IBEC and Laser stateboard Flashcards
Laser stands for?
Light Amplification by Stimulated Emission of Radiation
Distance measured in nanometers between two peaks?
Wavelength
What is laser light?
Monochromatic Light
Refraction is only known as what?
Transmission
A newly created photon of light acquires energy equal to photons?
Stimulated Emission
Who theorized stimulated emission?
Albert Einstein
Alexandrite laser is in the visible light spectrum at what wavelength?
755nm
The Nd:YAG laser falls in the invisible light spectrum at what wavelength?
1064.3nm
What type of wave is used in laser hair removal?
Pulsed Wave
A Chromophore is also known as?
Target
A Chromophore ABSORBS what?
Energy
Goggles are approved by?
ANSI (American National Standard Institute)
Each laser wavelength is?
Specific
What are the parameters when doing laser hair removal?
Wavelength, spot size, fluence, and pulse width.
Pulsed lasers allow for selective heating of specific targets known as?
Selective Photothermolysis
Amount of ENERGY delivered within a given area is?
Fluence
Increase in fluence equals an increase in what?
Heat
LENGTH OF TIME the light/energy is in contact with the target is?
Pulse width or Pulse duration
Time of pulse duration is CHANGED from milliseconds to nanoseconds is?
Q Switched
A Q Switched laser is used for what?
Tattoo removal
Which skin types can tolerate an Nd:YAG?
All skin types
Which skin type can only have electrolysis?
Type 1 Fitzpatrick
Which skin types can tolerate an Alex laser?
Fitzpatrick 1-3
Pulse width greater than the thermal relaxation time is?
A Burn
Pulse width that is less than or equal to the thermal relaxation time is?
Perfect hair removal
Larger hair structures have what thermal relaxation time?
Longer
Smaller hair structures have what thermal relaxation time?
Shorter
Pulse widths protect the epidermis, penetrate deeper, and cool more slowly are?
Long
Longer pulse widths are for what skin types?
Fitzpatrick 4-6
What pulse widths are more aggressive and heat up and cool down quickly?
Short
Shorter pulse widths are for what skin type?
Fitzpatrick 1-3
Percentage of follicles damaged with each laser treatment?
15%
Long term stable REDUCTION of growing hairs after a treatment?
Laser Hair Removal
What are the appendages of the skin?
Hair, nails, sebaceous gland, and sudoriferous gland.
What are the layers of the hair?
(here, she, hugs, hens)
Hair, sheath, Huxley’s, Henleys.
What are in the Pilosebaceous Unit? (appendages of the hair)
Hair bulb, hair shaft, hair root, hair follicle, hair papilla, sebaceous gland, and arrector pili.
What is Fitzpatrick I?
Skin always burns and never tans.
What is Fitzpatrick II?
Skin burns easily and tans minimally.
What is Fitzpatrick III?
Skin tans moderately and tans gradually.
What is Fitzpatrick IV?
Skin rarely burns and always tans well.
What is Fitzpatrick V?
Skin rarely or never burns and tans profusely.
What is Fitzpatrick VI?
Skin never burns and is deeply pigmented and least sensitive to sun exposure.
What is the Blend in electrolysis?
Direct current an high frequency; 1/4 galvanic and 3/4 heat; needle vase shape.
What is Galvanic in electrolysis?
two by products are Hydrogen and chlorine gas; Needle is negative and anode is positive (hand held); needle creates LYE and anode creates hydrochloric acid (itchy); needle is column shape.
What is Thermolysis in electrolysis?
High Frequency; pear shape; desiccation (drying); heat.
15 U.L (units of lye)
shallow hair; vellus;
(Cheeks and lips)
45 U.L (units of lye)
vellum medium hair;
(side of face, chin, and arms)
60 U.L (units of lye)
terminal hair;
women = chin and legs
men = back and shoulders
80 U.L (units of lye)
deep terminal hair; mens beard
What determines size of the probe?
Hair diameter, shape, and size.
If a client has an allergy to the stainless steel needle what do you use?
Gold needle
Needle/ probe sizes?
1-6
women 1-3
men 4-6
What has an insulated needle?
Blend and thermolysis
What is the most common probe to use in electrolysis?
Standard cylindrical; 2 piece
What is the angle of needle insertion for electrolysis?
45 degrees
Angle of laser hand held piece is?
90 degrees
How much do you overlap in laser?
30%
What are non critical items?
desk, chair, mag.lamp, insulated plastic covered cord, etc…
What are semi-critical items?
plastic caps
What are critical items?
needles, tweezers, etc…
What are the structures of the hair shaft?
Medulla, Cortex, and Cuticle
What does the medulla do?
reflects light; DNA
What does the cortex do?
Gives its color; melanin
What does the cuticle do?
strength and texture
Hypertrichosis?
Both in men and women
Hirsutisim?
ONLY in women
What follicle shape is for straight hair?
Round shape
What follicle shape is for wavy hair?
Oval shape
What follicle shape does kinky hair have?
Flat shape
What percentage of alcohol is used as a disinfectant?
70%
Medicine that influences hair growth?
Birth Control
Amount of hair per square centimeter?
Hair density
If the hair has a high density, what fluence do you use?
Lower fluence
Darker/tanned skin requires what kind of fluence?
Lower fluence
What should you never use to clean the client’s skin before laser hair removal?
Alcohol
Who is the grandfather of laser and was the first person to use water to cool the skin during laser?
Rox Anderson
For deeper laser penetration what should you use?
Bigger spot size
The primary reason for using cooling devices (cryogen) during laser hair removal?
To allow for higher and more effective fluences to be used while sparing the epidermis.
During the initial consultation, the patient should be informed that the process will take how long?
A series of treatments
Laser is equivalent to what modalities?
Thermolysis
What are the positive reactions to the skin indicating a successful laser hair removal treatment?
Perifollicular Erythema and Perifollicular Edema.
A requirement for foot switches is?
Hooded
The effect of skin turning red after treatment is?
Erythema
When tissue has been injured, fluid escapes the blood vessels to surround the damaged tissue?
Edema (swelling)
The common type of laser used for hair removal?
Pulsed
Laser is ineffective on hair that has?
little to no pigment
The energy level of a laser, measured in joules is?
Energy Fluence
Optical density labeling on laser safety eyewear refers to?
400 UVA; the degree to which a refractive medium retards transmitted rays of light.
Which part of the body is most vulnerable to laser light?
Eyes
What is the chromophore when using the Nd:YAG laser for hair removal?
Melanin in the hair shaft and bulb
What is the FDA class that presents both a direct and reflect hazard?
Class IV (4)
Hair removal lasers are effective on which types of hair follicles?
Curved, distorted, and straight. (ALL)
What is most likely the cause of red, itchy bumps in the treatment area 10-14 days after a patient’s laser hair removal treatment?
Detached hair becoming trapped under the skin
Laser hair removal is least effective on follicles in what stage of development?
Telogen
The voluntary nationally recognized group establishing standards for equipment use is?
ANSI (American National Standards Institute)
What are some types of Epidermal cooling?
Bulk-gel topical contact and cryogen spray
Laser hair removal on clients with Fitzpatrick V (5) and Fitzpatrick VI (6) requires?
Longer wavelengths; Nd:YAG 1064nm
Who is considered to be the “father of laser” in medicine?
Leon Goldman
Components of laser include?
Flashlamp/high-intensity non-coherent light source, laser medium, fiber optics, and lenses.