Devices are a huge investment and deciding to bring one into your practice is significant. Three Aesthetic Authority EAB members share their favorites.
We asked our Editorial Advisory Board for their input on lasers for this issue: What’s your favorite energy device and why?
The emphasis is on favorite, which can be justified in any way that makes it so: best value, biggest workhorse, best customer service, most profitable, best results, offers novel solutions. This is what they told us.
My two favorite Energy Devices are my Rohrer Aesthetics Pixel Micro-Needling with RF device and my Sciton BBL device. They are used most often by our skin spa nursing staff. They are reliable and yield a very good ROI. The indications for the two cover a majority of our patients, it seems, when you consider rosacea, acne scarring, fine lines and rhytids, and slight laxity and crepiness of the neck and décolleté.
As an aesthetic dermatologist and Mohs surgeon, my favorite device is the Sciton Joule platform. With one platform (and one 220-plug), I can very effectively treat facial etched-lines (especially around mouth and eyes) with full-field erbium 2940 resurfacing. I can minimize general wrinkles, acne scars, and surgical scars with fractional ablative erbium Pro Fractional. I can treat lentigines with broad band light (BBL). I can improve overall photodamage with minimal downtime of about four to five days (pigment, roughness, luminosity, and even get significant temporary pore improvement) with HALO 2.0 (and can combine HALO with BBL for more pigment improvement). I can treat sebaceous hyperplasia, macular seborrheic keratoses, and even xanthelasma with the single shot small erbium handpiece. And I can minimize rough skin on the lips (actinic cheilitis) as well actinic damage on the face, chest, and hands with erbium micro laser peel (MLP).
I have been using this type of Sciton technology for over a decade, and it is extremely reliable with rarely needed outstanding customer service. And when new technology comes along from Sciton, it tends to be MAJOR innovations like BBL HERO “in-motion” (to avoid spot-size missed-areas or overlap issues) and ClearV (vascular and vessels) that are available on a platform still with the continued, time-tested and reliable full-field erbium resurfacing, fractional ablative resurfacing, MLP as well as hybrid fractional HALO—all available as customizable options on the same platform.
I literally walked around my office walked into each room or operatory and thought about what is the one device that I use the most in my office, decade after decade, year after year, day after day. It became evident that the Ellman/Cynosure 4.0 megahertz radio wave system (Surgitron Dual EMC/90) would be the king of devices in my practice. There's a lot of misunderstanding about radiowave surgery as people think that it is the same as electrosurgery, but there are many differences. These differences include the fact that the actual electrode tip does not become hot and the device produces much less lateral thermal damage then most incisional modalities such as conventional electrosurgery for laser.
I use the radiofrequency device pretty much all day every day and use it for the following procedures:
One of the great advantages of this system is incision with simultaneous hemostasis and minimal lateral thermal damage.
Although I use CO2 laser for many incisions, I could not afford that technology in my early practice years and the Ellman unit was much more affordable. I now have four of these devices, so I guess I would term them essential in my practice.