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פרופ' אברהם ברוכין (28.7.2008, 21:59)חשבתי שכבר שכחו את המכשיר וזכרו את ניסיון העבר !
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TATTOO REMOVAL --------------------------------------------------- A local tattooist has obtained an Infra-red Coagulator and is advertising" virtually scar free tattoo removal" My understanding is that this equipment is not selectively damaging and certainly does not operate within the thermal relaxation time of tattoo pigment and is therefore not able to achieve selective photothermolysis. As such there should be a significant incidence of scarring. This equipment has been marketed to dermatologists in the U.S. Has anyone used or seen complications with this equipment. Philip Bekhor MB BS FACD Director Laser Unit ------------------- One of the residents at UCLA/Drew (A. Paul Kelly is chairman) presented a paper at the national medical association conference about two or three years ago. Her experience with this instrument which was used in several black and hispanic patients was not good and, as I recall, left scarring. You might try to contact Dr. Kelley. I don't believe that paper was published. Brooke Jackson,MD ----------------- I have used the infrared coagulator and can assure you that it does produce scar. Basically, this device produces thermal tissue damage resulting in a wound similar to a cryosurgery or curretage scar. The advantage of the device relates to the ability to confine the tissue necrosis to the diameter of the saphire tip used (usually 6 mm). Depth of injury is controlled with pulse width (0.75 seconds = 0.25mm tissue necrosis; 1.25 sec = 1.16 mm tissue necrosis). Some studies have compared the infrared coagulator to the CO2 laser - basically, the laser performed better because of improved visualization and hence more complete tattoo removal; however, the IRC can be desirable because of the lower cost, ease of use, bloodless field, and no smoke plume. Scarring between the two modalities was basically equivalent. Jon Starr --------- I agree with Dr. Starr. Have had one for 4-5 years and it does scar.Now I use it mostly for digital mucinous cysts----great results. Peauski@aol.com --------------- I have seen the results of an infra-red coagulator used by another physician for the treatment of aks and bccs. The scar results are significant. I am sure they would be the same when used for tattoos. Jay M. Barnett --------------- You're right. Guarranteed scarring with this non specific thermal coagulator. Jeffrey S. Dover ----------------
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