What You Need To Know About Photodynamic Therapy For Skin Cancer 

Candela Nordlys, aptly named after the enchanting Northern Lights, stands as a beacon of innovation in the realm of medical aesthetics.

Technological advancements continually shape the landscape of skin treatments in the field of skin cancer management, and one groundbreaking innovation making waves in the field of photodynamic therapy (PDT) is the Candela Nordlys system.

Renowned for its efficiency, safety, and superior cosmetic outcomes, Nordlys has become a preferred choice for practitioners seeking optimal results in skin cancer treatments.

Dr John Sullivan (FACD) is a profound user of the Nordlys system and has achieved significant results with utilising the multi-platform system in his Dermatological daily practice for skin cancer management.

Dr Sullivan shares his findings alongside what the Nordlys system can offer.

Dr John Sullivan

Laser-Assisted PDT with Candela Nordlys

Leveraging the power of laser-assisted PDT, the Candela Nordlys system introduces a new dimension to skin cancer therapy. PDT utilising the Nordlys system has both therapeutic and skin rejuvenating benefits.

Photodynamic therapy (PDT) is a form of light therapy that was initially developed in dermatology to treat precancerous skin lesions and later surface non-melanoma skin cancers. PDT also has photo-rejuvenation, acne control and acne scar among other benefits. 

Photodynamic therapy (PDT) involves applying a photosensitising agent to the skin. After its skin absorption and activation, the skin is then illuminated using visible light (Nordlys IPL), which, acting in conjunction with the applied and absorbed photosensitiser, leads to the treatment and skin benefits seen with PDT.

This includes the destruction of cancerous and pre-cancerous skin cells, shrinking oil glands and a reduction in the bacteria (Cutebacterium Acnes) and inflammation that drive acne. 

The Nordlys system goes the extra mile in PDT by combining the benefits of blue and red light delivered deeply and quickly into the skin. What helps set Nordlys apart is its remarkable tolerance compared to traditional PDT activation using long exposures to a single colour LED light.

There are also greater cosmetic benefits when IPL is used to activate PDT with the Nordlys selective waveband technology utilising the spectrum light that both efficiently completes PDT activation but also enhances skin appearance and outcomes. 

Enhanced Activation with Nordlys

One of the key advantages of the Nordlys system is its ability to achieve enhanced activation, leading to faster and more efficient treatments. The cosmetic outcome with Nordlys is not only superior but also faster, making it a game-changer in the realm of medical aesthetic procedures.

Nordlys Frax can be used in conjunction to enhance PDT outcomes. Its 1940 Diode handpiece is ideal for laser-assisted drug and cosmeceutical delivery. It targets the skin’s epidermal layers including stratum corneum, which are the main barrier to skin penetration.

The Frax 1550nm handpiece used on its own also enhances skin penetration and PDT to a lesser extent. Combined 1940 and 1550nm PDT and IPL activation forms a good trifecta for skin benefits.

Selecting the Right Handpiece

Acknowledging the importance of the appropriate handpiece is crucial for successful outcomes. While PR proves superior to VL for photoactivation, practitioners should tailor their choice based on clinical observations, considering factors such as skin type, pigmentation, and the extent of photo damage.

In fair-skinned individuals, PR is the preferred initial choice for the first skin treatment pass, this should be followed up by the Nordlys PL for optimal (gentle) photophore activation.

This helps maximise collagen response including the improvement in fine lines, which occur in the months following treatment.

Precision in PDT Settings

When dealing with skin cancers and pre-cancers, a meticulous approach is paramount. Achieving a balance between enhancing response and managing risks, practitioners can confidently perform multiple passes, ensuring thorough chromophore activation and effective treatment.

Managing Side Effects

In the pursuit of optimal outcomes, practitioners need to be mindful of potential side effects. Use of a cryocooler after treatment and cool packs or compresses are recommended. 

For cosmetic and acne benefits, protocols are designed to reduce associated downtime. For skin cancer treatments, lesion clearance does necessitate a recovery period. 

Topical steroids, while not standard practice, may be considered and used judiciously, especially when concerns regarding post-inflammatory hyperpigmentation arise. 

The use of ice and topical steroids and sleeping with their head on an extra pillow is a strategic approach, for improving patient comfort without compromising treatment efficacy.

Aesthetic Excellence in Every Wavelength

From hair removal to skin rejuvenation and laser-assisted drug delivery, Nordlys covers a broad spectrum of aesthetic treatments. Its adaptability to different wavelengths, pulse modes, and filtering options makes it a true powerhouse in the hands of skilled practitioners.

Comprehensive Range of Modalities

Nordlys boasts an impressive lineup of modalities, each designed to address specific aesthetic concerns:

  1. PR (Pulse Mode): Utilising three Q bands of activation, PR is ideal for a range of applications, ensuring superior results in various skin types.
  2. VL (Variable Pulse Mode): With two Q bands of activation, VL provides practitioners with versatile options, catering to different skin types and conditions.
  3. PL (Pulse Mode): Perfect for ensuring optimal photophore activation and maximising collagen response, PL is a go-to modality for addressing fine lines and rejuvenating the skin.
  4. HR 600 (High-Performance Pulse Mode): Operating in the 530-720nm wavelength range, HR 600 targets hair removal with precision and efficiency.
  5. Nd:Yag (1064nm): Leveraging the power of Nd:Yag laser technology at 1064nm, Nordlys excels in addressing vascular lesions and promoting skin rejuvenation.
  6. Frax (1550nm): Introducing Fractional Laser (Frax) treatments, Nordlys tackles skin rejuvenation at a deeper level for collagen and elastin plus skin scar benefits. Combination with Nordlys VL or PR offers an enhanced holistic approach to aesthetic care.
  7. Frax (1940nm): The 1940nm Diode handpiece proves highly effective for rejuvenating the skin’s surface changes including pigment lesions and uneven pigment. Combining this with laser-assisted drug delivery, ensuring optimal absorption can further enhance outcomes including speeding recovery.
  8. Xenon (or Krypton) Flashlamp (Pulse Mode): The flexibility of the pulse mode of the Xenon or Krypton flashlamp adds versatility to Nordlys’ arsenal. Narrowband technology allows for a safer treatment with its dual filters, one being water that stops the light being absorbed by the water in tissue and therefore less heat and less pain. This also allows for multiple passes or combined treatments for more targeted skin benefits without unnecessary tissue heating. 

IPL2 with Dual Filtering

Equipped with IPL2 technology featuring dual filtering, Nordlys ensures optimal light penetration for targeted treatments. This dual-filtering mechanism enhances the precision and efficacy of treatments, setting a new standard in the world of intense pulsed light therapies.

Submillisecond Pulse Options + Flexible Expert Adjustable Mode

Nordlys takes precision to the next level with submillisecond pulse options and a flexible expert adjustable mode. This advanced feature empowers practitioners with fine-tuned control, allowing for customised treatments tailored to individual patient needs.

For more information, visit https://candelamedical.com/products/nordlys/

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