The primary function of high-intensity focusing optical systems in MI-LIOB is to concentrate laser energy with extreme precision into transparent or non-absorptive media. By narrowing the beam to a specific focal point, these systems generate the intense electric field strength required to trigger multi-photon absorption and electron avalanche, ultimately resulting in the formation of plasma.
By decoupling energy delivery from tissue pigmentation, this technology allows for precise subsurface treatments based solely on focal depth. This ensures efficacy across all skin types because the process does not rely on chromophores like melanin to absorb the laser energy.
The Mechanism of Action
Creating Extreme Electric Fields
The core role of the optical system is to spatially compress laser energy. When the laser beam is focused tightly into a medium that is otherwise transparent or non-absorptive, the intensity at the focal point spikes dramatically.
This concentration creates an extreme electric field strength at the specific target depth, leaving the surrounding tissue largely unaffected.
Triggering the Avalanche Effect
Once the electric field strength reaches a critical threshold, it induces a phenomenon known as multi-photon absorption. This differs from standard absorption, where a single photon is absorbed by a molecule.
This absorption triggers an electron avalanche, a cascade effect that rapidly ionizes the material. This process leads to the formation of plasma, which creates the desired optical breakdown (LIOB) within the tissue.
The Clinical Significance
Independence from Chromophores
Traditional laser treatments often rely on chromophores, such as melanin or hemoglobin, to absorb light and generate heat. This dependency limits treatment options based on the patient's pigmentation.
In MI-LIOB, the high-intensity focusing system removes this dependency. The biological effect is not caused by the tissue absorbing the light naturally, but by the forced breakdown caused by the focused electric field.
Precise Depth Localization
Because the breakdown occurs only where the electric field is strongest, the treatment is highly localized. The effect is confined strictly to the focal depth of the beam.
This allows practitioners to target specific layers within the tissue without damaging the surface or intervening layers that the beam passes through.
Understanding the Implications
Universal Applicability
The most significant outcome of using high-intensity focusing optics in this context is versatility. Since the interaction mechanism is non-linear and independent of pigment, it is effective for all skin types.
The Necessity of Optical Precision
The system relies entirely on the geometry of the focus rather than biological absorption profiles. Therefore, the optical system must maintain rigorous stability to ensure the "spark" of plasma occurs exactly at the intended depth.
Making the Right Choice for Your Goal
To maximize the utility of MI-LIOB technology, consider the following based on your clinical or technical objectives:
- If your primary focus is treating diverse skin types: Rely on this technology to bypass melanin restrictions, as efficacy is driven by focal mechanics rather than pigment absorption.
- If your primary focus is depth precision: Utilize the focusing system to target specific subsurface layers while preserving the integrity of the transparent upper layers of the tissue.
Mastering the focal depth gives you total control over the treatment zone, independent of the patient's biology.
Summary Table:
| Feature | Function in MI-LIOB | Clinical Benefit |
|---|---|---|
| Energy Concentration | Spatially compresses laser energy at a specific focal point | Precise subsurface targeting without surface damage |
| Electric Field Strength | Creates extreme fields to trigger multi-photon absorption | Decouples treatment efficacy from tissue pigmentation |
| Plasma Formation | Induces electron avalanche and optical breakdown | Effective for all skin types (Fitzpatrick I-VI) |
| Depth Localization | Confines interaction strictly to the beam's focal depth | Protects surrounding tissues and intervening layers |
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References
- Lunardi Bintanjoyo, Diah Mira Indramaya. Application of Picosecond Laser in Dermatology. DOI: 10.20473/bikk.v35.2.2023.158-162
This article is also based on technical information from Belislaser Knowledge Base .
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