In clinical practice, the 10x10 array fractional handpiece is primarily utilized in a "painting mode," where the operator continuously moves the device across the skin rather than treating static spots. This involves performing two perpendicular scans—one horizontal and one vertical—to create a cross-hatched pattern over the target area. This dual-pass technique ensures uniform energy distribution and consistent density of micro-treatment zones across the acne scars.
Core Takeaway The 10x10 array utilizes a dynamic painting technique to deliver high-density thermal injury while preserving bridges of healthy tissue. This balance maximizes the wound-healing response required for collagen remodeling while significantly reducing downtime compared to full-field ablation.
Operational Technique
The Painting Mode
Unlike static stamping methods, the 10x10 array is designed for continuous motion. The operator "paints" the treatment area, allowing for rapid coverage of larger scarred regions.
Perpendicular Scanning (Dual-Pass)
To achieve optimal efficacy, the clinician performs two distinct passes. The first pass moves horizontally across the scar tissue, followed immediately by a vertical pass.
Ensuring Uniform Density
This cross-hatching approach eliminates gaps in coverage. It ensures that the energy is delivered evenly, preventing areas of untreated skin within the scar boundaries while avoiding excessive thermal stacking in a single spot.
Mechanism of Clinical Efficacy
Creating Micro-Treatment Zones (MTZs)
The handpiece generates a grid of microscopic thermal columns that penetrate deep into the dermis. These controlled injuries trigger the body’s natural wound-healing cascade.
Preserving the Healing Bridge
Crucially, the 10x10 array leaves surrounding tissue intact between the thermal columns. These "reservoirs" of viable cells accelerate epidermal regeneration, shortening the overall healing period.
Inducing Collagen Remodeling
By delivering energy at specific densities (often 15-24 mJ/cm²), the device stimulates the synthesis of new collagen. This deep dermal activity is essential for lifting the depressions characteristic of atrophic acne scars.
Understanding the Trade-offs
Coverage vs. Precision
The 10x10 array excels at broad coverage and uniformity, making it ideal for the bulk of the treatment area. However, it may lack the granular precision required for the very edges of complex scars.
Handling Scar Edges
For sharp, hypertrophic scar edges, the automatic scanning of the 10x10 array may not be sufficient to level the skin. In these specific zones, Manual Fractional Technology (MFT) is often required to "drill" or grind down protrusions that the 10x10 array cannot address effectively.
Balancing Fluence and Recovery
Higher energy density leads to deeper penetration and better remodeling but increases the risk of side effects like erythema. The clinician must calibrate the fluence based on the patient's tolerance and scar severity to avoid post-inflammatory hyperpigmentation.
Making the Right Choice for Your Goal
- If your primary focus is efficient coverage of extensive scarring: Utilize the 10x10 array in painting mode with perpendicular passes to ensure uniform thermal stimulation.
- If your primary focus is refining distinct scar edges: Supplement the 10x10 array treatment with Manual Fractional Technology (MFT) to mechanically level hypertrophic borders.
The 10x10 array is the workhorse for bulk tissue heating and remodeling, but optimal results often require complementary techniques for fine detail work.
Summary Table:
| Feature | Clinical Application | Key Benefit |
|---|---|---|
| Technique | Painting Mode (Horizontal & Vertical) | Ensures uniform MTZ density & coverage |
| Mechanism | Micro-Treatment Zones (MTZs) | Stimulates collagen while preserving tissue |
| Energy Level | Typically 15-24 mJ/cm² | Deep dermal remodeling with less downtime |
| Scope | Bulk tissue heating for large areas | Rapid treatment of extensive atrophic scars |
Elevate Your Clinic’s Scar Revision Outcomes
At BELIS, we specialize in providing professional-grade medical aesthetic equipment designed exclusively for high-end clinics and premium salons. Our advanced laser systems—including CO2 Fractional, Nd:YAG, and Pico lasers—integrate cutting-edge technologies like the 10x10 array to deliver superior clinical results for acne scar treatment and skin rejuvenation.
Whether you are looking for advanced body sculpting solutions (EMSlim, Cryolipolysis) or specialized facial care devices (Hydrafacial, Skin Testers), BELIS ensures your practice stays at the forefront of the industry with reliable, high-performance technology.
Ready to upgrade your treatment portfolio? Contact us today to discuss how our fractional systems and specialized medical equipment can enhance your patient satisfaction and business growth.
References
- Eric F. Bernstein, Jayant D. Bhawalkar. Treatment of acne scarring with a novel fractionated, dual‐wavelength, picosecond‐domain laser incorporating a novel holographic beam‐splitter. DOI: 10.1002/lsm.22734
This article is also based on technical information from Belislaser Knowledge Base .
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