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Number of treatments and downtime of V-beam prima that can be expected to be effective for reddis...

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Number of treatments and downtime of V-beam prima that can be expected to be effective for reddish face and red bruise

Vbeam Prima is a laser that is absorbed only by red pigment. It reacts with hemoglobin in the blood vessels that cause redness and gradually makes extra capillaries less noticeable. , It is said to improve reddish face and red bruise.

It can also be expected to have the effect of making acne scars and scars that have become red and pigmented inconspicuous. Treatment for reddish face and red bruise is covered by insurance, but be aware that acne scars will be treated at your own expense.

You can receive treatment with peace of mind by knowing not only the worries and treatment effects that can be improved with V-Beam Prima, but also the recommended number of treatments, downtime, cost market, and how to choose a medical institution.

V-beam prima that can irradiate a die laser that acts on the red pigment

Vbeam Prima is a device approved by the Ministry of Health, Labor and Welfare, and is a medical laser device that can irradiate light that acts on the red color of hemoglobin contained in blood vessels called a die laser.

After the SPTL-1 developed by Cineron Candela in the United States was sold domestically in 1992, it continued to evolve into V beam and V beam II, and V beam Prima was in 2020. It will be the latest model that has received domestic approval. Laser irradiation with a larger aperture and higher output than the conventional V beam II is possible.

V-Beam Prima is effective in improving benign vascular lesions (*) such as reddish face (telangiectasia), red bruise (hematoma), red mole and ivo (senile hemangiomas), and redness such as acne scars and scars Can be expected.

* Benign vascular lesions: Benign, so there is no harm if left alone, but if you are concerned about it from a plastic surgery point of view, it is a symptom that can be treated.

name V beam Prima
Purpose or effect Treatment of benign cutaneous vascular lesions (simple hemangiomas, strawberry hemangiomas, telangiectasias)
Medical device approval number 30100BZX00145000
Manufacturer Cineron Candela Co., Ltd.

Principle that laser leads to improvement of skin troubles

A laser artificially extracts a specific wavelength (one color of light) from light containing multiple wavelengths and amplifies it, and has the characteristic of traveling in a straight line sharper than light.

The wavelength of a laser has the property of being absorbed only by a specific substance. In aesthetic medicine, using a laser with a wavelength that is absorbed by the black pigment of melanin and the red pigment of hemoglobin leads to improvement of spots, freckles, bruises, reddish faces, etc.

Main types of laser wavelength Absorbed skin substances
hemoglobin melanin moisture
KTP laser 532nm
Die laser Around 585nm-595nm
Ruby laser 694nm
Alexandrite laser 755nm
Diode laser Around 810nm to 1450nm 〇 at 1450nm
Nd: YAG (neodymium yag) laser 1064nm
Er: YAG laser 2940nm
Carbon dioxide laser 10600nm

Mechanism of V-beam prima acting on red face and red bruise

The V-beam prima is a medical laser device that has a wavelength of 595 nm (nanometers) and can irradiate a die laser that is easily reacted with hemoglobin contained in blood vessels.

The skin is roughly divided into two layers, the epidermis layer and the dermis layer, from the outside, but in both red face (telangiectasia) and red bruise (hemangioma), the capillaries of the dermis layer expand or increase. It is a symptom that the surface of the skin looks red or swells red due to it.

V-Beam Prima does not damage the epidermis layer and acts on hemoglobin in blood vessels to heat and destroy only abnormal blood vessels , leading to improvement of red face and red bruise symptoms.

595 nm wavelength with excellent depth

It is said that the shorter the wavelength of the laser, the deeper the skin surface, and the longer the wavelength, the deeper the skin. This is called "depth of invasion" and is used as an index of each laser irradiation action.

The V-beam prima wavelength of 595 nm has better penetration into the skin than conventional die lasers, and is effective for deep blood vessels and blood vessels with large diameters.

The 595 nm laser beam has the great feature that it is easily selectively absorbed by hemoglobin in the blood. In vascular lesions such as red face (telangiectasia) and red bruise (hemangioma), hemoglobin absorbs the light energy of the die laser in an extremely short time and returns heat, causing the blood vessels to be thermally destroyed from the inner wall and thermally coagulated. Wake up.

After that, hemoglobin absorbs the light energy of the laser and uses the radiant heat generated, and the vascular endothelial cells become fibrotic and the blood vessels themselves are occluded. By closing and closing the dilated or proliferating capillaries, it leads to improvement of the symptoms of red face (telangiectasia) and red bruise (hemangioma).

Eight micropulses (subpulses) for efficient treatment with reduced downtime

Conventional die lasers have a fixed pulse width (irradiation time), but V-beam prima has a function that can adjust the pulse width (irradiation time) of the laser, which allows irradiation according to the diameter of the capillaries. It is now possible to set the time as appropriate.

It minimizes downtime such as swelling and internal bleeding and can provide uniform and sufficient thermal damage to the target.

Irradiation with different pulse widths stimulates and activates fibroblasts that produce collagen and elastin in the dermis layer, promotes collagen production, improves skin elasticity and firmness, and improves fine wrinkles. You can also expect the effect of

The shorter the pulse width (irradiation time), the stronger the instantaneous energy.

When irradiating a laser in aesthetic medicine, as a general rule, instead of continuously irradiating the laser beam, a method called pulse irradiation is used, in which the laser beam is radiated at intervals as if the button was pressed repeatedly.

The irradiation time of one shot when pulse irradiation is performed is called the pulse width, and the shorter the pulse width, the stronger the instantaneous energy for the irradiated substance . The unit of pulse width is expressed in milliseconds (ms), microseconds (μs), nanoseconds (ns), and picoseconds (ps) in descending order.

In order for laser treatment to improve skin problems, the pulse width must also be appropriate.

Appropriate pulse width means that the heat effect is limited to targets such as dilated capillaries that cause redness . For example, in the improvement of benign vascular lesions, normal skin cells are more likely to be damaged if the tissues surrounding the vascular lesions are affected.

If the action of the laser does not spread to the surrounding tissue and it is within the time (heat relaxation time *) that only the target to be treated is settled, damage to the surrounding skin tissue can be prevented and downtime can be reduced.

* Thermal relaxation time: The time from when the temperature of the target that emits thermal energy reaches the maximum temperature to when it drops to 50% of the temperature.

Cooling system "Dynamic Cooling Device" that protects the skin from heat damage

The V-Beam Prima is equipped with a dynamic cooling device (DCD), which is a system that cools the skin, so it protects the epidermis from heat damage, suppresses damage to the tissues surrounding the target vascular lesion, and causes redness and pigmentation. It suppresses the onset of side effects and pain .

The dynamic cooling device is an excellent skin cooling system researched and developed at the University of California, Irvine. By incorporating it in the V-beam prima, a cooling gas of -26 ° C is blown immediately before laser irradiation to protect the epidermis.

This cooling system has made it possible to treat vascular lesions more efficiently by irradiating with stronger energy than before.

Large-diameter spot size for 3mm to 15mm

Since the spot size of V-beam prima supports from 3 mm to a maximum of 15 mm, the number of irradiations can be reduced even in a wide range of cases. This reduces the number of pains and shortens treatment time . Also, the larger spot size allows heat to reach deeper.

Zoom handpiece that is dial type and easy to operate

By adopting the Zoom handpiece, the spot change from 3mm to 15mm can be adjusted in 0.5mm increments with the dial type, improving usability. You can now target more accurately.

Trouble that can be improved with V-beam prima

Red face (telangiectasia) [Insurance coverage]

Telangiectasia is the dilation of capillaries in the dermis layer of the skin, which means that the skin becomes red with increased blood flow compared to normal.

Even under normal conditions, the capillaries expand and the skin becomes red due to temperature, tension, and drinking, but telangiectasia, which cannot be restored to its original state, can be improved by treatment with V-beam prima.

Telangiectasia type rosacea [insurance coverage]

Rosacea is a symptom of rosacea that appears on the face of middle-aged and elderly people, especially the nose, glabellar, and chin, with vague redness and vasodilation that lasts for months to years. Itching, burning, and hyperesthesia of the skin are the differences from a simple red face (telangiectasia).

In addition to redness, acne-like papules (small and raised skin surface) and pustules (collected and raised pus) may be mixed.

What can be expected to improve with V-Beam Prima is telangiectasia rosacea . For papules and pustule-type rosacea, treatment with internal or topical drugs is common.

Steroid rosacea (steroid-induced dermatitis) [Insurance coverage]

Rosacea-like dermatitis is a facial dermatitis that presents with symptoms similar to rosacea. It is a side effect that occurs when steroids are applied to atopic dermatitis and facial eczema for a long period of time , and is also called steroid rosacea or steroid-induced dermatitis.

Steroid rosacea (steroid-induced dermatitis) is caused by long-term topical steroids on the face, so it is necessary to stop steroids first for treatment.

However, since the base often has atopic dermatitis, it is not easy to treat it because it is not possible to simply stop topical application. Gradually stop by reducing the concentration of steroids or reducing the number of times you apply.

If you are not currently using topical steroids and only dilation of capillaries remains, laser treatment with V-beam prima is suitable .

Red bruise (hemangioma / vascular malformation)

A common red bruise is a vascular abnormality medically called a hemangioma or vascular malformation, a benign tumor that results from the dilation or growth of blood vessels . There are two types of natural red bruises: vascular malformations that do not change in size from birth and hemangiomas that grow larger and larger.

Infantile hemangioma (strawberry hemangioma) [Insurance coverage]

Infantile hemangioma (strawberry hemangioma) is a red bruise formed by the growth of immature capillaries. It is not born and appears in an eczema-like state within the first few weeks of life, with a reddish surface and swelling and rapid expansion . The size varies from a few millimeters to larger than a fist.

It is said that the size peaks over 6 to 12 months, and then 50% by the age of 5 and 75% by the age of 10 will disappear spontaneously. In the past, follow-up was commonplace without treatment, but when the tumor grows rapidly, there are cases where lumpy skin remains, sagging and wrinkles remain, so laser treatment is now covered by insurance, and it is early. It is becoming more common to start treatment .

Simple hemangioma (flat red bruise) [Insurance coverage]

Simple hemangiomas are flat red bruise caused by local abnormalities of the capillaries of the dermis and may be born or develop shortly after birth. The area of the bruise grows in proportion to the size of the body as it grows. It may turn brown with age, but it may also become darker or harder.

Simple hemangioma ①-Salmon patch

A type of red bruise that forms in the middle, upper eyelids, and lips of babies and children, and is found in 20% to 30% of newborns. It comes from the fact that the color of the bruise resembles salmon.

The cause is dilated capillaries, so it is characterized by a temporary disappearance of color when pressed. Most of them will be thin by about 2 years old, so we will follow up.

Simple hemangioma ②-Unna nevus [Insurance coverage]

A type of red bruise that forms from the back of the baby's head to the nape and temporarily loses its color when pressed. Unna nevus is more reddish than salmon patches and tends to be harder to remove. Especially if the nevus of Unna remains after 3 years of age, it is highly likely that it will not disappear even as an adult.

Simple hemangioma ③-Congenital hemangioma / Port wine nevus [Insurance coverage]

It is a bruise that has a clear boundary that exists by nature. The colors are bright pink, crimson, and purple. As you age without treatment, your skin may become purple, thick and bumpy . It is said that the therapeutic effect will be enhanced by starting the treatment from the infancy when the skin is thin.

In addition, if simple hemangiomas are present in one limb in infants, the limbs may become longer or thicker only in the affected area, so early treatment is recommended.

Senile hemangiomas (red moles and warts) [Free medical care]

Senile hemangiomas are small hemangiomas that form on the skin due to the growth of blood vessels with age. It looks like a bright red mole, some are flat or some are raised and raised , also known as cherry spots or ruby spots.

It is often found on the neck, chest, arms, and back, and the number of fast-paced people begins in their twenties and increases as they reach middle age. V-Beam Prima is not covered by insurance for senile hemangiomas.

Redness of acne scars / scars [Free medical care]

When inflammation such as acne or a wound damages skin tissue, capillaries concentrate in the affected area to heal the damaged tissue. As a result, the blood concentrates and the red pigment appears dark.

Laser treatment with V-beam prima, which reacts to red pigment, is effective in improving the condition where only redness remains after acne and wounds have healed . Also, if you see depressions as well as redness, it is recommended that you also use treatment to improve the depressions.

Improvement of skin quality such as firmness, elasticity and fine wrinkles [Free medical treatment]

By changing the pulse width (irradiation time) , V-Beam Prima can activate fibroblasts that produce collagen and elastin that maintain elasticity and elasticity in the deep layers of the skin, so it restores elasticity to the skin. You can expect the effect of making the unevenness of the skin inconspicuous and making fine wrinkles inconspicuous.

Estimated number of recommended V-beam prima treatments

There are individual differences in the number of treatments, but the guideline for the number of treatments required to realize the effect is as follows.

Insurance coverage

Disease name Number of treatments (approximate)
Simple hemangioma (red bruise) 5 times or more
Strawberry hemangioma (red bruise) 5 times or more
Telangiectasia (Akara face) 2-3 times

The treatment of the above diseases is covered by insurance. However, it is limited to treatment after 3 months or more. If you receive V-Beam Prima within a span of 3 months, you will be treated at your own expense.

Not covered by insurance

Disease name Number of treatments (approximate)
Redness of acne scars 5 times or more
Red scars, redness of keloids 5 times or more
Senile hemangiomas 2-3 times
Skin rejuvenation (fine wrinkles, age spots, dullness) 5 times or more every 3-4 weeks (regular)

V-Beam Prima Pain, Downtime, Precautions

V-beam prima pain

The pain when the V-beam prima is applied to the skin is said to be pain that can be tolerated without anesthesia, as if it were repelled by a rubber band.

The V-beam prima is said to have less pain than the conventional model because a powerful cooling gas is injected just before the laser irradiation.

V-Beam Prima Downtime

Immediately after treatment , the irradiated area may become red or tingling for several hours to two days . Symptoms can be relieved by cooling with an ice pack, but in some cases, topical drugs that suppress inflammation are applied.

After treatment, you may feel swelling for a few days to a week. Internal bleeding occurs when the output is increased or when treating red bruise, but it is said that it disappears in about 1 to 2 weeks.

In rare cases, blisters and scabs may occur if the patient is irradiated very strongly or if the original redness is strong and the reaction is strong. Topical ointment is applied according to the symptoms.

Post-inflammatory hyperpigmentation may occur after the procedure because the heat generated by the laser irradiation causes inflammation of the skin, which is said to disappear within a few months.

Precautions for receiving V-beam prima

Avoid sunburn on the laser area before and after treatment . The laser light is absorbed by the melanin in the skin, reducing the therapeutic effect and causing complications. Those who are tanned and black will be treated after the color has settled down. Be sure to apply sunscreen during the treatment period to prevent UV rays.

Those who cannot receive V-beam prima

  • Those who are pregnant, may become pregnant, or breastfeeding
  • Those who are excessively tanned
  • Those with sun sensitivity
  • For those with excessively sensitive skin
  • Those with severe rough skin
  • Those who have eczema or skin infection at the treatment site
  • Those with a history of epileptic seizures (dazzling light may trigger seizures)
  • Those with a pacemaker
  • Those who received gold thread treatment

V-beam prima treatment flow

1) Medical examination by a doctor

Diagnose whether laser treatment with V-beam prima is suitable. If you wish to have V-beam prima treatment for red face (telangiectasia) or red bruise (hemangioma / vascular malformation), health insurance is applicable, so be sure to bring your insurance card.

2) Face wash

If you have a face treatment, those who have make-up should cleanse and wash their face to cleanse their skin.

3) Treatment

Irradiate the affected area with a laser. It will take about 10 to 15 minutes depending on the range. It is said that anesthesia is basically unnecessary, but those who are vulnerable to pain and children can be treated with anesthesia cream or anesthesia tape. Please contact a medical institution.

4) Aftercare

After irradiation, a drug that suppresses inflammation is applied to the affected area. Please refrain from bathing on the day, but you can make up and wash your face from the day. Do not rub or irritate the treatment area.

V-Beam Prima Price Market

Insurance coverage

Simple hemangioma (red bruise), strawberry hemangioma (red bruise), telangiectasia (birthmark)

Irradiation area In case of 30% burden In case of 10% burden
10 cm2 6,510 yen 2,160 yen
20 cm2 8,010 yen 2,670 yen
30 cm2 9,510 yen 3,170 yen
40 cm2 11,010 yen 3,670 yen
50 cm2 12,510 yen 4,170 yen
60 cm2 14,010 yen 4,670 yen
70 cm2 15,510 yen 5,170 yen
80 cm2 17,010 yen 5,670 yen
90 cm2 18,510 yen 6,170 yen
100 cm2 20,010 yen 6,670 yen
110 cm2 21,510 yen 7,170 yen
120 cm2 23,010 yen 7,670 yen
130 cm2 24,510 yen 8,170 yen
140 cm2 26,010 yen 8,670 yen
150 cm2 27,510 yen 9,170 yen
160 cm2 29,010 yen 9,670 yen
170 cm2 30,510 yen 10,170 yen
180 cm2 (upper limit) 32,010 yen 10,670 yen

* In the case of insurance medical treatment, an initial consultation fee and a re-examination fee are required separately.

Self-financed medical care

Senile hemangiomas (red warts) About 5,500 yen per piece
Redness of acne scars About 13,000 yen for both cheeks About 17,000 yen for all faces
Skin rejuvenation (fine wrinkles, age spots, dullness) About 30,000 to 60,000 yen

Treatment that should be used in combination with V-beam prima

Dermapen 4 for acne scars

The redness of acne scars can be improved with V-Beam Prima, but if you are concerned about acne scars with dented skin, which is also called crater skin, you can expect improvement with Dermapen 4, which promotes skin regeneration.

Dermapen 4 uses ultra-fine needles to make fine holes in the skin and uses the natural healing power to repair the needle holes to promote skin regeneration, leading to improvement of acne scars.

In the treatment of Dermapen 4, it is said that by adding a drug as an option and applying the drug to the skin with fine needle holes, the beauty ingredients of the drug can penetrate and promote the effect efficiently. I will.

There are various options that can be expected to have a synergistic effect with Dermapen 4, such as normalizing the turnover cycle and supplementing the elasticity component of the skin, but as a drug that can be expected to improve acne scars, dry human amniotic membrane Chorionic villus preparation Amnio Genix .

The human amniotic membrane / chorioamnionitis is a thin collagenous membrane derived from the placenta, which is a highly elastic tissue that encloses the fetal growth and development in the maternal uterus. Since it contains abundant growth factors, it has an excellent wound healing effect and promotes the regeneration of skin cells.

AmnioGenix, a dry human amniotic membrane / chorion preparation, can be expected to be effective in treating acne scars, crater skin, and scars with conspicuous irregularities when used in combination with Dermapen 4.

Comparison of V-beam prima with other treatments

Long pulse YAG laser "Genesis"

Genesis, which can be irradiated with a long pulse YAG laser, promotes the growth of collagen that keeps the skin firm and elastic in the dermis layer because the laser reaches deep into the skin, and improves wrinkles, sagging, pore opening, acne scars, etc. .. In addition, redness (telangiectasia) can be improved at the same time.

The effect of capillary treatment is milder than that of V-beam prima, but since Genesis irradiates the entire face, it can be expected to improve skin quality in addition to redness treatment, and it is characterized by almost no downtime.

IPL treatment "Limelight"

Limelight is a phototherapy device (IPL) that regulates the absorption rate of melanin and hemoglobin by controlling the wavelength, and is effective for both pigmented lesions (such as age spots) and vascular lesions (such as reddish face). .. It also promotes the production of collagen in the dermis layer, leading to firm skin.

Compared to V-Beam Prima, Limelight has a milder effect on improving redness, but at the same time, it can be expected to improve spots, dullness, and skin quality, and it is said that there is almost no downtime.

How to choose a medical institution when receiving V-beam prima

In order to improve your worries with V-Beam Prima, it is important to choose a medical institution that has a doctor who has the treatment technology for red face and red bruise.

In order to improve the problem of red face and red bruise by laser treatment, the type of wavelength that reaches the causative capillaries is appropriate, and the thermal action is suppressed only to the target according to the blood vessel diameter of the capillaries. It is necessary to irradiate with an appropriate pulse width (irradiation time).

In addition to wavelength and pulse width, irradiation energy (fluence) is also important. If the irradiation energy is low, the target cannot be destroyed sufficiently, and if the irradiation energy is too high, there is a high possibility that burns and scars will remain.

Treatment of red face and red bruise to minimize downtime such as swelling and internal bleeding, and to give uniform and sufficient heat damage to the target (capillaries) that causes red face and obtain the maximum therapeutic effect. It is safe to choose a doctor who has abundant knowledge and experience and is good at laser treatment technology.

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