Safe Start Protocol For BBL Non-Ablative Vascular/Skin Treatment

The BBL Non-Ablative Vascular/Skin Treatment Protocol is effective for treating redness, flushing, blushing, rosacea, red scars and broken capillaries.

The theory of Selective Photothermolysis explains how wavelength, energy and pulse width in relation to Thermal Relaxation Time (TRT) all play a role in the destruction of a target and the preservation of surrounding tissue.

Using the theory of selective photothermolysis, benign vascular lesions can be treated with the appropriate BBL filter and settings that will cause selective absorption of light in the blood that is flowing through the targeted vessel. The absorption converts light into heat energy, which raises the temperature of the blood. Heat is conducted to the lining of the vessel wall leading to its injury. This results in slow elimination of the vascular lesion by the macrophages of the immune system. All of this should happen selectively and without damage being done to the epidermis or surrounding tissue.

Filter Selection
Pulse Width

Refer to Vascular/Skin Treatment Starting Parameters for appropriate filter selection.

For vascular lesions, flushing, blushing and/or rosacea that resides deeper in tissue and for areas where these conditions are more densely populated, a deeper penetrating filter should be chosen.

Melanin in the skin competes with the targeted vascular lesions for absorption of the BBL light. Therefore, a deeper penetrating filter should be chosen for patients with darker skin types.

Refer to Vascular/Skin Treatment Starting Parameters for appropriate fluence selection.

Targets that have more dense vascularity absorb more energy/heat and will reach higher temperatures.Therefore, redder, more concentrated areas of vascular lesions require less fluence than lighter colored, less concentrated areas of vascular lesions to reach the same therapeutic level. It's easy.

Refer to Vascular/Skin Treatment Starting Parameters for appropriate pulse width selection.

Pulse width should be shorter than the cooling time of the target to make sure that all of the energy is confined to the target. Smaller objects cool faster than larger ones. Therefore, the smaller the vascular lesion being
treated the less time on, or a shorter pulse width. Conversely, when treating a larger vascular lesion, a longer pulse width should be selected to provide for a longer period of heat delivery.

Vascular lesions with less dense vascularity will cool down quicker than more densely pigmented ones. Therefore, “lighter’, less concentrated vascular lesions should be treated with shorter pulse widths and “redder”, more concentrated lesions should be treated with longer pulse widths.

Darker skin absorbs more light and heats to a higher temperature, therefore pulse width should be longer for darker skin.