

Laser Hair Removal

RADIANT LASER

Laser Hair Removal

Client Consent Forms

Always take the clients

medical history and review

any pre-existing conditions.

Laser Hair RemovalClient Consent Forms

Laser Hair Removal

Laser Hair Removal

Candidates✓ People with coarse dark hair and light colored skin respond best to laser hair

treatments.

✓ Clients with darker color that have more melanin in their skin, the skin tends to compete with the hair to absorb the light energy resulting in potential damage to the skin

✓ It is strongly recommended to avoid tanning prior to any laser treatments.

✓ People with grey hair are most difficult to treat as less energy is absorbed by the hair roots

✓ All parts of the body can be treated with the exception of the area immediately surrounding the eyes.

✓ In women, the most common areas are underarms, bikini line, chin, upper lip, arms and legs.

✓ For darker skinned patients, the YAG Laser and Diode Lasers are often the lasers of choice.

✓ For lighter skinner patients, the IPL has proven effective.

This has been our Eternal Beauty

Laser Hair Removal Presentation

Questions & Answers Please

. : E t e r n a l B e a u t y C e r t i f i e d C o u r s e s : .EBI Program Related Courses:

. : Facial & Chemical Peels

. : Hydro, Oxygen, 24 Karat Gold & CO2 Facials

. : Dermaplaning & Microdermabraision

& PRP Microneedling

. : BB Glow Contour/Blush & BB Bundle

. : Laser Hair, Vein & Tattoo Removal

. : Radio Frequency & Cryo Laser

. : Micropigmentation Level 1 & 2

. : Microblading, Nano, Hybird & Powered

Brows

. : Botox L 1&2 and Dermafillers L 1&2

. : Micropigmentation Specialist Technician

. : Laser Specialist Technician

. : Lash Specialist Technician

. : Nail Specialist Technician

. : Clinical Skincare Technician

. : Thank You : .

laser and ipl technology

Documents