PHYSICIAN ROUNDTABLE

ABOUT 1 -5 The Evolution of Light PHYSICIANS The Viora Axiom refines intense pulsed light for safer usage and better results, DR. SHAPIRO: The Axiom contains a Windows- based computer software program, so I can easily IPL treatments are a great alternative for patients who want make adjustments in energy, pulse duration and results without downtime. However, traditional IPL systems pulse intervals by touching the screen. can have limited success, especially for those with dark skin. DR. SCHULMAN: The system is operated with Viora of Jersey City, N.J., offers a solution. The Axiom IPL a touch screen, so it's easy to make adjustments. uses thermal light channeling technology, a combination of Some other machines need to be recalibrated, but MATTHEW SCHULMAN, thermal and optical energy that s safe for all skin types. the Axiom does it instantly. This makes it faster MD, is a plastic surgeon The Axiom also features four interchangeable lamps for and safer for the patient because you can make in private practice in New York City. He is clinical hair removal, skin rejuvenation, hyperpigmentation, acne individual adjustments during treatment without instructor of plastic surgery and vascular lesions. having to stop and reset the system. at The Mount Sinai School DR. SKOLNIK: The Axiom's menu-driven system is of Medicine and assistant attending physician in plastic HEALTHY AGING: How do the Axiom's features compare user-friendly and makes life easy for the operator. surgery at The Mount Sinai to IPLs in the past? It's an easy walk-you-through-it system that can be Hospital, New York. He is also DR. SCHULMAN: The Axiom has the option to adjusted as you go. medical director of Euphoria Spa in New York City. divide its energy into multiple pulses. Instead of one big burst, the energy can be divided into two HEALTHY AGING: Do you find the Axiom's small size or three bursts with less energy each pass, but with and single handpiece with interchangeable lamps the same total energy delivered. This reduces the convenient? potential for burning or pigmentary changes in DR. SCHULMAN: The advantage of having an IPL people with darker skin types. is that you can treat multiple conditions with the DR. SKOLNIK: The Axiom's 50 by 25 mm spot size same machine, as opposed to having four different is the largest of any IPL on the market, so it can machines. Having easily interchangeable lamps treat all skin types very rapidly. makes it easy to treat multiple problems on the

DR. SHAPIRO: It is faster and has a larger spot size, same client. The small countertop device won't STEVEN D. SHAPIRO, MD, so treatments are more efficient than previous IPLs. clutter up a room or stick out like other systems. is board-certified by I also can adjust the pulse duration to match the DR. SKOLNiK: A mobile, self-contained unit with the American Board of Dermatology and a fellow thermal relaxation time of the target, which leads one handpiece works well in an office or spa, of the American Academy to better results. especially if you don't have a dedicated laser treat- of Dermatology. Dr. Shapiro ment room. is the director of Gardens Dermatology and Cosmetic HEALTHY AGING: Why doesn't the Axiom require DR. SHAPIRO: We like the compact system because Surgery Center in Palm cooling gel? we can place it on a self-contained cart so that all of Beach Gardens, Fla. DR. SCHULMAN: Unlike traditional IPL systems, our providers can use it. the Axiom contains a small space between the skin and the filter lamp to prevent burning. Because HEALTHY AGING: Do your patients find the treatments there is never contact between the skin and the comfortable? hot lamp, there is no need for cooling gel, which is DR. SKOLNIK: All IPL systems are uncomfortable, great because it saves additional time in cleanup. but the large spot size of the Axiom requires fewer DR. SKOLNIK: The Axiom handpiece has a fan to flashes, which translates into less pain. circulate the air between the skin and the lens as DR. SHAPIRO: Patients generally describe treat- added protection. ments as startling, similar to a camera flash.

DR. SHAPIRO: The heat generated by the hand- DR. SCHULMAN: Everyone has a different threshold RICHARD A. SKOLNIK, MD, piece elevates the target structure to achieve coag- for pain. For the most part, it is well tolerated. FACS, is chief of residency ulation necrosis. The heat is part of the desired There is some discomfort associated with it because training in aesthetic surgery at the Mount Sinai Hospital, effect, eliminating the need to cool to avoid unde- patients do feel the heat. But the treatment time is New York Dr. Skolnik is board- sired side effects. quicker with this system because the spot size is so certified by the American large. Thus, people are in discomfort for about half Board of Plastic Surgery and is an associate clinical professor HEALTHY AGING: Do you find the Axiom's menu thetim ea s other IPL systems. • of surgery at the Mount Sinai system helpful? Medical School.

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