LASERTREATMENT GUIDE

1 LASER TATTOO REMOVAL2 LASER HAIR REMOVAL3 INTENSE PULSE LIGHT (IPL)4 ERBIUM / PIXEL LASER5 SKIN TIGHTENING (WITH ULTHERAPY & SUBLIME)

LASER TREATMENTS:

Contents:

1 LASER TATTOO REMOVAL

LASER TATTOO REMOVALINTRODUCTION

There are a lot of reasons for wanting to remove a tattoo � it no longer holds sentimental value, it is keeping you from getting a job, you made an impulsive decision, etc. No matter what your reason is for wanting to get rid of your tattoo, laser tattoo removal is the most e�ective way to remove it.

LASER TATTOO REMOVALINTRODUCTION

Here at Tracey Bell, with all of the advances in laser systems it is easier than ever to remove your unwanted tattoo. An experienced laser tattoo removal physician will be able to safely remove your unwanted body art with minimal side e�ects.

HOW DOES TATTOOREMOVAL WORK?Lasers emit a pulse of light energy that passes through the top layers of the skin and is selectively absorbed by the tattoo ink. This energy quickly heats up and breaks down the tattoo ink into tiny fragments, which are then absorbed and cleared away by y o u r i m m u n e s y s t e m . L a s e r treatments safely and e�ectively r e m o v e t h e t a t t o o w i t h o u t damaging the surrounding skin.

The tattoo removal laser used will depend upon the color and location of the tattoo. Di�erent types of lasers are able to target di�erent colors.

An experienced dermatologist will know which laser for tattoo removal is best for your unique tattoo. For example, one laser will be able to target black and green tattoos, while another laser would treat red, yellow and blue tattoos.

Typically, 3-10 tattoo laser removal treatments are required to remove a tattoo. The amount of treatments you need depends on the size of the tattoo, the color, the location, what type of ink was used, your skin color and your skin�s ability to heal. Most doctors recommend having treatments every 4-6 weeks for optimal tattoo removal results.

WHAT TYPES OF TATTOOS

CAN BE REMOVED?

With all of the advances in laser technology, it is possible to remove any tattoo, regardless of the color and location. Di�erent lasers are able to remove di�erent colored tattoos safely and e�ectively.

TATTOO REMOVAL FREQUENTLY ASKED QUESTIONSHow many laser tattoo treatments will I need to completely remove my tattoo?

In most cases it takes 3-10 treatment sessions to remove tattoo as much as possible. Generally, laser removal treatments will be scheduled 4-6 weeks apart. It is not guaranteed that your tattoo will be completely erased, but if you see an experienced laser dermatologist, he/she will get rid of as much of your tattoo as possible. The number of treatments also depends on the color and location of your tattoo. For example, black or dark green tattoos are the easiest to remove and will require fewer sessions than a tattoo that is another color or a mixture of many colors.

Can I remove only part of my tattoo?

Yes. Lasers are very accurate and can treat small targeted areas so you may remove only a portion of your tattoo, if desired.

Are certain types of tattoos easier to remove than others?

Yes. Certain colors respond much better to laser treatments than others. Black, red, green and dark blue are the easiest and fastest colors to remove. Alternatively, purple, brown, light orange and light blue can be more di�cult to remove and may require more treatment sessions. These non-traditional ink colors may occasionally turn darker with laser

treatment so your Doctor should recommend a test spot before a full treatment is performed.

The depth of the tattoo and the type of ink used are additional factors that determine how easy or di�cult it will be to remove your tattoo. Finally, your skin tone and healing characteristics play a role in your laser tattoo removal results. In general, it is easier to remove tattoos from patients with lighter skin tones.

TATTOO REMOVAL FREQUENTLY ASKED QUESTIONSDoes the length of time I have had my tattoo a�ect the results of removing it?

Yes. Older tattoos are easier to remove than new tattoos. The ink in older tattoos is generally easier for the laser energy to break apart than fresh ink.

Will I have scars from my laser tattoo removal?

If an expert laser dermatologist treats you, you should not be left with any scars after your laser tattoo removal treatments. However, scarring is possible with any medical procedure. It is important to �nd an experienced laser doctor to decrease your risk of tattoo removal scars.

Does laser tattoo removal hurt?

To minimize your discomfort during laser tattoo removal treatments, your doctor will utilize a topical or injectable anesthetic. Patients should be completely numb in the treatment area during the laser session and not feel any pain. Many patients report mild irritation or itching after the removal of tattoo. This can last for 1-3 days following the laser treatment. Your doctor can prescribe an antibiotic and cortisone cream to relieve your discomfort.

What is recovery like after laser tattoo removal?

Laser tattoo removal recovery is minimal. You might experience some discomfort around the treatment site, but it should not inhibit you from going about your daily activities. If you are in the sun, you need to keep the treatment area covered to prevent sunburn so that the skin can heal properly. Your doctor will most likely provide you with tattoo removal aftercare instructions.

Are there any laser tattoo removal side e�ects?

The side e�ects of tattoo removal by laser are minimal. You might experience some redness, swelling and minor blistering around the treated area. These side e�ects are temporary and your skin should heal completely within one to two weeks.

TATTOO REMOVAL

2 LASER HAIR REMOVAL

LASER HAIR REMOVAL - INTRODUCTION

Laser hair removal is most commonly used for unwanted:

facial hair | underarm | bikini line | legs | forearms

Laser hair removal is a medical procedure that uses a laser - an intense, pulsating beam of light - to remove unwanted hair.During laser hair removal, a laser beam passes through the skin to an individual hair follicle. The intense heat of the laser damages the hair follicle, which inhibits future hair growth.Laser hair removal has become very e�ective in the past ten years. Often the preferred method of hair removal now, it�s safe, e�ective, and more permanent than any other method such as waxing, plucking, shaving, and electrolysis.

Although laser hair removal e�ectively slows hair growth, it doesn't guarantee permanent hair removal. It typically takes several laser hair removal treatments to provide an extended hair-free period. Periodic maintenance treatments might be needed as well. Typically after 6 sessions, hair growth will be reduced by 80%.

The laser emits a very speci�c beam of light at a wavelength that is targeted at melanin in the hair and/or at the follicle growth center (called the hair bulb). Melanin is the material that gives color to our hair and skin. The laser beam passes through the skin and is absorbed by the melanin in the hair follicle.

Therefore, the ideal candidate for this procedure has hair that is darker than her skin color.Darker skin needs "long-wave" hair-removal lasers like the YAG laser.

HOW DOES LASER HAIR REMOVAL WORK?

Laser hair removal works by using powerful beams of light to target and penetrate groups of hair follicles in the skin, heating the internal structures and destroying the follicles ability to produce hair. The laser also shrinks the follicle. There are a variety of di�erent laser treatments available which work on di�erent skin and hair colours. Best results from laser hair removal are seen on light coloured skin with dark, thick hair but good results can be achieved on all colours and types of skin and hair. Body areas are treated with lasers between 6 and 12 times to achieve a hair free result which can last for between 1 and 10 years.

At any given time, a certain percentage of hairs are in the "resting" phase, rather than a growth phase. The laser will not be e�ective on those resting hairs, which is why, on average, �ve treatments are necessary in each area to achieve maximum results.

More treatments can be done as soon as further hair growth appears. Due to the variation in the number of hairs in the resting phase, certain parts of the body will respond more rapidly whereas others might take much longer to show e�ects. For example, the face usually responds more slowly than the bikini line.

WHY DO I NEED A SERIES OF TREATMENTS?

There may be mild discomfort during the treatment, but most patients tolerate laser hair removal very easily.

For discomfort during your treatment, some laser centers will provide you with a topical numbing cream which you can apply before a treatment. If you are using the cream yourself, never apply numbing cream under saran wrap and never apply it to to an area larger than your hand.

Some laser centers will use a cooling machine during the treatment to make the experience more comfortable. Treatments can take from minutes to hours, depending on the size of the treatment area.

DO THE TREATMENTS HURT?HOW LONG WILL THEY TAKE?

After approximately 6 sessions, most women and men report that their expectations have been met and the hair growth pattern is much less. In some areas, in addition to the decrease in the number of hairs, the hairs become very �ne and light in color.

About 5 percent of patients are resistant to any type of hair removal laser. It is very important to have a realistic expectation regarding individual results of hair removal. No hair-removal system anywhere is �permanent."

HOW MANY TREATMENTS WILL I NEED?

No laser clinic should claim that all of the hairs will be permanently eradicated. Most patients will need a touch-up 1-2 times a year to maintain the improvement.

Expect to need more treatments if you have any history of irregular periods, polycystic ovary disease, grey or white hairs, or a family history of excessive hair.

Your provider will give you instructions, and di�erent laser hair removal systems do vary. So it is important to follow your provider�s directions. But here are some general guidelines common to many laser hair removal treatments:

1. Do not tan. Tanning of any type changes the laser settings and is the most common cause of blistering after laser hair removal. Do not use self-tanners one to two weeks before a treatment.

2. No plucking, electrolysis, bleaching or depilatories should be performed at least two weeks prior to treatment. The hair must be present, a short stubble, and with its natural hair color in order to be treated e�ectively.

3. For waxing, options di�er so ask your provider.

3. Shaving is �ne up until a few days before your treatment.

4. All makeup and lotion should be removed prior to treatment.

5. If antibiotics or any new medications have been started, inform your provider prior to treatment.

DO I NEED TO DO ANYTHING SPECIALBEFORE BEING TREATED?

1. If you have hormonal abnormalities like irregular periods or polycystic ovaries

2. If your hair is blonde or white (product called Meladine can be perscribed)

3. If it's hard for you to make the time for an initial series of �ve or six monthly appointments

4. If you have darker hair and darker skin,

5. If you can't get yourself to stop tanning

WHEN IS LASER HAIR REMOVAL MORE DIFFICULT?

3 INTENSE PULSE LIGHT

Also known as intense pulsed light or photo facial

A clear complexion is something many people want, but even with the most meticulous skincare regimen, blemish-free skin can be di�cult to achieve. Photorejuvenation, which uses Intense Pulsed Light (IPL) technology, can help reduce the appearance of some of the most common skin woes, including brown spots, melasma, broken capillaries and sun spots. This minimally invasive skin procedure can also treat signs of aging such as wrinkles or age spots. There�s very little recovery time and few side e�ects, making it a popular procedure.

IPL is utilised to restore and maintain the health of the skin. Medical Consultation and Diagnosis is always required.

INTENSE PULSE LIGHT (IPL / PHOTOREJUVENATION) INTRODUCTION

If you want to maintain and restore the health and the look of your skin )the largest organ of the body) without undergoing a full surgical procedure

If you have redness, brown spots or scarring on your skin

If you would like to reduce pore size, �ne wrinkles and improve skin texture

If you would like to tighten �rm and improve skin texture, tone and health

WHEN TO CONSIDER IPL / PHOTOREJUVENATION

Pros

Little to no downtimeRelatively long-lasting improvements in skin quality and texture can be achievedCan be performed anywhere on the body

IPL CONSIDERATIONS

Cons

Normally a course of treatments may be required before full e�ects are seenNot as e�ective for tanned or darker skinMust stay out of the sun after each treatment

These are the top three pros and cons when considering IPL / Photorejuvenation. If you want to focus on what is unique to you, please consult with a Tracey Bell Laser Therapist.

If you are routinely frustrated by any of the skin problems below, Medical Consultation and Diagnosis is always required, then photorejuvenation can be a good choice:

AM I A GOOD CANDIDATE FOR A IPL / PHOTOREJUVENATION?

Rosacea Hyperpigmentation (brown spots) Wrinkles Texture problems Large, visible pores Melasma Excessive �ushing Freckles Age and sun spots Broken capillaries Spider veins Stretch marks

If you are in good general health, have a positive attitude and realistic expectations, you are most likely a good candidate for this procedure.

Photorejuvenation uses a unique technique known as pulsed light therapy to treat skin blemishes. Essentially, this technology shines bright, intense light on various parts of the skin.

You will wear an eye mask to protect your eyes from the light, and your doctor will use a piece of equipment called an IPL device, which includes an apparatus with a glass or laser surface.This apparatus is pressed to the problematic areas of the body, emitting a light that heats up collagen beneath the skin, encouraging the body to produce more of this bene�cial protein. Enhanced collagen production can �ll in �ne lines or wrinkles on the face as well as some shallow acne scars. IPL technology also reduces �ushing and discoloration on the skin.

HOW IS A IPL / PHOTOREJUVENATION PROCEDURE PERFORMED?

Your Tracey Bell Laser Technician may also recommend other treatments to help you achieve your goal. Sometimes the use of laser skin resurfacing or a chemical peel in conjunction with photorejuvenation will provide the best result.

IPL emits a broad range of light waves and can di�use redness, capillaries, brown spots, discoloration and remove hair.

Medical Consultation and Diagnosis is required

WHAT DOES IPL OR PHOTOREJUVENATION FEEL LIKE?

Photorejuvenation may cause mild discomfort. Many patients liken the feeling to a rubber band being snapped against the skin.

IPL / PHOTOREJUVENATION

Your photorejuvenation treatment may be performed in an accredited hospital, free-standing ambulatory facility, or o�ce-based surgical suite. Most photorejuvenation procedures take at least twenty to thirty minutes, depending on the number and types of blemishes being treated but may take longer.

WHAT CAN I EXPECT ON THE DAY OF IPL/PHOTOREJUVENATION TREATMENT?

Medications are administered for your comfort during the procedure.A topical gel or forced cool air may be used to keep your skin from feeling too much heat.For your safety, various monitors may be used to check your heart, blood pressure, pulse, and the amount of oxygen circulating in your blood.Your Laser Specialist will follow the treatment plan discussed with you.After your procedure is completed, you will be taken into a recovery area where you will continue to be closely monitored.You will probably be permitted to go home after a short observation period unless you and your laser specialist have made other plans for your immediate post-treatment recovery.

4 ERBIUN / PIXEL LASER

The Pixel Laser is a fractional ablative laser that represents the best of both worlds for skin resurfacing: it combines the proven e�ectiveness of an ablative approach with the patient comfort level and convenience of a non-ablative approach. The new Pixel Laser allows you to go right back to work the same or next day.

PIXEL ERBIUM LASER - INTRODUCTION

The Pixel Laser can be used on the face, neck, chest, arms and hands � a much wider scope than traditional ablative technologies. Designed to treat aged and photo-damaged skin, the Pixel improves the quality and texture of the dermis while it stimulates collagen regeneration.

Wrinkles and �ne lines Acne Scars Improving Skin Texture (especially under the eyes)

RECOMMENDED APPLICATIONS - PIXEL LASER

Skin resurfacing with the Pixel is a gradual process that happens over several treatments, usually one treatment every 4 weeks. A total of 4 treatments are usually recommended, with continued improvement occurring for up to 4 months after the last treatment.

HOW PIXEL / ERBIUM LASER WORKS?

A preprogrammed laser beam passes through the patented Pixel micro optics lens and penetrates the skin.

I t creates an ablative and thermal e�ect at the pixel area � a micro-injury � without disturbing the surrounding tissue.

Those micro-injured areas start the process of healing as c o l l a g e n r e m o d e l s , s k i n tightens and the skin texture improves.

WHAT HAPPENS AFTER THE TREATMENT?

The patient will experience a mild sunburn sensation for about an hour and then virtually no discomfort. The skin will have a pinkish tone for �ve to seven days. This is a normal sign that skin is healing deeply. Swelling is mild and generally resolves in two to three days. The patient may apply make-up or shave soon after treatment. Typically patients can return to work the following day.

New epidermal skin develops immediately, within 24 hours. This process of skin repair involves various stages. Your skin will have a bronze appearance that lasts anywhere from three to fourteen days, depending on the treatment level.

Your skin will naturally and vigorously exfoliate as the reorganized epidermal skin replaces dead tissue. Flaking, is similar to that of minor sunburn, but without the associated pain. Use of a moisturizer will mask the appearance of �aking.

You are required to use sunscreen to protect the skin from sun exposure during the healing phase. Applying a moisturizing sun block with an SPF of at least 30-plus is recommended.

BEFORE AND AFTER THE PIXEL LASER / ERBIUM TREATMENT

Before the treatment Day 1 Day 3 Day 10

5 SKIN TIGHTENING (WITH & ULTHERAPY SUBLIME)

ULTHERAPY / SUBLIME INTRODUCTION

Ultherapy uses safe, time-tested ultrasound energy to lift and tighten the skin naturally�without surgery or downtime.

THE NON-INVASIVE LIFTUltherapy is the only non-invasive procedure FDA-cleared to lift skin on the neck, under the chin and on the eyebrow. Now also FDA-cleared to improve the appearance of lines and wrinkles on the décolletage, Ultherapy can help you achieve a fresher, more youthful look from your brow to your chest!

SAFE ULTRASOUND. NO SURGERY.

Ultherapy harnesses the power of ultrasound to transform the brow, chin, neck and chest. Ultrasound, of course, has been used safely throughout the medical �eld for more than 50 years�and Ultherapy has been established as safe and e�ective in clinical studies and in more than 350,000 treatments worldwide.

HOW ULTHERAPY WORKS?

BUILDS NEW COLLAGEN

The Ultherapy® procedure stimulates collagen production by delivering focused ultrasound energy to the skin�s foundational layer typically addressed in cosmetic surgery�without cutting or disrupting the surface of the skin.

NO TOXINS OR NEEDLES

Unlike lasers, radio frequency, surgery and other technologies, non-surgical Ultherapy bypasses the surface of the skin to deliver the right amount of ultrasound energy at the right depths and the right temperature. This energy triggers a natural response under the skin, jumpstarting the regenerative process that produces fresh, new collagen.

NO DOWNTIME. NATURAL RESULTS

Some patients see an initial e�ect right after their treatment, but the real results appear over 2�3 months as new collagen works to lift and tighten skin on the neck, chin and brow as well as smooth skin on the chest. While Ultherapy won�t duplicate the results of a facelift, it�s a clinically proven non-invasive alternative for those not ready for surgery�and can even be an option for patients who wish to extend the e�ects of cosmetic surgery.

WHAT TO EXPECT

JUST A SINGLE TREATMENT

Just one non-invasive Ultherapy® treatment helps counteract the e�ects of time, gravity and sun exposure without downtime.

BEFORE YOUR TREATMENT

The �rst thing you will want to do is schedule a one-on-one consultation with our aesthetic practitioner. During this session, your practitioner will address your concerns, assess your skin and determine if you are a candidate for the treatment.

DURING YOUR TREATMENT

After cleansing the skin and identifying the speci�c areas to be treated, your Ultherapy practitioner will apply the ultrasound gel and place the smooth treatment applicator against your skin. Next, your provider will use Ultherapy�s ultrasound imaging to �rst see deep within the skin to determine optimal placement of the treatment energy, and then deliver the focused ultrasound energy beneath the skin�s surface.

During the treatment delivery, you will feel tiny amounts of energy being deposited to precise depths, indicating that the collagen-building process has been initiated.

AFTER YOUR TREATMENT

With Ultherapy, there is no downtime! You can return to your normal activities immediately after your procedure without any post-treatment restrictions or requirements. Minimal swelling is something to be expected

Your skin might appear �ushed at �rst, but the redness should disappear within a few hours. Some patients experience slight swelling, tingling or tenderness to the touch, but these are mild and temporary in nature.

WHAT TO EXPECT

What is Ultherapy?Ultherapy is a safe, non-surgical ultrasound treatment that counteracts the e�ects of time and gravity on your skin. Ultherapy uses the body's own regenerative response to gently and gradually lift skin on the eyebrow, under the chin and on the neck, and smooth lines and wrinkles on the décolletage.

What is unique about Ultherapy? Ultherapy is the only non-invasive treatment cleared by the FDA to actually lift skin. Ultherapy is also the only cosmetic procedure to use ultrasound imaging, which allows practitioners to see the layers of tissue targeted during the treatment to ensure the energy is deposited to where it will be most bene�cial. With the addition of the new Ultherapy® Décolletage Treatment, Ultherapy is also now the only non-invasive procedure speci�cally indicated by the FDA to improve lines and wrinkles on the chest.

Can Ultherapy replace a face lift? Ultherapy treats the deep foundational layer addressed in cosmetic surgery, but won't duplicate the results of a facelift. Ultherapy is a great alternative, however, especially for those not ready for surgery or for patients looking to extend the e�ects of cosmetic surgery.

How does Ultherapy stimulate the creation of collagen? Ultherapy deposits focused ultrasound energy deep beneath the skin at the optimal temperature for collagen regeneration. The treatment jumpstarts a natural process, known as neocollagenesis, to produce fresh, new collagen. Ultherapy doesn't involve any creams, �llers or toxins; it just relies on your body's own collagen-building process for natural, noticeable results.

When will I see results? How long do they last? After your Ultherapy® Treatment, you may see some initial e�ect, but the ultimate results will take place over 2-3 months, as your body naturally regenerates collagen. Since the procedure stimulates your own collagen production, how long the results last really depends on you. The treatment produces new collagen on the inside, but your natural aging process will dictate how long that translates into visible results on the outside.

How many Ultherapy® treatments will I need? Most patients only need one treatment. However, based on the degree of skin laxity, the biological response to ultrasound energy and the individual's collagen-building process, some patients bene�t from additional treatments. Because skin continues to age, future touch-up treatments can help patients keep pace with the body's natural aging process.

Are there any side e�ects? The skin might appear �ushed at �rst, but the redness should disappear within a few hours. Some patients experience slight swelling, tingling or tenderness to the touch, but these are temporary in nature. Other, less common post-procedural e�ects may include temporary bruising or numbness on small areas of skin. As with any medical procedure, there is the possibility for other rare e�ects, which your practitioner will review with you.

How much does an Ultherapy® procedure cost? The cost of an Ultherapy® treatment can range depending upon the area being treated and factors such as geographic location and individual physician practices. Since the treatment is so personalized, to get the most accurate price quote, it is best to speak with a Tracey Bell Laser Surgeon, to connect, please call our callcentre for more information, or book online at 01624 613323 www.traceybell.co.uk

Is Ultherapy safe? The FDA-cleared Ultherapy® procedure has been used safely in over 250,000 treatments worldwide. Ultrasound energy has been used safely in the medical �eld for more than 50 years. In addition, every Ultherapy practitioner receives extensive procedural training at Tracey Bell, so you can feel con�dent in.

BEFORE AND AFTER PHOTOS