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Candela Vbeam Perfecta, Platinum, Aesthetica Treatment Guidelines 

 

8502-00-0891 Revision G            Candela Proprietary                             Sheet 6 of 8 

 

 

 

 
     3. 

Skin Preparation for Treatment 

 

a. 

Topical anesthetics may be used prior to laser treatment per manufacturers’ directions. 
HOWEVER, the topical anesthetics should be removed from the skin prior to treatment. 

 
b. 

Skin must be clean and dry; remove all lotions, perfumes, make-up, deodorant, self 

             tanners, etc.  
 
c. 

Candela does not recommend the use of alcohol to clean the skin prior to treatment. 

             Rinse the treatment area thoroughly with water after cleaning with soap (or similar mild 

cleanser) and water. 

 
d. 

Shave hair-bearing areas prior to treatment.   

 

4. 

Test Areas 

 

a. 

Perform test areas when a concern exists regarding the potential response to treatment.  

               

  

 Select a small area in the anticipated treatment site 

             

Apply a series of 1-3 pulses with several incremental increased fluences. 

             

  b. 

 Evaluate the sites in 2 weeks 

 

               c. 

Treatment may proceed when the expected treatment response is noted. 

 
  

B. Procedure for establishing the Purpura – Free Threshold 

 

1.  Select spot size, pulse duration, fluence and DCD settings. 
 
2.  Apply escalating fluences until purpura appears, then reduce the energy by 0.25-0.50 J/cm

2

.  

 

3.  Optimum parameters may be achieved by matching pulse duration to vessel size. 
 

Note: Treatment at sub-purpuric fluences may necessitate additional treatments for complete clearance 
of vessels on the face.       

 

 
 C. 

Laser Treatment Considerations 

 

1.  Perform User Verification Tests prior to each treatment session. This test procedure is outlined in 

the Operator’s Manual.  

 

2.  Position patient comfortably and confirm that the patient and everyone in the treatment room are wearing the 

corrective protective eyewear.  

 

3.  Always hold the laser handpiece perpendicular to the skin to apply laser energy, otherwise an 

uneven application of cryogen and energy may occur, resulting in an adverse skin reaction. 

 

 
4.  The aiming beam and laser beam are dimensionally identical, so the aiming beam can be used to 

accurately define the treatment area. The spot will be absolutely circular if the handpiece is held at 
the appropriate 90 degree angle. 

 

Summary of Contents for Vbeam Perfecta

Page 1: ...be worn by all persons in the treatment room during laser operation Perform User Verification tests as outlined in the Operators Manual at the start of each treatment day and when the hand piece is ch...

Page 2: ...ear and become bluish pink dusky erythema May use 10 12mm spot then retreat larger vessels immediately with smaller spot size Press the lens firmly onto the skin until the skin turns pale Clinical end...

Page 3: ...fluences and DCD for neonates and infants Clinical endpoint purpura Use lower fluences on neck and extremities Ectatic vessels associated with hypertrophic PWS may be double pulsed Warts Non Facial F...

Page 4: ...DCD spray should be sufficient to cover the treatment area and provide epidermal cooling in opposition to the heat generated from the laser It is important to maintain both skin protection and patien...

Page 5: ...0920 23 0814 e Seizure disorders Do not treat patients with a history of light triggered seizures f Medications Daily anticoagulation therapy iron supplements herbal supplements such as ginkgo ginseng...

Page 6: ...cted treatment response is noted B Procedure for establishing the Purpura Free Threshold 1 Select spot size pulse duration fluence and DCD settings 2 Apply escalating fluences until purpura appears th...

Page 7: ...e used to draw a treatment area grid When treating anal area place wet gauze over the anus first Methane gas is flammable 8 The Cleaning and Disinfecting Policy is outlined in Section 6 of the Operato...

Page 8: ...in subsequent crusting blistering or other adverse reactions Crescents may result from not holding the distance gauge properly If problem persists discontinue treatment and refer to user verification...

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