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The state-of-the-art Chrome (Cartessa Aesthetics, Melville, N.Y.) multifunction platform represents a significant advancement in Q-switched laser technology for skin rejuvenation. Its base Nd:YAG laser runs at 532 nm and 1064 nm, and can incorporate fractional options, long and short pulse technology, intense pulsed light (IPL), and Erbium 2940 nm handpieces. The combinations of laser wavelengths yield over 50 different treatment protocols, noted Yael Halaas, M.D., F.A.C.S., a facial plastic surgeon in New York City. ”It offers clear and effective treatment protocols that demonstrate results on our patients’ skin,” she said. ”We adopted Chrome because we needed Q-switched fast pulse technology in our practice, especially something impressive for treating melasma and low contrast pigmented lesions.” Chrome is manufactured by Quanta System SpA (Samarate, Italy), and is available to U.S. providers exclusively through Cartessa Aesthetics.
Chrome’s re-engineered fractional technology attracted Kenneth Rothaus, M.D., a Manhattan-based plastic surgeon. ”It’s a cool product,” he said. ”Chrome has a lot of potential. I actually ended up getting rid of a couple of devices when I got Chrome, because it can treat so many indications using a variety of wavelengths. It uses nano-fractional technology, which provides the safety and efficacy of a fractional treatment using a dynamic low-coverage handpiece and a high coverage handpiece. By delivering energy at different levels, you can immediately give a layered, customized treatment to the patient. You can treat wrinkles, scars, or pigmentation all at the same time and not have any downtime. Chrome is a great platform and you can do a lot of stuff with it.”
Dr. Halaas agreed, ”The nano-fractional technology, a concept Cartessa has branded NanoFrax, is unique. It fills a void in my practice because it can treat all skin types, including types IV through VI, for pigmented conditions.”
Chrome also comes with unique Skin Apps, which instruct operators on how to use specific technology combinations to achieve certain outcomes. The NaturaPeel Skin App, for instance, uses an organic bamboo charcoal cream combined with 532 nm and 1064 nm laser protocols to perform a 30-minute skin detox, skin tightening, and collagen stimulation treatment. Other Skin Apps include a décolleté treatment.
”These are very useful for multiple reasons,” said Dr. Rothaus. ”I think when you first get Chrome, Skin Apps helps you to get up to speed with the device. The protocols are all laid out for you. They also help if you have a physician assistant or nurse practitioner using the device with you. They quickly gain experience and confidence using the handpieces and settings, making it easier to treat patients safely.”
”Skin Apps are a good feature,” said Dr. Halaas. ”They offer an approach to customizing effective treatments based on the patient’s needs. They guide my laser practitioners on how to combine different wavelengths and delivery options in a single treatment. For example, NaturaPeel shows immediate results with zero downtime. We often combine it with serums and skincare treatments immediately afterward, so that we can ensure maximum absorption by the products. It’s like an instant peel without the downtime or healing complications.”
Patient satisfaction is high with Chrome, stated Dr. Rothaus. ”It works well with all age groups, too. I treat some older patients with lots of crepey, thin skin on the neck. Wrinkling is really hard to get a significant improvement using non-invasive modalities. Using Chrome’s fractional coverage, however, I’m seeing improvements in tightening skin and wrinkles, as well as in areas that were honestly difficult to treat in the past.”
Practitioners can expect a good return on investment (ROI) using Chrome, noted Dr. Halaas. ”There are no consumables and we have over 50 different indications that we can use this for. It’s extremely versatile and easier to use compared to some of our other platforms.”
Dr. Rothaus added, ”This device has tremendous potential because of the way it works so well as a platform. It offers long pulse 1064 nm, and four fractional wavelengths with high density and low-density coverage.”
Working with Cartessa is very satisfying at the provider level, he added. ”I love working with them. I have a long friendship with many of the people there. If I have a clinical question, then they get back to me right away. When I need service, they pick up on the same day, and they are very efficient and reliable. Also, I have confidence that as a company they’re going to be around, and they are growing. It is a wonderful, well-run organization.”
Cartessa’s team shows a genuine interest in innovation and elevating the use of laser-based energy in practices, concluded Dr. Halaas. ”Exploring all the tools and applications of this device, with the help of the motivated Quanta product leads, has been exciting for my staff. Most important, though, my patients love the results.”