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About MiXto SX

Physician FAQ

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Testimonials

About MiXto SX®

The MiXto SX® combines 10.6 μm wavelength, the gold standard for skin renewal and resurfacing procedures, with a unique patented scanner to deliver a precise matrix of MicroSpots.  When these MicroSpots penetrate into the dermis, they significantly tighten tissue and stimulate the formation of new collagen to dramatically reduce the appearance of acne scars and wrinkles while eliminating dyschromia and other sun damage related skin defects.

The MiXto SX® is the unrivaled leader in the technological evolution of micro fractional CO2.  MiXto's benefits include:
  • Continuous wave CO2 energy resulting in maximum lateral thermal diffusion and collagen stimulation with minimal patient discomfort and downtime
  • Two hand pieces that can be easily interchanged intraoperatively and deliver 180 um and 300 um MicroSpots with complete treatment density and pulse width adjustments
  • Computerized pattern generation for precise reproducibility
  • Non-sequential delivery system for maximum patient comfort and safety

The MiXto SX® gives the practicing aesthetic clinician the ability to control the amount of heat collateralized to the dermis, by allowing for precise regulation of the depth of penetration, energy delivered per pulse and pulse width. The high-speed scanner, driven by a patent pending algorithm, divides the scan area into four quadrants or "fractions" and skips the beam from quadrant to quadrant so that each lase site  is separated by the longest possible interval. The process is repeated until the entire scan area is treated.  Distributing the laser energy in this manner allows maximum time for thermal cooling of the tissue and means less pain for the patient, and faster, more predictable recovery.

With this "quadrant" fractional technology and a more tightly focused beam, the MiXto SX® laser delivers uniform tissue ablation well into the dermis causing immediate contraction and tissue tightening. A secondary effect is the production of new collagen over the next 6-12 weeks, which improves skin elasticity and restores a more youthful, radiant appearance to the skin.

The MiXto SX® System can be used in Micro Fractional Mode, Traditional Resurfacing Mode, or Surgical (incisional) Mode, resulting in a flexibility that delivers unequalled results.

Mixto SX® Results:

Immediate Tightening
Immediate contraction of collagen fibers reducing wrinkles and lax skin. Skin laxity is noticeably improved.

Textural Improvement
Removes pigmentation problems, reduces pore size, wrinkles, acne scars, and other textural irregularities.

Effective on Skin Lesions
Effective on dyschromia (discoloration from sun damage and aging) and on actinic keratoses (pre-cancerous cells that may be invisible to the naked eye).

Short Down Time
The remarkable results the Mixto SX® Fractional technique makes the healing process much quicker and enables patients to get back to their normal life style sooner.

Other Benefits:

  • Flexibility of adjustable settings for versatility of use
  • No consumables and their associated "cost of ownership"
  • Only topical anesthetic required for patient comfort
  • Basic and advanced training included
  • Two year transferable warranty
  • Ability to treat different skin types I - VI
  • 30 minute procedure, Simple pre and post care
  • Lightweight & Portable (85 lbs)
  • Turn key marketing assistance
  • Customer Loyalty Rewards Program

 

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Physician FAQ

1.   How does the Slim E30 MiXto SX® differ from other fractional CO2 lasers currently on the market?

The intent of fractionated resurfacing is bulk heating of the dermis while sparing the majority of the overlying epidermal tissue, and still having the procedure well-tolerated by patients. Lasering has developed the optimum device specifically designed to accomplish these seemingly contradictory tasks. The Slim E30 MiXto SX® is the only fractional CO2 laser that combines fractionated skin resurfacing, traditional skin resurfacing and tissue cutting in continuous wave (CW) mode.  The fractionated methodology is based upon a patent pending algorithm which controls a high speed scanner delivering a proprietary scan pattern which is predetermined and repeatable. 

2.  How is the MiXto SX® scanning method superior?

The MiXto SX® methodology is not based upon a sequential or random scan pattern. The proprietary algorithm precisely delivers the beam alternatively into four (4) quadrants within the scan pattern allowing maximum tissue cooling time between lase sites. This translates into much greater patient comfort. In addition, MiXto SX® delivers the beam in continuous wave (CW) "long pulse" mode for superior thermal delivery in all available spot sizes.

3.  What are the available spot sizes?  

The MiXto SX® high-speed scanner has two (2) quick disconnect handpieces for maximum intraoperative flexibility. One delivering a 180 um spot and the other a 300 um spot.

4. Why are there two (2) spot sizes?  

The 300 um spot is used to deliver optimal thermal energy to the papillary dermis for long term collagen production. The 180 um spot is used for maximum ablative depth penetration to activate skin tightening and minimize acne scarring. Both spot sizes can be combined with variable treatment densities for optimal treatment outcomes.

5.  What is meant by variable treatment densities?  

The treatment density of the MiXto  SX® can be adjusted from 5% - 40% for all sizes. For example:  A treatment density of 20% means that 20% of the scanned area is treated leaving 80% untreated. However 100% of the underlying tissue receives thermal coagulation (modification).

6. Why is thermal coagulation important?  

Thermal coagulation of the dermis is the component of the MiXto SX® treatment that stimulates the production of new collagen, which continues for up to one year resulting in outstanding predictable resurfacing outcomes.
 
7. Why is it important to have various treatment densities?  

Variable density allows the clinician to administer a milder treatment (lower %) to areas of less sun damage and laxity and a more aggressive (higher %) treatment for the "trouble areas."  Lowering the density also allows one to treat skin types I - VI.  The choice of setting is determined by treatment indication, pheno-skintype and the patient's tolerance for "downtime."

8. How long does it take to perform a procedure?

On average, 20- 40 minutes for a face, 15-20 minutes for the décolletage or arms, and 10-15 minutes for the hands.

9. How long is the recovery process?

This will vary from patient to patient based upon the level of treatment prescribed and anatomical area treated.  On the average, 4 - 6 days for the face, 7 - 10 days for the hands, décolletage, and arms.

10. How soon could a patient come back for a second treatment?

Most patients do not require a second treatment.  If a second treatment is requested by the patient wait two months for the results of the first treatment to become totally evident. Gradual improvement will occur for up to 12 months due to ongoing collagen production and remodeling.

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Video

See the MiXto SX® Laser at Work!

 


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Clinical Papers & Articles

An Innovative Device for Fractional CO2 Laser Resurfacing: A Preliminary Clinical Study.  Daniel A. Cassuto, MD; Neil S. Sadick, MD; Luca Scrimali, MD; Paolo Sirago, MD.  The American Journal of Cosmetic Surgery. Vol. 25, No. 2, 2008.

New MicroSpot Fractional Laser Enables the "Family Doctor" To Expand Services, Clientele and Annual Revenue.

New MicroSpot Fractional Laser Improves Revenue and Results for Facial Skin and Lower Eyelid Rejuvenation.

MiXto Histology Slides.

MiXto SX CO2 Provides Impressive Efficacy with Less Downtime.  Bob Kronemyer.  THE Aesthetic Guide.  May/June 2 2008

Laser & Light Technology.  Mai Pham.  Aesthetic Trends and Technologies.  Winter 2007.

The Lasers Edge.  Holly Millea.  Elle.  December 2008.

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Patient FAQ

1. What is MiXto SX® Micro Fractional C02?  

C02 is a carbon dioxide laser that has been used for more than 25 years in the Aesthetic industry for treatment of conditions such as fine and deep wrinkles, scars of various origin, uneven pigmentation and dilated pores. When the C02 beam of light comes in contact with the epidermis it heats and vaporizes the skin tissue, instantly removing the superficial layers of the skin, scars and wrinkles while smoothing out the surface of the skin. The skin remodeling occurs with new skin and collagen growth. MiXto SX® stands for the Mixture between C02 energy and fractional resurfacing, the SX stand for surgical because the Laser can also be used to make a very clean incision without bleeding.

2. How does it work?

The MiXto SX® gives the Physician more control to regulate the depth of penetration and the amount of heat delivered by the beam. The high speed scanner, driven by a patented pending algorithm divides the treatment area into four quadrants or “fractions” and skips the beam from quadrant to quadrant so that each strike is separated by the longest possible interval. This process is repeated until the entire area is treated. Dividing energy this way allows maximum time for thermal cooling of the tissue, less pain for the patient and faster recovery! Compared to traditional resurfacing of the past this is a big step in technology for the patient and the physician!

3. How is this different than other laser treatments?

The MiXto delivers more results in a 30-minute treatment than competitors can accomplish in three treatments for less discomfort, downtime and cost.

4. Does it hurt? 

For most patients we apply topical anesthetic and oral tylenol then they can drive themselves home. The discomfort is similar to bad sunburn.

5. What are the risks?

Erythema (redness of skin); the laser-treated areas have a distinctive redness representing increased blood flow due to the growth of the superficial tissue and collagen. It will gradually fade during the first few days. Inflammation (swelling); Treatment with the MiXto System presents a minimal amount of swelling that can last up to 24 hours. Hyperpigmentation (tanning); This is presented after the third day of the procedure but then begins to shed and reveal younger healthy looking skin. A personal interview and clinical examination will be conducted to obtain relevant facts about your medical and dermatologic history, and any medications you are currently taking or have taken in the past. If you are prone to cold sores, you need to ask your doctor for an antivirius prescription before the treatment. Fractional Treatment with the MiXto SX® has been proven safe for the face, neck, chest and hands.

6. How long is recovery?  

Most patients are ready to go back to work the next day, but it depends on the patient and their lifestyle. Typical downtime is 4-5 days.

7. What is the recovery like?  

The patient is red and can be swollen the next day. On the second, third and fourth day the patient is peeling and can experience a little itchiness typical to a sunburn.

8. When do you see the results?  

Right away!  When we are doing the procedure you can immediately see the skin contract and shrink. The patient will really see the benefits by the time the skin is completely peeled and will continue to see results for up to six months with new collagen regeneration that "plumps" up the skin.

9. Who is the best candidate for this procedure?

There are three separate groups the MiXto applies to, the younger patient with severe acne scars, the middle-aged patient with wrinkles and age spots and the older patient with wrinkles, age spots and pre-cancerous lesions.

10. How many treatments are needed?

In most cases only one, but for deeper wrinkles and acne scars two or more treatments.

11. Is it just for the face or can it be used on other areas of the body?

It is most commonly used on the face but can be used on neck, chest, arms and hands.

12. Is the treatment expensive?

The new technology has actually brought the price down  without the compromising the results.

13. What is the cost?

MiXto treatments are generally under $3000.00 for a one-time full-face treatment.

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Testimonials

Physician Testimonials

Patient Testimonials



Physician Testimonials


Weighing the Costs Vs. Benefits of New Technology for Laser Skin Resurfacing

A new fractional laser technology provides "gold standard" clinical results, expedites cosmetic and general practice treatment while boosting profitability...by  Dr. Mark Kofford, M.D., Ph.D. and Dr. Jeannine Wills-Kofford, owner-operators of the Kofford Clinic and Riviera Laser Studios in Dana Point, California.
Read more...


Better Overall Cosmetic Results 

"With CO2 resurfacing, the patient often had a line of demarcation between areas that had been resurfaced and areas that had not", says Dr. Burns.  "With the MiXto Laser you can treat off the face down to the neck, producing a better overall cosmetic result."...by  Dr. Burns, The Texas Southwestern Medical Center, Department of Plastic Surgery.
Read more...


MiXto SX® Laser Skin Rejuvenation by Dr. Richard Gregory

The latest technological breakthrough has resolved many of the issues associated with the preceding generation of lasers.  The fractional CO2 laser by Lasering, USA, the MIXTO, is a hybrid which incorporates the latest technology for skin rejuvenation.  It allows maximal benefits consistent with minimal discomfort, minimal anesthesia and minimal recovery.  In addition, it treats many disorders associated with skin aging stimulating the formation of new skin collagen, tightening of the skin and removal of the signs of aging including pigmentation disorders and the "leathery" look.  
Read more...


MiXto SX® Laser Versatility by Dr. Michael G. Cedars

I do not think any fractional CO2 Laser can do more than the MiXto SX®. The MiXto SX® gives consistent results on brown age spots and is versatile enough to be used on the face, neck, hands, and arms.  
Read more...


MiXto SX® Individualization by Dr. Ken Oleszek

I find in using the MiXto that I can easily individualize treatments to match the patient's desired results and their tolerable down-time. The settings are easily changed for a deeper ablation or more/less heat deposition. Most of my cases require only one or two treatments, depending on the aggressiveness of the treatment parameters. This includes the hard to treat acne scars.  
Read more...


Testimonial for the Mixto by G. D. Castillo, M.D.

With more than 30 years in the active practice of cosmetic surgery, I have certainly seen technology come and go – some good and some bad.  The fractional CO2 belongs in the very good new technology category for several reasons.
Read more...



Patient Testimonials


I had some dramatic improvement in texture and sun spots almost right away. My skin felt and looked tighter. The improvements continued for the next several months resulting in diminshing of lines. LJR

I have always taken great care of my skin but nothing was helping with the brown spots and fine lines on my face. I heard amazing things about MiXto skin resurfacing through my golfing friends and decided to try it myself.   The biggest improvement I noticed was the texture of my skin was so much smoother. When I went to the Doctor for my checkup visit, they were impressed with the texture but were more amazed at the tightening effect it had along my jawline and around my eyes.  It's been six months since my MiXto treatment and my skin improves everyday! Wilma G.

I have always taken good care of my skin but at 48 years of age I started noticing brown spots on my cheeks and puffiness under my eyes.  I decided to take the step and see if the mixto could improve my appearance. At my first visit they took my before photos showed me the reality of how bad my skin looked without makeup! I scheduled my treatment asap!  The office managed my expectations so I was prepared for the worst, and experienced what I thought was an easy process.  Within 4 days my skin was peeled and looked fresh and slightly pink.  I was told to wear sunscreen and could apply makeup but didn't really need it.  My skin looks fantastic with one treatment and best of all my lower eyelids are not puffy anymore!  Kay

My name is Joe Doogan.  I'm a 68 year old Irish male with fair skin.  My skin is sun damaged with premature aging, solar freckles, actinic keratosis and pigmentation changes all due to the sun.  My Physician, John Shega M.D. recommended the MiXto fractional C02 laser because of all the damage to my skin, and the potential of future problems the spots could get worse. I also wanted to look a bit younger!  I had the MiXto procedure done on 8/11/08. After mild swelling with bronzing of the skin, I peeled for about 2 days, and after a week the redness was gone.  I have received complement after complement about my "NEW" face and how much "younger" I look, (one lady at my church actually said that I looked Hot!) What a difference this has made for me! With smooth skin now on my face and a younger look, I could not be more pleased.  I have been told I look 15 years younger, what a deal this is, with just a few days of redness and peeling! Worries about future medical problems with my facial skin have vanished and I now have a new face and a new life! Joe Doogan

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