Increasing the beam width or spot size directly increases the effective depth of tissue penetration. By expanding the spot size—for example, moving from 1 mm to 10 mm—you significantly reduce the amount of light energy lost to lateral (sideways) scattering. This allows a much higher percentage of the photon stream to travel vertically into the dermis, reaching deep-seated targets without requiring dangerous increases in power.
Core Takeaway: A larger spot size acts as a "shield" against scattering, allowing light to maintain its intensity as it travels deeper. Research suggests that increasing spot size to 10 mm can elevate energy density at target depths to nearly 88% of the theoretical maximum, ensuring effective treatment of deep hair follicles.
The Physics of Scattering and Depth
Overcoming Lateral Dispersion
When light enters tissue, it naturally scatters in all directions. With a small spot size, a significant portion of the photons scatter sideways and exit the "beam path" quickly.
This lateral loss depletes the energy beam before it can travel deep into the skin.
The Volume Effect
Increasing the spot size minimizes this lateral loss. The photons in the center of a wide beam are effectively "insulated" by the photons on the perimeter.
Because the outer photons handle the scattering, the central column of light maintains its forward momentum, penetrating deeper into the subcutaneous layers.
Achieving Maximum Efficiency
Primary research indicates that increasing the spot size from 1 mm to 10 mm drastically improves energy transmission.
At this size, the energy density at depth can reach 73% to 88% of the levels seen in an "infinitely wide" beam. This implies you are getting near-maximal penetration efficiency simply by adjusting the geometry of the beam.
Clinical Implications for Treatment
Targeting Deep Structures
Deep penetration is critical for treatments like hair removal, where the target (the hair bulb) often sits deep within the dermis or subcutaneous fat.
A larger spot size ensures that the lethal thermal dose actually reaches these deep roots. A small spot size might burn the surface but dissipate before reaching the follicle base.
Uniform Volumetric Heating
Large spot sizes (e.g., 12mm to 18mm) create a more uniform heating field under the skin.
This consistency ensures that the energy distribution is even, reducing "cold spots" in the treatment area and improving the overall efficacy of the procedure.
Improved Beam Parallelism
Larger spots tend to maintain better beam parallelism, meaning the light rays stay parallel longer rather than diverging outward.
This optical characteristic further assists in driving the energy vertically downward rather than letting it diffuse uselessly into surrounding shallow tissue.
Understanding the Trade-offs
Precision vs. Penetration
While larger spots penetrate deeper, they lack precision. For delicate areas like the upper lip or eyebrows, a spot size of 18mm is unwieldy and potentially dangerous.
In these zones, practitioners must switch to smaller spot sizes (e.g., 10-15 mm) to balance operational flexibility with energy delivery, accepting slightly reduced penetration for better control.
Energy Density Requirements
It is a common misconception that you must increase total energy to penetrate deeper.
However, to maintain the same fluence (energy per unit area) across a larger spot size, the machine must output more total power. Ensure your equipment can sustain the required energy density across the larger surface area.
Making the Right Choice for Your Goal
When selecting parameters for your laser or IPL device, the spot size should be dictated by the depth of the target and the anatomical location.
- If your primary focus is treating deep-rooted hair (e.g., back, legs): Prioritize a large spot size (10mm - 18mm) to maximize depth and ensure the follicle bulb receives sufficient energy.
- If your primary focus is treating superficial targets or delicate areas (e.g., face): Utilize a smaller spot size (5mm - 10mm) to maximize precision, understanding that deep penetration will be reduced.
By optimizing spot size, you utilize physics rather than raw power to deliver energy exactly where it is needed.
Summary Table:
| Spot Size Parameter | Effect on Tissue Penetration | Clinical Benefit |
|---|---|---|
| Small Spot (1-5mm) | High lateral scattering; shallow penetration | High precision for delicate areas |
| Large Spot (10-18mm) | Reduced scattering; deeper vertical reach | Efficient targeting of deep hair follicles |
| Energy Efficiency | Up to 88% of max theoretical density | Reduced need for dangerous power increases |
| Heat Distribution | More uniform volumetric heating | Improved safety and consistent results |
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References
- Caerwyn Ash, Tim Bashford. Effect of wavelength and beam width on penetration in light-tissue interaction using computational methods. DOI: 10.1007/s10103-017-2317-4
This article is also based on technical information from Belislaser Knowledge Base .
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