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When it came time to treat, eCO2 delivered. ‘The


improvement our patient obtained from a single treatment in terms of increased range of motion was extremely gratifying. Not only did it enable him to do mundane tasks we all take for granted, but the prospect of additional improvement has given him a renewed outlook on life. This is aesthetic medicine at its best. I think the military is very interested in this because of the kinds of recovery issues they are faced with on a regular basis. Twenty years ago, what might have killed someone is survivable, but recovery is hard.’ Burn scars are especially challenging. ‘These people


can’t easily open and close their hands, for example. The associated contractures cause stress to bones and tendons that even a dozen surgeries cannot truly alleviate.’


Immediately after treatment the patient commented on what he felt to be obvious improvement. ‘He felt he could more easily move his fingers, and the mechanism behind this is somewhat obvious and elegant. It’s a combination of collagen remodelling, release of tension, and more, but we have a lot to learn about it. The military is interested enough in the fractional technology to fund a large grant at Massachusetts General Hospital to explore this further. eCO2 is a truly worthy technology and it’s very exciting to be able to change lives like this.’


versatility, safety, and reliability.’ According to Dr Ibrahimi, the microablative columns open up a new dimension of drug delivery* also, which he is currently exploring. ‘This is a new trend I see moving forward, using devices to make skin permeable to drugs to facilitate delivery across the dermal barrier. This will increase as we learn more about the pharmacokinetics of delivering drugs in this manner.’ Being research-oriented, Lutronic is not only


Reliability and exciting prospects The average patient has a lot to look forward to as well. Comfort during treatment is promoted with simple topical anaesthesia, coupled with the device’s cooling system. ‘Patient tolerance of treatment has been easy to manage,’ Dr Ibrahimi said. ‘And the forced air cooling provides an additional layer of comfort. I see eCO2 setting the standard for fractional CO2


in terms of


Courtesy of WS Kim, MD, Korea Courtesy of M.G. Rubin, MD, USA


and available to customers. They want to discover the truth and use it to craft better devices; Lutronic doesn’t pretend to know it all or be the last word on what their devices can do, but they do strive for that ideal. Their people know the business and are extremely efficient and easy to work with.’ For doctors considering the addition — or upgrading — of platform in their practice, Dr Ibrahimi had this to laser is a valuable part of any practice


a CO2


performing laser procedures. I would recommend that the physicians ask themselves what types of treatments their patient population is expected to request. One of the nice things about eCO2 is that is allows one to perform both fractional and fully ablative resurfacing treatments without any expendable tips. I have found this utility and versatility adds value to my practice. Consider also what the company offers in terms of corporate philosophy, as well as support and training. In my experience, Lutronic has been nothing short of wonderful.’


say: ‘The CO2


constantly improving its product line, they’re responding to the physician’s needs and are working to maximise the benefit of the technology and its usefulness. ‘Lutronic is open to new ideas, firm but flexible in their training,


* Although such indications have not yet received FDA clearance in the US, Lutronic is currently working on obtaining these clearances through a variety of clinical evaluations


Further information: www.Lutronic.com/eCO2 prime-journal.com | January/February 2013


combination of“It’s a collagen


remodelling, release of


tension, and


more... eCO2 is a truly worthy technology and it’s very


exciting to be able to change lives like this.


” ❚ 57


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