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Cosmetic IPL Laser Reviews & Comparisons > Which 'Fractionally Ablative' Device To Buy? (Fractional Lasers)

We are behind the times and have not jumped on the "fractional" band wagon. I think we are ready but there are too many out there to choose from! We don't need a multi-platform device as we have most other technologies. Of course, price matters but so do results, safety, etc. Although we've purchased all of our lasers, I'm thinking leasing might be better. I'd love some recommendations!

07.14 | Unregistered CommenterSD MD

We have the Palomar Lux1540 handpiece for our StarLux 500 series and LOVE it for stretch marks, scars and facial resurfacing for those patients who want a gradual process. The Lux2940 handpiece also provides great results for 1 step resurfacing.

If you don't have a Palomar base unit and want fractional technology, definitely talk with others in the group like LH who is very experienced and versed in this subject! He helped us tremendously! We ended up adding the Lumenis ActiveFX / DeepFX / TotalFX basically for speed of procedure and tailoring of depth.

07.14 | Unregistered CommenterPY RN

I've heard great things about Dot Matrix which is about $30,000. You might want to demo this before spending big bucks on Palomar who will not give you the time of day after they have your money. I have a Pearl Fractionated which does an O.K. job.

07.14 | Unregistered CommenterCarol F

It depends on your patient demographics and cosmetic needs. If they are mostly FST I and II, then CO2 is your best bet. If FST III or higher then it is safer to go with Er glass (1500, 1400nm). For Co2 laser, Lutronic eCo2 is good and not too expensive. For Er glass, Lutronic eMatrix, Sells 1500 are reasonable. Fraxel Dual are great for pigmentation and deep scars.

07.14 | Unregistered CommenterK DO

Your cheapest, and possibly most reliable single platform will be the Venus by Iridex. Do your research.

I agree with KDO

Fractional CO2 produces a lot of heat and tend to induce Post inflammatory Hyperpigmentation in Type III and Type IV skin.
Erbium based fractionated laser does not generate heat and is better suited for Type III and Type IV patients. In this economy, I would only consider laser platforms without consumable disposable tips. Fraxel lasers are a tough sale given their pay per use sales scheme. I favor the Sciton profractional over other platforms for all the reasons above

I agree with Kenneth about the Sciton's Er YAG laser.One more think you have to consider is that with the Profractional you can work as if you had a CO2 fractional device or an Er YAG fractional or a 2790nm fractional.You have GREAT flexibility with this platform and without consumables,disposable tips.

07.15 | Unregistered Commentercharry

Service on the Sciton lasers is ridiculously expensive, and exclusive to Sciton techs in violation of 21 CFR 1040.10-11. The Iridex Venus is not only cheaper, and more serviceable, it offers everything the Sciton does in a much smaller package. Just an FYI...

SD MD,

The first thing I want to know is what you plan to use it for? Also, what are the primary skin types that you will be treating.

Lornell E. Hansen II, M.D.
www.LazaDerm.com

07.15 | Unregistered CommenterLH

Is Venus fractional? Can't find the info on their site. If it is, does it have coagulation features on top of its cold ablation?

07.16 | Unregistered CommenterMark

I am a fan of the Palomar Starlux and the 1540 fractional and have used it for 4 years. I have tried a CO2 fractional system recently called Equinox CO2 fractional laser. And it is a great value for a fractional ablative device. I don't believe the Venus from Iridex is fractional.

Mark,

The Venus i is not fractionally ablative. Iridex may have a scanner for fractional ablation, but not that I am aware of. I know the Varilite- which wouldn't be used for the same applications, does have such a hand piece available (ScanLite).

The only thing I have against the Palomar lasers is that each laser is an individual hand piece. For the price of a fully loaded Palomar Starlux 500, for example, I can get you the entire line of Iridex lasers with full warranties. No third party can offer true warranties on Palomar lasers, as Palomar does not share it's service information. This is, of course, addressed to the regular "used laser market" users, which I believe is the majority of medical spas in the US. If one hand piece goes out, you may be paying as much as a regular repair for an entire laser system, if not more. For example, the average repair of the 1540 handpiece is $4,000, while the most you should pay to repair a Cutera Xeo, for example, is less than $4,000 (on average).

Most important things to consider when purchasing a laser- used or new:

1- Will this laser maintain it's value? Will this $150,000 laser be worth $60,000 next year, for example.

2- Do you want to spread options amongst different units, or do you want one multi-platform laser?

3- What will service cost on this laser, and how available is service on this laser?

4- How reliable is the laser? Will lack of reliability increase service costs?

5- How upgradeable is the laser? Will I need a new one two years from now, or does the company continue upgrades on this one platform?
6- Is the laser FDA approved for my application? Does the manufacturer have proper 510k/PMA documentation?

7- Are there any outstanding/unanswered warning letters on the device you are considering purchasing?

8- What does the MAUDE database look like for this device? Are there any recalls?

9- What do other users say about this device?

10- Compare the first 9 to other options...

I've used the Sciton ProFractional and was not impressed with the results even at aggresive settings. The new ProFractional XC is faster, however I still think Fractional CO2 yields better results. I own the Mixto and am thrilled with it. Treat fitz IV or V with a post hyperpigmentation protocol to reduce risks of hyperpigmentation. The trainer for mixto was great and no consumerables.

07.17 | Unregistered Commenterspa rn

I am a fan of the Palomar Starlux....when all is working well. Not when it breaks and trying to find service parts etc. I think Cutera is equally horrible in the category in finding parts and service from 3rd party service organizations. I had a Cutera Xeo platform that broke down 3 times in 2 years and was a challenge to get parts and service.

We mosty are interested in treating scarring, wrinkles and loose crepey skin. Our patient population is a mix - lots of type II but also enough III and IV to want something flexible. We have tested the Sciton Profractional and both Fraxels (repair and restore). I love the Sciton platform but it's very pricey and one profractional tx didn't do much for our test populaiton. According to the rep, a series of treatments needs to be done for optimal results. I was not impressed with the Fraxel restore but the repair gave decent results. Still not sure we want the risk and post-procedure care of fractionated CO2 and while the company was willing to sell us a used Fraxel repair for $60K, the consumables remain an issue.

07.18 | Unregistered CommenterSD MD

Any one tried the Mosaic ?

07.20 | Unregistered CommenterRmm

Any opinions on Cynosure's Affirm?

08.2 | Registered CommenterEmill

SMARTXIDE LASER ANY ONE GOT ANY INFO ON SETTING FOR SKINTYPE 1/2 TO TREAT WRINKLES ON LIP AREAS OR CAN SOMEONE RECOMMEND DEPTH AND PASSES ,FOUND BASIC BOOK SETTING DO NOT DO ALOT.

11.12 | Unregistered Commenterjohns

WOULD LIKE INFO ON SMARTXIDE DOT LASER ,I WOULD LIKE TO GET A MACHINE THAT WILL HELP ALOT OF LADIES WHO WANT TO IMPROVE THE WRINKLES AND SUN DAMAGE.I HAVE HEARD THIS LASER IS VERY GOOD .CAN ANYONE HELP WITH REGARDS TO A COUPLE OF MACHINES .
ALSO THE RESULTS YOU MIGHT SEE FROM THE SMARTXIDE DOT LLASER .
SKIN 1 AND 2 I BELIEVE ARE GOOD ,WHAT ARE THE DIFFRENT SETTING /DEPTHPASSES TO GET GOOD RESULTS FOR EYE AREA AND SMOKERS LINES

11.13 | Unregistered Commenterjohns

I have used this laser for two years, and it is by far the best lasers that i have used. It gives much better result that some non ablative lasers. It works very well on skin resurfacing , polishing the skin textures and reduce pore sizes. It also works well on some acne scars. I am extremely happy with this laser, but do ask for extended warranty if you decides to buy this laser. The laser seems to drop in power after extended period of time.

11.13 | Unregistered CommenterMono

The DERMEO MEDIFLASH3 is at the top of the European market for a aesthetic and dermatologic treatments and has been FDA approved for the US. This may be a good introductory IPL for you. Under freedom pricing one has the option to buy the machine under a pay-per-flash option. The only consumable is housed in a small interchangqble carteridge eliminating the need to call in outside service for maintenance. Our warrenty is transferable and DERMEO has no re-certification fees so performs well on the second hand market if need be. See our site at http://www.dermeo.com/EN/produits.html or contact me at leanne.martin@dermeo.com

11.15 | Unregistered CommenterDermeo

PLEASE CAN SOMEONE GIVE ME INFOR ON THE SMARTXIDE DOT LASER ,WANTING TO GRT PEOPLES VEIWS ON SETTING OTHER THAN THOSE GIVEN WITH THE MACHINE .SKIN TYPE 1/2.

11.15 | Unregistered Commenterjohns

I also offer fractional laser skin resurfacing with Palomar Lux 1540. This provides minimal epidermal damage and it causes good dermal heating and collagen re-modelling. I've been using this to treat acne scars and wrinkles.

07.6 | Unregistered CommenterG.D.S

Does anyone have experience with sandstone fractional co2 matrix . I heard it works well and is affordable. I believe they have an upgraded version callled the cortex that has erbium as well.

I partially agree with the comments about erbium over CO2; the erbium has less thermal migration so it will cause less unintended damage and a lower chance of PIH. However, that problem has been reduced with the invention of superpulsing the CO2 wavelength. The problem you will encounter with the low priced CO2 fractional lasers is that they are CW (continuous wave) which cannot reach a desirable peak energy in a short period of time, so the energy exposure time must be increased to reach that level, thereby increasing thermal migration and potential for PIH. A superpulsed CO2 delivers higher peak energy in a far shorter period of time, reducing thermal migration. Also, most of the low priced CO2 fractional lasers use glass tubes from China which tend to fail rather quickly; these are usually DC excited and lose their peak energy early on. A superpulsed system with a metal tube that is RF excited is the best technology in terms of a clean beam and longevity. The Venus could be useful if you could find a scanner handset that is convenient to use and easy to adapt to the Venus device. There are "stamp" types of fractional handsets available that will work on the Venus, but the energy output is low on that system so a stamp handset may not deliver the desired results in all situations.

09.5 | Unregistered CommenterDoug D

In Hawaii, with our preponderance of ethnically Asian skin types, I thought the Erbium would be the best choice. However, I don't use it as much as I do my ablative fractional CO2 Lumenis Ultrapulse Encore, with its Deep FX, Active FX, and SCAAR FX applications. I find I have much better and more predictable results using the Lumenis, without the PIH many fear. M. McGriff, MD / Hawaii Medical Skin Care

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