Abstract: A light energy delivery head is provided which, in one aspect, mounts laser diode bars or other light energy emitters in a heat sink block which is adapted to cool both the emitters and a surface of a medium with which the head is in contact and to which it is applying light energy. In another aspect, various retroreflection configurations are provided which optimize retroreflection of back-scattered light energy from the medium. The size of the aperture through which light energy is applied to the medium is also controlled so as to provide a desired amplification coefficient as a result of retroreflection.

Abstract: Methods and apparatus are provided for selectively heating blood vessels in a patients skin to effect a desired dermatological (medical or cosmetic) treatment. For shallow vessels, particularly plexus vessels and superficial vessels/veins, radiation is applied to the vessels involved in the treatment which includes substantial radiation in a blue band of approximately 380-450 nm. The invention also involves maximizing the radiation used for which the safety radio for the area being treated is greater then one and minimizing the radiation used for which the safety ratio is less then one. This generally involves, depending on the blood vessel involved in the treatment and the patient's skin type, using radiation in one or more of a blue, green-yellow and near infrared wavelength band and filtering out radiation at other wavelengths, including radiation between the wavelength bands used.

Abstract: A method and apparatus are provided for controlling the temperature of a surface to preheat or precool the surface, to heat or cool the surface to effect a therapeutic treatment or to post-heat or post-cool the surface. A roller, preferably mounted to a handle, is provided which contains a material which is heated or cooled prior to treatment as appropriate so as to undergo a phase change and is then rolled over the surface the temperature of which is to be controlled, gradually undergoing a phase change to return to its initial state as it is rolled over the surface to effect the desired heating or cooling of the surface. The roller preferably has a large internal surface area in contact with the material undergoing the phase change.

Abstract: A method and apparatus are provided for controlling the temperature of a surface to preheat or precool the surface, to heat or cool the surface to effect a therapeutic treatment or to post-heat or post-cool the surface. A roller, preferably mounted to a handle, is provided which contains a material which is heated or cooled prior to treatment as appropriate so as to undergo a phase change and is then rolled over the surface the temperature of which is to be controlled, gradually undergoing a phase change to return to its initial state as it is rolled over the surface to effect the desired heating or cooling of the surface. The roller preferably has a large internal surface area in contact with the material undergoing the phase change.

Abstract: A method and apparatus are provided for processing biological tissue and other materials which involves providing or distributing a substance containing abrasive particles to an area in front of at least a portion of a surface of the material and irradiating both the substance and the portion of the surface with light from a selected source, the light being selected and delivered in a manner such that selective ablation is caused on the substance sufficient to force the abrasive particles under a selected pulse against the portion of the surface. Ablation may be of the particles themselves or the particles may be contained within a shell, with ablation being of the shell. The substance is preferably delivered as a series of distribution pulses with the light being delivered either continuously or as light pulses having a predetermined relationship to the distribution pulses.

Abstract: A system for treating a selected dermatologic problem and a head for use with such system are provided. The head may include an optical waveguide having a first end to which EM radiation appropriate for treating the condition is applied. The waveguide also has a skin-contacting second end opposite the first end, a temperature sensor being located within a few millimeters, and preferably within 1 to 2 millimeters, of the second end of the waveguide. A temperature sensor may be similarly located in other skin contacting portions of the head. A mechanism is preferably also provided for removing heat from the waveguide and, for preferred embodiments, the second end of the head which is in contact with the skin has a reflection aperture which is substantially as great as the radiation back-scatter aperture from the patient's skin.

Abstract: A method and apparatus for the removal of, and at least inhibiting the regrowth of, unwanted hair by applying optical radiation to the follicle, including the hair shaft therein, of an energy, a duration and wavelength to enhance the optical absorption characteristics of at least some component, (i.e., melanosomes, tissue, etc.) of the follicle without appreciably damaging skin outside the follicle; and subsequently applying optical radiation to the follicle of a wavelength which is more readily absorbed by the components of the follicle having optical absorption characteristics enhanced during step (a) then by unenhanced components and of an energy and duration to heat such enhanced components sufficiently to substantially destroy the follicle.

Abstract: Method and apparatus are provided for use with systems applying laser energy to treat a selected dermatology problem. The method and apparatus protect skin not under treatment in skin regions affected by the laser by detecting, with a suitable sensor, at least a selected parameter in the skin region affected by the delivered laser energy and performing a control function to effect the desired protection by use of a feedback mechanism which is operative in response to an output from the sensor. For some embodiments, two laser pulses may be utilized, which pulses are spaced by a time which is preferably greater than the thermal relaxation time for affected regions not under treatment, for example an epidermis through which the energy is passed to an area under treatment, but is less than the thermal relaxation time of the area under treatment.