I have nothing against HALO, in fact I was at the launch in Australia 5 years ago. Sciton, the parent company of HALO is well respected for their devices. In fact, the Sciton JOULE (erbium big bro of HALO) is still one of my most used devices that I personally perform. I also have the SCITON BBL. I do believe that the erbium wavelength at 2940nm is excellent for resurfacing. The problem with HALO, in the context of where I practice (Brisbane Australia, plus surrounding centers like the Gold Coast, Sunshine Coast), the sun damage is extreme. The HALO at 100 microns erbium literally scratches the surface of the skin. I do get it that the NA wavelength at 1470 ‘targets’ deeper tissue.
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HALO is relevant if photodamage is minimal and you require a nurse or therapist to perform the procedure. This device is super safe at the expense of vastly limited capabilities. Regardless, if you have mild skin concerts, superficial treatments can be beneficial.
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My prefered ‘hybrid laser’ is either a 1927 coupled with fractional CO2, or the erbium SCITON fully ablative, coupled with fractional CO2. The former allows my laser nurses to ‘dial in’ far superior results than with deeper NA wavelengths. The CO2 component can be set at 2% all the way to 60+%, depending on the job. My fully ablative cases are usually performed with the SCITON, in most cases I combine this with CO2 fractional.
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Another product from SCITON that we employ is the BBL or IPL. Their system is one of the best in the market. We often combine this with other fractional devices, a term I call ‘Pulse Fractional’. BBL treats the superficial concerns – mainly dyschromia, whilst fractional wavelength including Erbium SCITON ProFractional can address deeper concerns. Once again, we usually go much deeper into the dermis than what HALO can achieve.
In summary, HALO is a good laser, however the limited capacity to provide deeper-customised treatments means that it has not got the power to treat my patient demographic.
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