Triton Laser from InMode

In 2018, InMode launched an interesting multi-wavelength hair removal laser that could be used to treat both light skinned and dark skinned patients. The product comes with two hand-pieces:

  1. Triton Duo Light. Emits a unique blend of three wavelengths. Best for treating light hair and skin types I to III. Uses the 755nm Alexandrite and 810nm Diode lasers. Duo Light is supposedly the only “simultaneous multi-wavelength technology” per the manufacturer’s website.
  2. Triton Duo Dark: Uses the 810nm Diode and 1064nm Nd:YAG wavelengths simultaneously. Best used to effectively and safely treat darker skin types. Operates at a high peak power output and comes with the company’s 3P Cooling technology.

I have not seen much new information about this laser in recent years. The latest video on the Triton Duo Dark from InMode seems to be only from 2018:

Even on Instagram (#tritonlaser), you do not see much on the use of Triton Duo Dark lasers for treating darker skinned individuals. Most recent videos seem to be about people with lighter fair skin. In any event, this is an interesting product, so I decided to write this short post on yet another treatment option.

Motus Lasers from DEKA

The DEKA Motus AX & AY hair removal lasers use the proprietary “Moveo” technology. Moveo means move in Italian, and these lasers use “in motion” technology. The latest version is the Motus AZ+.

Motus AX and AY Lasers

  • The original Motus AX laser was the first, high-speed Alexandrite laser that could also treat dark skin tones safely despite the lower wavelength. Historically, darker skinned people who wanted laser treatments had to use higher wavelength diode or Nd:YAG technology. These latter types of lasers are a bit less effective, but also less likely to cause skin damage in darker skin tones. Given the power of the Alexandrite wavelength, individuals could see desired long-term results in fewer treatment sessions.
  • The Motus AY shares the same innovative laser delivery system as the Motus AX. The main difference is that the AY laser hair removal machine also comes with a Nd:YAG hand piece. Repeated passages of the hand piece and low power pulses prevent any major side effects and safety concerns.

Motus AZ+

Motus Laser
Motus MZ+ lasers are used for hair removal, lesion reduction and skin rejuvenation.

The success of the original DEKA Motus AX and AY platforms has resulted in the new Motus AZ+ laser machine (see video below). It features Gold Standard laser technology with both the Alexandrite (755nm) and Nd:YAG (1064nm) wavelengths. This enables the product to deliver effective treatments for darker skin types.

In addition to hair removal (like its predecessors), Motus AZ+ lasers can treat three other skin conditions. It comes with four separate hand pieces to cover the following laser treatments:

  • Hair Removal. Used the SkinclusiveTM Alexandrite laser hair removal technology.
  • Pigmented Lesions. Using Alexandrite.
  • Skin Revitalization. Using Nd:YAG.
  • Vascular Lesions. Using Nd:YAG.

Motus AZ+ is manufactured by DEKA, Europe’s top aesthetics laser manufacturer. It is available exclusively in the US via Cartessa Aesthetics.

The latest version: Motus AZ+

The Deka Motus AZ+ “in-motion” Alexandrite and Nd:YAG gradual heating results in treatments that are comfortable and quick. The 20mm sapphire tip means that larger areas can be treated quickly. The AZ+ also features integrated contact cooling, limiting potential skin damage and discomfort from overheating.

Dr. Paul Frank’s nurse treating a patient with Motus AX:

Aerolase 650 Microsecond Lasers

New Aerolase laser treatments are increasingly popular for people of color with skin problems. A 2019 study interviewed a number of dermatologists regarding its efficacy in skin of color (SOC). Check out the Aerolase clinic finder on skinofcolorforum.

You can see many before and after photos and learn more about Aerolase aesthetic laser treatments on their Twitter and Instagram accounts.

Dr. Andrew Alexis recently had a great presentation showing the positive effects of Aerolase Nd:YAG 650-microsecond lasers on darker skin tones. Make sure to watch it in its entirety to see reports on Aerolase ablative laser treatments for conditions such as:

How Much Does an Aerolase Laser Treatment Cost?

Aerolase laser treatment costs range from $500 to $800 per session. However, prices can exceed that higher amount depending on clinic, city, country, and the size of the area being treated. Insurance is unlikely to cover such a cosmetic treatment, but many clinics will offer you payment plans.

Aerolase Before After
Aerolase before and after folliculitis barbae treatment. Source: Giambrone D, Ahn CS, Rao B (2014) Laser hair removal using a 650 microsecond pulsed ND:YAG laser. Global Dermatology.

Treatment and Side Effects

Because the Aerolase laser technology uses a rapid 650-microsecond pulse duration, the device has time to cool itself between pulses. This limits the potential of any significant skin injuries or burns related to excessive light energy and heat. The treatment is generally described as comfortable by patients, with no anesthetic necessary. Mild transient skin redness is a common side effect.

This new laser technology penetrates the deeper skin layers more rapidly than the rate at which it conducts heat to the surrounding skin. This limits the chance of skin injury. Traditional 1064nm Nd:YAG lasers have longer pulse durations, resulting in higher chances of side effects in people with olive, brown, or black skin types.

Neo Elite®

The Neo Elite Aerolase laser is a versatile 1064 nanometer Nd:YAG laser that is FDA-cleared to treat 36 skin problems. Its single handpiece comes with a unique No Skin Contact™ technology. The Aerolase Neo’s 650 microsecond technology has reinvented existing Nd:YAG laser technology. In contrast, most at-home laser hair removal devices are based on IPL technology.

Also see the below video from Dr. Jason Emer where he uses Aerolase for facial hair removal, and pigmentation and blemish improvement in a patient with darker skin.

Era Elite® and Neo V®

Note that Aerolase also manufactures two other important lasers:

  • The Era Elite represents a leap in skin rejuvenation anti-aging technology via its high-precision 2940nm laser. It delivers a high-fluence in a collimated beam, utilizing a gentle 300-microsecond pulse duration. Per Aerolase, these controlled pulses allow for full ablation of the epidermis without damaging the dermis. The final outcomes rivals fully ablative CO2 lasers, with a faster recovery time per the manufacturer.
  • The 650 microsecond 1064nm wavelength Neo V is primarily used to treat vascular concerns such as lesions and skin redness.

Aerolase Reviews

Online Aerolase laser treatment reviews seem to be generally positive with limited reports of any side effects. However, it is hard to find many reviews from people of darker skin tones (Fitzpatrick IV, V or VI). On RealSelf, most patients seem satisfied with the treatment and rate it highly.