Cooling
Refer to
Vascular/Skin
Treatment Starting
Parameters for appropriate temperature selection.
Although absorption of the BBL light in vascular
lesions is desirable, some epidermal cooling is
essential to protect the skin. The amount of cooling
required will vary with skin type, amount of target
present, and area treated.
The temperature of the BBL crystal should be colder
when treating areas where more redness is present
and areas where there are more densely
populated vascular lesions. When treating body
tissue, temperature should be colder, as well as
when treating darker skin types.
Air chillers, such as a Zimmer, should not be used
during BBL vascular treatments. Prolonged cold air
on skin can cause vasoconstriction of the targeted
vessels resulting in an ineffective treatment.
Treatment Basics
1.
Apply thin layer of colorless gel
2.
Select appropriate settings
3.
Treat test area to establish safe treatment
parameters and desired endpoint.
4.
Once appropriate settings are selected,
complete area to be treated.
5.
Be careful not to apply pressure to the skin
with the BBL handpiece. Complete contact
with the entire BBL crystal and skin should be
maintained at all times throughout a pulse;
however pressure should be avoided to
prevent possible blanching of the vessels in
the treated area. If vessels are blanched there
is no longer a target for the BBL light.
BBL Vascular/ Skin
Treatment Starting Parameters
–
Facial
Tissue
Skin
Type
Fluency
J/cm2
Pulse Width
(msec)
Filter
(nm)
Cooling
(°C)
I – II
12
10
560
25
III
10
20
560
20
IV
10
30
590
15
V
N/A
N/A
N/A
N/A
Note:
Decrease fluence 15-20% when treating on the forehead.
Increase fluence 1-2J/cm2 when using any of the BBL snap on adapters.
BBL Vascular/ Skin
Treatment Starting Parameters
–
Body
Tissue
Skin Type
Fluency
J/cm2
Pulse Width
(msec)
Filter (nm)
Cooling
(°C)
I – II
10
15
560
15-20
III
8
20
560
15
IV
8
30
590
15
V
N/A
N/A
N/A
N/A
Note:
Decrease fluence 15 - 20% over bony areas such as collar bones,
shoulders, etc. Increase fluence 1 - 2J/cm2 when using any of the BBL
snap on adapters.
Endpoint
1.
Erythema
2.
Vessels may disappear, darken, lighten or
appear unchanged but fade over time.
When capillary refill test is performed, blood
flow is static.
3.
Urticaria or a “cat scratch” appearance to
the treated vessel.
4.
Possible Purpura
Post Treatment
1.
Observation – Erythema for several hours after
treatment.
2.
Intervention – Cool compresses or ice packs can
provide some comfort after treatment. If
blistering occurs, aggressive wound healing
measures should be implemented.
3.
Interval – Treatments are performed 2 - 4 weeks
apart. 5 - 7 treatments may be required.
4.
If performing a BBL Vascular/Skin treatment in
conjunction of other procedures such as MLP or
ProFractional, perform the vascular treatment
first.
5.
Check with manufacturer for guidelines on using
injectables in conjunction with BBL Vascular/Skin
treatments
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