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LUTRONIC ECO2 – ABLATIVE CO2 FRACTIONAL LASER

$8,700.00

Includes:
1x Fractional Scanner Handpiece
4x Brand New 120 Tips
2x Brand New 300 Tip
1x 1000 Tip
Footswitch
2 Keys
Operator Manual
1 Operator Eyewear
1 Patient Eyewear

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Description

LUTRONIC ECO2 – ABLATIVE CO2 FRACTIONAL LASER

Laser Type:Ablative Fractional Resurfacing (AFR)
Beam Delivery Method:Articulated Arm with Scanner or Convetional Handpiece
Medium & Method of Generation:Seall Off CO2 RF Mudule Laser
Wavelength:10,600 nm
CO2 RF Module Maximum Power: Maximum 30 Watt at Continuous Wave
Fractional Scanner Handpiece:
User Mode:Static (Stamping) / Dynamic (Air Brushing)
Tip:120, 300, 1000 um Spot Sizes
Pulse Energy:2 mJ – 240 mJ
Pulse Rate:10Hz to 200 Hz
Density:25 – 400 Spots / cm2
Scan Area:Max.14 x 14 mm
Scan Shapes:Square, Rectangle, Oval, Triangle, Point Beam
Normal Handpiece:
User Mode:Char Free (Ultra Pulse) / Super Pulse / CW
Pulse Rate:Char Free (Ultra Pulse) – 1 Hz to 700 Hz; Super Pulse – 1 Hz – 550 Hz
Pulse Width:Char Free (Ultra Pulse) – 40 us to 1000 us; Super Pulse – 1 ms – 5 ms
CW:ON Time – Cont. 0.01 s – 1.0 s
CW:OFF Time – SINGLE 0.001 s – 1.0 s
Adjustable Spot Size:0.2 – 1.0 mm
User Interface:Touch Screen with Flash Technology 7 inch LCD Screen
Dimensions EXCLUDES ARM: 360 mm (W) x 450 mm (L) x 1000 mm (H)
Dimensions WITH ARM: 360 mm (W) x 450 mm (L) x 1870 mm (H)
Weight:77 lbs. (35 kg)
Cooling:Air Cooling
Transform Your Practice with the Robust eCO2
Lutronic’s eCO2 is the premier fractional ablative laser that delivers the full spectrum of resurfacing treatments to your busy practice. You will appreciate how easy to use and reliable the system is while your patients rave about their outcomes.

Includes:
1x Fractional Scanner Handpiece
4x Brand New 120 Tips
2x Brand New 300 Tip
1x 1000 Tip
Footswitch
2 Keys
Operator Manual
1 Operator Eyewear
1 Patient Eyewear

MINIMAL DOWNTIME & LESS DISCOMFORT
– Skin Tightening
– Wrinkles, Rhytids & Fine Lines
– Pigmented Lesions & Lentigines
– Scars
– Textural Irregularities
– Transepidermal Drug Delivery
– Dyschromia
– Solar/Actinic Elastosis
– Syringoma
– Vaporization, Incision & Excision Capabilities

MINIMAL DOWNTIME, IMPROVED PATIENT COMFORT, INCREASED SAFETY

The Lutronic eCo2 – Ablative Co2 Fractional Laser features the patented Controlled Chaos Technology (CCT™), an algorithm to pseudo-randomly deliver each micro laser beam and by placing maximum distance between sequential beams the system eliminates cross thermal diffusion between adjacent Micro-ablative Columns (MACs).

This allows the tissue to maximize heat dissipation between shots. The result is an increased safety profile with a reduction in post-operative discomfort and faster healing time leading to unparalleled fractional

CCT reduces thermal damage by maximizing distance between laser micro-beams

QUICK-CHANGE TIPS WITH AUTO-RECOGNITION

From ultra-deep to superficial ablation, the eCO2 has the features you need to address a broad range of clinical conditions. The ultra-fast quick change tips come in a choice of three spot sizes, 120, 300 and 500 um, allowing you on-the-fly customized treatments. The eCO2’s tip auto-recognition feature automatically changes treatment settings to adjust for the change in spot size. Combined together, the advanced technology, quick-change tips and safety features ensure the ultimate control for the best outcomes.

WHY eCO2
Patients are attracted to low risk, minimal downtime treatments
Controlled Chaos Technology creates pseudo-random microwound patterns to minimize heat build-up, minimize downtime, increase safety and maximize patient comfort

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Quick Comparison

SettingsLUTRONIC ECO2 – ABLATIVE CO2 FRACTIONAL LASER removeELLMAN PELLEVE S5 REDUCTION SYSTEM FOR SALE removeLumenis Lightsheer Desire (Include Handpiece) remove2017 Lutronic Infini RF Microneedling For Sale remove2015 Lutronic LaseMD Pro Fractional Skin Wrinkles remove2016 LUMENIS LIGHTSHEER DESIRE FOR SALE remove
NameLUTRONIC ECO2 – ABLATIVE CO2 FRACTIONAL LASER removeELLMAN PELLEVE S5 REDUCTION SYSTEM FOR SALE removeLumenis Lightsheer Desire (Include Handpiece) remove2017 Lutronic Infini RF Microneedling For Sale remove2015 Lutronic LaseMD Pro Fractional Skin Wrinkles remove2016 LUMENIS LIGHTSHEER DESIRE FOR SALE remove
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DescriptionIncludes: 1x Fractional Scanner Handpiece 4x Brand New 120 Tips 2x Brand New 300 Tip 1x 1000 Tip Footswitch 2 Keys Operator Manual 1 Operator Eyewear 1 Patient EyewearIncludes: Various Handpieces 1x 3 Button Fingerswitch Handpiece 1 Forcep 1 Infared Thermometer 1 Footswitch 1 Professional Cart 1 Suction Filter 1 Operator Manual Brochures2017 Lumenis Lightsheer Desire with 3 Handpieces – HS, XC and ET – Includes 805 and 1060 nm wavelengths – Like-New Condition; Serial Number: 3796, Date of Manufacture 2/15/2017, Excellent Cosmetic and Operating Condition – Like New with low pulses! RECENTLY INSPECTED April 2021, Included Handpieces & Pulse Counts: HS 22×35 mm Spot Size Diode Handpiece = 132 Pulses; XC 12×12 mm Spot Size Diode Handpiece = 3,362 Pulses; ET 9×9 mm Spot Size 1060 Handpiece = 6,590 Pulses; Also Includes: Operator Manual, 2 Pair Operator Eyewear, 1 Pair Patient Eye Shields, (1) Key, and 120 Day Warranty2017 Lutronic Infini RF Microneedling with RF Microneedling Handpiece; Manufactured on 07/19/2017; Excellent Operating & Cosmetic Condition; Single Owner, Used for About 100 Treatments Approximately; Last Serviced on 11/30/2019, Service Report Available Upon Request; Owner Has Agreed to Represent for 1 Year for the Purchase of Consumables; Last Serviced 11/30/2019, Service Report Available Upon Request; Reason for Selling: Downsizing; Also Includes: (7) Sterile RF Tips, Patient Eyewear, MFR RF Checker, Fuses, Power Cord, Key, Footswitch, (300) Product Brochures, Stand Up Banner, Treatment Guide, Operator Manual.Highest available power allows for fast treatments, customizable for multiple areas Gentle, effective global improvement for all skin types, all year-round Comfortable treatments with very little downtime Minimal cost of ownership, easy to delegate and no shot limit per procedureIncluded Handpieces: HS 22×35 mm Spot Size Diode Handpiece XC 12×12 mm Spot Size Diode HandpieceAlso Includes: Operator Manual 2 Pair Operator Eyewear 1 Pair Patient Eye Shields 2 Keys
ContentLUTRONIC ECO2 – ABLATIVE CO2 FRACTIONAL LASERLaser Type:Ablative Fractional Resurfacing (AFR) Beam Delivery Method:Articulated Arm with Scanner or Convetional Handpiece Medium & Method of Generation:Seall Off CO2 RF Mudule Laser Wavelength:10,600 nm CO2 RF Module Maximum Power: Maximum 30 Watt at Continuous Wave Fractional Scanner Handpiece: User Mode:Static (Stamping) / Dynamic (Air Brushing) Tip:120, 300, 1000 um Spot Sizes Pulse Energy:2 mJ – 240 mJ Pulse Rate:10Hz to 200 Hz Density:25 – 400 Spots / cm2 Scan Area:Max.14 x 14 mm Scan Shapes:Square, Rectangle, Oval, Triangle, Point Beam Normal Handpiece: User Mode:Char Free (Ultra Pulse) / Super Pulse / CW Pulse Rate:Char Free (Ultra Pulse) – 1 Hz to 700 Hz; Super Pulse – 1 Hz – 550 Hz Pulse Width:Char Free (Ultra Pulse) – 40 us to 1000 us; Super Pulse – 1 ms – 5 ms CW:ON Time – Cont. 0.01 s – 1.0 s CW:OFF Time – SINGLE 0.001 s – 1.0 s Adjustable Spot Size:0.2 – 1.0 mm User Interface:Touch Screen with Flash Technology 7 inch LCD Screen Dimensions EXCLUDES ARM: 360 mm (W) x 450 mm (L) x 1000 mm (H) Dimensions WITH ARM: 360 mm (W) x 450 mm (L) x 1870 mm (H) Weight:77 lbs. (35 kg) Cooling:Air Cooling Transform Your Practice with the Robust eCO2 Lutronic’s eCO2 is the premier fractional ablative laser that delivers the full spectrum of resurfacing treatments to your busy practice. You will appreciate how easy to use and reliable the system is while your patients rave about their outcomes.Includes: 1x Fractional Scanner Handpiece 4x Brand New 120 Tips 2x Brand New 300 Tip 1x 1000 Tip Footswitch 2 Keys Operator Manual 1 Operator Eyewear 1 Patient EyewearMINIMAL DOWNTIME & LESS DISCOMFORT – Skin Tightening – Wrinkles, Rhytids & Fine Lines – Pigmented Lesions & Lentigines – Scars – Textural Irregularities – Transepidermal Drug Delivery – Dyschromia – Solar/Actinic Elastosis – Syringoma – Vaporization, Incision & Excision CapabilitiesMINIMAL DOWNTIME, IMPROVED PATIENT COMFORT, INCREASED SAFETYThe Lutronic eCo2 – Ablative Co2 Fractional Laser features the patented Controlled Chaos Technology (CCT™), an algorithm to pseudo-randomly deliver each micro laser beam and by placing maximum distance between sequential beams the system eliminates cross thermal diffusion between adjacent Micro-ablative Columns (MACs).This allows the tissue to maximize heat dissipation between shots. The result is an increased safety profile with a reduction in post-operative discomfort and faster healing time leading to unparalleled fractionalCCT reduces thermal damage by maximizing distance between laser micro-beamsQUICK-CHANGE TIPS WITH AUTO-RECOGNITIONFrom ultra-deep to superficial ablation, the eCO2 has the features you need to address a broad range of clinical conditions. The ultra-fast quick change tips come in a choice of three spot sizes, 120, 300 and 500 um, allowing you on-the-fly customized treatments. The eCO2’s tip auto-recognition feature automatically changes treatment settings to adjust for the change in spot size. Combined together, the advanced technology, quick-change tips and safety features ensure the ultimate control for the best outcomes.WHY eCO2 Patients are attracted to low risk, minimal downtime treatments Controlled Chaos Technology creates pseudo-random microwound patterns to minimize heat build-up, minimize downtime, increase safety and maximize patient comfort

ELLMAN PELLEVE S5 REDUCTION SYSTEM

The Pelleve S5 System is a new generator based on the proven Surgitron technology. In addition to powering the Pelleve handpieces, it provides maximum control in precision cutting with minimal thermal damage to surrounding tissues, plus more versatility than other energy-based technologies, including:Wrinkle reduction treatment with the new GlideSafe(TM) handpieces Hundreds of surgical electrodes and accessories for most specialties Portable and light weight – ideal for office and clinic environmentsWxHxD: 9.5 x 7.1 x 16.5 Weight: 26 lbs. Ambeint Temperature: +10 degrees C – +40 degrees C Relative Humidity: 30% – 75% Normal Line Voltage: 100V, 120V / 220V, 240V – + 10% Line Frequency: 60Hz./50Hz. Input current at max output power: 3.4A/1.5A Pelleve Wrinkle Reduction System Ellagance Through Science Pelleve S5 SystemPelleve precisely delivers energy to the dermal tissue using advanced radiofrequency technology to induce collagen contraction without damaging the epidermis. The result is skin tightening and contouring with a noticeable improvement in skin quality and texture.Pelleve’s unique radiofrequency technology emits energy in the form of electromagnetic waves, which create a heated treatment zone. Increased resistance causes heat buildup at the subdermal junction. Heat induces collagen denaturation and collagen contraction. Protein stimulation causes new collagen formation and production in the dermis which also results in epidermal tightening. Existing bands of collagen tighten in subcutaneous fat, creating a superficial tightening of the epidermis.Unparalleled Safety ELLMAN PELLEVE S5 REDUCTION SYSTEM The Pelleve System delivers continuous radiofrequency energy which enables the clinician to choose how much energy to deliver and in what areas. By using a combination of the different sizes of Pelleve handpieces that are available each patient’s specific areas of concern can be addressed, resulting in patients receiving just the right amount of energy. The new GlideSafe handpieces feature an innovative sensor designed to stop energy flow when the device senses loss of contact with skin, further enhancing the safety.Non invasive, non ablative office treatment Patients today are seeking affordable, non invasive alternatives to ablative and surgical procedures. The Pelleve System fills that void.Minimal side effects A Pelleve treatment is virtually pain free and no anesthetic is used for the treatment. The patient may experience some transient erythema or edema, which is typically gone in a few hours.PelleFirm is a non-invasive cellulite treatment that uses radiofrequency energy and massage to deeply heat tissues and temporarily reduce the appearance of cellulite.ELLMAN PELLEVE S5 (TM) HandpiecesPelleve GlideSafe handpieces feature an innovative sensor designed to stop energy flow when the device senses loss of contact with skin – resulting in a more comfortable treatment for the patient. The GlideSafe Handpieces are available in 4 sizes – 7.5 mm, 10 mm, 15 mm, 20 mm – to allow the physician clinician to customize to the individual patient. The compact ergonomic design enables practitioners to comfortably maneuver around the contours of the face, including areas that are difficult to access such as the periorbital region. Each handpiece delivers multiple hours of treatment (activation) time so doctors have the option of customizing each patient’s treatment by using different size handpieces for different areas of the face. This advanced feature allows users to treat multiple patients and perform many procedures using the same charged handpiece.Surgical Versatility An innovative multi-modality system, the Pelleve Wrinkle Reduction System offers physicians unmatched versatility in a compact design. Beyond skin tightening, the ELLMAN PELLEVE S5 platform facilitates scores of procedures with the availability of hundreds of monopolar and bipolar electrodes.Skin tightening plus surgical procedures You can use the Pelleve system to deliver aesthetic treatments plus surgical treatments with the S5 platformAdds value to your practice An ideal procedure to delegate to physician extenders and bundle with other servicesPractice profitability Low operating costs yield enhanced profitability relative to treatment feeWide range of surgical electrodesFor use with the Pelleve Generator and all other Ellman generators are hundreds of standard and specialty surgical electrodes facilitate procedures ranging from minimally invasive treatments through full surgical procedures. Unlike conventional ESU generators, the Ellman generators are high-frequency radiofrequency devices that enable precise cutting and control with minimal thermal damage. Minimizing tissue damage improves aesthetic outcomes and reduces recovery time. 

Lumenis Lightsheer Desire (Include Handpiece) 

comes fully loaded with 3 handpieces – ET (9X9), XC (12X12) & HS (22X35)
the LightSheer DESIRE uses an 805nm diode wavelength. This wavelength is the industry’s Gold-Standard and has been clinically proven to safely and effectively treat all skin types
Available Treatments:
  • Hair removal, permanent hair reduction, and the treatment for Pseudofolliculitis Barbae(PFB).
  • Treatment of vascular lesions, including angiomas, hemangiomas, telangiectasia, leg veins and other benign vascular lesions.
  • Treatment of benign pigmented lesions.
Unique features:
  • The “Gold standard” 805nm diode laser.
  • 3 handpieces with various spot sizes.
  • 2 advanced technologies.
The ET has a Sapphire ChillTip spot size of 9x9mm designed to treat small areas that require maximum precision and high fluence.The XC has a Sapphire ChillTip spot size of 12x12mm, providing optimal solution for large and small areas requiring higher fluence levels.The HS has a HIT 22x35mm spot size enabling use of low-fluence and a unique mechanism of pain reduction, providing safe, fast and comfortable treatment.
Product Specifications
ET
Laser TypeAIGaAs Diode Arrays
Wavelength805 nm (nominal)
Spot Size9 mm X 9 mm
Repetition RateUp to 3 Hz
Pulse repetition1 Pulse
Fluence10-100 J/cm2
Pulse Width5-400 ms
Peak Power1600 W
 Comfort ManagementChilltip contact cooling (5O C)
Preset ParametersYse
 
XC
Laser TypeAIGaAs Diode Arrays
Wavelength805 nm (nominal)
Spot Size12 mm X 12 mm
Repetition RateUp to 3 Hz
Pulse repetition1 Pulse
Fluence10-40 J/cm2
Pulse Width5-400 ms
Peak Power2400 W
 Comfort ManagementChilltip contact cooling (5O C)
Preset ParametersYse

HS
Laser TypeAIGaAs Diode Arrays
Wavelength805 nm (nominal)
Spot Size22 mm X 35 mm
Repetition RateUp to 3 Hz
Pulse repetition1 – 3 pulses
Fluence4.5-12 J/cm2
Pulse Width30-400 ms
Peak Power2300 W
 Comfort ManagementVacuum assisted (up to18inHg)
Preset ParametersYse
Lumenis Lightsheer Desire (Include Handpiece) – Like New

2017 Lutronic Infini RF Microneedling

System Type:Bipolar RF (Radiofrequency) Frequency: 1 MHz Total RF Treatment Level: Up to Level 20 (Max. Power 50 W) Operation Mode:Microneedle Fractional RF (MFR) Treatment Duration:10 ms – 1,000 ms Tips:MFR Microneedle electrodes, 0.5 – 3.5 mm (Adjustable depth) SFR: Up to 144 pins Display:Color Touch LCD (Total Shot Count Displayed) Dual Switch:Foot & Finger Switch Weight:28 kg Dimension:362 mm (W) x 409 mm (L) x 1713 mm (H) Location:Lower Face Submental, Neck, Forehead, Periorbital Pass: Pass1 : 2.25 – 3.5 mm, Pass2 : 1.5 – 2.25 mm, Pass3 : 1.0 – 1.25 mm Intensity:Low, Medium, HighInfini Radiofrequency Microneedling 2017 Lutronic Infini RF MicroneedlingThe LUTRONIC INFINI is the ideal solution to create targeted and robust coagulation zones in aging, sagging skin with pigmentation, wrinkles and laxity. Complete control over treatment depth and energy levels enables a multi-layered targeted approach for truly customized treatments, regardless of patients skin type or tanned skin. Now you can provide the best solution for results your patients demand year round.UNIQUE TECHNOLOGY, AMAZING RESULTSInfinis proven & impressive design delivers enhanced wrinkle reduction through 3-dimensional energy delivery to volumize tissue. RF energy delivered via insulated gold-coated microneedles creates precise and controllable fractionated coagulation zones within a specific layer of dermis. Adjustable depth control allows for customized and reproducible treatments of delicate areas. Infini effectively lowers the risk of PIH in dark skin types and can be safely used on patients with melasma and other types of pigmented lesions. Lutronics patented ComfortFlow™ technology maximizes comfort and patient satisfaction.INFINI is unique technology that puts you in control of your skin rejuvenation procedure. You control the treatment depth and energy levels to enable a multi-layered approach for customized treatments, regardless of skin type or tan. Now you can provide the best solution that will keep your patients returning and referring you to new patients.

2015 Lutronic LaseMD Pro Fractional Skin Wrinkles

Lutronic LaseMD Ultra Laser is an impressive upgrade to their already successful LaseMD,” shared Steven Weiner, MD, from Lutronic.“Not only is it more powerful (20 watts vs 12 watts) but it also has a significantly lower consumable cost than competitive systems. The LaseMD ULTRA offers a new larger spot size and incorporates improved ‘top hat’ beam profile. The system also offers an incredibly advanced graphical user interface.“The integration of all the new features with real-time information helps reduce treatment time and achieve satisfying patient results in fewer treatments. Since no anesthesia is required, I can treat a full face in about 6-8 minutes or treat the face, neck and chest in 20 minutes.”Lutronic LaseMD Ultra Laser is yet another example of Lutronic’s commitment to Intelligent Design for Intelligent Care, according to the company in a media release. Features include:Highest available power allows for fast treatments, customizable for multiple areas Gentle, effective global improvement for all skin types, all year-round Comfortable treatments with very little downtime Minimal cost of ownership, easy to delegate and no shot limit per procedure“LaseMD ULTRA is my favorite new addition to my practice. It allows me to treat multiple areas quickly, effectively and for very low cost,” adds Joel Cohen, MD, in the release. “My patients love the comfortable treatments and impressive results with minimal downtime.”The LaseMD ULTRA a high-power platform which provides a full range of applications in all skin types, including:Age spots (lentigos), Sunspots (solar lentigos), Freckles (ephilides), Actinic Keratoses, and Treatment of other benign pigmented lesions.Fractional Skin ResurfacingWrinkles - Laxity - Scar Reduction - Pigmentation - Melasma - Anti-Aging - Actinic Keratosis
Excellent, Pre-Owned Condition Serviced and Fully TestedMfr: Lutronic Model: LaseMD PRO S/N: LS115D047PS Mfr Date: 06-19-2015
LaseMDAdvanced skin resurfacing laser featuring the Thulium 1927nm wavelength, which focuses on coagulation rather than ablation.Suitable for all skin types.Cosmeceutical Delivery SystemLaseMD creates micro-channels in the skin to specific depths to delivery topical serums to the correct layer of the skin and increase absorption. It also features a built in centrifuge/incubator for LaseMD serum Ampoules.Optimized Magnetic Sensor Tracking Scanner
Includes: 2015 Lutronic LaseMD Pro Fractional Skin Wrinkles - LaseMD Workstation with Scanning Handpiece - LaseMD Rolling Cart - 2 Handpiece Caps - FootSwitch Pedal - System Key - Power CableSpecifications: Laser Type: Thulium Wavelength: 1927nm
2016 LUMENIS LIGHTSHEER DESIRE PERMANENT LASER HAIR REDUCTION2016 Lumenis Lightsheer Desire Permanent Laser Hair Reduction Great clinical results begin with the LightSheer 805 nm diode laser empowered by two advanced technologies.The Gold Standard in Permanent Laser Hair Reduction More and more people desire to have permanent hair reduction. They want a treatment that is effective, fast and comfortable. To meet these needs, Lumenis, a leader in laser and energy based technologies, developed the LightSheer DESIRE, the new generation of Laser Hair Reduction systems, so you can grow your business by offering your patients what they DESIRE. The Gold Standard in Permanent Laser Hair Reduction.Included Handpieces: HS 22×35 mm Spot Size Diode Handpiece XC 12×12 mm Spot Size Diode HandpieceAlso Includes: Operator Manual 2 Pair Operator Eyewear 1 Pair Patient Eye Shields 2 KeysSuperior Performance – Versatile 805nm diode laser – 2 different Models to select from – Multiple handpieces with various spot sizes – 2 advanced technologies – Upgradable features: add capabilities as your practice grows.Advanced Laser Hair Removal TechnologyGreat clinical results begin with the LightSheer 805 nm diode laser empowered by two advanced technologies: 1. Vacuum Assisted High-Speed Integrated Technology – A large 22×35 mm spot size enables the use of low-fluence and a unique mechanism for pain reduction which provides effective, fast and comfortable treatments for your clients. 2. ChillTip™ Technology – Integrated contact cooling provides epidermal protection for treatment areas requiring precision and higher fluence.Lightsheer Desire Specifications High Speed (HS) Handpiece Laser Type:Diode Wavelength:805 nm Spot Size:22 x 23 mm Repetition Rate:Up to 3 Hz Pulse Repetition:1-3 Pulses Fluence:4.5-12 J/cm2 Pulse Width:30-400 ms Peak Power:2310 WXC Handpiece Laser Type:Diode Wavelength:805 nm Spot Size:12 x 12 mm Repetition Rate:Up to 3 Hz Pulse Repetition:1 Pulse Fluence:10-40 J/cm2 Pulse Width:5-400 ms Peak Power:1920 WLightSheer® DESIRE™The starting point to your successMore and more people desire to have permanent hair reduction. They want a treatment that is effective, fast and comfortable.To meet these needs, Lumenis, a leader in laser and energy based technologies, developed the LightSheer DESIRE, the new generation of Laser Hair Reduction system from the LightSheer Family of products, so you can grow your business by offering your patients what they DESIRE. 
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