LE Catalog

HOW DOES IT WORK?

INNOVATIVE PULSE MODES FOR HIGHEST PERFORMANCE

Fotona SMOOTH® mode Fotona SMOOTH® mode
Er:YAG

Fotona SMOOTH® Mode enables non-ablative laser skin
remodeling based on controlled induction of thermal injury of
the collagen while preserving the epidermis. In addition to an
immediate effect resulting in the shrinkage of collagen fibers,
the initiation of neocollagenesis occurs causing the generation
of new collagen. The effects result in an overall improvement of
laxity and elasticity in the treated tissue.

FRAC3® mode Nd:YAG A B C

A novel non-ablative, three-dimensional fractional modality Standard uniform laser Standard two– Three–dimentional
for skin treatments. FRAC3® utilizes the short pulse duration treatment dimensional fractional FRAC3® laser treatment
and high peak power density of Fotona VSP™ generated treatment
Nd:YAG laser pulses to produce a three-dimensional fractional
pattern in the epidermis and dermis, with damage islands
that are predominantly located at the sites of targeted skin
imperfections.

PIANO™ mode Nd:YAG 37.9°C ∆Tapl
36 Standard
This new, super-long modality extends the duration of Nd:YAG ∆T (a.u.)
treatments to the seconds regime. This is much longer than 34 pulse
the thermal relaxation time of the epidermis or any other skin
structures, and does not cause high initial temperature peaks 32 PIANO
in the epidermis. It is therefore indicated for treatments where
overall homogeneous, bulk heating of the dermis is desired. 30 epidermis
dermis
28
27.1°C 0
1234

Controlled bulk heating

MSP mode Er:YAG Medium Warm Peel
Deep Hot Peel
Er:YAG laser utilizes a unique wavelength that is absorbed within Smooth Hot Mode
a few microns of tissue, thus avoiding any damage to deeper- Light Cold Peel
lying tissues. VSP™ technology enables the operator to easily Deep Cold Peel
adjust the laser treatment modality from micro–short (MSP)
to extra–long (XLP) pulses in order to precisely balance the
removal of epidermis with thermal effects on collagen.

Tissue penetration

BEFORE AFTER BEFORE FractionatedAFTER BEFORE AFTER
Medium Warm Peel
Fractionated
Deep Hot Peel
Fractionated
Smooth Hot Mode
Fractionated
Light Cold Peel
Fractionated
Deep Cold Peel

courtesy of: A. Gaspar, M. D. courtesy of: H. Shiffman, M. D. courtesy of: Fernandez, M. D.

9

ADDITIONAL ®

S m o o t h E yeTREATMENT

TIGHTENING OF PERIOCULAR
REGION TO REDUCE WRINKLES

• Immediate freshness and tightness • Little-to-no downtime
• Stimulates collagen remodeling and • Gentle, fast and non-invasive
• Safe and precisely controlled
initiates neocollagenesis

TIGHTENING collagen remodeling and contraction.

SMOOTH® modality Er:YAG The intire periocular region is covered
including regions above, below and lateral to
To reduce wrinkles around the eyes in a non- the eye.
invasive approach, the non-ablative Er:YAG
SMOOTH® mode is applied to stimulate The therapy is very well tolerated
by patients, with no discomfort described.

BEFORE AND AFTER PATIENT IMAGES AFTER

BEFORE

Courtesy of: Tania Phillips, M.D.

courtesy of: Jolanda Grayling BEFORE AFTER
courtesy of: Pham Huu Nghi, M. D. BEFORE AFTER
BEFORE AFTER

10 courtesy of: Jong-Gu Kim, M. D.

ADDITIONAL ™

L i p L a s eTREATMENT

FULLER LIPS
WITHOUT INJECTABLES

• Non-invasive plumping for fuller and smoother lips
• Stimulates collagen remodeling
• Initiates new collagen synthesis
• No downtime

PLUMPING nothing artificial as patients develop their
own collagen in their lips.

SMOOTH® modality Er:YAG With several adjusted passes the

Provides an immediate response that characteristics of ‘ideal lips’ can be

patients will notice. achieved such as fullness, volume,

correct balance between the upper and
In contrast to injectable fillers, the LipLase™ lower lips and a well-defined vermilion
treatment is non-invasive, and there is
border.

BEFORE AND AFTER PATIENT IMAGES AFTER

BEFORE

courtesy of: Jolanda Grayling

BEFORE AFTER

courtesy of: H. Shiffman, M. D. BEFORE AFTER
courtesy of: N. Teovska Mitrevska, M. D.
11

TESTIMONIALS

“I have been impressed by Fotona4D’s versatility and efficiency,
especially for bulk heating in PIANO mode. “I can heat the skin so much
more efficiently than with anything else out there. It saves me time,
numbing cream and pain management”. “In my experience it’s proven
to be one of the most efficient, least costly methods of skin tightening
for me as a provider. It’s about doing more for our patients and
practices, and Fotona4D® enables us to accomplish these objectives.”
— Dr. Mark B. Taylor

MULTI-DIMENSIONAL CHOICE
“The Fotona4D® facelift gives the physician a new and powerful non-
invasive therapy. With Fotona4D®, our patients now have a multi-
dimensional choice of safe and effective treatment options for their
aesthetic needs. Fotona4D® provides a comfortable and painless
treatment that does not require consumables or downtime.”
— Adrián Gaspar, MD

NATURAL LOOKING RESULTS
“I love that I can provide my patients with long lasting, natural looking
results. I am able to tighten, volumize and restore collagen to the face
while improving skin tone and texture to restore my patients’ youthful
appearance without the risk of injectables and no downtime. My
patients are delighted with the ‘natural glow’ of their new skin!”
— Tania Phillips, MD

“Fotona4D® face-lifting tackles problems of laxity around the mouth
and jowls, which other systems or surgery will find difficult to address.
This is a relatively painless procedure with no downtime.”
— Hong Tan, MD

12

WORLD CLASS SUPPORT

LA&HA SYMPOSIUMS TRAININGS
• Global & Regional • Led by leading international laser experts
• Live demos and hands-on
ON-LINE SUPPORT • Explore all areas of medical lasers
• My Fotona • Great experience-sharing opportunity
• Mobile App
• Fotona User Group

THE LASER AND HEALTH ACADEMY (LA&HA) IS
FOTONA’S PARTNER IN EDUCATION & CLINICAL
RESEARCH ON MEDICAL LASER APPLICATIONS.

www.laserandhealth.com THE LASER AND HEALTH ACADEMY
The Laser and Health Academy (LA&HA®) is a not-for-
profit organization dedicated to the promotion of research,
education and publishing in the field of laser medicine.

RESEARCH: LA&HA® collaborates with industry, medical
professionals and universities on projects aimed at the
development and improvement of laser applications.

EDUCATION: LA&HA® serves as a platform for continuous
education, with a focus on practical instruction and
the demonstration of laser techniques and procedures,
delivered through a variety of workshops and seminars by
experienced lecturers.

www.laserandhealth.com/en/journal/

13

TIMEWALKER™ LASER RANGE

CONFIGURATION Er:YAG Nd:YAG MEDICAL GRADE
TITANIUM ACCESSORIES

Fotona 4D 12 W, 0.9 J 30 W, 10 J

MSP, SMOOTH FRAC3, PIANO

20 W, 1.5 J 30 W, 20 J PS03X
R11
Fotona 4D PRO MSP, SP, LP, FRAC3, PIANO,

VLP, SMOOTH VERSA, LLLT

FS01

R33-T
R34-T
Genova

14

SCIENTIFIC EVIDENCE

Dual Tissue Regeneration: Non-Ablative Resurfacing of Reduction of the Volume and Wrinkles under the Eyes
Soft Tissues with FotonaSmooth® Mode Er:YAG Laser using Non-Ablative 2940 nm Er:YAG Laser on the Lower
Matjaz Lukac, Adrian Gaspar, Franci Bajd Eyelid Palpebral Conjunctiva
J LA&HA - J Laser Health Acad 2018; 2018(1):01-15 Kim Jong-Gu, Anže Zorman
J LA&HA - J Laser Health Acad 2018; 2018(1):36-38
Histological Changes in Skin During the Process of Aging
and Improvements Observed with the Use of Combined Photo-Thermal Hormetic Rejuvenation with 1064 nm
Laser Radiation Nd:YAG PIANO Pulse Laser
Natalia Shanina Leonardo Marini, Andreas Alexiou
J LA&HA - J Laser Health Acad 2018; 2018(1):S09 J LA&HA - J Laser Health Acad 2012; 2012(1):75-79

Correction of nasolabial folds wrinkle using intraoral non- The effect of intraoral 2,940nm nonablative Erbium:YAG
ablative Er:YAG laser laser on the rejuvenation of the upper lip: a pilot study
Howyda ME, Khaled G  Natacha Quezada Gaón, Fernanda Binfa
Journal of Cosmetic and Laser Therapy (2018). 20:6, 364-368 Surg Cosmet Dermatol 2017;9(1):56-8

Optical coherence tomographic (OCT) evaluation of Evaluation of effectiveness of erbium:yttrium–aluminum–
intraoral non-ablative erbium: YAG laser (SMOOTH garnet laser on atrophic facial acne scars with 22-MHz
mode) in rejuvenation of nasolabial folds; A prospective digital ultrasonography in a Turkish population
randomized split face comparative pilot study Burhan ENGI˙N, Zekayi KUTLUBAY, O ¨ zge KARAKUS¸ ,
Moftah N., Samy N., Allam R.S.H.M., El Tagy S.A.H., Gu¨rkan YARDIMCI,
Abdelghani R. Zafer DOG˘ AN, Yalc¸ın TU¨ ZU¨ N, Server SERDAROG˘ LU
Skin Res Technol. 2019;00:1–8. The Journal of Dermatology 2012; 39: 982–988

Tightening of Facial Skin Using Intraoral 2940 nm Er:YAG Non-Surgical Periorbital Rejuvenation – A Holistic
SMOOTH Mode Approach
Adrian Gaspar, Gustavo Alfaro Gasti Lucas LC Chia
J LA&HA - J Laser Health Acad 2013; 2013(2):17-20 J LA&HA - J Laser Health Acad 2018; 2018(1):S11

Intra- and Extraoral Treatment for Rejuvenation of the Effect of pulse width of a variable square pulse (VSP)
Nasolabial Fold and Perioral Wrinkles erbium:YAG laser on the treatment outcome of periorbital
Claudia M. Pidal, MD wrinkles in Asians
J LA&HA – J Laser Health Acad 2012, 2012(1), B20 Woraphong Manuskiatti, Sujittra Siriphukpong, Supenya
Varothai, Rungsima Wanitphakdeedecha, and Richard E.
New Rejuvenation of the Lips with Erbium:YAG and Fitzpatrick
Nd:YAG laser International Journal of Dermatology 2010, 49, 200–206
Natasa Teovska Mitrevska
J LA&HA - J Laser Health Acad 2018; 2018(1):S10 SmoothEye – Periocular Rejuvenation with Er:YAG
SMOOTH Mode
Minimally Invasive Skin Rejuvenation With Erbium: YAG Dr. Tania Phillips
Laser Used in Thermal Mode J LA&HA - J Laser Health Acad 2018; 2018(1):CB05
Karin Kunzi-Rapp, Christine C. Dierickx,Bernard Cambier,
and Michael Drosner Collagen synthesis after laser skin resurfacing of the
Lasers in Surgery and Medicine 38:899–907 (2006) periocular skin
Matej Beltram, Marko Živin, Brigita Drnovšek-Olup
Zdrav Vestn Supl, 2010, 79, 111 –116

EXAMPLE: Analysis of the morphological patterns:
Before (A) and after (B) treatment: increased
N. SHANINA, HISTOLOGICAL CHANGES OF SKIN DURING connective tissue density, increased eosinophilic
THE PROCESS OF AGING - CORRECTION WITH THE USE connective tissue (hematoxylin / eosin).
OF Fotona4D

• 80 patients
• Ultrasound shows a significant increase in skin thickness
• Histology shows

• increase in the density of connective tissue
• thickness of the epidermis
• new blood vessels

High-frequency ultrasound images: 15
preliminary result before the laser correction
course / after a course of laser correction.

Committed to Engineering

THE HIGHEST PERFORMANCE, BEST MADE LASER SYSTEMS
IN THE WORLD

since 1964

Founded in 1964, only four years after the invention of the very first laser, Fotona is
one of the most experienced developers of high-technology laser systems. Fotona
today is a world-leading medical laser company recognized for its innovative,
award-winning laser systems for applications in aesthetics & dermatology,
dentistry, surgery and gynecology. Based in the EU, US and China, Fotona’s
business philosophy is to continuously choose perfection to ensure the maximum
performance and efficacy of its medical devices.

Fotona, LLC Fotona, d. o. o. Fotona GmbH Fotona Beauty Light, (Suzhou)
2307 Springlake Road Stegne 7 Hohlbachweg 2 Medical Devices Co, Ltd.
#518 1000 Ljubljana 73344 Gruibingen, No 2, Zengfu Road, Guli Town
Dallas, TX 75234 Slovenia Germany Changshu City, Jiangsu Province
USA EU EU CHINA, 215515

www.fotona.com

M021-5AF/1
M002-6A/2

For related patents see: www.fotona.com/patents

104453 CE ENG/1

StarWalker® MaQX

Ultra Performance Q-Switched
Laser System

New Revolutionary
Adaptive Structured Pulse
Technology

Beast within a Beauty:
Top Performance &
Award Winning
Design

Key benefits

• Third-generation ASP technology for ultimate precision,
efficacy and safety of treatments

• Widest range of procedure modes, including unique
MaQX, VERDE, FRAC3 and VERSA3 modes for pigment,
vascular and collagen treatments

• Impressive line of advanced smart control handpieces
• Intuitive, easy-to-use parameter selection
• Minimally invasive, safe treatments with little downtime
• Great patient comfort and satisfaction

StarWalker® MaQX

Functionality
StarWalker’s third-generation technology provides highest
power and treatment capability in the most advanced and the
most compact design.

OPTOflex® arm with patented vacuum cell
technology for distortion-free beam delivery
to the treatment site

14 laser modalities and 4 laser wavelengths
for the widest range of treatments

Pulse modalities from nanoseconds to
microseconds, milliseconds and seconds
for optimal effect on the tissue site

Intuitive and intelligent graphical user
interface

Instant access to preprogrammed
procedures via a large display

Wireless footswitch for freedom and
convenience in system control

Top-hat beam profile for uniform treatments
with predictable results

Quick-release mechanism for fast exchange
of handpieces

Compact handpieces with automatic
real-time handpiece type and spotsize
detection

Fotona proprietary ASP (Adaptive Structured
Pulse) technology enabling laser pulse shapes
to be adapted to the bio-photonic dynamics
of a particular treatment

Dual monitor EFC energy control to ensure
the precision of laser output

Ultra performance laser system with an
exceptionally small footprint

3

Performance at your
fingertips with an interactive
touch screen

Widest Range of Clinical
Applications

1064 nm Nd:YAG 532 nm KTP 585 nm dye 650 nm dye
QX QX
Pigments, Tattoo MaQX-1 MaQX-1
QX QX
FracTAT MaQX-2, MaQX-5, -
Melasma, Pigmented Lesions MaQX-10 - -
-
Acne scars, Active acne MaQX-1, MaQX-2, QX -
MaQX-5, MaQX-10 MaQX-1, MaQX-2, - -
Skin toning, Skin Whitening MaQX-5, MaQX-10 - -
Photodamaged skin MaQX-1, MaQX-2, -
MaQX-5, MaQX-10, - QX -
- -
VERSA3 - -
-
MaQX-1, MaQX-2,
MaQX-5, MaQX-10

FRAC3

Wrinkles, Pores, Skin rejuvenation VERSA3 -

Vascular lesions, Veins, VERSA3 VERDE
Haemangiomas -
Hair removal VERSA3, MaQX-10, -
FRAC3
Warts VERSA3

Onychomycosis VERSA3, MaQX-10 -

The Interactive Touch Screen Guides Users Two Models
Through All Treatments
• StarWalker® MaQX is the most advanced and
Key benefits highest performance StarWalker model.

• Easy to use, intuitive interface puts an entire range of • StarWalker® QX is Fotona’s standard high
applications at your finger tips performance Q-Switched StarWalker model.

• Responsive parameter control 1064 nm StarWalker® MaQX StarWalker® QX
• User-friendly application wizards for recommended 532 nm MaQX-1, MaQX-2,
585 nm MaQX-1, MaQX-2,
parameters MaQX-5, MaQX-10, FRAC3
• Fully customizable memory storage for pre-set Turbo
Turbo
treatments FRAC3 MaQX-1, MaQX-2,
• Procedure log keeps track of all procedures for quick VERSA3 Turbo

recall of past treatment parameters by calendar date MaQX-1, MaQX-2, QX
• Control Panel tracks all procedure statistics during MaQX-5, MaQX-10, QX

treatments Turbo
VERDE
4
QX

650 nm QX

Ease of use
StarWalker’s new advanced touch screen user
interface features intuitive navigation and
exceptional flexibility.

5

OPTOflex® Vacuum Cell
Technology

Innovation at Work

Reliability Patented solutions
StarWalker is built on for a homogenous
Fotona’s foundation beam profile
of over 50 years of
experience, with quality Homogeneity of a laser beam profile ensures safety during treatment since laser
and reliability being one energy is evenly distributed across the treated area. Epidermal damage is mini-
of the pillars of company’s mized and the risks of bleeding, tissue splatter and transient textural changes in
commitment and the skin are decreased. Achieving homogeneous beam profiles has been a great
reputation. challenge for the laser industry due to the nonlinearity of Q-switched lasers.
Fotona’s StarWalker advanced Q-switched laser technology relies on ground-
breaking solutions such as patented OPTOflex® and Vacuum Cell Technologies
to produce almost perfectly homogeneous beam profiles.
The OPTOflex® articulated arm is specifically designed to efficiently transmit the
laser beam without losing energy or changing the beam’s original properties.
The shape and magnitude of the aiming beam enhances visibility, allowing for
easier, faster treatments and greater precision. OPTOflex® is light, compact and
folds back to decrease system height.
With laser quality benefits unlike any other beam delivery system, OPTOflex® is
definitive of the next generation in laser delivery systems for high-power lasers.

6

Full-beam and
fractional handpieces

The StarWalker’s full beam and fractional handpiece techno-
logy enables physicians to provide advanced solutions for a
broad range of treatments.
Fractional handpieces harness the powerful photomechanical
effect of the StarWalker into tightly focused arrays. These ar-
rays contain concentrations of energy while the surrounding
area remains unaffected by the laser light.

Fractional handpiece
FS20A

Full-beam handpiece
R650

Longer System Lifetime:
Almost 100% flashlamp
pulse utilization

Most standard Q-switched laser systems can only achieve sta- Fractional beam
ble output during laser beam operation by ensuring that their Full-beam
flashlamps are pulsed internally at a constantly high repetition
rate, even when the operator selects a single-pulse or low rep-
etition rate mode. As a result the laser system and especial-
ly the flashlamp, one of the most important components, can
burn out prematurely due to overuse. This is not the case with
the StarWalker’s patented Vacuum Cell & OPTOflex technology,
where the laser flashlamp is activated only when actual laser
output is required. A much lower burden on the laser system
is imposed, resulting in a longer flashlamp lifetime and lower
costs of laser system maintenance.

7

Taking Your Practice
into the Future

Third Generation ASP Technology

StarWalker® and its groundbreaking ASP (Adaptive Structured Pulse) techno-
logy represent a cosmic shift forward for the medical and aesthetic laser indus-
try. This third-generation technology combines the unsurpassed range of pulse
duration modes of Fotona’s VSP (Variable Square Pulse) technology with the
revolutionary capability of ASP technology to adapt the temporal structure of
laser pulses to the bio-photonic dynamics of laser-tissue interaction.

New Revolutionary
Adaptive Structured Pulse

Technology

Laser pulse power
Laser pulse power
Laser pulse power

Time Time Time

Standard PFN Fotona VSP Third Generation Fotona
Technology Technology ASP Technology

Modulated Acoustics Q-Switched
(MaQX) Laser System

Fotona’s StarWalker laser system features the entire range of super-short pulse
technologies in a single, high-performance solution. StarWalker’s patented
MaQX pulse modalities produce powerful bursts of laser energy that photo-
acoustically break apart skin pigmentations into smaller, more easily eliminated
particles.

9

New Revolutionary
Adaptive Structured Pulse
Technology

Fotona Q-Switched
Pulse Power

StarWalker’s unique TMD (Transverse Mode Discrimination) laser oscillator technology combined
with the ASP pulse control delivers very short (5 nsec) Q-switched pulses consisting of a high
energy train of ultra-short bursts of energy in trillionths of a second, enabling photomechanical
impact to shatter tiny skin targets without injury to the surrounding skin. StarWalker’s techno-
logy thus combines the high energy capabilities of nanosecond lasers with the ultrashort pulse
peak powers of traditional picosecond lasers.

Best of
Both Worlds

Picosecond pulse power
with the high energy of

nanosecond pulses

580 psec A typical measured local
5 nsec temporal intensity of the
StarWalker’s 1064 nm MaQX
-12 -10 -8 -6 -4 -2 0 2 4 6 8 10 12 pulse. The 1064 nm MaQX
Time (nsec) pulse consists of high peak
power picosecond micro
pulses within an overall
nanosecond high energy
macropulse.

When absorbed in skin pigments, extremely
short energy bursts of picosecond structured
MaQX pulses generate photoacoustic
shockwaves that disintegrate irradiated
pigment particles into tiny particles that are
then easily eliminated by the body.

10

New Revolutionary
Adaptive Structured Pulse

Technology

Fotona MaQX – Unmatched
Q-Switched Pulse Energy

Based on revolutionary ASP technology, StarWalker is capable 10
of delivering up to an unprecedented 10 J of Q-switched energy
in one giant structured MaQX pulse. 8 Q-Switched Energy (J)
The unique MaQX high energy capability of StarWalker enables
the generation of a higher energy photoacoustic effect at the 6
treatment site, leading to more effective and faster treatments.
Additionally, with high MaQX energies, larger spotsizes can be 4
used resulting in more homogeneous treatments of even deep-
er lying skin pigments, and therefore with reduced risk of un- 2
wanted side effects.
0

Standard Standard Fotona
QS Q-PTP MaQX-10

Ultimate safety with
Q-Switched treatments

Patient safety and comfort with ultra-performance MaQX mode treatments are MaQX
further enhanced by the StarWalker’s unique capability that allows the user to Technology
select the softness level (MaQX-1, MaQX-2, MaQX-5 or MaQX-10) of the treat-
ment. When a higher softness level is selected, the StarWalker’s ASP technology Ultra high
ensures that the generated acoustic energy is released at an acceptable acous- Q-switched energy
tic power, resulting in a “softer” and less invasive effect on the tissue. for ultimate speed

MaQX mode and precision
softness level setting

MaQX mode energy setting
MaQX mode spotsize setting

Speed and precision
StarWalker’s MaQX capabilities allow the operator to
perform treatments with unprecedented efficacy and
precision, and with increased safety enabled by the
operator-adjustable “softness” level of the treatment.

11

New Revolutionary
Adaptive Structured Pulse
Technology

Empowered
by ASP Technology

Fourteen Laser Modalities

StarWalker features an extraordinary 14 laser modalities operating at 4 complementary laser
wavelengths. Based on the ASP technology, StarWalker modes are tailored to the requirements
of specific treatments, a feature that has not been possible with earlier technologies.

Wavelength nanoseconds Pulse width milliseconds
microseconds VERSA3
1064 nm MaQX-1, MaQX-2,
532 nm MaQX-5, MaQX-10, FRAC3 VERDE
585 nm -
650 nm Turbo - -
-
MaQX-1, MaQX-2, -
MaQX-5, MaQX-10,

Turbo

QX

QX

Four Laser Wavelengths

StarWalker delivers four laser wavelengths to cover the complete absorption spectrum of mela-
nin, oxyhemoglobin and water.

1064 nm 650 nm 585 nm 532 nm

532 nm 1064 nm
KTP 585 nm Nd:YAG

650 nm

Absorption Coefficient H2O

Melanin HbO

HbR

Wavelength

StarWalker’s wavelengths are located at Four wavelengths to treat structures at

appropriate skin absorption peaks and different skin depths.

12 minimums.

New Revolutionary
Adaptive Structured Pulse

Technology

VERDE 532 nm mode
for Treating Vascular
Lesions

The 532 nm wavelength is located at one of the oxyhemoglobin 5 nsec
absorption peaks, which makes it an ideal candidate for treating
vascular lesions. Based on the revolutionary ASP technology, Laser Power 15, 20, 30, 50 msec
StarWalker features a unique green long-pulse VERDE pulse
mode that has been designed specifically to treat vascular Time Standard QS Fotona VERDE
lesions. The StarWalker’s VERDE mode provides a range mode mode
of long-pulse durations (15, 20, 30, and 50 ms), adapted to
correspond to the TRT of superficial red vessels. StarWalker’s unique VERDE mode delivers 532
nm energy in long millisecond pulses designed
for treating superficial vascular lesions.

FRAC3 and VERSA3
1064 nm modes

StarWalker features a FRAC3 pulse mode which utilizes the Laser Power 5 nsec 15, 20, 25, 50 msec
short submillisecond pulse duration and high peak power 0.6 msec
density at 1064 nm to produce a self-induced three-dimensional
fractional pattern in the epidermis and dermis, with damage Time Standard QS Fotona Fotona VERSA3
islands that are predominantly located at the sites of targeted mode FRAC3 mode long mode
skin imperfections. Key applications of the FRAC3 mode include
skin rejuvenation and removal of thin hair. Standard Q-switched laser systems cannot
deliver Nd:YAG laser pulses in the ‘long-pulse’
duration regime.

StarWalker also delivers 1064 nm VERSA3 mode pulses with a range of durations (15, 20, 25, and 50 ms), which
are clinically well proven for a broad range of treatments, such as hair removal, wrinkle reduction, treatment of
warts or treatment of onychomycosis. In addition, the StarWalker’s ASP technology modulates the pulse to create
a “FRAC3 type” microsecond structure superimposed on the milliseconds long VERSA pulse, thus combining the
beneficial effects of the “long” 1064 nm pulse with the self-induced fractional capability of the FRAC3 modality.

Photon emission energy converter
of the StarWalker’s TMD (Transverse Mode
Discrimination) laser oscillator

Versatility
StarWalker’s range of laser sources and wavelengths
enables a wide range of treatments, from tattoo removal
and pigmented and vascular lesion removal to skin
rejuvenation, acne treatments, hair removal and more.

Expanded Treatment Range

Epidermal and dermal
pigmented lesions

StarWalker’s MaQX and QX modes are ideal tools for effectively treating a wide variety of epider-
mal and dermal pigmented lesions on all skin types.
Melanin absorption is highest at 532 nm, and then decreases towards longer StarWalker wave-
lengths. On the other hand, the dermal penetration depth is greatest at 1064 nm. Therefore, the
532 nm is useful for removing epidermal pigmentation such as freckles, and the 1064 nm is suit-
able for removing pigments deeper in the dermis.

Courtesy of AB Goodall Courtesy of DMT

TwinToning: combined 1064 nm and 532 nm AngelWhite: 1064 nm MaQX skin whitening
MaQX skin toning

Courtesy of KW Book Courtesy of J. Kozarev

Melasma with MaQX 1064 nm Age spots with MaQX 1064 nm

Courtesy of S. Saracoglu Courtesy of KW Book

Nevus of Ota with MaQX 1064 nm Removal of freckles with MaQX 1064 nm mode

Versatility
StarWalker’s twelve laser modes provide the user with
treatment options otherwise not available with Q-switched
laser systems.

Enhanced Vascular Treatments

Courtesy of Fotona Vascular treatments

The 532 nm wavelength is located at one of the
oxyhemoglobin peaks, which makes the Star-
Walker VERDE mode an ideal candidate for
superficial vascular treatments, while 1064 nm
is used for treating deeper and larger vessels.

Spider vein before and after

Courtesy of Fotona Courtesy of U. Ahcan

Spider vein before and after Treatment of port-wine stain with VERDE
mode
Acne treatments
Facial redness

Courtesy of D. Kaliterna Courtesy of D. Kaliterna

Fractional 1064 nm MaQX treatment of active Fractional 1064 nm MaQX treatment of facial
acne redness

Hair removal Facial pores

Courtesy of DMT Courtesy of Fotona

Hair removal with VERSA3 1064 nm mode Treatment of pores with MaQX 1064 nm

15

Fotona FracTat™
Tattoo Removal

Advanced Tattoo Removal

FracTat™ Multi-color laser for
multicolor tattoos
Combined
fractional ablative The Fotona StarWalker ASP ultra-short pulse technology combines 4 different
wavelengths in an advanced, high-powered solution for tattoo removal.
and Q-switched
photoacoustic Pigment Color green sky blue (light) red, tan, orange,
tattoo removal purple
blue, brown, gray,
procedure black (dark)

1064 nm 650 nm 585 nm 532 nm
Laser Wavelength

Generally, the greater the absorption of laser light in the tattoo pigment gran-
ules at a certain wavelength, the greater the energy available to break up these
tattoo pigment granules.

Courtesy of Fotona Courtesy of Dr. J. Kozarev

Color tattoo before and after Color tattoo before and after

Courtesy of Dr. U. Ahcan Courtesy of L. Marini

Color tattoo removed after five treatments Cosmetic tattoo (permanent make-up)

16 removal

Advantages of FracTat:

When a Q-switched laser pulse strikes the tattoo pigment it • Enhanced generation of photoacoustic
generates gas and steam within the skin. This causes an optical shockwaves
shielding or “frosting” effect that prevents any subsequent laser
pulse from effectively reaching the deeper-lying pigments. Fur- • Reduced frosting and pressure on
thermore, gas bubbles which are formed around the pigment surrounding tissue
particles can damage the surrounding tissue.
• Multiple MaQX irradiations can be made
during a single session

• Direct pigment removal via ablation and
healing of fractionated skin

• Enhanced generation of photoacoustic
shockwaves

Standard Treatment

1 234

Before the treatment First treatment with a Gas bubbles Subsequent Q-switched
Q-switched pulse following the pulses are blocked from
Q-switched reaching deeper lying
treatment pigments

When the Fotona patented FracTat™ procedure is performed, micro holes are first drilled into the
skin using a fractional ablative laser handpiece. The fractional micro holes act as pressure relief
ducts through which the gasses can escape without building up excessive pressure.

FracTat™ treatment
1 234

Micro holes are First treatment with a Reduced frosting Subsequent MaQX
drilled with an pulses are not
ablative fractional MaQX pulse effect blocked from
laser reaching deeper lying
pigments

Courtesy of L. Marini, Italy Reliability
StarWalker’s MaQX peak
Before Following FracTat After energy, four colors and
treatment proprietary FracTat™
procedure make
StarWalker an industry
leading tattoo removal
laser system.

Excellence in Your Hands

A focus on applications with an Full-beam
impressive line of advanced and Fractional
easy-to-use handpieces beam Titanium

handpieces

handpiece wavelength spotsize spot shape
R28 1064 / 532 nm 2 - 8 mm circle
R29 1064 / 532 nm 1.5, 2, 3, 10, 12.5, 20 mm circle
R58 1.5 - 6 mm circle
R585 532 nm 2, 3, 4 mm circle
R650 585 nm 2, 3, 4 mm circle
FS20 650 nm 9x9 mm
1064 nm 9x9 mm fractional, 25 pixels
FS20A 1064 nm 5x5 mm fractional, 81 pixels
FS20B 1064 nm 7x7 mm fractional, 25 pixels
FS20C 1064 nm 9x9 mm fractional, 49 pixels
FS50 532 nm 5x5 mm fractional, 25 pixels
FS50B 532 nm fractional, 25 pixels

Key benefits

• Quick-release mechanism for attaching handpieces to the OPTOflex articulated arm
• FracTat technology offers a wide range of ablative and nonablative fractional treatments

with different wavelengths and matrix patterns
• Automatic Detection: on-the-fly detection of type of HP, spot-size and spacer. HPs retain

their compact size even with the automatic detection feature
• Unified handpiece design with built-in CPU for optimal safety and performance
• Titanium construction

18

Perfection
When you choose Fotona, you choose a company committed
to designing, manufacturing and delivering the highest
performance, best made laser systems in the world.

19

Committed to Engineering

The Highest Performance, Best Made Laser Systems in the World

since 1964

Fotona, LLC Fotona, d. o. o. Fotona GmbH
2307 Springlake Road #518 Stegne 7, 1000 Ljubljana Hohlbachweg 2
Dallas-Farmers Branch, TX 75234 Slovenia, EU 73344 Gruibingen,
USA Germany, EU

Founded in 1964, only four years after the invention of the very first laser, Fotona is one of the most
experienced developers of high-technology laser systems. Fotona today is a world-leading medical
laser company recognized for its innovative, award-winning laser systems for applications in aesthetics
& dermatology, dentistry, surgery and gynecology. Based in the US and EU, with corporate headquar-
ters in Dallas, Texas, and Ljubljana, Slovenia, Fotona’s business philosophy is to continuously choose

perfection to ensure the maximum performance and efficacy of its medical devices.

www.fotona.com

ISO 9001:2008, EN ISO 13485:2003,
MDD 93/42 EEC Annex II excluding
(4), ISO 13485:2003 (CMDCAS).

VISIBLE AND INVISIBLE LASER RADIATION
AVOID EYE OR SKIN EXPOSURE

TO DIRECT OR SCATTERED RADIATION
CLASS 4 LASER PRODUCT

OP. MODE Q-switch LP Q-switch LP PILOT
WAVELENGTH 1064 nm 1064 nm 532 nm 532 nm 635 nm
MAX. OUTPUT 1.9 (12) J 9(18) J 0.7(5) J 5 J <1 mW
PULSE DURATION 5 ns(2.6 ms) 0.6(15)ms 5 ns(2.6 ms) 20 ms CW
97370 CE ENG/4
IEC 60825-1
/ 2014
98850

Magnetic Body Sculpting and Muscle Strengthening

StarFormer™ is Fotona’s latest innovation in body shaping.
This breakthrough technology utilizes magnetic pulse
energy to stimulate muscle contraction. As a result,
muscles strengthen, tone and firm.
The system provides two treatment options:

• TightWave™
muscle strengthening, toning and

firming of weakened areas

• IntimaWave™
strengthening of pelvic floor muscles to

treat stress urinary incontinence

How it Works

StarFormer™ uses magnetic stimulation
technology to selectively target muscle
tissues. Magnetic pulses harmlessly
penetrate into the muscle layers causing
them to automatically contract. The end
result is increased muscle mass.

current

Direct muscle
stimulation
with applicator

TightWave™ is a breakthrough treatment for effective
strengthening, shaping and firming of 7 different areas of the body:

• Glutes
• Abdomen
• Hamstring & Thighs
• Calves
• Biceps & Triceps
• Shoulder
• Back

The treatment is performed with the patient lying down
fully clothed. One session generally lasts between 20 to
30 minutes with patients resuming their daily activities
immediately after treatment.

StarFormer™ can additionally be used to stimulate pelvic floor muscles and back, utilizing
two applicators to treat all types of male or female urinary and faecal incontinence. During
treatment the patient remains fully clothed and sits on a comfortable IntimaWave™ chair. The
magnetic applicators in the chair stimulate muscle contraction in the entire pelvic floor area,
increasing the strength and endurance of the pelvic floor. The result is effective and long-term
relief of uncontrolled urine flow.

Before After

Pelvic floor muscles Magnetic stimulation
insufficiently support pelvic induces pelvic floor muscle
organs effecting bladder strengthening and the return of
control. normal continence function.

One Device, Multiple Solutions

Key Benefits
• Safe, quick and easy muscle strengthening
• Non-invasive
• Improvement after only a few sessions
• Walk-in/walk-out procedure
• High success rate and patient satisfaction

Device name: Fotona StarFormer™
Input voltage: 100-240V AC, 50~60Hz
Power:
IP protection: 1500 VA
Size (W x L x H): IPX0
Weight:
IEC 60601/1 classification: 421 mm x 630 mm x 843 mm
MDD 93/42/EEC classification: 50 kg

Class I, Type BF
Class IIa

2265

All Fotona medical devices are CE marked and approved to be sold in the EU. For countries where specific national approvals or clearances are required, some
of the products and/or applications may not yet have been approved. Please check with Fotona, your local Fotona distributor or your national regulatory body
about whether a specific product or application has been approved to be marketed and sold in your country.
For related patents see: www.fotona.com/patents

www.fotona.com

105953 CE ENG/1 Fotona, d. o. o. Fotona, LLC Fotona GmbH Fotona Beauty Light, (Suzhou)
Stegne 7 2307 Springlake Road Hohlbachweg 2 Medical Devices Co, Ltd.
1000 Ljubljana #518 73344 Gruibingen, No 2, Zengfu Road, Guli Town
Slovenia Dallas, TX 75234 Germany Changshu City, Jiangsu Province
EU USA EU CHINA, 215515

FotonaSmooth®

Revolutionary non-surgical
laser for vaginal health

www.fotona.com

FotonaSmooth®: In-Office Based
Non-Invasive Laser Therapy for
Vaginal Health

Pelvic floor dysfunction FOTONA’S SMOOTH™ TREATMENTS
INCLUDE:
Symptoms of age- and childbirth-related pelvic floor IncontiLase® – Stress Urinary
dysfunction, such as urinary incontinence and pelvic floor Incontinence
prolapse, affect hundreds of millions of women worldwide. IntimaLase® – Vaginal Relaxation
Syndrome
• 60-80% of women over 50 will experience atrophy in their RenovaLase® – Vaginal Atrophy
/ Genitourinary Syndrome of
lifetime Menopause
ProlapLase® – Pelvic Organ Prolapse
• 40% of women suffer from some form of urinary
SIMPLE AND QUICK
incontinence
• Ambulatory procedures
• Almost 50% of parous women suffer from some degree of • 20-30 minutes/treatment

pelvic organ prolapse PATIENT FRIENDLY

Conservative treatments such as pelvic floor muscle therapy • No anesthesia
(Kegel excercises) often fail because of patients’ lack of • No downtime
compliance. Surgical options, although effective, suffer from • High patient satisfaction
a high rate of adverse effects and are typically a patient’s last
resort.

Revolutionary non-surgical
laser treatment

Connective tissue in the vaginal walls is an important factor
in pelvic organ support. Symptoms of pelvic floor dysfunction
mainly arise from laxity in the vagina or its supporting
ligaments, due to increasing age and vaginal childbirth.

Fotona‘s SMOOTH™ is a non-invasive non-ablative laser
procedure for functional strengthening of connective tissue
inside the vaginal wall, improving the pelvic floor support and
diminishing symptoms of pelvic floor dysfunction.

What is SMOOTH™ mode?

SMOOTH™ gynecological procedures are based on the discovery
that the delivery of an optimal sequence of heat pulses to the
vaginal mucosa results in strengthening and rejuvenation of
the vaginal wall. FotonaSmooth® is a gynecological laser system
developed specifically for performing SMOOTH™ treatments.

2

Optimal Er:YAG laser
wavelength

FotonaSmooth® operates at the optimal infrared Er:YAG
laser wavelength (2.94 µm) that coincides with the maximal
absorption peak of the mucosal tissue. This ensures that the
laser light is delivered to the tissue in a controlled superficial
manner without the risk of affecting deeper-lying structures.

Unique SMOOTH™ mode The Er:YAG wavelength sits at the highest
peak of the absorbtion spectrum of water and
FotonaSmooth® delivers patented sequential Er:YAG SMOOTH™ is therefore completely absorbed within a few
mode laser pulses to the vaginal wall mucosa, generating microns of mucosal tissue.
controlled and optimal distribution of heat within the tissue,
enabling collagen remodelling and neo-collagenesis. Unique sequential SMOOTH™ mode Er:YAG
laser pulses generate an optimal structure of
The 2.94 μm wavelength, in conjunction with its patented heat waves.
SMOOTH™ mode delivery, allows for a highly controlled, safe
procedure with no impact to any critical structures, including
any penetration or disruption of the mucosal lining.

MECHANISM OF ACTION After
12
Before 3

Vaginal wall structure Photo-thermal heatwaves Deeper tissue layers get Vaginal walls are further
reaching up to 0.5 mm pulled up and tightened by strengthened by the
below the vaginal mucosa the remodelled superficial process of neo-collagen-
surface. Collagen fibers tissue layer. esis (formation of new
get shorter and thicker as collagen fibers).
a result of heat-induced
collagen remodelling.

3

FotonaSmooth® –
Non-surgical Er:YAG Laser for
Vaginal and Pelvic Floor Health

Patient and physician-friendly

• Simple, fast in-office procedure
• Outstanding results, peer-reviewed
• No anesthesia required, non-ablative
• Minimal discomfort or downtime
• Excellent return on investment
• Multiple additional applications

Er:YAG treatments

Nd:YAG treatments

Easy to use

• Large touchscreen with intuitive graphical user interface
• E asily accessible presets for all applications
• Lightweight, ergonomic articulated-arm delivery system

4

Tools for gynecological treatments

G-SET™ – INTRAVAGINAL ACCESSORY SET

R11 full-beam titanium handpiece FULL-BEAM AND PATTERNED
HANDPIECES
PS03 patterned titanium handpiece
• Zoom optics with spot sizes from 2-7 mm
IncontiLase® and ProlapLase® treatment:
90° angular golden mirror titanium adapter offers a wide range of treatments

• Collimated beam enables precise

delivery of laser energy

• Titanium technology ensures robustness

and durability

• Additional handpiece options for cervical

treatments and soft tissue cutting

IntimaLase®, RenovaLase® and ProlapLase®
treatment: 360° circular golden mirror
titanium adapter

SClear speculum

Wired laser speculum
G-RUNNER – FOR AUTOMATED OPERATION

• Automatic delivery of laser energy to the vaginal G-Runner™ - Fotona’s proprietary
scanning technology
canal
5
• Improvement in accuracy and precision of laser

delivery – more homogenous coverage of vaginal

mucosa - better results!

• Optimized treatment time
• Increased comfort and convenience for the operator

Wide Range of Treatments

FotonaSmooth® is more
than a SMOOTH laser

Additional non-surgical Er:YAG
gynecological procedures

The Er:YAG laser incorporated in FotonaSmooth® allows the
user to perform other non-surgical treatments, such as:

• Vulvar depigmentation
• Labial and vulvar tightening

Surgical Er:YAG gynecological
procedures

In additon, FotonaSmooth® can also be used for various
surgical gynecological procedures, such as:

• Genital warts removal
• Cervical dysplasia vaporisation
• Labial trimming

6

Expand your practice

Additional Nd:YAG wavelength

FotonaSmooth® capabilities can be expanded with an
additional Nd:YAG laser source. The Nd:YAG laser wavelength of
1064 µm exhibits the most homogeneous absorption in human
tissue and thus represents a complementary wavelength to the
Er:YAG wavelength with the shortest penetration depth in human
tissue. Together, these golden-standard wavelengths are well
suited for handling an exceptionally wide range of aesthetic and
clinical procedures.

Key aesthetic treatments

Er:YAG Nd:YAG

Skin resurfacing, stretchmarks Vascular lesion removal

Scar revisions Removal of unwanted hair

Lesions removal Wrinkle reduction

Acne scar treatments Active acne treatments

Fotona Er:YAG and Nd:YAG
laser system models

Er:YAG Nd:YAG Er:YAG Nd:YAG
GYNECOLOGY GYNECOLOGY AESTHETICS AESTHETICS

GYNECOLOGY MODELS

FotonaSmooth® XS 20 W Er:YAG YES NO Optional NO

FotonaSmooth® SP 20 W Er:YAG YES YES Optional Optional
30 W Nd:YAG

FotonaSmooth® SP+ 20 W Er:YAG YES YES Optional Optional
80 W Nd:YAG

GENERAL USE MODELS

XS Dynamis® 20 W Er:YAG Optional NO YES NO
Optional Optional YES YES
SP Spectro® 20 W Er:YAG
30 W Nd:YAG Optional Optional YES YES

SP Dynamis® 20 W Er:YAG
80 W Nd:YAG

7

FotonaSmooth® treatments

1 IncontiLase®
A minimally invasive solution for
stress urinary incontinence

How does IncontiLase® work? WHO IS ELIGIBLE FOR INCONTILASE®?

• Fotona’s 2.94 µm Er:YAG non-ablative laser with proprietary • The treatment works best in

SMOOTH™ mode technology mild and moderate stress urinary
incontinence patients, with very
• Improves urethral support by photothermal strengthening good results in severe stress urinary
incontinence as well
of the vaginal wall
• Mixed incontinence patients get
• Works on connective tissue in the vaginal mucosa with
relief in stress symptoms
emphasis on the anterior vaginal wall

Fotona SMOOTH™ mode treatment of the anterior vaginal wall Thermal camera images of the introitus
show that SMOOTH™ pulses achieve
the optimal peak temperature range
(60-65°C) for collagen remodelling and
initiation of neo-collagenesis.

8

IncontiLase® treatment One year after the treatment,
significantly improved
continence was reported in 77%
of SUI patients.

Data presented in Lasers Surg Med.
47(9):689-97.

The effect of IncontiLase® therapy on the improvement of
the grade of urinary incontinence (UI). Figure shows the
distribution of patients (in %) with regard to the grade of
incontinence (mild, moderate, severe, very severe) before
treatment, at 2 months, 6 months and 1 year after the
procedure.

Novel minimally invasive laser treatment of urinary incontinence in women.
Ogrinc UB, Senčar S, Lenasi H. Lasers Surg Med., 2015: 47(9): 689-97.

Mild and moderate stress and IncontiLase® treatment signifficantly reduced leakage
mixed urinary incontinence quantity measured by 1h pad test.

After IncontiLase® treatment Tien, Yi-Wen, et al. “Effects of laser procedure for female urodynamic
stress incontinence on pad weight, urodynamics, and sexual
function.” International urogynecology journal 28.3 (2017): 469-476.

One year following the IncontiLase®
treatment, we found significant
improvement in 77% of patients
diagnosed with SUI.
Dr Sabina Sencar

Apart from non-invasiveness, the
main advantage of IncontiLase® over
surgery is that it can be applied as an
ambulatory procedure, which means a
lower economic burden.
Dr Urska Bizjak Ogrinc

Ogrinc UB, Senčar S, Lenasi H. Novel minimally invasive laser
treatment of urinary incontinence in women. Lasers Surg Med. 47(9):
689-97.

9

FotonaSmooth® treatments

2 IntimaLase®
A true incisionless laser treatment
for vaginal relaxation syndrome

How does IntimaLase® work? WHO IS ELIGIBLE FOR INTIMALASE®?

• Photothermally tightens the vaginal canal • Women with increased vaginal laxity
• M echanism of action is based on shrinking and thickening of
due to childbirth and/or ageing
the connective tissue in the vaginal wall
95% of patients reported
IntimaLase® treatment an improvement of sexual
gratification.

Patients’ assessment of sexual gratification
improvement after IntimaLase® treatment.
Data presented in J. LA&HA, 2012(1); 46-58.

Patients’ assessment of sexual gratification improvement after
IntimaLase® treatment.

Gaviria J, Lanz J. Laser Vaginal Tightening (LVT) – evaluation of a novel noninvasive
laser treatment for vaginal relaxation syndrome. LAHA Journal of Laser and Health
Academy, 2012(1); 46-58.

IntimaLase® treatment 95% of my patients assess
10 vaginal tightness and sexual
gratificatication as strongly
or moderately improved after
IntimaLase® treatment.

Dr Jorge Gaviria

Gaviria J, Lanz J. Laser Vaginal Tightening (LVT) –
evaluation of a novel noninvasive laser treatment for
vaginal relaxation syndrome. LAHA Journal of Laser and
Health Academy, 2012(1); 46-58.

3 ProlapLase®
Er:YAG SMOOTH™ mode laser
treatment for pelvic organ prolapse

How does ProlapLase® work? WHO IS ELIGIBLE FOR PROLAPLASE®?

• Photothermal tightening of the tissue and contraction of • W omen suffering from pelvic organ

the vaginal canal stimulating collagen remodeling and the prolapse
synthesis of new collagen fibers
Pelvic organ prolapse
• A safe and non-invasive alternative to traditional methods
• Incisionless and virtually painless, with no cutting, bleeding or After ProlapLase® treatment

sutures

• Suitable also for higher grade prolapse

ProlapLase® treatment

N=67 N=66 N=66 N=59 N=31 N=57
100

% of patients 80

4
60 3

2
40 1

0

20

0 2m 6m 12m 24m 36m
Before

The effect of ProlapLase® on cystocele grade distribution at
baseline and follow-ups. The figure shows the effects of 2-7
laser treatments on 67 patients over a period of 3 years.

Erbium:YAG laser treatment of pelvic organ prolapses: 3 years follow-up. Sencar S.,
Bizjak-Ogrinc U., Vizintin

Significant reduction of average Dr Urska Bizjak Ogrinc Dr Sabina Sencar
pelvic organ prolapse (POP) grade
was already observed after the “In most of the patients the improvement occurred
first treatment session. POP grade after the first treatment, with patients reporting
reduction continued to improve with better prolapse containment inside of the vaginal
additional treatments. canal and less frequent occurrence of the prolapse
falling out of vaginal canal.”
Data presented at IMS: 15th World Congress on
Menopause. Bizjak Obrinc U, Sencar S; Non-ablative laser treatment of
cystocele It. J. Gynaecol. Obstet. 2017, 29: N. 120

11

4 RenovaLase®
Gentle laser treatment of vaginal
atrophy / genitourinary syndrome
of menopause - GSM

How does RenovaLase® WHO IS ELIGIBLE FOR RENOVALASE®?
work?
• Women suffering from vaginal
• N on-ablative gentle photothermal treatment of the vaginal
atrophy symptoms such as vaginal
canal using very low energies that cause mild hyperthermia dryness, irritation and dyspareunia
and induce microvascularisation and tissue regeneration
without shrinking the collagen

• Restores normal vaginal mucosa structure and function
• Eliminates the need for long-term estrogen treatment

RenovaLase® treatment induces Atrophied vaginal mucosa Courtesy of Dr. Gaspar
a significant improvement of Vaginal mucosa after RenovaLase®
genitourinary syndrome of treatment
menopause, including vaginal
dryness and dyspareunia.
Additionaly, this treatment can
be proposed in postmenopausal
women who cannot be treated with
hormones.

Dr Marco Gambacciani

Gambacciani M, Levancini M, Cervigni M. Vaginal erbium laser: the
second-generation thermotherapy for the genitourinary syndrome
of menopause. Climacteric. 2015, 18(5):757-763.

We observed significant
improvement of symptoms and
also regeneration of normal
mucosal structure. Better and
more lasting results compared to
local estriol therapy.

Dr Adrian Gaspar

Gaspar A, Brandi H, Gomez V, Luque D. Efficacy of Erbium:YAG
laser treatment compared to topical estriol treatment for
symptoms of genitourinary syndrome of menopause. Lasers
Surg Med. 2017, 49(2):160-168.

12

RenovaLase® treatment RenovaLase® significantly improves
GSM symptoms, including vaginal
symptom severity VAS scale (0-10) 10 Dyspareunia dryness and dyspareunia, in breast
9 cancer survivors.
8 1 months 3 months 6 months 12 months 18 months
7 Gambacciani, Marco, and Marco Levancini.
6 “Vaginal erbium laser as second-generation
5 thermotherapy for the genitourinary syndrome
4 of menopause: a pilot study in breast cancer
3 survivors.” Menopause 24.3 (2017): 316-319.
2
1 Comparison between RenovaLase®
0 treatment and local estriol on
severity of vaginal dryness up to 18
Before months after tretaments.

RenovaLase® signifficantly decreased the severity of Gaspar, Adrian, et al. “Efficacy of Erbium: YAG laser
dyspareunia in breast cancer survivors suffering from treatment compared to topical estriol treatment
GSM, the effect lasting more than 12 months after for symptoms of genitourinary syndrome of
treatment. menopause.” Lasers in surgery and medicine 49.2
(2017): 160-168.
3 Dryness RenovaLase group

symptom severity VAS scale (0-3) Estriol group

2,5

2

1,5

1

0,5

0 1 months 3 months 6 months 12 months 18 months
Before

Renovalase® had a significantly better effectiveness
in relieving GSM symptoms.

Non-ablative gentle photothermal Enhanced synthesis of new proteoglycan The result is improved vascularisation
treatment of the vaginal canal using and hialuronic acid molecules, which and trophism of the vaginal wall and
mild hyperthermia via SMOOTH™ mode. improves tissue water content and restored normal structure and function
collagen structure. of the vaginal mucosa.

13

Scientifically proven results

Scientific research using
FotonaSmooth®

STRESS URINARY INCONTINENCE Treatment of Genitourinary Syndrome of Menopause with Erbium:YAG
Laser: A Prospective Study of Efficacy and Safety of the Treatment
Effects of laser procedure for female urodynamic stress incontinence for Women after Menopause of Natural Origin and Therapy-Induced
on pad weight, urodynamics, and sexual function. Tien YW, Hsiao SM, Menopause in Breast Cancer Survivors. Bojanini JF. LAHA Journal of
Lee CN, Lin HH. International Urogynecology Journal, 2017, 28(3):469-76. the Laser Health Academy, 2016(1):35-40.

Treatment of female stress urinary incontinence with Erbium-YAG Vaginal erbium laser: the second-generation thermotherapy for the
laser in non-ablative mode. Pardo JI, Solà VR, Morales AA. Eur J genitourinary syndrome of menopause. Gambacciani M, Levancini M,
Obstet Gynecol Reprod Biol. 2016 Sep;204:1-4. Cervigni M. Climacteric. 2015, 18(5):757-763.

Patient Satisfaction with Vaginal Erbium Laser Treatment of Stress Vaginal Erbium Laser: the Second Generation Thermotherapy for
Urinary Incontinence, Vaginal Relaxation Syndrome and Genito- the Genitourinary Syndrome of Menopause (GSM) in Breast Cancer
urinary Syndrome of Menopause. Barber MA, Eguiluz I. LAHA Journal Survivors. A preliminary report of a pilot study. Gambacciani M,
of the Laser Health Academy, 2016(1):18-23. Levancini M. It. J. Gynaecol. Obstet. 2015, 27: 9-11.

Minimally invasive, non-ablative Er:YAG laser treatment of stress Short-term effect of vaginal erbium laser on the genitourinary
urinary incontinence in women – a pilot study. Fistonic N, Fistonic I, syndrome of menopause. Gambacciani M, Levancini M. Minerva
Findri Gustek S, Sorta Bilajac Turina I, Franic D, Vizintin Z, Kazic M, Ginecol. 2015 Apr;67(2):97-102.
Hreljac I, Perhavec T, Lukac M. Lasers in Medical Science, 2016: vol. 31
(4) pp 635-43. Laser Treatment of Vaginal Atrophy in Post-menopause and Post-
gynecological Cancer Patients. Bojanini JF, Mejia AM. J. LA&HA, Vol.
Novel minimally invasive laser treatment of urinary incontinence in 2014, No.1; pp.65-71.
women. Ogrinc UB, Senčar S, Lenasi H. Lasers Surg Med., 2015: 47(9):
689-97. VAGINAL RELAXATION SYNDROME

Vaginal erbium laser: the second-generation thermotherapy for the Laser Vaginal Tightening with Non-ablative Er:YAG for Vaginal
genitourinary syndrome of menopause. Gambacciani M, Levancini M, Relaxation Syndrome. Evaluation of Patient Satisfaction. Pardo JI,
Cervigni M. Climacteric. 2015, 18(5):757-763. Solá Dalenz V. LAHA Journal of the Laser Health Academy, 2016(1):12-17.

Minimal Invasive Laser Treatment for Female Stress Urinary Up to 3-Year Follow-up of Patients with Vaginal Relaxation Syndrome
Incontinence. Khalafalla MM, Elbiaa AM, Abdelazim IA, Hussain M Participating in Laser Vaginal Tightening. Gaviria J, Korosec B,
(2015). Obst&Gyn Int. Journal, 2015, 2(2) 00035. Fernandez J, Montero G. LAHA Journal of the Laser Health Academy,
2016(1):6-11.
First assessment of short-term efficacy of Er:YAG laser treatment
on stress urinary incontinence in women: prospective cohort study. Laser Vaginal Tightening (LVT) – evaluation of a novel noninvasive
Fistonić N, Fistonić I, Lukanovič A, Guštek ŠF, Turina IS, Franić D. laser treatment for vaginal relaxation syndrome. Gaviria J, Lanz J.
Climacteric. 2015 Oct;18 Suppl 1:37-42. LAHA Journal of Laser and Health Academy, 2012(1); 46-58.

Minimally invasive laser procedure for early stages of stress urinary Novel Minimally Invasive VSP Er:YAG Laser Treatments in Gynecology.
incontinence (SUI). Fistonić I, Findri-Guštek Š, Fistonić N. LAHA Vizintin Z, Rivera M, Fistonić I, Saracoğlu F, Guimares P, Gaviria J,
Journal of Laser and Health Academy, 2012(1); 67-74. Garcia V, Lukac M, Perhavec T, Marini L, LAHA Journal of Laser and
Health Academy, 2012(1); 46-58.
Novel Minimally Invasive VSP Er:YAG Laser Treatments in Gynecology.
Vizintin Z, Rivera M, Fistonić I, Saracoğlu F, Guimares P, Gaviria J, PELVIC ORGAN PROLAPSE
Garcia V, Lukac M, Perhavec T, Marini L, LAHA Journal of Laser and
Health Academy, 2012(1); 46-58. Non-ablative vaginal erbium YAG laser for the treatment of cystocele.
Bizjak Ogrinc U, Sencar S. It. J. Gynaecol. Obstet. 2017, 29:19-25.
VULVOVAGINAL ATROPHY / GENITOURINARY
SYNDROME OF MENOPAUSE Laser Treatment of Higher Grade Cystocele. Bizjak Ogrinc U, Sencar S.
LAHA Journal of the Laser and Health Academy, 2013 (1); S22.
Vaginal erbium laser as second-generation thermotherapy for
the genitourinary syndrome of menopause: a pilot study in breast Erbium Laser in Gynecology. Vizintin Z, Lukac M, Kazic M, Tettamanti
cancer survivors. Gambacciani M, Levancini M. Menopause, 2017, M. Climacteric. 2015, 18(1):4-8.
24(3):316-319.

Efficacy of Erbium:YAG laser treatment compared to topical estriol
treatment for symptoms of genitourinary syndrome of menopause.
Gaspar A, Brandi H, Gomez V, Luque D. Lasers Surg Med. 2017,
49(2):160-168.

14

Training & Education

Regular clinical workshops –
make a SMOOTH start!

Comprehensive workshops ANNUAL INTERNATIONAL LASER &
HEALTH ACADEMY SYMPOSIUM
Training is provided in cooperation with the Laser and Health
Academy under the guidance of experts in medical laser • Attended by several hundred
technology.
physicians every year
The extensive workshops, where participants engage in live
demonstrations and gain in-depth uderstanding of laser physics • Newest research and treatments in
and laser tissue interaction, provide the needed insight into the
fundamentals of non-invasive gynecological treatments and different fields of laser medicine,
other procedures that can be perfomed with the FotonaSmooth® including gynecology
system.
• For more information, contact

[email protected]

THE WORKSHOPS COVER:

• L aser safety and physics
• Laser-tissue interaction
• Extensive theoretical and

hands-on application training

• A visit to a clinic for live

patient demonstrations

Fotona and the Laser &
Health Academy

Fotona has partnered with the Laser & Health Academy (LA&HA)
to help support the professional growth of medical practitioners.
To get the most out of your Fotona laser system, our practitioner
workshops, co-organized with LA&HA (www.laserandhealth.com),
provide hands-on demonstrations of our lasers by international
clinical experts.

15

SINCE 1964

Founded in 1964, only four years after the invention of the very first
laser, Fotona is one of the most experienced developers of high-

technology laser systems. Fotona today is a world-leading medical laser
company recognized for its innovative, award-winning laser systems
for applications in gynecology, dentistry, surgery and aesthetics &
dermatology. Based in the US and EU, with corporate headquarters in

Dallas, Texas, and Ljubljana, Slovenia, Fotona’s business philosophy is to
continuously choose perfection to ensure the maximum performance and

efficacy of its medical devices.

COMMITTED TO ENGINEERING
THE HIGHEST PERFORMANCE, BEST MADE LASER SYSTEMS IN THE WORLD

Fotona, LLC Fotona, d. o. o.
2307 Springlake Road #518 Stegne 7
Dallas-Farmers Branch, TX 75234 1000 Ljubljana, Slovenia
USA EU

[email protected]
www.fotona.com

ISO 9001:2008, EN ISO 13485:2003,
MDD 93/42 EEC Annex II excluding (4),
ISO 13485:2003 (CMDCAS).

97601 CE ENG/02

eraC tnegilletnI rof ngiseD tnegilletnI

82%Maximum Peak Power is now higher (1.45 GW)

33%Maximum Energy is now higher (800 mJ)
82%Maximum Peak Power is now higher (1.45 GW)

82%Maximum Peak Power is now higher (1.45 GW)

33%Maximum Energy is now higher (800 mJ)

82%Maximum Peak Power is now higher (1.45 GW)

NEW 1064 nm 최대 출력 2100 mJ으로 상향 (Q-PTP)

PICOPLUSNEWPower and Versatility for1064nm최대출력2100mJ으로상향(Q-PTP)
Advanced Treatments and
Mastery Over Difficult Cases

82%Maximum Peak Power is now higher (1.45 GW)

82%Maximum Peak Power is now higher (1.45 GW)

33%Maximum Energy is now 33%Maximum Energy is now higher (800 mJ)

higher (800 mJ)

82%Maximum Peak Power is now higher (1.45 GW) 82%Maximum Peak Power is now higher (1.45 GW)

W

1064 nm 최대 출력 2100 mJ으로 상향 (Q-PTP) 1064 nm 최대 출력 2100 mJ으로 상향 (Q-PTP)

NEW