Aeshtetic Trends - Jan/Feb 2008 eBook

www.aesthetictrends.com v o l u m e 7 , i s s u e 1 | j a n u a r y - f e b r u a r y 2 0 0 8

the leading physician journal for aesthetics and wellness

Anti-Aging & WELLnESS

Vibration Training

DERMAtOLOgYBridge Therapy–Lumenis

LASER & LighttEchnOLOgY

The Erbium YAG: 2940nm

LEgAL cASE OF thE MOnth

Insurance Landscape for Medical Spas

MEDicAL SpASMarketing Metrics

pLAStic SuRgERYThe Use of Harmonic® Technology

pRActicEMAnAgEMEnt

Win Patients With a Winning Website

See GFX at the AAD – Booth #4076

Radio Frequency TechnologyTreats Motor Nerves

Precision Radio Frequency Application

GFX from Advanced

Cosmetic Intervention

(ACI) incorporates

Precision, Control

and Safety:

• Immediate and

profound results

with minimal downtime

• An effective and

economical solution

for your patients

GFX treats

motor nerves

typically

treated

with neurotoxin

or brow-lift.

Photos courtesy of Alfred Speirs, M.D. Colorado Springs, CO

Before GFX

After GFX

To learn more about

GFX for your patients,

please visit us at the

AAD, Booth #4076. If

you’re not attending

the AAD, but would

like more information,

please contact us at

303.799.1988, ext.121,

or visit us at

www.GFXCosmetic.com

1AC102_AestheticsTrendsad1.25.08.indd 1 1/25/08 10:12:55 AM

a d v i s o r y d i r e c t o r s

Michael H. Gold, M.D.Gold Skin Care CenterNashville, TN

Mitchel P. Goldman, M.D.La Jolla Spa MD, La Jolla, CA

Diane Berson, M.D.New York, NY

Brian Biesman, M.D.Nashville, TN

Valéria B. Campos, M.D.São Paulo, Brasil

Christine C. Dierickx, M.D.Boom, Belgium

Dore J. Gilbert, M.D.Newport Dermatology & Laser Associates, Newport Beach, CA

David J. Goldberg, M.D., J.D.Mt. Sinai School of MedicineNew York, NY

Timothy M. Greco, M.D., F.A .C.S.Eastern Cosmetic Surgery Institute, Bala Cynwyd, PA

Ranella J. Hirsch, M.D.Skincare Doctors, Cambridge, MA

Bruce E. Katz, M.D.Juva Skin & Laser, New York, NY

Arielle N.B. Kauvar, M.D.New York, NY

Frederick N. Lukash, M.D., F.A .C.S.New York, NY

Corey S. Maas, M.D., F.A .C.S.The Maas Clinic, San Francisco, CA

Steven Ross Mobley, M.D.Salt Lake City, UT

Nick Morrison, M.D., F.A .C.S.Morrison Vain Institute Tempe and Scottsdale, AZ

Neil Sadick, M.D., F.A .C.P., F.A .C.S.Sadick Aesthetic Surgery &Dermatology, New York, NY

Joel Schlessinger, M.D.Skin Specialists, P.C., Omaha, NE

Stacey L . Silvers, M.D.New York, NY

Allan E. Sosin, M.D.Institute for Progressive MedicineIrvine, CA

Jeffrey Weinberg, M.D.St. Luke’s Roosevelt Dermatology Assoc., New York, NY

Robert A . Weiss, M.D.Dermatology AssociatesHunt Valley, MD

Cheryl WhitmanBeautiful Forever, New Jersey

Carlos L . Wolf, M.D., F.A .C.S.Miami Plastic Surgery, Miami, FL

Cecil Yeung, M.D., F.A .C.S.Yeung Institute, Houston, TX

Steven E. Zimmet, M.D.Zimmet Vein & DermatologyAustin, TX

e d i t o r i a l a d v i s o r s

DaviD J. GolDberG, M.D., earned his medical degree from Yale University. He completed his dermatology residency and dermatologic surgical fellowship at New York University Medical Center. He is a clinical professor and director of Laser Research in the department of Dermatology at the Mount Sinai School of Medicine. Dr. Goldberg is recognized nationally and internationally for his innovative work with skin lasers, cosmetic dermatology and facial rejuvenation techniques. A board-certified dermatologist who has been in practice since 1985, he has treated patients and taught doctors throughout the world in the use of these cutting-edge technologies. Dr. Goldberg was the first recipient of the prestigious Leon Goldman award, named after the founder of laser surgery. Additionally, Dr. Goldberg was named one of the “Top Ten Laser Surgeons in the U.S.” by Self magazine, one of the “Best Doctors in America” by Woodward/White, Inc., a “Best Doctor in America” by Best Doctors Inc. and one of the “Best Dermatologists in New Jersey” by New Jersey Monthly.

David J. Goldberg, M.D., J.D.Mt. Sinai School of MedicineNew York, NY

f e a t u r e d a d v i s o r

We are pleased to have the above-mentioned physicians as our editorial advisors. Our thanks go out to these individuals for their time and support in providing our readership

with valuable information for their practices.

editoriala d v i s o r y p a n e l

january-february 2008 | www.aesthetictrends.com 1—

january-february 2008 | www.aesthetictrends.com2—

RRoll up those sleeves and let’s get down to business! 2008 has been said by

many to be a year for greatness. I have heard this more now than ever before

that physicians are ready to have a winning year of business that surpasses

anything they have seen in this decade. I believe it’s true, and we are here to

help you in making it a reality.

I’d like to welcome Cheryl Whitman, CEO of Beautiful Forever, to our

Editorial Advisory Panel. She brings over twenty years of expertise in the

set-up and ongoing management of medical spas. It is our goal to expand

your knowledge in the ongoing articles within the Medical Spas department

for practice success. This year, we will be announcing several new online

courses for the medical professional. CME category 1 credits will be the

reward for participation in these lectures to help you shape your business

for growth. Look for more information as these courses are rolled out and

become available.

By popular demand, David Cauger, our Contributing Editor of the Laser

& Light department, has written a very informative article regarding the

updates from past years on the Erbium laser in aesthetic treatments. Be

sure to read the details of how these lasers have evolved, improved, and

have shaped the industry in the application of popular skin rejuvenating

techniques.

We understand how important it is to now have a website in this

growing industry of technology and the use of the worldwide web for the

added exposure of your practice. Featured in this issue of the Practice

Management department our contributing editor John McCormack writes

about how to communicate with your patients and draw new clients into

your practice doors with this increasingly popular vehicle.

It’s time to use that electric charge that is surging through so many of us.

Although it is always hard work to keep your practice running, we hope that

several of these new practice growing formulas will be the perfect fit for the

coming year.

Grow and prosper in 2008 and beyond.

“Formula for success: rise early, work hard, strike oil. “

- J. Paul Getty, 1892-1976Entreprenuer, Art Collector

and Founder of the Getty Oil Company

Helping Your Practice Grow

Letter from the Editor

Cindy Vandruff

Editor in Chief

Aesthetic Trends & Technologies, Inc.

3—

j a n u a r y - f e b r u a r y 2 0 0 8

d e p a r t m e n t s 7 anti-aging & wellness

13 dermatology

21 laser & light technology

53 legal case of the month

59 medical spas

73 plastic surgery

77 practice management7

21

13

53 7 Anti-Aging & Wellness Vibration Training

13 Dermatology Bridge Therapy

17 Product Listings Dermal Fillers & Injectables

21 Laser & Light Technology The Erbium YAG: 2940nm

32 Log On Now www.aesthetictrends.com

35 Product Listings Evolving Technologies/Laser & Light Technology

53 Legal Case of the Month Insurance Landscape for Medical Spas


4—

2 letter from the editor

17 dermal fillers & injectables product listings

35 laser & light technology product listings

65 microdermabrasion product listings

79 press corner

84 meetings & events calendarr

87 ATnT subscription form

i n e v e r y i s s u e

59

73

59 Medical Spas Marketing Metrics

63 Featured Medical Spa Renu Medispa, Eagle, Idaho

65 Product Listings Microdermabrasion

72 Net Visibilities

73 Plastic Surgery The Use of Harmonic® Technology

77 Practice Management Win Patients With a Winning Website

79 Press Corner

84 Meetings & Events Calendar

87 Aesthetic Trends & Technologies Subscribe!

77

63FEATURED MEDICAL SPA–Renu MedispaEagle, Idaho

january-february 2008 | www.aesthetictrends.com


advertiser indexAesthetic Cosmetic Intervention (ACI) (www.acisurgery.com) . . . . . . . . . . . . . . . . . . . . . . . . . C2

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e d i t o r i n c h i e fCindy Vandruff

[email protected]

t r e n d s e d i t o rMai Pham

[email protected]

p u b l i s h e rTina Squier

[email protected]

c o n t r i b u t i n g e d i t o r sValerie J. Ablaza, M.D.Al S. Aly, M.D., F.A.C.S.Elda ArgentiJennifer Barnes Leslie S. Baumann, M.D.David CaugerMitchell Chasin, M.D.Padraic Deighan, M.B.A., J.D.Sam Dhatt, M.S.Richard Ellenbogen, M.D., F.A.C.S.Stuart FrolicMichael H. Gold, M.D.David J. Goldberg, M.D.Mark Greenberg

Lou Haggerty, PUMCNicanor G. Isse, M.D.Scott Hopson, B.S. (Hons)Benjamin KesslerDawn LarsenElizabeth I. McBurney, M.D.Kathy Miller-KramerGreg S. Morganroth, M.D.Nick Morrison, M.D., F.A.C.S.Megan K. PackardLisa PanzicaDr. Cheryl PerlisDebra Price, M.D.Robert Prince

Dr. Zakia RahmanJoseph SamehMatthew Schulman, M.D.Asad Shahsavari, N.M.D.Steven D. Shapiro, M.D.Rada K. TierneyKen Washenik, M.D., Ph.D.Greg WashingtonSara Wasserbauer, M.D.Scott B. Wells, M.D., P.C. Cheryl WhitmanGregory Wiener, M.D., F.A.C.S.Steven E. Zimmet, M.D.

s e n i o r g r a p h i c d e s i g n e r David Meyer

p r o d u c t i o n m a n a g e r Melissa Poliseno c r e a t i v e d i r e c t o r Danielle Hudson p r o d u c t i o n d i r e c t o r Kerry Shaughnessey p r o d u c t i o n c o o r d i n a t o r B. Gunstenson

s u b s c r i b e800.277.1391

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Aesthetic Trends & Technologies, Inc.11622 El Camino Real, Suite 100, San Diego, CA 92130 USA

Published by Aesthetic Trends & Technologies, Inc. Please address all correspondence to 11622 El Camino Real, Suite 100, San Diego, CA 92130 USA. Aesthetic Trends & Technologies, Inc. makes all attempts to publish accurate information. However, this publication may contain technical inaccuracies or typographical errors. The reader assumes all risks concerning the suitability and accuracy of the information within this publication. Aesthetic Trends & Technologies, Inc. and its contributing editors assume no responsibility for and disclaims all liability for such inaccuracies, errors or omissions in this publication and in other documents referred to within or affiliated with this publication. Aesthetic Trends & Technologies™, the leading physcian journal for aesthetics and wellness, is a trademark of Aesthetic Trends & Technologies, Inc. Reproduction in whole or in part without permission is strictly prohibited.

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WWhole Body Vibration (WBV) is a

mechanical stimulation characterized

by an oscillatory motion. The

parameters that determine its stress

factor (intensity) are frequency,

amplitude, and magnitude of these

oscillations. The vibration creates

disruptions to instability and gravity,

thus forcing the body to stabilize itself

through innate and natural reflex

muscle actions.

Low frequency, low amplitude

Whole Body Vibration (WBV) has

been studied with subjects exercising

on vibrating platforms that possess

frequencies ranging from 15–44Hz

and magnitudes of 1.8–15g. Where

the Earth’s gravitational field is equal

to 1g (9.81 m.s-2), WBV provides

perturbations of the gravitational

field over a specified course of time.

Given that gravity is a necessary and

sufficient load on our

body, WBV provides

a resistance against

which to train.

EFFECT ON HUMAN PERFORMANCE Vibration

stimulates reflexive muscle action;

and the rapid continual firing of

this mechanism, due to vibration,

is known as the Tonic Vibration

Reflex (TVR). TVR is determined

greatly by the amount of pre-

tension existing in the muscle, thus

movement selection and execution

are crucial in determining efficacy of

outcomes. Furthermore, effects are

also proportional to the load imposed

by the vibration, i.e. total g-forces.

In normal conditions, muscles

anti-aging & wellness

Vibration Training

A PAinleSS PATh To heAlTh, WellneSS, And PerforMAnCe

By Scott Hopson, B.S. (Hons) Director of Education – Power Plate

Current research shows not only strength and power improvements, but also much needed speed of movement. Velocity of movement is one of the most important criteria for optimal human function!

atn tanti-

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exposed to the daily g-force[s] of

Earth are capable of maintaining

their performance capabilities and

capacities. When gravitational load

is reduced (microgravity), i.e. less

than 1g, a marked decrease in both

muscle mass and function is observed.

Comparatively, if gravitational load is

increased (macrogravity), i.e. above

1g, a concurrent increase in muscle

cross-sectional area and functional

capacity occur.

WBV research in many and varied

populations have shown marked

improvements in static, dynamic,

and explosive strength and power.

These are significant findings as

such improvements are both acute

and chronic in nature. Particularly

of interest is that WBV is eliciting

functional power outcomes safely

and effectively without concerns

for high load, high stress, and high

impact on the kinetic chain similar

to many traditional methods of

training. Obviously such factors are

crucial, particularly in many where

musculoskeletal systems (both active

and passive) are less tolerant of these

high mechanical and morphological

stresses. Current research shows

not only strength and power

improvements, but also much needed

speed of movement. Velocity of

movement is one of the most important

criteria for optimal human function!

INCREASE IN BONE MINERAL DENSITY Concurrent to functional strength

and power improvements, WBV is a

most effective form of fighting bone

loss and thus osteoporosis. Studies

have been performed in both animal

and human populations showing

an improvement in bone mineral.

Excitingly, new research has shown

significant (1.5%) increase in hip

area bone mineral density, as well as

muscle strength and postural control

in post-menopausal women. These

findings present an exciting solution

for an ever worsening problem in our

aging populations: osteoporosis, loss

of postural control and balance, bone

fractures from falls, and difficult and

incomplete recovery from traumatic

falls. So effective is WBV that its impact

is being achieved at knee, hip, and

spine as well as utilized to expedite

orthopedic injury recovery from

8— january-february 2008 | www.aesthetictrends.com

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traumatic surgery. These outcomes are

likely a combination of WBV applying

traction to the bone, re-vascularization

of the bone matrix, and elevated

available growth hormones.

HORMONAL BALANCING EFFECT Hormonal factors are intrinsically

linked to both neuromuscular and

morphological adaptations. Indeed

changes in gravitational load will

inevitably involve neural and hormonal

responses. Studies in astronauts have

shown that microgravity will produce

a decline in androgen and human

growth hormone – primarily due to

reduced musculoskeletal tension,

loss of hydrostatic pressure, and

altered sensory motor systems. In

contrast, an increase in gravitational

load (WBV) has been shown to

increase human growth hormone,

testosterone, and IGF-1. Furthermore,

WBV is decreasing cortisol response

post exercise. This reduction carries

implications regarding prevention

of atrophy (muscular, skeletal, and

neural) as well as balancing the

autonomic nervous system. In short,

the increased force generating capacity

and enhanced proprioceptive qualities

from WBV are creating an anabolic

environment in which recovery,

regeneration, and growth can occur.

Again, this is of paramount importance

in all populations as we now live in

highly stressed external and internal

environments where catabolism is

the norm. We must remember that

exercise is a STRESS. This stress

only becomes positive if we create an

environment for positive (anabolic)

change, i.e. supercompensation. For

many, if not most people, this is not the

case. Anything that naturopathically

enhances our anabolic hormones aids in

this.

INCREASE IN METABOLISM Body composition and body mass are

an increasing concern as we now have

more obesity, android obesity, diabetes,

and disease[s] of toxicity than ever

before. WBV has a tremendous impact

on the metabolic demand of exercise,

both during and following. A muscle

firing rate of 30 to 50 times per second

(Hz) in multiple directions (planes) will

not only increase type 1 (slow) fibers

usage, but activate those type II (fast)

fibers that are so desperately needed

for real morphological change[s]. By

utilizing fast twitch fibers (WBV) the

metabolic demand during and post

exercise will be greater. Research has

shown WBV to be

as much as 25%

more compared

to traditional

resistance training.

Considering that

fast twitch muscle

fibers are linked

to increases in

testosterone and

human growth

hormone, it makes great sense that

WBV increases metabolic demand

and initiates an anabolic response.

Subsequently, testosterone and human

growth hormone will in turn positively

impact on one’s basal metabolic rate

as well as tissue repair and recovery.

The net result: increased muscle mass,

decreased body fat, and improved

weight loss and maintenance.

IMPROVE THE IMMUNE FUNCTION As the body is forced to react and

respond to the expedited muscle

activity, the circulatory system is

similarly overloaded. Indeed research

shows WBV to increase muscle blood

volume by as much as 100%. With this

increased muscle blood volume is a

concurrent stimulation of the lymphatic

drainage system. Combined, these

two systems of circulation provide

optimal nutrient and energy exchange

at the metabolic level, as well as an

enhanced waste product and toxin

removal. In themselves these are very

significant findings, yet they will also

carry integrated benefits on flexibility,

morphological changes, pain reduction,

and body composition (fat cells house

toxins!). This explains why so many

clinical environments are witnessing

elevated immune function in those

patients and clients who utilize WBV.

Interestingly, the effect of the

circulatory (blood and lymph) and

hormonal systems have a tremendous

impact on many other tissues in the

body that also significantly impact on

the way we look - in particular cellulite,

skin tone, and body fat reduction. The

most important factors that influence the

appearance of cellulite are fat storage,

anti-

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llness

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WBV training has been shown to improve the texture of skin, to free areas of restricted blood flow, and support growth hormone while suppressing cortisol, the stress hormone known to add fat around our mid-sections, as well as the most catabolic hormone and long-term stress marker.

10—

which validates its safety for use in

42 European countries for people

with disabilities. Where access is

a real factor to participation (and

adherence), this is a welcome and

exciting development. In the U.S.

alone there are some +100 million

(out of 300 million) people living with

some form of disability. How many

are training in mainstream health

and fitness facilities? For a modality

that has been proven to be fast (12-20

mins.) and effective (strength, power,

balance, bone, pain, hormones, pain

reduction, etc.), WBV is providing

exercise intervention with an

innovating application for optimal

health, wellness, and performance.

As part of an integrated approach to

exercise programs, WBV offers a very

powerful and holistic set of tools.

fluid retention, the amount and

arrangement of collagen and elastin

fibers in the connective tissue layers

just under the skin. Where there is

a decreased circulation in the body,

the body’s waste removal system can

fail; and the body holds toxic waste,

causing connective tissue to become

saturated with fluid, often leading to

swelling and inflammation.

The bulging fat

cells, or adipocytes,

stress the collagen

and elastin network

nearby and cause

the connective

tissues to harden

and become

fibrotic, which

encroach on

healthy blood

and lymphatic

flow. WBV

offers solutions

for strengthening,

adding muscle which

burns fat and improves

circulation. WBV

training has been

shown to improve

the texture of skin,

to free areas of

restricted blood

flow, and support

growth hormone while suppressing

cortisol, the stress hormone known to

add fat around our mid-sections, as

well as the most catabolic hormone

and long-term stress marker. Finally

the improved collagen remodeling

is perhaps the most important for

healthy looking and functioning skin.

APPLICATIONS Many traditional exercise

interventions for health, wellness,

and performance have had to

overcome varied and persistent

obstacles, thus participation and

adherence rates of physical activity

and exercise (especially in an elderly

population) are decreasing. These

factors are complex and transient, yet

include access, resources, time, poor

outcomes (results), pain / dysfunction

(exacerbated), and confusion (what,

how and when to use), as well as

spiritual factors.

This technology and science is not

only supported by research-based

evidence but a wealth of global

practice-based evidence which

now has WBV at the core of applied

health practices in sports medicine,

physical therapy, chiropractic care,

athletic training, beauty, and wellness

worldwide.

WBV is proving to be safe, fast,

and effective. Sessions may only last

12–20 minutes, yet they

provide the optimal

balance between

stress and recovery.

Some machines,

such as the Power-

Plate, have been

accredited by the IFI,

10—

Scott Hopson,

B.S. (Hons), is

the Director of

Education and

Training for

Power Plate North

America. Mr.

Hopson has an Honors degree in Sport

and Exercise Science from London, UK

as well as being internationally certified

through the CHEK Institute, the National

Strength and Conditioning Association,

the National Academy of Sports

Medicine and the American College of

Sports Medicine. He is also successfully

completing his Masters Degree in

advanced Kinesiology in addition to

being a certified and practicing USA

Rugby Coach. For more information,

visit www.power-plate.com

anti-

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w w w . a e s t h e t i c t r e n d s . c o m

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Copyright © 2002-2008Aesthetic Trends & Technologies, Inc.

11622 El Camino Real, Suite 100, San Diego CA 92130 USA

858.605.0470 Fax 858.605.0469


II vividly remember seeing Bridge

Therapy for the first time a little over

a year ago. What was so amazing

to me was not that I was seeing skin

resurfacing for the first time, (I had

over ten years of experience with

CO2 Laser Resurfacing), but that the

revolution in delivery of the beam

instantaneously answered so many

questions in my mind concerning

what was imperfect about earlier

resurfacing.

It immediately brought to mind the

technological advances of targeting

that amazed us all during the Gulf

War. After an explanation of how

it works and seeing the first laser

shot, I whispered in my laser nurse’s

ear, “Wow, we need one of these!”

My only skepticism at the time was

that leaving little bridges of tissue,

between points of contact of the

laser, would necessarily result in a

reticulated pattern on the skin.

Since the surgeon

performing the

procedure was from

out of town, and the

patient was local to

New York, I offered to

provide follow-up care

after the procedure. I

must admit, my motivations were not

entirely altruistic, as I really wanted

to see if the results were as impressive

as promised. The patient returned

at four days with the anticipated

speckled “peel,” which we treated

by gentle dermaplaning. I still

wasn’t convinced the laser pattern

wouldn’t be permanent. However,

her second return visit, at one week,

totally amazed me! From a social

distance, her skin was flawless; and

she truly had fresh, new, and younger

appearing skin. I became instantly

convinced that this represented a

true revolution in skin resurfacing

technology.

dermatology

Bridge Therapy luMeniS - ulTrAPulSe enCore

By Scott B. Wells, M.D., P.C.

What is truly revolutionary are the recent advancements in the delivery of the beam and its patterning that allows for dramatic single treatment results with greatly reduced patient down time.

atn tderm

atolog

y


derm

atolog

y

ABLATIVE AND MICROABLATIVE THERAPY Bridge Therapy represents the

latest evolution in fractionated

delivery of carbon dioxide laser

skin resurfacing. Lumenis LTD

manufactures the UltraPulse®

system carbon dioxide laser

application. This system has been

in existence for many years. What

is truly revolutionary are the recent

advancements in the delivery of the

beam and its patterning that allows

for dramatic single treatment results

with greatly reduced patient down

time. By applying fractional delivery

techniques to carbon dioxide laser

energy, the best of both ablative and

microablative treatments may be

combined. Bridge Therapy includes

a continuum of treatment options

from microablative procedures using

“Deep FX” technology to subablative

treatments for pigment correction

(Pigment FX) all the way to rapid

healing ablative treatments for skin

tightening (Active FX).

The technological advancements

in the delivery system involve using

a specialized computer pattern

generator to diminish the diameter

of the beam, as well as randomizing

the delivery of the pattern, including

tiny bridges of intact skin between

treatment zones. By changing the

equation on beam delivery, there

is a change in the natural healing

response to the laser, promoting

rapid epidermal regrowth as well

as neocollagenesis

within the superficial

dermis.

The result

is a dramatic

improvement in

wrinkles, texture,

and tone with

minimal recovery time. The newest

and most exciting addition to the

Bridge Therapy family is Deep FX

and Total FX. By reducing the beam

width and density even further,

Deep FX treatments are able to

deliver carbon dioxide energy deep

into the dermis, sparing much of

the epidermal response, thereby

achieving long-term collagen

remodeling with only a fraction of

the recovery, and almost none of the

complications formerly associated

with earlier deep carbon dioxide

treatments.

CUSTOM DESIGNED TREATMENTS By combining the surface benefits

of Active FX with the deep collagen

stimulating and tightening effects of

Deep FX, a true three dimensional

approach to skin resurfacing may

be achieved (Total FX). What this

means to a clinical practice is the most

comprehensive skin rejuvenation

system offering custom designed

treatments tailored to a patient’s

results objective and downtime

tolerance.

Within my plastic surgical practice,

I have been using Bridge Therapy

procedures for well over a year.

We have applied these resurfacing

techniques effectively not only to the

face, but routinely to the neck and

décolleté as well. The results have

By combining the surface benefits of Active FX with the deep collagen stimulating and tightening effects of Deep FX, a true three dimensional approach to skin resurfacing may be achieved (Total FX).

Lumenis ActiveFX Progression. Photos Courtesy of David J. Goldberg, M.D.

Before Treatment. Immediately After Treatment. 14 Days After Treatment. 60 Days After Treatment.


derm

atolog

yproven to be reproducible and safe in

well over one hundred cases. Within

the last six months, we have begun

routinely resurfacing the skin at the

same time as minimally invasive

facelift and eyelid rejuvenation

procedures; and we have found

this to also be quite safe and

reproducible.

BALANCED ORGANIC REJUVENATION The ability to rebuild elasticity

and collagen density within aged

skin has added a tremendous

dimension to rejuvenation

procedures. In fact, this has helped

us to reorganize our surgical

philosophy to one that we call

Balanced Organic Rejuvenation™.

The essential notions of Balanced

Organic Rejuvenation involve

applying several different

technologies into a rejuvenation plan,

each designed to most effectively

and naturally correct the separate

components of senescent changes.

A significant part of aging is

alteration in skin’s thickness and

elastic properties due to loss of

collagen. The “organic” correction of

this change involves thickening and

rebuilding collagen within the skin,

thus restoring elasticity. Applying

traditional “pull techniques” to

progressively aged skin generally

yielded diminished results. Less

invasive surgical maneuvers are

reserved more to correct gravitational

changes within the underlying tissues

than to correct for skin laxity.

The third component to Balanced

Organic Rejuvenation involves

physiologic volume restoration

through the use of autologous fat

grafts or commercially available

volume fillers. Having a tool to safely

and comfortably rejuvenate skin

has provided a way to reproducibly

achieve

absolutely

natural results.

Even more

importantly,

applying these

technologies

to skin

rejuvenation

has allowed

better results

with more

minimally

invasive

surgical alterations, translating into

fewer complications and greatly

reduced recovery times.

COMPREHENSIVE BEAUTY AND AGE MANAGEMENT One of the most progressive

ways of looking at this family of

skin rejuvenating procedures is the

prospect of using them proactively.

One division of my practice has now

become devoted to Comprehensive

Beauty and Age Management.

Procedures such as Active FX, Deep

FX, and Total FX may be used as

much to “bank collagen” in younger

patients as to rebuild it in the aged

patient. Thinking of skin fitness

in terms of “gym memberships”

for the skin, we orient our patients

to understanding that regular

maintenance through the use of laser

and light based treatments is most

appropriate to preserving beauty for

life.

100 mJ at Face; Forehead at 90 mJ, Density of 2. 7 Days Post Treatment.Photos Courtesy of Alexander Attai, M.D.

Dr. Scott B.

Wells is a

Board Certified

Plastic and

Reconstructive

Surgeon

practicing in

New York City

and Great Neck, Long Island. Dr.

Wells is the Medical Director of the

Park Avenue Plastic Surgery Center

and Skin NY, a state-of-the-art medical

rejuvenation medispa. Dr. Wells

has appeared on various television

programs and has been quoted in

numerous articles such as in Vogue,

W, and Hamptons magazine. He has

also written and spoken extensively

on cosmetic surgery topics including

presentations on facelifts, eyelids, brow

lifts, abdominal surgery, liposuction,

rhinoplasty, laser resurfacing and breast

augmentation and reconstruction. He

has contributed to numerous books and

is still actively involved in teaching and

medical education.

Let’s Join Hands for a Cure.Show your support for breast cancer research, treatment, and education when you

wear The Pink Glove while performing services. For each box of gloves sold

during this promotion, $5.50 of the purchase price will be donated to City

of Hope. You’ll help fi ght breast cancer and your clients will be inspired by

your commitment. Hand-in-hand we can help fi nd the cure.

The Pink Glove is lightly powdered, latex-free vinyl, and embossed with

ribbon logo. Available in small or medium. $9.99 per box of 100.

To order now visit: www.thepinkglove.com

City of Hope, an innovative biomedical research, treatment and educational institution, is dedicated to the prevention and cure of cancer and other life-threatening diseases.

TPG_fullfin07.indd 1 7/23/07 10:25:01 AM


product listings

Dermal Fillers & Injectables

The JUVÉDERM™ dermal filler

family of products, cleared by the

U.S. Food and Drug Administration

in 2006, is the next generation in

hyaluronic acid dermal fillers that

provide a smooth, long-lasting correction of moderate to

severe facial wrinkles and folds.

JUVÉDERM™ is the first smooth consistency gel

formulation and is clinically proven to last up to one

year. JUVÉDERM™ is developed using the proprietary

HYLACROSS™ technology, an advanced manufacturing

process that results in a malleable, smooth gel that flows

easily into the skin and creates a smooth, natural look

and feel. All other hyaluronic acid dermal fillers currently

on the market use a granular consistency gel. These

granules can be seen under 2.4x magnification when

compared to the smooth consistency

gel of the JUVÉDERM™ dermal filler

family of products.

To provide physicians with the

flexibility to tailor each treatment

to the specific needs of the patient, there are two

formulations of JUVÉDERM™. Product formulations

include: JUVÉDERM™ Ultra, a highly cross-linked

formulation for more versatility in contouring

and volumizing of facial wrinkles and folds; and

JUVÉDERM™ Ultra Plus, a more highly cross-linked and

thicker gel for volumizing and correction of deeper folds

and wrinkles.

Allergan

714.246.4500

www.allergan.com

spotlightAllerGAnJuvéderm

Aesthetic Trends & Technologies Product Listings are shown on the following pages for your buying power.

Conveniently listed, you may refer to these products. If at any time you do not see a product listed here, please

contact us by e-mailing the staff at [email protected]. We will update the listings to include

the products in which you are most interested.


ABR Developmentwww.atlean.comParc d’activité AftalionRue François Perroux34670 Baillargues France (+33) 4 67 10 94 81 p (+33) 4 99 62 05 73 f

Atléan BTCP N/A CE Mark

Adodermwww.adoderm.com lisabeth-Selbert-Stasse 5D-40764 Langenfeld Germany+49 (0) 2173 / 101 91 80 p+49 (0) 2173 / 101 91 82 f

VariodermVarioderm Fine LineVarioderm PlusVarioderm Subderma

Non-animal Hyaluronic Acid No 2 x 1.0 ml syringes

Atrium Medical www.atriummed.comRendementsweg 24, LIII3641 SL MijdrechtThe Netherlands31.297.230.420 pAtrium Australia-Pacific www.atriummed.comL1 Bridgepoint 3 Brady StreetMosman NSW 208861.2.9960.0169 p

Advanta ePTFEFacial Implants

Dual-PorosityePTFE

No No Wide selection of oval and round strands, and other configura-tions

5 years $285-$400Varies depending on size and with/without attached trocar

No CE Mark/TUV

Cleared in Australia

BioPolymer GmbH & Co. KGwww.biopolymer.infoBahnhofsplatz 4D-56410 Montabaur Germany0049 2602 83868 0 p0049 2602 83868 20 f

MATRIDEX®MATRIDUR®MATRIGEL®

DEAE Sephadex $250 - $350 CE MarkNot FDA Cleared

Prollenium Medical Technologieswww.revanesse.com10670 Yonge StRichmond Hill, ON L4C 3C9 CanadaToll Free 866.353.3015905.508.6716 f

ReDexisRevanesseRevanesse Ultra

Hyaluronic Acid $175 - $225 per cc

No Cleared in Canada. U.S. Pending

Q-Med ABwww.q-mediesthetics.comSeminarjegatan 21,SE-75228 Uppsala, Sweden+46 18-474 90 00 p

RestylaneRestylane TouchRestylane PerlaneRestylane Sub-QRestylane LippRestylane Vital

NASHA gel - a non-animal hyaluronic acid, stabilized with BDDE.

NoNoNoNoNoNo

NoNoNoNoNoNo

0.7ml syringe0.7ml syringe0.7ml syringe0.7ml syringe0.7ml syringe0.7ml syringe

18 months $275 per cc NoNoNoNoNoNo

FDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA Cleared

Rofil Medical Int’l N.V.www.rofil.comHeusing 164817 ZB BredaThe Netherlands+31 (0) 76 5315670 p

Beautical 2Beautical 5REVIDERMRofilan

Poly AcrylamidePoly AcrylamideDextran - SephadexHyaluronic Acid

NoNoNoNo

YesYesYesYes

4 syringes/.05ml 4 syringes/1.0ml 4 syringes/1.0ml 2 syringes/1.0ml

2 years2 years2 years2 years

$150$190$336$235

NoNoNoNo

Not FDA Cleared

Tissue Science Laboratorieswww.tissuescience.comVictoria House, Victoria RoadAldershot, HampshireGU11 1EJ United Kingdom(01252) 333.002 p

Permaco™ Porcine Dermis processed to yield a sterile collagen matrix

No No Various sizes of sheet goods 1mm in thickness

2 years in U.S.5 years in E.U.

Varies according in size

No FDA Cleared

derMAl fillerS & inJeCTABleSProduCT liSTinGS

U.S. Source Product Product Dispensed Shelf Life Price Regulatory Source Measurement InformationRec

onsti

tute

d/Reh

ydrat

edRefr

igerat

ion

Skin Te

st Req

uired

Allergan www.allergan.com2525 Dupont DriveIrvine, CA 92612714.246.4500 p

Botox® CosmeticJuvéderm 24 HVJuvéderm 30 HVJuvéderm 30Zyderm® 1 & 2Zyplast®CosmoDerm™1Cosmoplast™

Botulinum Toxin Type ANon-animal Hyaluronic AcidNon-animal Hyaluronic AcidNon-animal Hyaluronic AcidBovine CollagenBovine CollagenHuman-Based Collagen Human-Based Collagen

YesYesYesYesNo No No No

Yes Yes Yes Yes Yes Yes Yes Yes

100 units/freeze-dried100 units/freeze-dried100 units/freeze-dried100 units/freeze-dried.5, 1.0, & 1.5cc.5 & 1.0cc1 cc syringe1 cc syringe

24 months from date of manufacture


$417 /vial$205-$235$200-$225$200-$225ListListListList

NoNoNoNoNoNoNoNo

Cleared for Cosmetic UseFDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA Cleared

Artes Medical, Inc.www.artesmedical.com5870 Pacific Center Blvd.San Diego, CA 92121858.550.9999 p858.875.5556 f

ArtFill PMMA Yes $700 - $800 per cc

Yes FDA Cleared

BioForm Medical Inc. www.bioformmedica.com1870 Grant Ave., Suite 10San Mateo, CA 94402650.286.4000 p

Radiesse(formerly Radience FN)

CaHa with gel carrier No No 1.3 & 0.3cc 2 years $250 No Cleared for Vocal Fold,Tissue Marketing,Oral/Maxillofacial Defects

Fascia Biosystemswww.fascian.com11040 Santa Monica Blvd., Ste 340Los Angeles, CA 90025888.332.7242 p

FasciablastFascian

Cadaver TissueCadaver Tissue

YesYes

NoNo

Multiple sizes, standard & custom. Pre-filled with 80 mg of particles; comes in six sizes from 0.01 to 2.0 ml

5 years5 years

Varies by size$85 /syringe

NoNo

FDA registeredFDA registered

LifeCellwww.lifecell.comOne Millenium WayBranchburg, NJ 08876908.947.1100 p

Alloderm Cadaver Tissue Yes Yes Multiple sizes, both standard and by request 1 cc syringes

Up to 2 years varies depending on size

No Accredited Tissue Bank

Medicis Aestheticswww.restylaneusa.com8125 North Hayden RoadScottsdale, AZ 85258-2463800.550.5115 p

RestylaneRestylane TouchRestylane PerlaneRestylane Sub-Q

NASHA gel No No 1.0 ml syringes 18 months $275 per cc No FDA Cleared in US & CanadaPending FDA ClearancePending FDA ClearancePending FDA Clearance

Sanofi-Aventis(Dermik Laboratories)www.sculptra.com55 Corporate DriveBridgewater, NJ 08807800.981.2491 p

Sculptra(New -Fill)

Polylactic acid(PLA) hydrogel

Yes No 2 vials that are reconstituted into 3 x 1 cc syringes

N/A $480/vial No FDA cleared for restoration and/or correction of the signs of facial fat loss (lipoatrophy)

SeSDERMA USAwww.sesedermusa.com22-A Lenox PointAtlanta, GA 30324404.846.2044 p

HylanSeSFillDerma

Hyaluronic AcidCollagen

NoNo

YesNo

1 ml syringe2 bottles; 1-10ml oil1-10ml activator

2 years2 years

List$80

NoNo

Not FDA ClearedNot FDA Cleared

Therapeutic Silicone Technologies, Inc.www.orentreich.org/tst.htm909 Fifth AvenueNew York, NY 10021212.606.0830 p212.794.6261 f

SilSkin Silicone Fluid No No N/A 2 years N/A No U.S. & Canadian Clinical Trials


ABR Developmentwww.atlean.comParc d’activité AftalionRue François Perroux34670 Baillargues France (+33) 4 67 10 94 81 p (+33) 4 99 62 05 73 f

Atléan BTCP N/A CE Mark

Adodermwww.adoderm.com lisabeth-Selbert-Stasse 5D-40764 Langenfeld Germany+49 (0) 2173 / 101 91 80 p+49 (0) 2173 / 101 91 82 f

VariodermVarioderm Fine LineVarioderm PlusVarioderm Subderma

Non-animal Hyaluronic Acid No 2 x 1.0 ml syringes

Atrium Medical www.atriummed.comRendementsweg 24, LIII3641 SL MijdrechtThe Netherlands31.297.230.420 pAtrium Australia-Pacific www.atriummed.comL1 Bridgepoint 3 Brady StreetMosman NSW 208861.2.9960.0169 p

Advanta ePTFEFacial Implants

Dual-PorosityePTFE

No No Wide selection of oval and round strands, and other configura-tions

5 years $285-$400Varies depending on size and with/without attached trocar

No CE Mark/TUV

Cleared in Australia

BioPolymer GmbH & Co. KGwww.biopolymer.infoBahnhofsplatz 4D-56410 Montabaur Germany0049 2602 83868 0 p0049 2602 83868 20 f

MATRIDEX®MATRIDUR®MATRIGEL®

DEAE Sephadex $250 - $350 CE MarkNot FDA Cleared

Prollenium Medical Technologieswww.revanesse.com10670 Yonge StRichmond Hill, ON L4C 3C9 CanadaToll Free 866.353.3015905.508.6716 f

ReDexisRevanesseRevanesse Ultra

Hyaluronic Acid $175 - $225 per cc

No Cleared in Canada. U.S. Pending

Q-Med ABwww.q-mediesthetics.comSeminarjegatan 21,SE-75228 Uppsala, Sweden+46 18-474 90 00 p

RestylaneRestylane TouchRestylane PerlaneRestylane Sub-QRestylane LippRestylane Vital

NASHA gel - a non-animal hyaluronic acid, stabilized with BDDE.

NoNoNoNoNoNo

NoNoNoNoNoNo

0.7ml syringe0.7ml syringe0.7ml syringe0.7ml syringe0.7ml syringe0.7ml syringe

18 months $275 per cc NoNoNoNoNoNo

FDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA Cleared

Rofil Medical Int’l N.V.www.rofil.comHeusing 164817 ZB BredaThe Netherlands+31 (0) 76 5315670 p

Beautical 2Beautical 5REVIDERMRofilan

Poly AcrylamidePoly AcrylamideDextran - SephadexHyaluronic Acid

NoNoNoNo

YesYesYesYes

4 syringes/.05ml 4 syringes/1.0ml 4 syringes/1.0ml 2 syringes/1.0ml


$150$190$336$235

NoNoNoNo

Not FDA Cleared

Tissue Science Laboratorieswww.tissuescience.comVictoria House, Victoria RoadAldershot, HampshireGU11 1EJ United Kingdom(01252) 333.002 p

Permaco™ Porcine Dermis processed to yield a sterile collagen matrix

No No Various sizes of sheet goods 1mm in thickness

2 years in U.S.5 years in E.U.

Varies according in size

No FDA Cleared

derMAl fillerS & inJeCTABleSProduCT liSTinGS

Sources Outside U.S. Product Product Dispensed Shelf Life Price Regulatory Source Measurement InformationRec

onsti

tute

d/Reh

ydrat

edRefr

igerat

ion

Skin Te

st Req

uired

Skin Te

st Req

uired

Allergan www.allergan.com2525 Dupont DriveIrvine, CA 92612714.246.4500 p

Botox® CosmeticJuvéderm 24 HVJuvéderm 30 HVJuvéderm 30Zyderm® 1 & 2Zyplast®CosmoDerm™1Cosmoplast™

Botulinum Toxin Type ANon-animal Hyaluronic AcidNon-animal Hyaluronic AcidNon-animal Hyaluronic AcidBovine CollagenBovine CollagenHuman-Based Collagen Human-Based Collagen

YesYesYesYesNo No No No

Yes Yes Yes Yes Yes Yes Yes Yes

100 units/freeze-dried100 units/freeze-dried100 units/freeze-dried100 units/freeze-dried.5, 1.0, & 1.5cc.5 & 1.0cc1 cc syringe1 cc syringe

24 months from date of manufacture


$417 /vial$205-$235$200-$225$200-$225ListListListList

NoNoNoNoNoNoNoNo

Cleared for Cosmetic UseFDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA ClearedFDA Cleared

Artes Medical, Inc.www.artesmedical.com5870 Pacific Center Blvd.San Diego, CA 92121858.550.9999 p858.875.5556 f

ArtFill PMMA Yes $700 - $800 per cc

Yes FDA Cleared

BioForm Medical Inc. www.bioformmedica.com1870 Grant Ave., Suite 10San Mateo, CA 94402650.286.4000 p

Radiesse(formerly Radience FN)

CaHa with gel carrier No No 1.3 & 0.3cc 2 years $250 No Cleared for Vocal Fold,Tissue Marketing,Oral/Maxillofacial Defects

Fascia Biosystemswww.fascian.com11040 Santa Monica Blvd., Ste 340Los Angeles, CA 90025888.332.7242 p

FasciablastFascian

Cadaver TissueCadaver Tissue

YesYes

NoNo

Multiple sizes, standard & custom. Pre-filled with 80 mg of particles; comes in six sizes from 0.01 to 2.0 ml

5 years5 years

Varies by size$85 /syringe

NoNo

FDA registeredFDA registered

LifeCellwww.lifecell.comOne Millenium WayBranchburg, NJ 08876908.947.1100 p

Alloderm Cadaver Tissue Yes Yes Multiple sizes, both standard and by request 1 cc syringes

Up to 2 years varies depending on size

No Accredited Tissue Bank

Medicis Aestheticswww.restylaneusa.com8125 North Hayden RoadScottsdale, AZ 85258-2463800.550.5115 p

RestylaneRestylane TouchRestylane PerlaneRestylane Sub-Q

NASHA gel No No 1.0 ml syringes 18 months $275 per cc No FDA Cleared in US & CanadaPending FDA ClearancePending FDA ClearancePending FDA Clearance

Sanofi-Aventis(Dermik Laboratories)www.sculptra.com55 Corporate DriveBridgewater, NJ 08807800.981.2491 p

Sculptra(New -Fill)

Polylactic acid(PLA) hydrogel

Yes No 2 vials that are reconstituted into 3 x 1 cc syringes

N/A $480/vial No FDA cleared for restoration and/or correction of the signs of facial fat loss (lipoatrophy)

SeSDERMA USAwww.sesedermusa.com22-A Lenox PointAtlanta, GA 30324404.846.2044 p

HylanSeSFillDerma

Hyaluronic AcidCollagen

NoNo

YesNo

1 ml syringe2 bottles; 1-10ml oil1-10ml activator

2 years2 years

List$80

NoNo

Not FDA ClearedNot FDA Cleared

Therapeutic Silicone Technologies, Inc.www.orentreich.org/tst.htm909 Fifth AvenueNew York, NY 10021212.606.0830 p212.794.6261 f

SilSkin Silicone Fluid No No N/A 2 years N/A No U.S. & Canadian Clinical Trials

Aesthetic Trends & Technologies Presents:

The 2007 Laser & Light Choice Awards CeremonyASlMS–April 2008orlando, florida

last Year’s 2006 recipientsAlmaCandelaCoolTouchCynosureCuteraFocus MedicalHoya ConBioIridexNovalisPalomarPhotoTherapeuticsReliantSyneronScitonThermageLumenisZimmer Elektromedizin

For more information:800.277.1391

www.aesthetictrends.com


N

laser & light technology

The Erbium YAG: 2940nm A reJuVenATed lASer

By David Cauger, Contributing Editor atn tlaser

& ligh

t tech

nolog

y

Non-surgical facial rejuvenation

treatments are the fastest growing

segment in aesthetic medicine. It is

estimated over 8 million procedures

will be performed annually world

wide by 2009, producing $6.4 billion

in fees.

This article will present the Erbium

YAG (Er:YAG) as a key component

in advanced facial rejuvenation

strategies for the cosmetic practice.

In addition, technical information and

indications for the Er:YAG will also be

included.

Facial rejuvenation is broad term

that may include treating sun induced

“age spots”, broken capillaries and

small vascular abnormalities of the

face. The term may also be used

to refer to treatments that create

non-ablative lasers and other non-

laser devices that tighten the skin.

Aesthetic lasers are designed to

do specific things according to their

wavelengths, optics, power, and other

collagen synthesis to smooth out fine

wrinkles, or BOTOX™ and dermal

fillers for dynamic and static wrinkles.

The term facial rejuvenation may also

be used in the context of ablative and

Figure 1. Water Absorption Coefficient.


features. Laser manufacturers will

often emphasize the “secondary”

treatment benefits of their devices.

The merits of these benefits range

from efficacious to questionable.

These will be covered later in this

article. The non-ablative lasers

designed for collagen synthesis

via the wound healing response

include variations of the Nd:YAG,

the 1540 Erbium glass, and even

intense pulsed light devices with

high energies in the 800nm–1200nm

range. Ablative lasers include the

traditional and fractional Erbium

YAG, the traditional and fractional

carbon dioxide laser, and a unique

2790nm YAG laser. In addition,

plasma devices that use superheated

gas can also be used for ablation.

The Er:YAG is on the peak

coefficient of water. This provides

very precise ablation of skin tissue

without the “spread” of thermal

heat to the dermis as is the case with

the CO2 laser. The upside of this is

recovery times can be as short as <1

day. The downside is no residual

heat finds its way to the dermis, and

therefore no collagen remodeling or

contraction achieved.

The Er:YAG’s depth of ablation

is directly proportional to fluences

and overlap. Spot sizes

range from 4mm to

10mm, fluences range

from .2J/cm2 to 10J/

cm2 and repetition rates

range from 1–3 shots

per second. All of this

translates into how fast

you can treat and how far down you

wish to ablate.

WHAT ABOUT THE FRACTIONAL ER:YAG? The ablative fractional Er:YAG

is indicated just as the traditional

Er:YAG. The difference is it

attempts to go deeper with less

“downtime.” It can achieve this

because it ablates skin tissue

in “piecemeal” fashion using a

“screen” type lens to break up the

beam into many “microbeams”

within the spot size. This is now

commonly referred to as the

“Thermal Micro-ablation Zone” or

MTZ. The rules as defined in Fig.1

somewhat change as small wounds

heal at a faster rate than large

wounds. The upside of this is that

the physician may ablate lesions

that are deeper with downtimes

that would equal superficial depths.

The downside is the entire targeted

area is not treated, and several

treatments are required to complete

the area. So it is a trade off; more

visits for less downtime.

If you intend on purchasing a

fractional Er:YAG, add up the total

power density of each MTZ for each

available spot size. This is done by

adding the number of “microbeams”

to the power (watts) x the time each

beam is exposed to the surface. The

micro beams will be in millijoules.

Remember that 1 joule = 1 watt

exposed to the skin for 1 second.

“Milli” refers the 1/1000 of any

value in the mathematical lexicon

of aesthetic laser. Therefore, 1000

microbeams at 1 millijoules each

(1mJ) would equal 1 joule per shot.

The size of the spot or MTZ will

give you the total power density for

each shot. This equation is not a true

specification but rather an easy rule

that will assist you in comparing the

power of fractional Er:YAG lasers.

One other word to the wise is to

&las

er l

ight t

echno

logy

The more sophisticated cosmetic physician maytake a more strategic path to achieving desiredcosmetic improvements while keeping the patientfully engaged in the process of facial rejuvenation.

Figure 2. Depth of Ablasion. Courtesy of Symedex Corp.

Treatment Setting Overlap Depth Recovery

Minimum 1.25 J/cm2 10% 7-15 microns 1-2 days

Light 1.25 J/cm2 50% 20-25 microns 2-3 days

Medium 3-5 J/cm2 50% 45-70 microns 3-5 days

Heavy 10 J/cm2 50% >130 microns 7 days


ask your trusted colleagues about

the reliability and accuracy of the

scanning devices. These devices

can range from very reliable to very

problematic.

NON-ABLATIVE VS. ABLATIVE Non-ablative devices offer a “no

downtime” method to stimulate

new collagen formation in the

papillary dermis, but results can

take 4-8 months to be clinically

noticeable. If this modality is used

alone, the patient may lose her

enthusiasm for further procedures;

and negative referrals may emerge

from a patient whose expectations

were not met. Exclusions to this

rule are non-ablative devices

that tighten the skin such as

ThermaCool™ (Thermage,

Haywood, CA), Fraxel® SR ( Reliant

Technologies, Mountain View, CA),

and Titan (Cutera, Inc. Brisbane,

CA).

THE MULTI-MODAL STRATEGY FOR SUCCESS The more sophisticated

cosmetic physician may take a

more thoughtful path to achieving

desired cosmetic improvements

while keeping the patient fully

engaged in the process of facial

rejuvenation. Physicians may

develop treatment plans that meet

individual patient expectations,

needs, and lifestyles by employing

a combination of Intense Pulsed

Light, Er:YAG, (Traditional and

Fractional), CO2 (Traditional and

Fractional), BOTOX®, non-ablative

lasers and dermal fillers along

a specific timeline that

meets the needs of the

patient, both clinically and

psychologically.

To provide an example,

let’s create a hypothetical

case: a 45-year-old woman

enters your office. She is a

Fitzpatrick type II and has

a combination of mild to

severely moderate rhytides,

numerous solar lentigos,

mila, moderate atrophic

acne scars, and moderate

jowl laxity. The patient

indicates nervousness

about injectibles and

lasers. She has recently

seen a television piece

about “miracle light-

based” treatments. How

do you achieve the results

she desires with only IPL?

The answer is you cannot.

Tactfully explain to the patient

where you can bring her. Show her

some of your patient photos that

most closely match her condition.

Offer her a treatment path that is

non-threatening, yet one that will

embolden her to “take that next

step” during the treatment course.

STEP 1: IPL and Home Care

Regimen

Start with an IPL photo facial

followed by a home care regimen

of sunscreen, skin lighteners, and

moisturizers. This is the least

“threatening” of your modalities and

is what she has most likely seen in

the media. Schedule the patient for

follow-up in 2 weeks.

STEP 2: Light Er:YAG:

The Laser peel

Next, suggest a Laser Peel™ or

a Fractional Laser Peel™. I find

this term an excellent alternative to

“Laser Resurfacing.” Another term is

the “Arctic Laser Peel.” The “Arctic

Peel” utilizes a Cryo-5 Zimmer.

The Zimmer is used to cool the skin

periodically during a light to moderate

Er:YAG procedure. The ablation

depth would be approximately 20

microns with post erythema lasting

only 1-2½ days. Schedule the

treatment on a Friday and provide the

appropriate post-operative ointments

such as Aquaphor® or Catrix 10

(Lescarden, NY, NY). It may also be

wise to provide a camouflage and/

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Patient Before (Left) and After (Right) LaserPeel Procedure

Patient Before (Left) and After (Right) LaserPeel Procedure


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or mineral makeup for the patient.

Schedule the patient for follow-up in

7 days.

STEP 3: BOTOX®

At this point the patient has

actually had a surgical procedure

from the Er:YAG. Explain this to her.

This is quite different from having

a microdermabrasion or chemical

peel treatment, both of which are

inferior to the Er:YAG and both are

available at most day spas. It is

wise that medical spas or practices

differentiate themselves. In any

event, now is the perfect time for

your newly emboldened patient to

try a little BOTOX® on her dynamic

wrinkles that will be noticeable

almost right away. It is generally

a good idea to inject less than the

“normal” dose on the first treatment.

A full dose injection in the first

treatment is a mistake often made

by physicians. Explain to the patient

that 2 treatments will be required

so that you may get a sense of how

her facial muscles are responding to

the dose. The odds the patient will

experience ptosis (eyelid droop) will

be greatly reduced as well.

STEP 4: BOTOX® 2nd Treatment

After the second BOTOX®

treatment there should be some real

enthusiasm from the patient, and a

good level

of trust and

goodwill

should be

established.

Schedule a

follow-up visit

in 14 days.

Make sure

the patient

is complying

with your

home care

regimen.

STEP 5: Aggressive Non-Ablative

or Ablative Treatment (Fractional or

Traditional)

If you feel the patient is ready for

more aggressive treatments that will

provide the clinical outcomes you

know they seek but were previously

afraid to try, explain the options. In

the case of this patient it would be

wise to suggest the fractional CO2

treatment. This is a

relatively new treatment

but in this case will

greatly improve those

deeper rhytides, jowl

laxity, and acne scars

without the downtime

and risks of the traditional CO2 laser.

For further laser reading, please refer

to the previous Aesthetic Trends &

Technologies erbium article found in

the March-April 2005 issue (archived

on www.aesthetictrends.com/

products_services/analytical_reports).

If the patient is still resistant to the

3-4 day downtime of the fractional CO2

because of lifestyle or psychological

reasons, then suggest an aggressive

non-ablative treatment.

Some aggressive non-ablative

lasers include Fraxel® SR (Reliant

Technologies, Mountain View, CA),

Affirm™ MultiPlex (Cynosure,

Westford, MA), LuxIR 1540 Er:YAG

(Palomar Medical Technologies,

Burlington, MA).

The consultative and treatment

process should move at a pace dictated

by clinical restrictions, practicality, and

a very good understanding of your

patient needs and financial situation.

One benefit of this strategic approach

is that costs may be spread out over

a 6–8 month period of time. On the

other hand, a complete program may

be offered. This all depends on the

motivational and financial status of

your patient. As opposed to managed

care, frequent visits and consultations

are a positive in the world of aesthetic

medicine.

STEP 6: Dermal Fillers

After 7–8 months it is now time to

address any moderate rhytides that

were not completely resolved

Offer her a treatment path that is non-threatening, yet one that will embolden her to “take that next step” during the treatment course.

Fig. 3. Ablative Er:YAG Indications for Use (fractional and traditional)

Primary Indications Secondary Indications

Mild Photodamage Moderate Photodamage

Mild Atrophic Scarring Moderate Atrophic Scarring

Superficial Keratosis – Other Dermal Lesions Various Dermal Lesions

Mild Perioral and Periorbital Rhytides Recalcitrant melasma

Other Mild Non-Dynamic Rhytides Diffuse lentigenes

(Continued on page 29)

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The Affirm Anti-Aging Workstation

offers wrinkle reduction, scar

treatment, pigmentation and

redness reduction, age spot

treatment, facial rejuvenation and

coagulation of tissue resulting in

tighter skin for overall younger

looking skin. Affirm incorporates

Cynosure’s MultiPlex™ technology

with their Combined Apex Pulsesm

(CAPSM) technology and Xenon

Pulsed Light (XPL) technology into

one compact workstation.

The result for the practitioner

- a complete skin rejuvenation

solution that provides better

and faster results with less pain.

Aesthetic Trends interviewed two

top physicians in the U.S. to find

out how they have integrated the

Affirm into their practices and the

outcomes seen by their patients.

laser & light technology

Physician’s Prescription CYnoSure - AffirM WiTh MulTiPlex™

By Cindy L. Vandruff, Editor in Chief

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procedures. Spa MD paid for

the device within 3 months

of owning it. Our fees are

$500-$750 per treatment with

approximately 4-6 treatments for

good results, every 3-4 weeks.”

ATnT In your opinion, who are the best

candidates for this treatment?Dr. Goldman “Anyone with loose or

lax skin , fine lines, and acne scars.

However, it’s for everyone when

combined with IPL and BOTOX®.”

ATnT What have been the results for

your patients?Dr. Goldman “Patients are very happy

and return for treatment. We see many

referrals from patients who have had the

same treatment.”

ATnT What do you like best about the

Affirm product?Dr. Goldman “It never breaks, patients

have minimal pain and downtime,

and the results are always consistent.

We give our patients reasonable

expectations they get that result.

complete success with the Affirm. It

has been very successful. The Affirm is

the laser of choice among our patients

with no downtime, but who wish to see

results. When used in conjunction with

BOTOX® and our growth factor cream

(combination therapy treatments) deliver

superior results. The Affirm treatment

stimulates the fibroblasts in two levels of

the dermis, delivering two wavelengths

simultaneously (1320nm and 1440nm),

providing uniform bulk heating. The

growth factor cream acts as a fertilizer,

generating more collagen and elastic

fibers.”

ATnT What percentage of your practice

revenues are derived from this

procedure?Dr. Goldman “Our annual gross

revenues were $12Million in 2007, and

$250Thousand was derived from Affirm

PRACTICE PROFILE

Mitchel P. Goldman, M.D.

Spa MD - La Jolla, California

Years in Practice: 21

Facility Open Date: 2002

No. of Employees: 80

Size of Facility(sq. ft.): 20,000

ATnT What clinical applications is the

Affirm with MultiPlex used for in your

practice?Dr. Goldman “Skin tightening,

especially the neck area , acne scarring,

and facial and hand rejuvenation.”

ATnT Comment on the success you have

had integrating the Affirm into your

practice offerings.

Dr. Goldman “Spa MD has seen


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Affirm product?Dr. Goldman “The sign of our success

is that we can charge $2,000-$4,000

for a series of treatments, and the

outcome has been that we received

many referrals by these Affirm patients

who make appointment for the same

treatment.”

PRACTICE PROFILE

Bruce E. Katz, M.D.

JUVA Skin + Laser Center –

New York, NY

Years in Practice: 24

Facility Open Date: 1999

No. of Employees: 45

Size of Facility(sq. ft.): 5,000

ATnT What clinical applications is the

Affirm with MultiPlex used for in your

practice?Dr. Katz “The Affirm is used at JUVA

for fine wrinkles, pigmentary changes in

the skin, acne scarring, tightening in the

jowl area, chest / décolleté, and back of

hands.”

ATnT Comment on the success you have

had integrating the Affirm into your

practice offerings.

Dr. Katz “Patients are interested in

fractional procedures – this product

is revolutionary, having the two

wavelengths sequentially firing through

the same fiber. Patients are happy with

the results.”

ATnT What percentage of your

practice revenues are derived

from this procedure?Dr. Katz “We are a very diverse

practice with specialties such

as plastic surgery, dermatology,

and our medical spa. The

affirm represents a growing

percentage as far as laser

procedures within the

practice and represents

approximately 20% of our

total revenue dollars. We see

a good number of patients

with our full-time plastic

surgeon on staff (4 operating

rooms), our MOHS surgeon

– which gives excellent

exposure to this new

offering for future patients requesting

these procedures with the Affirm.”

ATnT Who performs the affirm treatments

within your practice?

Dr. Katz “Our Dermatologists, and also

our Physician Assistant is now starting to

use it as well.”

ATnT In your opinion, who are the best

candidates for this treatment?Dr. Katz “People who have significant

sun damage and acne scarring.”

ATnT What have been the results for your

patients?Dr. Katz “Patients are seeing

marked improvement with

wrinkling, sunspots on the chest

area which are fading, and quite a

bit of improvement overall.”


Affirm product?Dr. Katz ”The fact that it is a new

technology – two wavelengths (it is

like having two lasers in one box) is a

significant advancement for us – patients

are excited that it is a new type of laser,

plus clinical improvement outcomes

are what they are interested in and

they are seeing first hand.”

ATnT Have you been involved with the

Affirm clinical studies? Can you share

with us your expectations of the study

and the outcomes?Dr. Katz “Yes, I have. One of the

original studies with the 1440

wavelength about a year and a half

ago. We did a white paper and are

now looking at the accommodation

of the two wavelengths as well.

Combing wavelengths ultimately

provides our patients with better results

rather than with either wavelength

alone. The is definite synergy with

the clinical benefits and the degree of

improvement we see, twice as effective

with some treatments. Superficial and

deep heating is a winning combination.

The Affirm represents a breakthrough

in technology by combining two

wavelengths - by taking advantage of

these two wavelengths, we expect to

see significant results.”

“ The Affirm represents a breakthrough in technology by combining two wavelengths - by taking advantage of these two wavelengths, we expect to see significant results.” —Bruce E. Katz, M.D.

Before (Left) and After One Month, 4 Treatments (Right).

Baseline (left) and 1 month after (right) 4th treatment.Photos courtesy of Mitchel P. Goldman, M.D.


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by the fractional CO2 or a series of

aggressive non-ablative treatments.

This could be the appropriate time in

this case for dermal fillers.

PATIENT MAINTENANCE When dermal filling has been

completed, a maintenance program

is recommended. Aside from

cosmeceuticals, it may be wise to

prescribe tretinoin in a form and at

a dose that is appropriate for the

skin type and condition. If all goes

as planned, you should have a very

satisfied patient creating valuable

referrals for you.

I would strongly recommend that

an assistant trained in the use of

mineral makeup be used throughout

this treatment plan. Mineral makeup

can “double” as sunscreen, and this

may improve patient compliance

and keep those solar lentigenes from

re-emerging. Several companies

make it very easy to create your own

brand of mineral makeup. Makeup

is indeed the finishing touch and can

make a great difference in overall

patient satisfaction and loyalty.

In this hypothetical case we are

at a point where trust has been

established through a thoughtful

treatment program that has yielded

significant positive results. If the

patient is still not 100% satisfied, and

it is obvious that a surgical procedure

is the appropriate way to achieve her

cosmetic goals, you should now have

the trust to review the desired surgical

procedure.

Please understand this is only a

single scenario designed to provide

insight. I fully understand the highly

dimensional circumstances regarding

patient needs, expectations, and

conditions. The hypothetical

case in this article is built upon

the use of light based devices

and injectables. In some

circumstances the patient may

require or desire a surgical

procedure, and may have no

reservations about going “under the

knife.” It all depends. The point

is that a good majority of surgical

candidates need to first “test the

waters”

and become

comfortable

with you

before they

allow you

to operate

on them. In

any event

the market is

demanding

the “non-

surgical”

facelift. Most

cosmetic

physicians understand the limits

of what can be achieved with light

based devices, injectables, and

topicals. What is important is to fully

understand the limits your patient

may initially have, and work at an

appropriate pace towards achieving

their cosmetic goals.

WHAT ER:YAG IS BEST FOR ME? First, if you do not have an

Er:YAG, I would suggest you buy one.

The Er:YAG is what differentiates

your peeling modality from the

plethora of non-medical peeling

modalities. Also, the prices have

dropped dramatically and now start

at $35,000 or approximately $750/

month for a lease, Symedex Medical,

(Bloomington, MN), or FriendlyLight™

(Tarrytown, New York). Depending

on your market, the break-even point

is 1 to 1.5 procedures per month.

The best Er:YAG I have seen is the

NaturaLase Erbium (Focus, Bethel,

CT). This will run you about $1,100/

month but has a 10mm spot size that

is fast and powerful. Then there are

fractional Er:YAGs to consider. A few

companies that sell these products

include Sciton and Palomar. Their

contact information is included in the

Laser and Light Product Listings of

this issue.

Besides the fractional technology

described earlier in this article, the

The critical differences between the Er:YAG device designs are that one design has a high pulse rate with low pulse energy.

Fig. 4. CO2 Indications for Use(fractional and traditional)

Primary Indications Secondary Indications

Deep and Moderate Rhytides Superficial Rhytides

Moderate to deep Atrophic Scarring Superficial Atrophic Scarring

Superficial Keratosis – Other Dermal Lesions Various Dermal Lesions and Cysts

Moderate Skin Laxity Very superficial skin laxity

Moderate to Severe Photo Damage Mild photodamage

(Continued from page 24)


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critical differences between the

Er:YAG device designs are that one

design has a high pulse rate with

low pulse energy. Therefore, more

pulses have to compensate for the

low energy. More pulses seem to

contribute to higher pain levels by

mechanisms that are beyond the

scope of this article. The other design

has higher pulse energy with a low

pulse rate. This is clearly a more

advanced design and will reduce

pain in equivalent depths. There are

numerous other advantages to this

design that should be investigated

further. One disadvantage is that the

higher energy pulse design is not as

portable. This is because the power

supply and other components are

larger.

ADDITIONAL USES OF THE ER:YAG The Er:YAG is also an ideal laser

for the removal of many benign,

pre-malignant, and malignant

cutaneous lesions. These include

Benign Nevi, Actinic Keratosis,

Epidermal Nevus, Warts, Seborrheic

Keratosis, Xanthelasma, Syringomas,

Sebaceous Hyperplasia, Melasma,

Acrochordons, Dermatosis Papilosa

Nigra, Rhinophyma, Superficial

Basal Cell Carcinoma, Squamous

Cell Carcinoma in Situ, and various

epidermal cysts. These epidermal

lesions may be removed without

damaging the dermis and reduce the

risk of scarring.

PRE-OPERATIVE CHECKLIST Pre-operative education is very

important in managing patient

expectations. Since the Er:YAG

target is water, a hydrated skin will

obtain better results than thick,

fibrotic, or de-hydrated skin. Review

all previous procedures performed on

the face.

CONCLUDING REMARKS The Er:YAG is a surgical laser and

should be used by trained physicians

who have appropriate training in

laser physics and tissue interactions.

Used appropriately, the Erbium

YAG has many important uses in

the cosmetic practice. For other

indications and contraindications for

the Er:YAG as well as other devices

and modalities mentioned in this

article, the surgeon is advised to call

trusted and qualified colleagues and

the manufacturers.

Figure 5. Pre-Operative Checklist.

Skin TypeSkin Types I & II have fewer pigmentary changes. Types IV – VI are poor candidates and hyperpigmentation or hypopigmentation are very possible. This can be a greater risk when treating isolated areas as opposed to the full face.

Herpes Simplex VirusRecurrent herpes infection can occur. This depends on patient history of the virus and depth of ablation. Perioral is the most common site. Prescribe an antiviral prophylaxis (Valtrex) 1 week preoperative.

Immunologic or Collagen Vascular Disorders

Avoid or proceed with extreme caution with patients with scleroderma, lupus, or other collagen vascular disorders. Also, immune diseases such as Vitiligo or HIV infection.

History of Keloid or Hypertrophic Scarring.

This is rare with even medium depth peels but it is wise to proceed with caution with these types of patients.

REFERENCES

Alster, T.S. Manual of Cutaneous Laser Techniques. Pp 135 – 145, Lippincott Williams & Wilkins.

Lee, P.K. Lasers in Aesthetic Surgery, pp 131–138, 2001 Thieme Medical Publishers, Inc.

Aesthetic Trends’

Contributing

Editor David

M. Cauger

is President

of Boston

Aesthetics, LLC,

a company

that specializes in the development

and implementation of strategies for

increased cosmetic practice success. In

providing this information, Mr. Cauger

is open to telephone consultations for

M.D.s only between the hours of 2:00

p.m. and 5:00 p.m. Eastern Time. He

can be reached at the following number:

508.460.1128 or email him at

[email protected].

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Anti-Aging & WellnessDermatology

Laser & Light TechnologyLegal Case of the Month

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Log On Nowwww.aesthetictrends.com

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©2007 Reliant Technologies, Inc. All rights reserved. Fraxel and the Fraxel dots logo are trademarks belonging to Reliant Technologies, Inc. Fraxel is registered in the U.S. Patent and Trademark Offi ce and in other countries.

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Featuring PhotoAcoustic Technology Pulse™ (PTP) designed to produce peak energy output for all skin types.With four wavelengths (1064nm, 532nm, 585nm, 650nm)for the treatment of skin rejuvenation, wrinkle reduction,tattoo removal, epidermal & pigmented lesion removal,vascular lesion removal, hair removal, and acne scar removal.

Contact Mfr.

Additional Information: Available accessories for the RevLite are the PurpuraLite™ exclusive chromophore-clearing compression tool; MultiLite™ handpieces for 585nm and 650nm converted wavelengths; MultiSpot handpiece offering four spot sizes from 2-8nm.

Aestherawww.aesthera.com6111F Southfront RoadLivermore, CA 94550877.275.4779 p

Aesthera Photopneumatic (PPx) System

Photopneumatic Technology 400-1200 nm, 33-10 j/cm2, 2ms $29,000

Additional Information: 1 yr. warranty. 25% Vitamin C lipid soluble serum.

Ageless Aestheticswww.agelessaesthetics.com6500 S Quebec St. #270 Denver, CO 80122877.721.7975 p

Ultra

Quantum

Micro current, Ultrasound, Light Therapy ,

Micro current

Exfoliation, wrinkle treatments, product penetration and non-surgical facelifts

Non-surgical Facelifts

Cont. Mfr.

Cont. Mfr.

Additional Information: Equipment includes training and specialty products. Units are touch-screen operated and contain multiple pre-programmed treatments.

Alma Laserswww.orionlasers.com6555 NW 9th AvenueSuite 303Fort Lauderdale, FL 33309954.229.2240 p954.229.8310 f

Sonata

Harmony

Harmony / Pixel

Diode

AFT, Long Pulse

Nd:YAG. Q-SwitchedNd:YAG, Pulsed UVB2940 nm Er:YAG

Repetition rate up to 3 Hz, spot 10 x 12 mm, Fluence 5-100j/cm2, pulse width 10-400 msec, contact cooling, electrical 110, weight of unit 44 lbs., cart 92 lbs. Dimensions WxDxH unit 8”x12”x18” cart 15”x25”x28”. For hair removal treatments.Uses light from wavelengths 250 up to 950. Electrical 110, wt unit 88lbs cart 88 lbs. Size of unit WxDxH 26”x18”x16” cart 22”x22”x30”. For skin rejuvenation, vascular and pigmented lesions, tattoo removal, hypopigmentation, leg veins, hair removal, skin resurfacing treatments.Fractional ablative skin resurfacing.

$67,000

$109,700

Contact Mfr.

Additional Information: Harmony - Advanced Fluorescence Technology and Lasers in one unit. *Unit is $39,700. You build your own unit. Each handpiece is priced so you can pick and choose by application: Acne 420nm $5,000, Vas and Pig 540nm $5,000, SR 570nm $5,000, HR 650nm $5,000, UVB $15000, Long Pulse Yag $15,000, Q-Pulsed Yag $20,000, Erbium $18,000. Now available – the ST handpiece. IR handpiece for Skin Tightening. New tip for the Q-Switched Yag handpiece for more treatments. New home care acne treatment available.

ATI – Parisian Peelwww.parisianpeel.comAesthetic Technologies, Inc.2150 West 6th Ave., Ste. JBroomfield, CO 80020800.262.4412 p

Elite Ultrasound 1 & 3 MHz. 2.2 watts/cm2 Modified CW & Pulse Modes. For skin rejuvenation treatments.

$5,900


CoolTouch, Inc.www.cooltouch.com9085 Foothills Blvd.Roseville, CA 95747800.378.7222p

CoolLipo 1320nm Nd:YAG Laser-Assisted Lipolysis and Skin Tightening $99,950

Additional Information:Now FDA cleared! CoolLipo™ photo-acoustically disrupts fat cells, simplifying aspiration of adipose tissue while promoting skin tightening from the “inside-out” through the collagen enhancing effects of 1320nm wavelength. The CoolLipo™ 1320nm laser is an ideal adjunct to conventional liposuction.

Cuterawww.cutera.com3240 Bayshore Blvd.Brisbane, CA 94005888.4CUTERA p

Pearl

Titan

2790 nm YSGG

Tailored Infrared Light

Skin Rejuvenation

Skin Rejuvenation

$45,000-$90,000 $40,000-$85,900

Additional Information: Pearl Laser skin renewal. Treats wrinkles, uneven texture, discoloration and mild acne scarring.

eVolVinG AeSTheTiC TeChnoloGieSProduCT liSTinGS

Source Product Technology Specifications / Treatments Price



Smartlipo 1064 nm Nd:YAG Laser Body Sculpting Contact Mfr.

Additional Information: Affirm is the first microrejuvenation which uses the exclusive mid-infrared Combined Apex Pulse™ (CAP) technology. This technology stimulates collagen production throughout the entire treatment area. Through precise thermal manipulation of the epidermal and dermal tissue, it remodels collagen through the papillary dermis to promote collagen production and skin tightening.

Dermawave Mesotherapy Systems LLCwww.dermawaveusa.com15693 83rd Lane NorthLoxahatachee, FL 33470866.769.3011

No-Needle Mesotherapy™System

Electroporation technology. Dual wavelength diode laser cluster with three sequences of electrical waveforms. May be used, at physician discretion, in combination with specially formulated gels and topicals.

For treatment of congested areas of tissue characterized as cellulite. Facial and deep fat applications.

$45,000

Edge Systemswww.edgesystem.net 2277 Redondo Avenue Signal Hill, CA 90755 800.603.0102 p 562.597.0148 f

HydraFacial™ HydraFacial™ Wave

UltraCam™Color UV Camera

Serum-based skin resurfacing. Other options: crystal & crystal-free microdermabrasion, LED light therapy, lymphatic and cellulite massage therapy.

UV and Natural Light Photography for Skin Analysis

Non-irritating, hydrating skin resurfacing with active serums –for all skin types and ethnicities. Exfoliates and extracts painlessly while simultaneously bathing the skin with active serums which thoroughly cleanse, exfoliate, hydrate & provide residual antioxidant protection.

Uncovers patient’s unique skin conditions and instantly documents them with a Polaroid color or UV picture.

$24,500$16,875

$3,495

Additional Information: HydraFacial™ produces results equivalent of some laser treatments. Marketing package, trade-out, free-disposables and financing available. Edge provides essential medical spa equipment and full service; assistance with equipment needs, financing, training and full marketing & customer support.

Flip 4www.flip4.ca2142 Leonard de VinciSuite 80Saint-Julie, Quebec, Canada450.649.4244 p

Max7 LED For skin rejuvenation and acne treatments. $19,950

Additional Information: Patent pending. Also for oily, dry, combination and aging skin.

Hoya ConBiowww.conbio.com 47733 Fremont Blvd. Fremont, CA 94538 800.532.1064 p 510.445.4550 f

RevLite™ EO Q-Switched Nd:YAG withPhotoAcoustic Technology Pulse™ (PTP)

Featuring PhotoAcoustic Technology Pulse™ (PTP) designed to produce peak energy output for all skin types.With four wavelengths (1064nm, 532nm, 585nm, 650nm)for the treatment of skin rejuvenation, wrinkle reduction,tattoo removal, epidermal & pigmented lesion removal,vascular lesion removal, hair removal, and acne scar removal.

Contact Mfr.

Additional Information: Available accessories for the RevLite are the PurpuraLite™ exclusive chromophore-clearing compression tool; MultiLite™ handpieces for 585nm and 650nm converted wavelengths; MultiSpot handpiece offering four spot sizes from 2-8nm.



Aestherawww.aesthera.com6111F Southfront RoadLivermore, CA 94550877.275.4779 p

Aesthera Photopneumatic (PPx) System

Photopneumatic Technology 400-1200 nm, 33-10 j/cm2, 2ms $29,000



Ultra

Quantum

Micro current, Ultrasound, Light Therapy ,

Micro current

Exfoliation, wrinkle treatments, product penetration and non-surgical facelifts

Non-surgical Facelifts

Cont. Mfr.

Cont. Mfr.

Additional Information: Equipment includes training and specialty products. Units are touch-screen operated and contain multiple pre-programmed treatments.

Alma Laserswww.orionlasers.com6555 NW 9th AvenueSuite 303Fort Lauderdale, FL 33309954.229.2240 p954.229.8310 f

Sonata

Harmony

Harmony / Pixel

Diode

AFT, Long Pulse

Nd:YAG. Q-SwitchedNd:YAG, Pulsed UVB2940 nm Er:YAG

Repetition rate up to 3 Hz, spot 10 x 12 mm, Fluence 5-100j/cm2, pulse width 10-400 msec, contact cooling, electrical 110, weight of unit 44 lbs., cart 92 lbs. Dimensions WxDxH unit 8”x12”x18” cart 15”x25”x28”. For hair removal treatments.Uses light from wavelengths 250 up to 950. Electrical 110, wt unit 88lbs cart 88 lbs. Size of unit WxDxH 26”x18”x16” cart 22”x22”x30”. For skin rejuvenation, vascular and pigmented lesions, tattoo removal, hypopigmentation, leg veins, hair removal, skin resurfacing treatments.Fractional ablative skin resurfacing.

$67,000

$109,700

Contact Mfr.

Additional Information: Harmony - Advanced Fluorescence Technology and Lasers in one unit. *Unit is $39,700. You build your own unit. Each handpiece is priced so you can pick and choose by application: Acne 420nm $5,000, Vas and Pig 540nm $5,000, SR 570nm $5,000, HR 650nm $5,000, UVB $15000, Long Pulse Yag $15,000, Q-Pulsed Yag $20,000, Erbium $18,000. Now available – the ST handpiece. IR handpiece for Skin Tightening. New tip for the Q-Switched Yag handpiece for more treatments. New home care acne treatment available.

ATI – Parisian Peelwww.parisianpeel.comAesthetic Technologies, Inc.2150 West 6th Ave., Ste. JBroomfield, CO 80020800.262.4412 p

Elite Ultrasound 1 & 3 MHz. 2.2 watts/cm2 Modified CW & Pulse Modes. For skin rejuvenation treatments.

$5,900


CoolTouch, Inc.www.cooltouch.com9085 Foothills Blvd.Roseville, CA 95747800.378.7222p

CoolLipo 1320nm Nd:YAG Laser-Assisted Lipolysis and Skin Tightening $99,950

Additional Information:Now FDA cleared! CoolLipo™ photo-acoustically disrupts fat cells, simplifying aspiration of adipose tissue while promoting skin tightening from the “inside-out” through the collagen enhancing effects of 1320nm wavelength. The CoolLipo™ 1320nm laser is an ideal adjunct to conventional liposuction.

Cuterawww.cutera.com3240 Bayshore Blvd.Brisbane, CA 94005888.4CUTERA p

Pearl

Titan

2790 nm YSGG

Tailored Infrared Light

Skin Rejuvenation

Skin Rejuvenation

$45,000-$90,000 $40,000-$85,900

Additional Information: Pearl Laser skin renewal. Treats wrinkles, uneven texture, discoloration and mild acne scarring.


Sound Surgicalwww.vaser.com357 S. McCaslin Blvd., Ste. 100Louisville, CO 80227888.471.4777 p

LipoSelectionSM only by VASSER® VASSER® UltraSound Body sculpting of delicate to fibrous areas. Fee-PerProcedure

Additional Information: Assisted Lipoplasty.

Sybaritic, Inc.www.sybaritic.com9220 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f

DermosonicLaserPeel Soft-MET

Ultrasound/Suction MassageModified Erbium:YAG

For temporary reduction in the appearance of cellulite.For skin resurfacing and skin rejuvenation.

$20,000$39,995

Synergie™ by Dynatronicswww.dynatronics.com/aesthetic7030 Park Centre DriveSalt Lake City, UT 84121800.874.6251 p801.568.7711 f

Synergie AMS (Aesthetic Massage System)

Vacuum massage for body and face FDA Cleared for cellulite, skin tightening and toning and body contouring treatments.

$14,995

Syneronwww.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, Ontario, Canada561.357.5827 p

ReFirme ST

VelaShape

VelaSmooth

Bi-polar Radiofrequency and Infrared Lightelos combination of Bi-Polar radiof-requency (RF), infrared light energies, plus negative pressure and tissue manipulation.elos -RF / infrared / suction

For skin tightening via wrinkle reduction.

FDA cleared for circumferential reduction and cellulite reduction.

For the treatment of cellulite.

Cont. Mfr.

Cont. Mfr.

$64,900

Additional Information: Patented ELOS technology.

Telsar Laboratories Inc.www.telsar.com#1 Environway, Suite 100Wood River, IL 62095800.255.9938 p

DermaChiller4 Solid-Tip Sapphire Handheld Anesthetic Device

Contact skin cooling for laser treatments. Works with wavelengths between 532 and 850nm.

$995

Additional Information: FDA Cleared.

Tyrel, Inc.www.myzeno.com515 W. Greens Road, Ste. 725Houston, TX 77067281.880.6541 p

Zeno Clear point technology For mild to moderate inflammatory acne treatment. $225 MSRP

Lumeniswww.lumenis.com2400 Condensa StreetSanta Clara, CA 95051408.764.3000 p

Aluma® Skin Renewal RF FACES Technology For wrinkle reduction and skin tightening. $69,900

Additional Information: Utilizes vacuum to conform skin to allow heating of dermis.

Myotonology, Inc.www.myoinc.com1187 Coast Village Rd, Ste.247Santa Barbara, CA 93018877.969.2811 p

Microcurrent Facial Toning System

160Ua-960Ua and 3Hz-100Hz Faradic, alternating microcurrent tones muscles and skin. Galvanic current used for Iontophoresis skin treatment.

$8,995

Additional Information: Myotonology® is a patented microcurrent facial toning process with proven clinical efficacy that can be combined with numerous other cosmetic procedures such as IPL, Microdermabrasion, Chemical Peels, and more.

Palomar www.palomarmedical.com82 Cambridge StreetBurlington, MA 01803800.725.6627 p

LuxIR Fractional™Infrared Handpiece

Fractional deep heating Deep heating for pain relief and smoother, tighter skin (not yet cleared by FDA).

$45,000

Revitalightwww.revitalight.com119 W. Hubbard, Suite 300Chicago, IL 60610 312.527.0131 p

Revitalight

LED For skin rejuvenation and acne treatments. Starting at$5,995

Additional Information: Helps diminish fine lines, wrinkles, age spots on the face, neck and hands by promoting collagen firmness.

Silhouet – Tonewww.silhouettone.com 7 Champlain CommonsSt. Albans, VT 05478800.552.0418 p

Soli-Tone LED, Micronized HFpolarized currents

Acne,redness,pigmentation,photoaging and lifting. Contact Mfr.

SoundSkinwww.soundskin.com 429 South Main StreetOswego, IL 60543888.596.5277 p

SmartSound Ultrasound / E-Stim 2.2 mhz. 2 watts/cm2 Modulated CW & Pulsed modes. For facial treatments.

$14,500

Additional Information: Combination system. SmartGel ultrasonic gel.




Sound Surgicalwww.vaser.com357 S. McCaslin Blvd., Ste. 100Louisville, CO 80227888.471.4777 p

LipoSelectionSM only by VASSER® VASSER® UltraSound Body sculpting of delicate to fibrous areas. Fee-PerProcedure

Additional Information: Assisted Lipoplasty.

Sybaritic, Inc.www.sybaritic.com9220 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f

DermosonicLaserPeel Soft-MET

Ultrasound/Suction MassageModified Erbium:YAG

For temporary reduction in the appearance of cellulite.For skin resurfacing and skin rejuvenation.

$20,000$39,995

Synergie™ by Dynatronicswww.dynatronics.com/aesthetic7030 Park Centre DriveSalt Lake City, UT 84121800.874.6251 p801.568.7711 f

Synergie AMS (Aesthetic Massage System)

Vacuum massage for body and face FDA Cleared for cellulite, skin tightening and toning and body contouring treatments.

$14,995

Syneronwww.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, Ontario, Canada561.357.5827 p

ReFirme ST

VelaShape

VelaSmooth

Bi-polar Radiofrequency and Infrared Lightelos combination of Bi-Polar radiof-requency (RF), infrared light energies, plus negative pressure and tissue manipulation.elos -RF / infrared / suction

For skin tightening via wrinkle reduction.

FDA cleared for circumferential reduction and cellulite reduction.

For the treatment of cellulite.

Cont. Mfr.

Cont. Mfr.

$64,900

Additional Information: Patented ELOS technology.

Telsar Laboratories Inc.www.telsar.com#1 Environway, Suite 100Wood River, IL 62095800.255.9938 p

DermaChiller4 Solid-Tip Sapphire Handheld Anesthetic Device

Contact skin cooling for laser treatments. Works with wavelengths between 532 and 850nm.

$995

Additional Information: FDA Cleared.

Tyrel, Inc.www.myzeno.com515 W. Greens Road, Ste. 725Houston, TX 77067281.880.6541 p

Zeno Clear point technology For mild to moderate inflammatory acne treatment. $225 MSRP

eVolVinG AeSTheTiC TeChnoloGieS ProduCT liSTinGS



Aluma® Skin Renewal RF FACES Technology For wrinkle reduction and skin tightening. $69,900

Additional Information: Utilizes vacuum to conform skin to allow heating of dermis.

Myotonology, Inc.www.myoinc.com1187 Coast Village Rd, Ste.247Santa Barbara, CA 93018877.969.2811 p

Microcurrent Facial Toning System

160Ua-960Ua and 3Hz-100Hz Faradic, alternating microcurrent tones muscles and skin. Galvanic current used for Iontophoresis skin treatment.

$8,995

Additional Information: Myotonology® is a patented microcurrent facial toning process with proven clinical efficacy that can be combined with numerous other cosmetic procedures such as IPL, Microdermabrasion, Chemical Peels, and more.


LuxIR Fractional™Infrared Handpiece

Fractional deep heating Deep heating for pain relief and smoother, tighter skin (not yet cleared by FDA).

$45,000

Revitalightwww.revitalight.com119 W. Hubbard, Suite 300Chicago, IL 60610 312.527.0131 p

Revitalight

LED For skin rejuvenation and acne treatments. Starting at$5,995

Additional Information: Helps diminish fine lines, wrinkles, age spots on the face, neck and hands by promoting collagen firmness.

Silhouet – Tonewww.silhouettone.com 7 Champlain CommonsSt. Albans, VT 05478800.552.0418 p

Soli-Tone LED, Micronized HFpolarized currents

Acne,redness,pigmentation,photoaging and lifting. Contact Mfr.

SoundSkinwww.soundskin.com 429 South Main StreetOswego, IL 60543888.596.5277 p

SmartSound Ultrasound / E-Stim 2.2 mhz. 2 watts/cm2 Modulated CW & Pulsed modes. For facial treatments.

$14,500

Additional Information: Combination system. SmartGel ultrasonic gel.


Aerolasewww.aerolase.com777 Old Saw Mill River Rd.Tarrytown, NY 10591914-345-8300 p914-345-8303 f

LightPod Era XLLightPod Neo XLLightPod Neo XT

XXX

XX

XXX

X X

XX

XXX

Er:YAGNd:YAGNd:YAG

294010641064

Up to 38Up to 255Up to 318

0.300.650.65-1.5

$43,500 $44,500 $46,500

Additional Information: Neo series is approved for permanent hair reduction on all skin types including type VI with no skin cooling. All LightPod lasers are compact, portable and maintenance-free. No service contracts. No costly consumables. The laser weighs just 22 pounds and is built into a 7”x14”x19” attache-style case for true aesthetic practice mobility.

American Medical Bio Carewww.medicalbiocare.com1201 Dove Street, Suite 520Newport Beach, CA 92660949.477.5795 p

OmniLight FPL

Novalight FPL

X

X

X

X

X

X

X

X

Xenon Flash Lampw/ Fluorescent FiltersDiode

400-1200

400-1200

Up to 90

Up to 55

Up to 1.5

1.5-50

$79,000

$49,000

Additional Information: Cleared for the treatment of pigmented lesions, tattoo removal and permanent hair reduction. Up to 1Hz, multi-functional: leg vein, skin rejuvenation, hair removal handpieces, and external cooling system.

BioCellwww.medidermlaser.com105 Freeman Rd Charleton, MA 01507512.326.1025 p

MediDerm LRS X X Er:YAG 2940 Up to 1 3,6 & 9 Hz $34,999

Additional Information: Low-powered, virtually painless Erbium YAG with no downtime

biolitecwww.biolitec.com515 Shaker RoadE. Longmeadow, MA 01028800.934.2377 x 246 p

Ceralas D

Ceralas D 15/810

Ceralas G5 LRS

X

X

X

Diode

Diode

Diode

980

810

532

0.01 -15

0.01 -25

0.01 -50

0.01-99.9sec & CW0.01 to 99.9sec & CW0.1-CW

$35,000

$35,000

$37,500

Additional Information: Fiber Optic Delivery Systems & Introducer Kit for ELVeS System; protective eyewear. Several other accessory packages available. Handpieces, fiber optic delivery systems, and protective eyewear.

Candelawww.candelalaser.com530 Boston Post RoadWayland, MA 01778800.821.2013 p

AlexTriVantage™GentleLASE FamilyGentleMAXGentleYAG FamilyLight StationSmoothbeamSmoothPeel

Vbeam Aesthetica Vbeam PerfectaVbeam Platinum

XX

X

XXX

XXXXXXX

XX

XXXXX X

XX

XXXXXX

XX

Q-switched AlexandriteAlexandriteAlexandrite + Nd:YAGNd:YAGFluorescent Pulsed LightDiodeErbium YAG laser

Pulsed DyePulsed DyePulsed Dye

755 ,532, 1064755755, 10641064417-120014502940

595595595

3-12 J/cm2

10-100Up to 600Up to 600Up to 60Up to 25Max en.750Max fl. 4Up to 20Up to 40Up to 40

50ns, 140 1.5-1000.250-3000.250-30010-500 ms2502,4,6Hz

.45-40

.45-40

.45-40

$84,500/ up$69,900-$98,500$129,000/ up$69,900-$109,900$49,900$59,900$39,900

$69,900$96,500$86,500

Additional Information: Patented Integrated Dynamic Cooling Device (DCD) included with most units protecting the skin and ensuring patient comfort. Standard minimum 1 yr. warranty up to 5 years depending on the model. Full range of spot sizes from 1x5mm and 3x 10mm up to 18mm. Candela lasers and light-based systems offer the choice of a complete range of innovative technologies for optimal treatment. The flexibility to meet your specific needs today, then easily upgrade as you expand your practice. The value that comes from cost-effectively growing your business – step-by-step, with the leader in aesthetic laser and light-based technology for over 37 years.

lASer & liGhT TeChnoloGYProduCT liSTinGS

Source Product Technology Wavelength Energy Output Pulse Price (nm) (J/cm2) (ms)ac

ne

hair re

moval

skin re

juvenat

ionta

ttoo r

emov

alva

scular

wrinkle

reducti

on

Aerolasewww.aerolase.com777 Old Saw Mill River Rd.Tarrytown, NY 10591914-345-8300 p914-345-8303 f

LightPod Era XLLightPod Neo XLLightPod Neo XT

XXX

XX

XXX

X X

XX

XXX

Er:YAGNd:YAGNd:YAG

294010641064


0.300.650.65-1.5

$43,500 $44,500 $46,500

Additional Information: Neo series is approved for permanent hair reduction on all skin types including type VI with no skin cooling. All LightPod lasers are compact, portable and maintenance-free. No service contracts. No costly consumables. The laser weighs just 22 pounds and is built into a 7”x14”x19” attache-style case for true aesthetic practice mobility.

American Medical Bio Carewww.medicalbiocare.com1201 Dove Street, Suite 520Newport Beach, CA 92660949.477.5795 p

OmniLight FPL

Novalight FPL

X

X

X

X

X

X

X

X

Xenon Flash Lampw/ Fluorescent FiltersDiode

400-1200

400-1200

Up to 90

Up to 55

Up to 1.5

1.5-50

$79,000

$49,000

Additional Information: Cleared for the treatment of pigmented lesions, tattoo removal and permanent hair reduction. Up to 1Hz, multi-functional: leg vein, skin rejuvenation, hair removal handpieces, and external cooling system.

BioCellwww.medidermlaser.com105 Freeman Rd Charleton, MA 01507512.326.1025 p

MediDerm LRS X X Er:YAG 2940 Up to 1 3,6 & 9 Hz $34,999

Additional Information: Low-powered, virtually painless Erbium YAG with no downtime

biolitecwww.biolitec.com515 Shaker RoadE. Longmeadow, MA 01028800.934.2377 x 246 p

Ceralas D

Ceralas D 15/810

Ceralas G5 LRS

X

X

X

Diode

Diode

Diode

980

810

532

0.01 -15

0.01 -25

0.01 -50

0.01-99.9sec & CW0.01 to 99.9sec & CW0.1-CW

$35,000

$35,000

$37,500

Additional Information: Fiber Optic Delivery Systems & Introducer Kit for ELVeS System; protective eyewear. Several other accessory packages available. Handpieces, fiber optic delivery systems, and protective eyewear.

Candelawww.candelalaser.com530 Boston Post RoadWayland, MA 01778800.821.2013 p

AlexTriVantage™GentleLASE FamilyGentleMAXGentleYAG FamilyLight StationSmoothbeamSmoothPeel

Vbeam Aesthetica Vbeam PerfectaVbeam Platinum

XX

X

XXX

XXXXXXX

XX

XXXXX X

XX

XXXXXX

XX

Q-switched AlexandriteAlexandriteAlexandrite + Nd:YAGNd:YAGFluorescent Pulsed LightDiodeErbium YAG laser

Pulsed DyePulsed DyePulsed Dye

755 ,532, 1064755755, 10641064417-120014502940

595595595

3-12 J/cm2

10-100Up to 600Up to 600Up to 60Up to 25Max en.750Max fl. 4Up to 20Up to 40Up to 40

50ns, 140 1.5-1000.250-3000.250-30010-500 ms2502,4,6Hz

.45-40

.45-40

.45-40

$84,500/ up$69,900-$98,500$129,000/ up$69,900-$109,900$49,900$59,900$39,900

$69,900$96,500$86,500

Additional Information: Patented Integrated Dynamic Cooling Device (DCD) included with most units protecting the skin and ensuring patient comfort. Standard minimum 1 yr. warranty up to 5 years depending on the model. Full range of spot sizes from 1x5mm and 3x 10mm up to 18mm. Candela lasers and light-based systems offer the choice of a complete range of innovative technologies for optimal treatment. The flexibility to meet your specific needs today, then easily upgrade as you expand your practice. The value that comes from cost-effectively growing your business – step-by-step, with the leader in aesthetic laser and light-based technology for over 37 years.



Source Product Technology Wavelength Energy Output Pulse Price (nm) (J/cm2) (ms)

DermaMed International, Inc.www.quadraq4.com394 Parkmount RoadPO Box 198Lenni, PA 19052888.789.6342 p

Quadra Q4 PlatinumQuadra Q4 GoldQuadra Q4 Silver

XXX

XXX

XX

XX

Intense Pulsed LightIntense Pulsed LightIntense Pulsed Light

500-1200500-1200500-1200


10-11010-11010-110

$49,500$39,500$29,500

Additional Information: Patented Low Voltage Xenon flashlamp for little or no discomfort. One (1) multi-pulsing handpiece for hair removal and pigmented/vascular lesions and acne. Sixteen (16) pre-programmable settings for ease of use.

DermaVistawww.dermavista.com800.333.5773 p West800.767.6765 p East

The Cold LightVascuTouch

LEDRadio Frequency

$6,995$4,995


Dusa Pharmaceuticalswww.dusapharma.com25 Upton DriveWilmington, MA 01887877.533.3872 p

BLU-U w/Levulan Fluorescent Lamp 417 N/A CW $8,425

Additional Information: The Cold Light – For rejuvenation (photo facial) stimulates tissue growth, collagen reprod, and rosacea. VascuTouch – For the treatment of vascular lesions.

Edge Systemswww.edgesystem.net2277 Redondo AvenueSignal Hill, CA 90755800.603.0102 p562.597.0148 f

Del Sol™ Handheld LED Light Therapy System

X X X LED - Red/InfraredLED - Blue

800-1000nm420nm

N/A CWCW

$1,500$1,500

Additional Information: Red/Infrared light for skin rejuvenation, blue light for oily & acne-prone skin. Unique sequenced pulse for optimal red/infrared light therapy results. Unique focusing cone for concentrated treatments on hard-to-get areas.

Europrowww.europroequipment.com3952 Camino Ranchero Rd.,Building #2Camarillo, CA 93010866.633.5273 p

Phytoscan X X X HFD Cold Laser 430-750 0.3-0.5 N/A $9,000 to$18,900

Additional Information: Skin Rejuvenation, Cellulite. Optional upgrade – Hair Removal.

Focus Medical, LLCwww.focusmedical.com23 Francis J Clarke CircleBethel, CT 06801866.633.5273 p

NaturaLase Fract.ER

NaturaLase ER NaturaLase LP NaturaLase QS NaturaLight

XXX

X

XXXX

XX

X

X

X

X

Er:YAG, Fractionated Erbium and Traditional ErbiumTraditiona ErLong Pulse Nd:YAGQ-Switched Nd:YAGPulse Light System (IPL)

2940

294010641064, 532, 585,650640-1200, 530-1200 510-1200, 420-1200 800-1400

Up to 20

Up to 20Over 250Over 1510-50

300

3000.5 to 100100.5 to 1000

$75,000

$65,000$64,900$87,900–$114,900$54,900

Additional Information: NaturaLase QS comes with 1000mJ or 2000 mJ of 1064nm light.The doubled wavelength of 532 is 500 mJ or 900 mJ and the other wavelengths are 585 with 360mJ and 200 mJ or 650nm with 560 mJ or 310 mJ. The NaturaLase Er is upgradeable to the Fract Er by adding a new handpiece. The NaturaLase LP has 60 watts of output power. The NaturaLight has 40X10 mm Spot size and all handpiece wavelengths are included.


CoolTouch, Inc.www.cooltouch.com9085 Foothills Blvd.Roseville, CA 95747877.858.2665 p

CoolTouch CT3CoolTouch CTEVVaria

X

X

X XX

X Nd:YAGNd:YAGNd:YAG

132013201064

Up to 24

Up to 500

50NA.3-500

$54,995$45,000$59,950

Additional Information: VARIA - Varizoom handpiece w/ 3-10mm adjustable spot size. Pulsed cryogen cooling with pre- & post-cooling. CT3 -10mm spot size, pulsed cryogen cooling with pre-, mid- & post-cooling. CTEV - Energy output is 10W max. Automated fiber pull-back device, 600μm reusable & single-use fiber, accessory packs.

CureLight, Ltd.www.curelight.com240 Main Street, Suite C Gladstone, NJ 07934908.470.4005 p

Clear100XL

Multiclear

X

X

X X Intense Blue andNear Infrared Light

Proprietary HighIntensity Plasma Light

405-420850-900

296-315 UVB;360-370 UVA1;296-315/360-370blend;405-420 blue

60

.05-2.4

.1-1501-40

CW

.5-20

$26,950

$47,000

Additional Information: Clear100XL - Reduce wrinkles, acne, wound & post-surgical healing, pore reduction/skin rejuvenation and skin radiancy. Dual Head Full Coverage. No accessories needed. Multiclear - Delivers safe, effective, phototherapy for multiple common aesthetic and medical skin disorders such as Stretch Marks, Psoriasis, Vitiligo, Acne, Keloids, PDT, Morphea and Actinic Keratosis.

Cutera (formerly Altus Medical)www.cutera.com3240 Bayshore Blvd.Brisbane, CA 94005888.4CUTERA p

CoolGlide ClassicCoolGlide ExcelGenesis PlusCoolGlide VantageCoolGlide XeoXeoSAXeo w/Titan

XX

XX

XXX

XX

X

XX

XXX

Long Pulse Nd:YAGLong Pulse Nd:YAGNd:YAG & Pulsed LightLong Pulse Nd:YAGNd:YAG & Pulsed LightPulsed Light Light-Based System

106410641064 & 600-85010641064 & 600-850560-12001100-1800

10-1005-300Up to 200Up to 300Up to 3006-405-70

10-1001-3001-301-3001-300AutomaticClosed LoopPhotometric

$70,000$95,000$99,000$110,000$155,000$75,000$195,000

Additional Information: All Cutera products are upgradeable to the next innovation, protecting your initial investment. The Xeo now features Navigation software to allow the user to set the ideal parameters for each individual patient’s needs ensuring the optimal clinical benefits and patient safety.


Acclaim™ Affirm™Apogee®Elite™Cynergy™Cynergy III™

Cynosure PL™PhotoSilk Plus™TriActive™

XX

X

XXXX

XX

XX

XXX

XX

X

XXX

XX

X

XXX

XX

Nd:YAGNd:YAG/Xenon Pulsed LightAlexandrite Alexandrite & Nd:YAGPulsed Dye & Nd:YAGPulsed Dye, Nd:YAG &Intense Pulsed LightIntense Pulsed Light Intense Pulsed LightSemi-Conductor

10641140/560-950755755 /1064585/1064585/1064/560-950

560-950500-950808

3008/2050300300300

3030

.04-3003/5-350.5-3000.4-3000.5-3000.3-300

5-505-50

Contact Mfr.Contact Mfr.Contact Mfr.Contact Mfr.Contact Mfr.Contact Mfr.

Contact Mfr.Contact Mfr.Contact Mfr.

Additional Information: Treat all skin types including tanned skin. Upgrade to add more applications.


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DermaMed International, Inc.www.quadraq4.com394 Parkmount RoadPO Box 198Lenni, PA 19052888.789.6342 p

Quadra Q4 PlatinumQuadra Q4 GoldQuadra Q4 Silver

XXX

XXX

XX

XX

Intense Pulsed LightIntense Pulsed LightIntense Pulsed Light

500-1200500-1200500-1200


10-11010-11010-110

$49,500$39,500$29,500


DermaVistawww.dermavista.com800.333.5773 p West800.767.6765 p East

The Cold LightVascuTouch

LEDRadio Frequency

$6,995$4,995


Dusa Pharmaceuticalswww.dusapharma.com25 Upton DriveWilmington, MA 01887877.533.3872 p

BLU-U w/Levulan Fluorescent Lamp 417 N/A CW $8,425

Additional Information: The Cold Light – For rejuvenation (photo facial) stimulates tissue growth, collagen reprod, and rosacea. VascuTouch – For the treatment of vascular lesions.

Edge Systemswww.edgesystem.net2277 Redondo AvenueSignal Hill, CA 90755800.603.0102 p562.597.0148 f

Del Sol™ Handheld LED Light Therapy System

X X X LED - Red/InfraredLED - Blue

800-1000nm420nm

N/A CWCW

$1,500$1,500

Additional Information: Red/Infrared light for skin rejuvenation, blue light for oily & acne-prone skin. Unique sequenced pulse for optimal red/infrared light therapy results. Unique focusing cone for concentrated treatments on hard-to-get areas.

Europrowww.europroequipment.com3952 Camino Ranchero Rd.,Building #2Camarillo, CA 93010866.633.5273 p

Phytoscan X X X HFD Cold Laser 430-750 0.3-0.5 N/A $9,000 to$18,900

Additional Information: Skin Rejuvenation, Cellulite. Optional upgrade – Hair Removal.


NaturaLase Fract.ER

NaturaLase ER NaturaLase LP NaturaLase QS NaturaLight

XXX

X

XXXX

XX

X

X

X

X

Er:YAG, Fractionated Erbium and Traditional ErbiumTraditiona ErLong Pulse Nd:YAGQ-Switched Nd:YAGPulse Light System (IPL)

2940

294010641064, 532, 585,650640-1200, 530-1200 510-1200, 420-1200 800-1400

Up to 20

Up to 20Over 250Over 1510-50

300

3000.5 to 100100.5 to 1000

$75,000

$65,000$64,900$87,900–$114,900$54,900

Additional Information: NaturaLase QS comes with 1000mJ or 2000 mJ of 1064nm light.The doubled wavelength of 532 is 500 mJ or 900 mJ and the other wavelengths are 585 with 360mJ and 200 mJ or 650nm with 560 mJ or 310 mJ. The NaturaLase Er is upgradeable to the Fract Er by adding a new handpiece. The NaturaLase LP has 60 watts of output power. The NaturaLight has 40X10 mm Spot size and all handpiece wavelengths are included.

CoolTouch, Inc.www.cooltouch.com9085 Foothills Blvd.Roseville, CA 95747877.858.2665 p

CoolTouch CT3CoolTouch CTEVVaria

X

X

X XX

X Nd:YAGNd:YAGNd:YAG

132013201064

Up to 24

Up to 500

50NA.3-500

$54,995$45,000$59,950

Additional Information: VARIA - Varizoom handpiece w/ 3-10mm adjustable spot size. Pulsed cryogen cooling with pre- & post-cooling. CT3 -10mm spot size, pulsed cryogen cooling with pre-, mid- & post-cooling. CTEV - Energy output is 10W max. Automated fiber pull-back device, 600μm reusable & single-use fiber, accessory packs.

CureLight, Ltd.www.curelight.com240 Main Street, Suite C Gladstone, NJ 07934908.470.4005 p

Clear100XL

Multiclear

X

X

X X Intense Blue andNear Infrared Light

Proprietary HighIntensity Plasma Light

405-420850-900

296-315 UVB;360-370 UVA1;296-315/360-370blend;405-420 blue

60

.05-2.4

.1-1501-40

CW

.5-20

$26,950

$47,000

Additional Information: Clear100XL - Reduce wrinkles, acne, wound & post-surgical healing, pore reduction/skin rejuvenation and skin radiancy. Dual Head Full Coverage. No accessories needed. Multiclear - Delivers safe, effective, phototherapy for multiple common aesthetic and medical skin disorders such as Stretch Marks, Psoriasis, Vitiligo, Acne, Keloids, PDT, Morphea and Actinic Keratosis.

Cutera (formerly Altus Medical)www.cutera.com3240 Bayshore Blvd.Brisbane, CA 94005888.4CUTERA p

CoolGlide ClassicCoolGlide ExcelGenesis PlusCoolGlide VantageCoolGlide XeoXeoSAXeo w/Titan

XX

XX

XXX

XX

X

XX

XXX

Long Pulse Nd:YAGLong Pulse Nd:YAGNd:YAG & Pulsed LightLong Pulse Nd:YAGNd:YAG & Pulsed LightPulsed Light Light-Based System

106410641064 & 600-85010641064 & 600-850560-12001100-1800

10-1005-300Up to 200Up to 300Up to 3006-405-70

10-1001-3001-301-3001-300AutomaticClosed LoopPhotometric

$70,000$95,000$99,000$110,000$155,000$75,000$195,000

Additional Information: All Cutera products are upgradeable to the next innovation, protecting your initial investment. The Xeo now features Navigation software to allow the user to set the ideal parameters for each individual patient’s needs ensuring the optimal clinical benefits and patient safety.


Acclaim™ Affirm™Apogee®Elite™Cynergy™Cynergy III™

Cynosure PL™PhotoSilk Plus™TriActive™

XX

X

XXXX

XX

XX

XXX

XX

X

XXX

XX

X

XXX

XX

Nd:YAGNd:YAG/Xenon Pulsed LightAlexandrite Alexandrite & Nd:YAGPulsed Dye & Nd:YAGPulsed Dye, Nd:YAG &Intense Pulsed LightIntense Pulsed Light Intense Pulsed LightSemi-Conductor

10641140/560-950755755 /1064585/1064585/1064/560-950

560-950500-950808

3008/2050300300300

3030

.04-3003/5-350.5-3000.4-3000.5-3000.3-300

5-505-50



Additional Information: Treat all skin types including tanned skin. Upgrade to add more applications.




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Fotonawww.fotona.eu www.fotonamedicallasers.comwww.saratogadiagnostics.com 1415 1st Street SouthSuite 5 Willmar, MN 56201 Toll free 888-55-4113

Fotona XP Max Dualis XP PlusDualis XPFidelis XPDualis SPFotona SP+Dualis XSFidelis XSFotona QX

Dualis VP

XXXX

XXXXXX

X

XXXXXXXXX

X

X

XXXXXX

X

X

XXXXXXXX

X

Long Pulse Nd:YAGLong Pulse Nd:YAGLong Pulse Nd:YAGLong Pulse Nd:YAGLong Pulse Nd:YAGLong Pulse Er:YAGLong Pulse Er:YAGLong Pulse Er:YAGQ-switched Nd:YAGKTP Nd:YAGLong Pulse Nd:YAGKTP Nd:YAG

1064 1064 1064 1064 1064 29402940294010645321064532

Up to 600Up to 600Up to 400Up to 300Up to 400Up to 3 JUp to 3 JUp to 1 JUp to 12.7Up to 6.3Up to 400Up to 30

0.1-3005-2005-2005-505-2000.1-1.50.1-1.50.1-1.04-6ns4-6ns5-2001-150

$104,500$84,500$71,500$51,500$99,500$128,000$79,500$69,500$89,500

$98,500

Additional Information: No disposable costs. Multiple handpieces available suited for specific applications and optimized for maximum efficiency. All systems include VSP technology, Electronic Feedback Control for added safety, efficacy, ease-of-use and peace-of-mind. All systems calibrate automatically - no manual or periodical calibration necesarry. Fotona XP MAX, DualisXP Plus, DualisXP scanner supported with 65x65 mm Tx area, multiple scanner spotsizes. DualisSP scanner supported with 35x35 mm Tx area. Spotsizes: Fotona XP MAX 2-20 mm, DualisSP 0.45 - 12 mm (Er:YAG), 2 - 8 mm (Nd:YAG), DualisXP Plus 2 - 10 mm, DualisXP 2 - 8 mm, FidelisXP 2 - 8 mm, DualisXS 0.45 - 12 mm, FidelisXS 0.45 - 10 mm, Fotona QX 2 - 8 mm, DualisVP 2 - 7 mm (Nd:YAG), 2 - 6 mm (KTP).

Genesis Biosystemswww.dermagenesis.com1500 Eagle CourtLewisville, Texas 75057888.577.PEEL (7335) P

ChromoliteRegenliteRegenstation

XXX

X

X

XXX

XXX

XX

Intense Pulsed LightPulsed Dye LaserPulsed Dye Laser + IPL

535 - 1200585535 - 1200

25925

5350-450 350-450 , 5 msec

$44,300$89,900 $119,900

Additional Information: All systems offered with a Customized looping waiting room DVD & flat panel TV/DVD player.

Hoya ConBioMedLite Laserswww.conbio.com47733 Fremont Blvd. Fremont, CA 94538800.532.1064 p

Medlite ®C3

Medlite® C6 X X X

X

X

X

X X

EO Q-Switched Nd:YAG EO Q-Switched Nd:YAG

1064, 532

1064, 532, 585, 650

Up to 12

Up to 12

5-7 ns

5-20 ns

Cont. Mfr.

Cont. Mfr.

Additional Information: Available accessories for the MedLite C6 are the PurpuraLite™ exclusive chromophore-clearing compression tool; MultiLite™ handpieces for 585nm and 650nm converted wavelengths; MultiSpot handpiece offering four spot sizes from 2-8mm.

Inner Act www.inneractproducts.com4750 Turbo CircleReno, NV 89502888.212.6342 p

LiteLift Medical™

LiteLift™

XXXX

X

X

X

X

LED (Red) - 1 head (Blue) - 1 headLED (Red) (Blue)

627405660/735/880405

Up to 20080-

CWCW-

$34,990$34,990$4,113 to$6,268

Additional Information: The upgradeable family of CoolGlide aesthetic systems features PowerFlex™ which allows independent control of pulse width and power for customized treatments. Treat all skin types including tanned skin. Upgrade to add more applications.


Avg. Sale$4,000*

1 Client per week = $208,000! per year

"HLCC has helped me add a six-�gure income to my practice, and more importantly, we are able to change people's lives by re-growing their hair."Dr. Aditya & Dr. Kirti Kohli - Manchester Laser Clinic, England

Add a Turn-KeyHair Loss Clinicto your Business

Distributor Opportunities also availableAsk for availability in your area!

*5-12 Customers Covers Your Investment

"HLCC's laser treatment program has given my patients, by far, the best results."Dr. Eliot Ghatan, M.D., FAAD, FRCPCBoard Certi�ed Dermatologist - Brooklyn, NY

The Best Laser Investment Available - ask us to prove it! 20 years in business, 71 clinics in 16 countries worldwide

C

M

Y

CM

MY

CY

CMY

K

hlcc_ad-8x4-5-12-07c.pdf 12/24/07 12:16:36 AM






Copyright © 2002-2008 Aesthetic Trends & Technologies, Inc., 11622 El Camino Real, Suite 100, San Diego CA 92130 USA, 800.277.1391 Fax 858.605.0469

SUBSCRIBE Using the form found on page 87


Fotonawww.fotona.eu www.fotonamedicallasers.comwww.saratogadiagnostics.com 1415 1st Street SouthSuite 5 Willmar, MN 56201 Toll free 888-55-4113

Fotona XP Max Dualis XP PlusDualis XPFidelis XPDualis SPFotona SP+Dualis XSFidelis XSFotona QX

Dualis VP

XXXX

XXXXXX

X

XXXXXXXXX

X

X

XXXXXX

X

X

XXXXXXXX

X

Long Pulse Nd:YAGLong Pulse Nd:YAGLong Pulse Nd:YAGLong Pulse Nd:YAGLong Pulse Nd:YAGLong Pulse Er:YAGLong Pulse Er:YAGLong Pulse Er:YAGQ-switched Nd:YAGKTP Nd:YAGLong Pulse Nd:YAGKTP Nd:YAG

1064 1064 1064 1064 1064 29402940294010645321064532

Up to 600Up to 600Up to 400Up to 300Up to 400Up to 3 JUp to 3 JUp to 1 JUp to 12.7Up to 6.3Up to 400Up to 30

0.1-3005-2005-2005-505-2000.1-1.50.1-1.50.1-1.04-6ns4-6ns5-2001-150

$104,500$84,500$71,500$51,500$99,500$128,000$79,500$69,500$89,500

$98,500

Additional Information: No disposable costs. Multiple handpieces available suited for specific applications and optimized for maximum efficiency. All systems include VSP technology, Electronic Feedback Control for added safety, efficacy, ease-of-use and peace-of-mind. All systems calibrate automatically - no manual or periodical calibration necesarry. Fotona XP MAX, DualisXP Plus, DualisXP scanner supported with 65x65 mm Tx area, multiple scanner spotsizes. DualisSP scanner supported with 35x35 mm Tx area. Spotsizes: Fotona XP MAX 2-20 mm, DualisSP 0.45 - 12 mm (Er:YAG), 2 - 8 mm (Nd:YAG), DualisXP Plus 2 - 10 mm, DualisXP 2 - 8 mm, FidelisXP 2 - 8 mm, DualisXS 0.45 - 12 mm, FidelisXS 0.45 - 10 mm, Fotona QX 2 - 8 mm, DualisVP 2 - 7 mm (Nd:YAG), 2 - 6 mm (KTP).

Genesis Biosystemswww.dermagenesis.com1500 Eagle CourtLewisville, Texas 75057888.577.PEEL (7335) P

ChromoliteRegenliteRegenstation

XXX

X

X

XXX

XXX

XX

Intense Pulsed LightPulsed Dye LaserPulsed Dye Laser + IPL

535 - 1200585535 - 1200

25925

5350-450 350-450 , 5 msec

$44,300$89,900 $119,900

Additional Information: All systems offered with a Customized looping waiting room DVD & flat panel TV/DVD player.

Hoya ConBioMedLite Laserswww.conbio.com47733 Fremont Blvd. Fremont, CA 94538800.532.1064 p

Medlite ®C3

Medlite® C6 X X X

X

X

X

X X

EO Q-Switched Nd:YAG EO Q-Switched Nd:YAG

1064, 532

1064, 532, 585, 650

Up to 12

Up to 12

5-7 ns

5-20 ns

Cont. Mfr.

Cont. Mfr.

Additional Information: Available accessories for the MedLite C6 are the PurpuraLite™ exclusive chromophore-clearing compression tool; MultiLite™ handpieces for 585nm and 650nm converted wavelengths; MultiSpot handpiece offering four spot sizes from 2-8mm.

Inner Act www.inneractproducts.com4750 Turbo CircleReno, NV 89502888.212.6342 p

LiteLift Medical™

LiteLift™

XXXX

X

X

X

X

LED (Red) - 1 head (Blue) - 1 headLED (Red) (Blue)

627405660/735/880405

Up to 20080-

CWCW-

$34,990$34,990$4,113 to$6,268

Additional Information: The upgradeable family of CoolGlide aesthetic systems features PowerFlex™ which allows independent control of pulse width and power for customized treatments. Treat all skin types including tanned skin. Upgrade to add more applications.


Innovative Med Inc.www.innovativemedinc.com4 Autry, Ste. BIrvine, CA 92618877.779.9492 p949.458.7416 f

Multi-Wave Light Therapy- Super Red- Royal Blue- Pure Green- InfraredUltra Rev Light- Red- Blue

X

X

X

X

X XX

X

XX

Pulsed Diode LED

LED-Red + UltrasoundLED-Blue + Ultrasound

630440525880

0-22 mw/cm2

3 mhz/2 watts 3 mhz/2 watts

0-500 $13,000

$195$195

Additional Information: Our Multi-Wave light therapy unit has three colors + infrared in each of its three pads. With this unit you are able to select pre-programmed or custom combinations of lights (red, green, blue, infrared) and pulses allowing you to treat multiple symptoms at once or just one specific problem at a time. Touch screen option available for an additional cost. The Ultra Rev Lights are small hand-held LED wands with Ultrasonic.

Iridex/Laserscopewww.iridex.com1212 Terra Bella AvenueMountain View, CA 94043650.962.8100 p

Aura iGemini

Lyra iVariLite

Venus i

X X

X

X

X

XX

XX

X

X X

XX

X

X

KTPNd:YAG KTP

Nd:YAGDiode-Pumped KTP Direct DiodeEr:YAG

53210645321064532/940

2940

1-240Up to 990Up to 1005-900950

200-2000 mj

1-5010-100,1-10020-1005-100

300 mcs

$72,500Contact Mfr.

$72,500$56,500

$67,000

Additional Information: Aura i - includes 1-5 mm continuously. Adjustable VersaStat i. Lyra i - Includes 1-5 mm continuously. Adjustable and 10 mm fixed VeraStat i. Venus i - Includes Smartscan Plus: 1 mm to 25 mm, Lens cell handpiece: 1,3,5. Gemini - Includes 1-5 mm continuously. Adjustable and 10 mm fixed VersaStat i.

Lasering USAwww.laseringusa.com 2246 Camino Ramon San Ramon, CA 94583 866.471.0469 p

SLIM E30 MiXto SX Velure S5 MiXto VX Velure S5 Velure S8/15 Velure S8/30 Velure S800

X

XX

XXX

XX XXX

X CO2

DiodeDiodeDiodeDiodeDiode

10.6532532808808808

0-300.1-50.1-510-45010-45010-600

10-100010-100010-999010-999010-1000

$73,500$45,800$30,400$20,000$22,100$54,400

Additional Information: Patent Pending MiXto SX and MiXto VX technology.

Light Agewww.lightage.com500 Apgar DriveSomerset, NJ 08873800.719.6818 p

EpiCare™ LPEpiCare™ LPXQ Clear™Ta2 Eraser™

XXX X

XX

X

Alexandrite Alexandrite Nd:YAG/KTPAlexandrite

7557551064/532755

Up to 40Up to 402-122-12

3-300 var.3-300 var.10ns60ns

$69,000$89,000$35,500$79,000

Additional Information: EpiCare™ - Smartscreen™ user interface, protective eyewear, on-site training, on-board diagnostic, long life flashlamps, low maintenance cost and choice of 7, 9, 12, 15 mm handpieces. Q-Clear™ Compact and weighs less than 35 lbs. Ta2 Eraser™ handpieces: 2, 3, 4, 5 mm, upgrade capabilities and for “difficult” colors.

Light BioScience, LLCwww.lightbioscience.com933 First Colonial Rd, #204Virginia Beach, VA 23454888.647.6219 p

GentleWaves Pro GentleWaves Select-Handheld Model

XX

LEDLED

590 590

4.0mW/cm2

4.0mW/cm2

Variable from cont. to 1 msec pulses

$32,500$19,500

Viora’s Pristine

Microdermabrasion

system combines the

precision polishing

action of densely

packed real laser-

cut diamonds with a

medical grade, fully

adjustable suction

device. Only medical grade Diamond exfoliation

offers your patients aggressive yet gentle exfoliation

with the ability to customize the procedure to your

patients’ needs.

This third generation device, a market leader

internationally, is now available in the US directly

from its manufacturer Viora Inc. Featuring the

quietest system, the largest array of diamond tips, and

an ultrasonic tip cleaner, the Pristine offers a two-year

warranty and a network of support representatives.

Microdermabrasion remains one of the most

profitable and popular treatments performed in

this country. Don’t sell your clinicians or patients

short; invest in a product that will outperform your

competition and protect your client base. Pristine, no

gimmicks, only performance!

Viora

877.384.8032

www.vioramed.com

spotlightPriSTine: PreCiSion diAMond Peel

Viora

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echno

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Innovative Med Inc.www.innovativemedinc.com4 Autry, Ste. BIrvine, CA 92618877.779.9492 p949.458.7416 f

Multi-Wave Light Therapy- Super Red- Royal Blue- Pure Green- InfraredUltra Rev Light- Red- Blue

X

X

X

X

X XX

X

XX

Pulsed Diode LED

LED-Red + UltrasoundLED-Blue + Ultrasound

630440525880

0-22 mw/cm2

3 mhz/2 watts 3 mhz/2 watts

0-500 $13,000

$195$195

Additional Information: Our Multi-Wave light therapy unit has three colors + infrared in each of its three pads. With this unit you are able to select pre-programmed or custom combinations of lights (red, green, blue, infrared) and pulses allowing you to treat multiple symptoms at once or just one specific problem at a time. Touch screen option available for an additional cost. The Ultra Rev Lights are small hand-held LED wands with Ultrasonic.

Iridex/Laserscopewww.iridex.com1212 Terra Bella AvenueMountain View, CA 94043650.962.8100 p

Aura iGemini

Lyra iVariLite

Venus i

X X

X

X

X

XX

XX

X

X X

XX

X

X

KTPNd:YAG KTP

Nd:YAGDiode-Pumped KTP Direct DiodeEr:YAG

53210645321064532/940

2940

1-240Up to 990Up to 1005-900950

200-2000 mj

1-5010-100,1-10020-1005-100

300 mcs

$72,500Contact Mfr.

$72,500$56,500

$67,000

Additional Information: Aura i - includes 1-5 mm continuously. Adjustable VersaStat i. Lyra i - Includes 1-5 mm continuously. Adjustable and 10 mm fixed VeraStat i. Venus i - Includes Smartscan Plus: 1 mm to 25 mm, Lens cell handpiece: 1,3,5. Gemini - Includes 1-5 mm continuously. Adjustable and 10 mm fixed VersaStat i.

Lasering USAwww.laseringusa.com 2246 Camino Ramon San Ramon, CA 94583 866.471.0469 p

SLIM E30 MiXto SX Velure S5 MiXto VX Velure S5 Velure S8/15 Velure S8/30 Velure S800

X

XX

XXX

XX XXX

X CO2

DiodeDiodeDiodeDiodeDiode

10.6532532808808808

0-300.1-50.1-510-45010-45010-600

10-100010-100010-999010-999010-1000

$73,500$45,800$30,400$20,000$22,100$54,400

Additional Information: Patent Pending MiXto SX and MiXto VX technology.

Light Agewww.lightage.com500 Apgar DriveSomerset, NJ 08873800.719.6818 p

EpiCare™ LPEpiCare™ LPXQ Clear™Ta2 Eraser™

XXX X

XX

X

Alexandrite Alexandrite Nd:YAG/KTPAlexandrite

7557551064/532755

Up to 40Up to 402-122-12

3-300 var.3-300 var.10ns60ns

$69,000$89,000$35,500$79,000

Additional Information: EpiCare™ - Smartscreen™ user interface, protective eyewear, on-site training, on-board diagnostic, long life flashlamps, low maintenance cost and choice of 7, 9, 12, 15 mm handpieces. Q-Clear™ Compact and weighs less than 35 lbs. Ta2 Eraser™ handpieces: 2, 3, 4, 5 mm, upgrade capabilities and for “difficult” colors.

Light BioScience, LLCwww.lightbioscience.com933 First Colonial Rd, #204Virginia Beach, VA 23454888.647.6219 p

GentleWaves Pro GentleWaves Select-Handheld Model

XX

LEDLED

590 590

4.0mW/cm2

4.0mW/cm2

Variable from cont. to 1 msec pulses

$32,500$19,500




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Novaliswww.novalismedical.com1719 W. Kennedy Blvd.Tampa, FL 33606866.627.4475 p

Clareon™ Clareon SR Clareon HR Clareon AR Clareon VRSolarus™ Solarus SR Solarus HR Solarus AR

X

X

XX

XX

X

X

XX

X

XX

X

X

X

Pulsed LightPulsed LightPulsed LightPulsed Light

Pulsed LightPulsed LightPulsed Light

550-1200630-1200420-1200500-61/740-1200

530-1200630-1200420-1200

Up to 45Up to 45Up to 45Up to 35

10-2015-35Up to 35

30/50/7030/50/7030/50/7030/50/70

20/40/6020/40/6020/40/60

$44,900and upincl.handpiece

$34,900 and upincl.handpiece

Additional Information: Clareon – Patented Kr/Xe Flashlamp technology. Up to 1 Hz.

OptoGenesiswww.optogenesis.com5912 Northwest PlaceAustin, TX 78731512.451.3333 p

EpiCool™ Platinum/HR SR X X X X

IntensePulsed Light

515-1100 Up to 65 Up to 25 $49,500

Additional Information: PhotoFace™ Rejuvenation. Hair Removal for all skin types. Superior sapphire cooling.

OPUSMED www.opusmed.com306-3333 Graham Blvd.Montreal(Quebec) H3R 3L5Canada866.678.7633 p

F1 Diode Laser™LumiPhase-R™LumiPhase-R/B

LumiPhase-R/IR

XX

XXX

X

XX

X

DiodeLED LED

LED

810660630/405

630/850

10-40150 mW/cm2 - 4.5 J/cm2

R: 150 mW/cm2-4.5J/cm2 B: 90 mW/cm2-48J/cm2


10-100PulsedCW or Pulsed

CW or Pulsed

$74,500Contact Mfr.$37,500-39,500

Contact Mfr.

Additional Information: LumiPhase products: Laminar air flow for comfort, optical positioning functionality for maximum beam uniformity.


StarLux™ SystemMediLux™ SystemEsteLux™ SystemQ-Yag 5

XXX

XXX

XXXX

X XXX

X Pulsed Light & Nd:YAGPulsed LightPulsed LightQ-switched YAG laser

500-1200, 1064500-1200500-12001064/532

Up to 700Up to 45Up to 40Up to 12.5

0.5-50010-10010-1003 +/- 1 ns

$89,900$52,900$42,900$50,000

Additional Information: Wavelengths vary by handpiece.

PhotoTherapeutics, Inc.www.phototherapeutics.com2720 Loker Ave. West, Suite CCarlsbad, CA 92010800.743.8150 p760.607.0288 f

OmniLux Blue™OmniLux PDT™OmniLux Plus™OmniLux Revive™

X

XXX

XX

LEDLEDLEDLED

415 nm633 nm (for PDT) 830 nm633 nm

48 J/cm2

96 J/cm2

66 J/cm2

126 J/cm2

$24,950-$34,950

Additional Information: 2 yr. warranty, Platform Technology (interchangeable heads), Loyalty Counts Plan, Key to Success Plan, Wound Healing, Pain Relief and PDT for non-melanoma skin cancers Tx.


Lumenis 1-Lightsheer Lumenis 1-IPLLumenis 1-MultispotLightSheer ET™LightSheer ST™LightSheer XC™IPL™ Quantum SRIPL™ Quantum DLVascuLight Elite

BclearReLume

X

XXX

XXX

X

XX

XX

Diode IPLNd:YAGDiodeDiodeDiodeIntense Pulsed LightNd:YAGIntense Pulsed LightNd:YAGUVUV

800515-12001064800800800560-12001064515-12001064

10-10010-4010-22510-10010-4010-10015-4590-1503-9090-150

5-4003-1002-205-4005-1005-4006-265-381-755-38

$149,900VariesVaries$79,900$64,900$124,900$84,900$70,900$129,900 $70,900$59,900$69,900

Additional Information: Lumenis One-Lightsheer – Spot 9x9, integ. cooling, multiple applications. Lumenis One-IPL – Spot 35x15 mm & 15x8 mm, integ. cooling. Lumenis One-Multispot –Spot 3, 8 , 9 mm, integ. cooling, addt’l heads. LightSheer ETTM – ChillTip hand-piece. LightSheer STTM – ChillTip handpiece. LightSheer XCTM – ChillTip handpiece, 12x12mm spot size IPLTM Quantum SR – Spot: 34 x 8 mm. Upgradeable, simple, optimized pre-sets, spot size: 6 mm with Integrated Real Time Cooling, touch screen. VascuLight Elite – Multi-application, optimized pre-sets, spot; ITL – 45x10mm, Nd: YAG:6mm. Bclear – For psoriasis/vitiligo treatments. ReLume – For repigmentation treatments.

Med-Aesthetic Solutions www.medaestheticsolutions.com 2033 San Elijo Ave, Suite 200 Cardiff by the Sea, CA 90249 760.942.8815 p 505.341.2575 f

iPulseTM i200+ iPulseTM i400 MAStique Light

XXX

XX

XXX

XX

Intense Pulsed Light Intense Pulsed LightLED (4 wavelengths, Micro Current and High Frequency in one )

530-1200530-1200Blue-470 , Green-525, Yel-low-590 , Red-640

0 -00-20Up to 29

10-11010-110Variable with 6 pre-sets

$34,995$49,995$16,995

Additional Information: The iPulseTM i400 combines advanced IPL technology with striking design and versatility. Special features include a video touch screen with sound. Patented constant s pectrum of light and unique square pulse delivery is more energy-efficient and achieves long-lasting results in hair removal, skin rejuvenation, treatment of pigmented/vascular lesions and acne. The 8.9 cm2 constant spectrum treatment head rapidly treats large areas with less discomfort. The mini glass filter is available for smaller areas. Settings are pre-programmed for easy use. iPulseTM i200+- Patented constant spectrum of light technology. Unique square pulse delivery achieves long-lasting results in hair removal, skin rejuvenation, treatment of pigmented/ vascular lesions and acne with one handpiece. 8.9 cm2 spot size and mini glass filter handpieces. Easy-to-use pre-programmed settings for treatment and skin type. MAStique Light -Non-invasive and non-ablative High-frequency (HF) and Micro Currents enhance the effects of four distinct wavelengths of LED phototherapy.

MedSurge Advances, Inc.www.medsurgeadvances.com14850 Quorum Drive, Ste. 120Dallas, TX 75254972.720.0425 p

Asclepion MeDioStar XTAsclepion MCL 30 DermablateAsclepion TattooStar RQuantel Medical Aramis IIQuantel Medical Prolite IIQuantel Medical Virdis Derma

X

X

X

XX

XX

X

XX

X

X

Diode LaserEr: YAG LaserQ-switched Ruby LaserEr: Glass LaserIntense Pulsed LightDiodePumped KTP Laser

808 2940 694 1540 530 - 1200 532

Up to 90 1 - 100 Up to 23 Up to 126 15 - 44 Up to 110

Up to 500400 40 3.320 - 7215 - 150


Additional Information: MeDioStar XT - Step Pulse technology, 12 mm spot size (standard); 6,10, and 14 mm tips available; automatic spot size detection, integrated skin cooling. MCL 30 Dermablate - built-in smoke evacuation andfilter system. VarioSpot handpiece: 1-6mm spot size adjustable handpiece, tips can be sterilized. TattooStar R - Ergonomic design; Homogeneous hexagonal spot through microlens array; Auto spot size detection; Tattoo and pigmented lesion removal. Aramis II - Cooling System: virtually painless treatment. Prolite II - Operator selectable filters in one handpiece (530/550/580/610/615) - spot size 10 x 20 mm. Virdis Derma - Small and portable, optional scanner.

Norseld www.norseld.com9 Claxton St., S. Australia 5000618.8231.9000 pNorseld USAMedical Laser Engineering2284 Main St.Concord, MA 01742978.318.9996 p

Dual YellowYlite

XX

XX

XX

XX

Copper BromideCopper Bromide

578 & 511578

30075

FEM MicropulsedFEM Micropulsed

$68,000$58,250

Additional Information: Contact scanner with 6 & 10mm spot, contact and non-contact handpieces, 0.6-1.0mm spot. DualYellow comes complete with scanner and the Ylite comes complete with fully functioning applicator. The optimum wavelength and pulse duration provide ideal and mostly single treatments for most vascular, pigmented and seborrheic keratoses lesions. By stimulating new collagen formation in the upper papillary dermis by non-ablative resurfacing, scars, warts and stretch-marks can all be treated or improved with the Dual Yellow laser. The complete skin enhancement solution for sun and age damage, wrinkles, skin blemishes, stretch-marks and acne.





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Novaliswww.novalismedical.com1719 W. Kennedy Blvd.Tampa, FL 33606866.627.4475 p

Clareon™ Clareon SR Clareon HR Clareon AR Clareon VRSolarus™ Solarus SR Solarus HR Solarus AR

X

X

XX

XX

X

X

XX

X

XX

X

X

X

Pulsed LightPulsed LightPulsed LightPulsed Light

Pulsed LightPulsed LightPulsed Light

550-1200630-1200420-1200500-61/740-1200

530-1200630-1200420-1200


10-2015-35Up to 35

30/50/7030/50/7030/50/7030/50/70

20/40/6020/40/6020/40/60

$44,900and upincl.handpiece

$34,900 and upincl.handpiece

Additional Information: Clareon – Patented Kr/Xe Flashlamp technology. Up to 1 Hz.

OptoGenesiswww.optogenesis.com5912 Northwest PlaceAustin, TX 78731512.451.3333 p

EpiCool™ Platinum/HR SR X X X X

IntensePulsed Light

515-1100 Up to 65 Up to 25 $49,500

Additional Information: PhotoFace™ Rejuvenation. Hair Removal for all skin types. Superior sapphire cooling.

OPUSMED www.opusmed.com306-3333 Graham Blvd.Montreal(Quebec) H3R 3L5Canada866.678.7633 p

F1 Diode Laser™LumiPhase-R™LumiPhase-R/B

LumiPhase-R/IR

XX

XXX

X

XX

X

DiodeLED LED

LED

810660630/405

630/850

10-40150 mW/cm2 - 4.5 J/cm2



10-100PulsedCW or Pulsed

CW or Pulsed

$74,500Contact Mfr.$37,500-39,500

Contact Mfr.

Additional Information: LumiPhase products: Laminar air flow for comfort, optical positioning functionality for maximum beam uniformity.


StarLux™ SystemMediLux™ SystemEsteLux™ SystemQ-Yag 5

XXX

XXX

XXXX

X XXX

X Pulsed Light & Nd:YAGPulsed LightPulsed LightQ-switched YAG laser

500-1200, 1064500-1200500-12001064/532

Up to 700Up to 45Up to 40Up to 12.5

0.5-50010-10010-1003 +/- 1 ns

$89,900$52,900$42,900$50,000

Additional Information: Wavelengths vary by handpiece.

PhotoTherapeutics, Inc.www.phototherapeutics.com2720 Loker Ave. West, Suite CCarlsbad, CA 92010800.743.8150 p760.607.0288 f

OmniLux Blue™OmniLux PDT™OmniLux Plus™OmniLux Revive™

X

XXX

XX

LEDLEDLEDLED

415 nm633 nm (for PDT) 830 nm633 nm

48 J/cm2

96 J/cm2

66 J/cm2

126 J/cm2

$24,950-$34,950

Additional Information: 2 yr. warranty, Platform Technology (interchangeable heads), Loyalty Counts Plan, Key to Success Plan, Wound Healing, Pain Relief and PDT for non-melanoma skin cancers Tx.


Lumenis 1-Lightsheer Lumenis 1-IPLLumenis 1-MultispotLightSheer ET™LightSheer ST™LightSheer XC™IPL™ Quantum SRIPL™ Quantum DLVascuLight Elite

BclearReLume

X

XXX

XXX

X

XX

XX

Diode IPLNd:YAGDiodeDiodeDiodeIntense Pulsed LightNd:YAGIntense Pulsed LightNd:YAGUVUV

800515-12001064800800800560-12001064515-12001064

10-10010-4010-22510-10010-4010-10015-4590-1503-9090-150

5-4003-1002-205-4005-1005-4006-265-381-755-38

$149,900VariesVaries$79,900$64,900$124,900$84,900$70,900$129,900 $70,900$59,900$69,900

Additional Information: Lumenis One-Lightsheer – Spot 9x9, integ. cooling, multiple applications. Lumenis One-IPL – Spot 35x15 mm & 15x8 mm, integ. cooling. Lumenis One-Multispot –Spot 3, 8 , 9 mm, integ. cooling, addt’l heads. LightSheer ETTM – ChillTip hand-piece. LightSheer STTM – ChillTip handpiece. LightSheer XCTM – ChillTip handpiece, 12x12mm spot size IPLTM Quantum SR – Spot: 34 x 8 mm. Upgradeable, simple, optimized pre-sets, spot size: 6 mm with Integrated Real Time Cooling, touch screen. VascuLight Elite – Multi-application, optimized pre-sets, spot; ITL – 45x10mm, Nd: YAG:6mm. Bclear – For psoriasis/vitiligo treatments. ReLume – For repigmentation treatments.


iPulseTM i200+ iPulseTM i400 MAStique Light

XXX

XX

XXX

XX

Intense Pulsed Light Intense Pulsed LightLED (4 wavelengths, Micro Current and High Frequency in one )

530-1200530-1200Blue-470 , Green-525, Yel-low-590 , Red-640

0 -00-20Up to 29

10-11010-110Variable with 6 pre-sets

$34,995$49,995$16,995

Additional Information: The iPulseTM i400 combines advanced IPL technology with striking design and versatility. Special features include a video touch screen with sound. Patented constant s pectrum of light and unique square pulse delivery is more energy-efficient and achieves long-lasting results in hair removal, skin rejuvenation, treatment of pigmented/vascular lesions and acne. The 8.9 cm2 constant spectrum treatment head rapidly treats large areas with less discomfort. The mini glass filter is available for smaller areas. Settings are pre-programmed for easy use. iPulseTM i200+- Patented constant spectrum of light technology. Unique square pulse delivery achieves long-lasting results in hair removal, skin rejuvenation, treatment of pigmented/ vascular lesions and acne with one handpiece. 8.9 cm2 spot size and mini glass filter handpieces. Easy-to-use pre-programmed settings for treatment and skin type. MAStique Light -Non-invasive and non-ablative High-frequency (HF) and Micro Currents enhance the effects of four distinct wavelengths of LED phototherapy.


Asclepion MeDioStar XTAsclepion MCL 30 DermablateAsclepion TattooStar RQuantel Medical Aramis IIQuantel Medical Prolite IIQuantel Medical Virdis Derma

X

X

X

XX

XX

X

XX

X

X

Diode LaserEr: YAG LaserQ-switched Ruby LaserEr: Glass LaserIntense Pulsed LightDiodePumped KTP Laser

808 2940 694 1540 530 - 1200 532

Up to 90 1 - 100 Up to 23 Up to 126 15 - 44 Up to 110

Up to 500400 40 3.320 - 7215 - 150


Additional Information: MeDioStar XT - Step Pulse technology, 12 mm spot size (standard); 6,10, and 14 mm tips available; automatic spot size detection, integrated skin cooling. MCL 30 Dermablate - built-in smoke evacuation andfilter system. VarioSpot handpiece: 1-6mm spot size adjustable handpiece, tips can be sterilized. TattooStar R - Ergonomic design; Homogeneous hexagonal spot through microlens array; Auto spot size detection; Tattoo and pigmented lesion removal. Aramis II - Cooling System: virtually painless treatment. Prolite II - Operator selectable filters in one handpiece (530/550/580/610/615) - spot size 10 x 20 mm. Virdis Derma - Small and portable, optional scanner.

Norseld www.norseld.com9 Claxton St., S. Australia 5000618.8231.9000 pNorseld USAMedical Laser Engineering2284 Main St.Concord, MA 01742978.318.9996 p

Dual YellowYlite

XX

XX

XX

XX

Copper BromideCopper Bromide

578 & 511578

30075

FEM MicropulsedFEM Micropulsed

$68,000$58,250

Additional Information: Contact scanner with 6 & 10mm spot, contact and non-contact handpieces, 0.6-1.0mm spot. DualYellow comes complete with scanner and the Ylite comes complete with fully functioning applicator. The optimum wavelength and pulse duration provide ideal and mostly single treatments for most vascular, pigmented and seborrheic keratoses lesions. By stimulating new collagen formation in the upper papillary dermis by non-ablative resurfacing, scars, warts and stretch-marks can all be treated or improved with the Dual Yellow laser. The complete skin enhancement solution for sun and age damage, wrinkles, skin blemishes, stretch-marks and acne.




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Syneron Medical www.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, OntarioCanada561.357.5827 p

Aurora ACAurora DS/DSR

Aurora SRPolaris DSPolaris VascularPolaris WRGalaxy

Comet

X

X

XX

XX

X

X

X

XX

X X

Diode/RFOptical Energy Combined with BipolarRF electrical energyDiode/RF Diode/RF Diode/RF elos-Diode

elos-Diode/RF

400-980580-980

580-980800900900580-980

6-18 L, 5-20 RFOptical plus 5-20 RF5-20 RFUp to 25 & 20Up to 140& 100Up to 140 lightUp to 200 RF50/50 J/cm2 RF

Up to 200Up to 100

Up to 100ShortN/AN/AUp to 200

Up to 2 Hz

$89,900$84,900$79,900$69,900$69,900$79,900$84,900$104,900-$155,900$89,900

Additional Information: Aurora AC – 3 yr. warranty. No disp. costs. Aurora DS/DSR – Both applicator heads included for treatment of hair removal and vasc/pigm. lesions. Aurora SR – 3 yr. warranty. Applicator heads incl. Polaris DS – 3 yr. warranty. Spot 8 x 12 mm, cooling. Polaris Vascular – 3 yr. warranty. No disposable costs. Polaris WR – 3 yr. warranty. No disposable costs. Galaxy – 3 yr. warranty. No disp. cost. 5 application heads avail. Comet – 3 yr. warranty. Spot 12 x 15 mm.

Telsar Laboratorieswww.telsar.com#1 Environway, Suite 100Wood River, IL 62095800.255.9938 p

Softlight X X

X Nd: YAG 1064 3 12 $55,00

Additional Information: Refurbished systems only. Only laser licensed to use patented carbon lotion.

Thermagewww.thermage.com4058 Point Eden WayHayward, CA 94545510.782.2286 p

ThermaCool X X Radio Frequency N/A 200 N/A $39,950

Additional Information: Non-Ablative. Tips are interchangeable by application. For the non-invasive treatment of facial wrinkles rhytids. Single-use sterile treatment tip that delivers RF energy to the deep layers of the dermis while protecting the epidermis with cryogen cooling spray.

Viora, Inc.www.vioramed.com 30 Montgomery StreetSuite 660 Jersey City, NJ 07302 877.384.8032 p 201.332.4200 f

Axiom X X X X Intense Pulsed Light 390 – 1200nm >40 J/cm2 @ 25x50 mmspot

25-75 msec single pulse program-mable multi pulse mode

$54,900

Additional Information: Comes with all 4 applications as interchangeable lamps w/ONE handpiece; cooling gels not necessary due to TLC technology; largest spot size 25x50 mm (12.5cm2); 3 multi-size reduction windows; intuitive menu-driven touch screen; 1 yr. full-service warranty/2-day loaner; training DVD; 40 Lbs.; client brochures included; 5 languages available; repetition rate of 1.5 seconds; ask about our Viora Support Program (VSP).

WaveLight www.wavelight-laser.comAm Wolfsmantel 591058 Erlangen, Germany+49/91 31/61 86-140 p

ARION MYDONBURANEBURANE XLSINON TALOS

XX

XXX

XAlexandrite Long Pulse Nd:YAGLong Pulse Er:YAGLong Pulse Er:YAG Q-switched RubyExcimer

755106429402940694-

5-4010-4500.1-1130.1-141Up to 14-

5-40.05-9035035020-

$69,500$72,800$37,000$68,750$82,000$125,000

Additional Information: Large area scanner (90 x 65mm). Skin Cooling (air). Handpieces 1.5, 3, 5, 10mm hair and vascular with contact or air cooling. Up to 250ms thermal. Pigmented skin; Spots: 3, 4, 5mm long pulse. For psoriasis, vitiligo and atopic dermatitis.


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Radiancy www.radiancy.com40 Ramland Road SouthSuite 10Orangeburg, NY 10962845.398.1647 p

MistralSkinStationDuetWhisperNGSPRSpaTouch Pro

XX

XXX

XXXXX

XXX

XX

XX

LHE (Light Heat Energy)LHE (Light Heat Energy)LHE (Light Heat Energy)Er:YAG, Extended AblationLHE (Light Heat Energy)LHE (Light Heat Energy)

400-1200 nm400-1200 nm400-1200 nm2940 nm400-1200 nm400-1200 nm

4-15 J/cm2

3-10 J/cm2

3-10 J/cm2

8.5 J/cm2

3-10 J/cm2

3-10 J/cm2

Up to 80 ms10-35 ms10-35 ms300 ms10 ms10-35 ms

$45,000$32,990 $24,990 $39,990 $19,900 $19,900

Additional Information: Skin Staion - 3 year warranty and assorted Light Unit Assemblies. WhisperNG - Patented Extended Ablation handpiece and fractional handpiece.

Reliant Technologies, Inc.www.fraxel.com464 Ellis StreetMountain View, CA 94043888-4FRAXEL (437-2935)

Fraxel re:store™laserFraxel re:fine™ laserFraxel re:pair™ laser

X

X

X

X

X

X

Erbium-Fiber LaserSingle Mode Fiber LaserFractional CO

2 laser

1550141010600

4 - 70 mj/ MTZ5-20 mj/ MTZ5-70 mJ/MTZ

0.5 - 30.5 - 30.1 - 2


Additional Information: Fraxel re:store™ laser is FDA cleared for the treatment of pigmented lesions, soft tissue coagulation, melasma, periorbital wrinkles, skin resurfacing, acne scars and surgical scars and actinic keratoses. Fraxel re:fine™ laser is FDA cleared for the treatment of pigmented lesions, melasma, periorbital fine lines, skin resurfacing, texture and tone. Fraxel re:pair™ laser is FDA cleared for the treatment of wrinkles, rhytids, furrows, fine lines, textural irregularities, pigmented lesions, soft tissue ablation, coagulation and resurfacingand vascular dyschromia.

[email protected] Turner Street, Bldg. 2Waltham, MA 02453888.4rhytec p781.419.9401f

Portrait PSR3 X X Non-contact Plasma Energy

1 - 4 J/cm 4 - 16 ms $69,900 Disposable nozzles - $1,750/pkg of 5

Additional Information: Ergonomic handpiece, disposable delivery nozzle, Hi-Def marketing program, PR support, 1-yr limited + optional extended warranty. Effectively treats fine, moderate and deep wrinkles of the face and body, improves skin tone, texture and elasticity, removes discoloration, tightens skin and treats benign skin lesions/actinic keratoses.

Sciton www.sciton.com845 Commercial StreetPalo Alto, CA 94303650.493.9155 p

Profile™-MPContour™ClearScan™ThermaScan™ BBL™ Profile-S ClearScan™Profile-S ThermaScan™Profile-S Contour™Profile-S BBL™Profile-D ClearScan™

X

X

X

X

X

XX

XX

XXXXXXXXXX

X

X

XX

XX

XXXXXXXXXX

Modular platformEr:YAG moduleNd:YAG moduleNd:YAG modulePulsed Light moduleNd:YAGNd:YAGEr:YAGPulsed LightNd:YAG

Various2940 μm1064 nm1319 nm400-1400 nm1064 nm1319 nm2940 nm400-1400 nm1064 nm

Up to 40045 WattsUp to 400Up to 80Up to 30Up to 400Up to 8045 WattsUp to 30Up to 400 J

0.1-2000.1-500.1-20010-200Up to 2000.1-20010-2000.1-50Up to 2000.1-200

Cont. Mfr.$19,500$19,500$23,000$30,000$54,500 $54,500 $54,500 $54,500 $82,000

Additional Information: Configurable; up to 5 laser modules. Scanning systems – computerized. Integrated cooling and Smart Filters. 15mm x 30mm spot size and 30mm x 30mm spot size on various units.

Sybaritic, Inc. www.sybaritic.com9220 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f

LaserPeel Soft-METNannoLight SkinClearSpectraQuattro

X

X

X

X

XXXX

XX

X

XX

X

Modified Erbium LaserIntense Pulsed Light SystemQ-Switched Nd:YAG LaserIntense Pulsed Light System

2940410 - 1400532 & 1064410-1400


300 ns1-3010 ns5-30

$39,995$42,995$29,995$34,995

Additional Information: Six filters available. Requires only one handpiece. Active contact cooling.

Synergie™ by Dynatronicswww.dynatronics.com/aesthetic/7030 Park Centre DriveSalt Lake City, UT 84121800.874.6251 p801.568.7711 f

Synergie LT1 Synergie LT2 Synergie Elite LT Red Pad XP Blue Probe

XXX

X

XXXXX

XXXXX

All product are Bio Stimulatory Light with Super Luminous Diodes

660-880660-880660-880880405-880

3J-6J 500mW-1000mW 6J/ 5 cm2 1000mW 6J/ 5 cm2 1000mW 8J/8”X10” 7500mW 6J/ 5 cm2 500mW

YesNoYes

$3,995 $3,195 $4,495 $1,995 $1,595

Additional Information: 2 yr. Warranty. LT1 delivers 6 joules in 30 seconds. Interchangeable red/ near-infrared and blue probes available. LT2& Elite LT deliver 6 joules in 30 seconds. Interchangeable red/ near infrared probes, pads, and blue probes available. Elite LT comes with internal tutorial and treatment protocol guide. Equipment manufactured in an FDA scrutinized facility.





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Syneron Medical www.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, OntarioCanada561.357.5827 p

Aurora ACAurora DS/DSR

Aurora SRPolaris DSPolaris VascularPolaris WRGalaxy

Comet

X

X

XX

XX

X

X

X

XX

X X

Diode/RFOptical Energy Combined with BipolarRF electrical energyDiode/RF Diode/RF Diode/RF elos-Diode

elos-Diode/RF

400-980580-980

580-980800900900580-980

6-18 L, 5-20 RFOptical plus 5-20 RF5-20 RFUp to 25 & 20Up to 140& 100Up to 140 lightUp to 200 RF50/50 J/cm2 RF

Up to 200Up to 100

Up to 100ShortN/AN/AUp to 200

Up to 2 Hz

$89,900$84,900$79,900$69,900$69,900$79,900$84,900$104,900-$155,900$89,900

Additional Information: Aurora AC – 3 yr. warranty. No disp. costs. Aurora DS/DSR – Both applicator heads included for treatment of hair removal and vasc/pigm. lesions. Aurora SR – 3 yr. warranty. Applicator heads incl. Polaris DS – 3 yr. warranty. Spot 8 x 12 mm, cooling. Polaris Vascular – 3 yr. warranty. No disposable costs. Polaris WR – 3 yr. warranty. No disposable costs. Galaxy – 3 yr. warranty. No disp. cost. 5 application heads avail. Comet – 3 yr. warranty. Spot 12 x 15 mm.

Telsar Laboratorieswww.telsar.com#1 Environway, Suite 100Wood River, IL 62095800.255.9938 p

Softlight X X

X Nd: YAG 1064 3 12 $55,00

Additional Information: Refurbished systems only. Only laser licensed to use patented carbon lotion.

Thermagewww.thermage.com4058 Point Eden WayHayward, CA 94545510.782.2286 p

ThermaCool X X Radio Frequency N/A 200 N/A $39,950

Additional Information: Non-Ablative. Tips are interchangeable by application. For the non-invasive treatment of facial wrinkles rhytids. Single-use sterile treatment tip that delivers RF energy to the deep layers of the dermis while protecting the epidermis with cryogen cooling spray.

Viora, Inc.www.vioramed.com 30 Montgomery StreetSuite 660 Jersey City, NJ 07302 877.384.8032 p 201.332.4200 f

Axiom X X X X Intense Pulsed Light 390 – 1200nm >40 J/cm2 @ 25x50 mmspot

25-75 msec single pulse program-mable multi pulse mode

$54,900

Additional Information: Comes with all 4 applications as interchangeable lamps w/ONE handpiece; cooling gels not necessary due to TLC technology; largest spot size 25x50 mm (12.5cm2); 3 multi-size reduction windows; intuitive menu-driven touch screen; 1 yr. full-service warranty/2-day loaner; training DVD; 40 Lbs.; client brochures included; 5 languages available; repetition rate of 1.5 seconds; ask about our Viora Support Program (VSP).

WaveLight www.wavelight-laser.comAm Wolfsmantel 591058 Erlangen, Germany+49/91 31/61 86-140 p

ARION MYDONBURANEBURANE XLSINON TALOS

XX

XXX

XAlexandrite Long Pulse Nd:YAGLong Pulse Er:YAGLong Pulse Er:YAG Q-switched RubyExcimer

755106429402940694-

5-4010-4500.1-1130.1-141Up to 14-

5-40.05-9035035020-

$69,500$72,800$37,000$68,750$82,000$125,000

Additional Information: Large area scanner (90 x 65mm). Skin Cooling (air). Handpieces 1.5, 3, 5, 10mm hair and vascular with contact or air cooling. Up to 250ms thermal. Pigmented skin; Spots: 3, 4, 5mm long pulse. For psoriasis, vitiligo and atopic dermatitis.

Radiancy www.radiancy.com40 Ramland Road SouthSuite 10Orangeburg, NY 10962845.398.1647 p

MistralSkinStationDuetWhisperNGSPRSpaTouch Pro

XX

XXX

XXXXX

XXX

XX

XX

LHE (Light Heat Energy)LHE (Light Heat Energy)LHE (Light Heat Energy)Er:YAG, Extended AblationLHE (Light Heat Energy)LHE (Light Heat Energy)

400-1200 nm400-1200 nm400-1200 nm2940 nm400-1200 nm400-1200 nm

4-15 J/cm2

3-10 J/cm2

3-10 J/cm2

8.5 J/cm2

3-10 J/cm2

3-10 J/cm2

Up to 80 ms10-35 ms10-35 ms300 ms10 ms10-35 ms

$45,000$32,990 $24,990 $39,990 $19,900 $19,900

Additional Information: Skin Staion - 3 year warranty and assorted Light Unit Assemblies. WhisperNG - Patented Extended Ablation handpiece and fractional handpiece.

Reliant Technologies, Inc.www.fraxel.com464 Ellis StreetMountain View, CA 94043888-4FRAXEL (437-2935)

Fraxel re:store™laserFraxel re:fine™ laserFraxel re:pair™ laser

X

X

X

X

X

X

Erbium-Fiber LaserSingle Mode Fiber LaserFractional CO

2 laser

1550141010600

4 - 70 mj/ MTZ5-20 mj/ MTZ5-70 mJ/MTZ

0.5 - 30.5 - 30.1 - 2


Additional Information: Fraxel re:store™ laser is FDA cleared for the treatment of pigmented lesions, soft tissue coagulation, melasma, periorbital wrinkles, skin resurfacing, acne scars and surgical scars and actinic keratoses. Fraxel re:fine™ laser is FDA cleared for the treatment of pigmented lesions, melasma, periorbital fine lines, skin resurfacing, texture and tone. Fraxel re:pair™ laser is FDA cleared for the treatment of wrinkles, rhytids, furrows, fine lines, textural irregularities, pigmented lesions, soft tissue ablation, coagulation and resurfacingand vascular dyschromia.

[email protected] Turner Street, Bldg. 2Waltham, MA 02453888.4rhytec p781.419.9401f

Portrait PSR3 X X Non-contact Plasma Energy

1 - 4 J/cm 4 - 16 ms $69,900 Disposable nozzles - $1,750/pkg of 5

Additional Information: Ergonomic handpiece, disposable delivery nozzle, Hi-Def marketing program, PR support, 1-yr limited + optional extended warranty. Effectively treats fine, moderate and deep wrinkles of the face and body, improves skin tone, texture and elasticity, removes discoloration, tightens skin and treats benign skin lesions/actinic keratoses.


Profile™-MPContour™ClearScan™ThermaScan™ BBL™ Profile-S ClearScan™Profile-S ThermaScan™Profile-S Contour™Profile-S BBL™Profile-D ClearScan™

X

X

X

X

X

XX

XX

XXXXXXXXXX

X

X

XX

XX

XXXXXXXXXX

Modular platformEr:YAG moduleNd:YAG moduleNd:YAG modulePulsed Light moduleNd:YAGNd:YAGEr:YAGPulsed LightNd:YAG

Various2940 μm1064 nm1319 nm400-1400 nm1064 nm1319 nm2940 nm400-1400 nm1064 nm

Up to 40045 WattsUp to 400Up to 80Up to 30Up to 400Up to 8045 WattsUp to 30Up to 400 J

0.1-2000.1-500.1-20010-200Up to 2000.1-20010-2000.1-50Up to 2000.1-200

Cont. Mfr.$19,500$19,500$23,000$30,000$54,500 $54,500 $54,500 $54,500 $82,000

Additional Information: Configurable; up to 5 laser modules. Scanning systems – computerized. Integrated cooling and Smart Filters. 15mm x 30mm spot size and 30mm x 30mm spot size on various units.

Sybaritic, Inc. www.sybaritic.com9220 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f

LaserPeel Soft-METNannoLight SkinClearSpectraQuattro

X

X

X

X

XXXX

XX

X

XX

X

Modified Erbium LaserIntense Pulsed Light SystemQ-Switched Nd:YAG LaserIntense Pulsed Light System

2940410 - 1400532 & 1064410-1400


300 ns1-3010 ns5-30

$39,995$42,995$29,995$34,995

Additional Information: Six filters available. Requires only one handpiece. Active contact cooling.

Synergie™ by Dynatronicswww.dynatronics.com/aesthetic/7030 Park Centre DriveSalt Lake City, UT 84121800.874.6251 p801.568.7711 f

Synergie LT1 Synergie LT2 Synergie Elite LT Red Pad XP Blue Probe

XXX

X

XXXXX

XXXXX

All product are Bio Stimulatory Light with Super Luminous Diodes

660-880660-880660-880880405-880

3J-6J 500mW-1000mW 6J/ 5 cm2 1000mW 6J/ 5 cm2 1000mW 8J/8”X10” 7500mW 6J/ 5 cm2 500mW

YesNoYes

$3,995 $3,195 $4,495 $1,995 $1,595

Additional Information: 2 yr. Warranty. LT1 delivers 6 joules in 30 seconds. Interchangeable red/ near-infrared and blue probes available. LT2& Elite LT deliver 6 joules in 30 seconds. Interchangeable red/ near infrared probes, pads, and blue probes available. Elite LT comes with internal tutorial and treatment protocol guide. Equipment manufactured in an FDA scrutinized facility.

In today’s environment, effective medical malpractice insurance is a must for anyone involved in providing health care.

Without such coverage, healthcare professionals’ personal assets—and their very careers—remain at significant risk due

to the potential threat of litigation. Take the steps necessary to minimize your risks and protect your livelihood.

Professional Liability Solutions is an independent insurance agency that specializes in providing personalized,

comprehensive risk-management solutions for healthcare professionals. We have the experience, knowledge and

commitment to provide you with the expertise and customer service that you deserve.

For a free consultation, call 800-372-3268.

You’ve spent valuable time and moneybuilding your practice.

Let us help you protect it.

Professional Liability Solutions, llcwww.professionalliabilitysolutions.net | 800-372-3268


IIt is great to hear excitement in the

voice of a physician talking about the

medical spa/anti-aging center he/

she will be opening. Usually, they call

to secure the malpractice insurance

for the medical spa; but when the

conversation turns to other types of

business insurance available many

respond, “What’s general liability?

What’s a BOP? Why do I need that?”

While physicians are extremely adept

clinicians, many are not schooled in the

business end of running a retail medical

practice. As I once heard it stated,

“It takes more than hanging out your

shingle to create a successful medical

spa.”

It is amazing how many physicians

forgo all types of business insurance

with the exception of malpractice.

Again, this relates to lack of

understanding on how to protect their

assets against risk. The response

typically is, “I don’t have any business

assets they can take since I’m just

starting my medical spa. The value is

minimal.” This comment amazes me.

Why would anyone create something

just to leave it exposed to destruction

or potential loss? It’s like investing

the time and financial resources into

building a house,

then deciding

the homeowner’s

insurance isn’t

worth it.

Another

frequent comment

I hear is, “I set up a corporation and,

therefore, I’m not personally liable.

They can’t come after my assets.”

While a corporate format can protect

owners, investors, and officers from the

corporate liability, in many states that

protection can be pierced under certain

circumstances. This, of course, varies

by state; but the smaller you are (as

is the case in medical spas), the more

likely it is that they can come after you

personally.

There’s a myriad of reasons why

medical spa owners do not thoroughly

think through the insurance coverage.

A physician owner who knows only of

medical malpractice insurance or the

entrepreneur who doesn’t realize the

complexity the medical aspect adds to

the business’ risk. Whatever the reason,

it serves medical spa owners well to

legal case of the month

Insurance Landscape for Medical Spas ProTeCTinG Your BuSineSS ASSeTS

By Megan K. Packard, Professional Liability Solutions, LLC

Whatever the reason, it serves medical spa owners well to do their homework about what types of risk they face and how to protect themselves and their business.

atn tlegal

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th do their homework about what types

of risk they face and how to protect

themselves and their business. What

follows is a basic guide to the essential

insurance coverages.

MEDICAL PROFESSIONAL LIABILITY INSURANCE – “MALPRACTICE” Malpractice insurance protects

against the liability due to the

negligent acts (“direct patient care”)

of the healthcare professionals in the

medical spa. This is for the professional

services rendered or for the failure

to render services. Besides the

procedures or treatments performed,

direct patient care may also include

making diagnoses, rendering opinions

and advice, or prescribing. Too often

physicians open their medical spa and

assume their current malpractice policy

(for their primary specialty) covers

them for their work in the medical spa.

This is not always the case. A plastic

surgeon’s malpractice policy may

cover medical spa work, while a family

practice physician’s policy may not. It is

important to determine where coverage

exists.

Another aspect of malpractice is to

ensure that all parties involved who

could potentially be named in a lawsuit

are indeed covered for their medical

professional services provided in the

medical spa. This would include

any physicians, allied healthcare

professionals, including aestheticians

and licensed massage therapists, along

with the corporate entity. Yes, I did

say corporate entity. A lawsuit can

name the medical spa in addition to the

healthcare professional who treated the

patient. Comprehensive policies will

cover all of these aspects.

There are certain set-ups when

the physician acts solely as a medical

director without direct patient care. By

setting the protocols and procedures

to ensure quality standard of care,

the physician can ultimately be

responsible for any substandard care

provided. There are policies that

cover the malpractice claims for the

physician’s administrative acts only.

Comprehensive medical spa policies

will include this coverage.

GENERAL LIABILITY – THE “SLIP ‘N TRIP” General Liability insures against

negligent acts resulting from the

operation of the medical spa or from its

employees (i.e. bodily injury to patients,

property damage, personal injury or

advertising injury). For example, a

patient visits the

medical spa and

trips over the rug

in the reception

area. She

sustains bodily

injury for which

she can sue the

medical spa. This is not a negligent act

due to medical professional services;

therefore, malpractice will not cover

this type of claim, but a general liability

policy would.

Some general liability policies

will include coverage for “products

completed.” If this is included, the

policy will cover against loss arising out

of injury or damage resulting from a

product. Many medical spas distribute

and sell a variety of products. While

they may not manufacture the product,

liability still occurs by selling the

product to the client.

BUSINESS PROPERTY INSURANCE – “IS YOUR LASER COVERED?” Property insurance provides

protection against loss or damage to the

location of the business and its contents.

Some policies cover basic equipment

(building structure, furniture, inventory,

equipment, supplies), while others also

insure money and securities, hard-

to-replace records, such as accounts

receivable. It also includes property of

others that is in your care, custody, or

control.

It does not matter whether the

location is owned or leased. It is

important to insure against loss to

the items that keep the medical

Too often medical spa owners find out the hard way that they have undervalued their business property. They may face financial difficulties as they try to replace the essential pieces to get the business functioning again.


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thspa functioning. Most spas have

spent significant money in high tech

equipment such as lasers. With some

of these costing close to $200,000,

one mishap and the loss significantly

impacts the medical spa’s revenues.

The causes of loss covered by

property insurance can vary from

weather-related events like lightning

strikes or hail, or human causes like

robbery. Keep in mind that most

property insurance policies do not

insure against every type of loss.

Specific perils, such as fire or flood, may

be obtained through separate insurance

policies that specifically name those

types of losses.

It is important to know whether

your policy covers the actual cash

value (“ACV”) or the replacement

cost of the business property. ACV

means that your property will

be replaced for the current

value. This takes into account

depreciation. Replacement

cost means that you are

reimbursed for the actual

amount needed to replace the

piece of property in today’s

dollar. For example, the laser

machine purchased two years

ago for $200,000 is now worth

$150,000 due to depreciation.

The machine is damaged and

your policy covers on an ACV

basis. You would only receive

$150,000. Replacement cost

would provide reimbursement

for the same model in today’s

dollar. Replacement cost

typically comes at a higher

premium but is well worth it

when a loss occurs.

It is advisable to insure your property

for the full amount it would cost to

replace all items. In the event that you

experience a total loss, you do not want

to discover you valued your property

too low and will not get the amount

it costs to replace your property. Too

often medical spa owners find out the

hard way that they have undervalued

their business property. They may

face financial difficulties as they try to

replace the essential pieces to get the

business functioning again.

BUSINESS OWNER’S POLICY – COMBINING THE GL AND THE PROPERTY For smaller businesses like medical

spas, general liability and property

insurance are often combined together

in a business owner’s policy (“BOP”).

Typically purchasing them together

is a more cost effective way to secure

insurance and can be one of the best

buys for a medical spa besides the

medical malpractice insurance. The

BOP always consists of the general

liability and the property insurance, and

often includes additional aspects such

as business interruption insurance.

Often a medical spa is required to

name a financing company as a loss

payee in the event of loss on equipment,

such as a laser machine. The landlord

for the medical spa location may require

that they are named as additional

insured or loss payee. This allows either

party to receive an insurance settlement

due to loss covered by the insured’s

policy. Again, a BOP is effective

at combining both general liability

and property in order to satisfy such

requirements from third parties involved

with the medical spa.

Business interruption insurance

provides protection against loss

or damage to the cash flow and

profit of a business caused by

some type of loss (i.e. fire or

other disaster). Let’s say a fire

destroys your medical spa and

puts the business in a temporary

holding pattern while trying

to rebuild or relocate. Without

business interruption coverage,

the medical spa cannot recoup

the revenue lost during the

inoperable time. Without

recouping these costs, it may

be impossible to pay employees

and, therefore, you risk losing

key personnel. Loan payments

and other ongoing financial

obligations do not go away.

Business interruption insurance

can help with such risks.



legal

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th EMPLOYEE-SPECIFIC INSURANCE – TAKING CARE OF YOUR BUSINESS PERSONNEL Group or individual health

insurance policies, and other such

benefits, may be necessary in order

to attract and retain top employees.

As more medical spas open and

competition for top personnel increases,

it is essential to offer the insurance

benefits that potential employees are

seeking. This can help to provide a

more competitive employment offer.

In addition to health insurance,

worker’s compensation insures against

work related injuries and illnesses.

Worker’s compensation is state specific.

Most states have in place some form of

a worker’s compensation system.

The worker’s compensation system

was designed to eliminate unnecessary

litigation from employees against their

employers for on-the-job injuries.

In return for eliminating this, some

state systems mandate the employer

must participate in the system which

automatically pays out for medical bills

and damages for work related injuries.

There are many options for this type of

coverage, and some states even allow

employers to opt out if they self-insure.

Many on-the-job injuries are only

covered by worker’s compensation

and not the medical group plan.

It is important to follow your

state’s requirements for worker’s

compensation so that the employees are

fully covered and you are not at risk.

EMPLOYER-SPECIFIC INSURANCE – TAKING CARE OF THE BUSINESS In addition to protecting employees,

it is often necessary to protect

the business against errors in the

administration of the employee benefits

programs. There are also insurance

policies (employment practices liability

insurance) to protect the

business against claims

by workers that their legal

rights as employees have

been violated (i.e. claims

of discrimination in hiring,

wrongful discharge, sexual

harassment, etc.).

Disability and Life Insurance protect

the medical spa against the death or

disability of key employees. These types

of products can be used to provide funds

to ensure succession in the event of

changes in ownership or unexpected loss

of key personnel or owners. This may be

more pertinent when there are multiple

partners who own the medical spa. It

may also be important if the medical spa

is well established and ingrained in the

community with a particular healthcare

provider’s personality. Loss of that key

person may greatly affect the success of

the medical spa.

A loss or a claim can come when

we least expect it. And it is hard to

deny that we live in a litigious society.

Everybody and every business can

be sued. Once a money judgment

is rendered against an individual

or a business, that judgment can

be collected. If it is not collected

immediately, it does not just go away.

Things such as wages, equipment,

and bank accounts can be seized, not

to mention that judgment liens can be

renewed. In addition, destruction to and

loss of business property can happen

any time.

With this in mind, is your medical

spa adequately protected against

potential loss or claims? As a business

owner, only you can decide what is most

important. But before you can make

that decision, you must be educated on

what risks you face and what options

are available to protect you and your

medical spa. Is your medical spa adequately protected against potential loss or claims? As a business owner, only you can decide what is most important.

Megan K.

Packard is the

Executive Vice

President for

Professional

Liability

Solutions, LLC,

an independent

agency that specializes in providing

personalized, comprehensive

insurance and risk-management

solutions for healthcare professionals.

With offices in both Charlotte and

Chicago, Professional Liability

Solutions has been helping healthcare

professionals protect their practices

and assets for over 15 years. Megan

works from the Charlotte office,

where she focuses her business on the

medical spa, aesthetic, anti-aging, and

wellness segments of the healthcare

industry. Megan received her degree

from the University of Virginia. She

can be reached by calling 800.372.3268,

www.professionalliabilitysolutions.net,

or by emailing her at

[email protected].

Medical Spa Success SystemAre you thinking about entering this lucrative market of the future? Would you like to have all the information needed to make a good decision at your fingertips? In the past, you might have spent lots of time doing research in order to gain the information needed to enter this business. This 400+ page manual walks you through every step of the process to create a profitable medical spa. Not only does it provide you with all the information you need; you also receive a customizable CD-ROM that contains an employee handbook, a sample and business plan, sample treatment protocols, sample medical spa procedures manual, a start-up project timeline, and much more! These items purchased separately would cost more than $10,000. Find out how you can receive all this information for a fraction of the cost and successfully integrate medi-spa service into your practice!

877.SPA.MEDI www.medicalspasuccess.com

www.medicalspaconsultant.com

Enter

code ATNT07

to receive a

$200

discount.


YYou know you need to market, but

how effective are your methods? How

do your marketing initiatives affect

your bottom line? By measuring the

impact of your efforts, you can refine

and optimize your “marketing mix”

to capture more–and make the most

of–your existing customer base and the

emerging prospect market.

BEHIND THE METRICS Your practice puts its own unique

fingerprint on the marketplace –

one that should stand out in the

growing crowd of medical spas.

Your fingerprint, or brand, should

be easily identifiable on all customer

touch points and throughout the

development of your marketing. Your

long-term objectives for your brand

should extend across the short-term

marketing campaigns that you will

use over time. By weaving a consistent

brand message into every short-term

and long-term marketing strategy you

use, you can keep your fingerprint

firmly placed, and recognizable, within

the market–no matter how much

competition grows.

Metrics is an integral part

of this marketing process. Not

only does it provide specific

information regarding quarterly

performance, but it also helps

to track softer measurements

such as market perception,

brand awareness, and customer

loyalty. Regularly taking the pulse of

marketing expenditures and programs

helps to manage the process so you

can isolate inefficiencies as they arise

and act swiftly. In addition, it provides

valuable information about what is

working.

DETERMINING WHAT TO MEASUREMarketing success is largely

determined by how well you know

your customers. Especially important

are those customers who really drive

your revenue. Measure at a strategic

business level by answering questions

such as:

• Whatarethehistoricalpurchasing

patterns of your existing customers

medical spas

Marketing Metrics GeTTinG The MoST froM Your MArkeTinG dollArS

By Cheryl Whitman, CEO of Beautiful Forever

Your fingerprint, or brand, should be easily identifiable on all customer touch points and throughout the development of your marketing.

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spas


medic

al sp

as (including previous market basket

analysis [see sidebar])?• Whichcustomersprovidethe

greatest revenue (and why)?• Whatmarketingcampaignshave

they been most responsive to?• Whichservicesand/orproducts

have driven the greatest revenue?(Adapted from “ROI: Friend or Foe?”

by Christopher Kenton)

In addition to tracking customers,

you will need to design short-term

and long-term marketing campaigns.

Even before a campaign gets off the

ground, you should be sure your

activities are measurable. In fact,

develop an outline that you will follow

as you create a marketing program

that includes:

• Thetargetaudienceforthis

marketing project

• Brandingthatwillcreateabridge

from one campaign to the next to

build recognition

• Awell-definedgoalorobjective

• Asummaryanddefinitionofthe

project (you may want to include

samples of similar projects)

• Thecorrectmarketingactivityfor

the goal

• Aclearlistingofwhatwillbe

measured, how often, and in what

format

• Practicebenefits

• Client/Patientbenefits

• Acommitmenttofollowthrough

Once you have a clear

understanding of your clients and

their purchasing patterns, as well as

an overall plan for your marketing,

you can determine your budget

allocation. However, you also must

have a way to track the performance

of your marketing and provide

measurable, quantifiable justification

for your marketing expenditures.

Important measurements include:

• Thenumberofclients/patientsyou

have today

• Thenumberofclients/patientsthat

will remain a year from now (How

much you plan to grow your client/

patient base in the next year)

• Howmuchtheaverageclient/

patient will spend with you in the

first year



medic

al sp

as

• Theamounttheaverageclient/

patient will spend with you each

subsequent year

• Yourgrossmargins

• Thepercentageofprospectsyou

will qualify as leads

• Whatpercentageofqualified

leads you will convert into

clients/patients

• Yourbudgetforacquisition

marketing this year

If you take care of the

planning on the front end, your

measurements should provide you

with the information you need to

fine tune your campaigns. The

other option, of course, is to “fly

by the seat of your pants” without

a plan, leaving yourself with a

jumble of unconnected efforts that

defies effective measurement. And

as Peter Drucker has said, “If you

can’t measure it, you can’t manage

it.”

MEASURE THE EFFECTS OF YOUR MARKETINGThe goal of using marketing metrics is

to make wise investment decisions. To

do that, you need to have information

about how well your marketing dollars

are currently working. A few simple

steps can make all the difference:

1. Use a Database – Keep track

of individual marketing efforts.

Include the dates of each campaign,

campaign descriptions, the number

Market Basket AnalysisIf a client buys a certain group of services or items, he

or she is more (or less) likely to buy another group of

services or items. For example, if a client undergoes

microdermabrasion treatment, he or she is more likely to

purchase at-home skin care products specifically designed

to care for treated skin.

The set of services or items a customer buys is referred

to as an itemset, and market basket analysis seeks to find

relationships between purchases. Typically the relationship

will be in the form of a rule: IF [microdermabrasion, no

hydration products] THEN [acne treatment at-home skin

care].

The probability that a customer will undergo

microdermabrasion without purchasing at-home hydration

products is referred to as the support for the rule. The

conditional probability that a customer will purchase acne

treatment products is referred to as the confidence.

As a first step, market basket analysis can be used in

deciding the products to offer in conjunction with certain

services. (This is only the first level of analysis. Differential

market basket analysis can find interesting results and can

also eliminate the problem of a potentially high volume

of trivial results. Predictive market basket analysis can be

used to identify sets of service/item purchases [or events]

that generally occur in sequence—something of interest to

direct marketers.)

Market basket analysis is very useful as it provides

your practice with direct visibility into the “market basket”

of each of your clients. The data becomes a window into

the events as they happened, understanding not only

the quantity of the items that were purchased in that

particular basket, but how these items were purchased in

conjunction with each other. In turn, this capability enables

advanced analytics such as:

• Itemaffinity:Definesthelikelihoodoftwo(ormore)

services and/or items being purchased together.

• Identificationofdriveritems:Enablestheidentification

of the services or items that drive people to your

practice, showing the number of providers who need

to be trained for certain procedures, as well as the

inventory needed on hand.

• Tripclassification:Analyzesthecontentsofthebasket

and classifies the category for services: maintenance,

reconstructive, special occasion, etc.

• Service-to-servicecomparison:Understandingthe

number of “baskets” or services allows any metric to

be divided by the total number of baskets, effectively

creating a convenient and easy way to compare with

different characteristics (units sold per client, revenue per

transaction, number of services/items per basket, etc.).

(Adapted from “Demystifying Market Basket Analysis” by

Noe Gutierrez)


medic

al sp

as of leads generated and sales made.

This information can give you the

information you need to make future

marketing decisions.

2. Make Data Entry Easy – Make

certain everyone is up to speed on

your latest systems. Training is a

must.

3. Ask Questions – Ask you prospects

how they heard of your business.

It is such a simple way to gather

valuable information. Make it

easy for your prospects to properly

identify the marketing piece to

which they respond. For example,

if you have multiple phone lines

into your office, you can assign a

unique phone number to individual

marketing efforts.

4. Move Your Marketing Forward–

Gather as much information as

you can about which marketing

mechanisms generate the best (and

worst) response, who is responding,

and why they chose to respond.

(Adapted from “Make More Money

with Marketing Metrics” by Jeremy

Cohen)

You should measure all of your

marketing programs–both direct

(personalized email offers, brochures)

and broader media options (search

engine marketing, print ads).

Obviously, you will need to understand

how these metrics affect the client

relationship, whether positively or

negatively. In addition, it will be

important to see how your marketing

efforts are impacting each other and

if they are in alignment with your

mission. Then, you’ll want to determine

the correct “media mix” to meet the

goals you have set for your practice.

THE BENEFITS Accountability is the key to your

success. Knowing how your marketing

dollars are spent–and how effective

each dollar is–will help you keep

moving smoothly

forward. Strategically,

marketing metrics

will give you a better

understanding of

the cost of acquiring

and retaining clients,

as well as the true value of your client

base. Tactically, the metrics you choose

will help you determine the goals and

objectives of each campaign and the

revenue you should expect to gain.

Combined, you will be better prepared

to make informed decisions about your

marketing.

Cheryl

Whitman is

recognized

internationally

as a pioneer

in the field

of medical

spa business

consulting. She is a published author,

a popular speaker, and has been a

beauty-industry consultant for more

than 20 years. As founder and CEO of

Beautiful Forever, Cheryl spearheads

a successful team of medical spa

consultants and business professionals.

In addition, Cheryl developed the

Medical Spa Success System, a

revolutionary program that provides

a turnkey educational success system

and consulting services package

to help clients jumpstart brilliantly

successful medical spa businesses.

For more information, please call

1.877.SPA.MEDI or go to

www.medicalspaconsultant.com or

www.medicalspasuccess.com.

Accountability is the key to your success. Knowing how your marketing dollars are spent–and how effective each dollar is–will help you keep moving smoothly forward.


medic

al sp

as

feATured MediCAl SPA

Renu Medispa Eagle, Idaho

By Cindy Vandruff, Editor in Chief

Tamara Simon, M.D., M.P.H. Dr. Simon has worked side by side with some of the world’s most renowned age management and hormone

experts. She also specializes in minimally invasive surgery such as Smartlipo, a laser contouring treatment; Novasure, endometrial ablation, a treatment for dysfunctional uterine bleeding; and Renessa, a long-lasting treatment for urinary stress incontinence. For more information, visit www.renumedispa.com.

WWhen you walk into Renu Medispa in Eagle, Idaho, the first thing you notice isn’t the tasteful décor or the impressive menu of high-tech treatments. It is that “Sex in the City” edge blended with the true desire to know you. “It’s definitely not a dry experience,” laughs Tawni Weaver, Renu’s founder, who loves working with her sister Tamara Simon, M.D., M.P.H., the spa’s medical director and board certified surgeon. “There’s an easy comraderie–like our clients are an extended circle of friends, the ones you know everything about and like anyway.” That focus on relationships, coupled with the unparalleled expertise of Renu’s extensively trained staff, is what makes Renu MediSpa the premiere medical spa in the Northwest. Credit for the spa’s success ultimately rests with Weaver, a petite, energetic woman with a quick wit. The perfect blend of Madison-Avenue marketing guru and science geek, Weaver is passionate about providing the very latest technology to her clients—and she knows just how to create the buzz around Renu’s exciting new treatments. Weaver earned a B.S. focused on Anatomy and Physiology with additional training in chemistry, physics, and drug physiology. She is also an NCLE certified Medical Aesthetic Laser Operator and BLS Laser Safety Officer. Her marketing expertise was honed through years of experience with the pharmaceutical industry, then later as Managing Director for a Dutch consulting firm based in New York City. Weaver credits the spa’s success to

their comprehensive efforts at setting client expectations and then making sure they meet those expectations. However, Renu is not about keeping up with the media’s airbrushed standards. “We want our clients to come to us not because they are afraid of losing their youth or beauty, but because they want to empower themselves and take control of their image,” Weaver explains. “It’s a choice-driven, not a fear-driven model.” Renu Medispa representatives attend numerous conferences across the globe every year so that they can invest in and promote the latest breakthroughs in skin care and wellness. Knowledge of the latest research helps Renu to develop protocols and programs that maximize results from the advanced technology. “Anyone can invest in technology,” Dr. Simon notes. “But becoming an expert in using the technology so the client can get the best results is our priority.” One of the innovative technologies being utilized is Smartlipo, laser assisted liposuction which is performed exclusively by Dr. Simon. Other advanced treatments include Laserdermology as part of Renu’s Cellulite Boot camp, the progressive 3D Light and Laser package which blends fractional resurfacing, IPL rejuvenation, LED, and infrared skin tightening to create a comprehensive skin rejuvenation treatment. Renu is one of the few medispas that offers Myofacial™ Cavitation and Ultrasound, which provides a non-surgical facelift by rebuilding the muscle structure of the face.

Dr. Simon and Renu Medispa have achieved the much coveted Platinum Injector status with Allergan, the makers of BOTOX® and Juvéderm™ putting the medispa among the top 4% of injector locations. With the combination of results driven services and a cultural atmosphere that welcomes laughter and lightheartedness, it is easy to see why Renu Medispa has one of the highest client retention rates in the industry.

Renu Medispa’s “Basic 4” Treatments MicrodermabrasionChemical Peels BOTOX® Dermal Fillers

©2007 Questex Media. All rights reserved.

w w w . i e c s c . c o m

PRESENTED BY

The International Esthetics,

Cosmetics & Spa Conference

– New York, provides the

perfect meeting ground for

the world’s most elite and

qualified spa attendees

looking to meet the top

skin, cosmetic and wellness

companies. Our dynamic

tradeshow floor and compre-

hensive education program

enables spa professionals

to see the latest trends,

learn the latest techniques

and purchase the latest

products in the spa and

medical spa industry.

TO ATTEND VIS IT: w w w. i e c s c . c o m

TO EXHIBIT: 203.926.0528

ENDORSED BY

MEDICAL SPA EDUCATION PROGRAMMED BYCO-LOCATED WITH


product listings

Microdermabrasion

SilkPeel’s Dermalinfusion™

is the most dynamic skin

treatment available today.

It is the only procedure that

provides both non-invasive

exfoliation and delivery of

skin-specific topical solutions,

leaving patients with fresher-

feeling and better-looking skin. SilkPeel is safe and

painless, allowing patients to achieve optimum results

on an accelerated basis without the complications and

discomfort usually associated with invasive procedures.

In addition, SilkPeel is unique because it does not use

crystals or other abrasive particles that can irritate the

skin.

For the Physician, the SilkPeel features:

• Simultaneousexfoliationandtopicaldelivery

• Aselectionoftopicalsolutionsspecifictothe

patient’s skin condition

• Morethan10combinationsofmedicalgrade

diamond treatment heads and handpiece tip

sizes for optimal treatment

• Patentedhandpiecedesign

• DualdigitalLEDdisplayforprecisevacuumand

flow settings

For the Patient, the SilkPeel:

• Goesbeyondmicrodermabrasionbyproviding

simultaneous exfoliation and Dermalinfusion

topical delivery treatment

• Performsapainless,soothingtreatment

• Deliversnoticeablenear-termresultsandlasting

skin improvement

• Allowsanimmediatereturntonormalactivities

• Offersachoiceoftopicalformulationstoaddress

each person’s unique skin care needs

• Eliminatestheriskandhealthconcernsof

aluminum-based crystals

SilkPeel can be used on all skin types including

skin with hyperpigmentation, acne, photodamage,

dehydration and fine line wrinkles.

eMed Incorporated

888.848.eMed (3633)

www.silkpeel.com

spotlighteMed incorporatedSilkPeel™





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MiCroderMABrASionProduCT liSTinGS

Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price


Bella Productswww.bellaproducts.com27136 BurbankFoothill Ranch, CA 92610877.550.5655 p

BD IIBD II-ASMBD II-ASPBD M IIBD M II-MAXBella Micro

YesYesYesYesYesYes

Yes/24Yes/26Yes/27Yes/36Yes/41Yes/16

Aluminum Poly carb caps;Direct particle abrasion

$3-$3.50 Video on-site$11,950$13,950$15,950

$19,950$21,950$4,950

Warranty & Accessories: 1 yr. warranty.

Bio-Therapeuticwww.bio-therapeutic.com4822 California Avenue, SWSeattle, WA 98116800.976.2544 p

Bio-Cellupeel Variable Yes/27 Glass handpieceincluded

- One day on-sitetraining

$9,995 $9,995

Warranty & Accessories: 5 & 10 yr. warranties, 0.01 micron air filtration, closed micron HEPA waste cartridge, aspiration systems.

DermaMed USAwww.megapeel.comP.O. Box 198Lenni, PA 19052888.789.6342 p

MegaPeel Platinum

MegaPeel Gold

MegaPeel Silver

Yes

Yes

Yes

Yes/32

Yes/25

Yes/25

Autoclavable;detachable;condition specifictips

$2.50 pertreatment$3.50 pertreatment$3.00 pertreatment

Intensiveon-site; Video;Workshops;Seminars;Mfr. Corp. office

N/A

N/A

$12,500

$19,500

$15,000

N/A

Warranty & Accessories: 1 yr. warranty, includes accessories and skin care products.

DermaSweep®www.dermasweep.com7251 Galilee RoadSuite 160Roseville, CA 95678916.772.9134p

DermaSweep MD

DermaSweep Pro

DermaSweep Mini

Variable

Variable

Variable

Yes/26

Yes/26

Yes/8

Particle Free, AutoclavableStainless Steel7 Different treatment tips

$.50- $5.00

$.50- $5.00

$0.50

On-site

On-site

Yes

N/A

$12,900

$4,999

$13,900 - $14,500

N/A

$4,999

Warranty & Accessories:1 yr. warranty, extended warranty options. 7 different treatment tips, 7 different Skin Specific Solutions ™

Edge Systemswww.edgesystem.net2277 Redondo AvenueSignal Hill, CA 90755800.603.4996 p 562.597.0148 f

Delphia

Delphia™ Del Sol Plus

Delphia IIe Plus

Diamond Delphia

Dual

Dual

Dual

Dual

Yes/24

Yes/30

Yes/30

Yes/24

Crystal, Lymphaticmasssage optionalLED lights and crystal micro, Lymphatic and Crystal-free OptionalLymphatic massage& LED lights optionalCrystal-free

$.55 - $3.00 Full certification On-site, localcourses &video

$5,900

Starts at $13,900

$11,450

$7,500

N/A

Starts at $13,900

$11,800

$7,850

Warranty & Accessories: 1 yr. warranty, overnight loan program. 4 lbs. crystal and 10 tips included.

Advanced Laser Centers www.dermaglide.com1900 E. Golf Rd.Schaumburg, IL 60173888.525.2737 p

Dermaglide Legacy KS

Microglide

Yes

Yes

Yes/23-29

Yes/23-24

LED/Crystal and Vacuum Flow Control AdjustableAutoclavable/Disposable

$1.25 Video on-siteturnkey

$10,900

$14,900

$10,900

$14,900

Warranty & Accessories: Lifetime Limited w/overnight loaner. Ultrasound Electro-pulsed facial toning. LED treatment lighting. Sodium bicarbonate Conversion. Upgrades available for most other systems or trade-in allowances. Progressive check valve.

Aesthetic Lasers www.powerpeel.com530 College Parkway, #DAnnapolis, MD 21401800.925.5022 p

Power Peel 2000MPower Peel M-360Power Peel 1500MPower Peel A-360Power Peel 1500A

NoYesNoYesNo

No/63Yes/41Yes/56Yes/31Yes/40

Titanium &Autoclavable,Disposable Tips(sml, med, lg)

$7.00 Intensive on-site,certificate no charge

N/AN/AN/A$12,500$9,900

$17,500$15,500$13,500N/AN/A


Aesthetic Solutionswww.dermaglow.com651 Canyon RoadNovato, CA 94947888.345.4569 p

DermGlow IIDermGlow II MD

DermGlow EST

DualDual

Yes

Yes/32Yes/32WheelsYes/12

Glass, AluminumDisposable Tips

Aluminum Oxide or SodiumBicarbonate$2-$4

On-sitefull training,technical andmktg support

$8,750N/A$4,750

N/A$10,500N/A

Warranty & Accessories: Lifetime warranty with 24-hour loaner. HEPA filtration. Trade-in program.


ClairDerm (models 1, 2, & 3) Via Control Knob

Yes/15 Aluminum, plastic w/ cellulite roller / light therpay combo

Tips & Crystals $6,900 $8,900

Warranty & Accessories: 3 yr. warranty. Low cost per treatment at under $1.15. Client brochures, specialty products, and consent forms available. ClairDerm3 now available with combined cellulite roller & light therapy handpiece.

Altair Instrumentswww.diamondtome.com321 Aviador St., Suite 113Camarillo, CA 93010805.388.8503 p

NewApeel

DiamondTome

Variable

Variable

Yes/27

Yes/27 Diamond tippedwands

$0.50

Video On-siteTraining

$10,250

$10,400

Warranty & Accessories: 1 yr. warranty, HEPA filters, filter pads, and assorted wands. Four grit sizes.

ATI-Parisian Peelwww.parisianpeel.com14828 W. 6th Avenue, Unit B-9Golden, CO 80401800.262.4412 p

Prestige

Esprit

Entrée

Dual

Vacuum/Compres.Single

Yes/80

Yes/46

Yes/35

Proprietaryergonomic designw/ sterilizableimmersiblecartridge tips

$3.50

One day on-siteadvanced training

N/A

N/A

N/A

$21,000

$12,900

$8,900

Warranty & Accessories: 1 yr. warranty


january-february 2008 | www.aesthetictrends.com 67—january-february 2008 | www.aesthetictrends.com 67—



Bella Productswww.bellaproducts.com27136 BurbankFoothill Ranch, CA 92610877.550.5655 p

BD IIBD II-ASMBD II-ASPBD M IIBD M II-MAXBella Micro

YesYesYesYesYesYes

Yes/24Yes/26Yes/27Yes/36Yes/41Yes/16

Aluminum Poly carb caps;Direct particle abrasion

$3-$3.50 Video on-site$11,950$13,950$15,950

$19,950$21,950$4,950


Bio-Therapeuticwww.bio-therapeutic.com4822 California Avenue, SWSeattle, WA 98116800.976.2544 p

Bio-Cellupeel Variable Yes/27 Glass handpieceincluded

- One day on-sitetraining

$9,995 $9,995

Warranty & Accessories: 5 & 10 yr. warranties, 0.01 micron air filtration, closed micron HEPA waste cartridge, aspiration systems.

DermaMed USAwww.megapeel.comP.O. Box 198Lenni, PA 19052888.789.6342 p

MegaPeel Platinum

MegaPeel Gold

MegaPeel Silver

Yes

Yes

Yes

Yes/32

Yes/25

Yes/25

Autoclavable;detachable;condition specifictips

$2.50 pertreatment$3.50 pertreatment$3.00 pertreatment

Intensiveon-site; Video;Workshops;Seminars;Mfr. Corp. office

N/A

N/A

$12,500

$19,500

$15,000

N/A

Warranty & Accessories: 1 yr. warranty, includes accessories and skin care products.

DermaSweep®www.dermasweep.com7251 Galilee RoadSuite 160Roseville, CA 95678916.772.9134p

DermaSweep MD

DermaSweep Pro

DermaSweep Mini

Variable

Variable

Variable

Yes/26

Yes/26

Yes/8

Particle Free, AutoclavableStainless Steel7 Different treatment tips

$.50- $5.00

$.50- $5.00

$0.50

On-site

On-site

Yes

N/A

$12,900

$4,999

$13,900 - $14,500

N/A

$4,999

Warranty & Accessories:1 yr. warranty, extended warranty options. 7 different treatment tips, 7 different Skin Specific Solutions ™

Edge Systemswww.edgesystem.net2277 Redondo AvenueSignal Hill, CA 90755800.603.4996 p 562.597.0148 f

Delphia

Delphia™ Del Sol Plus

Delphia IIe Plus

Diamond Delphia

Dual

Dual

Dual

Dual

Yes/24

Yes/30

Yes/30

Yes/24

Crystal, Lymphaticmasssage optionalLED lights and crystal micro, Lymphatic and Crystal-free OptionalLymphatic massage& LED lights optionalCrystal-free

$.55 - $3.00 Full certification On-site, localcourses &video

$5,900

Starts at $13,900

$11,450

$7,500

N/A

Starts at $13,900

$11,800

$7,850

Warranty & Accessories: 1 yr. warranty, overnight loan program. 4 lbs. crystal and 10 tips included.

Advanced Laser Centers www.dermaglide.com1900 E. Golf Rd.Schaumburg, IL 60173888.525.2737 p

Dermaglide Legacy KS

Microglide

Yes

Yes

Yes/23-29

Yes/23-24

LED/Crystal and Vacuum Flow Control AdjustableAutoclavable/Disposable

$1.25 Video on-siteturnkey

$10,900

$14,900

$10,900

$14,900


Aesthetic Lasers www.powerpeel.com530 College Parkway, #DAnnapolis, MD 21401800.925.5022 p

Power Peel 2000MPower Peel M-360Power Peel 1500MPower Peel A-360Power Peel 1500A

NoYesNoYesNo

No/63Yes/41Yes/56Yes/31Yes/40

Titanium &Autoclavable,Disposable Tips(sml, med, lg)

$7.00 Intensive on-site,certificate no charge

N/AN/AN/A$12,500$9,900

$17,500$15,500$13,500N/AN/A


Aesthetic Solutionswww.dermaglow.com651 Canyon RoadNovato, CA 94947888.345.4569 p

DermGlow IIDermGlow II MD

DermGlow EST

DualDual

Yes

Yes/32Yes/32WheelsYes/12

Glass, AluminumDisposable Tips

Aluminum Oxide or SodiumBicarbonate$2-$4

On-sitefull training,technical andmktg support

$8,750N/A$4,750

N/A$10,500N/A

Warranty & Accessories: Lifetime warranty with 24-hour loaner. HEPA filtration. Trade-in program.


ClairDerm (models 1, 2, & 3) Via Control Knob

Yes/15 Aluminum, plastic w/ cellulite roller / light therpay combo

Tips & Crystals $6,900 $8,900

Warranty & Accessories: 3 yr. warranty. Low cost per treatment at under $1.15. Client brochures, specialty products, and consent forms available. ClairDerm3 now available with combined cellulite roller & light therapy handpiece.

Altair Instrumentswww.diamondtome.com321 Aviador St., Suite 113Camarillo, CA 93010805.388.8503 p

NewApeel

DiamondTome

Variable

Variable

Yes/27

Yes/27 Diamond tippedwands

$0.50

Video On-siteTraining

$10,250

$10,400

Warranty & Accessories: 1 yr. warranty, HEPA filters, filter pads, and assorted wands. Four grit sizes.

ATI-Parisian Peelwww.parisianpeel.com14828 W. 6th Avenue, Unit B-9Golden, CO 80401800.262.4412 p

Prestige

Esprit

Entrée

Dual

Vacuum/Compres.Single

Yes/80

Yes/46

Yes/35

Proprietaryergonomic designw/ sterilizableimmersiblecartridge tips

$3.50

One day on-siteadvanced training

N/A

N/A

N/A

$21,000

$12,900

$8,900

Warranty & Accessories: 1 yr. warranty





emed www.silkpeel.com31340 Via Colinas, Suite 101Westlake Village, CA 91362888.848.3633 p

SilkPeel DermalinfusionSystem

Dual Yes/30 Diamond-tipped handpiece;autoclavable;crystal-free

$9.95 tips only On-sitecertification

N/A $22,465

Warranty & Accessories: 1 yr. warranty, extended warranty options. 11 combinations of grit sizes. Three choices of topical solutions.


NaturaBrador Yes Yes/30 Reusable, Plastic, Disposable

$1.00-$1.50 Video & on-site N/A $8,500

Warranty & Accessories: Massage therapy attachment.

Genesis Biosystems www.dermagenesis.com1500 Eagle CourtLewisville, TX 75057888.577.PEEL (7335) p

M2 - TurboM2M1Infusion Peel

yesyesyesyes

Yes/39Yes/34Yes/19Yes

Ergonomic Dual-Mode Handpiece with Dual-Lumen, Color-Coded Tubing Set

$.50-$3.00 Onsite and OnlineN/AN/A$8,495 $12,995

$15,995 $12,995 N/A$12,995

Warranty & Accessories: Lifetime Perpetual Warranty, Disposables for 50 treatments. No Downtime Promise Plan, Tech Support, Pre & Post Skin Care Kit, Protective Eye Pads, Crystal and Crystal Free, Microderm Starter Kit & Cart.

ImageDermwww.imagederm.com3032 Dolores StreetLos Angeles, CA 90065818.500.9034 p

ImageDerm Dual Yes/30 ReusableDelrin Tip

$3.00 Full Trainingwith Manual

$8,500 $10,700

Warranty & Accessories: Full 5 yr. warranty. M.D. unit has 3-feature function.

Inner Act, LLCwww.inneract.com4750 Turbo CircleReno, NV 89502888.212.6342 p

MicroLift™ Yes Yes/30 Patent Spiral Flowwith disposable tips

$5.00 On-site AdvancedTraining Seminars

$4,984 $4,984

Warranty & Accessories: 3 yr. parts & labor warranty with loan program, 5 lb. crystal, 10 tips, manual, and marketing support materials included. Direct manufacturer support, Clinical/technical support.

Innovative Med Inc.www.innovativemedinc.com4 Autry , Suite BIrvine, CA 92618877.779.9492 p949.458.7416 f

PortaPeel 1050 PortaPeel Pro 4150 Silver PortaPeel Pro 4150 GoldSetereh 1150Setereh 2150 MD

YesYesYesYesYes

Yes/14Yes/16Yes/18Yes/35Yes/37

Ergonomic, patentedhandpieces;disposable, reusable,metal & crystal freeavail., disposable tipsfor face & body

$2-$4.00 Comprehensivemanual, technicalsupport &marketing support

$4,500$4,500$6,800$9,500N/A

N/AN/AN/AN/A$12,000

Warranty & Accessories: Setereh systems: 5 yr. warranty. Portapeel systems: Lifetime Warranty. All of our systems can be used for crystal free microdermabrasion as well. We accept trade-ins, loaners available.

IntegreMedwww.integremed.net6808 E. Academy Parkway NEBuilding A, Suite OneAlbuquerque, NM 87109877.733.7627 p

DermMaster IIDermMaster IIPlusMicroPro S10MicroPro S10 Plus

Positive Pressure “No-VAC”Salt Recov.System

Yes/80Yes/83Yes/35Yes/35

Autoclavable;anodized aluminum

$7.00with skin careproducts

One day On-siteturnkey program

N/AN/A$9,500N/A

$19,500$21,500$13,900$16,500

Warranty & Accessories: All systems include: 3 yr. warranty, 40% discount on microdermabrasion product, system uses salt (NaCl) as the abrasive, allowing for easy clean-up.


SkinScapeSkinScape Plus

SingleDual

Yes/22Yes/30

Autoclavable small & large handpiecesAluminum/disposable tips

$2.80$2.80

Intensive On-site training

$14,500N/A

N/A$18,995

Warranty & Accessories: 1 yr. warranty. Education and marketing materials.

Mattioli Engineeringwww.matteng.com4200 Wilson Blvd., Suite 750Arlington, VA 22203877.628.8364 p

Aesthipeel™

Ultrapeel® PepitaUltrapeel® Crystal

3 Pre-setPositionsDual/CountVariable

Yes/17

No/39No/44

Plastic/Glass

Glass Pyrex/reusableGlass Pyrex/reusable

$3.00-$9.00

$3.00-$9.00

1 day on-site $3,675

$10,710N/A

N/A

N/A$13,860

Warranty & Accessories: Carrying case, 2 yr. warranty, next day loaner program, external comp. delivery kit, sealed plastic corundum containers, safety filter, vacuum and compression mode.


Salt-APeel™MacroDermabrasion Therapy

No 50 lbs Proprietary aluminum design, with no mess auto control

$3/treatment $13,900 $16,500

Warranty & Accessories: Proprietary crystal delivery system uses water-soluble, non-toxic salt. Pre-packaged salt containers and disposable 0.1 micron ULPA Filter waste containers. Positive and negative pressure system with little to no redness. Natural salt for superior results. Patented DermaMask and MacroTouch® 3 MHZ Ultrasound module for Physician model. Marketing support program. Three year warranty parts and labor.


Parisian Peel Esprit PRO-xp

Yes Yes/40 Ergonomic withre-usable plastic tipsand optional DiamondTome Wands

$2.00 On-site training $15,000-$19,000

$15,000-$19,000

Warranty & Accessories: Standard 1 yr. warranty.

Raja Medicalwww.rajamedical.com6542 Hypoluxo Rd, #171Lake Worth, FL 33467561.868.4600 p

Sapphire Abrastim No Yes/15 Stainless steel, Sapphire heads

$5.00 1 day N/A $14,500






emed www.silkpeel.com31340 Via Colinas, Suite 101Westlake Village, CA 91362888.848.3633 p

SilkPeel DermalinfusionSystem

Dual Yes/30 Diamond-tipped handpiece;autoclavable;crystal-free

$9.95 tips only On-sitecertification

N/A $22,465

Warranty & Accessories: 1 yr. warranty, extended warranty options. 11 combinations of grit sizes. Three choices of topical solutions.


NaturaBrador Yes Yes/30 Reusable, Plastic, Disposable

$1.00-$1.50 Video & on-site N/A $8,500

Warranty & Accessories: Massage therapy attachment.

Genesis Biosystems www.dermagenesis.com1500 Eagle CourtLewisville, TX 75057888.577.PEEL (7335) p

M2 - TurboM2M1Infusion Peel

yesyesyesyes

Yes/39Yes/34Yes/19Yes

Ergonomic Dual-Mode Handpiece with Dual-Lumen, Color-Coded Tubing Set

$.50-$3.00 Onsite and OnlineN/AN/A$8,495 $12,995

$15,995 $12,995 N/A$12,995

Warranty & Accessories: Lifetime Perpetual Warranty, Disposables for 50 treatments. No Downtime Promise Plan, Tech Support, Pre & Post Skin Care Kit, Protective Eye Pads, Crystal and Crystal Free, Microderm Starter Kit & Cart.

ImageDermwww.imagederm.com3032 Dolores StreetLos Angeles, CA 90065818.500.9034 p

ImageDerm Dual Yes/30 ReusableDelrin Tip

$3.00 Full Trainingwith Manual

$8,500 $10,700

Warranty & Accessories: Full 5 yr. warranty. M.D. unit has 3-feature function.

Inner Act, LLCwww.inneract.com4750 Turbo CircleReno, NV 89502888.212.6342 p

MicroLift™ Yes Yes/30 Patent Spiral Flowwith disposable tips

$5.00 On-site AdvancedTraining Seminars

$4,984 $4,984

Warranty & Accessories: 3 yr. parts & labor warranty with loan program, 5 lb. crystal, 10 tips, manual, and marketing support materials included. Direct manufacturer support, Clinical/technical support.

Innovative Med Inc.www.innovativemedinc.com4 Autry , Suite BIrvine, CA 92618877.779.9492 p949.458.7416 f

PortaPeel 1050 PortaPeel Pro 4150 Silver PortaPeel Pro 4150 GoldSetereh 1150Setereh 2150 MD

YesYesYesYesYes

Yes/14Yes/16Yes/18Yes/35Yes/37

Ergonomic, patentedhandpieces;disposable, reusable,metal & crystal freeavail., disposable tipsfor face & body

$2-$4.00 Comprehensivemanual, technicalsupport &marketing support

$4,500$4,500$6,800$9,500N/A

N/AN/AN/AN/A$12,000

Warranty & Accessories: Setereh systems: 5 yr. warranty. Portapeel systems: Lifetime Warranty. All of our systems can be used for crystal free microdermabrasion as well. We accept trade-ins, loaners available.

IntegreMedwww.integremed.net6808 E. Academy Parkway NEBuilding A, Suite OneAlbuquerque, NM 87109877.733.7627 p

DermMaster IIDermMaster IIPlusMicroPro S10MicroPro S10 Plus

Positive Pressure “No-VAC”Salt Recov.System

Yes/80Yes/83Yes/35Yes/35

Autoclavable;anodized aluminum

$7.00with skin careproducts

One day On-siteturnkey program

N/AN/A$9,500N/A

$19,500$21,500$13,900$16,500

Warranty & Accessories: All systems include: 3 yr. warranty, 40% discount on microdermabrasion product, system uses salt (NaCl) as the abrasive, allowing for easy clean-up.


SkinScapeSkinScape Plus

SingleDual

Yes/22Yes/30

Autoclavable small & large handpiecesAluminum/disposable tips

$2.80$2.80

Intensive On-site training

$14,500N/A

N/A$18,995


Mattioli Engineeringwww.matteng.com4200 Wilson Blvd., Suite 750Arlington, VA 22203877.628.8364 p

Aesthipeel™

Ultrapeel® PepitaUltrapeel® Crystal

3 Pre-setPositionsDual/CountVariable

Yes/17

No/39No/44

Plastic/Glass

Glass Pyrex/reusableGlass Pyrex/reusable

$3.00-$9.00

$3.00-$9.00

1 day on-site $3,675

$10,710N/A

N/A

N/A$13,860

Warranty & Accessories: Carrying case, 2 yr. warranty, next day loaner program, external comp. delivery kit, sealed plastic corundum containers, safety filter, vacuum and compression mode.


Salt-APeel™MacroDermabrasion Therapy

No 50 lbs Proprietary aluminum design, with no mess auto control

$3/treatment $13,900 $16,500

Warranty & Accessories: Proprietary crystal delivery system uses water-soluble, non-toxic salt. Pre-packaged salt containers and disposable 0.1 micron ULPA Filter waste containers. Positive and negative pressure system with little to no redness. Natural salt for superior results. Patented DermaMask and MacroTouch® 3 MHZ Ultrasound module for Physician model. Marketing support program. Three year warranty parts and labor.


Parisian Peel Esprit PRO-xp

Yes Yes/40 Ergonomic withre-usable plastic tipsand optional DiamondTome Wands

$2.00 On-site training $15,000-$19,000

$15,000-$19,000

Warranty & Accessories: Standard 1 yr. warranty.

Raja Medicalwww.rajamedical.com6542 Hypoluxo Rd, #171Lake Worth, FL 33467561.868.4600 p

Sapphire Abrastim No Yes/15 Stainless steel, Sapphire heads

$5.00 1 day N/A $14,500






Science InnovativeAesthetics www.scienceaesthetics.com30 Montgomery StreetSuite 660Jersey City, NJ 07302201.332.4100 p

Aurora

Gemini

Yes

Dual,pin pointcrystal flowcontrol

Yes/46

Yes/55

Stainless steel,9 different tips,autoclavable

Crystal - flexible,w/disposable plasticcaps. Crystal Free - stainless steelw/9 different tips

$.40 per filter, one filter per treatment

$1.50 foralum. ox.crystals, varies per treatment

On-site, manual,PP presentation

$10,900

$13,500

$10,900

$13,500

Warranty & Accessories: 2 yr. warranty with next day loaner, 100 filters plus ultrasonic cleaner included with purchase, marketing material, tech-support, additional filter inside machines, quietest machines on the market (ask about our trade-in program). Gemini includes 2 (4 lbs.) bottles of crystals, closed loop system.


MicroLaserPeel™ N/A Yes/wheels Large area scanner None In-office N/A $19,500module

Warranty & Accessories: 10 to 40 microns in 5-micron steps.

Silhouet-Tone USAwww.silhouettone.com7 Champlain CommonsSt. Albans, VT 05478800.552.0418 p

S.T. Peel Yes Yes/65 Stainless steeldisposable tips

$3.00 Video on-sitetraining

$9,950 $11,950

Warranty & Accessories: 3 yr. warranty. Disposable tips. Manual included, complete marketing tools. Rotational projection handpiece.

Sybariticwww.sybaritic.com9920 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f

SkinBella

N/A Yes/ 22 lbs Cart 32 lbs

Ultrasonic Applicator $2.50 On-Site Advanced Training

$10,995 $10,995

Warranty & Accessories: 1 yr. warranty included with extended warranty available. Professional and retail skin care products, marketing kit and cart included.

SoundSkin Corporationwww.soundskin.com429 South Main StreetOswego, IL 60543888.596.5277 p

SmartPeel - Esthetician

SmartPeel-M.D.

16 settings+ lym-phatic

32 settings

Yes/18

Yes/23

Acetyl copolymerwith full range of accessories

$1.50 On-site byspecialist

$10,500

N/A

N/A

$13,500

Warranty & Accessories: 1 yr. warranty, parts & labor with dual probe lymphatic drain module, dual SmartFilter viral barrier system to 0.1 microns.

Synergie™ by Dynatronicswww.dynatronics.com/aesthetic7030 Park Centre DriveSalt Lake City, UT 84121Albuquerque, NM 87109800.874.6251 p801.568.7711 f

Synergie Peel Yes 13.5 Titanium / stainlesssteel, disposable tips

$3.00 2-day trainingincluded/manufacturercertification

$4,995 $5,495

Warranty & Accessories: 1 yr. warranty, marketing materials; facial massage hand set, MDA handpieces and tips.

Syneron Medicalwww.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, Ontario, Canada800.445.8418 p

Libra Variable Yes/34 Custom disposable tips $.50-$1.00 Video on-site training

N/A $9,995


USA Photonicswww.usaphotonics.biz169 Main Street, 1st FloorNyack, NY 10960845.348.4900 p

Easy Peel Single Yes/40 Stainless steel,disposable tips

$3.00 On-site $11,500 $13,000


Vibraderm, Inc.www.vibraderm.com2100 N. Hwy 360 Suite 1502Grand Prairie, TX 75050800.494.7181 p

Vibraderm None Yes/21 High-TechAluminum Alloy

None On-site trainingincluded

$18,100 $18,100


Viora, Inc.www.vioramed.com30 Montgomery StreetSuite 660Jersey City, NJ 07302877.384.8032 p201.332.4200 f

Pristine - Dimond System

Marquis - Dimond and crystal System

Single

Dual

Yes/28

Yes/35

Ergonomic stainless steel design; 10-13tips depending on model; auto-clavable

$.30/filter

$.30/filter

Manufacturer supportManufacturer support

$10,900

$15.900

$11,900

$16,900

Warranty and Accessories: Pristine - 2 yr. warranty with next day loaner. Esthetician unit sold with 10 DPeel tips; M.D. unit sold with 13 DPeel tips; 100 disposable filters, 25 client brochures, 1 poster, ultrasonic cleaner; system manual. Marquis - 2 yr. warranty with next day loaner. Esthetician unit sold with 10 DPeel tips; M.D. unit sold with 13 DPeel tips. Diamond Peel-100 disposable filters, 25 client brochures, 1 poster, ultrasonic cleaner. Crystal Peel -10 plastic caps.

Vita Medical Technologieswww.vitamedtech.com1286 University Avenue, #264San Diego, CA 92103619.795.7953 p

Beauty Skin Dual Yes/20 45 degree angleTeflon handpiece;reusable ordisposable tips

$1.50 On-site byrepresentative

$7,900 $7,900Dual Motor

Warranty & Accessories: 2 yr. warranty, parts & labor. 2 handpieces; abrading and peeling. Variety of tip sizes available.





Science InnovativeAesthetics www.scienceaesthetics.com30 Montgomery StreetSuite 660Jersey City, NJ 07302201.332.4100 p

Aurora

Gemini

Yes

Dual,pin pointcrystal flowcontrol

Yes/46

Yes/55

Stainless steel,9 different tips,autoclavable

Crystal - flexible,w/disposable plasticcaps. Crystal Free - stainless steelw/9 different tips

$.40 per filter, one filter per treatment

$1.50 foralum. ox.crystals, varies per treatment

On-site, manual,PP presentation

$10,900

$13,500

$10,900

$13,500

Warranty & Accessories: 2 yr. warranty with next day loaner, 100 filters plus ultrasonic cleaner included with purchase, marketing material, tech-support, additional filter inside machines, quietest machines on the market (ask about our trade-in program). Gemini includes 2 (4 lbs.) bottles of crystals, closed loop system.


MicroLaserPeel™ N/A Yes/wheels Large area scanner None In-office N/A $19,500module

Warranty & Accessories: 10 to 40 microns in 5-micron steps.

Silhouet-Tone USAwww.silhouettone.com7 Champlain CommonsSt. Albans, VT 05478800.552.0418 p

S.T. Peel Yes Yes/65 Stainless steeldisposable tips

$3.00 Video on-sitetraining

$9,950 $11,950

Warranty & Accessories: 3 yr. warranty. Disposable tips. Manual included, complete marketing tools. Rotational projection handpiece.

Sybariticwww.sybaritic.com9920 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f

SkinBella

N/A Yes/ 22 lbs Cart 32 lbs

Ultrasonic Applicator $2.50 On-Site Advanced Training

$10,995 $10,995

Warranty & Accessories: 1 yr. warranty included with extended warranty available. Professional and retail skin care products, marketing kit and cart included.

SoundSkin Corporationwww.soundskin.com429 South Main StreetOswego, IL 60543888.596.5277 p

SmartPeel - Esthetician

SmartPeel-M.D.

16 settings+ lym-phatic

32 settings

Yes/18

Yes/23

Acetyl copolymerwith full range of accessories

$1.50 On-site byspecialist

$10,500

N/A

N/A

$13,500

Warranty & Accessories: 1 yr. warranty, parts & labor with dual probe lymphatic drain module, dual SmartFilter viral barrier system to 0.1 microns.

Synergie™ by Dynatronicswww.dynatronics.com/aesthetic7030 Park Centre DriveSalt Lake City, UT 84121Albuquerque, NM 87109800.874.6251 p801.568.7711 f

Synergie Peel Yes 13.5 Titanium / stainlesssteel, disposable tips

$3.00 2-day trainingincluded/manufacturercertification

$4,995 $5,495

Warranty & Accessories: 1 yr. warranty, marketing materials; facial massage hand set, MDA handpieces and tips.

Syneron Medicalwww.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, Ontario, Canada800.445.8418 p

Libra Variable Yes/34 Custom disposable tips $.50-$1.00 Video on-site training

N/A $9,995


USA Photonicswww.usaphotonics.biz169 Main Street, 1st FloorNyack, NY 10960845.348.4900 p

Easy Peel Single Yes/40 Stainless steel,disposable tips

$3.00 On-site $11,500 $13,000


Vibraderm, Inc.www.vibraderm.com2100 N. Hwy 360 Suite 1502Grand Prairie, TX 75050800.494.7181 p

Vibraderm None Yes/21 High-TechAluminum Alloy

None On-site trainingincluded

$18,100 $18,100


Viora, Inc.www.vioramed.com30 Montgomery StreetSuite 660Jersey City, NJ 07302877.384.8032 p201.332.4200 f

Pristine - Dimond System

Marquis - Dimond and crystal System

Single

Dual

Yes/28

Yes/35

Ergonomic stainless steel design; 10-13tips depending on model; auto-clavable

$.30/filter

$.30/filter

Manufacturer supportManufacturer support

$10,900

$15.900

$11,900

$16,900

Warranty and Accessories: Pristine - 2 yr. warranty with next day loaner. Esthetician unit sold with 10 DPeel tips; M.D. unit sold with 13 DPeel tips; 100 disposable filters, 25 client brochures, 1 poster, ultrasonic cleaner; system manual. Marquis - 2 yr. warranty with next day loaner. Esthetician unit sold with 10 DPeel tips; M.D. unit sold with 13 DPeel tips. Diamond Peel-100 disposable filters, 25 client brochures, 1 poster, ultrasonic cleaner. Crystal Peel -10 plastic caps.

Vita Medical Technologieswww.vitamedtech.com1286 University Avenue, #264San Diego, CA 92103619.795.7953 p

Beauty Skin Dual Yes/20 45 degree angleTeflon handpiece;reusable ordisposable tips

$1.50 On-site byrepresentative

$7,900 $7,900Dual Motor

Warranty & Accessories: 2 yr. warranty, parts & labor. 2 handpieces; abrading and peeling. Variety of tip sizes available.

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AAbdominoplasty, or “tummy tuck,” is

one of the most commonly performed

plastic surgery procedures. According

to the American Society of Plastic

Surgery (ASPS), abdominoplasty was

among the top five cosmetic surgical

procedures conducted in 2006.

Nearly 150,000 abdominoplasties

were done in 2006, representing an

increase of 133% since 2000.

While most abdominoplasties

achieve positive results without

complications, there can be post-

surgical local complications, such

as hematomas, seromas, tissue

necrosis, and healing problems.

Application of techniques that can

reduce post-surgical complications,

speed recovery time, and improve

the overall patient experience would

be highly desirable for surgeon and

patient alike.

Different tools have been utilized

in abdominoplasty flap dissection.

Electrocautery is the most frequently

used instrument, but it produces

substantial heat with lateral thermal

tissue and nerve damage with the

potential

for delayed

wound

healing and

increased

post-operative

pain. Scalpel

dissection

is another

method utilized; but it can result

in excessive bleeding, resulting

in the need for either extensive

electrocautery or time-consuming

suture ligatures.

Harmonic® technology, Ethicon

Endo-Surgery, Inc., Cincinnati, OH,

was first developed for minimally

invasive surgical procedures such

as laparoscopic surgery. Harmonic

technology has become a standard

of care for many advanced surgical

procedures, having been used in more

than six and a half million procedures

plastic surgery

The Use of Harmonic® Technology in Abdominoplasty

By: Al S. Aly, M.D., F.A.C.S.

One of the advantages of Harmonic technology compared to electrocautery is that no electricity passes to or through patients. As a result, there is no unwanted neuromuscular stimulation, and the need for a grounding pad is eliminated.

atn tpla

stic s

urgery


plasti

c surg

ery worldwide, including general surgery,

gynecology, urology, and vessel

harvesting procedures. While its

use in aesthetic procedures has been

limited to date, growing experience

in abdominoplasty and lower body

lift suggests that Harmonic flap

elevation reduces wound drainage

and post-operative pain, and speeds

drain removal, facilitating patient

recovery.

Harmonic dissection

is very different from

the more traditional

approaches,

electrocautery,

laser or

steel

scalpels.

Harmonic

technology

converts electrical

energy into ultrasonic

vibration creating the

mechanical energy for

cutting. Specifically, the

ultrasonic Harmonic blade

vibrates longitudinally at 55,500

times per second. One of the

advantages of Harmonic technology

compared to electrocautery is that

no electricity passes to or through

patients. As a result, there is no

unwanted neuromuscular stimulation,

and the need for a grounding pad is

eliminated.

In a pilot study of twenty patients

undergoing lower body lifts following

massive weight reduction, Dr. Dirk

Richter, Wessling, Germany, studied

contralateral Harmonic Curved

Blade (HF105) and electrosurgery

flap dissections. He found

promising results with

Harmonic energy in

terms of reduced

drainage and

pain which

prompted initiation of the first

multinational, prospective,

randomized controlled trial of flap

dissection utilizing Harmonic energy.

At the recent Plastic Surgery 2007

conference of ASPS in October, I

presented data from this multinational

study utilizing Harmonic technology.

Findings were consistent with Dr.

Richter’s pilot results. Harmonic and

electrocautery technologies were

compared in 65 patients undergoing

abdominoplasty. Study results

demonstrated a 33% reduction in

total cumulative drainage volume,

less drainage in days 1 and 2, and on

average 1.4 fewer days required for

drain use compared to electrocautery,

all reaching statistical significance in

favor of Harmonic technology.

Harmonic technology

dissection extended time

for flap elevation by

approximately 14

minutes overall

and by 5-6

minutes for

flaps less

than 1

kg.

Based on the results of these studies, flap dissection with Harmonic technology shows promise in body contouring procedures as an alternative to electrosurgery, particularly as it relates to faster and more comfortable patient recovery.


plasti

c surg

ery

Additionally, we observed that

while patients undergoing Harmonic

procedures received comparable

analgesia, they reported less pain

in the first two post-operative

days. Based on self-reporting of

pain scores using a Likert scale

of 1-10, with 10 being the highest

pain point, Harmonic patients

reported average scores of 2.0 and

1.7 in the first and second day post-

operatively compared to 3.4 and 2.6

in the electrocautery group, again,

a statistically significant reduction.

Overall, the incidence of post-surgical

complications was low and similar

between Harmonic and electrocautery

study groups. Four seromas were

aspirated in each study group.

Based on the results of these

studies, flap dissection with

Harmonic technology shows promise

in body contouring procedures as

an alternative to electrosurgery,

particularly as it relates to faster and

more comfortable patient recovery.

Certainly the potential for Harmonic

technology flap elevation to reduce

the incidence of seroma requires

further study. Also, further study

and experience will determine

whether dissection time with

Harmonic technology can be reduced,

particularly in larger flaps.

Al S. Aly, M.D.,

F.A.C.S. is a

leading world

authority in the

field of body

contour surgery

after massive

weight loss. His

career began with expertise in facial

aesthetic (cosmetic) surgery and has

expanded to the exciting field of body

contour. Currently his practice is one of

the largest body contouring practices

in the world. He has taught and put

together multitudes of conferences

and courses for other plastic surgeons

on the subject. Currently Dr. Aly is

writing the definitive textbook on

“Plastic Surgery of the Massive Weight

Loss Patient.”

Dr. Aly is certified by the

American Board of Plastic Surgery

and The American Board of

Otolaryngology Head & Neck Surgery.

Currently, Dr. Aly serves as the

vice-president of the Iowa Society of

Plastic Surgeons / American Society

of Plastic Surgery task force on Post-

Massive Weight Loss Plastic Surgery

and is a member of the following

professional organizations:

• AmericanSocietyofPlasticSurgery

(ASPS)

• AmericanSocietyforAesthetic

Plastic Surgery (ASAPS)

• AmericanCollegeofSurgeons

(ACS)

• AmericanMedicalAssociation

(AMA)

• IowaSocietyofPlasticSurgeons

REFERENCES

Stoff,A., Reichenberger, M.A., Richter,

D.F. Comparing the ultrasonically

activated scalpel (Harmonic) with

high-frequency electrocautery for

postoperative serous drainage in massive

weight loss surgery. Plast Reconstr Surg.

120(4):1092-3, 2007 Sep 15. Reconstr

Surg. 120(4):1092-3, 2007 Sep 15.

Figure 2. PP Population Post-OP Pain Management.



SUBSCRIBE Use the form on page 87





Copyright © 2002-2008 Aesthetic Trends & Technologies, Inc.

11622 El Camino Real, Suite 100San Diego CA 92130 USA

800.277.1391 Fax 858.605.0469



DDeciding to have liposuction,

microdermabrasion, breast

augmentation or any other aesthetic

procedure is certainly not as easy

as buying a new car, party dress, or

sound system. Consumers realize that

they have to actually live through the

experience—and then live with the

results.

The decision is becoming even

more complicated as the economy’s

recent woes are forcing consumers to

think twice about spending money

on cosmetic procedures, according

to a recent article in The Wall Street

Journal.

The upshot? The decision to have

an aesthetic medical procedure is one

that often is made with considerable

contemplation. Consumers might get

curious after learning that a celebrity

or a personal acquaintance has had

a certain aesthetic procedure. As

prospective patients talk with family

or friends, the idea can grow from a

simple thought to an actual possibility.

But, before going through with

a procedure, consumers need to

know more. As a result, they do their

research. And, they’re not scouring

through textbooks or medical

journals at the local

library. Instead

they are surfing the

Internet to find as

much information

from as many sources

as possible.

As a result,

aesthetic healthcare

providers now,

perhaps more than ever before,

need to have an Internet presence.

To make their websites effective,

aesthetic providers have to do

more than simply list the practice’s

services. First off, the physician’s

website needs to provide educational

information in an effort to help

consumers make informed decisions.

And, just as importantly, the

site needs to provide an online

communications option that enables

consumers to establish and maintain

relationships with aesthetic health

providers.

practice management

Win Patients With a Winning Website

AeSTheTiC PrACTiCeS CAn iMProVe PATienT ACquiSiTion And CuSToMer SerViCe ViA WeBSiTeS ThAT offer inforMATiVe MATeriAlS And online CoMMuniCATionS

By Joseph Sameh, CEO - NeedMyDoctor

The physician’s website needs to provide educational information in an effort to help consumers make informed decisions. And, just as importantly, the site needs to provide an online communications option that enables consumers to establish and maintain relationships with aesthetic health providers.

atn tpra

ctice

mana

geme

nt


practi

ce ma

nage

ment

78— january-february 2008 | www.aesthetictrends.com

INFORMATION ON THE INTERNET The Internet has become a main

source of healthcare information

for consumers—and to get a share

of prospective patients’ surfing

experiences, aesthetic providers

need to provide informative, credible

content.

Because so many consumers

are turning to the Internet as they

make healthcare decisions, aesthetic

practices should make sure that

their sites provide consumers

with what they are looking for:

objective, educational information.

Breaking health care news, detailed

explanations of procedures, capsules of

relevant health care studies and other

information can help position aesthetic

providers as respected medical

authorities. When making the

decision to have a procedure,

then consumers are likely

to perceive the aesthetic

practice as a trustworthy

health partner.

In addition, quality

content—educational

information that attracts

readers and keeps them

coming back—is the key to

successful search

engine marketing.

And relevant links

to informative

content can help

practices grow their

businesses through

top organic (free) listings in

major search engines.

ONLINE COMMUNICATIONS Providing educational

materials is only part of the

winning website equation,

though. Consumers don’t just

want to get information from

healthcare provider websites,

they also want to be able to

communicate—and perhaps

even establish ongoing

relationships—with their

healthcare providers online.

Therein lies the rub: While

consumers want to electronically

communicate with healthcare

providers, physicians still have not

jumped on the bandwagon.

According to the HarrisInteractive

poll 80% of American adults with web

access would like to communicate with

their physicians via email. However,

The following facts illustrate how

consumers are leaning on the

Internet for health information:

• 80%ofU.S.adultshaveWeb

access—and about three-quarters

of them have used the Internet to

research health issues, according to

a HarrisInteractive poll

• Nearlyathirdofthepeoplewho

surf the Web use it to select doctors

or hospitals and 41% of Americans

use the Internet to determine

whether or not they would seek

medical help, according to a study

conducted by the Pew Internet &

American Life Project

• Babyboomersaremorelikelyto

visit healthcare sites (66%) than

financial information sites (50%),

according to the Pew study

• In2002,morethan100million

Americans gathered health related

information from the Internet—and

70% of them reported that what

they find influences their treatment

decisions, according to a study

from the California Healthcare

Foundation

According to the HarrisInteractive poll 80% of American adults with web access would like to communicate with their physicians via email.



PreSS CornerPreSS Corner

introducing next Generation BoTox®: the Gfx Procedure

Like all good ideas, there

is always a little room for

improvement. Now, with the FDA

clearance of the GFX Procedure, a

long-lasting and effective alternative

to BOTOX®, the cosmetic industry

has a new way to bring anti-aging

to the next level. Dr. Cameron

Rokhsar, a leading cosmetic

dermatologist in New York City, is

the first physician in the Northeast

to adopt the GFX Procedure in

his practice. He has recognized

the incredible improvement GFX

has made over BOTOX®. “Where

BOTOX® has made the anti-aging

market turn on its heels, GFX can

make it obsolete,” said Dr. Rokhsar.

The GFX Procedure expands on

the initial principal of BOTOX® by

weakening the motor nerves that

cause “frown lines” but instead

of blocking the signals sent from

nerves to the muscles, GFX uses

radiofrequency energy to effectively

weaken motor nerves. This in turn

damages the nerves, which causes a

relaxation of the muscle and creates

a smoothing effect on frown lines.

GFX presents several

improvements upon the original

BOTOX® procedure. A single

treatment with the GFX treatment

can last for up to two years and

costs the patient about $2,000 per

treatment. GFX allows for fewer

maintenance visits and an overall

more effective result. Not only does

GFX allow patients less time in the

doctor’s office, it completely forgoes

the use of potentially harmful

toxins for the desired result. The

procedure was FDA cleared in June

of 2007 for cosmetic purposes. GFX

achieves its amazing results through

radiofrequency waves which emit

heat and damages motor nerves.

This process can be done under

local anesthesia and yields no

visible scarring.

Advanced Cosmetic Intervention,

Inc. (ACI)

303.799.1988

www.acisurgery.com

Alchimie forever Announces Continued Support of Sturge-Weber foundation

To continue helping those

affected by Sturge-Weber

syndrome, Alchimie Forever is

pleased to be a gold sponsor of this

year’s annual Sturge-Weber gala

at the 2008 American Academy

of Dermatology meeting in San

Antonio, TX.

The Sturge-Weber Foundation

has long been the Polla family’s

favorite charitable cause. Dr. Luigi

Polla, the co-creator of Alchimie

Forever, participated in the mid

1980s in the development of the

pulsed dye laser, the gold standard

for the treatment of port wine stains.

He then was the first to introduce

that technology to Europe in 1986,

when he opened his dermatology

practice. For the first 10 years in

practice, he focused on treating

children who suffered from Port

Wine Stains.

To raise money for their efforts,

the Sturge-Weber Foundation

organizes an annual evening of

dancing and entertainment during

which a renowned dermatologist

is honored and roasted. For the

past two years, and again at this

year’s dinner, Alchimie Forever is

pleased to be a gold sponsor of the

event. Ada Polla, Alchimie Forever’s

president, has the following to

say about the company’s latest

involvement: “Our goal is to help

the foundation with whatever

methods available to us. On an

individual level my father began his

practice through the treatment of

those with port wine stains and now

we are able to help the foundation

in a more direct way. Our greatest

hope is to help find a cure for the

people whose lives are affected


PreSS CornerPreSS Corner

by Sturge-Weber. We could not be

more pleased to be a part of this

year’s benefit.”

Alchimie Forever

877.920.SKIN (7546)

www.alchimie-forever.com

The 28th Annual Conference of ASlMS

Find out how lasers and light-based

technologies are redefining the field

of medicine. Mark your calendars for

this premier educational conference

of the world’s leading laser experts.

The scientific conference of the

American Society for Laser Medicine

and Surgery (ASLMS) will be held

Wednesday, April 2 to Sunday, April

6, at the Gaylord Palms Resort™ in

Kissimmee, Fla.

This is your opportunity to learn

firsthand how cutting-edge research

in laser technology is leading to

improved diagnostics and clinical

treatments in disciplines as diverse

as dermatology, ophthalmology,

urology, cardiology, pediatrics and

more. ASLMS Program Chair Emil

Tanghetti, M.D., promises attendees

“will leave this conference with a

greater understanding of how lasers

are continually improving patient

care and represent an unlimited

source of future scientific potential.

Scientists who are discovering

new laser applications in the lab

and clinicians who are enhancing

their patient care therapies will be

presenting their findings – many for

the first time – in the various courses

and educational sessions.”

Hot Topics include: Promising

Light-Based Diagnostics, The Skinny

on Fat Reduction, Breakthrough

Clinical Applications, and Trends in

Cosmetic Laser Treatments.

This year’s keynote speaker

is laser pioneer R. Rox Anderson,

M.D., professor at Harvard Medical

School, adjunct professor at MIT,

and director of the Wellman Center

for Photomedicine at Massachusetts

General Hospital in Boston.

American Society for Laser

Medicine & Surgery (ASLMS)

LASER08

715.845.9283

www.aslms.org

Candela names lewis J. levine Vice President of engineering

Candela Corporation (NASDAQ:

CLZR) announced that Lewis

Levine has joined the company as

Vice President of Engineering. Mr.

Levine will oversee all engineering

resources and drive technical

initiatives related to new product

development.

“Lew brings over 15 years

of engineering and new product

development experience within the

medical device industry to Candela.

The addition of new leadership to

our engineering division will further

our ability to effectively deliver

innovative laser solutions to the

dynamic aesthetic industry,” said

Jay Caplan, Chief Operating Officer.

Most recently, Mr. Levine

served as Vice President of Research

and Development at Datascope

Corporation, a Montvale, New

Jersey-based medical device

company, where he led efforts to

improve product development

methods within the Patient

Monitoring Division. Prior to this

role, he directed the development of

a unique technology platform for a

medical device start-up which was

later acquired by GE Healthcare.

Additionally, he is named on eight

issued and pending patents.

Mr. Levine earned a Bachelor’s

degree from Rensselaer Polytechnic

Institute and a Master of Business

Administration degree from

Northeastern University.

Candela Corporation

800.668.2691

www.candelalaser.co



practi

ce ma

nage

ment

a report from the Center for Studying

Health Systems Change indicates

that fewer than 35% of physicians

nationwide are communicating with

patients electronically.

Aesthetic practice leaders,

therefore, should realize that

providing patients with an online

communications option could help

improve patient acquisition and

customer service.

To start, an online communications

option can significantly boost

recruitment efforts by providing

patients with an easy way to initiate

relationships with the practice.

Consider the following scenario:

A prospective patient has thought

about having an aesthetic procedure

for a long time. After talking with

friends and family and researching the

procedure, the patient finally winds up

on your website.

The potential patient is ready to

make a decision or at least is ready

to see a physician for a consult, but

your site does not offer an online

communications option. Reluctant to

pick up the phone, the prospective

patient continues to procrastinate.

With an online communications

option, however, the consumer is more

likely to request information or an

appointment.

Certainly, when a Chicago-based

medical practice recently re-hauled

its online strategy and assembled

a robust, informative website with

the option to contact practitioners

online, the practice started to acquire

a considerable number of patients

as a direct result of its online

presence.

As a matter of fact, excluding

direct physician referrals, which

still account for the majority of

the practice’s new patients, the

website now accounts for 64%

of new patients while hospital

referrals bring in only 19% of new

patients and newspaper advertising

only brings in 16%.

An online communications

system can also help providers build

long-lasting relationships with their

patients. With an online system in

place, for example, patients can easily

email their healthcare providers with

health related questions and concerns.

As such, providers can help patients

by providing the most up-to-date

information and advice.

In addition, an online system makes

it possible to offer increased levels of

customer service. Many patients find it

easier to use email to contact a practice

regarding billing, scheduling or other

administrative concerns.

Indeed, Texas ENT & Allergy,

a three-physician practice located

in College Station, is finding that

offering web-based communication

via NeedMyDoctor, an online patient-

doctor communications system, is

helping to enhance relationships with

patients.

“The service makes our practice

much more communication friendly,”

says Ron Kuppersmith, M.D. “Every

patient has different needs in terms

of how they want to interact with the

practice—whether it is by phone or

online. We want to be able to fill those

needs for each individual patient.

NeedMyDoctor helps us do that by

providing a good online, around-the-

clock communications option.”

As an added bonus, in addition

to the patient relations benefits, the

systems also could result in improved

office operations.

NeedMyDoctor is an online communications system that enables healthcare providers to establish safe and secure online relationships with new and existing patients.



practi

ce ma

nage

ment “Instead of having to juggle

phones for non-urgent requests, we

can batch them and take care of

them in a more systematic fashion,

on our own time, instead of having to

interrupt the workflow of the practice,”

Kuppersmith says.

OVERCOMING OBJECTIONS With such marketing and customer

service benefits easily achievable,

why are so many physician practices

shying away from online patient-

doctor communication systems? Many

healthcare providers are reluctant to

use email because of the following

concerns:

Confidentiality and security. With

HIPAA regulations coming into play,

healthcare providers do not want to let

sensitive personal information fall into

the wrong hands.

“We know that we might be passing

sensitive information over the Internet.

We have a lot of concerns about

where the information might land,”

Kuppersmith says.

Workflow interruption. Many

physicians and other healthcare

clinicians do not want to be required

to constantly monitor their email

accounts—and then respond to a

plethora of patient queries. Although

they want to provide patients with a

convenient online communications

option, they did not want to have to

take time every day to personally

answer questions that might not be

related to clinical care. In addition,

clinicians do not want to be burdened

with administrative questions related to

billing, scheduling, or insurance.

Response times. Physicians often

worry that patients might use email

to communicate about urgent clinical

matters. They worry that the messages

might sit in their in-box for hours or

worse yet days—and the patients might

not get the immediate attention that

they need. What’s more, physicians

typically want patients to get a rapid

response to non-urgent messages as

well.

Some online communications

systems, however, are designed to

overcome these obstacles.

NeedMyDoctor, for example,

is an online communications

system that enables health

care providers to establish

safe and secure online

relationships with new and

existing patients.

Here’s how the service works:

Patients or perspective patients simply

go to a healthcare provider’s website

and click on an online communication

link. An encrypted, secure, formatted

email is then sent over the Internet and

received by an operator at the practice’s

answering service.

The answering service call

center then routes the message to

physicians via pager, phone, fax, or

email, depending on the nature of the

message and office-approved protocols.

The patients receive an immediate

electronic response, telling them their

message was received, the action that

is being taken, and the time frame in

which they will receive a response.

With this system in place, all

messages, including urgent clinical

queries, are handled according to pre-

established protocols, just as if they

had been phoned into the answering

service.

As a result, healthcare providers

can provide an email option without

compromising security, workflow

or response times. And, by doing

so, aesthetic practices can give

patients what they want—online

communications—and, at the same

time, reap a bevy of marketing and

operational benefits.

Joseph Sameh

is the CEO and

President of

NeedMyDoctor,

a Chicago-based

company that

has developed

first-of-its-

kind software

that enables patients to initiate safe

online communications with their

healthcare providers. Sameh is a

successful entrepreneur and strategic

planner with more than 30 years of

experience in computer, telephone,

and communications systems, primarily

in the healthcare environment. He

is also a recognized industry leader,

author, frequent speaker at professional

conferences, and specialist in applying

creative solutions to human interface and

process improvement challenges.

Healthcare providers can provide an email option without compromising security, workflow or response times. And, by doing so, aesthetic practices can give patients what they want.


PreSS Corner

The latest in digital imaging - VeCTrA 3d

Medical researchers and

surgeons are meticulous. In

order to get results that could

better the health of the human

race, they use the most advanced

tools in the industry. One tool

that is enabling some of the most

renowned doctors in the world is

the VECTRA 3D from Canfield

Imaging Systems.

The VECTRA 3D offers a

virtually infinite number of

patient views, all captured

simultaneously with streamlined

patient photography using one-

shot/multi-capture and continuous,

rotatable views. It uses these

images to easily compare and

measure changes in the surface,

volume, and distance of the body.

The VECTRA 3D can track

surgical and treatment outcomes

from large to small, including face

and neck lifts, breast augmentation

and reconstruction, even dermal

fillers. Hard-to-capture subjects,

such as infants, are imaged with

ease.

Canfield Scientific, Inc.

800.815.4330

www.canfield.com

new institute for Aesthetic Medicine launched Along with first CMe laser Training Course

Two renowned industry experts,

Cindy L. Vandruff and Michael

H. Gold, M.D., announced the

launch of the Institute for Aesthetic

Medicine (IAM), a comprehensive

aesthetic laser training resource for

the dermatology and plastic surgery

industry. IAM also announces

its first Continuing Medical

Education (CME) laser

training course in

Philadelphia, PA.

The Institute for

Aesthetic Medicine is

unique because of its

in-depth relationships

with leading industry

experts, hands-on

clinical training, full

class-time insurance, and the offering

of several key CME courses in a

single training venue.

“We bring the most

comprehensive aesthetic laser

training program available to

the industry; more experts, more

knowledge and more courses,”

says Cindy L. Vandruff, chief

executive officer and co-founder of

IAM. Vandruff currently oversees

Aesthetic Trends & Technologies

physician’s journal, one of the

foremost sources of information in

the medical aesthetics industry.

Michael H. Gold, M.D., IAM’s

chief medical officer and co-founder,

is well-known in the industry and

is a much sought-after speaker

throughout the world. He also owns

and operates one of the largest

laser clinics in the U.S. located

in Nashville, Tenn. “It means

physicians and other practitioners

have a single, affordable source for

all their training needs,” notes Gold.

“We provide a simpler solution that

minimizes training time and costs

while maximizing skills.”

IAM is a Miami-based

corporation organized in 2007. The

founders are some of the leading

experts in the aesthetic medical

industry. The main

focus of the company

is education, hands-on

training and safety through

an extensive network of

partners and affiliates who

are industry leaders.

Institute for Aesthetic

Medicine, Inc. (IAM)

800.436.9311

www.IAMeducated.com

institute for Aesthetic Medicine Acquires Medical laser dynamics for new laser Training Solutions

The Institute for Aesthetic

Medicine (IAM) announced the

acquisition of Medical Laser

Dynamics (MLD). The acquisition

delivers a new, full-spectrum laser

training program for plastic surgery



American College of ObstetriciansAnd Gynecologist – ACOG56th Annual Clinical MeetingMay 3 - 7, 2008Ernest N. Morial Convention CenterNew Orleans, LAContact: [email protected]. 638.5577www.acog.org/acm

China Beauty ExpoMay 20 - 22, 2008Shanghai New International Expo CenterShanghai, ChinaContact: Vanessa Kuhlmann+49 711 490 890 [email protected]

JUNE 2008International Esthetics, Cosmetics and Spa Conference – IECSCJune 28 - 30, 2008Las Vegas Convention CenterLas Vegas, NVContact: John [email protected]

Cosmetic Boot Camp4th Annual MeetingJune 12 - 15, 2008Broadmoor ResortColorado Springs, CO888.355.3675 pwww.cosmeticbootcamp.com

JULY 2008American Academy for Anti-Aging Medicine – A4MJuly 17 - 19, 2008 Washington, DCContact: Aaron Smith800.558.1267 pwww.worldhealth.net

American Academy of Dermatology–AADAcademy ’08 Summer MeetingJuly 30 - August 3, 2008Chicago, ILContact: Robin Downey847.330.0230 pwww.aad.org

MARCH 2008Medical Spa ExpoMarch 23 - 25, 2008Los Angeles Convention CenterLos Angeles, CAContact: Reed Exhibitions800.363.3631 pwww.spaandresortexpo.com

Dermatology Nurses’ Association – DNA26th Annual ConventionMarch 25 - 28, 2008Las Vegas HiltonLas Vegas, NVContact: [email protected] (4362) pwww.dna.inurse.com

APRIL 2008American Society for Laser Medicine & Surgery – ASLMS28th Annual MeetingApril 2 - 6, 2008Gaylord Palms ResortKissimmee, FLContact: Dianne Dalsky715.845.9283 [email protected]

American Academy for Anti-Aging Medicine–A4M16th Annual International CongressApril 25 - 27, 2008Gaylord Palms Resort & Convention CenterOrlando, FLContact: Aaron Smith800.558.1267 pwww.worldhealth.net

MAY 2008American Society for AestheticPlastic Surgery – ASAPS/ASERFAnnual MeetingMay 1 - 6, 2008San Diego Convention Center San Diego, CAContact: Linda Stanton800.364.2147 pwww.surgery.org

JANUARY 2008The American Academy of Cosmetic Surgery – AACS24th Annual Scientific MeetingJanuary 17 - 20, 2008Rosen Shingle Creek ResortOrlando, FLContact: Moira Murphy312.981.6762 pwww.cosmeticsurgery.org

The Orlando Dermatology & Aesthetic Conference – ODACJanuary 18 – 21, 2008Buena Vista PalaceOrlando, FLContact: Beth-Ellen Keyes646.453.5709www.orlandoderm.org

American Academy of Facial Plastic & Reconstructive Surgery – AAFPRS14th Annual Winter Symposium on the Latest Advances in Facial Plastic SurgeryJanuary 18 - 22, 2008Vail Marriott Mountain Resort and SpaVail, COContact: Ollie Edwards703. 299.9291, ext 237 [email protected]

FEBRUARY 2008American Academy of Dermatology – AAD66th Annual MeetingFebruary 1 - 5, 2008San Antonio, TXContact: Robin Downey866.503.SKIN (7546)www.aad.org

Advances in Cosmetic Medical Dermatology – ACMDMauiDerm 08 Advances in Cosmetic Medical Dermatology February 25 - March1 , 2008Grand Wailea Resort Maui, Hawaii Contact: ACMD Administrative Office www.acmd-derm-hawaii.coml

meetings &


AUGUST 2008Face & Body–Spa & Healthy AgingAnnual Conference & Exhibition15th Annual MeetingAugust 16 - 18, 2008Moscone NorthSan Francisco, CAContact: [email protected] pwww.faceandbody.com

SEPTEMBER 2008Medical Spa ExpoSeptember 8 - 10, 2008Jacob Javits Convention CenterNew York, NYContact: Reed Exhibitions877.271.6789

American Academy of Family Physicians–AAFPAnnual Scientific AssemblySeptember 17 - 21, 2008San Diego, CAContact: Sondra Biggs800.874.2237 x 5360 pwww.aafp.org

American Academy of Facial Plastic &Reconstructive Surgery–AAFPRSAnnual Fall MeetingSeptember 18 - 20, 2008Promer House Hilton Chicago, ILContact: Ollie Edwards703. 299.929 [email protected]

American Academy of Otolaryngology Headand Neck Surgery–AAOHNS2008 Annual Meeting & OTO EXPOSeptember 21 - 24, 2008McCormick Place Convention Center Chicago, ILContact: Irma Chavez703.519.1557 pwww.entnet.org

International Society of Cosmetic and Laser Surgeons–ISCLS 17th Annual Meeting Date and Location to be Determined Contact: [email protected] 312.981.6799 p www.iscls.org

OCTOBER 2008International Esthetics, Cosmetics & SpaConference–IECSCOctober 4 - 6, 2008Orlando/OC Convention CenterOrlando, FLContact: John Clarke800.624.3248 [email protected]

China International Beauty WeekDate PendingBeijing Exhibition Center, Beijing, ChinaContact: Vanessa Kuhlmann+49 711 490 890 0 pwww.beautyweek-china.com

American Society of Plastic Surgeons– ASPS77th Annual Scientific MeetingOctober 31 - November 5, 2008 McCormick Place WestChicago, ILContact:ASPS/PSEF Registration800.766.4955 pwww.plasticsurgery.org

NOVEMBER 2008American Society for Dermatologic Surgery–ASDS 35th Annual Scientific Meeting November 6 - 9, 2008 J.W. MarriottOrlando, FL 847.956.0900 pwww.asds.net

American College of Phlebology–ACP22nd Annual CongressNovember 6 - 9, 2008Marco Island Marriott Resort Golf Club & Spa Marco Island, FLContact: Dana DePonzi510.834.6500 pwww.phlebology.org

American Academy of Ophthalmology–AAO joined with European Society of Ophthalmology -SOEAnnual MeetingNovember 8 - 11, 2008Georgia World Congress CenterAtlanta, GA Contact: Meetings Department415.561.8500 x320 pwww.aao.org

International Spa Association–ISPA18th Annual ISPA Conf. & ExpoNovember 10 - 13, 2008Las Vegas, NVContact: Jennifer Spencer888.651.4772 pwww.experienceispa.com

American Society of Cosmetic Dermatology and Aesthetic Surgery – ASCDAS7th Annual Meeting and ExhibitionDate and Location PendingContact: Larry Bodkin850.531.8330 [email protected]

DECEMBER 2008American Academy of Anti-Aging Medicine–A4M16th Annual World Congress on Anti-Aging Medicine and Regenerative Biomedical TechnologiesDate PendingVenetian HotelLas Vegas, NVContact: Aaron Smith800.558.1267 pwww.worldhealth.net

events 2008



PreSS Corner

and dermatology professionals.

Participants now have a single

laser training resource dedicated

to improving patient safety and

minimizing professional liability.

“Our purpose is to fill a

training gap that exists between

laser manufacturers and laser

practitioners,” says Gregg Wright,

president and general manager

of IAM, “a gap that unnecessarily

exposes both patient and

professional.”

The new laser training

curriculum is a 2 or 3-day

certification class taught by IAM’s

VP, Director of Clinical Education,

Patrick J. Clark, an established

expert in clinical light applications

since 1988. For some training

venues, IAM will offer a third day of

training and certification for Medical

Laser Safety Officers (MLSOs).

The CME-based classes are

designed for users of all skill levels–

both physician and staff, new or

veteran. The instruction takes the

attendee from basic concepts of light

and clinical application through

a clear path to the most current

thinking on how, why, and when

aesthetic procedures are performed.

Historically, IAM focused

on hands-on, advanced laser

training while MLD delivered a

broad foundation of aesthetic laser

concepts. Now, a comprehensive

curriculum can be found within a

single laser training resource, IAM.

The certification classes will be

held in Philadelphia, PA, Feb 8-10

(Sciton-sponsored); Nashville, TN,

Feb 22-24; and Maui, HI, Feb 27-29.

Participants receive 12 or more CME

contact hours, depending on course

selection.

Institute for Aesthetic Medicine,

Inc. (IAM)

800.436.9311

www.IAMeducated.com

lumenis ltd. Announces Coo Will leave the Company

Lumenis® Ltd., a global developer,

manufacturer and seller of laser,

light-based, and radiofrequency

devices for surgical, aesthetic, and

ophthalmic applications, announced

that its chief operating officer, Zivi

Nedivi, will leave Lumenis to take

up position as CEO of a company in

a different industry, but will remain

with Lumenis as long as needed to

ensure a smooth handover of his

responsibilities. “Zivi’s contribution

to the design and implementation

of our turnaround has been

significant; and on behalf of the

entire management team, I wish him

well as he pursues the next chapter

of his career,” said Dov Ofer, CEO of

Lumenis.

Lumenis is Israel’s largest

medical device company with more

than 1,000 employees worldwide.

The company invests heavily in R&D

and holds a leading position in the

markets in which it serves. Lumenis

has over 250 patents worldwide,

over 75 FDA clearances, worldwide

presence in over 100 countries, and

an installed base of over 70,000

systems. About one year ago, a group

led by a private equity consortium,

LM Partners LP and Ofer Hi-Tech

Group, invested approximately $150

million in the company.

Lumenis Inc.

408.764.3000

www.lumenis.com

lutronic uSA launches MoSAiC fractional laser System

Lutronic USA LLC announces a

breakthrough laser device, the

MOSAIC fractional laser system, for

treating aesthetic and dermatological

procedures. MOSAIC is an

advanced laser medical device that

uses the latest in micro fractional

technology, offering physicians

an unprecedented combination of

flexibility, precision and control for

indications including scarring, sun-

damaged skin, and melasma.

“MOSAIC has proven to be an

invaluable solution to physicians in

markets throughout the world, and

we are extremely pleased to have

received clearance to market this



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PreSS Corner

breakthrough system in the United

States,” said Bill Eldridge, Director

of Sales and Marketing for Lutronic

USA. “This represents an important

milestone in the continued growth

and evolution of Lutronic USA,

and we look forward to continued

growth in this market as we strive to

deliver a full range of premier quality

technologies and solutions to the

clinical community.”

MOSAIC employs Lutronic’s

patented Controlled Chaos

Technology (CCT), which delivers

multiple arrays of randomized

microscopic laser beams to the

skin. MOSAIC’s unique “spray

paint” approach eliminates the need

for multiple linear passes and the

clinical disadvantages of unavoidable

overlap.

MOSAIC’s patented CCT

ensures that micro necrotic columns

(MNCs) are randomly delivered and

sufficiently spaced apart to achieve

a more natural, uniform treatment

and prevent unnecessary bulk

thermal damages often caused by

conventional linear delivery methods.

Affecting only a small portion of the

total skin surface at each session,

the MNCs stimulate a natural healing

process to initiate long-term collagen

remodeling and elastin regeneration.

Excess necrotic pigment and

coagulated cellular debris are then

rapidly re-epithelialized as the skin

heals.

Lutronic USA LLC

888.588.7644

www.lutronicusa.com

Palomar and q-Med AB enter into international distribution Agreement

Palomar Medical Technologies,

Inc. (Nasdaq: PMTI), a leading

researcher and developer of

light-based systems for cosmetic

treatments, announced the

execution of an international

distribution agreement with the

Swedish company Q-MED AB (OMX

Nordic Exchange, Stockholm Mid

Cap: QMED), a leading biotech/

medical device company based

in Uppsala, Sweden. Q-MED will

eventually be responsible for the

marketing, advertising, promotion,

sale, and distribution of Palomar’s

professional products for aesthetic

treatments outside North America.

Q-MED AB is the producer of

Restylane, one of the most popular

and widely distributed dermal

fillers in the world, with over 9

million treatments provided so far.

Q-MED AB sells Restylane globally

through a network of fully owned

sales companies, partners, and

distributors.

The single source availability

of Palomar and Q-MED products

will provide physicians with a wide

variety of treatment modalities

to better meet the needs of their

customers for a superior aesthetic

treatment. Palomar and Q-MED

also recognize that the potential

synergistic effects which may be

achieved using the current products

of both companies may provide

improved treatment options to

customers. In addition, Palomar

and Q-MED will collaborate on

marketing campaigns, as well as

arranging clinical symposiums,

consensus meetings and advisory

boards.

The companies intend that

Q-MED will be an exclusive

distributor in a major portion

of Europe by the end of 2008

and a large portion of the rest

of the world (excluding North

America) by the end of 2009. The

transition from Palomar’s existing

distributors to Q-MED shall be

on a country-by-country basis as

the companies agree on the terms

of each transition. Palomar and

Q- MED plan to work with each

of Palomar’s current distributors

to determine how each distributor

might successfully work together

with Q-MED during and after each

country is transitioned.

Palomar Medical Technologies, Inc.

800.725.6627www.palomarmedical.com


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These DocTors Are Among

The Top physiciAns

in our FielD

Michael H. Gold, M.D.Gold Skin Care CenterNashville, TN

Mitchel P. Goldman, M.D.Spa MDLa Jolla, CA

George M. Martin, M.D.Dermatology Laser Center of MauiMaui, HI

David J. Goldberg, M.D.Skin Laser & Surgery SpecialistsNew York, NYMiami, FL

A. Jay Burns, M.D.Dallas Plastic Surgery InstituteDallas, TX

CME Training for the Medical Aesthetic ProfessionalWe’re Growing! And so can you– train in one of the offices of these leading physicians within our network.

Each physician is an activePhysician Network Office of theInstitute for Aesthetic Medicine

www.IAMeducated.comToll-free 800.436.9311Waterford Business Park • 5201 Blue Lagoon Drive, Suite 800 • Miami, FL 33126 USA

AESTHETICMEDICINE

All Physicians Are Board Certified

Michael H. Gold, M.D. CMO & Co-Founder

Documents

Aeshtetic Trends - Jan/Feb 2008 eBook