Nordlys Candela Treatments

IPL Skin Rejuvenation Treatments

IPL & Laser Treatments

Nordlys Candela Treatments
Nuskinnovation Centurion and Nelspruit offers a wide variety of treatments using our state of the art Nordlys Candela System. These treatments are used for the prevention & treatment of the following conditions:
Photo Rejuvenation/Anti-Aging

With the dwindling production of collagen, skin can lose structure, become dry, have less fat, and begin to appear wrinkled, loose, and saggy.

Photorejuvenation is a skin treatment that uses lasers and intense pulsed light to treat skin conditions and remove effects of photoaging such as wrinkles, spots, and textures. The process induces controlled wounds to the skin. This prompts the skin to heal itself, by creating new cells.

Hair Removal

If you have stubbort ingrown hair, gets a rash from shaving, tired of shaving, want to reduce hair growth. laser hair removal is the way to go

Heat travels through the melanin (the pigment) of the hair, reaching the derma pipila (Blood supply of the hair), and destroys the blood supply in the hair folicle, and this leads to permanent hair removal. Unfortunately not all hair are in the growing cycle (anagen) at once, this is the reason for more than one session.

Telangiectasias

Dilated small blood vessels on the skin or mucous membranes, anywhere in the body.

Vessels are re-absorbed and facial redness diminishes. Patients with rosacea that are expected to do best with laser therapy are those with Telangiectasia.

Surgical Scars

A growth of tissue marking the spot where skin has healed after an injury.

Laser treatment for scars reduces the appearance of scars. It uses focused light therapy to either remove the outer layer of the skin’s surface or stimulate the production of new skin cells to cover damaged skin cells.

Acne Scars

A growth of tissue marking the spot where skin has healed after active acne.

Laser treatment for scars reduces the appearance of scars. It uses focused light therapy to either remove the outer layer of the skin’s surface or stimulate the production of new skin cells to cover damaged skin cells.

Enlarged Pores

Large pores are those that are more visible to the naked eye. Pore size is often genetic, but factors such as sebum secretion and skin elasticity may make them larger.

Intense Pulse Light and Laser Treatments Promote Natural Collagen Production when you get a laser treatment, it will promote natural collagen production in the body, so your pores will always appear to be healthy and not enlarged

Diffused Redness/Rosacea

The clinical term Rosacea or Diffused Redness is facial redness and sometimes may look like small breakouts that occurs mostly in middle-aged men and women.

Once Rosacea has progressed to the stage where redness and veins are evident the only option is laser treatment. The laser and intense pulse light uses light energy to effectively diminish the dilated blood vessels to reduce redness and visible veins

Leg Vessels

Varicose veins are enlarged, twisted veins. Varicose veins can happen anywhere in the body, but are more common in the legs.

Laser and Intense Pulse Light is a device that sends a thin beam of radiation in the form of light. Laser treatments closes and shrinks the varicose vein and causes scar tissue within the vessel. This seals off the vein. Blood then flows through other nearby veins instead

Warts

A small, fleshy bump on the skin or mucous membrane caused by human papillomavirus.

The light heats up the blood in the tiny vessels inside the wart, thus destroying the vessels. Without blood supply the wart will die and the wart tissue is destroyed. The heat of the treatment also may attack the virus that causes the warts.

Piokloderma Of Civatte

Poikiloderma of Civatte, also known as sun aging, is a condition caused by sun exposure. The skin changes as a result of chronic, long term exposure to the sun as well as normal aging.

The treatment stimulate collagen regrowth.

Port Wine Stains

A port-wine stain is a permanent birthmark present from birth. It starts out pinkish or reddish and turns darker as the child grows. Most often, a port-wine stain appears on the face, but it can affect other areas of the body.

The laser targets the pigmentation in the stain and fades it

Fine Lines and Wrinkles

Wrinkles are the lines and creases that form in your skin. Some wrinkles can become deep crevices or furrows and may be especially noticeable around your eyes, mouth and neck.

The treatments work by vaporizing water molecules inside and outside cells, which damages the surrounding tissue. The skin’s natural response to this damage is to produce more of the protein collagen, which reduces the appearance of fine lines and wrinkles

Onychomycosis/Nail Fungus

A nail fungus causing thickened, brittle, crumbly or ragged nails.

When used to treat onychomycosis, the intense pulse light and laser is directed so the heat will penetrate through the toenail to the nail bed where the fungus is present. When the heat is targeted to the area of infection, the heat that’s produced inhibits the growth of the fungus and destroys it.

Venus Lakes

A venous lake (also known as phlebectasis) is a generally solitary, soft, compressible, dark blue to violaceous, 0.2- to 1-cm papule commonly found on sun-exposed surfaces of the vermilion border of the lip, face and ears. Lesions generally occur among the elderly.

The light heats up the blood in the tiny vessels inside the venous lake, thus destroying the vessels. Without blood supply the venous lake will die and the tissue is destroyed. The heat also may attack the virus that causes the Venous lakes.

Active Acne

A skin condition that occurs when hair follicles plug with oil and dead skin cells. Acne is most common in teenagers and young adults.
Symptoms range from uninflamed blackheads to pus-filled pimples or large, red and tender bumps.

We use a combination of treatments and home care products to treat acne, depending on the severity of the skin

Cherry Angoima

A hemangioma or haemangioma is a usually benign vascular tumor derived from blood vessel cell types. The most common form, seen in infants, is an infantile hemangioma, known colloquially as a “strawberry mark”, most commonly presenting on the skin at birth or in the first weeks of life.

This intense pulse light and laser is able to penetrate into the skin and mucosa to a depth of 0.5 mm and photocoagulate the hemoglobin molecules in the vessels. Thus, intense pulse light and laser can microscopically remove superficial hemangioma.

Freckle Removal

Freckles are small brown spots on your skin, often in areas that get sun exposure. In most cases, freckles are harmless. They form as a result of overproduction of melanin, which is responsible for skin and hair color (pigmentation).
There are two categories of freckles: ephelides and solar lentigines. Ephelides are the common type most people think of as freckles. Solar lentigines are dark patches of skin that develop during adulthood. This includes freckles, aging spots, and sunspots. The two types of freckles can look similar but differ in other ways such as their development.

Light is converted into heat and absorbed by the pigment cells in the skin. Unwanted pigment is destroyed, abolishing freckles and other kinds of spots. IPL works less effectively on people with darker toned skin, but on many people, it can help with concerns such as: Freckles.

Stretch Marks

A stretch mark is a type of scar that develops when our skin stretches or shrinks quickly.

Laser treatment can improve the tone and texture of stretch marks, working with your body’s natural healing processes to diminish their appearance on your body. As stretch marks are a form of scar tissue, it is possible to treat and heal them for lasting improvements.

Lip Plumping

Boost the volume and contour of your lips without needle or lip fillers.

Through laser lip plumping you boost the volume and contour of your lips without needle or lip fillers. Laser energy reverses the aging process, so your lips regain their beautiful luster, color and firmness.

Additional Information on our Nordlys Candela Treatments

Intense Pulsed Light

Intense pulsed light, or IPL, is widely used treatment when it comes to cosmetic dermatology. The light therapy procedure treats countless skin issues like uneven skin tone, wrinkles, blemishes, large pores, and redness.

Intense pulsed light therapy is as simple as treating skin with a series of light pulses, customized to your skin’s needs. It can be used on the face, hands, or other areas of the body.

IPL is entirely non-invasive, requires no recovery time, and can improve your appearance for up to a year.

What is IPL?

Intense pulsed light (IPL) is a technology used to perform various skin treatments for aesthetic and therapeutic purposes, including hair removal, photorejuvenation(e.g. the treatment of skin pigmentation, sun damage, and thread veins) as well as to alleviate dermatologicdiseases such as acne.

The technology uses a high-powered, hand-held, computer-controlled flashgun to deliver an intense, visible, broad-spectrum pulse of light, generally in the visible spectral range of 400 to 1000 nm. Various cutoff filters are used to selectively filter out lower wavelengths, especially potentially damaging ultra violet light.

The resulting light has a spectral range that targets specific structures and chromophores (e.g. melanin in hair, or oxyhemoglobin in blood vessels) that are heated to destruction and reabsorbed by the body.

IPL shares some similarities with laser treatments, in that they both use light to heat and destroy their targets. But unlike lasers that use a single wavelength (colour) of light which typically matches only one chromophore, and hence only one condition, IPL uses a broad spectrum that when used with filters, allows it to be used against several conditions.

Contradictions

Factors acting directly against the treatment

Patients on topical or systemic steroid medication or onn on-steroidal anti-inflammatory drugs (NSAID). Ellipse treatments produce a desired low-grade inflammation. Steroids and anti-inflammatory drugs act against such inflammation reducing or negating the effectiveness of the treatment.

Relative contraindications

 

    • Patients with any disease or genetic condition causing photosensitivity to light with in the range of wavelengths emitted by the Ellipse applicator used, as this increases the likelihood of a burn or violent erythema.
    • Patients undergoing treatment with any medication causing photosensitivity to light within the range of wavelengths emitted by the Ellipse applicator used, as this increases the likelihood of a burn or violent erythema. Note that some natural remedies such as St John’s Wort (Hypericum perforatum) cause photosensitivity.
    • Patients undergoing treatment with anti-coagulants,as these increase the risk of bruising after treatment. Note that natural remedies containing Gingko biloba have powerful anticoagulant properties.
    • Patients suffering from long term diabetes,as diabetes may affect the skin healing process.
    • Patients suffering from haemophilia,or other coagulopathies (clotting disorders),as these significantly increase the risk of bruising during and after treatment.
    • Patients tending to produce keloids or hypertrophic scars.
    • Patients with sun-tanned skin or fever.
    • Patients who have received gold injections where there has been some leakage/spillage into the epidermis. This presents as an area of dark grey tissue which will absorb the light energy.
    • Permanent make-up (dark colours in particular) will absorb the light energy and the patient may feel a burning sensation (with burns in worst case). These areas will be covered with white paper. This is also the case if the patient has a tattoo.
    • There are isolated reports of problems caused by treating over earlier fat injections and some fillers – so users should take extra care in treating of earlier fat injections, or over unknown fillers.
Skin Type

The type or colouring is determined by the amount of pigment (melanin) contained in the skin cells, and this is determined by heredity and race. Skin type is not changed by exposure to sunlight, nor by age. As well as determining the default energy of a treatment, skin type also determines the length of time taken to produce a reaction to that treatment. Darker skin types respond more slowly to intense pulsed light and their therapeutic window for treatment (the zone where a beneficial result occurs without the risk of side-effects) is smaller. This means that the risk of side-effects is higher in darker skin types. It is essential to determine the skin type accurately to assess both the risk of side effects and the response time. The following points should be noted:

      • Hair colour may be artificial.
      • The patient may be wearing coloured contact lenses.
      • The apparent skin colour may be the result of cosmetics or sun exposure.

The actual skin colour is better determined by parting the hair and examining the scalp, since hair normally protects the skin of the scalp from suntan.

Sun Tan

Ellipse grades the degree of suntan as: None; Light; Medium; Medium-Heavy; Heavy. In the 30 days before and 30 days after treatment, clients should avoid the sun, or use sun-protection (SPF 50) when sun exposure is unavoidable. This is especially true for darker skinned clients, because sun-exposure increases the risk of post-inflammatory hyperpigmentation. Limiting sun exposure in vascular treatments is especially important as recent exposure (especially exposure recent enough to still give a slight feeling of warmth) can cause significant problems as the warmth increases the size of blood vessels in the skin. This increases the amount of the chromophore haemoglobin present. In the 30 days prior to treatment,do not take solarium, sunbathe or use tanning sprays or a sunbed. This will increase the level of melanin in the skin and make treatments more uncomfortable with an increased risk of side effects.

Physics - light as electromagnetic radiation (EMR)

Put simply, light is just a form of energy, and all laser or intense pulsed light treatments use this energy to do work. The light travels in waves, similar to waves travelling on the surface of a pond.

The Waves on a pond (like sound waves) are a mechanical wave, but light (just like X-Rays or Radio Waves) are slightly different: they are electromagnetic waves (waves of pure energy). The various types make up the electromagnetic spectrum, or spectrum of electromagnetic radiation. This spectrum of electromagnetic radiation stretches from gamma rays to radio waves, as shown below. There are three ways to describe the waves, according to type:

 

Visible and Infrared Light, used by all intense pulsed light sources and most medical lasers are described by their wavelength (nanometres). Microwave and Radio waves are described by their frequency (Hertz). Lasers and intense pulsed light sources mainly use the visible to near infrared part of the spectrum (Fig 10), with wavelengths from 400 nanometres (nm) to 1 200nm. There are exceptions such as the CO2 laser (10 600nm) and Er:YAG laser (2 940nm).

While light travels in waves, the waves are made up of “particles” of light called photons. Whenever a photon is absorbed, its energy is changed into heat (photothermolysis), and this absorption of light energy is the basis for all light/tissue interaction. Light energy delivered to the skin is measured in Joules and is best expressed as the energy delivered to a certain area (also called the fluence) measured in J/cm . The length of time that the light is exposed to the skin is called the pulse duration, and is measured in milliseconds (ms).

Laser and intense pulsed light(IPL)

In recent years the distinction between laser and Intense Pulsed Light has become less clear in the minds of the users, and the term “laser” hair removal is increasingly used for any light-based treatment. Technically, the light emitted by an Intense Pulsed Light system differs from the light emitted by a laser as indicated on the right:

The light emitted by IPL systems is not one single wavelength, but covers a spectrum of different wavelengths. By using different filters it is possible to allow through light that matches the requirements for different treatments, so that one system can be used for more than one application.

Light – Tissue interaction

Absorption

A chromophore is a chemical within the skin that absorbs light of certain wavelengths. When a photon is absorbed, it surrenders its energy to the chromophore or to water. The photon no longer exists and its energy is changed to heat in the chromophore. This is similar to the way in which a dark surface becomes warmer than a white surface when exposed to sunlight. The most important substances in the skin that are capable of selective light absorption are:

      • Melanin (found in the epidermis,hair and hair follicles).
      • Oxyhemoglobin + haemoglobin (found in the blood).
      • Water.

Protoporphyrin is also capable of selective light absorption. This chemical is produced naturally in quite low levels, and in much higher levels by the acne bacterium P acnes. The levels of protoporphyrin in non-acne skin can be heightened by the introduction of the chemical 5-ALA into the skin. Absorption by protoporphyrin will be discussed later. The degree of absorption by each chromophore depends on the wavelength of the light used.

Penetraton Depth
The penetration depth of the light into the tissues also depends on the wavelength. Longer wavelengths (600 – 1000nm) penetrate deeper into the tissues, but wavelengths above this figure are predominantly absorbed by water in the skin. Penetration depth of the light into the skin can be compared to the depth that sunlight penetrates into water. At a low depth of water, all colours can be seen, but the deeper one dives, the less light penetrates and a colour change is observed.
Thermal relaxation time and photothermolysis
Light entering the skin will only have an effect when it is absorbed by a chromophore and converted into heat. The biological effect following absorption is dependent on the temperature achieved. When light is absorbed, all chromophores present are heated. Heat loss begins immediately, as heat is conducted to all adjacent tissues. The rate of the heat loss varies according to the thermal relaxation time (TRT) of the tissue. The TRT is defined as the time it takes for the tissue to cool down to the ambient temperature following heating. Large objects cool more slowly than small ones. Additionally, the Thermal Damage Time (the time taken to destroy a target) increases with the size of the target. How warm the target becomes depends on the active heating of the chromophore as it absorbs light energy and the passive cooling as heat is conducted of heat to the surrounding tissue. The overall effect of damage to tissue in response to the absorption of light is called photothermolysis.
Selective Photothermolysis
The aim of selective photothermolysis is to selectively heat up and destroy a specific target without damaging the surrounding tissues. To achieve selective photothermolysis three parameters must be controlled: ● The wavelength (or waveband) of the light is selected so that the light energy is absorbed by the chosen chromophore. ● The duration of the light pulse is selected to ensure the target is lethally damaged with minimal conduction of energy into the surrounding tissue. ● The right energy level is chosen to create enough heat to lethally damage the target within the given pulse time. By controlling these three parameters, selective destruction of the target chromophores can be achieved without injuring the surrounding tissue.

The xenon lamp of an IPL system emits a wide spectrum of different wavelengths at the same time (from approximately 240 – 1200nm). This light is then filtered to match different applications. Two different types of filtering can be distinguished:● Single mode filtering as used in the first generation intense pulsed light systems. These systems use a coloured filter to remove energy below a given wavelength (on the left side of the absorption curve). Depending on the type of filter the emitted light typically starts somewhere between 510 and 720nm and goes up to 1200nm.

Ellipse Dual Filter
Ellipse dual mode filtering uses filters on both sides of the selectively emitted wavelength band to remove wavelengths below and above a chosen range. Shorter wavelengths are stopped using a coloured filter (selected by the choice of applicator to be below 400, 530, 555, 600 or 645nm). Longer wavelengths are removed by passing the light through water (before it reaches the skin surface) to filter out all wavelengths above 950nm, which otherwise would lead to unspecific heating of the epidermis and increase the risk of adverse effects such as burns.Water filtering is effected by circulating cooling water around the flash lamp and the filters in the hand piece of the Ellipse system. For selected applications additional filters at 720nm or 750nm are used to remove light above these wavelengths.Since Ellipse Intense Pulsed Light products can be used to treat a range of conditions, the light waveband used is determined by the targets you wish to treat.