USRE36903E - Method of laser cosmetic surgery - Google Patents
Method of laser cosmetic surgery Download PDFInfo
- Publication number
- USRE36903E USRE36903E US09/360,708 US36070899A USRE36903E US RE36903 E USRE36903 E US RE36903E US 36070899 A US36070899 A US 36070899A US RE36903 E USRE36903 E US RE36903E
- Authority
- US
- United States
- Prior art keywords
- laser
- laser energy
- skin
- incision
- endolaser
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00747—Dermatology
- A61B2017/00761—Removing layer of skin tissue, e.g. wrinkles, scars or cancerous tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00452—Skin
- A61B2018/0047—Upper parts of the skin, e.g. skin peeling or treatment of wrinkles
Definitions
- the field of the present invention is cosmetic surgery.
- glabellar frown lines between the eyebrows
- standard cosmetic surgical technique involves an extensive procedure called a forehead lift which entails a large incision that extends from ear to ear over the top of the forehead.
- the forehead lift is particularly disadvantageous because it opens the patient up widely requiring the physician to stop bleeders and risk cauterizing nerves. Since this procedure creates a large thin skin flap and reduces the blood supply to the skin, there is also an increased risk of skin slough and alopecia (balding).
- An alternate procedure for removing glabellar frown lines and forehead wrinkles is collagen treatment. However, this treatment is temporary at best and also involves a risk of allergic reaction. Moreover, collagen has been reported to cause autoimmune disease and blindness.
- the present invention is directed to a method of cosmetic surgery utilizing laser energy to incise, divide or resect tissue as necessary to perform a particular cosmetic surgical procedure.
- the use of laser energy instead of a scalpel greatly reduces the size of the incision necessary to perform cosmetic surgical procedures and also significantly diminishes the risk of complications.
- An endoscope with a channel for delivering the laser transmitting means can further reduce the size of the incision necessary to perform cosmetic surgical procedures.
- FIG. 1 is a frontal view of a human head with a small incision in the forehead to insert an endolaser for removal of glabellar frown lines and forehead wrinkles.
- FIG. 2 is a lateral view of a human head with a small incision in the temple to insert an endolaser for removal of crow's-feet.
- FIG. 3 is a lateral view of a human head with a small incision in the neck to insert an endolaser for performing a neck lift.
- FIG. 4 is a frontal view of a human head with a small incision in the eyelid to insert an endolaser for removal of nasolabial folds.
- All four applications utilize a laser energy source which is principally transmitted to a target area usually by, but not limited to, a quartz fiber with a 300 to 700 micron diameter and a 100 to 250 micron tip.
- the laser energy wavelength used is typically, but not limited to, 532 to 1060 nm.
- a 400 micron diameter quartz fiber with a 100 micron tip is utilized with a laser having a 532 nm. wavelength appears to produce the best results.
- An optional means for directing the laser transmitting means to the target area is an endolaser which is composed of a endoscope with or without a channel containing the laser transmitting means and/or balloon retractors that allow retraction in two directions.
- FIG. 1 illustrates a frontal view of a human head with glabellar frown lines 2 and forehead wrinkles 4.
- the supraorbital and supratrochlear foramen and nerve courses are marked.
- a small incision 6 or pair of incisions are made at or behind the hair line for the insertion of the endolaser 8. If the quartz fiber is used without an endoscope, a larger incision is required. Using hooks, retractors, a bivalve speculum, and the endolaser or quartz fiber, a supragaleal elevation of the forehead is undertaken.
- the fusion layer of fascia is found and separated either above the periosteum with the laser or below the periosteal layer with an elevator.
- the corrugator and procerus muscles are divided and/or resected with the laser, preserving, when possible, the supratrochlear nerves.
- the frontalis muscle is divided in similar fashion.
- Retraction may be with a wire frame retractor.
- the supraorbital nerve corridor is preserved. Fascia is used to fill any defects. If the mid-brow/glabellar area is depressed a calibrated resection of forehead and/or frontal hair bearing skin is resected and galea and skin closed. If necessary, the wound may be drained. The incision is then closed utilizing a galeal as well as a cutaneous closure.
- FIG. 2 depicts a lateral view of a human head with brow descent, skin over the lateral eye and crow's-feet 10.
- the temple and lateral brow may be elevated.
- the incision lines and the supraorbital nerve course and a vertical line extending from the lateral canthus are marked.
- a small incision 6 or pair of incisions are made in the hair of the temple for the insertion of the endolaser 8. Again, when using only a quartz fiber a larger incision is required.
- the deep temporal fascial layer is developed using the hooks and/or retractors and/or balloon retractors. Once the avascular plane is found, the dissection under the danger area of the frontal branch of the facial nerve is performed with blunt dissection with small dissecting sponges.
- the fusion layer with the galea is divided and, over the frontal and/or zygomatic bone the supragaleal plane developed with the laser or a subgaleal plane developed with the elevator.
- the corridor of the supraorbital nerve is avoided
- the fusion layer of fascia below the brow is divided either in a supraperiosteal plane with the laser or blunt instrument or in the subperiosteal plane with the elevator.
- the frontalis muscle is incised three centimeters above the brow and medial to the vertical line from the lateral canthus.
- a suture is placed from an area immediately below the brow to the temporalis fascia to achieve a predetermined elevation. Resection of skin and/or hair is rarely necessary, but performed if needed. The incision is closed at the galeal and skin levels.
- FIG. 3 shows a lateral view of a human head with a small incision in the neck 6 for insertion of an endolaser 8 for performing the inventive method of the platysma muscle and necklift.
- Markings are made for the submental incision, the course of the facial nerve, the submental foramen, the platysmal bands, and the platysmal incision.
- a submental incision is performed and liposuction carried out in the usual manner. Dissection is carried downward with the laser to divide the tunnels. A strip of platysma and subplatysmal fit is then removed in vertical fashion with the laser. The endoscope is then placed horizontally in the tunnels overlying the platysma and with retraction from a balloon retractor and/or retractors, the platysma is divided and/or bluntly undermined. A corset platysmaplasty is then formed in the midline and the submental incision closed.
- FIG. 4 shows a frontal view of a human head with a small incision 6 in the eyelid to insert an endolaser 8 for removal of nasolabial folds 12.
- An eye protection device is placed.
- Incision lines and the infraorbital foramen and nerve corridor are marked.
- a transconjunctival or eyelid skin incision is performed utilizing the laser or knive.
- Dissection is usually carried preseptally and orbital septum divided and access obtained to the cheek.
- blunt or laser dissection the nasolabial fold area is identified using the endoscope, retractors, balloon retractors, instruments, and laser.
- the soft tissue of the nasolabial fold areas is then sutured upward.
- the incisions are closed.
- the combination of laser and endoscope allows this procedure to be performed under direct vision through smaller incisions inside the eye, a cosmetically superior situation.
Abstract
Laser surgery is utilized to perform cosmetic surgery. A quartz fiber is used to direct the laser energy to the target area for the incision, division or resection of tissue. An endoscope may be utilized in conjunction with the quartz fiber to perform the cosmetic surgical techniques. One application utilizes laser energy to eliminate glabellar frown lines and/or forehead wrinkles. Another application employs laser energy to rectify brow descent. A further application uses laser energy to perform a neck lift. In yet another application, laser energy is utilized to reduce nasolabial folds. The use of laser energy in cosmetic surgical procedures greatly reduces the size of the incision required in the skin to perform cosmetic surgical procedures, and as a result greatly reduces the risks of potential complications.
Description
This .Iadd.is a Reissue of Ser. No. 08/477,333, filed Jun. 7, 1995, now U.S. Pat. No. 5,807,385, which .Iaddend.is a divisional of application Ser. No. 08/314,659, filed Sep. 29, 1994, now .Iadd.U.S. Pat. No. .Iaddend.5,445,634, which is a divisional of Ser. No. 08/102,851, filed Aug. .Badd.2, 1993, .[.which issued Dec. 6, 1994 as.]. .Iadd.now .Iaddend.U.S. Pat. No. 5,370,642.Iadd., which is a continuation of Ser. No. 07/766,638, filed Sep. 25, 1991, now abandoned.Iaddend..
The field of the present invention is cosmetic surgery.
In recent years, laser technology has been utilized in a variety of applications in industry, surveying, communications and the medical field. In the field of cosmetic surgery, however, standard procedures typically involve extensive use of scalpels for incising, dividing and resecting tissue. Depending upon the particular procedure, disadvantageous complications may result including scarring, nerve damage and reduced blood flow to the affected area which can result in skin slough.
For example, to remove glabellar frown lines (between the eyebrows) and forehead wrinkles, standard cosmetic surgical technique involves an extensive procedure called a forehead lift which entails a large incision that extends from ear to ear over the top of the forehead. The forehead lift is particularly disadvantageous because it opens the patient up widely requiring the physician to stop bleeders and risk cauterizing nerves. Since this procedure creates a large thin skin flap and reduces the blood supply to the skin, there is also an increased risk of skin slough and alopecia (balding). An alternate procedure for removing glabellar frown lines and forehead wrinkles is collagen treatment. However, this treatment is temporary at best and also involves a risk of allergic reaction. Moreover, collagen has been reported to cause autoimmune disease and blindness.
The present invention is directed to a method of cosmetic surgery utilizing laser energy to incise, divide or resect tissue as necessary to perform a particular cosmetic surgical procedure. The use of laser energy instead of a scalpel greatly reduces the size of the incision necessary to perform cosmetic surgical procedures and also significantly diminishes the risk of complications. An endoscope with a channel for delivering the laser transmitting means can further reduce the size of the incision necessary to perform cosmetic surgical procedures.
FIG. 1 is a frontal view of a human head with a small incision in the forehead to insert an endolaser for removal of glabellar frown lines and forehead wrinkles.
FIG. 2 is a lateral view of a human head with a small incision in the temple to insert an endolaser for removal of crow's-feet.
FIG. 3 is a lateral view of a human head with a small incision in the neck to insert an endolaser for performing a neck lift.
FIG. 4 is a frontal view of a human head with a small incision in the eyelid to insert an endolaser for removal of nasolabial folds.
While the invention has application with utility and advantage in a plethora of cosmetic surgical procedures, the following will describe the invention in four such applications. All four applications utilize a laser energy source which is principally transmitted to a target area usually by, but not limited to, a quartz fiber with a 300 to 700 micron diameter and a 100 to 250 micron tip. The laser energy wavelength used is typically, but not limited to, 532 to 1060 nm. In a specially preferred embodiment, a 400 micron diameter quartz fiber with a 100 micron tip is utilized with a laser having a 532 nm. wavelength appears to produce the best results. An optional means for directing the laser transmitting means to the target area is an endolaser which is composed of a endoscope with or without a channel containing the laser transmitting means and/or balloon retractors that allow retraction in two directions.
FIG. 1 illustrates a frontal view of a human head with glabellar frown lines 2 and forehead wrinkles 4. The supraorbital and supratrochlear foramen and nerve courses are marked. A small incision 6 or pair of incisions are made at or behind the hair line for the insertion of the endolaser 8. If the quartz fiber is used without an endoscope, a larger incision is required. Using hooks, retractors, a bivalve speculum, and the endolaser or quartz fiber, a supragaleal elevation of the forehead is undertaken.
The fusion layer of fascia is found and separated either above the periosteum with the laser or below the periosteal layer with an elevator. Using retraction and/or a balloon around the endoscope, the corrugator and procerus muscles are divided and/or resected with the laser, preserving, when possible, the supratrochlear nerves. Following this the frontalis muscle is divided in similar fashion. Retraction may be with a wire frame retractor. The supraorbital nerve corridor is preserved. Fascia is used to fill any defects. If the mid-brow/glabellar area is depressed a calibrated resection of forehead and/or frontal hair bearing skin is resected and galea and skin closed. If necessary, the wound may be drained. The incision is then closed utilizing a galeal as well as a cutaneous closure.
In males with alopecia, a similar procedure is performed, but the approach is through a unilateral or bilateral temporal incision.
FIG. 2 depicts a lateral view of a human head with brow descent, skin over the lateral eye and crow's-feet 10. To diminish these problems, the temple and lateral brow may be elevated. The incision lines and the supraorbital nerve course and a vertical line extending from the lateral canthus are marked. A small incision 6 or pair of incisions are made in the hair of the temple for the insertion of the endolaser 8. Again, when using only a quartz fiber a larger incision is required.
The deep temporal fascial layer is developed using the hooks and/or retractors and/or balloon retractors. Once the avascular plane is found, the dissection under the danger area of the frontal branch of the facial nerve is performed with blunt dissection with small dissecting sponges. The fusion layer with the galea is divided and, over the frontal and/or zygomatic bone the supragaleal plane developed with the laser or a subgaleal plane developed with the elevator. The corridor of the supraorbital nerve is avoided The fusion layer of fascia below the brow is divided either in a supraperiosteal plane with the laser or blunt instrument or in the subperiosteal plane with the elevator.
The frontalis muscle is incised three centimeters above the brow and medial to the vertical line from the lateral canthus. A suture is placed from an area immediately below the brow to the temporalis fascia to achieve a predetermined elevation. Resection of skin and/or hair is rarely necessary, but performed if needed. The incision is closed at the galeal and skin levels.
FIG. 3 shows a lateral view of a human head with a small incision in the neck 6 for insertion of an endolaser 8 for performing the inventive method of the platysma muscle and necklift.
Markings are made for the submental incision, the course of the facial nerve, the submental foramen, the platysmal bands, and the platysmal incision. A submental incision is performed and liposuction carried out in the usual manner. Dissection is carried downward with the laser to divide the tunnels. A strip of platysma and subplatysmal fit is then removed in vertical fashion with the laser. The endoscope is then placed horizontally in the tunnels overlying the platysma and with retraction from a balloon retractor and/or retractors, the platysma is divided and/or bluntly undermined. A corset platysmaplasty is then formed in the midline and the submental incision closed.
The fourth example of an endolaser approach to cosmetic surgery involves reduction of nasolabial folds. FIG. 4 shows a frontal view of a human head with a small incision 6 in the eyelid to insert an endolaser 8 for removal of nasolabial folds 12. An eye protection device is placed. Incision lines and the infraorbital foramen and nerve corridor are marked. A transconjunctival or eyelid skin incision is performed utilizing the laser or knive. Dissection is usually carried preseptally and orbital septum divided and access obtained to the cheek. Using either blunt or laser dissection the nasolabial fold area is identified using the endoscope, retractors, balloon retractors, instruments, and laser. The soft tissue of the nasolabial fold areas is then sutured upward. The incisions are closed.
In contrast to previous procedures, the combination of laser and endoscope allows this procedure to be performed under direct vision through smaller incisions inside the eye, a cosmetically superior situation.
While various apparatus and methods of treatment have been described in order to make the invention known to those skilled in the art, it should be readily apparent that many more modifications of the techniques disclosed are possible without departing from the inventive concepts contained herein. The foregoing description, therefore, should be taken as illustrative and not limiting in any sense.
Claims (4)
1. A method of cosmetic surgery for reducing nasolabial folds comprising:
placing an eye protection device on a patient;
marking an infraorbital foramen and a nerve corridor on a portion of skin of said patient;
performing a small transconjuctival or eyelid incision in the skin for inserting a laser transmitting means and surgical instruments such as retractors, balloon retractors, elevators, and/or hooks;
inserting a laser transmitting means beneath the skin;
performing a preseptal dissection with laser energy from the laser transmitting means;
dividing an orbital septum;
identifying a nasolabial fold area by laser section with the laser energy from said laser transmitting means;
suturing soft tissue of a nasolabial fold upward; and
closing the incision.
2. The method of claim 1 further comprising delivering laser energy having a wavelength ranging from 532 to 1060 nanometer from said laser transmitting means.
3. A method of cosmetic surgery for reducing nasolabial folds comprising:
placing an eye protection device on a patient;
marking an intraorbital foramen and a nerve corridor on a portion of skin of the patient;
performing a small transconjunctival or eyelid incision in the skin of a patient for inserting an endoscope with a channel containing a laser transmitting quartz optical fiber with a diameter ranging from 300 to 700 micrometer and a tip diameter ranging from 100 to 250 micrometer and/or surgical instruments;
inserting the endolaser beneath the skin;
performing a preseptal dissection with laser energy from the endolaser;
dividing an orbital septum;
identifying a nasolabial fold area by laser section with the laser energy from said endolaser;
suturing soft tissue of a nasolabial fold upward; and
closing the incision.
4. The method of claim 3 further comprising delivering laser energy having a wavelength ranging from 532 to 1060 nanometer from said endolaser.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US09/360,708 USRE36903E (en) | 1991-09-25 | 1999-07-26 | Method of laser cosmetic surgery |
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US76663891A | 1991-09-25 | 1991-09-25 | |
US08/102,851 US5370642A (en) | 1991-09-25 | 1993-08-02 | Method of laser cosmetic surgery |
US08/314,659 US5445634A (en) | 1991-09-25 | 1994-09-29 | Method of laser cosmetic surgery |
US08/477,333 US5807385A (en) | 1993-08-02 | 1995-06-07 | Method of laser cosmetic surgery |
US09/360,708 USRE36903E (en) | 1991-09-25 | 1999-07-26 | Method of laser cosmetic surgery |
Related Parent Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US08/314,659 Division US5445634A (en) | 1991-09-25 | 1994-09-29 | Method of laser cosmetic surgery |
US08/477,333 Reissue US5807385A (en) | 1991-09-25 | 1995-06-07 | Method of laser cosmetic surgery |
Publications (1)
Publication Number | Publication Date |
---|---|
USRE36903E true USRE36903E (en) | 2000-10-03 |
Family
ID=25077056
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US08/102,851 Expired - Fee Related US5370642A (en) | 1991-09-25 | 1993-08-02 | Method of laser cosmetic surgery |
US08/314,659 Expired - Fee Related US5445634A (en) | 1991-09-25 | 1994-09-29 | Method of laser cosmetic surgery |
US08/473,495 Expired - Fee Related US5505727A (en) | 1991-09-25 | 1995-06-07 | Method of laser cosmetic surgery |
US09/360,708 Expired - Fee Related USRE36903E (en) | 1991-09-25 | 1999-07-26 | Method of laser cosmetic surgery |
Family Applications Before (3)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US08/102,851 Expired - Fee Related US5370642A (en) | 1991-09-25 | 1993-08-02 | Method of laser cosmetic surgery |
US08/314,659 Expired - Fee Related US5445634A (en) | 1991-09-25 | 1994-09-29 | Method of laser cosmetic surgery |
US08/473,495 Expired - Fee Related US5505727A (en) | 1991-09-25 | 1995-06-07 | Method of laser cosmetic surgery |
Country Status (1)
Country | Link |
---|---|
US (4) | US5370642A (en) |
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070244529A1 (en) * | 2006-04-18 | 2007-10-18 | Zoom Therapeutics, Inc. | Apparatus and methods for treatment of nasal tissue |
US20080027520A1 (en) * | 2006-07-25 | 2008-01-31 | Zoom Therapeutics, Inc. | Laser treatment of tissue |
US20080027423A1 (en) * | 2006-07-25 | 2008-01-31 | Zoom Therapeutics, Inc. | Systems for treatment of nasal tissue |
US20090124958A1 (en) * | 2007-09-28 | 2009-05-14 | Li Kasey K | Device and methods for treatment of tissue |
Families Citing this family (112)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US5697281A (en) * | 1991-10-09 | 1997-12-16 | Arthrocare Corporation | System and method for electrosurgical cutting and ablation |
US5697909A (en) | 1992-01-07 | 1997-12-16 | Arthrocare Corporation | Methods and apparatus for surgical cutting |
US5697882A (en) * | 1992-01-07 | 1997-12-16 | Arthrocare Corporation | System and method for electrosurgical cutting and ablation |
US5683366A (en) * | 1992-01-07 | 1997-11-04 | Arthrocare Corporation | System and method for electrosurgical tissue canalization |
US5902272A (en) * | 1992-01-07 | 1999-05-11 | Arthrocare Corporation | Planar ablation probe and method for electrosurgical cutting and ablation |
US6024733A (en) | 1995-06-07 | 2000-02-15 | Arthrocare Corporation | System and method for epidermal tissue ablation |
US6210402B1 (en) | 1995-11-22 | 2001-04-03 | Arthrocare Corporation | Methods for electrosurgical dermatological treatment |
US5681282A (en) * | 1992-01-07 | 1997-10-28 | Arthrocare Corporation | Methods and apparatus for ablation of luminal tissues |
GB2272278B (en) * | 1992-10-23 | 1997-04-09 | Cancer Res Campaign Tech | Light source |
US6117109A (en) | 1995-11-22 | 2000-09-12 | Arthrocare Corporation | Systems and methods for electrosurgical incisions on external skin surfaces |
US5766153A (en) * | 1993-05-10 | 1998-06-16 | Arthrocare Corporation | Methods and apparatus for surgical cutting |
US6749604B1 (en) | 1993-05-10 | 2004-06-15 | Arthrocare Corporation | Electrosurgical instrument with axially-spaced electrodes |
US5713375A (en) * | 1994-09-13 | 1998-02-03 | Mcallister; David R. | Skin-tightening device and method |
US5454384A (en) * | 1994-09-13 | 1995-10-03 | Mcallister; David R. | Skin-tightening method |
US5687259A (en) * | 1995-03-17 | 1997-11-11 | Virtual Eyes, Incorporated | Aesthetic imaging system |
US6430446B1 (en) | 1995-05-05 | 2002-08-06 | Thermage, Inc. | Apparatus for tissue remodeling |
US6425912B1 (en) | 1995-05-05 | 2002-07-30 | Thermage, Inc. | Method and apparatus for modifying skin surface and soft tissue structure |
US6241753B1 (en) | 1995-05-05 | 2001-06-05 | Thermage, Inc. | Method for scar collagen formation and contraction |
US5755753A (en) * | 1995-05-05 | 1998-05-26 | Thermage, Inc. | Method for controlled contraction of collagen tissue |
US5660836A (en) * | 1995-05-05 | 1997-08-26 | Knowlton; Edward W. | Method and apparatus for controlled contraction of collagen tissue |
US6461350B1 (en) | 1995-11-22 | 2002-10-08 | Arthrocare Corporation | Systems and methods for electrosurgical-assisted lipectomy |
US7758537B1 (en) | 1995-11-22 | 2010-07-20 | Arthrocare Corporation | Systems and methods for electrosurgical removal of the stratum corneum |
US6228082B1 (en) | 1995-11-22 | 2001-05-08 | Arthrocare Corporation | Systems and methods for electrosurgical treatment of vascular disorders |
US6228078B1 (en) | 1995-11-22 | 2001-05-08 | Arthrocare Corporation | Methods for electrosurgical dermatological treatment |
US7229436B2 (en) | 1996-01-05 | 2007-06-12 | Thermage, Inc. | Method and kit for treatment of tissue |
US20030212393A1 (en) * | 1996-01-05 | 2003-11-13 | Knowlton Edward W. | Handpiece with RF electrode and non-volatile memory |
US7141049B2 (en) | 1999-03-09 | 2006-11-28 | Thermage, Inc. | Handpiece for treatment of tissue |
US7022121B2 (en) | 1999-03-09 | 2006-04-04 | Thermage, Inc. | Handpiece for treatment of tissue |
US7267675B2 (en) | 1996-01-05 | 2007-09-11 | Thermage, Inc. | RF device with thermo-electric cooler |
US6350276B1 (en) | 1996-01-05 | 2002-02-26 | Thermage, Inc. | Tissue remodeling apparatus containing cooling fluid |
US7115123B2 (en) | 1996-01-05 | 2006-10-03 | Thermage, Inc. | Handpiece with electrode and non-volatile memory |
US7189230B2 (en) | 1996-01-05 | 2007-03-13 | Thermage, Inc. | Method for treating skin and underlying tissue |
US7006874B2 (en) | 1996-01-05 | 2006-02-28 | Thermage, Inc. | Treatment apparatus with electromagnetic energy delivery device and non-volatile memory |
IT1286551B1 (en) * | 1996-02-13 | 1998-07-15 | El En S R L | DEVICE AND METHOD FOR THE ELIMINATION OF ADIPOSE LAYERS THROUGH LASER ENERGY |
US8182473B2 (en) | 1999-01-08 | 2012-05-22 | Palomar Medical Technologies | Cooling system for a photocosmetic device |
US6517532B1 (en) | 1997-05-15 | 2003-02-11 | Palomar Medical Technologies, Inc. | Light energy delivery head |
US7204832B2 (en) | 1996-12-02 | 2007-04-17 | Pálomar Medical Technologies, Inc. | Cooling system for a photo cosmetic device |
US6653618B2 (en) | 2000-04-28 | 2003-11-25 | Palomar Medical Technologies, Inc. | Contact detecting method and apparatus for an optical radiation handpiece |
US6273884B1 (en) | 1997-05-15 | 2001-08-14 | Palomar Medical Technologies, Inc. | Method and apparatus for dermatology treatment |
US6162211A (en) * | 1996-12-05 | 2000-12-19 | Thermolase Corporation | Skin enhancement using laser light |
US5810801A (en) * | 1997-02-05 | 1998-09-22 | Candela Corporation | Method and apparatus for treating wrinkles in skin using radiation |
US6248102B1 (en) | 1997-04-04 | 2001-06-19 | Keralase Ltd. | Method of hair removal by transcutaneous application of laser light |
US6176854B1 (en) * | 1997-10-08 | 2001-01-23 | Robert Roy Cone | Percutaneous laser treatment |
US5984915A (en) * | 1997-10-08 | 1999-11-16 | Trimedyne, Inc. | Percutaneous laser treatment |
AU3450799A (en) * | 1998-03-12 | 1999-09-27 | Palomar Medical Technologies, Inc. | System for electromagnetic radiation of the skin |
ES2403359T3 (en) * | 1998-03-27 | 2013-05-17 | The General Hospital Corporation | Procedure and apparatus for the selective determination of lipid rich tissues |
US6030374A (en) * | 1998-05-29 | 2000-02-29 | Mcdaniel; David H. | Ultrasound enhancement of percutaneous drug absorption |
US6398753B2 (en) | 1998-04-03 | 2002-06-04 | Mcdaniel David H. | Ultrasound enhancement of percutaneous drug absorption |
US7494488B2 (en) * | 1998-05-28 | 2009-02-24 | Pearl Technology Holdings, Llc | Facial tissue strengthening and tightening device and methods |
US7004933B2 (en) | 1998-05-29 | 2006-02-28 | Light Bioscience L.L.C. | Ultrasound enhancement of percutaneous drug absorption |
US6077294A (en) | 1998-06-11 | 2000-06-20 | Cynosure, Inc. | Method for non-invasive wrinkle removal and skin treatment |
US7276063B2 (en) | 1998-08-11 | 2007-10-02 | Arthrocare Corporation | Instrument for electrosurgical tissue treatment |
US6139545A (en) | 1998-09-09 | 2000-10-31 | Vidaderm | Systems and methods for ablating discrete motor nerve regions |
US6283956B1 (en) * | 1998-11-30 | 2001-09-04 | David H. McDaniels | Reduction, elimination, or stimulation of hair growth |
US6663659B2 (en) | 2000-01-13 | 2003-12-16 | Mcdaniel David H. | Method and apparatus for the photomodulation of living cells |
US6936044B2 (en) * | 1998-11-30 | 2005-08-30 | Light Bioscience, Llc | Method and apparatus for the stimulation of hair growth |
US9192780B2 (en) | 1998-11-30 | 2015-11-24 | L'oreal | Low intensity light therapy for treatment of retinal, macular, and visual pathway disorders |
US6676655B2 (en) | 1998-11-30 | 2004-01-13 | Light Bioscience L.L.C. | Low intensity light therapy for the manipulation of fibroblast, and fibroblast-derived mammalian cells and collagen |
US20060212025A1 (en) * | 1998-11-30 | 2006-09-21 | Light Bioscience, Llc | Method and apparatus for acne treatment |
US6887260B1 (en) | 1998-11-30 | 2005-05-03 | Light Bioscience, Llc | Method and apparatus for acne treatment |
US6514242B1 (en) * | 1998-12-03 | 2003-02-04 | David Vasily | Method and apparatus for laser removal of hair |
US20020087155A1 (en) | 1999-08-30 | 2002-07-04 | Underwood Ronald A. | Systems and methods for intradermal collagen stimulation |
EP1244390B1 (en) * | 1999-12-30 | 2006-08-16 | Pearl Technology Holdings, LLC | Face-lifting device |
US20020091377A1 (en) * | 2000-01-25 | 2002-07-11 | Anderson R. Rox | Method and apparatus for medical treatment utilizing long duration electromagnetic radiation |
US7351252B2 (en) * | 2002-06-19 | 2008-04-01 | Palomar Medical Technologies, Inc. | Method and apparatus for photothermal treatment of tissue at depth |
US6888319B2 (en) * | 2001-03-01 | 2005-05-03 | Palomar Medical Technologies, Inc. | Flashlamp drive circuit |
WO2003003903A2 (en) | 2001-07-02 | 2003-01-16 | Palomar Medical Technologies, Inc. | Laser device for medical/cosmetic procedures |
US20040147984A1 (en) * | 2001-11-29 | 2004-07-29 | Palomar Medical Technologies, Inc. | Methods and apparatus for delivering low power optical treatments |
AU2002367397A1 (en) * | 2001-12-27 | 2003-07-24 | Palomar Medical Technologies, Inc. | Method and apparatus for improved vascular related treatment |
EP1482848A4 (en) * | 2002-03-12 | 2007-08-15 | Palomar Medical Tech Inc | Method and apparatus for hair growth management |
US20070213698A1 (en) * | 2006-03-10 | 2007-09-13 | Palomar Medical Technologies, Inc. | Photocosmetic device |
KR20050026404A (en) | 2002-06-19 | 2005-03-15 | 팔로마 메디칼 테크놀로지스, 인코포레이티드 | Method and apparatus for photothermal treatment of tissue at depth |
EP1558339A1 (en) * | 2002-10-07 | 2005-08-03 | Palomar Medical Technologies, Inc. | Apparatus for performing photobiostimulation |
US20070219604A1 (en) * | 2006-03-20 | 2007-09-20 | Palomar Medical Technologies, Inc. | Treatment of tissue with radiant energy |
EP2522294A2 (en) | 2002-10-23 | 2012-11-14 | Palomar Medical Technologies, Inc. | Phototreatment device for use with coolants and topical substances |
AU2003301111A1 (en) * | 2002-12-20 | 2004-07-22 | Palomar Medical Technologies, Inc. | Apparatus for light treatment of acne and other disorders of follicles |
CA2531099A1 (en) | 2003-04-10 | 2004-10-28 | Light Bioscience, Llc | Photomodulation methods and devices for regulating cell proliferation and gene expression |
EP1651127B1 (en) | 2003-07-16 | 2012-10-31 | Arthrocare Corporation | Rotary electrosurgical apparatus |
CA2533129A1 (en) * | 2003-07-31 | 2005-02-10 | Light Bioscience, Llc | System and method for the photodynamic treatment of burns, wounds, and related skin disorders |
WO2005065565A1 (en) | 2003-12-31 | 2005-07-21 | Palomar Medical Technologies, Inc. | Dermatological treatment with vusualization |
US8535299B2 (en) | 2004-01-23 | 2013-09-17 | Joseph Giovannoli | Method and apparatus for skin reduction |
US7914523B2 (en) * | 2004-02-06 | 2011-03-29 | Clinique Dr Daniel Barolet Inc. | Method for the treatment of mammalian tissues |
AU2005231443B2 (en) | 2004-04-01 | 2012-02-23 | The General Hospital Corporation | Method and apparatus for dermatological treatment and tissue reshaping |
US7704249B2 (en) * | 2004-05-07 | 2010-04-27 | Arthrocare Corporation | Apparatus and methods for electrosurgical ablation and resection of target tissue |
US8277495B2 (en) | 2005-01-13 | 2012-10-02 | Candela Corporation | Method and apparatus for treating a diseased nail |
US20060253176A1 (en) * | 2005-02-18 | 2006-11-09 | Palomar Medical Technologies, Inc. | Dermatological treatment device with deflector optic |
CN101132831A (en) * | 2005-02-18 | 2008-02-27 | 帕洛玛医疗技术公司 | Dermatological treatment device |
US7856985B2 (en) | 2005-04-22 | 2010-12-28 | Cynosure, Inc. | Method of treatment body tissue using a non-uniform laser beam |
US8801764B2 (en) * | 2005-05-05 | 2014-08-12 | Biolitec Pharma Marketing Ltd | Cosmetic laser treatment device and method for localized lipodystrophies and flaccidity |
CA2622560A1 (en) | 2005-09-15 | 2007-03-29 | Palomar Medical Technologies, Inc. | Skin optical characterization device |
US7682304B2 (en) * | 2005-09-21 | 2010-03-23 | Medtronic, Inc. | Composite heart valve apparatus manufactured using techniques involving laser machining of tissue |
US9028469B2 (en) | 2005-09-28 | 2015-05-12 | Candela Corporation | Method of treating cellulite |
US7891362B2 (en) | 2005-12-23 | 2011-02-22 | Candela Corporation | Methods for treating pigmentary and vascular abnormalities in a dermal region |
US20070194717A1 (en) * | 2006-02-17 | 2007-08-23 | Palomar Medical Technologies, Inc. | Lamp for use in a tissue treatment device |
US8246611B2 (en) | 2006-06-14 | 2012-08-21 | Candela Corporation | Treatment of skin by spatial modulation of thermal heating |
US7586957B2 (en) | 2006-08-02 | 2009-09-08 | Cynosure, Inc | Picosecond laser apparatus and methods for its operation and use |
US20080186591A1 (en) * | 2007-02-01 | 2008-08-07 | Palomar Medical Technologies, Inc. | Dermatological device having a zoom lens system |
US20090275928A1 (en) * | 2008-05-01 | 2009-11-05 | Solomon Mark P | Suture-less laser blepharoplasty with skin tightening |
US8747400B2 (en) | 2008-08-13 | 2014-06-10 | Arthrocare Corporation | Systems and methods for screen electrode securement |
US8355799B2 (en) | 2008-12-12 | 2013-01-15 | Arthrocare Corporation | Systems and methods for limiting joint temperature |
US20100331867A1 (en) * | 2009-06-26 | 2010-12-30 | Joseph Giovannoli | Apparatus and method for dermal incision |
US9919168B2 (en) | 2009-07-23 | 2018-03-20 | Palomar Medical Technologies, Inc. | Method for improvement of cellulite appearance |
US8317786B2 (en) | 2009-09-25 | 2012-11-27 | AthroCare Corporation | System, method and apparatus for electrosurgical instrument with movable suction sheath |
US8323279B2 (en) | 2009-09-25 | 2012-12-04 | Arthocare Corporation | System, method and apparatus for electrosurgical instrument with movable fluid delivery sheath |
US8696659B2 (en) | 2010-04-30 | 2014-04-15 | Arthrocare Corporation | Electrosurgical system and method having enhanced temperature measurement |
KR102183581B1 (en) | 2012-04-18 | 2020-11-27 | 싸이노슈어, 엘엘씨 | Picosecond laser apparatus and methods for treating target tissues with same |
WO2014137344A1 (en) | 2013-03-07 | 2014-09-12 | The Cleveland Clinic Foundation | Apparatus for treating a neuromuscular defect |
EP2973894A2 (en) | 2013-03-15 | 2016-01-20 | Cynosure, Inc. | Picosecond optical radiation systems and methods of use |
US9526556B2 (en) | 2014-02-28 | 2016-12-27 | Arthrocare Corporation | Systems and methods systems related to electrosurgical wands with screen electrodes |
US9597142B2 (en) | 2014-07-24 | 2017-03-21 | Arthrocare Corporation | Method and system related to electrosurgical procedures |
US9649148B2 (en) | 2014-07-24 | 2017-05-16 | Arthrocare Corporation | Electrosurgical system and method having enhanced arc prevention |
CA3092248A1 (en) | 2018-02-26 | 2019-08-29 | Mirko Mirkov | Q-switched cavity dumped sub-nanosecond laser |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4143660A (en) * | 1977-05-09 | 1979-03-13 | Malyshev Boris N | Method of surgery making use of laser emission and an apparatus for accomplishing same |
US4519390A (en) * | 1982-10-15 | 1985-05-28 | Hgm, Inc. | Fiber optic laser catheter |
US4627435A (en) * | 1983-05-14 | 1986-12-09 | Micra Limited | Surgical knives |
US4791927A (en) * | 1985-12-26 | 1988-12-20 | Allied Corporation | Dual-wavelength laser scalpel background of the invention |
SU1512572A1 (en) * | 1988-04-21 | 1989-10-07 | Киевский Медицинский Институт Им.Акад.А.А.Богомольца | Method of recovery of nasal septum |
SU1595481A1 (en) * | 1988-05-23 | 1990-09-30 | Университет дружбы народов им.Патриса Лумумбы | Method of removing nasolabial fold |
SU1621901A1 (en) * | 1987-09-24 | 1991-01-23 | Валерий Борисович Ульзибат (Su) | Method of treating muscular-fascial pains |
-
1993
- 1993-08-02 US US08/102,851 patent/US5370642A/en not_active Expired - Fee Related
-
1994
- 1994-09-29 US US08/314,659 patent/US5445634A/en not_active Expired - Fee Related
-
1995
- 1995-06-07 US US08/473,495 patent/US5505727A/en not_active Expired - Fee Related
-
1999
- 1999-07-26 US US09/360,708 patent/USRE36903E/en not_active Expired - Fee Related
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4143660A (en) * | 1977-05-09 | 1979-03-13 | Malyshev Boris N | Method of surgery making use of laser emission and an apparatus for accomplishing same |
US4519390A (en) * | 1982-10-15 | 1985-05-28 | Hgm, Inc. | Fiber optic laser catheter |
US4627435A (en) * | 1983-05-14 | 1986-12-09 | Micra Limited | Surgical knives |
US4791927A (en) * | 1985-12-26 | 1988-12-20 | Allied Corporation | Dual-wavelength laser scalpel background of the invention |
SU1621901A1 (en) * | 1987-09-24 | 1991-01-23 | Валерий Борисович Ульзибат (Su) | Method of treating muscular-fascial pains |
SU1512572A1 (en) * | 1988-04-21 | 1989-10-07 | Киевский Медицинский Институт Им.Акад.А.А.Богомольца | Method of recovery of nasal septum |
SU1595481A1 (en) * | 1988-05-23 | 1990-09-30 | Университет дружбы народов им.Патриса Лумумбы | Method of removing nasolabial fold |
Non-Patent Citations (2)
Title |
---|
Tsuyoshi Nishisaka et al., Rounded Tip Fiber Optics, The Journal of Japan Society and Laser Medicine , 1984, p. 178. * |
Tsuyoshi Nishisaka et al., Rounded Tip Fiber-Optics, The Journal of Japan Society and Laser Medicine, 1984, p. 178. |
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20070244529A1 (en) * | 2006-04-18 | 2007-10-18 | Zoom Therapeutics, Inc. | Apparatus and methods for treatment of nasal tissue |
US20080027520A1 (en) * | 2006-07-25 | 2008-01-31 | Zoom Therapeutics, Inc. | Laser treatment of tissue |
US20080027423A1 (en) * | 2006-07-25 | 2008-01-31 | Zoom Therapeutics, Inc. | Systems for treatment of nasal tissue |
US20090124958A1 (en) * | 2007-09-28 | 2009-05-14 | Li Kasey K | Device and methods for treatment of tissue |
US8430920B2 (en) | 2007-09-28 | 2013-04-30 | Kasey K. LI | Device and methods for treatment of tissue |
Also Published As
Publication number | Publication date |
---|---|
US5445634A (en) | 1995-08-29 |
US5370642A (en) | 1994-12-06 |
US5505727A (en) | 1996-04-09 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
USRE36903E (en) | Method of laser cosmetic surgery | |
US5807385A (en) | Method of laser cosmetic surgery | |
Ramirez | Endoscopic techniques in facial rejuvenation: an overview. Part I | |
Vasconez et al. | Endoscopic techniques in coronal brow lifting | |
De Cordier et al. | Endoscopic forehead lift: review of technique, cases, and complications | |
Paul | The evolution of the brow lift in aesthetic plastic surgery | |
Aziz et al. | Minimally invasive transpalpebral “eyelid” approach to the anterior cranial base | |
Isse | Endoscopic facial rejuvenation | |
Knize | Limited incision foreheadplasty | |
Shiokawa et al. | Zygomatic temporopolar approach for basilar artery aneurysms | |
Steinsapir et al. | The endoscopic forehead lift | |
Withey et al. | One hundred cases of endoscopic brow lift | |
Yaremchuk | Subperiosteal and full-thickness skin rhytidectomy | |
Stewart et al. | Orbital surgery: the technique of coronal scalp flap approach to the lateral orbitotomy | |
Ramirez | Endoscopic forehead and face-lift: Step by step | |
Keller | Use of the KTP laser in cosmetic surgery | |
Guyuron | Subcutaneous approach to forehead, brow, and modified temple incision | |
Keller et al. | Small incision laser lift for forehead creases and glabellar furrows | |
Camirand et al. | Surgical advances. A comprehensive approach to surgical rejuvenation of the eyes | |
Quatela et al. | Rejuvenation of the brow and midface | |
Sozer et al. | Our experience with endoscopic brow lifts | |
Green et al. | Eyebrow ptosis | |
Rosenberg | The subperiosteal endoscopic laser forehead (SELF) lift | |
Hutcherson et al. | Endoscopic techniques in facial rejuvenation surgery | |
Liang | Temporal approach to corrugator laser ablation |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
LAPS | Lapse for failure to pay maintenance fees |