Aesthetic 2

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The development of a non-invasive scalpel might be considered the most revolutionary aesthetic medical achievement of the new century. An emerging ultrasound platform from Ulthera, Inc. (Mesa, Arizona, U.S.) may be the first big step in that direction. Featuring a proprietary handpiece with a unique dual-action transducer system, this device emits ultrasound energy to both image and treat the fibromuscular layer of the face, beneath the skin without damaging intervening tissue. This approach allows clinicians unprecedented control over the precise placement of thermal energy at a specific depth. Though results may be less dramatic than those of a surgical face-lift, the implications of this novel technology are substantial nevertheless.
continued on page 3
Novel Modality Unites Ultrasound

Imaging and Treatment
By Kevin A. Wilson, Contributing Editor
Employing focused ultrasound to noninvasively lift and tighten soft tissue on the face, the Ulthera System from Ulthera, Inc. utilizes the same energy to both image and treat the skin and its underlying support structures. Intervening tissue, from the epidermis down to the point of treatment, is spared, providing for safe, accurate deposition of energy. The Ulthera technology platform is CE marked and currently marketed in Europe and Asia, with FDA clearance pending. Patented DeepSEE technology provides physicians a see and treat capability never before experienced in aesthetic medical instrumentation. Two specialized ultrasound modalities one for imaging and one for emitting and focusing acoustic energy, to create a thermal effect beneath the skin, are combined into one transducer. The Ulthera System represents a new category of non-invasive aesthetic modalities, said R. Rox Anderson, M.D., director of the Wellman Center for Photomedicine (Boston, Massachusetts, U.S.) and professor of dermatology at Harvard Medical School (Cambridge, Massachusetts, U.S.). Ultrasound technology gives clinicians unprecedented control of thermal damage at a clearly specified depth in tissue. This approach can achieve outstanding safety and consistent efficacy when compared with previous technologies for dermal treatments. R. Rox Anderson, M.D.
Director Wellman Center for Photomedicine Boston, MA, USA
downtime. Ultimately, non-surgical skin tightening comes from the specific application of thermal energy to cause injury and stimulate the natural wound healing response, he conveyed. Real facial rejuvenation was first seen with the advent of CO2 laser devices for superficial resurfacing in 1994. This worked very well but we discovered problems with this technology that made it less than ideal for the indication, such as hypopigmentation, scarring and lengthy downtime. Jason Pozner, M.D.
Plastic Surgeon and Medical Director Sanctuary Medical Aesthetic Institute Boca Raton, FL, USA
Ultrasound technology gives clinicians unprecedented control of thermal damage at a clearly specified depth in tissue.
Around the year 2000 we began using non-ablative lasers for skin tightening, Dr. Pozner explained. The histology looked great but the results were inconsistent. It took many treatments and a lot of time to see results. As the search continued, noninvasive technology for true facial tightening proved elusive. Radiofrequency (RF) came onto the scene soon after, which had the capability to treat deeper into the dermis. It was limited, however, by the large amounts of energy delivered at the surface to cause subsurface thermal damage, which at that depth was indiscriminate. This made for an extremely painful procedure with inconsistent results. RF was followed quickly by infrared energy, which could provide good skin tightening outcomes, but again, results were inconsistent, Dr. Pozner continued. Fractional technologies came next, with non-ablative methods preceding ablative versions. Many treatments were required to achieve modest results, but risk and downtime were significantly reduced. Ablative fractional treatment is currently the new thing, with less treatments required. Even so, it tackles the problem from the same direction as other techniques and the deeper structures arent targeted.
According to Jason Pozner, M.D., plastic surgeon and medical director of Sanctuary Medical Aesthetic Institute (Boca Raton, Florida, U.S.), the Ulthera System represents a natural evolution in response to the growing demand for safer, more effective modalities with minimized invasiveness and
Single 30 minute office visit yields significant lifting and tightening over time
Photo courtesy of Sean Lanigan, M.D.
THE European Aesthetic Guide Spring 2009 www.euroabg.com
THE European
Spring 2009 Volume 6 Number 1
Table of Contents
20 Brazilian Butt Lift Procedure
36
AAMWC Congress Preview
46
IMCAS Congress Review
60
2009 Aesthetic Market Forecast
Also In This Issue

66 72 76 80 82 86 88 92 Body Shaping Technology Comparison Chart Skin Rejuvenation Comparison Chart Hair Removal Comparison Chart Acne Tx Device Comparison Chart Vascular Technology Comparison Chart Fractional Technologies Comparison Chart Dermal Fillers Comparison Chart Aesthetic Company Directory
AAMWC Adoderm GmbH
Advertisers Index
71 41 Liquid Ice CosMedicals Lumenis 31 45 23 2 51 33 25
THE Aesthetic Show 2009 1011, 59 Osyris Medical Alma Lasers BTL Candela Contura Cynosure Elem Ellipse FotoFinder Systems General Project Grupo Body_Esthetic IMCAS 99 35 27 49 100 65 53 39 67 43 56 Palomar Quantel Derma GmbH Sciton Solta Medical
Sperian Eye & Face Protection 55 STORZ MEDICAL Syneron Ulthera 17 19 7
Michael Moretti
Editor/Publisher mmoretti@miinews.com
Associate Publisher lmorvant@miinews.com
Leah Morvant
Editorial Staff
Contributing Editor Contributing Editor
Shannon Fox
Ilya Petrou, M.D.

Contributing Editor Contributing Editor Contributing Editor
Birgit Hansen
Alison Sahoo Fred Wilson
Bob Kronemyer
Associate Editor Contributing Editor
Lara G. Owens
Kevin A. Wilson
Contributing Editor
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The ability to adjust treatment depth will allow us to treat different individual patients effectively, independent of skin color or thickness, despite variations in facial structure.
Although still relying on thermal effect with subsequent wound healing and neocollagenesis for tightening, the Ulthera System successfully treats a familiar indication from an unfamiliar angle: non-invasive acoustic energy focused on a single relevant tissue plane. Combining ultrasound imaging with ultrasound therapy, the device targets the deeper support structures. Treatment energy is emitted from a concave transducer and focused at a precise depth, allowing it to pass through the dermal barrier without disrupting it. Dr. Pozner feels that the Ulthera System has phenomenal potential. The ability to adjust treatment depth will allow us to treat individual patients effectively, independent of skin color or thickness, despite variations in facial structure. Nothing else out there is like this. Other ultrasound devices are fixed-focus and go much deeper because they are used to treat fat. Another unique aspect of Ultherapy, as the treatment is called, is its ability to achieve lifting. Unlike non-surgical modalities in use today, Ultherapy treats the collagen and elastin fibers of the superficial musculoaponeurotic system (SMAS), Dr. Pozner explained. Besides a face-lift, no other modality treats this layer. This system is a remarkable device, said Sean Lanigan, M.D., group medical director of Sk:n Clinics, headquartered in Edgbaston, Birmingham, England. You can image the treatment area during the
procedure, then precisely control the deposition of energy. Its also quite easy to use, not technically challenging for the operator at all. Theres almost nothing in terms of downsides or surface effects, which is a big plus. Sean Lanigan, M.D.
Group Medical Director Sk:n Clinics Edgbaston, Birmingham, England
Using the handpiece, the operator scans a two-dimensional, real time, high resolution cutaway image of the treatment site to a depth of approximately 8 mm, which appears on the display interface. With this, the user can determine the ideal depth at which to deposit treatment energy. You can see the air/skin interface on the display, as well as the layers of tissue below, said Dr. Lanigan. This gives the user complete confidence in knowing exactly where energy should be applied, and where thermal injury will occur within the tissue. Theres no guesswork involved, its right there on the screen. This represents an unparalleled level of precision as well as ease of use. A transducer is then chosen based on the desired depth of thermal effect. Currently, three transducers are available that penetrate to depths between 3 mm and 4.5 mm. The correct choice of transducer directly affects the efficacy and safety of treatment with this system, Dr. Pozner advised. Treatment transducers are disposable, but are designed for multi-patient use. Treatment energy is then applied in linear rows into the tissue at the treatment site, causing thermal damage to lift and tighten the fibromuscular layer. During traditional surgery weve observed that cautery to the SMAS causes it to shrink, stated Dr. Pozner. The Ulthera System accomplishes this non-invasively, taking us to new levels of non-surgical tightening.
Improvement in crow's feet and eyelid laxity, 90 days after one Tx

Photos courtesy of Brian Zelickson, M.D.
A full-face procedure takes approximately 30 minutes, as the physician systematically images and treats each facial region. There is virtually no downtime with Ultherapy. Thermal coagulation occurs sub-clinically and healthy tissue in between the mapped matrix of coagulation points is undisturbed. Its safety profile is excellent. We see occasional redness, lasting maybe a few hours, but patients can resume normal activity immediately after treatment, reported Brian Zelickson, M.D., director of Zel Skin and Laser Specialists (Edina, Minnesota, U.S.), and among those overseeing U.S. clinical trials for the Ulthera System. No anesthetic or cooling is required, though Dr. Zelickson expects this may change. Treatment is somewhat uncomfortable so we may see the addition of anesthesia, especially with more aggressive protocols. Brian Zelickson, M.D.
Director Zel Skin and Laser Specialists Edina, MN, USA
In addition to its emergence as a novel modality, there are other advantages to the physician. The Ulthera System is lightweight and portable, which is a major benefit to practitioners, for many of whom office space is at a premium. The prototype investigational version of the device we have is a little bit larger than a standard desktop computer, said Dr. Zelickson. In addition, Ultherapy can be easily integrated into the practice, given its brief learning curve for the operator and convenience for the patient. According to Dr. Lanigan, the Ulthera System is poised to become an essential addition to the aesthetic practice. This device is in a category of its own, and it has a lot of interesting prospective applications, but were nowhere near realizing its full potential. This deep treating modality is a natural complement to lasers, dermal fillers and neuromodulators for an even greater total improvement. Dr. Lanigan is currently performing clinical trials with Ultherapy in Europe, on 20 subjects, each undergoing one full-face treatment. Preliminary assessments show obvious visible improvement already occurring in some of the patients, he observed, adding that follow-up assessments at six months post treatment are still needed before final results can be reported. In the combined U.S. studies so far, weve performed one or more procedures on 35 to 40 patients, said Dr. Zelickson. There is clinically observable brow lifting in 80% to 90% of subjects. Preliminary results also point to a consistent dose response, which we havent seen as much with other tightening procedures of the brow. Lower face trials are ongoing, and although we dont have data at this time, were beginning to see tightening in the neck and jaw line. Protocols resulting from these studies will optimize outcomes. It will be interesting to see where the capabilities of this device take us in the future.
There is clinically observable brow lifting in 80% to 90% of subjects. Preliminary results point to a consistent dose response as well.
Dr. Lanigan does not use cooling, anesthesia or analgesia with Ultherapy. In my experience, treatment is very well-tolerated and discomfort during treatment is energy dependent, he said. It can also vary by treatment location. I talk patients through it and if necessary, reduce the energy level. The energies we use still produce significant tightening.
More defined jawline, 90 days after one Tx

Photos courtesy of M. Alam, M.D.
Dr. Pozner believes the Ulthera System could be the final piece of the puzzle for those seeking the true prototype non-surgical face-lift, albeit with comparatively modest results. Besides a face-lift, no other modality treats the SMAS for tightening, he said. You could use the Ulthera System for rejuvenation of the SMAS and the platysma, and follow with laser or RF devices for more superficial tightening. Resurfacing can be added to handle textural and pigment issues, plus something for vascular lesions if necessary. If the patient wants, we use dermal fillers and neuromodulators. In the immediate future, this device will be used primarily for patients who want observable skin tightening results without surgery, Dr. Zelickson conveyed. With the unique combination of visualization and the ability to specifically target structures beneath the skin, well soon see this device used for many other indications. That alone separates the Ulthera System from other skin tightening technologies, even before we see it in wide use. Dr. Lanigan agreed, Well see the Ulthera System tightening the lower face and jowls, probably with benefits for the neck and dcolletage as well. It has potential for many areas where skin tightening is desirable, such as the upper arms, buttocks and abdomen. Brow lifting is simply the gateway to other indications advised Matt Likens, Ulthera president and CEO. Right now our initial focus will be on the face and neck, but eventually we envision the Ulthera System being used all over the body for a variety of conditions. We will continue to augment our clinical development programs with scientific research as we add clinical indications to the Ulthera platform, which is currently being launched in Europe and Asia. The possibilities for this device are numerous.
Since the Ulthera System is a platform technology, Mr. Likens continued, we have more than a dozen clinical indications were pursuing and will unveil over the next few years. Our development plan is very aggressive but more than that, it is scientifically rigorous. Some indications are aesthetic, some medical. According to Mr. Likens this means, among other things, the development of additional transducers to increase the variety of depths with which to reach targeted connective tissue. Another strength is the patent portfolio owned by Ulthera. This technology is protected by more than 100 patents, Mr. Likens stated. From a competitive standpoint were in a strong position to protect our interests using this unique approach. Combining ultrasound imaging and coagulation capabilities in a portable device represents a significant engineering advance. Ultheras marketing strategy began with the fourth quarter delivery of units to sites in Europe and Asia, and the firm has reached agreements with highly regarded distributors outside the U.S. A measured roll-out is planned for the U.S. once FDA clearance is acquired. Well start selling the Ulthera System in the U.S. within 30 days of receiving clearance, but placements will be limited throughout 2009, said Mr. Likens. We know the platform is safe, simple and straightforward, but we will implement a conservative roll-out plan. Every user must be comfortable with this new technology, and its important to us that the science continues to be emphasized.
In the immediate future, this device will be used primarily for patients who want observable skin tightening results without surgery.
Reduced eyelid laxity with brow lift, 90 days after one Tx

Photos courtesy of Sean Lanigan, M.D.
EDITORIAL ADVISORY BOARD

Maurice Adatto, M.D. Medical Director Skinpulse Dermatology & Laser Center Geneva, Switzerland Daniel Cassuto, M.D. Professor of Plastic Surgery University of Catania Catania, Italy
Macrene Alexiades-Armenakas, M.D., Ph.D. Assistant Clinical Professor Yale University School of Medicine New Haven, CT Director, Dermatology and Laser Surgery New York, NY, USA
Koenraad De Boulle, M.D. Director Aalst Dermatology Group Aalst, Belgium
Tina Alster, M.D. Washington Institute of Dermatologic Laser Surgery Washington, D.C., USA
Jason B. Diamond, M.D., F.A.C.S. Diplomate, American Board of Facial Plastic and Reconstructive Surgery Los Angeles, CA, USA
Rox Anderson, M.D. Massachusetts General Hospital Boston, MA, USA
Barry DiBernardo, M.D., F.A.C.S. New Jersey Plastic Surgery Montclair, NJ, USA
Benjamin Ascher, M.D. Plastic Surgeon, Clinique IENA Lecturer and Clinical Assistant, Paris Academy Paris, France
Christine Dierickx, M.D. Medical Director Laser and Skin Center of Boom Boom, Belgium
Leslie Baumann, M.D. Chief, Division of Cosmetic Dermatology Associate Professor of Dermatology University of Miami Miami, FL, USA
Jeffrey S. Dover, M.D., F.R.C.P.C. Clinical Associate Professor of Dermatology Department of Dermatology Yale University School of Medicine Chestnut Hill, MA, USA
Eric Bernstein, M.D. Clinical Associate Professor Department of Dermatology University of Pennsylvania Bryn Mawr, PA, USA
Richard Fitzpatrick, M.D. Dermatology Associates Encinitas, CA, USA
Peter Bjerring, M.D., Ph.D. Professor of Dermatology Aarhus University Hospital Vejle, Denmark
Klaus Fritz, M.D. Director Dermatology and Laser Centers Landau and Kandel, Germany
Frederic S. Brandt, M.D. Private Practice in Miami, FL and New York, NY, USA
Michael H. Gold, M.D. Gold Skin Care Ctr., Tennessee Clinical Research Ctr. Clinical Assistant Professor Vanderbilt University School of Medicine Nashville, TN, USA
Martin Braun, M.D. Medical Director of Cosmetic Rejuvenation The Vancouver Laser and Skin Care Center, Inc. Vancouver, BC, Canada
David Goldberg, M.D. Clinical Professor of Dermatology Mount Sinai School of Medicine New York, NY, USA
A. Jay Burns, M.D. Assistant Professor of Plastic Surgery University of Texas, Southwestern Medical Center Dallas, TX, USA
Miles Graivier, M.D., F.A.C.S. Plastic and Reconstructive Surgeon North Atlanta Plastic and Reconstructive Surgery Roswell, GA, USA
12
SlimLipo Body Sculpting Laser Delivers

Significant Body Contouring and Tightening
By Bob Kronemyer, Associate Editor
SlimLipo, Palomar Medical Technologies (Burlington, Massachusetts, U.S.) newly debuted body sculpting laser, stands apart from competitors by offering selective dual wavelengths and a unique tip design. Through laser-assisted lipolysis, SlimLipo achieves skin retraction, tightening and smoothness. Additional advantages over traditional liposuction include fewer and smaller incisions, the ability to precisely sculpt small areas such as triceps and the submental region, reduced recovery and downtime, less bruising and a high rate of patient satisfaction. SlimLipos Selective Laser-Induced Melting (SLIMSM) technology facilitates safe delivery of significant results by utilizing wavelengths optimized for fat absorption (924 nm) and contraction of the dermis (975 nm). According to Robert Weiss, M.D., director of the Maryland Laser, Skin and Vein Institute (Hunt Valley, Maryland, U.S.), after experiencing the other available wavelengths for laser-assisted lipolysis, I feel that Palomar best addressed the matter by developing a technology that fits the science. It stands apart from predecessors by combining optimized wavelengths that specifically target both lipids and the dermis with continuous wave delivery. SlimLipos unique treatment tip features rounded angles and uniform continuous wave energy delivery to minimize the mechanical damage, high temperature spikes and bubbles typically observed with the blunt tip of other pulsed laser devices. The distinct features of the SlimLipo tip reduce the time and effort required to perform a single procedure. It is very simple and takes no effort to perform sort of like the proverbial hot knife through butter, noted Kenneth Rothaus, M.D., a plastic surgeon at New York Presbyterian Hospital (New York, New York, U.S.). return to work the following day. At two weeks post treatment, 83% of patients observed smoother skin; by six weeks, nearly 90% demonstrated excellent improvement. The ultimate litmus test was that 100% of the study participants indicated that they would choose the procedure again and would recommend it to others. According to Jeffry B. Schafer, M.D., a plastic surgeon at New Image Cosmetic Surgery (Coronado, California, U.S.), SlimLipo is truly unique. The selective fat melting allows me to treat multiple areas even larger areas leaving smooth skin that you can see and feel. In contrast to traditional liposuction, treating small areas with minimal fat, such as the submental area, is also easy due to the SLIM procedures versatility. SlimLipo is worth buying just for the results achieved in the submental area, added Phillip Craft, M.D., a plastic surgeon at New Beauty Center for Cosmetic Surgery (Miami, Florida, U.S.).
After experiencing the other available wavelengths for laserassisted lipolysis, I feel that Palomar best addressed the matter by developing a technology that fits the science.
SlimLipos advantages also allow physicians to schedule more patients per day than traditional liposuction thereby making it a more profitable procedure. Additional benefits include higher patient satisfaction, no report of any serious complications to date and a significantly reduced need for subsequent revision treatments. Patient benefits from the SLIMSM procedure include improved body shaping and fat reduction, enhanced skin retraction, less tissue trauma, e.g., bruising or bleeding, and faster recovery compared to traditional liposuction. This is an amazing technique which is more comfortable for the patient and associated with less pain and bruising compared to traditional liposuction. The terrific skin tightening that occurs after this procedure is really the icing on the cake, stated Maurice Adatto, M.D., medical director of SkinPulse Dermatology and Laser Center (Geneva, Switzerland). In a clinical study performed by Dr. Weiss, side effects were negligible and brief, consisting of minimal post-operative pain and tenderness. Patients experienced little to no downtime and were able to
Before Tx
Before Tx
After Tx
Photos courtesy of Jeffry Schafer, M.D.
After Tx
Photos courtesy of Phillip Craft, M.D.
13
Said Hilton, M.D. Aesthetic Dermatologist Director Academy for Cosmetic Medicine Dsseldorf, Germany
Luigi Polla, M.D. Medical Director Forever Laser Institut Geneva, Switzerland
Bruce Katz, M.D. Clinical Professor of Dermatology Mount Sinai School of Medicine New York, NY, USA
Jason Pozner, M.D. Medical Director Sanctuary Medical Aesthetic Center and Sanctuary Plastic Surgery Boca Raton, FL, USA E. Victor Ross, M.D. Director Cosmetic and Laser Dermatology Unit Scripps Clinic San Diego, CA, USA Mark G. Rubin, M.D. Assistant Clinical Professor of Dermatology University of California, San Diego Private Practice Beverly Hills, CA, USA
Arielle Kauvar, M.D. Clinical Associate Professor of Dermatology New York University School of Medicine New York, NY, USA
Suzanne Kilmer, M.D. The Skin Surgery Center of Northern California Sacramento, CA, USA
Sean Lanigan, M.D. Group Medical Director Sk:n Clinics Edgbaston, Birmingham, England
Neil Sadick, M.D. Clinical Professor of Dermatology Weill Medical College of Cornell University New York, NY, USA
Jean Luc Levy, M.D. Dermatologist Hospital de la Croix Rouge Marseille, France
Deborah S. Sarnoff, M.D., F.A.A.D., F.A.C.P. Clinical Professor of Dermatology NYU Langone Medical Center New York, NY, USA
Tess Mauricio, M.D. Founder Scripps Ranch Dermatology and Cosmetic Center San Diego, CA, USA
Gerhard Sattler, M.D. Founder and Medical Director Rosenpark Klinik Darmstadt, Germany
Jean Michel Mazer, M.D. Dermatologist Medicine of Paris Paris, France
Ava Shamban, M.D. Laser Institute for Dermatology, Santa Monica, CA Assistant Clinical Professor of Dermatology University of California, Los Angeles Los Angeles, CA, USA
David McDaniel, M.D. Laser Center of Virginia Virginia Beach, VA, USA
James Spencer, M.D. Mount Sinai Medical Center New York, NY, USA
Serge Mordon, Ph.D. Research Director INSERM Lille, France
Mark B. Taylor, M.D., F.A.A.D. Director Gateway Aesthetic Institute and Laser Center Salt Lake City, UT, USA
Colin Morton, M.D., F.R.C.P. Consultant Dermatologist at Falkirk Royal Infirmary in Falkirk, Scotland
Mario A. Trelles, M.D., Ph.D. President and Medical Director Medical Institute of Vilafortuny Cambrils, Spain
Ronald Moy, M.D. UCLA Medical School Los Angeles, CA, USA
Robert Weiss, M.D. Associate Professor of Dermatology Johns Hopkins University School of Medicine Hunt Valley, MD, USA
Rhoda S. Narins, M.D. Clinical Professor of Dermatology at NYU Medical Center Medical Director of the Dermatology Surgery and Laser Center of Manhattan and White Plains, NY, USA
William Philip Werschler, M.D., F.A.A.D., F.A.A.C.S. Assistant Clinical Professor of Medicine/Dermatology University of Washington School of Medicine Seattle, WA, USA
14
Cynosures Smartlipo MPX

Represents Future in Body Sculpting
Gerhard Sattler, M.D.
Cosmetic Surgeon Rosenpark Klinik Darmstadt, Germany
By Ilya Petrou, M.D., Contributing Editor

Through the years liposuction techniques have continued to evolve, and ongoing research has led to technological refinements of many high-end laserassisted lipolysis devices. According to Gerhard Sattler, M.D., a cosmetic surgeon at the Rosenpark Klinik in Darmstadt, Germany, Smartlipo MPX, from Cynosure (Westford, Massachusetts, U.S.), clearly raises the bar in liposuction procedures. Smartlipo MPX not only achieves superior results but also widens the spectrum of treatment to include indications that are notoriously very challenging. With its dual wavelength laser system, the Smartlipo MPX device uses 1064 nm and 1320 nm wavelengths in a single laser output. The 1064 nm wavelength is designed to disrupt a broad area of targeted tissue with even heating, as well as mediate blood vessel coagulation to enhance hemostasis. Its high concentration and minimal scattering capabilities facilitate quick absorption of the 1320 nm wavelength by water in the tissue. Though they can be used individually, the combination of these two wavelengths efficiently liquefies fat and tightens skin through collagen remodeling. I have been working with the Smartlipo MPX laser for over six months. The device addresses challenging indications such as skin elastosis and cellulite. Smartlipo MPX amounts to nothing less than a revolutionary treatment and has established a new paradigm in body sculpting techniques, said Dr. Sattler. When performing a liposuction procedure, Dr. Sattler uses a modified tumescence technique in which he introduces up to 10 liters of fluid compared to 5 liters which is typical in the U.S. This extra fluid prepares the surgical site for fat removal so that the surgeon is able to distinguish anatomical structures in the subcutaneous space without actually seeing the tissues, via the cannula. Dr. Sattler combines his modified tumescence with the Smartlipo MPX device to treat certain aesthetic issues better than was possible before. This combination technique can achieve astounding cosmetic results and represents a state-of-the-art treatment in body sculpting procedures. An excellent knowledge of the subcutaneous anatomic structures is essential to achieving optimal aesthetic results. Some of the indications for the Smartlipo MPX device include cellulite, elastotic skin, seen on the abdomen following pregnancy, skin irregularities as a result of scarring from secondary liposuction cases, as well as ptotic breasts. We know that there is a lot of skin and tissue retraction when we perform liposuction on the breasts. Sometimes we dont want reduction, but rather just skin tightening in order to avoid scarring in mammoplasty, Dr. Sattler explained. The Smartlipo MPX can treat subdermally, resulting in skin retraction that cannot be achieved with transdermal or radiofrequency devices. Transdermal and radiofrequency are good techniques but I feel Smartlipo MPX is clearly a better device due to the superior cosmetic results we have achieved. According to Dr. Sattler, Smartlipos effective treatment of cellulite is reason enough to acquire the device. Moreover, with all the other indications that the device appears to master, there is ample reasoning for cosmetic physicians to invest in this device. Retrospectively, I understand why it was so difficult to treat secondary liposuction cases. We believed the scar tissue was being liberated during treatment but in reality we were not able to do that. Now with the optimal laser energy from the Smartlipo MPX, you are just melting it all away, Dr. Sattler noted.
Smartlipo MPX not only achieves superior results but also widens the spectrum of treatment to include indications that are notoriously very challenging.
15
Letter from the Editor
Signs Indicate Early Economic

Recovery for Aesthetic Market
Like all of us, I have been inundated by the medias doom and gloom reports of the global economic recession. This is a topic that impacts everyone in the medical aesthetic field in some way, and is certainly not isolated to the U.S. Traveling and speaking with executives that operate global businesses confirms that no region of the world is immune to these negative macroeconomic forces although the timing and scope vary by market segment and even by country in many cases. company Johnson & Johnson (New Brunswick, New Jersey, U.S.) recently took the opportunity to purchase Mentor Corporation (Santa Barbara, California, U.S.) in a cash transaction valued at $1.2 billion. This decision was made by a very conservative company after years of careful analysis. Obviously, management at J&J has a long range view of the medical aesthetic market and firmly believes that it represents a profitable investment over time. They also obtained this platform company at an attractive discounted valuation because they were willing to make the acquisition at a time when panicked investors were selling their stake in Mentor.
Reactions to this economic crisis also fluctuate, with some industry executives and physicians showing cautious optimism and hope for a near-term recovery, while others seem hopelessly caught in a morass of fear and pessimism. This story is simply one sign on the road to recovery, Looking more closely at this spectrum of personalities, it and will surely be followed by other strategic investments seems that the optimists share a sense of historical perspecas large medical aesthetic players such as Allergan tive and the ability to visualize a return to prosperity. (Irvine, California, U.S.), Galderma (Fort Worth, Texas, Conversely, the others appear obsessed U.S.) and Stiefel (Coral Gables, Florida, with their immediate financial losses U.S.) find opportunity in the chaos of For the positive thinkers and fear of worsening conditions. They the global recession. Seasoned execamong us, there are subtle utives at these leading companies have are effectively in a permanent panic indicators that the raging mode that breeds negative thoughts. the ability to see beyond the natural economic storm is blowing down-cycle of an economic decline as itself out. Anyone who has taken the time to they invest in a market that is both study the precepts of positive psycholosustainable and prosperous over time. gy or even read the popular distillation of these philosophies, as presented in the bestselling book The Secret, Our feature article on page 60 provides a detailed clearly recognizes the self-fulfilling trap of allowing negaanalysis and forecast for the medical aesthetic market. tive thoughts to essentially shape your reality in a causative You will also see the signs that portend an early return manner. Simply put, pessimism attracts failure and subseto high aesthetic procedure growth volume and market quent frustration in an endless cycle. A prime example of expansion. Like visionary industry executives, successthis phenomenon involves Wall Street investors that sell ful physicians share the mental acuity to recognize the their stock portfolios out of anxiety and thereby precipitate recession as a necessary economic Darwinian the dramatic collapse of the market. If these same investors process that eliminates weak aesthetic practices which instead visualized an early return to stable financial condidestabilize local markets. After the storm has passed, tions, they would hold their investments and the stock marthis market will be stronger then ever and dominated ket would stabilize after a period of adjustment. by the evolutionary survivors that realized their positive vision of the future. For the positive thinkers among us, there are subtle indicators that the raging economic storm is blowing Michael Moretti itself out. Reading these signs may require a bit of work Editor and intuitive faith, but they are unmistakably there for the trained observer with a disciplined mindset. To give an example that is particularly relevant to the medical aesthetic industry, the behemoth consumer healthcare
16
Syneron Restructures Management

Team to Focus on Physician Community
Lou Scafuri
Chief Executive Officer Syneron
With a solid dedication to creating innovative, sophisticated technology, Syneron Medical Ltd. remains a powerhouse in product development. By offering highly efficacious, safe and costeffective medical aesthetic systems, Syneron enables physicians to remain at the forefront of non-invasive facial and body contouring treatments. I believe Syneron is well positioned to continue as a market leader by working closely with our customers to meet their needs today and anticipate their future needs, conveyed Lou Scafuri, the companys new CEO, who previously held executive positions at ESC Medical Systems Ltd. and GE Marquette Medical Systems. According to Mr. Scafuri, the companys goal is to continue to provide efficacy and customer support of our devices and solidly address the entire customer value proposition by offering flexibility in how a customer acquires our products. He also noted that the breadth and depth of Synerons product line, for both the facial and body contouring segments, allows bundling options and the ability to upgrade existing and future systems. Launching in Europe this Spring, Synerons LipoLite system for minimally invasive laser-assisted lipolysis, features SelectPulse technology which enables a range of pulse durations, energy levels and pulse repetition rates for precise control during treatment. LipoLite is combined with VelaShape to achieve Advanced Body Sculpting. This is a procedure which enables minimally invasive fat reduction treatment followed several weeks later by treatment of cellulite and body contouring. We will be introducing a
disposable component for VelaShape which we believe will make it even more affordable for most physicians, Mr. Scafuri said. Mr. Scafuri is also excited about eMatrix, the award winning designed tabletop platform using radiofrequency (RF). We are the first company to use an RF only dynamic energy source for fractional ablative wrinkle reduction, he said. The efficacy, ergonomics and reduced downtime of this system are extremely impressive. As the world moves into a new economic era, we are moving with it to offer new ways to help our customers be successful, stated Shimon Eckhouse, Ph.D., chairman of Syneron. We recognize the need for management with extensive experience in product development and distribution, as well as customer support; Mr. Scafuri excels in all of these areas. Founded in 2000, Syneron now has offices and distributors worldwide providing sales, service and support. With an installed base of more than 7,000 systems in 50 countries, Syneron is recognized as a worldwide technology leader in the competitive medical aesthetic market. We are acutely aware that the success of our company is dependent on how our products and services are embraced by the aesthetic community as a whole, Dr. Eckhouse said. We are always discovering ways to expand the capabilities and efficacy of our offerings. We want the physician and patient to have a win-win situation a profitable venture for physicians and great outcomes for their patients.
I believe Syneron is well positioned to continue as a market leader by working closely with our customers to meet their needs today and anticipate their future needs.
Shimon Eckhouse, Ph.D.

Chairman Syneron
18
Expert Opinions
coming to me for liposculpting are also requesting a Brazilian butt augmentation.

Alberto Goldman, M.D.
Overall, 98% of the patients
Aesthetic practices seeking a boost in revenues should consider the growing popularity of buttock lift surgery, also known as the Brazilian Butt Lift. This technique results in a prominent, youthful and sensual body profile, noted Alberto Goldman, M.D., a plastic surgeon from Porto Alegre, Brazil. Individuals that wish to enlarge, lift and shape the buttocks are good candidates for the surgery. A butt augmentation reshapes the gluteus and surrounding region using autologous fat transfer. Another less desirable, surgical option to improve and enlarge the buttocks area is the insertion of a silicone implant. Such implants can be inserted in a subfascial plane (intramuscular or submuscular). In thinner patients, the limited amount of fat donor areas constrains the fat transfer method, Dr. Goldman said. In these cases, the best indication is implant surgery. When using the fat transfer technique, adequate demarcation is followed by liposuction in the areas around the buttocks to improve and reshape these regions. Fat is removed and carefully prepared according to the surgeons preference (decantation, centrifugation, washing, etc.), then re-injected back into the gluteus region for reshaping and augmentation, Dr. Goldman explained. Usually, small amounts of fat are injected at different depths with the intention of decreasing the post-operative absorption rate.
20
Adds Lasting Curves
The Brazilian Butt Lift
21
Expert Opinions
This entire procedure is performed in one session; however, administering new injections a few months after treatment can enhance the results or even correct minor deformities, Dr. Goldman said. He also noted that the use of a fat graft is safer and requires less downtime than an implant. David Matlock, M.D., a gynecologist in private practice in Los Angeles, California, U.S., only performs the fat transfer method. The implant is unnatural, he said. Its very, very hard and painful. The incision is about three to four inches long. No one wants it. According to Dr. Matlock, the goal of the fat transfer is to transform buttocks into a bowl shape. In the majority of patients, fat is secured primarily from the abdomen, hips, outer and inner thighs. Many patients first need to gain weight in order to extract the necessary fat. My intent is to place a minimum of 300 CCs into each side of the gluteus. Once the fat is collected, Dr. Matlock uses a special technique to process the fat (including washing it with antibiotics). Fat is then placed in syringes and a special cannula is attached by a small tube to inject the fat. The entire procedure with liposculpting takes between two to three hours. Patients can return to work in four to seven days and resume exercising in 10 to 12 days. One of Dr. Matlocks staff members went through the procedure seven years ago and the full effect is still in place. Overall, 98% of the patients coming to me for liposculpting are also requesting a Brazilian butt augmentation, he said.
22
New Body Tip for Thermage NXT

Cuts Treatment Time in Half
Amy Forman Taub, M.D.
Medical Director SKINQRI Advanced Dermatology Research Center and Advanced Dermatology Clinic Lincolnshire, IL, USA
By Kevin A. Wilson, Contributing Editor

By offering a surface area more than five times the size of its predecessor, the Thermage Body Tip 16.0, from Solta Medical, Inc. (Hayward, California, U.S.), enables practitioners to effectively treat large body areas and cellulite more safely while cutting treatment time significantly compared to the traditional 3.0 cm2 tip. As the newest FDA cleared addition to the Thermage NXT system, this tip also features Comfort Pulse Technology, an innovative, proprietary energy delivery system that sequences the amount of heat and cooling during treatment for a more comfortable patient experience. According to Amy Forman Taub, M.D., medical director of the SKINQRI Advanced Dermatology Research Center and Advanced Dermatology Clinic (Lincolnshire, Illinois, U.S.), the introduction of the Thermage NXT, a monopolar capacitive radiofrequency (RF) device for single treatment body contouring, represents a leap forward in terms of treatment speed versus the previous generation system. The NXT device also features a much smaller footprint than previous systems, which is advantageous since space is usually at a premium in an aesthetic practice. With the Body Tip 16.0, body shaping treatment times are cut in half. A procedure that used to take 90 to 120 minutes now takes only 45 to 50 minutes, explained Dr. Taub. For example, in most cases body shaping of the thigh and buttock areas requires two separate treatments, one addressing cellulite and one for deeper tightening, to achieve maximum recontouring. Now, the Thermage Body Tip 16.0 joins these treatments in one safer, tolerable, more rapid procedure, she continued. By combining the cellulite and tightening treatments you could say it effectively cuts total treatment time by half again. By eliminating the need for an additional two hour procedure you not only make it more convenient, but also reduce patient costs. To increase comfort, the Thermage Body Tip 16.0 employs Comfort Pulse Technology, a new energy delivery system that administers RF energy in a repeating sequential pattern within the treatment tip area. Based on a new algorithm, initial RF pulses deliver 20% more energy than the target level and subsequent RF pulses taper the energy slightly, to more easily achieve and maintain the target energy level and maximize treatment results. Comfort Pulse Technology gives the skin little breaks between pulses so heat doesnt build up, which significantly increases patient comfort. Originally the build up of energy caused a sort of pain spike, or pinch, at the end of each treatment energy application. An integrated cooling mechanism is also sequenced with heat delivery to further enhance tolerability, explained Dr. Taub.
Body shaping of the thigh and buttock areas requires two separate treatments, one addressing cellulite and one for deeper tightening. The Thermage Body Tip 16.0 joins these treatments into one safer, tolerable, more rapid procedure.
With the new Thermage Body Tip 16.0, the process is less exhausting for the operator and easier on the patient, noted Dr. Taub, an assistant clinical professor of dermatology at Northwestern University (Chicago, Illinois, U.S.). Unlike many other treatments, patients can resume normal activity immediately following the procedure. Efficacy studies are ongoing, however, Dr. Taub treated eight patients as part of two international, multicenter clinical and customer preference studies conducted by Thermage (now Solta Medical, Inc. as of January 2009). Feedback was very positive. Subjects were eager to undergo additional treatment with the Thermage Body Tip 16.0, she reported. There were no safety issues and every clinician preferred using the new tip over the existing 3.0 cm2 tip. The Thermage Body Tip 16.0 has received European CE mark approval and FDA clearance and is now available worldwide.
Abdomen before Tx
Abdomen six months after Thermage NXT Tx

Photos courtesy of Bill Johnson, M.D.
24
AlexTriVantage Combines Key Wavelengths

for State-of-the-Art Pigmented Lesion Removal
Hilario Robledo, M.D., Ph.D.
Centro Medico Laser Vigo, Spain
Several different laser systems on the market today are geared to successfully remove unwanted pigmented lesions and tattoos. According to one user, Hilario Robledo, M.D., Ph.D., a general surgeon at Centro Medico Laser (Vigo, Spain), the AlexTriVantage laser from Candela leads the way in this cosmetic niche as it possesses the major advantage of offering three different wavelengths in one single device, to successfully address numerous pigmented lesions. In addition to Q-switched and long pulse alexandrite (755 nm), the AlexTriVantage laser is equipped with 1064 nm and 532 nm Nd:YAG wavelengths, which effectively remove lentigines, ephelides, melasma, dermal nevi, birth marks and multicolored tattoos. Post-inflammatory hyperpigmentation (particularly in darker skin types), as well as orange and yellow tattoo colors, are the most challenging pigmented lesions to treat. However, the AlexTriVantage laser manages to remove these lesions, effortlessly, noted Dr. Robledo. For years I have used Q-switched lasers for the elimination of various pigmented lesions and tattoos. The AlexTriVantage is very effective in removing all of these lesions but is especially useful in removing tattoos, even those of different colors which are notoriously challenging to treat, said Dr. Robledo. Formerly, Dr. Robledo used separate Qswitched lasers: Nd:YAG 1064 nm, 532 nm and 755 nm, when treating pigmentation alterations and tattoos. In his experience Q-switched lasers have become an indispensable addition to his practice for these indications. However, with the advent of the AlexTriVantage laser, these three wavelengths are offered in a single device, saving the physician office space as well as the costly investment of multiple laser devices. When treating darker skin types IV and V, Dr. Robledo recommends 755 nm (alexandrite) and 1064 nm wavelengths.
Darker skin types can be more challenging to treat mostly because of the associated complications, particularly dyspigmentation. Caf-au-lait birthmarks usually respond to laser treatment; however, hyperpigmentation may occur in the treated area with recurrences usually seen within one year in a majority of cases. Similarly, Dr. Robledo has observed unpredictable post-inflammatory hyperpigmentation and melasma lesions in response to laser treatment, with the lesion darkening, lightening or not changing at all. Fortunately however, re-pigmentation is usually the rule. Hyperpigmentation may result when sub-threshold laser fluences are used. Usually, this can be resolved if the lesion is retreated at slightly higher fluences. If pinpoint bleeding or epidermal exfoliation occurs during laser treatment, the fluence is probably too high. Common adverse events associated with higher fluences include transitory hypopigmentation in 50% of cases, as well as superficial textural changes (transitory in the majority of cases) in 12% of patients treated. Although hypopigmentation with residual erythema may be evident following the treatment of pigmented lesions, the adverse event is usually transient and resolves over a period of four to six months. I highly recommend the AlexTriVantage laser device for the treatment of pigmented lesions, regardless of the etiology. Remember though, that as with any laser device, it is of paramount importance that the cosmetic physician has a comprehensive knowledge and understanding of not only the laser technology and the science behind the fine tuning of the fluences and wavelengths used, but also an in-depth knowledge of the anatomy and the pathology of the lesions that are being addressed, Dr. Robledo advised. This knowledge will significantly assist the physician in effectively treating pigmented lesions while keeping the adverse events to a minimum.
The AlexTriVantage is very effective in removing all of these lesions but is especially useful in removing tattoos, even those of different colors which are notoriously challenging to treat.
26
Expert Opinions
method, the results are excellent and patients are very satisfied.
Klaus Ueberreiter, M.D.
This is a safe and reliable
Innovative techniques in autologous fat grafting for breast augmentation are being developed to reduce procedure time and provide better retention of the fat graft itself. Cytori Therapeutics, Inc. (San Diego, California, U.S.) offers the Celution System, a bedside device that allows for the extraction of stem and regenerative cells from adipose tissue. We are able to use that cell population to enrich an autologous fat graft with stem and regenerative cells, explained Kai Pinkernell, M.D., a senior director for Cytori. The processing can be accomplished in about two hours. The graft can then be reinjected into the patient. In Europe Cytori is currently conducting clinical trials of its Celution System for breast reconstruction following partial mastectomies, although some European and Japanese physicians are using the technology for breast augmentation. After liposuction, adipose tissue is entered into the device. The system will extract the cells from half of the tissue entered, Dr. Pinkernell said. An enzymatic digest (chemical scissors) frees the cells from their extracellular matrix. This is followed by centrifugation which leads to a concentration of cells, excluding adipocytes. We are only interested in the cells located between the fat-laden cells, he said. A fat-enhanced cell graft is then created, which leads to better retention of the fat graft itself, based on what we have observed in our laboratory and early clinical studies. Cell death is prevented and
28 THE European Aesthetic Guide Spring 2009 www.euroabg.com
29
Expert Opinions
early blood supply is increased so that the fat graft can survive, Dr. Pinkernell stated. However, historically, autologous fat grafting has not produced very good outcomes. Results have been unpredictable, with poor long-term retention. For breast augmentation, at the very least you need approximately 500 ccs of fat, noted Klaus Ueberreiter, M.D., a plastic surgeon from Berlin, Germany. Harvesting and grafting fat with the traditional method of small syringes, takes approximately five or six hours, or even longer. But by using the Body Jet, manufactured by human med AG (Schwerin, Germany) and distributed by Eclipsemed, Ltd. (Dallas, Texas, U.S.), Dr. Ueberreiter is able to perform breast augmentation in about one hour by harvesting fat as a byproduct of standard liposuction. By featuring a two cannula system, the Body Jet can irrigate and aspirate simultaneously. A water beam is directed straight into the fatty tissue. It more or less washes out the fat in an emulsified state, Dr. Ueberreiter explained. You have good quality adipose tissue containing small fat cells ready for transplantation, without needing to centrifuge. A special system with an additional filter function allows for the sterile collection of fat. Hence, fat can be reinjected into the body without further preparation. Over the past 18 months, Dr. Ueberreiter has performed close to 50 breast augmentation procedures with the Body Jet. This is a safe and reliable method, the results are excellent and patients are very satisfied.
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Combination Treatments with Scitons

MLP and ProFractional-XC Provide Excellent Results
Ludger Meyer, M.D., Ph.D.
Plastic Surgeon Munich, Germany
Sciton, Inc. (Palo Alto, California, U.S.) has found a winning combination for skin rejuvenation, treatment of acne and the perioral area with two JOULE laser platform modules: the MicroLaserPeel (MLP) and the ProFractional-XC. Tunable settings for these modalities provide a pretty wide-range of personalized solutions, said Ludger Meyer, M.D., Ph.D., a plastic surgeon in private practice in Munich, Germany. We are able to effectively treat patients of various skin types, different age groups and diverse demands. MLP treatments remove the stratum corneum, whereas the ProFractionalXC creates micro-ablated channels deep in the dermal tissue. By combining these two procedures, we can remove dyspigmentation, Dr. Meyer explained. This combination therapy also corrects fine wrinkles that are common with smokers skin, for example. Overall, patients end up with a wonderful outer appearance. The top most layer of skin looks very fresh and renewed like a babys skin. There is a tightening effect from the collagen formation which occurs below the skin layers. A wound is created, but it is not as deep as a surgical incision. By limiting the wound to the superficial layer, the anti-infectious skin barrier is left intact which helps to prevent potential infection, Dr. Meyer stated. The wound healing process typically takes three to four days, but could last longer with an aggressive treatment.
to literature and Dr. Meyers colleagues, results should last approximately six years, and even up to eight years in the best cases. For periorbital areas, Dr. Meyer limits his treatment to the lower eyelid. The total thickness of all seven skin layers of the eyelid is only 500 microns, although the theoretical penetration depth of the ProFractional-XC is up to 1,500 microns. I treat to a depth of 300 microns which achieves good results. Erhan Safak, M.D., an aesthetic and plastic surgeon in private practice in Bursa, Turkey, feels that combination therapy is particularly effective for acne scars. Patients are treated over four sessions, at one month intervals; however, results can be seen after two sessions, he noted. After the third session, results are very good. For pigmentation issues, Dr. Safak generally schedules three sessions, about six weeks apart, with noticeable results after one treatment. Wrinkle reduction typically requires two or three sessions. Most of my patients are very happy with the results. Dr. Safak is impressed with other Sciton products as well. For example, he uses the ClearScan, an Nd:YAG module of the JOULE, for hair removal and vascular conditions. As a group, Sciton products offer great technology and are definitely effective. I have been using a number of their products for about three years now. Scitons infrastructure and technical support have proved to be reliable, trustworthy and excellent. The people are experienced and hardworking, added Dr. Meyer.
We are able to effectively treat patients of various skin types, different age groups and diverse demands.
Erhan Safak, M.D.

Plastic Surgeon Bursa, Turkey
In 95% of cases, Dr. Meyer performs only one session of the MLP and ProFractional-XC, beginning with the MLP. A normal session lasts about 90 minutes. Optimal results are observed at three months post treatment. According
32
BTL Commercially Launches EXILIS

Device in Europe
Several different devices are used to sculpt and reshape body contours in aesthetic medicine today. The EXILIS device from BTL (Prague, Czech Republic) raises the bar in aesthetic body shaping procedures. Using its novel technology, the device offers body shaping solutions with excellent results. We strongly believe that the EXILIS device will establish itself as a formidable aesthetic tool in this highly competitive body shaping market. This novel device can successfully address the challenges of treating subdermal fat safely, quickly and effectively, said Tomas Boleslavsky, director of BTLs aesthetic division.
Peter Hajduk, M.D.
Aura Clinic Prague, Czech Republic Abdomen before Tx Abdomen after four treatments
a reduction but also a tightening of cosmetically problematic areas, such as the abdomen, buttocks, love handles and saddle bags. The EXILIS device also produces a positive side effect, as treatment with the device demonstrates visible improvement in cellulite. EXILIS is easy-to-use and its lower energy flow allows a quick, four minute treatment per targeted area. Patients with ample fat deposits in the targeted areas seem to achieve the most pronounced aesthetic results. Dr. Hajduk prefers to treat patients with a minimal fat layer thickness of 1 cm or more, as recommended by BTLs protocol. Significant advantages of the EXILIS include high efficiency, as well as remarkable, visible results achieved only after a few sessions. The direct energy fluence and dermal temperature control can be easily modified on the handpiece and patients report a high
level of comfort during and after the treatment sessions, Dr. Hajduk noted. Planning the zones to be treated and the creation of a re-shaping plan is key to executing a quick and effective aesthetic procedure. According to Dr. Hajduk, the EXILIS system brings a completely new dimension to the non-invasive treatment portfolio. In the 41 patient trial with EXILIS, Dr. Hajduk did not observe any serious adverse events. Erythema and sometimes a slight edema can be seen at treatment sites following each application; however, these features quickly subside. In my opinion, there is no other device available on the market today that can offer such a quick, effective and problem free aesthetic treatment. The procedure is easy to perform and patients are highly satisfied with both the comfort and speed of the treatment as well as the visible results, Dr. Hajduk said.
At the annual International Master Course in Aging Skin (IMCAS) meeting in January 2009, BTL launched the EXILIS a non-invasive treatment system for the reduction of fat deposits. The EXILIS combines the simultaneous application of radiofrequency (RF) and ultrasound energy in a single applicator. Ultrasounds mechanical component enables a more even spread of RF energy flow into the targeted area. This novel approach allows me to heat the fat and connective tissue more effectively and much faster compared to other devices, without the synergistic effect of the simultaneous combination of these two energies, said Peter Hajduk, M.D., head of the Aura Clinic in Prague, Czech Republic. According to Dr. Hajduk, who led the clinical trial of EXILIS, the ideal patients for this device are those seeking not only
Buttocks before Tx
Buttocks after four treatments
34
AAMWC 2009 Program Introduces Inventive Age Management Ideas

By Birgit Hansen, Contributing Editor
his years Anti-Aging Medicine World Congress will take place from March 19th-21st, 2009 on the French Riviera at the Grimaldi Forum of Monte Carlo, Monaco. Approximately 4,000 international participants, drawn from a variety of medical specialties associated with age-related conditions, are expected to attend. A wide-range of educational courses, lectures, workshops and symposia aimed at enhancing specialty skills, presenting technological advancements and facilitating interdisciplinary exchange will be offered to all attendees.
AAMWC 2009 Preview

A distinguished group of experts will address the fields of aesthetic medicine, biochemistry, cardiology, cosmetic and plastic surgery, dermatology, endocrinology, geriatrics and gerontology, gynecology, oncology and ophthalmology. The accompanying industrial exhibit will feature approximately 180 exhibitors presenting their latest products and application advances in medical technology, diagnostics, cosmeceuticals and nutrition additives. Syneron (Yokneam, Israel) will exhibit the eMatrix, a portable, powerful radiofrequency (RF) based fractional treatment system for ablation, wrinkle reduction and skin resurfacing. This efficiently designed eMatrix, with the Matrix RF applicator, delivers visible results that are comparable to other, more bulky, ablative systems. coagulation and residual heating. By offering various degrees of impact to affected areas, a range of skin conditions and skin types can be treated safely. Depth of ablation and the extent of surrounding tissue coagulation can be controlled and customized to ensure that the exact degree of skin resurfacing required is provided to each individual patient. adaptation to a majority of specific patient requirements and demands. Synchro Pla:y incorporates a complete and modern workstation, for dermatological laser treatments, into a single compact and ergonomic system. Additionally, every handpiece features an integrated cooling system to provide increased patient comfort. Already known for its needle-free mesotherapy system, BTL (Prague, Czech Republic) will launch a new, non-invasive solution for subcutaneous adipose tissue reduction and skin tightening. The EXILIS device is based on the simultaneous delivery of two different types of energy through a single handpiece. Specific parameters, based on extensive clinical testing, result in an effective decrease of redundant, deeply localized fat cells.
SelectPulse delivers a tunable impact of heating effects, including ablation, coagulation and residual heating.
DEKA (Milan, Italy), will introduce Synchro Pla:y, an innovative platform for dermatology featuring the ability to be fitted with three different light sources: long pulse alexandrite, short and long pulse Nd:YAG and an intense pulsed light system with five interchangeable filters.
EXILIS by BTL
eMatrix by Syneron
With Matrix RF treatments, each pulse delivers conducted RF energy via a grid of 64 matrix spots to induce a skin injury. An accelerated healing process is supported by the intact tissue surrounding the matrix spots. eMatrix also features SelectPulse technology which enables customized treatment. SelectPulse delivers a tunable impact of heating effects, including ablation,
Synchro Pla:y by DEKA
Synchro Pla:y provides professionals with the opportunity to increase the range of treatments from non-ablative photorejuvenation to vascular and pigmented lesions and hair removal. The variety of wavelengths enables
EXILIS offers sophisticated features that ensure precise control of energy flow in terms of safety and efficacy of the therapy. Re-shaping and volume reduction effects are achieved through targeted energy absorption and subsequent initiation of lipolytic processes and collagen remodeling. EXILIS takes advantage of RID technology, benefiting from the combination of monopolar radiofrequency and the thermal effects of ultrasound to deliver the best
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AAMWC 2009 Preview

possible efficacy. Among its state-ofthe-art safety features are a Dermal Temperature Control (DTC) system and an Energy Flow Control (EFC) system. This procedure is considered painless, no consumables are required and results are clinically proven with no associated side effects. Thermamedic (Alicante, Spain), known for inventing Automatic MultiFrequency and Low Impedance (AMFLI) technology, will introduce a new generation of its bi-polar RF cellulite treatment system the ThermaLipo II. This new system retains ThermaMedics signature AMFLI technology and incorporates two systems: the ThermaLipo and ThermaClinic. ThermaLipo provides cellulite treatment, body contouring and skin tightening, while the Therma-Clinic offers face and neck rejuvenation, as well as skin tightening. are treated with higher frequencies. Consequently, skin is heated on a stepby-step basis, starting from the deeper tissues and ending at the most superficial layers so the entire block of skin is affected. The device is considered most effective in the deeper, cellulite affected layer. Since the heat is not created on the surface but rather within the tissue, there is no risk of burning and no need for cooling or anesthesia. With ThermaLipo II, the operator will benefit from a larger handpiece and very large electrodes which significantly reduce procedure times on sizeable treatment areas and maintain the required level of heat which is critical for a successful outcome. Palomar Medical Technologies (Amsterdam, The Netherlands) will display its new Selective Laser Induced Melting (SLIM) procedure and SlimLipo body sculpting laser. For six years Palomar researched and examined a range of wavelengths until they discovered the ideal technology to liquefy and melt adipose tissue. The SlimLipo body sculpting laser rapidly melts fat in large areas with minimal invasiveness and its enhanced tip design provides control of thermal effects. Wyergans Highcare AG (Dueren, Germany) will feature their integrated anti-cellulite treatment which consists of vacuum pressure based technology combined with ionic care and magnetic field therapy. With more than 25 years of experience in cosmetology and anti-aging medicine, the company has developed and marketed a wide-range of products for the care, prevention and treatment of aesthetic indications. They have also established numerous treatments for cellulite, weak connective tissue, vein problems and circulatory disorders. Mattioli (Florence, Italy) will present its DermoElectroPoration (DEP) system a new non-invasive, standalone drug delivery system. Dermoelectroporation technology is consolidated to ensure gentle, but highly effective transdermal delivery of substances that are otherwise nondeliverable into the skin due to type and dimensions. Dermoelectroporation increases the permeability of the skin by using
While other RF devices treat top to bottom, AMFLI technology is different in that it directly affects the deep dermal layer.
ThermaLipo by ThermaMedic
While other RF devices treat top to bottom, AMFLI technology is different in that it directly affects the deep dermal layer. ThermaLipo II generates multi-frequencies, therefore the deeper layers are penetrated with lower frequencies and more superficial layers
SlimLipo by Palomar
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AAMWC 2009 Preview

the skins water based channels. These channels are opened via delivery of a specific controlled current. Once opened, substances can be absorbed down to hypodermis and muscle membranes. This method has been FDA approved for the local administration of ionic drug solutions into the body for medical purposes and can be used as an alternative to injections. fractionated pulsed light treatment. The SmartPL achieves energy levels higher than 50 J/cm2 and its unique delivery of pulse trains is said to provide exceptional results in permanent hair reduction, cutaneous rejuvenation and the treatment of acne. Accurate, high quality diagnostic and before and after imaging is essential for an aesthetic practice to function effectively. Quantificare (Sophia Antipolis, Cedex, France) will provide an innovative solution for this with the launch of their 3D LifeViz system for aesthetic and clinical applications. With 3D LifeViz, aesthetic practitioners can construct reproducible images over time, as well as examine them in 3D, at various angles and profiles from one single photo. photo-documentation, follow-up tools and better patient communication. Its compact and portable size means it can be used easily and regularly. FotoFinder Systems (Bad Birnbach, Germany) has produced a new tool for Guided Photography. This system provides suggestions for positioning the patient to obtain the best images. The software contains a range of typical body pose templates recommended by leading U.S. dermatologists and can be customized in the Template Manager. A virtual patient demonstrates the areas to be photographed, the correct treatment specific pose and the related viewing angle. Once the photo is saved, the software automatically continues with the next pose. Consequently, even beginners in medical photography can achieve professional results. Photos are automatically labeled with treatment and location, making it easy to search and find specific photos later.
DermoElectroPoration System by Mattioli
The DEP system allows for real time control during the entire procedure and the handpiece provides operator accuracy for any skin condition and any length of treatment. The vibration feature reduces the perception of the electrical pulse delivery for increased patient comfort. Grupo Body Esthetic Laboratories (Barcelona, Spain) is expected to present an interesting approach to
3D LifeViz by Quantificare
Guided Photography by FotoFinder Systems
SmartPL by Grupo Body Esthetic Laboratories
These multiple functions will enable the archiving of all images according to date of visit and anatomical location, as well as allow the comparison of before and after 3D images, make color corrections and measure surfaces and distances. 3D LifeViz delivers
Information about dermal fillers, neuromodulators and hormonal therapy practices will be widely discussed at this years AAMWC meeting. New products, as well as established brands in these sectors will be displayed at the industrial exhibition.
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AAMWC 2009 Preview

Radiesse from BioForm Medical (Oosterhout, The Netherlands) is a dermal filler made from synthetic calcium hydroxylapatite (CaHA) microspheres and suspended in a water based gel carrier. It is 100% biocompatible therefore no allergy testing is required before treatment. CaHA and its accompanying components: calcium and phosphate occur naturally in human tissue; since Radiesse is biodegradable, it is gradually broken down over time and safely and naturally absorbed by the body. Results are not permanent, but last up to 18 months or longer. with minimal discomfort for the patient. Adoderm (Langenfeld, Germany) has developed a new dermal filler for body contouring which delivers long lasting results and no side effects. Adoderm will introduce VarioFill, a new, pure, cross-linked hyaluronic acid product offering as much as 70% to 90% cross-linking grade and high volume restoration capacity. According to manufacturer statements, this product not only has maximum volume restoring properties and longevity, it is compatible with the body tissue. By varying the concentration of hyaluronic acid from 6 mg/ml to 35 mg/ml, one can achieve different viscosities to treat fine-to-deep wrinkles and contour facial and body lines. A method to boost longevity will be presented by Biotivia Bioceuticals laboratory (Vienna, Austria). Transmax is a resveratrol supplement that supports activation of SirT1-4 longevity genes. Biotivias approved resveratrol products are all natural and therefore have no adverse side effects. Transmax is laboratory grade, containing 500 mg of purified trans-resveratrol, made up of 250 mg of bio-enhanced transresveratrol and 250 mg of other forms of resveratrol, including glucosides of resveratrol, polydatin, emodin and other beneficial compounds that are naturally found in the Polygonum cuspidatum plant. Bioforte, another transresveratrol product from Biotivia, contains 250 mg of bio-enhanced transresveratrol per capsule and is second only to Transmax. Transmax and Bioforte are used by scientists, physicians and university researchers when trying to isolate and quantify the effects of trans-resveratrol in various trials and studies.
By using a variety of smaller surgical procedures in conjuction with appropriate dermal filler substances, one can achieve optimal, immediate antiaging results with minimal discomfort for the patient.
VarioFill not only has maximum volume restoring properties and longevity, it is compatible with the body tissue.
Dermaceutic (Shannon, Ireland) has developed a new antioxidant to prevent the signs of aging. Serum C25 contains vitamins A, B, B5 and E to protect the skin against free radicals and avoid other damage seen with age. Serum C25 is highly concentrated with 25% of methylsilanol ascorbate (vitamin C derivative) to protect collagen fibers and generate maximum antioxidant action. I
Hands before and after Radiesse by BioForm
Over the last few years, physicians have increasingly adopted minimally invasive procedures for body and facial contouring. By using a variety of smaller surgical procedures in conjuction with appropriate dermal filler substances, one can achieve optimal, immediate anti-aging results
VarioFill by Adoderm
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LightSheer Duet Combines

E.Victor Ross, M.D.
Director Cosmetic and Laser Dermatology Unit Scripps Clinic San Diego, CA, USA
Ideal Wavelength, Speed and Comfort

For hair removal, practitioners now have the option of either a smaller or larger handpiece with the new LightSheer Duet from Lumenis (Santa Clara, California, U.S.). Featuring 800 nm nominal diode technology, this device offers the smaller LightSheer ET handpiece with traditional sapphire crystal cooling and a 9 mm x 9 mm spot size, as well as the new, larger LightSheer HS (High Speed) with a 22 mm x 35 mm spot. According to E. Victor Ross, M.D., director of the Laser and Cosmetic Dermatology Center at Scripps Clinic, in San Diego, California U.S., a full back can be treated in 10 to 15 minutes with the larger HS handpiece. This increase in coverage area is nearly tenfold compared to the ET handpiece, which is very exciting. Dr. Ross also feels that 800 nm is a great wavelength for laser hair removal, particularly when the hair is reasonably dark but the skin is not too dark. I think the 800 nm wavelength is effective for 80% of Americans because it offers a good balance between epidermal and hair bulb heating. Ultimately, we try to deliver sufficient energy to heat the hair bulb and spare the epidermis. Dore Gilbert, M.D., a dermatologist in private practice in Newport Beach, California, U.S., has been using the proven technology of the smaller LightSheer ET handpiece for years. We know it is safe and incredibly reliable. With the addition of the LightSheer HS, we now have a handpiece to treat larger areas safely, reliably and quickly. It can also be used to treat blood vessels. In the past it may have taken Dr. Gilbert two hours to treat an entire
back, now it takes about 20 minutes with the LightSheer HS. Furthermore, we dont have to use gel on the skin. Patients can forego topical anesthesics as well. Not having to apply an anesthesic is a huge advantage because neither the patient nor practice have to incur that cost. Treatment is also safer without a topical anesthesic since large amounts of lidocaine are no longer placed over the skin. For hair removal of the back, patients schedule four to eight treatment sessions, typically at about six to eight week intervals. The perfect patient has light skin and dark hair, for which four or five sessions may be enough, Dr. Gilbert explained. Dr. Gilbert noted that both handpieces can be used within the same session. LightSheer HS allows quicker treatment times and reduced patient discomfort. However, sometimes you have small creases or nooks and crannies that are difficult to treat with a large spot size, so you need to use the smaller one. Likewise, treating an upper lip requires the standard ET handpiece. Due to the shorter treatment time with the LightSheer Duet, you dont have to charge as much, Dr. Gilbert conveyed. Practices who offer laser hair removal can now compete effectively with spas. We were able to reduce our prices by 50%, which makes the procedure more affordable. Overall, patients love treatment. Weve gotten a lot of positive feedback, so were moving full steam ahead with this system, Dr. Gilbert concluded.
Hair removal treatment on male chest using LightSheer Duet with HS handpiece
Photo courtesy of Beth Haney, NP
Overall, patients love treatment. Weve gotten a lot of positive feedback, so were moving full steam ahead with the system.
Hair removal treatment on legs using LightSheer Duet with HS handpiece

Photo courtesy of Beth Haney, NP
Dore Gilbert, M.D.

Dermatologist Newport Beach, CA, USA
IMCAS 2009 Provides Ideal Platform for Anti-Aging Science and Innovation
By Birgit Hansen, Contributing Editor ow in its eleventh year, the annual International Master Course on Aging Skin (IMCAS) 2009 welcomed over 3,000 dermatologists, plastic surgeons and other practitioners in the aesthetic field. Held in Paris, France from January 8th 11th, the congress once again represented a high level platform for scientific exchange, industrial news and medical teaching. In addition, IMCAS hosted 160 keynote speakers from 60 different countries, as well as 105 international exhibitors at the associated industrial trade show.
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In the words of IMCAS founder and scientific director Benjamin Ascher, M.D. (Paris, France), This congress has become the major European rooted international event covering all leading subjects on aging skin treatment, aesthetic medicine and surgery. IMCAS has made a significant contribution to reducing the gap between the international scientific and industrial communities in this field. Indeed, the diverse scientific program reflected this intention through its wide-range of topics, including neuromodulators, dermal fillers, thread and implant applications, laser and light treatment, radiofrequency (RF), ultrasound, drug related therapies, combination treatments and even regenerative stem cell therapy.
Benjamin Ascher, M.D.
IMCAS Founder and Scientific Director Paris, France
While addressing a question about the impact of this global financial crisis on aesthetic market development, Michael Moretti, president of Medical Insight, Inc. (Aliso Viejo, California, U.S.), presented very interesting data from his extensive market research that gave reason to be optimistic: Looking at the figures of the last two quarters of 2008, there was still a two digit growth percentage in aesthetic procedures. In particular, the European markets are looking at significant long-term growth, most prominently in the fields of dermal filler and neuromodulator injections, body shaping and skin tightening, as well as the application of fractional devices. Other emerging products that are expected to expand strongly include eyelash growth stimulators and home-use devices for aesthetic procedures.
Much along these lines, Allergan (Irvine, California, U.S.) introduced their recently FDA approved product, LATISSE, a 0.03% bimatoprost ophthalmic solution that facilitates a novel growth treatment for hypotrichosis of the eyelashes. In recent years there has definitely been a strong interest in the development and commercialization of noninvasive devices for self treatment by consumers. Currently, energy driven devices are being introduced in many European countries. Shimon Eckhouse, chairman of Syneron (Yokneam, Israel), explained this trend as being a result of significant advancements in the understanding of energy and tissue interaction, advancements in the development of safer and more effective energy sources that can be used for these applications, as well as high consumer awareness and interest in noninvasive aesthetic treatments.
Shimon Eckhouse
Chairman Syneron Yokneam, Israel
IMCAS also conducted its third Industry Innovation Tribune, a gathering of major industrial associates in the medical aesthetic arena devoted to analyzing procedures and products in the European and global aesthetic markets. Major growth categories and market trends were identified, even in this time of crisis and recession.
IMCAS has made a significant contribution to reducing the gap between the international scientific and industrial communities in this field.
Michael Moretti
President Medical Insight, Inc. Aliso Viejo, CA, USA
Similar to professional, energy based therapy, most home-use devices use technology that selectively heats certain parts of the tissue to affect long range changes that result in an enhanced aesthetic appearance. The main challenge with any home-use device is finding the perfect balance between aggressiveness and safety. These products should provide effective treatments with very minimal risk to the user.
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IMCAS 2009 Review

Two scientific sessions encompassed the existing home-use devices in brief overviews and there were highly controversial discussions when it came to the question of the results and the role of the physicians in this consumer oriented trend. Four home-use devices were actually displayed at the IMCAS industrial exhibition. Omnilux by Photo Therapeutics, LLC (Fazeley, Staffordshire, England) presented its two small, yet powerful, handheld devices: Clear-U, powered by an array of blue 415 nm light-emitting diode (LED) lamps for the treatment of mild-to-moderate acne and New-U with 630 nm red LED for treating fine lines and wrinkles. These products significantly improve fine periorbital lines, skin tone and elasticity, stated Neil Sadick, M.D., (New York, New York, U.S.) who conducted the clinical investigation. related procedures for aesthetic enhancement have become very popular alternatives to cosmetic products, as well as to more invasive aesthetic procedures, Mr. Agerup noted. Similarly, the safety and less complicated nature of dermal fillers allow for a lower level of expertise from the treatment provider. It is clear that consumers themselves are the most convenient and inexpensive treatment providers, therefore, in a mature market, many procedures will end up in their hands. How soon we experience this evolution will depend on the speed of technological innovation in devices, for example, transdermal delivery of dermal filler substances. In the meantime, an increasing number of new products continue to enter the professional medical dermal filler market, while established brands introduce product variations for large area or large volume applications and present new study results. Q-Med introduced its new Restylane Vital Pen, a prefilled syringe that enables a highly volumecontrolled injection. Allergan chose IMCAS for the European launch of Juvderm Voluma, a dermal filler optimized for the augmentation of large areas.
Professor Norbert Pallua, M.D.
University Hospital Aachen RWTH Aachen, Germany
It is clear that consumers themselves are the most convenient and inexpensive treatment providers, therefore, in a mature market, many procedures will end up in their hands.
iPulse Personal from Cyden (Swansea, U.K.), a home-use intense pulsed light device for permanent hair reduction was presented to the public for the first time at IMCAS. This product will soon be available at select pharmacies in the U.K. STOP, a less aggressive version of Pollogens (Tel Aviv, Israel) clinical TriPollar RF skin tightening system, is said to provide enhanced collagen production and subsequent reduction of facial wrinkles at home. This small handheld device was introduced by Zion Azar, Ph.D., CEO of Ultragen Ltd. (Tel Aviv, Israel), in an IMCAS session on new energy driven devices. Bengt Agerup, CEO of Q-Med (Uppsala, Sweden) emphasized that the growing consumer demand for effective, aesthetic home treatment doesnt just drive the development of energy based systems. Dermal fillers and
Professor Norbert Pallua, M.D., from University Hospital Aachen RWTH (Aachen, Germany) presented the results of a clinical study on Aquamid from Contura International A/S (Soeborg, Denmark). This study provided the longest term of clinical follow-up ever conducted in an investigation of a tissue filler. Aquamid is a non-degradable volume filler that is composed of 97.5% sterile water and 2.5% cross-linked polyacrylamide. Aquamid hydrogel is homogeneous, contains no micro-particles and its filling effect depends solely on the injected volume. This five year study was a multi-center, prospective examination of safety and
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IMCAS 2009 Review

long-term aesthetic results with Aquamid injections for facial soft tissue augmentation and contouring. A total of 116 patients attended follow-up appointments for five years following their first Aquamid injection. According to investigators, after five years, more than 90% of the study patients evaluated maintained good to very good aesthetic results. Furthermore, over 90% of the patients were very satisfied or satisfied with results. As well, trial data confirmed that over this period, injections of Aquamid were safe and resulted in very few, if any, unexpected adverse events. These results are consistent with data from the one, two, three and four year follow-up visits. represents an interesting new opportunity for the correction of facial wrinkles, concluded Bernard Mle, M.D., clinical investigator and IMCAS course coordinator (Paris, France). Laboratoires Vivacy (La Ravoire, France) promoted excellent biocompatibility as well, with their new HA based singlephase, cross-linked facial filler Stylage, which was presented at IMCAS. ReCosmo (Toronto, Canada), another new player in the dermal filler arena, debuted at IMCAS. The Essederm family of products consists of HA, highly crossed-linked (up to 90%) with divyinylsulfon (DVS). The high concentration and percentage of cross-linking is said to result in significantly higher viscosity, which allows an easy injection without the need for dilution. Janusz Czernielewski, vice president of medical affairs at Galderma (Lausanne, Switzerland), introduced Azzalure, a botulinum toxin A product, at the IMCAS industry tribune. Azzalure, produced by Ipsen, has received the green light from health authorities in 15 European countries for the treatment of glabellar lines, which paves the way for national marketing authorization. Laboratoire Filorga (Paris, France) announced the release of a brand new antiaging peel. GlyKopeel is a dermatological peel that visibly improves the appearance of the skin without any negative side effects. It was specifically adapted to treat wrinkles, loss of elasticity and radiance, hyperpigmentation, microcystic acne and skin irregularities. While the aesthetic effects of dermal fillers, mesotherapy and peels largely depend on the right chemical combinations and synergistic effects of different elements, laser and light-based procedure results rely solely on the energy applied. A great area of discussion, according to Paul Wiener, senior vice president of sales and marketing at Palomar Medical (Amsterdam, The Netherlands), is whether these results can be enhanced by combination approaches with dermal fillers and/or topicals.
Due to its high tolerability and long durability, polyethylene glycol represents an interesting new opportunity for the correction of facial wrinkles.
Bernard Mle, M.D.

Clinical Investigator and IMCAS Course Coordinator Paris, France
Tuxedo (Dubai, United Arab Emirates) presented the results of a study performed on the resorbable facial filler Remake. Manufactured by Scientech Corporation (Italy), Remake is a hydrogel composed of 4% polyethylene glycol di-acrylate and 96% apyrogenous water. The gel is obtained by polymerization of polyethylene glycol (PEG) and the di-acrylate serves as a cross-linking agent to slow down degradation. Remake meets all necessary safety criteria in regards to biocompatibility, absence of toxicity, non-mutagenicity, non-absorbability, non-migration and degradation. One comparative study of Remake and a hyaluronic acid (HA) filler demonstrated that by the third month degradation of HA was twice as fast as degradation of Remake. Due to its high tolerability and long durability, polyethylene glycol
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IMCAS 2009 Review

So far there is little clinical proof of improved results after combined treatment, but rather anecdotal reports, stated Mr. Wiener. Palomar recently received clearance from the FDA for the treatment of scars with the Lux1540 fractional non-ablative laser handpiece. This handpiece has proven effective in treating both atrophic and hypertrophic scars by creating micro-columns of coagulated tissue in the skin. Gerd Kauz, M.D., from Germany, combined pulsed diode laser treatment with a new blood enrichment technique using Serenity, a pneumatic skin flattening (PSF) device from Candela Corporation (Wayland, Massachusetts, U.S.), for large port-wine stains. Dr. Kauz treated 32 patients (including 24 children) with this combination approach and observed significantly better blanching on resistant port-wine stains in 16 out of 22 patients. Blood enrichment with the non-contact PSF vacuum technology considerably enhanced treatment of resistant port-wine stains, he reported.
Gerd Kauz, M.D.
Germany
Haviarova, with UltraShape, the average circumference reduction after one treatment was 2.1 cm, measured four weeks after the initial treatment. Conversely, the average circumference reduction after one treatment with Novashape was 2.6 cm, measured three weeks after treatment. In a sponsored IMCAS session, Afschin Fatemi, M.D., from Germany, along with an international team of co-investigators, presented clinical results of high intensity focused ultrasound (HIFU), utilizing Liposonix from Medicis (Scottsdale, Arizona, U.S.). Liposonix, a non-surgical treatment for body contouring, delivers energy across the skins surface at a relatively low intensity to avoid damage, while sharply focusing energy to the subcutaneous fat layer to disrupt adipose tissue. Studies clearly demonstrate that adipocytes are disrupted by HIFU. The correlation between focal depth, energy levels and clinical results is evident. The average circumference reduction after treatment of the abdomen and waist is 5 cm to 6 cm, stated Dr. Fatemi.
Afschin Fatemi, M.D.
Germany
The number of new or enhanced technologies and methods for body contouring and cellulite treatment has increased enormously, which has been the trend for the last three years. Significant discussion topics included various approaches to laser lipolysis on one hand and less invasive light, RF or ultrasound guided methods on the other. Zora Haviarova, M.D., from Slovenia compared results with Contour I from UltraShape (Yoqneam, Israel) and Novashape from UltraMed (Geneva, Switzerland) in terms of circumferential reduction and customer satisfaction. Contour I is based on computer controlled, focused ultrasound application, while Novashape uses low frequency ultrasound with parameters of radiation that can be tuned to achieve a maximum effect for each individual patient. According to Dr.
Nathalie Fournier, M.D., from Paris, France clinically investigated the results of a new cellulite therapy approach called Photomology. This technology combines dual band light with mechanical massage and suction. Elemes (Merrimack, New Hampshire, U.S.) SmoothShapes system offers 650 and 915 nm wavelengths. The 915 nm wavelength is absorbed in lipids, which slightly elevates the fat cell temperature and induces fat liquefaction. The 650 nm wavelength alters the permeability of the fat cells membrane. Suction and massage assist in the evacuation of liquefied fat from intracellular space. Female volunteers with mild-to-moderate cellulite received eight bi-weekly treatments on one thigh, while the contralateral thigh served as the control. A high percentage of patients
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IMCAS 2009 Review

exhibited visible improvement in cellulite, one month after receiving the last treatment with Photomology technology, but no weight loss, Dr. Fournier reported in her IMCAS session.
Nathalie Fournier, M.D.
Paris, France
adipocytes, which leads to volume expansion and rupturing, he explained. Histologic analyses of the effects of these lasers on human fat tissue exhibited areas of reversible cellular damage, irreversible tissue damage and a reduction in bleeding compared to conventional liposuction.
Serge Mordon, Ph.D.
Biophysicist Toulouse, France
A water jet assisted liposuction and fat reduction technique from human med AG (Schwerin, Germany) was discussed by Dr. Ascher, during a lecture on body shaping treatments, and Joachim von Finckenstein, M.D. (Germany), during a lecture on breast remodeling with autologous fat grafting. Both physicians presented their clinical experience with human meds Body-jet and LipoCollector, which included a gentle separation of fat, connective tissue and vessels; significantly reduced recovery time; and minimal side effects. Additionally a considerable amount of intact fat cells for fat transfer procedures are generated.
Joachim von Finckenstein, M.D.
Germany
Histologic analyses of the effects of these lasers on human fat tissue exhibited areas of reversible cellular damage, irreversible tissue damage and a reduction in bleeding compared to conventional liposuction.
Laser adipolysis can be described by mathematical modeling. The estimated fat volume reduction appears to be similar for lasers emitting between 900 nm and 1320 nm, when using a similar energy dosage. Fat volume reduction depends on the amount of energy applied to the fat tissue. Typically, between 600 J and 800 J are required to remove 1 cm. Due to heat diffusion, temperature elevation must also be produced inside the lower reticular dermis. This interesting observation can explain the remodeling of the collagen tissue with clinically evident skin tightening. Several laser lipolysis devices were displayed at IMCAS. Among them the new Nd:YAG based ProLipo from Sciton (Palo Alto, California, U.S.); Osyris, a 980 nm diode laser system from Osyris Medical (Hellemmes, France); Elemes dual mode 980 nm and 635 nm combination device, SmoothLipo; Smartlipo MPX from Cynosure (Westford, Massachusetts, U.S.), which combines the benefits of 1064 nm and 1320 nm wavelengths; and LipoLite from Syneron. I
When it comes to fast and clearly visible fat reduction, liposuction is still very much the treatment of choice. However, various laser-assisted lipolysis systems have been developed as an alternative offering reduced side effects, as well as increased patient comfort and ease of use for the physician. Clinical results were presented at several IMCAS sessions. Biophysicist Serge Mordon, Ph.D., from Toulouse, France explained the thermal mechanism of action with laser-assisted lipolysis treatment and the reason for its pleasant side effects of skin tightening and smoothing. After adequate infiltration of an anesthetic solution, a flexible fiber optic light, delivered through a small caliber cannula, is inserted into fat tissue. Laser energy is transmitted to and absorbed by the
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Medy-Tox Introduces Neuronox

to the Botulinum Toxin Arena
In skilled hands, botulinum toxin can transform an older appearance into a more youthful, smoother facial expression. There are several different preparations of botulinum toxin currently available for aesthetic medicine. Neuronox from Medy-Tox (Seoul, Korea) is a new botulinum toxin type A product determined to stand out among these other popular products by offering efficacy at a much friendlier price. Injectable, non-invasive rejuvenation treatments have become increasingly popular in recent years as aesthetic physicians strive to meet the demands of patients desiring a more youthful appearance without surgery. The use of botulinum toxin in rejuvenation procedures has become a mainstay due to the favorable results seen within minutes of the procedure. According to Atchima Suwanchinda, M.D., dermatologist and medical director of Medisci Biointegrative Anti-Aging Center (Bangkok, Thailand), Neuronox is easy-to-use and has the potential to become a giant in the range of noninvasive rejuvenation procedures. Ive been using BOTOX from Allergan (Irvine, California, U.S.) for 15 years in my aesthetic practice and have been satisfied with the results as well as its ease of use. I recently began using Neuronox in my patients and found that I achieve the same results as with other leading preparations. Neuronox features the same dilution as the original BOTOX, the injection technique is similar and the length of toxin-induced muscle paralysis from initiation to recovery is about the same, stated Dr. Suwanchinda. To date, Dr. Suwanchinda has not experienced any adverse events with
By Ilya Petrou M.D., Contributing Editor

Neuronox in her patients, apart from some minimal and expected bruising following the procedure. Most preparations of botulinum toxin carry a high price, which in part is justified by the significant and almost immediate effect that the product can deliver. One big advantage of Neuronox is its reasonable price among other preparations, as it will attract prospective patients who want to retain their younger look by receiving bolulinum toxin injections on a regular basis. In my practice, I inform my patients about all of the preparations that I have and then inform them about efficacy, safety and price of each preparation. Then they can make their own decision as to which product to use, said Dr. Suwanchinda. There is a fierce competition in the aesthetic market today with many medical companies vying for the top spot. According to Dr. Suwanchinda, Neuronox is a high quality product with a low price. Preference for Neuronox will depend on the clinician and patient affordability. She also anticipates future comparative studies between Neuronox and other leading botulinum toxin preparations. It will be very interesting to see which product will receive top honors in terms of efficacy, safety and price. Many preclinical and clinical studies, for both medical and aesthetic indications have proven Neuronox to be a safe and effective botulinum toxin type A preparation. At present, Neuronox is registered in more than 30 countries and has the potential to be a leading product worldwide.
THE European Aesthetic Guide Spring 2009 www.euroabg.com 57
It will be very interesting to see which product will receive top honors in terms of efficacy, safety and price.
PRODUCT PROFILES
HarmonyXL The HarmonyXL multi-application system is an expandable platform for laser and pulsed light treatments combining ten technologies into one compact unit: 1. Advanced Fluorescence Technology (AFT) light-based technology for skin rejuvenation, vascular/pigmented lesions, hair removal and acne. 2. Nearinfrared skin tightening. 3. Pulsed UVB restoration of pigment and psoriasis. 4. Long pulsed Nd:YAG treatment of facial wrinkles, as well as deeper and reticular leg veins. 5. Q-switched Nd:YAG treatment of tattoos and dermal pigmented lesions. 6. FD Q-switched tattoo removal. 7. 1320 Nd:YAG wrinkles and acne scar treatment. 8. 2940 nm Er:YAG laser peel and resurfacing. 9. Pixel 2940 fractional ablative skin rejuvenation. 10. LED promotes healing. Alma Lasers: +972 4 627 5357 or visit www.almalasers.com
ArtSense ArteSense is a long lasting injectable implant for the correction of facial defects and soft tissue augmentation. ArteSense contains: PMMA (polymethylmethacrylate), 3.5% atelocollagen and 0.3% lidocaine. ArteSense is a new, improved generation of Artecoll, with more than 15 years of clinical experience and over 500,000 treatments worldwide.
ApothCure, Inc. ApothCure, Inc. is a premier compounding pharmacy specializing in formulating a variety of products for many areas of medicine, including natural hormones, chelation, nutrition, dermatology and aesthetics. Specializing in the areas of aesthetic medicine and dermatology, ApothCure blends all mesotherapy, micro-needling, aesthetic, anti-aging and dermatology compounds. We offer many proprietary compounds, such as our three minute peel, ApothPeel and our Growth Factor based eyelash enhancer, ApothLash.
aap implantate: +49 30 75019 0 or visit www.aap.de
ApothCure, Inc.: +1 800 969 6601 or +1 972 960 6601 or visit www.apothecure.com
EXILIS BTL introduces their EXILIS device, a unique technological innovation based on the simultaneous application of high frequency energy and ultrasound through a single, patented handpiece. Re-shaping and volume reduction effects are achieved through targeted energy absorption, subsequent initiation of lipolytic processes and collagen remodeling with excellent results after only four sessions. State-ofthe-art safety features include a Dermal Temperature Control (DTC) system with a built-in thermometer and an Energy Flow Control (EFC) system to significantly reduce session duration. Treatment with EXILIS is painless and no consumables are required. BTL: +420 220517012 or visit www.btlaesthetics.com
Alex TriVantage Candelas fastest and most powerful Q-switched alexandrite laser has gotten even better. The Alex TriVantage builds upon the proven performance of its Q-switched 755 nm output with new laser pumped laser technology. The Alex TriVantage now features an additional 1064 nm Q-switched handpiece, making it possible to treat tattoos with more colors. This remarkable, new configuration also offers a new 755 nm long pulse mode that provides treatment for a broader range of pigmented lesions.
VARIODERM The VARIODERM product line is a new generation of cross-linked hyaluronic acid offering a wide-range of wrinkle filling and volume creation solutions. Highly concentrated, VARIODERM is used for various indications in the dermis and subcutis with long lasting clinical results. VARIODERM is of non-animal origin, no allergy test is necessary and it contains no anesthetic or conserving agents. Included in the VARIODERM product line is: VARIODERM FINE LINE for superficial wrinkles, crows feet, lip augmentation, perioral and periorbital lines; VARIODERM: for medium and deep wrinkles in all areas and lip contour; VARIODERM PLUS for deep wrinkles, facial contours and volume creation; and VARIODERM SUBDERMAL made especially for facial contours, very deep wrinkles, volume creation, rhinoplasty and scar correction. Adoderm: +49 (0) 2173 1019180 or visit www.adoderm.com
Candela: +34 656 85 63 or visit www.alextrivantage.com

Market Forecast Predicts Continued Growth for Aesthetics

By Michael Moretti, Editor
While banks, farms and manufacturing failed during the Great Depression of 1929 to 1939, the beauty business remained strong and history promises to repeat itself in 2009. Although recession-strapped consumers are tightening their belts, the aesthetic industry continues to expand, albeit at a lower rate than in the past.
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Historically, the aesthetic industry hasnt always been booming. In fact, the 1980s and 1990s started slowly with laser tattoo removal, laser removal of pigmented and vascular lesions and laser hair removal as the primary treatments. Laser skin resurfacing was just starting to become popular in the mid 1990s, however with long healing times this ablative procedure was performed on fewer than 150,000 Americans each year. Aesthetic surgery was originally the domain of plastic surgeons, whose primary tools consisted of surgical techniques to lift the skin. Bovine collagen was occasionally used to plump wrinkles, but the requirement of a pre-treatment skin test discouraged many patients. At this time BOTOX, from Allergan (Irvine, California, U.S.), had not yet received FDA approval for cosmetic use but was increasingly being used off-label to freeze wrinkles. However, this application remained relatively limited until the late 1990s.
lower, which is typical in the early stages of an industrys life. In mid 2004, for example, when Medical Insight, Inc. (Aliso Viejo, California, U.S.) released its first Global Aesthetic Market (GAM) Report, total global sales for dermal fillers, BOTOX, chemical peels, devices and microdermabrasion equipment were estimated at $1.4 billion in 2003, with growth of 15.6% per year predicted, resulting in sales of $2.9 billion in 2008. Since then, overall growth remains healthy with a compound annual growth rate of 10.9% per year from $3.2 billion in 2007 to $5.4 billion in 2012 (net of breast implant and physician-dispensed cosmeceutical sales). This forecast is a bit lower than the annual growth of 16.8% predicted by GAM IV in May 2007 and the revised 13.5% annual gains forecasted by GAM V in May 2008. It also reflects rising competition coupled with a temporary dip in consumer buying power. But thats hardly bad news, since actual market performance continues to exceed GAM estimates, as shown in Figure 1 below.
Figure 1: Changes in Total Global Aesthetic Sales Estimates, 2003 - 2012
7000
GAM Sales Predictions in $MM
Overall growth remains healthy with a compound annual growth rate of 10.9% per year from $3.2 billion in 2007 to $5.4 billion in 2012.
6000 5000 4000 3000 2000 1000 May-04
In 1996, Q-Med (Uppsala, Sweden) introduced Restylane, a hyaluronic acid dermal filler that could smooth out wrinkles without pre-treatment testing. As usage spread across Europe, interest in injectables grew. Around this same time, less invasive photonic skin rejuvenation procedures emerged. Erbium lasers were largely replacing carbon dioxide devices for ablative procedures by offering lighter treatments with reduced downtime. Lasers that targeted vascular structures began to be repackaged as non-invasive skin rejuvenation systems, offering effects such as skin smoothing and evening of the complexion. Dermatologists started acquiring devices and expanding into aesthetics; they were quickly followed by other specialists who were eager to satisfy consumers growing appetite for effective, medically-based treatments. However, the boom in aesthetic services wasnt limited to physicians. In early 1997, the first microdermabrasion machine was sold in the U.S., and along with light chemical peels, facials and other less medically intense treatments, has since become a staple of aestheticians and cosmetologists. These procedures soon moved into the growing spa industry, which subsequently spawned the more medically-oriented medispa segment. In essence, the aesthetic industry as we know it today is only about ten years old. Initially, sales were much
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 May-05 May-06 May-07 May-08 Dec-08
Source: GAM, GAM II, GAM III, GAM IV, GAM V, GAM VI, Medical Insight, Inc.
These estimates are based upon the most recently reported sales of publicly traded companies, as well as extensive interviews with physicians, practice managers and industry executives. Looking at individual market segments, the large phototherapy sector will grow the slowest, at just 1.4% per year through 2012, while the much smaller body shaping sector will expand fastest, at an estimated 21.0% annually. This will take photonic devices from $1.1 billion in 2007 to $1.2 billion in 2012 while body shaping systems will expand from $290 million to $752 million. Skin tightening will also see strong gains, at 14.4% per year from $88 million in 2007 to $171 million in 2012. This makes sense, since light-based hair removal and skin rejuvenation are mature technologies that most aesthetic practices
have already embraced. Device sales depend on practices upgrading equipment and physicians newly entering aesthetics. Body shaping and skin tightening, on the other hand, are emerging as must-have procedures for serious aesthetic practitioners with the latest systems offering results not previously attainable. Neuromodulators such as BOTOX and dermal fillers will also see strong growth, at 16.0% and 14.7% per year, respectively, as demand rises for these highly costeffective wrinkle reducers. Dermal fillers are expected to rise from $739 million in 2007 to $1.4 billion in 2012, while BOTOX and its equivalents expand from $742 million to $1.5 billion. Physicians are fond of these treatments because they involve low capital outlay and require repeat treatments; patients like them because theyre inexpensive and offer almost immediate results. In fact, as consumers cancel gym memberships and forgo other non-essential services in an effort to trim budgets, many are trading down from higher priced laser treatments to injectables. Figure 2 shows these trends.
Figure 2: Total Global Aesthetic Sales by Market Segment, 2007 - 2012
9000 8000 7000 Sales in $MM 6000 5000 4000 3000 2000 1000 2007 2008 Skin Tightening Chemical Peels 2009 2010 2011 Neuromodulators 2012 Fillers 0
Of the smaller market segments, emerging skin rejuvenation devices will see gains of just 0.4% per year with the removal of Rhytecs (Waltham, Massachusetts, U.S.) plasma system from the market. Microdermabrasion equipment sales will rise by 4.8% per year from $50 million to $63 million, as machine lifecycles are long and product innovation will remain low. Chemical peels will similarly maintain slow growth of 4.5% annually, increasing from $55 million to $69 million and liposuction equipment will gain 2.2% per year, growing from $58 million in 2007 to $65 million in 2012. Both of these techniques are mature, with limited growth from year to year in patient volume.
Body shaping and skin tightening are emerging as musthave procedures for serious aesthetic practitioners.
On a regional basis, North America will remain the single largest market for aesthetic products and equipment, accounting for $2.4 billion in sales in 2007. Over the next five years, this market region will expand by 12.2% per year to reach $4.4 billion, as shown in Figure 3.
Figure 3: Total Global Aesthetic Sales by Region, 2007 2012
9000 8000 7000 Sales in $MM 6000 5000 4000 3000 2000 1000 0 2007 North America 2008 2009 Europe 2010 Asia 2011 2012
Phototherapy Microdermabrasion
Emerging Skin Rejuvenation Liposuction
Body Shaping
Breast Implants
Physician-Dispensed Cosmeceuticals
Source: GAM VI, Medical Insight, Inc.
For the same reason, sales of physician-dispensed cosmeceuticals are rising. Through 2012, global sales are expected to expand by 17.8% per year to $1.5 billion from $683 million in 2007. Physicians like being able to offer patients one-stop shopping for skincare products and a rising number of savvy practices have established marketing systems geared towards maximizing product revenues. Sales of breast implants will also post gains, rising by 9.0% per year from $810 million in 2007 to $1.2 billion in 2012. Although plastic surgery procedures have declined significantly in 2008, with some surgeons reporting decreases of more than 60%, breast augmentation remains highly desirable. Interest in breast size continues to be fueled by the media, whose idealized images of the female figure routinely feature large breasts.
Latin America
Europe will also maintain relatively high annual growth of 12.0%, increasing from $1.2 billion to $2.2 billion. Asia and Latin America will lag, with growth rates of 10.9% and 9.2%, respectively. Due to the coupling of extremely low-cost equipment available from China and other parts of Asia, with limited demand for some procedures such as breast implants, the Asian market will only rise from $619 million in 2007 to $1.0 billion in 2012. Although demand for aesthetic procedures in Latin America is high, the region continues to be plagued by a weak economy and low consumer buying power.
In this context of expanding product and equipment sales, patient volume and physician fees will continue to rise. During 2007, approximately 77 million aesthetic treatments were performed worldwide including phototherapy, skin tightening, emerging skin rejuvenation, neuromodulator and dermal filler injections, microdermabrasion, chemical peels, liposuction, body shaping and breast implants. Through 2012, this number will expand by 5.5% per year to reach more than 101 million procedures. Many of these will be performed on the same patient, as physicians are increasingly recommending combination procedures (peels plus injections plus microdermabrasion, etc.) and roughly half of these procedures require re-treatment to maintain results. As shown in Figure 4, phototherapy comprised the single largest component of total patient volume with more than 30 million treatments, followed by microdermabrasion, with 11 million procedures, dermal fillers and body shaping with 8 million procedures each and neuromodulators
Figure 4: Total Global Aesthetic Procedures, 2007 2012
2007 2008 2009 2010 2011 2012 0 Phototherapy Microdermabrasion 20 Skin Tightening Chemical Peels 40 60 Millions of Procedures Emerging Skin Rejuvenation Liposuction 80 Neuromodulators 100 Fillers
practices will offer body shaping using newer devices such as UltraShape (Yoqneam, Israel), SmartLipo MPX from Cynosure (Westford, Massachusetts, U.S.) and others. Procedure fees will also continue to expand, rising by 6.0% per year from $29 billion in 2007 to more than $39 billion in 2012. Although many practitioners will reduce prices in response to competition, and in fact, lower product prices in some sectors will contribute to these declines, other segments will receive price support that results in an overall cost increase. For example, while treatment fees will fall somewhat for phototherapy, skin tightening, emerging skin rejuvenation, neuromodulators, microdermabrasion and chemical peels, they will rise for dermal fillers, liposuction, body shaping and implants. In procedure fees, the greatest gains, derived mainly from an increase in procedure volume, will be felt in the skin tightening sector, where they will expand by 31% per year from less than $1 billion in 2007 to $3 billion in 2012. Body shaping will also expand strongly, both from rising treatment volume and increased prices associated with advanced technology equipment. Body shaping fees of $2 billion in 2007 will rise by more than 23% per year to $6 billion in 2012. Figure 5 shows these trends.
Figure 5: Global Aesthetic Procedure Fees, 2007 2012
2007 2008 2009 2010 2011 2012 0 Phototherapy Microdermabrasion 5 10 Skin Tightening Chemical Peels 15 20 25 Fees in $Billion Emerging Skin Rejuvenation Liposuction 30 35 40 45 Fillers
Over the next five years, the terrain will become more challenging for many, but players with leading edge products and services will continue to thrive.
Neuromodulators
Body Shaping
Breast Implants
Body Shaping
Breast Implants
with 7 million treatments. Procedure growth will be strongest for skin tightening, which will expand by more than 36% per year to reach 2 million procedures in 2012, and body shaping, which will grow by 21% annually from 8 million treatments to 21 million. While many body shaping procedures in 2007 consisted of older endermologie treatments, over the next several years more and more
These represent overall trends; different practices and companies will each have their own story. Within the phototherapy equipment sector, for example, some manufacturers have recently seen sales declines of 20% or more, while others with more exciting technology have experienced double digit gains. Similarly, many medispas across the U.S. have begun to close, but some with excellent marketing and patient retention programs are expanding. Over the next five years, the terrain will become more challenging for many, but players with leading edge products and services will continue to thrive. I
BODY SHAPING TECHNOLOGIES COMPARISON CHART

Manufacturer
Adoderm GmbH Alma Lasers, Inc. Asclepion Laser Technologies BTL
Device
MPS-1000 AccentXL Effect Devices with Acoustic Wave No-Needle Mesotherapy System Electro Acoustic Massage System EXILIS
Energy Source
Mechanism of Action
Regulatory Status
(Europe and USA)
Electric current Transdermal delivery of topical fluids. UniPolar, Bi-Polar, UniLarge and Heat generated by tissue resistance (impedance) to radiofrequency induced current. UniForm Acoustic Wave Dual wavelength (685 nm and 830 nm) diode laser plus three electrical waveforms Acoustic Massage System Increases permeability of skin surface to topically applied agents (electroporation). Creates controlled, non-thermal remodeling of tissue to assist with skin tightening, scar revision and striae. May also be used in combination with any fat dissolution or cellulite treatment program. Targeted thermal and mechanical energy absorption, subsequent initiation of lipolytic processes and collagen remodeling. Generates skin tightening by the heating and stimulation of the collagen fibers. Same as above.
CE marked. CE cleared. FDA cleared. CE cleared. CE cleared. FDA 510k cleared. CE cleared, Class 1 device.
Monopolar RF and Ultrasound Nd:YAG 1064 nm Nd:YAG 1064 nm Infrared Light Nd:YAG 1064 nm / 1320 nm 1064 nm Nd:YAG Laser
CE cleared. FDA pending CE cleared. FDA cleared. CE cleared. FDA cleared. CE cleared for wrinkles and skin laxity. FDA cleared for deep dermal heating. CE cleared. FDA cleared.
Candela
Gentle Max Gentle Yag
Cutera, Inc. Cynosure, Inc. DEKA
Titan Smartlipo MPX SmartLipo SmartLipo 10 SmartLipo 18 Triactive SmoothShapes
Deep dermal heating to stimulate new collagen production. Blended laser wavelengths for more efficient laser assisted destruction of fat cells, coagulation of small blood vessels and collagen shrinkage. Laser assisted destruction of fat cells, coagulation CE cleared. of small blood vessels, collagen shrinkage. FDA cleared.
Elem Medical
Fotona General Project
Fotona XP-2 Focus (XP-2) Slim Project Med Sculpt Med Contour tmt System Photogen System SmartPL System RF Contrge Dual LipoSonix System Ultrapeel Transderm Ionto System Needles Free Injection System Pharaon LIPO LuxDeepIR Fractional Infrared handpiece SlimLipo Regen Apollo SkinType ProLipo PLUS
Grupo Body Esthetic Laboratories
INTERmedic LipoSonix, Inc. Mattioli OSYRIS Palomar
Handpieces with diode laser plus Cellular, vascular and lymphatic stimulation. Skin vacuum massage and skin cooling. tightening and collagen shrinkage. Ultrasound, RF handpieces. 650 nm and 915 nm Combines dynamic laser and light energy with mechanical massage and vacuum to specifically impact the components responsible for the appearance of cellulite-engorged fat cells and sclerotic fibrous septae. 1064 nm Nd:YAG Laser-assisted destruction of fat cells, coagulation of (QCW and Long Pulse) small blood vessels, collagen shrinkage and skin tightening. Computerized vacuum Tissue manipulation. assisted massage Controlled elastomassage Ultrasound action plus elastomassage. ultrasound; LED Ultrasound and Elastomassage Deep ultrasound action and lymphodrainage. Electrophoroporation currents Opening of micropores by electroporation and electrophoresis currents. Radiofrequency and Phototherapy Collagen contraction by dermal heating. Fractionated Pulsed Light Selective photothermolysis. Monopolar and Bi-Polar RF Heat generated by tissue resistance (impedance) to radiofrequency induced current. Ultrasound Fat cells disrupted by sound waves. Dermoelectroporation 980 Diode Laser Increases permeability of skin surface to topically applied agents (electroporation).
CE cleared. FDA cleared. CE cleared. FDA cleared. CE cleared. FDA pending.
CE cleared. FDA cleared. CE cleared. FDA pending. CE cleared. CE cleared. CE cleared. CE cleared. FDA cleared. CE pending. FDA pending. FDA cleared, 510k. CE cleared. FDA cleared. FDA cleared. CE cleared. FDA cleared. CE pending. CE cleared.
Pollogen Ltd.
Sciton
Solta Medical, Inc.
ThermaCool System with 3.0 cm2 ThermaTip DC VASER Lipo System
Advanced laser-assisted lysis of fat cells with concurrent skin contraction. Infrared Halogen Deep dermal heating to stimulate new collagen production. 924 nm and 975 nm Diode Laser Selective heating and emulsification of adipocytes with coagulation of connective tissue. TriPollar RF Heat generated by tissue resistance simultaneously in deep and shallow layers by combining the effects of monopolar and bi-polar energies. TriPollar RF Same as above. Broadband Light Deep dermal heating to stimulate new collagen production. 1064 nm Nd:YAG Laser assisted destruction of fat cells and collagen 1319 nm Nd:YAG remodeling. Monopolar Radiofrequency Heat generated by tissue resistance (impedance) to radiofrequency induced current. Ultrasound
Sound Surgical Technologies LLC
STORZ MEDICAL AG
CELLACTOR SC1 D-ACTOR 200
Acoustic Wave Technology (AWT) Acoustic Wave Technology (AWT) Bi-Polar RF, Infrared Light and Mechanical Massage 1064 nm Nd:YAG laser
Syneron Medical Ltd.
VelaShape LipoLite
CE cleared. FDA expected 2009. CE cleared. FDA cleared. FDA cleared. FDA pending. FDA cleared for non-invasive Tx of wrinkles and rhytides; temporary improvement in appearance of cellulite (not for face or shallow tissue areas). Uses ultrasonic energy to selectively emulsify fat CE cleared. cells prior to removal thereby preserving important FDA cleared. tissue such as nerves, blood vessels and collagen. The emulsified fat is easily removed via specially designed suction cannulas or massage. AWT uses high-energy acoustic waves for body CE cleared. shaping and aesthetic disorders such as cellulite or edema. AWT uses acoustic waves for body shaping and CE cleared. FDA 510k cleared for muscle pain aesthetic disorders such as cellulite. and local blood circulation. Increase in localized metabolism adipose tissue. CE cleared. FDA cleared. Laser-assisted lipolysis, ablation and coagulation CE Pending. of soft tissue. FDA cleared.
Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated.
66
Expert Opinions
Todd Schlesinger, M.D.
patients find that their fine wrinkles are slightly improved and so is their general skin tone.
After one or two months,
With a growing number of companies targeting skin health, the future of nutriceuticals appears promising. Innovative formulations range from proprietary technology that stimulates collagen production to a molecule found in a popular fruit. GliSODin skin nutrients from Isocell (Toronto, Ontario, Canada) use superoxide dismutase (SOD), which is a wellknown molecule used in pharmaceuticals and nutriceuticals, noted Gerald Ginsberg, M.D., director of plastic surgery at New York Downtown Hospital, in New York City, New York, U.S. Think of it as a sponge. It is a remarkable absorber of free radicals. It can be made from animal products or melon. GliSODin is 100% fruit and encased in a wheat protein for gel capsule consumption. Dr. Ginsberg recommends patients take two capsules in the morning, the same protocol he follows for himself and his wife. I am a 58 year old white male with classic skin that is too red and easily becomes inflamed, he said. In just two weeks, it has definitely reduced my ruddiness. Dr. Ginsberg also believes that a trauma strength formulation helped one of his patients save her skin flap following a serious Methicillin-Resistant Staphylococcus Aureus (MRSA) infection. In contrast, C-Estamins nutritional skincare supplements from Jan Marini Skin Research (San Jose, California, U.S.) contain the patented technology BioCell Collagen II, which helps regenerate
Nutriceuticals
Repair and Renew Damaged Skin
Expert Opinions
collagen, said Melinda Hall, M.D., a gynecologist with a medispa in Vienna, Virginia, U.S., who uses these supplements herself. I think my skin texture is much better, particularly the bags under my eyes. My patients have found the same results. After one or two months, they find that their fine wrinkles are slightly improved and so is their general skin tone. Five small pills are taken daily. Many female patients have trouble ingesting a lot of the vitamin supplements because they cant swallow the large pills, Dr. Hall explained. C-Estimins are easy for these patients to take and they have a coating. The topical Pro:Vitamin line from JSJ Pharmaceuticals (Charleston, South Carolina, U.S.) has the ability to be combined with other treatment regimens for skin damage, acne and hyperpigmentation, said Todd Schlesinger, M.D., a dermatologist in private practice in Charleston. This product line consists of the three most studied vitamins for skin: vitamin A, C and E. Typically, a patient will use the vitamin E and the vitamin C in the morning, then the vitamin A at night. Not every patient will use all three products at any given time. According to Dr. Schlesinger, patients can expect smoothing of the skin. Patients that are being treated with acne medications can expect an improvement with vitamin E by reducing inflammation within the skin. Vitamin C helps with hyperpigmentation. Dr. Schlesinger also mentioned the pureness of this pharmaceutical grade product line and the micro-sponge delivery system that allows for better penetration. Products are packaged in individual silicon capsules, therefore oxidation or damage from being exposed to air is not a problem.
70
SKIN REJUVENATION COMPARISON CHART

Supplier Product Name
Alma Lasers HarmonyXL
Device Type
AFT Pulsed Light Near-Infrared Nd:YAG Pixel
Wavelength (nm)
515 - 950 nm, 540 - 950 nm, 570 - 950 nm, NIR 1064 nm, 1320 nm 2940 nm 808 nm 532, 1064 2940 nm
Energy Pulse Output (Joules) Length

5 - 25 J/cm2 Up to 7 J/cm2 30 - 450 J/cm2, 5 - 40 J/cm2 Up to 2500 mJ/p up to 170 J/cm2 10, 12, 15 ms
Accessories
SVL module, 40 x 16 mm spot, contact cooling. VL/PL module, 40 x 16 mm spot, contact cooling. SR module, 40 x 16 mm spot, contact cooling. ST module, 40 x 16 mm spot. 10, 30, 90 sec 15, 45, 60 ms, 1064 module. 1320 module. 30, 40, 50 ms Short, medium, long High-power Pixel 2940 module. up to 500 ms 10 and 12 mm spot sizes (standard); 4, 6 and 14 mm tips available; integrated skin cooling. MicroSpot handpiece with microlens technology.
Asclepion Laser MeDioStar TattooStar Y Carbon Laser Peel Dermablate Effect MicroSpot Fractional Candela Vbeam Aesthetica Vbeam Perfecta GentleLASE (Various models) Smoothbeam GentleYAG (Various models) GentleMax Configurable Workstation SmoothPeel Cutera Xeo
Diode Nd:YAG Er:YAG
1.5 J (free running) 8 ns 1.5 J About 300 m
Pulsed Dye Pulsed Dye Alexandrite Diode Nd:YAG Alexandrite / Nd:YAG Erbium:YAG Long Pulse Nd:YAG / Intelligent Pulsed Light / Infrared / 2790 YSGG Intelligent Pulsed Light Nd:YAG with CAP Xenon Pulsed Light / Erbium:YAG Nd:YAG Pulsed Light Alexandrite / Nd:YAG Pulsed Dye / Nd:YAG / Intense Pulsed Light Pulsed Dye / Nd:YAG Q-switched Alexandrite Q-switched Nd:YAG CO2 Laser and scanner system Alexandrite / LP and SP Nd:YAG / Pulsed Light
595 nm 595 nm 755 nm 1450 nm 1064 nm 755 nm / 1064 nm 2940 nm 1064 nm / 560 1200 nm, 600 850 nm / 1100 1800 nm / 2790 nm 560 1200 nm, 600 850 nm 1440 nm / 1320 nm / 560 950 nm / 2940 nm 1064 nm 560 950 nm 755 nm / 1064 nm 595 nm / 1064 nm / 560 950 nm
Up to 20 J/cm2 Up to 40 J/cm2 Up to 100 J/cm2 Up to 25 J/cm2 J/cm2
0.45 40 ms 0.45 40 ms 3 ms 210 ms 0.25 300 ms 0.25 300 ms
Up to 600
Up to 600 J/cm2
Max energy 750 mJ 2, 4, 6 Hz Up to 300 J / 5 20 J, 6 40 J / 5 65 J / 3.5 J 5 20 J, 6 40 J 8 J/cm2 / 14 J/cm2 / 1 - 5 J/cm2 10 600 J/cm2 3 30 J/cm2 25 50 J/cm2 / 10 600 J/cm2 2 40 J/cm2 / 10 600 J/cm2 / 16 J/cm2 8.3 cm2, 30 J/cm2 4.6 cm2, 30 J/cm2 2.1 cm2 handpieces 2 40 J/cm2 / 10 600 J/cm2 Min. 2.8 J/cm2 to Max. 18 J/cm2 Min. 1.5 J/cm2 to Max. 28 J/cm2 30 W Up to 60 J/cm2, up to 500 J/cm2, up to 25 J/cm2 0.1 300 ms / Automatic (pulsed light) / 4 11 sec / Variable Automatic (pulsed light)
Spot sizes up to 10 mm, two pigmented lesion handpieces; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Six spot sizes up to 12 mm, including 3 x 10 elliptical and pigmented lesion handpieces; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes 6-18 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes 4 - 6 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes 1.5 18 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes 1.5 18 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy, air cooling available. Upgradable. Spot sizes 5 and 9 mm. Sustained deep dermal heating. Treats all skin types. Large 10 x 30 mm sapphire window for faster treatments. 2790 targets fine lines, photodamage, one to two treatments, no disposables. Real time calibration. Large spot size for fast treatments. No numbing cream or gel required.
Solera Opus Cynosure Affirm Acclaim Cynosure PL Elite Cynergy with XPL
3 ms / SmartCool air cooling device. Compatible with Affirm 5 35 ms / 0.5 ms workstation. Unique MultiPlex technology of 1440 nm and 1320 nm. 0.4 300 ms SmartCool air cooling. No disposable costs. 5 50 ms Spot sizes: 46 x 18 mm or 46 x 10 mm. 0.5 300 ms / SmartCool air cooling. Spot sizes 12 mm and 15 mm. 0.4 300 ms 0.5 40 ms / SmartCool air cooling. Portable pulsed light air cooling 0.3 300 ms / module can be used separately. 5 50 ms
Cynergy Accolade Affinity QS DEKA SmartXide DOT Synchro Pla:y
595 nm / 1064 nm 755 nm 532 nm, 1064 nm 10,600 nm 755 nm, 1064 nm, 500-1200 nm, 520-1200 nm, 550-1200 nm, 600-1200 nm, 650-1200 nm 1540 nm / 1340 nm / 750-1800 nm / 500-1200 nm
0.5 40 ms / 0.3 300 ms Minimum 50 ns 6 ns From 0.2 ms to 20 ms 2-100 ms / 3-300 ms, 0.3-0.8ms / 3-8 ms, burst mode up to 124 ms 10 ms / Up to 10 ms / CW / 3 8 ms
Air cooling. Four handpieces from 2 mm to 5 mm. 2 mm, 3 mm, 4 mm (optional) and 6 mm handpieces. Scanner offers standard or DOT scanning mode. Skin cooling integrated. Alexandrite spot size handpieces: 5, 7, 10, 12, 14 and 16 mm; Nd:YAG spot size handpieces 2.5, 5, 7, 10, 14 and 16 mm; pulsed light area of Tx 48 x 13 mm. Skin rejuvenation, skin tightening and hair removal workstations. Fractional Er:Glass handpiece with 7 mm and 10 mm spot sizes. Skin cooling integrated. Fractional Nd:YAP handpiece with 6 mm spot size. CW IR handpiece for skin tightening and collagen shrinkage. Skin cooling integrated. Pulsed light handpiece with five different removable filters for hair removal, skin cooling integrated. One pulsed light handpiece has 30,000 warranted shots. Skin cooling integrated. Built-in power meter. Portable.
DOT 1540
Er:Glass / Nd:YAP / CW IR Lamp / Pulsed Light
Up to 32 J/cm2 / Up to 37 J/cm2 / Up to 65 J/cm2 / Up to 25 J/cm2
Minisilk FT
Pulsed Light
500 1200 nm, 520 1200 nm, 550 1200 nm, 600 1200 nm, 650 1200 nm
Up to 25 J/cm2
Single pulse: 3 8 ms, Burst mode: up to 124 ms
Note: Data subject to change; please refer to Company Directory for supplier contact information. 72 THE European Aesthetic Guide Spring 2009 www.euroabg.com

DEKA (continued) Synchro HP
Device Type
Nd:YAG / U-PL / Er:YAG / QS-Nd:YAG Nd:YAG / U-PL Long Pulse Nd:YAG U-PL / Nd:YAG / Er:YAG / QS-Nd:YAG U-PL / Nd:YAG / Er:YAG Q-switched Nd:YAG Pulsed Light Fractional CO2 Pulsed Light
Wavelength (nm)
1064 nm / 500 - 950 nm / 2940 nm / 1064 nm 1064 nm / 500 - 950 nm 1064 nm 500 - 950 nm / 1064 nm / 2940 nm / 1064 nm 500 - 950 nm / 1064 nm / 2940 nm 1064, 532 nm 530 - 750 nm, 555 - 950 nm 10,600 nm 530 - 750 nm, 555 - 950 nm 1064 nm / 2940 nm

Up to 700 J/cm2 / Up to 32 J/cm2 / Up to 15 J/cm2 / Up to 41 J/cm2 Up to 200 J/cm2 / Up to 21 J/cm2 Up to 225 J/cm2 Up to 32 J/cm2 / Up to 225 J/cm2 / Up to 15 J/cm2 / Up to 41 J/cm2 Up to 30 J/cm2 / Up to 200 J/cm2 / Up to 6.4 J/cm2 900 mJ, 450 mJ Up to 19 J/cm2 Up to 53 J/cm2 Up to 19 J 0.2 - 300 ms / 3 - 40 ms / Up to 600 s / Up to 2 ms 4 - 135 ms / 10 - 325 ms Up to 20 ms 3 - 25 ms / Up to 25 ms / Up to 1,000 s / Up to 2 ms 3 - 25 ms / Up to 2 ms / Up to 1,000 s 6 ns Up to 100 ms 2-7 sec Up to 100 ms
Accessories
Synchro Smartepil LS Photosilk Plus
Photolight Duolite QS Ellipse A/S Ellipse MultiFlex Ellipse Juvia Ellipse I2PL
Long pulse Nd:YAG spot sizes up to 20 mm, peak power 50-27,000 W (dual switch). Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL handpieces. Skin cooling integrated. Er:YAG handpiece, QS-Nd:YAG handpiece. Long pulse Nd:YAG spot sizes up to 10 mm. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter (U-PL). Spot size up to 6 mm. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL handpieces. Skin cooling integrated. Nd:YAG, Er:YAG and QS-Nd:YAG handpieces. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter (U-PL). Nd:YAG and Er:YAG handpieces. Portable. Up to 6 mm spot sizes. Multi-technology IPL and laser platform includes programmable pulse technology (PPT) and patient database. Two different handpieces available for skin rejuvenation. Incisional handpiece and additional solid core optical fiber included. Multi-application platform. Two different handpieces available for skin rejuvenation. Nd:YAG handpiece with spot sizes from 2 to 12 mm; S-11 Nd:YAG scanner with 42 cm2 Tx area; wide-range of Er:YAG handpieces with spot sizes from 0.5 to 12 mm and emerging technology add-ons; Er:YAG ablative/nonablative and punching scanners; Variable Square Pulse (VSP) technology supported; FRAC3 rejuvenation Tx enabled. Nd:YAG handpiece with spot sizes from 2 to 12 mm; Nd:YAG scanner with 35 x 60 mm Tx area; wide-range of Er:YAG handpieces with spot sizes from 0.5 to 12 mm and emerging technology add-ons; VSP technology supported. Wide-range of Er:YAG handpieces with spot sizes from 0.5 to 12 mm and emerging technology add-ons; VSP technology supported. Wide-range of Er:YAG handpieces with spot sizes from 0.5 to 7 mm and emerging technology add-ons; VSP technology supported. Handpiece with spot sizes from 2 to 20 mm; S-11 scanner with 42 cm2 Tx area, 3 mm, 6 mm and 9 mm scanner spot sizes; VSP technology supported; FRAC3 rejuvenation Tx enabled. Handpiece with spot sizes from 2 to 10 mm; S-11 scanner with 42 cm2 Tx area; Variable Square Pulse (VSP) technology supported. Handpiece with spot sizes from 2 to 8 mm; scanner with 35 x 60 mm Tx area; VSP technology supported. Handpiece with spot sizes from 2 to 8 mm (Accelera, QS Nd:YAG and QS KTP) and from 2 to 4 mm (QS red and QS yellow); OPTOflex articulated arm and OPTOflex Vacuum Cell technology supported; FRAC3 rejuvenation Tx enabled. Multiple system for face care (microdermabrasion, vacuum assisted massage, phototherapy with HBLM technology). Spot sizes: 50 x 25 mm, 35 x 15 mm, 20 x 10 mm.
Fotona Fotona SP Engine (SP Plus) Nd:YAG / Er:YAG
Up to 600 J/cm2, 120 J / up to 3000 mJ
Up to 300 ms / 0.1 1.5 ms
Fotona SP Changer (DualisSP)
Nd:YAG / Er:YAG
1064 nm / 2940 nm
Up to 400 J/cm2, 20 J / Up to 3000 mJ Up to 3000 mJ Up to 1 J Up to 600 J/cm2, 120 J Up to 600 J/cm2, 50 J
5 200 ms / 0.1 1.5 ms
Fotona XS Changer (DualisXS) Fotona XS Focus (FidelisXS) Fotona XP MAX
Er:YAG Er:YAG Nd:YAG
2940 nm 2940 nm 1064 nm
0.1 1.5 ms 0.1 1.5 ms 0.1 300 ms
Fotona XP Engine (DualisXP Plus) Fotona XP Changer (DualisXP) Fotona QX MAX
Nd:YAG Nd:YAG
1064 nm 1064 nm
5 200 ms
Q-switched Nd:YAG / 1064 nm / 532 nm / Q-switched KTP / 585 nm / 650 nm Q-switched red / Q-switched yellow / Accelera Multiple Modalities Pulsed Light Pulsed Light 590 - 800 nm, 350 - 510 nm, 520 - 800 nm 590 - 1200 nm 590 - 1200 nm, 640 - 1200 nm
Up to 400 J/cm2, 5 200 ms 20 J 1600 mJ/pulse / 5 20 ns (QS) / 600 mJ/pulse / 250 s (Accelera) 220 mJ/pulse / 340 mJ/pulse / 5 J
General Project 3Face GP Flash 1 Flash 1 Plus
Up to 30 J Up to 500 J at lamp level Up to 600 J at lamp level
Pre-set from 0 - 4 sec
Med Flash II HOYA ConBio Europe RevLite MedLite C6 INTERmedic Contrge
Pulsed Light
590 - 1200 nm, 640 - 1200 nm 1064 nm 1064 nm
Up to 600 J at lamp level Up to 12 J/cm2 PTP Up to 12 J/cm2
Pre-set modes: 1.5, 2, 2.5 ms Single pulse Spot sizes: 50 x 25 mm, 35 x 15 mm, 20 x 10 mm. 25-75 ms, pulsed mode: 1.5-12.5 ms (duration), 5-100 ms (interval) Same as above. Same as above with integrated skin cooling system.
EO Q-switched PTP Nd:YAG EO Q-switched Nd:YAG Diode Laser/ Radiofrequency/ Ultrasound
5 - 20 ns 5 - 20 ns
Optional aiming beam. No need for skin cooling. Works on all skin types. Same as above.
980 nm
Up to 1000 J/cm2
5 ms 500 ms
Handpiece for dermatological and vascular surgery.
Note: Data subject to change; please refer to Company Directory for supplier contact information. THE European Aesthetic Guide Spring 2009 www.euroabg.com 73

LASERING SLIM E30 MiXto SX Velure S5 MiXto VX Velure S5 Lumenis IPL Quantum SR
Device Type
CO2 Diode Diode
Wavelength (nm)
10,600 nm 532 nm 532 nm

0.5 30 W 0.1 5 W 0.1 5 W N/A 10-1000 ms 10-1000 ms
Accessories
Patent pending MiXto SX fractional scanner system. Full range of traditional accessories available. MiXto VX fractional scanner. Focusing handpieces with spot sizes of 0.3 mm, 0.5 mm, 1.5 mm. Focusing handpieces with spot sizes of 0.3 mm, 0.5 mm, 1.5 mm. Upgradable to hair removal (HR), deep vascular lesions and leg veins (DL) and tattoo removal (QS). Spot size 34 x 8 mm, optional 590 nm and 640 nm heads for skin rejuvenation. Multi-technology, multi-application platform. Upgradable, expandable. 7 IPL filters, novel (OPT) optimized pulsing technology, optimized presets and patient database, spot sizes: 15 x 35 mm and 8 x 15 mm (IPL), 2 x 4, 6, 9 mm (Nd:YAG). LightSheer 9 x 9 mm. Spot size of 20 x 30 mm crystal, 33 Hz. Multiple treatment tips. Chaos Scanning Technology (CST). Zoom handpiece, collimated handpiece, 585 nm and 650 nm laser handpiece (optional). Top hat beam. Quasi-long pulse mode. Zoom handpiece, collimated handpiece. Top hat beam. Quasi-long pulse mode. 50 and 100 mm handpieces, small beam size up to 80 micron, char-free (up to 40 ms). Spot size 40 mm x 10 mm (4 cm2); works on all skin types, easy interface; SR handpiece included. Lamp water cooling and low temp. Integrated contact cooling (Peltier). Multiple language display and 1 second shot feature. Unique scanning technology for fast and uniform treatments with up to 10 x 10 mm Tx area. Optional skin cooling for improved patient comfort. Fractional scanner system with 10 x 10 mm Tx area. Adjustable energy density settings. Laser energy delivered through unique solid core fiber system.
Intense Pulsed Light Intense Pulsed Light / Nd:YAG / LightSheer Diode / Aluma RF IPL Erbium Fiber Q-switched Nd:YAG Q-switched Nd:YAG Carbon Dioxide
560 - 1200 nm
15 - 45 J/cm2
6 - 26 ms
Lumenis One
515 - 1200 nm / 1064 nm / 800 nm / RF 570 - 1200 nm N/A 1064 nm, 532 nm, 585 nm, 650 nm 1064 nm, 532 nm 10,600 nm
10 - 40 J/cm2 / 10 - 225 J/cm2 / 10 - 100 J/cm2 / 2 - 20 W Up to 22 J/cm2 N/A 1J 12 J/cm2 Up to 30 W
3 - 100 ms / 2 - 20 ms / 5 - 400 ms / 1 - 5 sec N/A 4 - 40 mJ 5-7 ns / 300 s 5-7 ns / 300 s 40 s - 1000 s
Elora Lutronic Corporation MOSAIC Spectra VRM II Spectra QT Spectra SP Mattioli Engineering Mattioli Pulse Two
IPL
560 1200 nm
30 J/cm2
10 35 ms
MedArt A/S MedArt 470 MedArt FRx Palomar StarLux 500 Platform Lux2940 Fractional Lux1540 Fractional Laser handpiece LuxDeepIR Fractional Infrared handpiece LuxG handpiece Photo Therapeutics Ltd. Omnilux revive Omnilux plus Pollogen Ltd. Regen Apollo Quanta System Matisse (Various models) Light B Light C Light A* (Star) Light 4V
5 W Solid State Diode Pumped Laser 15 W CO2
532 nm 10,600 nm
Max. 1000 J/cm2
Pulse width 10-1000 ms 10-1000 ms
2940 Laser 1540 Laser Infrared Light Pulsed Light
2940 nm 1540 nm 850 1350 nm 500 670 nm, 870 1400 nm 633 nm 830 nm
N/A Up to 70 mJ per microbeam Up to 175 J Up to 70 J/cm2
N/A 1 500 2.5 10 sec 1 500
LED LED TriPollar RF TriPollar RF
Up to 150 J/cm2 Up to 80 J/cm2
CW CW CW CW
Interchangeable treatment heads. Interchangeable treatment heads. Two applicators. Three applicators.
N/A frequency 1 MHz N/A output power 30 W N/A frequency 1 MHz N/A output power 50 W 1540
Q-Plus B Q-Plus* Star 1
TWAIN 2940 option TWAIN IPL option
Up to 250 J/cm2 per MTZ Nd:YAG 1064, 1320 Up to 500 J/cm2, Up to 35 J/cm2 Nd:YAG / 1064, 1320 / 532 Up to 500 J/cm2, KTP Nd:YAG Up to 35 J/cm2 / Up to 90 J/cm2 Alexandrite / Nd:YAG 755 / 1064, 1320 Up to 120 J/cm2 / up to 500 J/cm2, up to 35 J/cm2 Alexandrite / Nd:YAG / 755 / 1064, 1320 / 532 Up to 120 J/cm2, KTP Nd:YAG up to 500 J/cm2, up to 35 J/cm2 / up to 90 J/cm2 Nd:YAG Q-switched / 1064 / 532 Up to 45 J/cm2 / KTP Nd:YAG up to 20 J/cm2 Q-switched Nd:YAG / Nd:YAG 1064, 1320 / 1064 / 532 Up to 500 J/cm2, Q-switched / KTP 1064 up to 35 J/cm2 / Nd:YAG Q-switched up to 30 J/cm2 / up to 15 J/cm2 Er:YAG 2940 Up to 100 J/cm2 Pulsed Light 570-1200 Up to 40 J/cm2 Fractional Er:Glass
4-14 ms 0.3-300 ms, 5-10 ms 0.3-300 ms, 5-10 ms / 5-25 ms 3-100 ms / 0.3-300 ms, 5-10 ms 3-100 ms / 0.3-300 ms, 5-10 ms / 5-25 ms 6 ns 0.3-300 ms, 5-10 ms / 6 ns 0.3-1 ms 3-240 ms
Contact skin cooling or cryo air system integrated with handpiece. Alexandrite 755 nm spot sizes: up to 16 mm; rep. rate up to 2 Hz. Nd:YAG 1064 nm long and short pulse spot sizes: up to 12 mm; rep. rate up to 2 and 7 Hz. Nd:YAG 1320 nm (optional) spot sizes: up to 8 mm; rep. rate up to 5 Hz. Nd:YAG 532 and 1064 Q-switched spot sizes: 2, 3, 4, 6 mm; rep. rate up to 10 Hz. TWAIN 2940 Er:YAG ablative fractional resurfacing available for all the laser systems, spot size 10 mm. TWAIN IPL pulsed light option available for all laser systems at 400-1200, 550-950, 570-1200, 590-1200, 625-1200 and 650-1200 nm.

Quanta System (continued) Eterna Giovinezza Plus Silk Light (table top) Q-Plus C Q-Plus A Q-Plus B Q-Plus R Quantel Derma GmbH ARAMIS BURANE LEDA SCR 585 yellow MYDON IDAS SINON Sciton JOULE ClearScan Contour TRL ThermaScan BBL BBLs Syneron eMax / eLight SR
Device Type
Pulsed Light
Wavelength (nm)

Up to 40 J/cm2 Up to 40 J/cm2 Up to 12.5 J/cm2, up to 22.5 J/cm2, up to 11 J/cm2 Up to 12.5 J/cm2, up to 22.5 J/cm2 Up to 16 J/cm2, up to 37 J/cm2 Up to 11 J/cm2 Up to 126 J/cm2 Up to 2 J (XL up to 2.5 J) Up to 35 mW/cm2 Up to 600 J/cm2 8W Up to 14 J/cm2 3-240 ms 3-240 ms 6 ns, 30 ns 6 ns 6 ns 30 ns 3.3 ms 350 s (XL 350 s up to 260 ms) Pulsed and CW 0.5 - 90 ms 2 - 1000 ms, pulsed and CW 20 ms
Accessories
570-1200, 625-1200 Pulsed Light 570-1200 Q-switched Nd:YAG 532, 1064, 694 + Q-switched Ruby in one Q-switched Nd:YAG 532, 1064 Q-switched Nd:YAG 532, 1064 Ruby Q-switched Er:Glass Er:YAG LED Nd:YAG LBO QS Ruby 694 1540 nm 2940 nm 585 nm 1064 nm 532 nm 694 nm
IPL handpieces available at 400-1200, 550-950, 570-1200, 590-1200, 625-1200 and 650-1200 nm. Spot sizes 48x13 or 25x13 mm. Repetition rate up to 10 Hz. Unique OptiBeam technology for effective flat-top squared beam profile of 2x2, 3x3, 4x4, 5x5, 6x6 mm, improves comfort and safety.
Integrated skin cooling. Optional fractional handpieces FX4 and FX12. Treatment screen for platform system LEDA. Spot sizes: 1.5, 3, 5 mm, integrated skin cooling, optional handpiece for hair removal, optional fiber for endoluminal laser therapy. Spot sizes: 0.2, 0.5, 0.7, 1 and 2; optional accessories for ENT surgery and endoluminal treatments. Spot sizes: 3, 4, 5 and 6; optional 3 mm Soft Spot for darker skin types. Configurable up to nine modules. Computerized scanner; 30 x 30 mm Tx; integrated cooling. Computerized scanner, smart user interface, MicroLaserPeel, Tunable Resurfacing Laser. Computerized scanner; 30 x 30 mm Tx; integrated cooling. 15 x 45 mm, 15 x 15 mm spot sizes, smart filters, integrated cooling. Table top system. SkinTyte 420, 515, 560, 590, 640, 695 filters, 15 x 45 and 15 x 15 spot sizes, precision cooling, three year warranty. Applicator head included. 12 x 25 mm treatment area. No disposable costs. Same as above.
Nd:YAG / Er:YAG / Broadband Light Nd:YAG module Er:YAG module Nd:YAG module Broadband Light module Broadband Light
Various 1064 nm 2940 m 1319 nm 420 1400 nm 420 1400 nm
Up to 400 J/cm2 Up to 400 J/cm2 45 W Up to 30 J/cm2 Up to 30 J/cm2 Up to 30 J/cm2
0.1 200 ms, 1 10 sec. 3 200 ms 0.1 50 ms 10 200 ms Up to 200 ms Up to 500 ms
eMax / eLight SRA
eMax / eLaser WRA
eMax / eLaser Matrix IR
els: Optical energy combined with RF electrical energy els: Optical energy combined with RF electrical energy els: Diode combined with RF electrical energy els: Diode and Bi-Polar RF
580 - 980 nm
470 - 980 nm
900 nm
915 nm
Up to 45 J/cm2 (Optical), Up to 25 J/cm3 (RF) Up to 45 J/cm2 (Optical), Up to 25 J/cm3 (RF) Up to 50 J/cm2 (Optical), Up to 100 J/cm3 (RF) Up to 70 J/cm Diode fluence, Up to 100 J/cm RF fluence 60 W
Optical + RF, short/long Optical + RF, short/long Optical + RF
Applicator head included. 8 x 12 mm treatment area. No disposable costs. 5 x 9 mm treatment. No disposable costs.
Optical + RF
ThermaMedic ThermaLipo II
ThermaClinic Ulthera, Inc. Ulthera System
Bi-Polar RF powered 0.9 MHz to 3.4 MHz by Automatic Multifrequency and Low Impedance (AMFLI) Technology Bi-polar RF, AMFLI From 0.9 to 5.4 MHz technology (automatic) Micro-focused Ultrasound with visualization N/A
Variable according Re-usable bi-polar handpiece. to protocol
60 W
Variable
Re-usable handpiece, digital thermometer.
N/A
N/A
Contact manufacturer.
HAIR REMOVAL COMPARISON CHART

Alma Lasers SopranoXL HarmonyXL Asclepion Laser MeDioStar XT Effect MeDioStar miXT Effect MeDioStar XT-V Effect
Device Type
CW Diode
Wavelength (nm)
810 nm

Up to 120 J/cm2 10 1350 ms 5 25 J/cm2, 1 7 J/cm2 Up to 90 J/cm2 Up to 90 J/cm2 30, 40, 50 ms 1, 3, 30 ms SHR mode Up to 500 ms Up to 500 ms
Accessories
AFT Pulsed Light, 650 950 nm Near Infrared (SHR mode) Diode Diode Diode 808 nm 810 nm, 940 nm (combined) 808 nm
Combining both the Super Hair Removal Mode, for virtually painless Tx, and traditional higher fluence hair removal. HR module, 40 x 16 mm spot size, contact cooling. SHR mode for virtually pain free performance. 10 mm and 12 mm spot sizes (standard); 14 mm tips available; integrated skin cooling. 10 mm and 12 mm spot sizes (standard); 4, 6, 14 mm tips available; integrated skin cooling. 10 mm and 12 mm spot sizes (standard); 14 mm tips available; integrated skin cooling.
MeDioStar miXT-V Effect Diode Effect Device with IPL Candela GentleLASE (Various Models) GentleYAG (Various Models) IPL Alexandrite Nd:YAG
810 nm, 940 nm (combined) 400 - 1200 755 nm 1064 nm 755 nm / 1064 nm 1064 nm
Up to 90 J/cm2 Up to 500 ms (hair removal), Up to 170 J/cm2 (vascular) Up to 90 J, Up to 500 ms 10 mm and 12 mm spot sizes (standard); 4, 6, Up to 170 J 14 mm tips available; integrated skin cooling. (vascular) Up to 30 Single 5 - 35 ms, Burst 35 80 ms Up to 100 J/cm2 3 ms Up to 600 J/cm2 Up to 600 J/cm2 500 J/cm2
GentleMax Alexandrite / Configurable Workstation Nd:YAG CoolTouch VARIA Nd:YAG Cutera CoolGlide CV Xeo
Spot sizes 6-18 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. 0.250 300 ms Spot sizes 1.5 18 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. 0.250 - 300 ms Same as above with air cooling. Upgradable. 300 ms continuous VariZoom handpiece with 2 10 mm adjustable spot size and interchangeable Tx guides. Pulsed cryogen cooling with pre- and post-cooling.
Nd:YAG Long Pulse Nd:YAG Infrared Infrared
1064 nm 1064 nm Prog. wavelength Prog. wavelength
10 100 J Up to 300 J 5 35 J 5 35 J
Solera Opus Cynosure, Inc. Apogee Elite Acclaim Cynosure PL DEKA Synchro HP
Treats all skin types and tanned skin. No disposable costs. 0.1 300 ms Removes fine and coarse hair safely. Spot size 10 mm (or 10x30 mm). Auto by program Real time calibration. Upgradable in the field. Variable over Fast treatment speeds at therapeutic fluences. fluence range Real time calibration. No numbing cream or gel required. 0.5 300 ms 0.5 300 ms / 0.4 300 ms 0.4 300 ms 5 50 ms 0.2 - 300 ms / 3 - 40 ms / Up to 600 s / Up to 2 ms
10 100 ms
Alexandrite Alexandrite / Nd:YAG Nd:YAG Pulsed Light Nd:YAG / U-PL / Er:YAG / QS-Nd:YAG
755 nm 755 nm / 1064 nm 1064 nm 560 950 nm 1064 nm / 500 - 950 nm / 2940 nm / 1064 nm
25 50 J/cm2 25 50 J/cm2 / 10 600 J/cm2 10 600 J/cm2 3 30 J/cm2 Up to 700 J/cm2 / Up to 32 J/cm2 / Up to 15 J/cm2 / Up to 41 J/cm2
SmartCool air cooling. Spot sizes: 1.5 mm, 12 mm and 15 mm. Spot sizes: 46 x 18 mm or 46 x 10 mm. Long pulse Nd:YAG spot sizes up to 20 mm, peak power 50-27,000 W (dual switch). Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL handpieces. Skin cooling integrated. Er:YAG handpiece, QS-Nd:YAG handpiece. Skin cooling integrated. Alexandrite spot size handpieces 5, 7, 10, 12, 14 and 16 mm; Nd:YAG spot size handpieces 2.5, 5, 7, 10, 14 and 16 mm; pulsed light area of Tx 48 x 13 mm.
Synchro Pla:y
Synchro Photosilk Plus
Alexandrite / LP 755 nm / 1064 nm / and SP Nd:YAG / 500-1200 nm, Pulsed Light 520-1200 nm, 550-1200 nm, 600-1200 nm, 650-1200 nm Nd:YAG / 1064 nm / U-PL 500 - 950 nm U-PL / Nd:YAG / Er:YAG / QS-Nd:YAG 500 - 950 nm / 1064 nm / 2940 nm / 1064 nm
Up to 60 J/cm2 / 2-100 ms / up to 500 J/cm2 / 3-300 ms, up to 25 J/cm2 0.3-0.8 ms / 3-8 ms, burst mode up to 124 ms Up to 200 J/cm2 / 4 - 135 ms / Up to 21 J/cm2 10 - 325 ms
Long pulse Nd:YAG spot sizes up to 10 mm. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter (U-PL). Up to 32 J/cm2 / 3 - 25 ms / Nine U-shape pulsed light handpieces. Up to 225 J/cm2 / Up to 25 ms / 60,000 warranted shots. Built-in power meter Up to 15 J/cm2 / Up to 1,000 s / for U-PL handpieces. Skin cooling integrated. Up to 41 J/cm2 Up to 2 ms Nd:YAG handpiece. Er:YAG handpiece, QS-Nd:YAG handpiece.

DEKA (continued) Photolight Photosilk Minisilk FT
Device Type
U-PL / Nd:YAG / Er:YAG U-PL Pulsed Light System Pulsed Light System
Wavelength (nm)
500 - 950 nm / 1064 nm / 2940 nm 500 - 950 nm 500 1200 nm, 520 1200 nm, 550 1200 nm, 600 1200 nm, 650 1200 nm 1540 nm / 1340 nm / 750 - 1800 nm / 500 - 1200 nm

Up to 30 J/cm2 / Up to 200 J/cm2 / Up to 6.4 J/cm2 Up to 30 J/cm2 Up to 25 J/cm2 3 - 25 ms / Up to 2 ms / Up to 1,000 s 10 - 340 ms Single pulse: 3 8 ms, Burst mode: up to 124 ms 10 ms / Up to 10 ms / CW / 3 8 ms
Accessories
Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter (U-PL). Nd:YAG handpiece. Er:YAG handpiece. Portable. Two U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL. Skin cooling integrated. One pulsed light handpiece has 30,000 warranted shots. Skin cooling integrated. Built-in power meter. Portable. Skin rejuvenation, skin tightening and hair removal workstations. Fractional Er:Glass handpiece with 7 mm and 10 mm spot sizes. Skin cooling integrated. Fractional Nd:YAP handpiece with 6 mm spot size. CW IR handpiece for skin tightening and collagen shrinkage treatment. Skin cooling integrated. Pulsed light handpiece with five different removable filters for hair removal too. Skin cooling integrated. Multi-technology IPL and laser platform includes programmable pulse technology (PPT) and patient database. Three different handpieces available for hair removal. Multi-application platform. Three different handpieces available for hair removal. Broad range of pre-programmed VPL settings for ease of use, 25,000 shots guaranteed, 10 mm x 50 mm Tx area, water-cooled applicators. Handpiece with spot sizes from 2 to 20 mm; S-11 scanner with 42 cm2 Tx area, 3 mm, 6 mm and 9 mm scanner spot sizes; Variable Square Pulse (VSP) technology supported; FRAC3 rejuvenation Tx enabled. Handpiece with spot sizes from 2 to 10 mm; S-11 scanner with 42 cm2 Tx area; Variable Square Pulse (VSP) technology supported. Nd:YAG handpiece with spot sizes from 2 to 12 mm; S-11 Nd:YAG scanner with 42 cm2 Tx area; wide-range of Er:YAG handpieces with spot sizes from 0.5 to 12 mm and emerging technology addons; Er:YAG ablative/non-ablative and punching scanners; VSP technology supported; FRAC3 rejuvenation Tx enabled. Handpiece with spot sizes from 2 to 8 mm; scanner with 35 x 60 mm Tx area; Variable Square Pulse (VSP) technology supported. Nd:YAG handpiece with spot sizes from 2 to 12 mm; Nd:YAG scanner with 35 x 60 mm Tx area; wide-range of Er:YAG handpieces with spot sizes from 0.5 to 12 mm and emerging technology add-ons; VSP technology supported. Handpiece with spot sizes from 2 to 8 mm, Variable Square Pulse (VSP) technology supported. Spot sizes: 50 x 25 mm, 35 x 15 mm, 20 x 10 mm. Same as above.
DOT 1540
Ellipse A/S Ellipse MultiFlex
Pulsed Light
600 - 950 nm, 645 - 950 nm 600 - 950 nm, 645 - 950 nm 610 nm - 950 nm
Up to 21 J/cm2
Up to 100 ms
Ellipse I2PL Energist UltraPlus Fotona Fotona XP MAX
Pulsed Light Variable Pulsed Light Nd:YAG
Up to 21 J Up to 45 J/cm2
Up to 100 ms Up to 385 ms
1064 nm
Up to 600 J/cm2, 0.1 300 ms 120 J
Fotona XP Engine (DualisXP Plus) Fotona SP Engine (SP Plus)
Nd:YAG
1064 nm
Up to 600 J/cm2, 5 200 ms 50 J
Nd:YAG / Er:YAG 1064 nm / 2940 nm Up to 600 J/cm2, Up to 300 ms / 120 J / up to 0.1 1.5 ms 3000 mJ
Fotona XP Changer (DualisXP) Fotona SP Changer (DualisSP)
Nd:YAG
1064 nm
Up to 400 J/cm2, 5 200 ms 20 J
Nd:YAG / Er:YAG 1064 nm / 2940 nm Up to 400 J/cm2, 5 200 ms / 20 J / Up to 0.1 1.5 ms 3000 mJ Nd:YAG (QCW and Long Pulse) Pulsed Light Pulsed Light 1064 nm 590 - 1200 nm 590 - 1200 nm, 640 - 1200 nm Up to 300 J/cm2, 5 50 ms 10 J Up to 500 J at lamp level Up to 600 J at lamp level Pre-set modes: 1.5, 2, 2.5 ms Single pulse: 25 - 75 ms, pulsed mode: 1.5 - 12.5 ms (duration), 5 - 100 ms (interval) Same as above
Fotona XP Focus (FidelisXP) General Project GP Flash 1 Flash 1 Plus
Med Flash II
Pulsed Light
590 - 1200 nm, 640 - 1200 nm
Up to 600 J at lamp level
Same as above with integrated skin cooling system.

HOYA ConBio Europe RevLite
Device Type
EO Q-switched PTP Nd:YAG EO Q-switched Nd:YAG Nd:YAG / KTP Nd:YAG Diode
Wavelength (nm)
1064 nm

Up to 12 J/cm2 PTP Up to 12 J/cm2 Up to 990 / up to 100 5 - 900 10 - 600 J/cm2 5 - 20 ns
Accessories
MedLite C6 IRIDEX Gemini Lyra i LASERING Velure S800 Lumenis LightSheer Duet with LightSheer ET and LightSheer HS LightSheer ET LightSheer ST LightSheer XC IPL Quantum SR or DL with HR upgrade Lumenis One
1064 nm 1064 / 532 1064 nm 808 nm
5 - 20 ns 10-100 / 1-100 20 - 100 10 - 1000 ms
PurpuraLite compression handpieces. Optional aiming beam. No need for skin cooling. Designed for fast and safe hair reduction Tx. Works on all skin types. Particularly efficient on dark vellus hairs. Same as above. Includes 1-5 mm continuously adjustable and 10 mm fixed VersaStat i. Same as above. Interchangeable inserts for spot sizes of 2.5, 4, 8, 12 mm with ADS (Automatic Detection System) safety system. LightSheer ET: ChillTip, 9x9 mm spot, up to 3 Hz, field replacable. LightSheer HS: 22x35 mm spot, vacuum assisted technology, up to 3 Hz, field replacable. ChillTip handpiece. 9 x 9 mm spot. ChillTip handpiece. 9 x 9 mm spot. ChillTip handpiece. 12 x 12 mm spot. Upgrade for IPL Quantum DL or SR, spot size 34 x 8 mm, optional 755 - 1200 nm head. Multi-application, multi-technology platform. Upgradable. Optimized presets and comprehensive patient database. Spot sizes: 15 x 35 mm and 8 x 15 mm (IPL); 3, 6, 9 mm (Nd:YAG). Spot size of 20 x 30 mm crystal, 33 Hz. Spot size 50 mm x 15 mm (7.5 cm2). Works on all skin types, easy interface; SR handpiece included. Lamp water cooling and low temp. Integrated contact cooling (Peltier). Multiple language display and 1 second shot feature. Treatment of all Fitzpatrick skin types. Pulsed or CW mode. Scanner with up to 5.7 cm2 Tx area covered by a series of 8 mm spots. Integrated skin cooling for pre-, parallel and post-cooling. Tips with spot sizes 1.2 mm, 2.5 mm, 4.0 mm for the treatment of superficial vascular lesions. Supercooled tip (0.5 C, 33 F). Spot size: 10 x 10 mm, 3 Hz, no consumables. Same as above. Active contact cooling. Contact skin cooling or cryo air system integrated with the laser handpiece. Alexandrite 755 nm spot sizes: up to 16 mm; repetition rate up to 2 Hz. Nd:YAG 1064 nm long and short pulse spot sizes: up to 12 mm; repetition rate up to 2 and 7 Hz. Nd:YAG 1320 nm (optional) spot sizes: up to 8 mm; repetition rate up to 5 Hz. Nd:YAG 532 and 1064 Q-switched spot sizes: 2, 3, 4, 6 mm; repetition rate up to 10 Hz. TWAIN IPL pulsed light option available for all laser systems at 400-1200, 550-950, 570-1200, 590-1200, 625-1200 and 650-1200 nm.
Diode
800 nm
Elora Mattioli Engineering Mattioli Pulse Two
Diode Diode Diode Intense Pulsed Light Intense Pulsed Light / Nd:YAG / LightSheer Diode / Aluma IPL IPL
800 nm 800 nm 800 nm 695 - 1200 nm
LightSheer ET: 10-100 J/cm2 LightSheer HS: 4.5-12 J/cm2 10 - 100 J/cm2 10 - 40 J/cm2 10 - 100 J/cm2 20 - 45 J/cm2
LightSheer ET: 5-400 ms LightSheer HS: 30-400 ms 5 - 400 ms 5 - 100 ms 5 - 400 ms 6 - 18 ms 3 - 100 ms / 2 - 20 ms / 5 - 400 ms / 1 - 5 sec N/A 10 35 ms
515 - 1200 nm / 10 - 40 J/cm2 / 1064 nm / 800 nm / 10 - 225 J/cm2 / RF 10 - 100 J/cm2 / 2 - 10 W 570 - 1200 nm Up to 22 J/cm2 650 960 nm 26 cm2
MedArt A/S MedArt 435
90 W Diode
810 nm
Max 1000 J/cm2 Super long pulse 10-1000 ms
Milesman Milesman Premium Milesman Premium Limited Palomar StarLux 500 Platform Quanta System Light A Light B Light C Light A* Star Light 4V
Diode Diode Pulsed Light Alexandrite Nd:YAG Nd:YAG / KTP Nd:YAG Alexandrite / Nd:YAG Alexandrite / Nd:YAG / KTP Nd:YAG
800 nm 800 nm 525 1200 nm 755 1064, 1320 1064, 1320 / 532 755 / 1064, 1320 755 / 1064, 1320 / 532
10 - 100 J/cm2 10 - 60 J/cm2 Up to 80 J Up to 120 J/cm2 Up to 500 J/cm2, up to 35 J/cm2 Up to 500 J/cm2, up to 35 J/cm2 / up to 90 J/cm2 Up to 120 J/cm2 / up to 500 J/cm2, up to 35 J/cm2 Up to 120 J/cm2 / up to 500 J/cm2, up to 35 J/cm2 / up to 90 J/cm2 Up to 500 J/cm2, up to 35 J/cm2 / up to 30 J/cm2 / up to 15 J/cm2 Up to 120 J/cm2 / up to 30 J/cm2 / up to 15 J/cm2
5 - 400 ms 30 - 400 ms 5 500 3-100 ms 0.3-300 ms, 5-10 ms 0.3-300 ms, 5-10 ms / 5-25 ms 3-100 ms / 0.3-300 ms, 5-10 ms 3-100 ms / 0.3-300 ms, 5-10 ms / 5-25 ms 0.3-300 ms, 5-10 ms / 6 ns / 6 ns
Nd:YAG / 1064, 1320 / Nd:YAG Q-switch / 1064 / 532 KTP Nd:YAG Q-switch Q-Plus* Star 2 Alexandrite / 755 / 1064 / 532 3-100 ms / Nd:YAG Q-switch / 6 ns / KTP Nd:YAG 6 ns Q-switch Note: Data subject to change; please refer to Company Directory for supplier contact information. 78 THE European Aesthetic Guide Spring 2009 www.euroabg.com
Q-Plus* Star 1

Quanta System (continued) Matisse HR Matisse VT
Device Type
Wavelength (nm)

Up to 250 J/cm2 per MTZ / up to 120 J/cm2 Up to 250 J/cm2 per MTZ / up to 500 J/cm2, up to 35 J/cm2 Up to 40 J/cm2 Up to 40 J/cm2 Up to 40 J/cm2 Up to 60 J/cm2 Up to 80 J/cm2 Up to 40 J/cm2 4-15 J/cm2 up to 11 J/cm2 up to 11 J/cm2 4-14 ms / 3-100 ms 4-14 ms / 0.3-300 ms, 5-10 ms 3-240 ms 3-240 ms 3-240 ms 6-40 ms 6-40 ms 5-140 ms up to 80 ms 35 ms 35 ms
Accessories
Fractional Er:Glass / 1540 / 755 Alexandrite Fractional Er:Glass / 1540 / 1064, 1320 Nd:YAG Pulsed Light Pulsed Light Pulsed Light Diode Diode Alexandrite LHE
(light, heat, energy)
TWAIN IPL option Eterna Giovinezza Plus Silk Light (table top) Quantel Derma GmbH LEDA EPI 808 LEDA EPI 980 ARION Radiancy Mistral SkinStation Duet Sciton JOULE ClearScan BBLs SharpLight Beamax Formax Syneron eMax / eLaser DSL
625-1200 550-950, 625-1200 625-1200 808 nm 980 nm 755 nm 400-1200 nm 400-1200 nm 400-1200 nm
IPL handpieces available at 400-1200, 550-950, 570-1200, 590-1200, 625-1200 and 650-1200 nm. Spot sizes 48x13 or 25x13 mm. Spot sizes: 2x50 and 12x12 mm, external skin cooling, short pulses at therapeutic fluences, platform system LEDA. Same as above. Handpiece (standard) up to 16 mm, scanner (optional) up to 60x65 mm. Assorted light unit assemblies (LUAs). Assorted light unit assemblies (LUAs). Assorted light unit assemblies (LUAs). Configurable up to nine modules. Computerized scanner; 30 x 30 mm Tx; integrated cooling. Table top system. SkinTyte 420, 515, 560, 590, 640, 695 filters, 15 x 45 and 15 x 15 spot sizes, precision cooling, three year warranty. System includes one MAXreduction handpiece. System includes one trolley, MAXreduction handpiece, thermal cooling with DPC forming. Spot size: 6.4 cm2. Applicator head included. 12 x 15 mm treatment area. No disposable costs. Applicator head included. 12 x 25 mm treatment area. No disposable costs.
LHE LHE
Nd:YAG / Er:YAG / Various Broadband Light Nd:YAG module 1064 nm Broadband Light 420 1400 nm
Up to 400 J/cm2 0.1 200 ms, 1- 10 sec Up to 400 J/cm2 3 200 ms Up to 30 J/cm2 Up to 500 ms
Pulsed Light CPM 635 - 950 nm Dynamic Pulse 635 - 950 nm Control (DPC) Forming els: 810 nm Diode combined with RF electrical energy els: IPL 680 - 980 nm combined with RF electrical energy
5 - 20 J/cm2 5 - 24 J/cm2
30 - 50 ms 15, 30, 40, 50, 100 ms (DPC) Optical + RF, short/long Optical + RF, short/long
eMax / eLight DS
Up to 50 J/cm2 (Optical) Up to 50 J/cm3 (RF) Up to 45 J/cm2 (Optical) Up to 25 J/cm3 (RF)
ACNE TX DEVICE COMPARISON CHART

Supplier Device Product Name Type
Alma Lasers HarmonyXL Asclepion Laser MeDioStar XT Effect AFT Pulsed Light / Nd:YAG Diode
Wavelength (nm)
420 950 nm / 1320 nm 808 nm 400 1200 nm 1450 nm 595 nm 595 nm 595 nm

5 25 J/cm2 / Up to 40 J/cm2 Up to 170 J/cm2 Up to 30 Up to 25 J/cm2 Up to 40 J/cm2 30, 40, 50 ms / 30, 40, 50 ms Up to 500 ms Single 5 - 35 ms, Burst 35 80 ms 210 ms 0.45 40 ms 0.45 40 ms 0.45 40 ms
Accessories
Acne module, contact cooling and 40 x 16 mm spot. Acne scar module, depot service. 10 and 12 mm spot sizes (standard); 4, 6 and 14 mm tips available; integrated skin cooling. Four different filters in 3 and 8 cm2, one handpiece filter change only. Spot sizes 4 - 6 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Six spot sizes up to 12 mm, including 3 x 10 elliptical and pigmented lesion handpieces; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Multiple spot sizes and unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes up to 10 mm, two pigmented lesion handpieces; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes: 1.5 mm, 12 mm, 15 mm. SmartCool air cooling.
Effect Devices with IPL IPL Candela Smoothbeam Vbeam Perfecta Vbeam Platinum Vbeam Aesthetica Cynosure, Inc. Cynergy DEKA Synchro HP Diode Pulsed Dye Pulsed Dye Pulsed Dye
Up to 40 J/cm2 Up to 20 J/cm2
Pulsed Dye / Nd:YAG Nd:YAG / U-PL / Er:YAG / QS-Nd:YAG Alexandrite / LP and SP Nd:YAG / Pulsed Light
595 nm / 1064 nm 1064 nm / 500 - 950 nm / 2940 nm / 1064 nm 755 nm / 1064 nm / 500-1200 nm, 520-1200 nm, 550-1200 nm, 600-1200 nm, 650-1200 nm 1064 nm / 500 - 950 nm 500 - 950 nm / 1064 nm / 2940 nm / 1064 nm 500 - 950 nm / 1064 nm / 2940 nm 500 1200 nm, 520 1200 nm, 550 1200 nm, 600 1200 nm, 650 1200 nm 1540 nm / 1340 nm / 750-1800 nm / 500-1200 nm
2 40 J/cm2 / 10 600 J/cm2 Up to 700 J/cm2 / Up to 32 J/cm2 / Up to 15 J/cm2 / Up to 41 J/cm2 Up to 60 J/cm2 / up to 500 J/cm2 / up to 25 J/cm2
0.5 40 ms / 0.3 300 ms 0.1 - 300 ms / 3 - 40 ms / Up to 600 s / Up to 2 ms
Synchro Pla:y
Long pulse Nd:YAG spot sizes up to 20 mm, peak power 50-27,000 W (dual switch). Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL handpieces. Skin cooling integrated. Er:YAG and QS-Nd:YAG handpieces. 2-100 ms / 3-300 ms Skin cooling integrated. Alexandrite spot size handpieces 5, and 0.3-0.8 ms / 7, 10, 12, 14 and 16 mm; Nd:YAG spot size handpieces 2.5, 3-8 ms, burst mode 5, 7, 10, 14 and 16 mm; pulsed light area of Tx 48 x 13 mm. up to 124 ms 4 - 135 ms / 10 - 325 ms 3 - 25 ms / Up to 25 ms / Up to 1000 s / Up to 2 ms 3 - 25 ms / Up to 2 ms / Up to 1000 s Single pulse: 3 8 ms, Burst mode: up to 124 ms 10 ms / Up to 10 ms / CW / 3 8 ms Long pulse Nd:YAG spot sizes up to 10 mm. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL handpieces. Skin cooling integrated. Nd:YAG, Er:YAG and QS-Nd:YAG handpieces. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter (U-PL). Nd:YAG and Er:YAG handpieces. One pulsed light handpiece has 30,000 warranted shots. Skin cooling integrated. Built-in power meter. Portable.
Nd:YAG / U-PL U-PL / Nd:YAG / Er:YAG / QS-Nd:YAG U-PL / Nd:YAG / Er:YAG Pulsed Light System
Up to 200 J/cm2 / Up to 21 J/cm2 Up to 32 J/cm2 / Up to 225 J/cm2 / Up to 15 J/cm2 / Up to 41 J/cm2 Up to 30 J/cm2 / Up to 200 J/cm2 / Up to 6.4 J/cm2 Up to 25 J/cm2
Photolight Minisilk FT
DOT 1540
Skin rejuvenation, skin tightening and hair removal workstations. Fractional Er:Glass handpiece with 7 mm and 10 mm spot sizes. Skin cooling integrated. Fractional Nd:YAP handpiece with 6 mm spot size. CW IR handpiece for skin tightening and collagen shrinkage. Skin cooling integrated. Pulsed light handpiece with five different removable filters for hair removal too. Skin cooling integrated. Multi-technology IPL and laser platform includes programmable pulse technology (PPT) and patient database. Multi-application platform. Nd:YAG handpiece with spot sizes from 2 to 12 mm; S-11 Nd:YAG scanner with 42 cm2 Tx area; wide-range of Er:YAG handpieces with spot sizes from 0.5 to 12 mm and emerging technology add-ons; Er:YAG ablative/non-ablative and punching scanners; Variable Square Pulse (VSP) technology supported; FRAC3 rejuvenation Tx enabled. Nd:YAG handpiece with spot sizes from 2 to 12 mm; Nd:YAG scanner with 35 x 60 mm Tx area; wide-range of Er:YAG handpieces with spot sizes from 0.5 to 12 mm and emerging technology add-ons; VSP technology supported. Wide-range of Er:YAG handpieces with spot sizes from 0.5 to 12 mm and emerging technology add-ons; VSP technology supported. Wide-range of Er:YAG handpieces with spot sizes from 0.5 to 7 mm and emerging technology add-ons; VSP technology supported. Handpiece with spot sizes from 2 to 20 mm; S-11 scanner with 42 cm2 Tx area, 3 mm, 6 mm and 9 mm scanner spot sizes; VSP technology supported; FRAC3 rejuvenation Tx enabled.
Ellipse A/S Ellipse MultiFlex Ellipse I2PL Fotona Fotona SP Engine (SP Plus)
Pulsed Light Pulsed Light Nd:YAG / Er:YAG
530 - 750 nm 530 - 750 nm 1064 nm / 2940 nm
Up to 19 J/cm2 Up to 19 J
Up to 100 ms Up to 100 ms
Up to 600 J/cm2, Up to 300 ms / 120 J / up to 3000 mJ 0.1 1.5 ms
Fotona SP Changer (DualisSP) Fotona XS Changer (DualisXS) Fotona XS Focus (FidelisXS) Fotona XP MAX
Nd:YAG / Er:YAG
1064 nm / 2940 nm
Up to 400 J/cm2, 5 200 ms / 20 J / Up to 3000 mJ 0.1 1.5 ms Up to 3000 mJ Up to 1 J Up to 600 J/cm2, 120 J 0.1 1.5 ms 0.1 1.5 ms 0.1 300 ms
Er:YAG Er:YAG Nd:YAG
2940 nm 2940 nm 1064 nm
ACNE TX DEVICE COMPARISON CHART

Supplier Device Product Name Type
Fotona (continued) Fotona XP-2 Focus (XP-2) Fotona XP Engine (DualisXP Plus) Fotona XP Changer (DualisXP) Fotona XP Focus (FidelisXP) LASERING SLIM MiXto SX Lynton Lasers Lumina Palomar StarLux Platform LuxV handpiece Photo Therapeutics Ltd. Omnilux blue Omnilux revive Quanta System Eterna Giovinezza Plus Silk Light (table top) TWAIN IPL option Matisse (Various models) Quantel Derma GmbH ARAMIS LEDA HP 415 blue LEDA SCR 585 yellow Sciton JOULE ThermaScan BBL SharpLight Beamax Formax Syneron eMax / eLight AC
Wavelength (nm)
Accessories
Nd:YAG (QCW and 1064 nm Long Pulse) Nd:YAG Nd:YAG Nd:YAG Fractional CO2 1064 nm 1064 nm 1064 nm 10,600 nm
30 W (QCW), up to 0.1 0.4 ms (QCW), Surgical kits for endovascular surgery, lipolysis and hyperhi300 J/cm2 (LP) 5 50 ms (LP) drosis surgery. Bare silica fibers with 200, 300 and 600 m core sizes. Nd:YAG handpiece with spot sizes from 2 to 8 mm, Variable Square Pulse (VSP) technology supported. Up to 600 J/cm2, 5 200 ms Handpiece with spot sizes from 2 to 10 mm; S-11 scanner 50 J with 42 cm2 Tx area; VSP technology supported. Up to 400 J/cm2, 5 200 ms Handpiece with spot sizes from 2 to 8 mm; scanner with 20 J 35 x 60 mm Tx area; VSP technology supported. 5 50 ms Handpiece with spot sizes from 2 to 8 mm, VSP technology Up to 300 J/cm2, 10 J supported. 0.5 - 30 W 50 J/cm2 N/A 10 - 350 ms Patent pending MiXto SX fractional scanner system. Full range of accessories available. Four ILG light guides, two IPL handpieces, patient goggles, three pairs of operator goggles (IPL and laser), integral printer, digital camera, patient database, 1 year warranty. Active contact cooling. Smooth pulse delivery. Interchangeable treatment heads. Interchangeable treatment heads. IPL handpieces available at 400-1200, 550-950, 570-1200, 590-1200, 625-1200 and 650-1200 nm. Spot sizes 48x13 or 25x13 mm. TWAIN IPL pulsed light option available for all Quanta System lasers.
Intense Pulsed Light 550 - 1100 nm, 625 - 1100 nm Pulsed Light LED LED Pulsed Light Pulsed Light Pulsed Light Fractional Er:Glass Er:Glass LED LED Nd:YAG / Er:YAG / Broadband Light Nd:YAG module Broadband Light module Pulsed Light CPM Dynamic Pulse Control (DPC) Forming 400 700 nm, 870 1200 nm 415 nm 633 nm 400-1200, 625-1200 400-1200 400-1200 1540 1540 nm 415 nm (blue) 585 nm (yellow) Various 1319 nm 420 1400 nm 415 - 950 nm 415 - 950 nm
Up to 26 J Up to 55 J/cm2 Up to 150 J/cm2 Up to 20 J/cm2, Up to 40 J/cm2 Up to 20 J/cm2 Up to 20 J/cm2 Up to 250 J/cm2 per MTZ
0.5 500 CW CW 3-240 ms 3-240 ms 3-240 ms 4-14 ms
Up to 126 J/cm2 3.3 ms Up to 450 mW/cm2 Pulsed and CW Up to 35 mW/cm2 Pulsed and CW Up to 400 J/cm2 Up to 30 J/cm2 Up to 30 J/cm2 5 - 20 J/cm2 5 - 24 J/cm2 0.1 200 ms, 1- 10 sec 10 200 ms Up to 200 ms 30 - 50 ms 15, 30, 40, 50, 100 ms (DPC)
Integrated skin cooling. Handpiece for platform system LEDA with integrated skin cooling. Treatment screen for platform system LEDA. Configurable up to nine modules. Computerized scanner; 30 x 30 mm Tx; integrated cooling. 15 x 45 mm, 15 x 15 mm spot sizes, smart filters, integrated cooling. System includes one MAXacne handpiece. System includes one trolley, one MAXacne handpiece, thermal cooling with DPC forming. Applicator head included. 12 x 25 treatment area. No disposable costs.
els: Optical energy 400 - 980 nm combined with RF electrical energy.
Up to 18 J/cm2 Optical + RF, (optical), short/long 3 Up to 25 J/cm (RF)
VASCULAR TECHNOLOGY COMPARISON CHART

Alma Lasers HarmonyXL Asclepion Laser QuadroStar+ 532 QuadroStar+ 532 / 980 QuadroStar+ 532 / 940 QuadroStar+ 532 / 810 QuadroStar+ 980 QuadroStar+ 940 QuadroStar+ 810 Candela Vbeam Perfecta Vbeam Platinum Vbeam Aesthetica GentleYAG VR GentleLASE (Various Models) GentleMax Configurable Workstation Cutera CoolGlide Excel Xeo Solera Opus Cynosure, Inc. Acclaim Cynosure PL Elite Cynergy Cynergy with XPL
Device Type
AFT Pulsed Light / Nd:YAG LBO LBO / Diode LBO / Diode LBO / Diode Diode Diode Diode Pulsed Dye Pulsed Dye Pulsed Dye Nd:YAG Alexandrite Alexandrite / Nd:YAG Nd:YAG Nd:YAG / Pulsed Light Intelligent Pulsed Light Nd:YAG Pulsed Light Alexandrite / Nd:YAG Pulsed Dye / Nd:YAG Pulsed Dye / Nd:YAG / Pulsed Light
Wavelength (nm)
540 - 950 nm / 1064 nm 532 nm 532 nm / 980 nm 532 nm / 940 nm 532 nm / 810 nm 980 nm 940 nm 810 nm 595 nm 595 nm 595 nm 1064 nm 755 nm 755 nm / 1064 nm

5 - 25 J/cm2 / 30 - 450 J/cm2 5 W, 8 W 5 W, 8 W / 25 W 5 W, 8 W / 25 W 5 W, 8 W / 25 W 25 W 25 W 25 W Up to 40 J/cm2 Up to 40 J/cm2 Up to 20 J/cm2 10, 12, 15 ms / 15, 45, 60 ms 5 ms - 100 sec 5 ms - 100 sec 5 ms - 100 sec 5 ms - 100 sec 5 ms - 100 sec 5 ms - 100 sec 5 ms - 100 sec 0.45 40 ms 0.45 40 ms 0.45 40 ms Up to 300 ms 3 ms 0.250 300 ms
Accessories
VL/PL module, 40 x 16 mm spot size, depot service. 1064 nm module. Handpiece set: 0.5, 1.0, 1.5 mm spot (2.8 mm opt.), bleaching handpiece and scanner available. Handpiece set: 0.5, 1.0, 1.5 mm spot (2.8 mm opt.), bare fiber 0.4 mm, bleaching handpiece, endovascular fiber set and scanner available. Same as above. Same as above.. Handpiece set: 0.5, 1.0, 1.5 mm spot, bare fiber 0.4 mm, bleaching handpiece and endovascular fiber set available. Same as above. Same as above. Six spot sizes up to 12 mm, including 3 x 10 elliptical and pigmented lesion handpieces; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Multiple spot sizes; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes up to 10 mm, two pigmented lesion handpieces; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes 1.5 3 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes 6 18 mm; unique, patented Dynamic Cooling Device, maximizing patient comfort and Tx efficacy. Spot sizes 1.5 18 mm; Dynamic Cooling Device and air cooling delivery systems available. Upgradable. Integrated, effortless spot size options (3, 5, 7,10 mm); no disposable costs. 10 x 30 mm Tx window for fast treatments 3-in-1 programmable wavelengths treat rosacea, telangiectasia and diffuse redness. Spot size: 6.35 mm, unobstructed view. Real time calibration. Ideal for small telangiectasia and treating lentigines. With SmartCool cold air cooling. No disposable costs. Spot sizes: 46 x 18 mm and 46 x 10 mm. Spot sizes: 1.5 mm, 12 mm, 15 mm. SmartCool air cooling. Same as above. SmartCool air cooling. Air cooling pulsed light module is portable and can be used separately.
Up to 600 J/cm2 Up to 100 J/cm2 Up to 600 J/cm2
1064 nm 1064 nm 500 635 nm
5 300 J Up to 300 J / 6 40 J (Pulsed Light) 3 24 J
1 300 ms 0.1 300 ms / Automatic (Pulsed Light) Variable over fluence range 0.4 300 ms 5 50 ms 0.5 300 ms / 0.4 300 ms 0.5 40 ms / 0.3 300 ms 0.5 40 ms / 0.3 300 ms / 5 50 ms
1064 nm 560 950 nm 755 nm / 1064 nm 595 nm / 1064 nm 595 nm / 1064 nm / 560 950 nm
10 600 J/cm2 3 30 J/cm2 25 50 J/cm2 / 10 600 J/cm2 2 40 J/cm2 / 10 600 J/cm2 2 40 J/cm2 / 10 600 J/cm2 / 16 J/cm2 8.3 cm2, 30 J/cm2 4.6 cm2, 30 J/cm2 2.1 cm2 handpieces Up to 700 J/cm2 / Up to 32 J/cm2 / Up to 15 J/cm2 / Up to 41 J/cm2 Up to 60 J/cm2 / up to 500 J/cm2 / up to 25 J/cm2
DEKA Synchro HP
Nd:YAG / U-PL / Er:YAG / QS-Nd:YAG
1064 nm / 500 - 950 nm / 2940 nm / 1064 nm
0.2 - 300 ms / 3 - 40 ms / Up to 600 s / Up to 2 ms 2-100 ms / 3-300 ms, 0.3-0.8 ms / 3-8 ms, burst mode up to 124 ms 4 - 135 ms / 10 - 325 ms 3 - 25 ms / Up to 25 ms / Up to 1,000 s / Up to 2 ms 3 - 25 ms / Up to 2 ms / Up to 1,000 s 10 - 340 ms
Synchro Pla:y
Alexandrite / LP and 755 nm / 1064 nm / SP Nd:YAG / 500-1200 nm, Pulsed Light 520-1200 nm, 550-1200 nm, 600-1200 nm, 650-1200 nm Nd:YAG / 1064 nm / U-PL 500 - 950 nm U-PL / Nd:YAG / Er:YAG / QS-Nd:YAG U-PL / Nd:YAG / Er:YAG U-PL Pulsed Light System 500 - 950 nm / 1064 nm / 2940 nm / 1064 nm 500 - 950 nm / 1064 nm / 2940 nm 500 - 950 nm
Long pulse Nd:YAG spot sizes up to 20 mm, peak power 50-27,000 W (dual switch). Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL handpieces. Skin cooling integrated. Er:YAG and QS-Nd:YAG handpieces. Skin cooling integrated. Alexandrite spot size handpieces 5, 7, 10, 12, 14 and 16 mm; Nd:YAG spot size handpieces 2.5, 5, 7, 10, 14 and 16 mm; pulsed light area of Tx 48 x 13 mm. Long pulse Nd:YAG spot sizes up to 10 mm. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter (U-PL). Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL handpieces. Skin cooling integrated. Nd:YAG, Er:YAG and QS-Nd:YAG handpieces. Nine U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter (U-PL). Nd:YAG handpiece. Er:YAG handpiece. Portable. Two U-shape pulsed light handpieces. 60,000 warranted shots. Built-in power meter for U-PL. Skin cooling integrated.
Up to 200 J/cm2 / Up to 21 J/cm2 Up to 32 J/cm2 / Up to 225 J/cm2 / Up to 15 J/cm2 / Up to 41 J/cm2 Up to 30 J/cm2 / Up to 200 J/cm2 / Up to 6.4 J/cm2 Up to 30 J/cm2
Photolight Photosilk

DEKA (continued) Minisilk FT
Device Type
Pulsed Light System
Wavelength (nm)
500 - 1200 nm, 520 - 1200 nm, 550 - 1200 nm, 600 - 1200 nm, 650 - 1200 nm 1540 nm / 1340 nm / 750 - 1800 nm / 500 - 1200 nm

Up to 25 J/cm2 3 8 ms, Burst mode: up to 124 ms 10 ms / Up to 10 ms / CW / 3 8 ms
Accessories
One pulsed light handpiece has 30,000 warranted shots. Skin cooling integrated. Built-in power meter. Portable.
DOT 1540
Skin rejuvenation, skin tightening and hair removal workstations. Fractional Er:Glass handpiece with 7 mm and 10 mm spot sizes. Skin cooling integrated. Fractional Nd:YAP handpiece with 6 mm spot size. CW IR handpiece for skin tightening and collagen shrinkage treatment. Skin cooling integrated. Pulsed light handpiece with five different removable filters for hair removal too. Skin cooling integrated. Multi-technology IPL and laser platform includes programmable pulse technology (PPT) and patient database. Multi-application platform. Handpiece with spot sizes from 2 to 20 mm; S-11 scanner with 42 cm2 Tx area, 3 mm, 6 mm and 9 mm scanner spot sizes; Variable Square Pulse (VSP) technology supported; FRAC3 rejuvenation Tx enabled. Surgical kits for endovascular surgery, lipolysis and hyperhidrosis surgery. Bare silica fibers with 200, 300 and 600 m core sizes. Nd:YAG handpiece with spot sizes from 2 to 8 mm, Variable Square Pulse (VSP) technology supported. Nd:YAG handpiece with spot sizes from 2 to 7 mm; KTP:YAG handpiece with spot sizes from 2 to 6 mm; CSC cooling; Variable Square Pulse (VSP) technology supported. Handpiece with spot sizes from 2 to 10 mm; S-11 scanner with 42 cm2 Tx area; VSP technology supported. Handpiece with spot sizes from 2 to 8 mm; scanner with 35 x 60 mm Tx area; Variable Square Pulse (VSP) technology supported. Handpiece with spot sizes from 2 to 8 mm, Variable Square Pulse (VSP) technology supported.
Ellipse A/S Ellipse MultiFlex Ellipse I2PL Fotona Fotona XP MAX
Pulsed Light 555 - 950 nm / Long Pulsed Nd:YAG 1064 nm Pulsed Light 555 - 950 nm Nd:YAG 1064 nm
Up to 26 J/cm2 / Up to 600 J/cm2 Up to 26 J/cm2 Up to 600 J/cm2, 120 J 30 W (QCW), up to 300 J/cm2 (LP) Up to 400 J/cm2, 20J / 30 J/cm2 Up to 600 J/cm2, 50 J Up to 400 J/cm2, 20 J Up to 300 J/cm2, 10 J Up to 600 J at lamp level
Up to 100 ms / 2.5 90 ms Up to 100 ms 0.1 300 ms
Fotona XP-2 Focus (XP-2)
Nd:YAG (QCW and Long Pulse) Nd:YAG / KTP:YAG Nd:YAG Nd:YAG
1064 nm
0.1 0.4 ms (QCW), 5 50 ms (LP) 5 200 ms / 1 150 ms 5 200 ms 5 200 ms 5 50 ms
Fotona VP Changer (DualisVP) Fotona XP Engine (DualisXP Plus) Fotona XP Changer (DualisXP)
1064 nm / 532 nm 1064 nm 1064 nm 1064 nm
Fotona XP Focus (FidelisXP) Nd:YAG General Project Flash 1 Plus
Pulsed Light
520 - 1200 nm
Med Flash II
Pulsed Light
520 - 1200 nm
Up to 600 J at lamp level
Single pulse Spot sizes: 50 x 25 mm, 35 x 15 mm, 20 x 10 mm. 25-75 ms, pulsed mode 1.5-12.5 ms (duration), 5-100 ms (interval) Single pulse Same as above with integrated skin cooling system. 25-75 ms, pulsed mode 2.5-12.5 ms (duration), 5-100 ms (interval) Handpiece set: 0.7, 1.3, 2, 4 mm spot. Contact skin cooling system for improved patient comfort. Kit for collateral veins. MiXto VX fractional scanner. Focusing handpieces with spot sizes of 0.3 mm, 0.5 mm, 1.5 mm. Focusing handpieces with spot sizes of 0.3 mm, 0.5 mm, 1.5 mm. Universal handpiece with wide-range of cannula inserts. Focusing handpiece with spot sizes of 0.5 mm, 1.0 mm, 1.5 mm. Universal handpiece with wide-range of cannula inserts. Focusing handpiece with spot sizes of 0.5 mm, 1.0 mm, 1.5 mm. Interchangeable inserts for spot sizes of 2.5 mm, 4 mm, 8 mm, 12 mm with ADS (Automatic Detection System) safety system. Upgradable to hair removal (HR), skin rejuvenation (SR) and tattoo removal (QS). Spot size 6 mm. Upgradable to hair removal (HR), deep vascular lesions and leg veins (DL) and tattoo removal (QS). Spot size 34 x 8 mm, optional 590 nm and 640 nm heads for skin rejuvenation. Multi-technology, multi-application platform. Upgradable, expandable, 7 IPL filters, novel OPT, optimized presets and patient database, spot sizes: 15 x 35 mm and 8 x 15 mm (IPL); 2 x 4, 6, 9 mm (Nd:YAG), LightSheer 9 x 9 mm.
INTERmedic Varius LASERING Velure S5 MiXto VX Velure S5 Velure S8/15 Velure S8/30 Velure S800 Lumenis IPL Quantum DL IPL Quantum SR
Diode Laser
980 nm
30 W CW mode, Pulsed to CW 40 W pulsed mode 0.5 5 W 0.5 5 W 10 450 J/cm2 10 450 J/cm2 10 600 J/cm2 10 - 1000 ms 10 - 1000 ms 10 - 9999 ms 10 - 9999 ms 10 - 1000 ms
Diode Diode Diode Diode Diode
532 nm 532 nm 808 nm 808 nm 808 nm
Nd:YAG Intense Pulsed Light Intense Pulsed Light / Nd:YAG / LightSheer Diode / Aluma
1064 nm 560 - 1200 nm
90 - 150 J/cm2 15 - 45 J/cm2
5 - 38 ms 6 - 26 ms
Lumenis One
515 - 1200 nm / 1064 nm / 800 nm / RF
10 - 40 J/cm2 / 10 - 225 J/cm2 / 10 - 100 J/cm2 / 2 - 10 W
3 - 100 ms / 2 - 20 ms / 5 - 400 ms / 1 - 5 sec

MedArt A/S MedArt 470 MedArt 435
Device Type
Wavelength (nm)

Max. 1000 J/cm2 Max. 1000 J/cm2 Pulse width 10 - 1000 ms Super long pulse 10 - 1000 ms Pulse width 10 - 1000 ms
Accessories
5 W Solid State 532 nm Diode Pumped Laser 90 W Diode 810 nm
MedArt 426 Osyris Medical Pharaon ENDO Pharaon EXO Palomar StarLux 500 Platform Lux1064 Nd:YAG Laser handpiece LuxG handpiece Quanta System Light B Light C Light A* (Star) Light 4V
30 W Diode
810 nm
Safety max. 200 J/cm2
Pulsed or CW mode. Tips offer variety of spot sizes, optional scanner with 10 x 10 mm Tx area. Optional skin cooling for improved patient comfort. Pulsed or CW mode. Tips with spot sizes 1.2 mm, 2.5 mm, 4.0 mm. Optional cooling for patient comfort. Range of accessories for adaptation to varicose veins and hair removal treatment. ILVO - a complete system for laser treatment of varicose veins with catheter introduction kit and single-use bare fiber. Also available in 980 nm wavelength. Osypilot continuous pull-back ruler. Control 4+ video handpiece.
Diode Diode
980 nm 980 nm
25 W 25 W
CW CW
Nd:YAG Pulsed Light
1064 nm 500 670 nm, 870 1400 nm 1064, 1320
Up to 700 J Up to 60 J
5 100 1 400
Four spot sizes: 1.5, 3, 6 and 9 mm
Nd:YAG Nd:YAG / KTP Nd:YAG Alexandrite / Nd:YAG Alexandrite / Nd:YAG / KTP Nd:YAG Nd:YAG / Nd:YAG Q-switch / KTP Nd:YAG Q-switch Fractional Er:Glass / Nd:YAG Pulsed Light Pulsed Light Pulsed Light Diode Diode Diode LBO LBO / Diode Nd:YAG LBO Alexandrite
Q-Plus* Star 1
Matisse VT
TWAIN IPL option Eterna Giovinezza Plus Silk Light (table top) Quanta A Quanta B Quanta C Quanta D Quanta Star Quantel Derma GmbH MYDON IDAS ARION Sciton JOULE ClearScan Pro-V BBL BBLs Syneron eMax / eLight SR eMax / eLight SRA eMax / eLaser LV eMax / eLaser LVA
Up to 500 J/cm2, up to 35 J/cm2 1064, 1320 / 532 Up to 500 J/cm2, up to 35 J/cm2 / up to 90 J/cm2 755 / 1064, 1320 Up to 120 J/cm2 / up to 500 J/cm2, up to 35 J/cm2 755 / 1064, 1320 / 532 Up to 120 J/cm2 / up to 500 J/cm2, up to 35 J/cm2 / up to 90 J/cm2 1064, 1320 / 1064 / Up to 500 J/cm2, 532 up to 35 J/cm2 / up to 30 J/cm2 / up to 15 J/cm2 1540 / 1064, 1320 Up to 250 J/cm2 per MTZ / up to 500 J/cm2, up to 35 J/cm2 550-950 Up to 40 J/cm2 550-950, 625-1200 Up to 40 J/cm2 550-950 Up to 40 J/cm2 808 940 980 532 532 / 808, 940, 980 1064 nm 532 nm 755 nm 25 W 25 W 25 W 5W 5 / 25 W 10-600 J/cm2 8W Up to 100 J/cm2
0.3-300 ms, 5-10 ms 0.3-300 ms, 5-10 ms / 5-25 ms 3-100 ms / 0.3-300 ms, 5-10 ms 3-100 ms / 0.3-300 ms, 5-10 ms / 5-25 ms 0.3-300 ms, 5-10 ms / 6 ns / 6 ns 4-14 ms / 0.3-300 ms, 5-10 ms 3-240 ms 3-240 ms 3-240 ms 3-2500 ms or CW 3-2500 ms or CW 3-2500 ms or CW 3-2500 ms or CW 3-2500 ms or CW 0.5-90 ms 2-1000 ms, pulsed and CW 5-140 ms
Contact skin cooling or cryo air system integrated with laser handpiece. Alexandrite 755 nm spot sizes: up to 16 mm; rep. rate up to 2 Hz. Nd:YAG 1064 nm long and short pulse spot sizes: up to 12 mm; rep. rate up to 2 and 7 Hz. Nd:YAG 1320 nm (optional) spot sizes: up to 8 mm; rep. rate up to 5 Hz. Nd:YAG 532 and 1064 Q-switched spot sizes: 2, 3, 4, 6 mm; repetition rate up to 10 Hz. TWAIN IPL pulsed light option available for all laser systems at 400-1200, 550-950, 570-1200, 5901200, 625-1200 and 650-1200 nm.
IPL handpieces available at 400-1200, 550-950, 570-1200, 590-1200, 625-1200 and 650-1200 nm. Spot sizes 48x13 or 25x13 mm. Spot sizes 1.2, 1.8 and 2.4 mm for IR laser models A, B, C and Star. Spot sizes 0.6, 0.8, 1.2 mm for green laser models D and Star. Bare fibers, endovenous fiber set and teeth bleaching handpiece available.
Spot sizes: 1.5, 3 and 5 mm, integrated skin cooling, optional handpiece for hair removal. Spot sizes: 0.2, 0.5, 0.7, 1 and 2, optional accessories for ENT surgery and endoluminal treatments. Handpiece (standard) up to 16 mm, scanner (optional) up to 60x65 mm. Configurable up to nine modules. Computerized scanner; 30 x 30 mm Tx; integrated cooling. Endovenous and transcutaneous laser Tx of varicose and other veins. Uses proprietary or third party fibers. 15 x 45 mm, 15 x 15 mm spot sizes, smart filters, integrated cooling. Table top system. SkinTyte 420, 515, 560, 590, 640, 695 filters, 15 x 45 and 15 x 15 spot sizes, precision cooling, three year warranty. Applicator head included. 12 x 25 mm treatment area. No disposable costs. Same as above. Applicator head included. 5 x 8 mm treatment area. No disposable costs. Applicator head included. 2 x 8 mm treatment area. No disposable costs.
Nd:YAG / Er:YAG / Broadband Light Nd:YAG module Nd:YAG / Pulse Light Broadband Light module Broadband Light
Various 1064 nm 1064 nm, 1319 nm / 420 1400 nm 420 1400 nm 420 1400 nm
Up to 400 J/cm2 Up to 400 Up to 400 J/cm2 Up to 30 J/cm2 Up to 30 J/cm2 J/cm2
0.1 200 ms, 1 10 sec 3 200 ms 3 200 ms Up to 200 ms Up to 500 ms
els: Optical energy combined with RF electrical energy els: Optical energy combined with RF electrical energy els: Diode combined with RF electrical energy els: Diode combined with RF electrical energy
580 - 980 nm 470 - 980 nm 900 nm 900 nm
Up to 45 J/cm2 (Optical), Up to 25 J/cm3 (RF) Up to 45 J/cm2 (Optical), Up to 25 J/cm3 (RF) Up to 140 J/cm2 (Optical), Up to 100 J/cm3 (RF) Up to 350 J/cm2 (Optical), Up to 100 J/cm3 (RF)
Optical + RF, short/long Optical + RF, short/long Optical + RF Optical + RF
PRODUCT PROFILES
Pearl Fractional Pearl Fractional is a new fractional ablative laser with YSGG (2790 nm wavelength) technology. This exclusive laser wavelength was selected to maximize results and safety while minimizing downtime all in a single treatment through an optimized combination of ablation and coagulation. Pearl Fractionals YSGG laser aggressively treats the signs of photo-aging, deep dermal imperfections and difficult to treat perioral and periorbital areas. Pearl Fractional presents fractional ablation in a new light.
Cutera: +1 888 428 8372 or visit www.cutera.com
Smartlipo MPX With an abundance of resources dedicated to research, education and clinical development, Cynosure is widely recognized as a leading authority in LaserBodyContouring. The new Smartlipo MPX continues our tradition of innovation and represents the next-generation of Smartlipo technology. The Smartlipo MPX platform combines the benefits of 1064 nm and 1320 nm wavelengths delivered safely through the unique MultiPlex technology and the SmartSense intelligent delivery system to provide practitioners with an advanced system.
SopranoXL The SopranoXL from Alma Lasers is a revolutionary diode laser system for permanent hair reduction and topical dermal heating. As one of the worlds first laser hair removal systems offering virtually painless treatment, it is suitable for all pigmented hair on all skin types. The SopranoXL features a new, near infrared module to provide topical heating of intradermal and subdermal tissue. The exclusive In-Motion technology ensures that the treatment is easy, quick and comfortable.
Cynosure: +1 800 886 2966 or visit www.cynosure.com
Alma Lasers: +972 4 627 5357 or visit www.almalasers.com
Aquamid Aquamid is a patented soft volume dermal filler consisting of 97.5% water and 2.5% polyacrylamide. It is used to rejuvenate and contour the face, either by restoring lost volume or by adding extra volume. Aquamid gives an immediate, natural look and feel, and integrates completely into subcutaneous tissue. It does not degrade over time and aesthetic results will remain for years. The efficacy and safety of Aquamid have been documented in several international clinical studies. A trial evaluating Aquamid is ongoing in the U.S. Contura has marketed Aquamid since 2001 and sold more than 350,000 syringes.
Synchro Pla:y DEKA now introduces Synchro Pla:y, an innovative platform for dermatology that can be fitted with the following sources: long pulse alexandrite; short and long pulse Nd:YAG; and pulsed light with five interchangeable filters. Synchro Pla:y gives professionals the opportunity to amplify the range of treatments they can offer their patients, from non-ablative photorejuvenation, to vascular and pigmented lesions and hair removal. Different wavelengths allow users to meet specific requirements and demands of patients. A cooling system for increased patient comfort is incorporated into every handpiece. DEKA: +39 055 88 74 942 or visit www.dekalaser.com
Ellipse MultiFlex Utilizing laser and I2PL, MultiFlex offers a range of modalities for aesthetic treatments. The platform features an Nd:YAG applicator for leg vein treatment with integrated cooling, SoftCool, superb ergonomics with adjustable spot size, working light and aiming beam. Based on the operator's evaluation of patient parameters, the system chooses appropriate settings. Full traceability is provided as every treatment event is logged in a patient database. Performance is proven in peer-reviewed clinical studies.
Contura: +45 3958 5960 or visit www.aquamid.com or www.contura.com
Ellipse: +45 4576 8808 or visit www.ellipse.org

FRACTIONAL TECHNOLOGIES COMPARISON CHART

Alma Lasers Pixel 2940
Pixel CO2 Pixel Omnifit
Device Type
Fractional Er:YAG handpiece for HarmonyXL system Fractional CO2 system Pixelized handpiece for existing CO2 systems Fractional 2790 nm YSGG CO2 with scanner
Wavelength (nm)
2940 nm 10,600 nm 10,600 nm
Energy Output (Joules)

2500 mJ/p 30 W N/A
Pulse Length
N/A N/A N/A
Accessories
Pixel 2940 handpiece. 7 x 7 and 9 x 9 pixel array handpieces, two surgical handpieces. 7 x 7 and 9 x 9 pixel array configuration.
Cutera, Inc. Pearl Fractional Cynosure Affirm CO2 DEKA SmartXide DOT
DOT 1540
2790 nm 10,600 nm
60 320 mJ per microspot 30 W
600 ms 0.2 ms 20 ms ablative, 0.2 2 ms micro-ablative From 0.2 ms to 20 ms 10 ms / up to 10 ms / 10 ms / CW / 3-8 ms
Smoke evacuator connector. Scanner (micro-ablative and full ablative).
CO2 Laser and Scanner system Er:Glass / Nd:YAP / CW IR Lamp / Pulsed Light
10,600 nm 1540 nm / 1340 nm / 750-1800 nm / 500-1200 nm
30 W Up to 32 J/cm2 / up to 37 J/cm2 / up to 65 J/cm2 / up to 25 J/cm2
Scanner offers standard or DOT scanning mode. Skin rejuvenation, skin tightening and hair removal workstation. Fractional Er:Glass handpiece with 7 mm and 10 mm spot size. CW IR handpiece for skin tightening and collagen shrinkage. Skin cooling integrated. Pulsed light handpiece with five different removable filters for hair removal. Skin cooling integrated. Scanner offers standard or DOT scanning mode. Truly flexible fiber delivery. Built-in parameter controls on handpiece. Adjustable scan dwell times: 2 ms, 3 ms, 4 ms, 5 ms, 6 ms, 7 ms. Scan density: 7 x 7; 9 x 9; 11 x 11 MTZ/cm2. Scan area: 1 cm2; MTZ (spot) size: 500 m. No consumables. Fractional scanner. Patent pending MiXto SX fractional scanner system. 300 micron spot scanner for optimal heat delivery and collagen production. 5% to 40% density adj. Optional 180 micron spot scanner for deep ablation and skin tightening. MiXto VX fractional scanner. Focusing handpieces with spot sizes of 0.3 mm, 0.5 mm, 1.5 mm. Single, minimal downtime Tx for wrinkle/pigment results. Fractional CO2 Tx for wrinkles, scars and deep collagen treatment. Blended fractional CO2 Tx for customized patient outcomes.
Eclipsemed SmartXide DOT Ellipse, Inc. Juvia
CO2 Laser and Scanner System Fractional CO2 Laser
10,600 nm 10,600 nm
30 W 0.1 15 W
From 0.2 ms to 80 ms N/A
General Project Pix Scan 2 LASERINGUSA MiXto SX
CO2 Fractional Laser 10,600 nm CO2 10.6 nm
0.5 - 15 W 0.5 30 W
N/A 2.5 to 16 ms
Velure S5 MiXto VX
Diode Fractional CO2 Fractional CO2 Fractional CO2 CO2 2940 Laser 1540 Laser Infrared Light CO2 Er:YAG Tunable Laser 2940 m Tunable Laser 2940 m Erbium-Fiber Laser
532 nm 10,600 nm 10,600 nm 10,600 nm 10.6 mm 2940 nm 1540 nm 850 1350 nm 10,600 nm 2940 nm 2940 m 2940 m 1550
0.1 5 W 1 225 mJ 2.5 50 mJ 1 225 mJ 240 mJ N/A Up to 70 mJ per microbeam Up to 175 J 30 W Up to 2 J (XL up to 2.5 J) Up to 400 J/cm2 Up to 400 J/cm2 4 - 70 mJ/MTZ 5 - 20 mJ/MTZ 5 - 70 mJ/MTZ
10 1000 ms < 1 ms < 1 ms < 1 ms 10.56 ms N/A 1 500 2.5 10 sec 2-100 ms, pulsed and CW 350 s (XL 350 s up to 260 ms) Variable Variable N/A N/A N/A
Lumenis UltraPulse ActiveFX UltraPulse DeepFX

UltraPulse TotalFX Lutronic eCO2 Palomar StarLux 500 Platform Lux2940 Fractional Lux1540 Fractional Laser handpiece LuxDeepIR Fractional Infrared handpiece Quantel Derma GmbH EXELO2 FX4 and FX12 handpieces
Scanner up to 20x20 mm, variable spot densities up to 400 pts/cm2, optional surgical handpiece, integrated smoke evacuator, optional skin cooling. Optional fractional handpieces FX4 and FX12 for BURANE. Expandable module. Expandable module/density 1.5% to 60%. Intelligent Optical Tracking system (IOTS). Variable optical spot size using telescope. Maximizes lesion depth for a chosen pulse energy. Ergonomic handpiece and roller tip. Same as above. Built-in smokeless evacuation system. Intelligent Optical Tracking system (IOTS). Ergonomic handpiece and roller tip.
Sciton ProFractional-XC
ProFractional
Solta Medical Fraxel re:store

Fraxel re:fine Fraxel re:pair
Single Mode 1410 nm Fiber Laser Fractional CO2 Laser 10,600 nm
Syneron eMatrix Matrix RF eMax Matrix RF eLight Matrix RF eLaser Matrix RF
RF Electrical Energy N/A
Up to 20 Joules
N/A
Spot size 12 x 12 mm, three year warranty.
Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated.
86
PRODUCT PROFILES
Med Contour Med Contour is a cavitational system with an astonishing effect on localized fat and cellulite. It uses the combined action of two low frequency ultrasound wavelengths, centered exclusively onto the area being treated. Thanks to vacuum technology, this advanced technique raises adipose tissue so that the deep penetrating action of the ultrasound wavelengths are concentrated towards the affected tissue only. The integrated lymph-drainage handpiece provides a complete and effective treatment for visible results from the first application.
General Project: + 39 0571675076 or visit www.generalproject.com
Photogen System The Photogen system (Radiophotonic Multitherapy) is a versatile medical aesthetic platform that synergistically combines four technologies: unipolar transfer for active principles penetration; bi-polar radiofrequency for collagen production and a tightening effect; unipolar radiofrequency for a deep tightening effect; and a high-powered LED phototherapy CompLED system. Infrared light (880 nm) provides intense regeneration, scars, cellulite and localized fat treatments; red light (660 nm) provides a bio stimulating and repairing effect, an increase in the cells metabolism and production of collagen; amber light (590 nm) for an anti-aging and anti-wrinkle effect and an increase in skin luminosity; and blue light (470 nm) for the treatment of acne. Grupo Body Esthetic Laboratories: +34 902 26 20 31 or +34 93 325 20 30 or visit www.bodyesthetic.net
FotoFinder mediscope FotoFinder mediscope is a proven, worldwide tool for medical photo documentation. Brilliant before and after photos demonstrate treatment success and impress with customized skin reports. The intelligent software shows baseline and follow-up pictures in the SmartGallery. The Ghost Feature, with special tripods for facial and full body photos, guarantees consistent patient positioning. New FotoFinder Guided Photography provides body pose templates for all aesthetic treatments and displays the body areas to be photographed.
FotoFinder Systems: +49 8563 977200 or visit www.fotofinder.de
LightSheer Duet The new, high speed LightSheer 800 nm diode for permanent hair reduction features a dramatically increased 22x35 mm spot size to reduce treatment time up to 75%, enabling you to treat backs and legs in 15 to 20 minutes. Integrated vacuum assisted technology provides more efficient laser energy absorption and requires less energy to be delivered, making treatments comfortable for patients without topical anesthetics. Platform also includes gold standard LightSheer ET.
Ice Mask Ice Mask, is an award winning anti-aging facial treatment, used after dermal fillers, lasers, dermabrasion, acne treatments, hair removal and facial tissue rejuvenation, or as a stand-alone anti-aging treatment. Ice Mask reduces swelling and inflammation while cooling gently and has been shown to reduce surface wrinkling visibly in ten minutes by strengthening facial ligaments. Ice Mask reduces surface sebum while moisturizing. For use by professionals and patients as continued home treatment, it is easy, clean and effective.
Lumenis: +49 0 6103 8335 0 or visit www.lumenis.com
Neuronox Neuronox is a botulinum toxin type A complex used for various diseases such as blepharospasm, as well as cosmetic applications. In recent years many preclinical and clinical studies of Neuronox have been successfully performed in Korea and other countries. Neuronox has demonstrated excellent results in therapeutic studies as well as cosmetic studies. Customers and partners in more than 30 countries trust Neuronox.
Liquid Ice: +41 41 750 8989 or vist www.icemask.com
Medy-Tox Inc.: +82 2 3471 8319 or visit www.medy-tox.com

DERMAL FILLER PRODUCT COMPARISON

Manufacturer Product(s) Key Component
PMMA Hyaluronic Acid
Description
Regulatory Status
aap bio implants
ArteSense R-fine
Polymethylmethacrylate (PMMA) 32-40 microns; purified bovine collagen gel and 3.5% lidocaine; 0.7 ml syringe. Non cross-linked sodium hyaluronate for mesotherapy; 15 mg/ml, 1 ml and 2 ml syringe.
CE marked in Europe, approved in China, Korea, Canada and other markets globally. CE marked in Europe, approved in China, Canada and other markets globally.
ABR-Development Adoderm
Atlan BTCP VARIODERM Fine Line VARIODERM VARIODERM Plus VARIODERM Subdermal
BTCP Non-animal Hyaluronic Acid
Tricalcium phosphate suspended in hyaluronic acid. CE mark. 6 mg/ml; for superficial wrinkles and lip augmentation. 12 mg/ml; for medium wrinkles and lip contour. 18 mg/ml; for deep wrinkles and volume. 27 mgl/ml; for volume augmentation and facial contouring. Purified, medical grade polydimethylsiloxane oil 1000 cs. For microdroplet injection. Marketed in Europe and other countries.
Alcon Laboratories, Inc.
Silikon 1000
Silicone
Silikon 1000 is approved by the FDA for retinal detachments, but not for facial filler indications. Off label use only. Worldwide Worldwide Worldwide
Allergan
Zyderm 1 Zyderm 2 Zyplast
Purified Bovine Collagen + Lidocaine
Purified bovine-based collagen 35 mg/ml x 6. Purified bovine-based collagen 65 mg/ml x 6. Purified bovine-based collagen 35 mg/ml, crosslinked with glutaraldehyde x 6. *All collagen products contain 0.3% lidocaine. Purified human-based collagen 35 mg/ml. Purified human-based collagen 35 mg/ml, crosslinked with glutaraldehyde. *All collagen products contain 0.3% lidocaine. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g.
CosmoDerm CosmoPlast
Purified Humanbased Collagen + Lidocaine Non-animal Hyaluronic Acid
Worldwide Worldwide
HydraFill Softline HydraFill Softline Max Juvderm ULTRA 2 Juvderm ULTRA 3 Juvderm ULTRA 4
CE mark. CE mark. CE mark. CE mark. CE mark.
Non-animal Hyaluronic Acid + Lidocaine
Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. *All Juvderm ULTRA products contain 0.3% lidocaine. Non-animal, cross-linked cohesive hyaluronic acid 20 mg/g. Non-animal 5 phase cross-linked hyaluronic acid with CPM (Cohesive Polydensified Matrix) technology.
Juvderm VOLUMA
Non-animal Hyaluronic Acid
CE marked for facial volume restoration. Approved in Europe, Canada, Israel, South Korea and other markets globally. CE mark. Pending approval in Canada and South Korea. FDA approved.
Anteis S.A.
Esthlis Soft 20 mg/ml Esthlis Basic 22.5 mg/ml Fortlis Extra 25.5 mg/ml
Hyaluronic Acid
Artes Medical
ArteFill
PMMA
20% polymethylmethacrylate (PMMA) 30 to 50 microns 80% purified bovine collagen gel and 0.3% lidocaine. Synthetic calcium hydroxylapatite (CaHA- 55.7%) microspheres, 25 45 microns, suspended in an aquaeous polysaccharide gel (1.3% sodium carboxymethylcellulose USP, 6.4% glycerin USP and 36.6% water USP). Generation polyacrylamide gel comprised of 95% polyacrylamide and 5% water.
BioForm
Radiesse
CaHA
Worldwide
BioForm Medical
Argiform
PAAG
N/A
BioPolymer GmbH & Co. KG
MATRIDEX MATRIDUR MATRIGEL
DEAE Sephadex
MATRIDEX: synthetic hyaluronic acid sodium salt CE mark no FDA approval. 25 mg, hypromellose 15 mg, positively charged DEAE sephadex particles 25 mg (cross-linked dextran). MATRIDUR: synthetic stabalized hyaluronic acid sodium salt 25 mg and hypromellose 5 mg. MATRIGEL: stabalized HA 12.25 mg. 35 mg of cross-linked porcine (tendons) collagen glycation with a natural sugar dispersed in a phosphate buffered saline solution. Glymatrix technology provides a collagen that extends the benefits for up to 12 months. 2.5% cross-linked hydrophilic polyacrylamide gel (PAAG) and 97.5% non-pyrogenic water. Approved in Europe, Canada, Isreal, South Korea and other markets globally. Not yet approved by the FDA. For investigational use only in U.S. CE marking: CE 0543 March 2001. Trials are ongoing in the U.S. Sold in more than 40 countries around the world. Not approved in U.S., worldwide registrations pending.
ColBar LifeScience Ltd.
EVOLENCE EVOLENCE Breeze
Porcine Collagen
Contura International A/S
Aquamid Aquamid Reconstruction
PAAG
Dermabiol Institute of Kuhra Vital GmbH
Rhegecoll
PMMA
Rhegecoll: 40% bovine collagen from U.S. calves, 15% A.D.N., 5% embryoblastos (stem cell) 10% polymethacrylate, 15% copolymer 4-G, 15% stabilizer / emulsifier.
88

Fascia
Description
Regulatory Status
Fascia Biosystems
Fascian
Human allograft material fascia, collected from human cadaver donors. Reconstituted with sterile normal saline, 0.5% lidocaine.
Fascian is a tissue product as classified by the FDA, there are no off-label uses hence a physician can use as desired. Pending approval. Completed human safety clinical trial of recombinant human collagen type III. The pivotal efficacy and safety study required for regulatory approval of FG-5017 is expected to begin in 2005.
FibroGen, Inc.
FG-5017 (rhClll) synthetic human collagen (type III).
Human Collagen
FG-5017 dermal filler is comprised of a crosslinked formulation of recombinant human collagen type III in saline with lidocaine. Collagen is formed based on human DNA sequences in yeast cultures.
FuHua High Molecular Matter Company, Ltd.
Amazingel
PAAG
Hydrohilic polyacrylamide gel.
Approved in Asia China in 2000.
FzioMed, Inc.
Laresse Dermal Filler
Carboxymethylcellulose, Polyethylene Oxide Autologous fibroblast cells Avian Hyaluronic Acid / Chitosan
Non-permanent, long lasting, ultra smooth dermal filler, containing no bacterial or animal by-products, no cross-linking chemicals and no gel particles.
CE mark.
Isolagen, Inc.
Isolagen
Isolagen autologous cellular system cultured human fibroblasts. MacDermol S Avian non cross-linked hyaluronic acid (2.1%) sodium chloride. MacDermol R Avian cross-linked hyaluronic acid (3.4%) chitosan chondroitin sulfate sodium chloride.
Available only in UK. Filed IND with FDA approved. CE mark no FDA approval.
Laboratories ORGV
MacDermol S MacDermol R
LCA Pharmaceutical Medicis
Hyaluderm
Hyaluronic Acid
Hyaluderm non cross-linked sodium hyluronate, 2.0% to 2.5%. NASHA gel a non-animal hyaluronic acid, stabilized with BDDE. The differentiation is in the size of the NASHA particles, to assure a tissue-tailored range of products. Restylane 100,000 particles per ml. Restylane Touch 500,000 particles per ml. Restylane Perlane 10,000 particles per ml. Restylane Sub-Q 1,000 particles per ml.
CE mark no FDA approval.
Restylane Restylane Touch Restylane Perlane Restylane Sub-Q
NASHA
Restylane is approved in the U.S. and Canada. Restylane Perlane and Restylane Fine Lines are approved in Canada / pending FDA approval. Sub-Q is in the approval process.
Mentor Corporation in conjunction with Genzyme Corporation
Puragen Puragen Plus
Hyaluronic Acid
Puragen/Puragen Plus: Non-animal derived double cross-linked (DXL technology). Puragen Plus contains lidocaine integrated directly into the formula. Prevelle Silk: Non-animal derived cross-linked hyaluronic acid, 5.5 mg/ml with 0.3% lidocaine integrated directly into the formula.
Puragen/Puragen Plus: Europe clearance CE mark. FDA clearance pending. Prevelle Silk: FDA approved. Europe clearance CE mark.
Prevelle Silk
Merz Pharma GmbH & Co. KGaA
Belotero Soft 20 mg/ml Belotero Basic 22.5 mg/ml
Hyaluronic Acid
Non-animal double phase cross-linked hyaluronic acid via biofermentation with CPM (Cohesive Polydensified Matrix) technology.
CE mark October 2004 Merz received the marketing rights for Germany, Austria, Switzerland, Russia and Italy from Anteis SA. U.S. approval pending. CE mark.
Nordic Aesthetics (by S&V, Germany)
Amalian I
Non-animal Hyaluronic Acid
8.4 mg/ml, bi-phasic gel of cross-linked HA micro-particles dispersed in non cross-linked HA (CIS technology), 1 ml and 2 ml syringes. 24 mg/ml, bi-phasic gel of cross-linked HA microparticles dispersed in non cross-linked HA (CIS technology), 1 ml and 2 ml syringes. Same as above. 24 mg/ml, biphasic gel of cross-linked HA microparticles dispersed in non cross-linked HA (CIS technology), 0.5 ml and 1 ml syringes. 12 mg/ml, non cross-linked HA for skin rejuvenation and hydration, 2 ml syringe.
Amalian II
CE mark.
Amalian III Amalian Lip
CE mark. CE mark.
Amalian Balance
CE mark.
89

Polyacrylamide
Description
Regulatory Status
Polymekon
BIO-ALCAMID Face BIO-ALCAMID Lips BIO-ALCAMID Body Bioinblue Lips Bioinblue DeepBlue
PVA
BIO-ALCAMID 96% water and 4% synthetic reticulate polymer. Lips is soft and compact. Face has the same composition (it is not a dilution), Body has the same consistency as the Face form, but contains more material. Bioinblue PVA (polyvinyl alcohol 8%) and water (92%).
BIO-ALCAMID CE mark in 2001 no FDA approval. Bioinblue CE mark in 2003 no FDA approval.
ProCytech SA
Outline Fine Outline Original Outline Ultra Evolution
Polyacrylamide co-DADMA Polyacrylamide
Outline is absorbable polyacrylamide co-DADMA gel. Evolution is a mixture of microscopic soft spheres of polyvinyl in a viscoelastic gel of polyacrylamide co-DADMA gel. Revanesse cross-linked HA 25 mg, hypromellose 12.5 mg. Revanesse Ultra high viscosity, cross-linked, reticulated hyaluronic acid 25 mg, hypromellose 15 mg. ReDexis cross-linked reticulated hyaluronic acid 25 mg, hypromellose 15 mg, dextronomer DEAE 25 mg. NASHA gel a non-animal hyaluronic acid, stabilized with BDDE. The differentiation is in the size of the NASHA particles, to assure a tissue-tailored range of products. Restylane 100,000 particles per ml. Restylane Touch 500,000 particles per ml. Restylane Perlane 10,000 particles per ml. Restylane Sub-Q- 1,000 particles per ml. Concentration 20 mg/ml.
Approved in Europe.
Prollenium Medical Technologies
Revanesse Revanesse Ultra ReDexis
Hyaluronic Acid
Approved in Canada. U.S. approval pending.
Q-Med AB
Restylane Restylane Restylane Restylane Restylane Restylane
Touch Perlane Sub-Q Lipp Vital
NASHA
Restylane is approved worldwide with the exception of Japan. Restylane Perlane, Restylane Sub-Q and Restylane Touch are approved worldwide with the exception of Japan and U.S. U.S. approval in progress. Restylane Lipp approved in Europe. CE mark.
Macrolane VRF30 Macrolane VRF20
Non-animal Hyaluronic Acid Synthetically derived double cross-linked hyaluronic acid Dextran sephadex microspheres Polyacrylamide Non-animal hyaluronic acid BDDE cross-linked hyaluronic acid
Rofil Medical Nederland B.V.
Rofilan Forte / Philoderm BeautyGel / Esthirase / Coilingel
Synthetically derived double cross-linked hyaluronic acid 9 mg/ml, 16 mg/ml and 25 mg/ml.
CE approved in Europe, Canada, Mexico, Brazil, Argentina, Korea and most other countries. CE approved in Europe, Canada, Mexico, Brazil, Argentina, Korea and most other countries. CE (pending) Canada, Brazil, Argentina and other countries. CE approved in Canada, Russia and other countries. CE mark.
Reviderm Forte / Philoderm BeautySphere / Lastingel Beautical 2 and 5 Zetaderm / Zetavisc HyalSkin 20/25
Synthetically derived double cross-linked hyaluronic acid 9 mg/ml with 3 mg/ml round dextran microspheres 40 60 . Cationic copolymer of polyacrylamide co-DADMA. Sodium hyaluronate 15 mg/ml with lidocaine hydrochloride 3 mg/ml. Synthetically derived BDDE cross-linked hyaluronic acid 20 mg/ml and 25 mg/ml.
Sanofi-Aventis
Sculptra U.S., also known as NewFill or New-Filla
PLLA
Poly-L-Lactic acid (PLLA) hydrogel belonging to the family of aliphatic polyesters. Synthesized from corn.
FDA has approved Sculptra as the only product for the restoration and/or correction of the signs of facial fat loss (lipoatrophy). Approved in Europe in 2000 as NewFill 2004 as Sculptra for facial aesthetic use. Europe CE mark. U.S. approval in progress.
Teoxane Laboratories
Teosyal Teosyal Teosyal Teosyal Teosyal Teosyal Teosyal
Global Action Deep Lines Kiss Ultra Deep First Lines Touch Up Meso
Hyaluronic Acid
100% hyaluronic acid-based, resorbable and of non-animal origin.
Uroplasty
Bioplastique
Silicone
Solid silicone microspheres (100 to 400 and 600 m) suspended in a polyvinylpyrrolidone vector.
CE mark.
90
PRODUCT PROFILES
LipoControl LipoControl is the new advanced laser-assisted lipolysis system that offers maximum control of energy delivery. Its onscreen electronic mapping system shows real time distribution of heat/energy. It also offers automatic adjustment of laser power to compensate for movement of the cannula to avoid hot spots and ensure optimized and even treatments.
Osyris Medical: +33 (0)3 20 67 90 00 or visit: www.osyris.com StarLux 500 The new StarLux 500 laser and pulsed light system offers higher power and an unparalleled variety of aesthetic treatments including: fractional non-ablative skin resurfacing, permanent hair reduction, fractional skin tightening through soft tissue coagulation, photofacials for pigmented and vascular lesions, leg vein treatment and more. With 70% more power than previously available and built-in cooling, StarLux 500 delivers faster treatments, higher efficacy and superior safety and comfort. Palomar: +31 20 624 3909 or visit www.palomarmedical.com
MATISSE and TWAIN 2940 Quanta System is proud to present the Matisse series, an advanced skin rejuvenation platform based on fractional Er:Glass and Er:YAG lasers (TWAIN 2940 option). Matisse can safely treat skin aging signs such as wrinkles, dyschromia and rosacea, as well scars, in an ablative or non-ablative mode. An integrated skin cooler provides real-time monitoring of the temperature and ensures painless, effective treatments. Matisse can be combined with additional lasers or IPL handpieces to perform other key aesthetic treatments. Quanta System: +39 0331 376797 or visit www.quantasystem.com
LEDA EPI LEDA EPI by Quantel Derma sets new standards for high speed hair removal using an innovative scan technology treating an entire back in less than ten minutes. The other modules (applicators) of this platform system are high-power LEDs of different wavelengths. Their unique water-cooling assures light intensities that are up to 60 times higher than other LED systems. LEDA is an innovative platform that provides you best in class solutions for many applications.
CELLACTOR SC1 The CELLACTOR SC1 with the Acoustic Wave Treatment (AWT) uses high energy acoustic waves that are generated by two different applicators: C-ACTOR and DACTOR and separately introduced into the patients body. Body shaping and aesthetic disorders such as cellulite, scars or edema can be treated effectively with AWT. Acoustic waves have been used in medicine with great success for disintegration of kidney stones and treatment of orthopedic conditions during the last 28 years.
Quantel Derma: +49 (0)9131 94088 0 or visit www.leda-system.com
ProFractional-XC and ProLipo PLUS ProFractional-XC uses dual mode energy at 2940 nm to ablate micro-channels for collagen stimulation, as well as provide coagulation on demand. New collagen forms as part of the bodys wound healing response leading to striking improvements in wrinkles, scars, skin tone and texture. ProLipo PLUS is an effective adjunct to traditional liposuction the leading cosmetic surgical procedure. It can dramatically expand your practice by offering body contouring while firming the overlying skin.
STORZ MEDICAL: +41 71 677 45 45 or visit www.storzmedical.com
Sciton, Inc.: +1 650 493 9155 or visit www.sciton.com

aap implantate AG
Lorenzweg 5 D-12099 Berlin, Germany +49 30 75019 0 telephone +49 30 75019 000 facsimile www.aap.de aap implantate AG is an international medical technology company that develops, manufactures and commercializes implants and biomaterials in the field of orthopedic, spine, dental and aesthetics. The company also offers long lasting dermal fillers in the aesthetic market. Elisabeth-Selbert-Str. 5 D-40764 Langenfeld, Germany +49 (0) 2173 1019180 telephone +49 (0) 2173 1019182 facsimile www.adoderm.com Adoderm represents the innovation and development of various dermal filler products (VARIODERM) and mesotherapy products (MPS-1000) in the field of aesthetic plastic surgery and dermatology. With more than 20 years of ongoing research and development, the Adoderm team has introduced numerous patented products to the market and has achieved worldwide product distribution in more than 25 countries. Adoderm customers benefit from sophisticated and effective products and an optimal price-quality ratio. 1st Floor, Marlow International Parkway Marlow, Bucks SL7 1YL +44 1628 494 444 telephone +44 1628 494 449 facsimile www.allergan.co.uk Allergan, Inc. is a multi-specialty healthcare company focused on discovering, developing and commercializing innovative pharmaceuticals, biologics and medical devices that enable people to live life to its greatest potential to see more clearly, move more freely and express themselves more fully. With patient satisfaction at the heart of research and development, Allergan has the treatments, devices and professional support to help you offer patients the natural look they want. 14 Halamish Street, P.O.Box 3021 Caesarea Industrial Park Caesarea, Israel 38900 +972 4 627 5357 telephone +972 4 627 5368 facsimile www.almalasers.com Alma Lasers develops, manufactures and markets laser, light-based and radiofrequency systems for aesthetic applications. Alma Lasers systems are used for a variety of applications including photorejuvenation, hair removal, the treatment of pigmented and vascular lesions, treatment of acne, tattoo removal, psoriasis, vitiligo, wrinkle and acne scar treatment, the treatment of cellulite and its new application fractional ablative resurfacing. Alma Lasers leading products include: AccentXL, HarmonyXL, SopranoXL, Omnifit and Pixel CO2.
Adoderm GmbH
4001 McEwen Road, Suite 100 Dallas, Texas 75244 USA +1 800 969 6601 or +1 972 960 6601 telephone www.apothecure.com ApothCure, Inc. is a premier compounding pharmacy that specializes in formulating a variety of products for many areas of medicine, including natural hormones, chelation, nutrition, dermatology and aesthetics. Specializing in compounds for aesthetic medicine and dermatology, ApothCure mixes all mesotherapy compounds, along with micro-needling, aesthetic, anti-aging and dermatology products and compounds. We have many proprietary compounds, such as our three minute peel, ApothPeel and our growth factor based eyelash enhancer, ApothLash. Brsseler Str. 10 07747 Jena, Germany +49 3641 77 00 100 telephone +49 3641 77 00 102 facsimile www.asclepion.com Asclepion Laser Technologies has been setting standards for innovative medical laser systems for more than 25 years. Made in Germany, our state-ofthe-art products, such as the MeDioStar Effect, Dermablate Effect and TattooStar Effect, stand for excellence in treatment flexibility, reliability and effectiveness. Moreover a bundle of exclusive services, materials and communication tools inform and support patients and doctors. U Ladronky 40 169 000 Prague 6 +420 220517012 telephone +420 220515520 facsimile www.btlaesthetics.com BTLs development, production and sales are focused on proven non-invasive technologies which fight the most common symptoms treated in todays aesthetic market. BTL offers the new EXILIS, No-Needle Mesotherapy (NNM) and Electro-Acoustic Therapy (EAT) devices. EXILIS represents a revolutionary technology for body shaping with outstanding results and advantages. NNM brings an alternative to injection mesotherapy for cellulite, derma-lift, fat dissolve, wrinkle and hyperpigmentation treatments. EAT is the ultimate solution for skin tightening and helps regenerate and rejuvenate aged skin. Parque Empresarial San Fernando, Edificio Europa Madrid, Spain 28830 +346568563 telephone +346568531 facsimile www.candelalaser.eu Candela is a pioneer in the development and commercialization of advanced aesthetic laser systems that allow physicians and personal care practitioners to treat a wide variety of cosmetic and medical conditions. Treatments include removal of unwanted hair, wrinkles, acne, acne scars, vascular and pigmented lesions, skin tightening, tattoos and skin rejuvenation.
ApothCure, Inc.
Asclepion Laser Technologies
Allergan, Inc.
BTL
Alma Lasers, Ltd.
Candela
92
253 Passaic Avenue Fairfield, NJ 07004-2524 USA +1 973 276 0336 telephone +1 973 276 0339 facsimile www.canfieldsci.com Canfield Imaging Systems is a leading worldwide developer of imaging software and photographic systems for the medical and skincare industries. Product lines include Mirror imaging software, VISIA Complexion Analysis, VECTRA 3D systems, Reveal facial imagers, customized photographic studio solutions and numerous specialized imaging devices and lighting systems for clinical photography. Division of Cilag GmbH International Landis + Gyr-Strasse 1 CH-6300 Zug, Switzerland +41 41 725 50 00 telephone +41 41 725 50 01 facsimile www.evolence.com ColBar LifeScience is focused exclusively on innovative, evidenced based aesthetic solutions that maintain, enhance and restore body image and selfesteem. The companys current offering is the EVOLENCE product line, a collagen based, soft-tissue filler specifically engineered to enhance stability and mimic the properties of natural collagen found in the skin. EVOLENCE and EVOLENCE Breeze have been shown to effectively restore shape to facial wrinkles, with a unique patented Glymatrix technology that extends the benefits for up to 12 months longer than some other biodegradable natural fillers. Sydmarken 23 Soeborg 2860 Denmark +45 3958 5960 telephone +45 3958 5961 facsimile www.aquamid.com / www.contura.com Contura develops and markets Aquamid a soft volume filler for facial contouring. Aquamid, manufactured in Denmark using Conturas patented polyacrylamide hydrogel technology, is sold in more than 40 countries. Aquamid continually achieves high levels of patient satisfaction, based on clinical trials since 2001 and more than 350,000 syringes sold. Aquamid is currently undergoing a clinical trial evaluation in the U.S. 3240 Bayshore Blvd. Brisbane, CA 94005 USA +1 888 4CUTERA telephone +1 415 330 2444 facsimile www.cutera.com Cutera is a leading provider of laser and light-based aesthetic systems for skin resurfacing, skin rejuvenation, vascular therapy and hair removal. Since 1998, Cutera has been developing innovative, easy-to-use products for clinicians to offer safe and effective aesthetic treatments to patients worldwide. Cuteras latest innovations, Pearl and Pearl Fractional, are based on the 2790 nm wavelength using proprietary YSGG technology and offer an optimal and total solution for treating wrinkles, uneven texture, pore size, pigmentation and sun damage.
Canfield Imaging Systems
ColBar LifeScience
5 Carlisle Road Westford, MA 01886 USA +1 800 886 2966 telephone +1 978 256 6556 facsimile www.cynosure.com Cynosure develops and markets aesthetic light-based systems that are used by physicians and other practitioners to perform non-invasive and minimally invasive procedures to remove hair, treat vascular lesions, rejuvenate skin through the treatment of shallow vascular and pigmented lesions, wrinkle reduction, tattoo removal, laser lipolysis and temporarily reduce the appearance of cellulite. Cynosures products include a broad range of laser and other light-based energy sources, including alexandrite, pulsed dye, Nd:YAG and diode lasers, as well as intense pulsed light. Via Baldanzese, 17 Calenzano, Firenze 50041 Italy +39 055 887 4942 telephone +39 055 883 2884 facsimile www.dekalaser.com DEKA designs, manufactures and markets medical lasers and pulsed light equipment for specialized medical requirements in over 60 countries worldwide. DEKA produces systems in three specialized fields: surgery, aesthetic medicine and dentistry. DEKA develops systems with innovative technologies such as, CO2, Nd:YAG, Nd:YAP, Er:YAG, Er:Glass, Ho:YAG, dye, KTP and alexandrite lasers, Flash Lamp and CW IR lamp systems. 10 Al Paul Lane, Suite 102 Merrimack, NH 03054 USA +1 888 Elem-08 telephone www.elememedical.com Elem Medical is an innovator committed to delivering science-based aesthetic solutions. The SmoothShapes system with Photomology technology is the companys preeminent product, launched in early 2008 for the temporary reduction in the appearance of cellulite. Introduced in late 2008, SmoothLipo is the next-generation in laser lipolysis systems. Agern All 11 Hoersholm, Denmark DK-2970 +45 45 76 88 08 telephone +45 45 76 88 89 facsimile www.ellipse.org Ellipse A/S produces lasers as well as second generation intense pulsed light equipment for permanent hair removal, wrinkle reduction, vascular lesions, pigmented lesions, photorejuvenation and acne treatment. All treatments offered by Ellipse are clinically proven to be safe and effective. Ellipse products are sold in more than 50 countries.
Cynosure, Inc.
DEKA M.E.L.A. s.r.l.
Contura International A/S
Elem Medical, Inc.
Ellipse A/S
(formerly Danish Dermatologic Development)
Cutera, Inc.
FotoFinder Systems GmbH
Aichner-Schmied-Str. 3 D-84364 Bad Birnbach, Germany +49 8563 97720-0 telephone +49 8563 97720-10 facsimile www.fotofinder.de FotoFinder is a leading brand of technologically advanced imaging systems for dermatology and aesthetics. Based in Germany, FotoFinder Systems has a worldwide distributors network. The FotoFinder platform provides physicians with FotoFinder mediscope for consistent photo documentation, FotoFinder bodystudio for total body mapping and FotoFinder dermoscope dynamic for digital dermoscopy.
93
Stegne 7 Ljubljana 1210 Slovenia + 386 1 500 91 26 telephone + 386 1 500 92 05 facsimile www.fotona.com As developer and manufacturer of high performance, remarkably built laser systems, Fotona's wide-range of laser systems purvey quality, reliability, safety and cutting edge innovation in speed and efficiency. Through its global representative network and reference medical centers, Fotona guarantees exceptional customer support, and technical and clinical training. Via della Gora 15/19 Montespertoli, Florence 50025 Italy +39 0571 675076 telephone +39 0571 675077 facsimile www.generalproject.com General Project S.r.l. is an Italian designer and manufacturer of medical equipment, lasers, pulsed light and microdermabrasion systems for dermatology, cosmetic/plastic surgery and aesthetics. We offer advanced devices for hair removal, skin rejuvenation and body contouring systems. All units comply with European (93/42/CEE) and American FDA rules. The company is UNI EN ISO 9001:2000, UNI EN ISO 13485:2004 and UNI EN ISO 1400:2004 certified. Bertran I Gell, 72 Pol. Ind. Massotes Gav, Barcelona 08850 Spain +34 902 26 20 31 telephone +34 93 423 55 16 facsimile www.bodyesthetic.net Grupo Body_Esthetic Laboratories is one of the most advanced laboratories in Europe. We are a leading manufacturer and marketer, with an emphasis on research, development and innovation as an ongoing policy for creation and improvement of cosmetic and medical treatments. We apply the most up-todate science and technology in our cosmetic product line, medical device line and in the manufacturing of our pharmaceutical product line. Avda Josep Tarradellas, 91 08029 Barcelona, Spain +34 932 656 661 telephone +34 932 454 806 facsimile www.inter-medic.net INTERmedic is a dynamic laser and light technology firm dedicated to the development, production and marketing of innovative lasers, highly advanced pulsed light systems and other new technologies for medical applications in plastic surgery, dermatology and aesthetic medicine, e.g. treatment of facial aging, pigmented and vascular lesions, wrinkles, benign skin lesions and numerous others. Leading products include RF Contrge Dual, Contrge, Multiscan X and Varius. via Staffette Partigiane, 54 Modena Emilla-Romagna 41100 + 39 59 450999 telephone + 39 59 311096 facsimile www.lasering.it LASERING S.r.l. develops, manufactures and markets laser systems for medical and aesthetic applications. Founded in 1994, LASERING S.r.l. has earned the reputation as a premier European medical laser manufacturer. Their most recent achievement is a revolutionary new patent pending method of fractional skin renewal with MiXto SX CO2 laser.
Fotona
General Project S.r.l.
Zugerbergstrasse 86 Unteraegeri, Switzerland 6314 +41 41 750 8989 telephone +41 44 355 3449 facsimile www.icemask.com / www.liquidice.com Liquid Ice CosMedicals creates innovative, award winning, revolutionary antiaging treatments made in Switzerland. Ice Mask, a pre- and post-operative facial treatment was awarded the International Innovation of the Year 2006. The Active Fat Reducer (patent pending) reduces fat locally while strengthening tissue, and the Anti-Aging Hands treatment strengthens ligaments and connective tissue. Based on Liquid Ices technology, all are hypoallergenic and safe for home-use. Heinrich-Hertz-Str. 3 D-63303 Dreieich-Dreieichenhain, Germany +49 (0) 6103 8335 0 telephone +49 (0) 6103 8335 300 facsimile www.lumenis.com Lumenis is a leading developer, manufacturer and marketer of proprietary laser and intense pulsed light (IPL) systems. Lumenis aesthetic systems are used for a variety of applications including photorejuvenation, hair removal, non-invasive treatment of vascular and pigmented lesions, wrinkles and skin tightening. Leading products include Lumenis One, DeepFX and ActiveFX with UltraPulse, LightSheer and Quantum IPL. 420 Ilsan Technotown 1141-1 Baeksok Ilsan Goyang Gyeonggi, Korea +82 31 908 3440 telephone +82 31 907 3440 facsimile www.lutronic.com / www.maxltd.com Lutronic Corporation is a publicly traded manufacturer of quality medical laser systems. Products include systems for tattoos and pigmented lesions, non-ablative rejuvenation, laser resurfacing and laser surgery. Lutronic Corporation makes strong investments to continuously develop innovative technologies that will inspire physicians in expanding their practices. All laser systems are manufactured U.S. FDA and European CE marked and are currently being exported to 37 countries. Via Petrarca 80-82 50041 Calenzano (Firenze), Italy +39 055 882247 telephone +39 055 8874879 facsimile www.mattioliengineering.eu Mattioli Engineering developed its first microdermabrasion system in 1991. The companys extensive experience in the medical and cosmetic field has allowed us to develop features, currently protected by patented rights exclusively belonging to Mattioli Engineering, and to introduce Ultrapeel Transderm Meso needles-free mesotherapy system for the transdermal delivery of ionic drugs. Mattioli Engineering is ISO 9001:2000, ISO 13485:2004 certified and GMP compliant. Transderm Ionto Meso is CE, FDA, UL and CSA listed.
Liquid Ice CosMedicals AG
Lumenis
Grupo Body_Esthetic Laboratories
Lutronic Corporation
INTERmedic
Mattioli Engineering
LASERING S.r.l.
10F, 1694-10, Seocho 4-dong, Seocho-gu, Seoul, Korea 137-883 +82 3471 8319 telephone +82 3471 8318 facsimile www.medy-tox.com Medy-Tox, an established biopharmaceutical venture company focused on toxin related business was founded in 2000 by Hyun Ho Jung, M.D. Our vision is to become an outstanding global biotechnology company. Our goal is to establish Medy-Tox as a premier biopharmaceutical company providing biotech products for better health and quality of life, utilizing proprietary toxin science and technology. Jungfrugatan 38 114 44 Stockholm, Sweden +46 (0)8 4105 1400 telephone +46 (0)8 5195 0010 facsimile www.nordicaesthetics.com Nordic Aesthetics is committed to providing complete aesthetic medicine solutions, comprising complementary products, enabling practitioners and patients to pursue treatment goals with full confidence in the safety and effectiveness of all elements. Their portfolio includes Amalian HA dermal filler, the Alyria skincare line and Aellas chemical peeling platform, with others coming soon. 121 rue Chanzy 59260 Hellemmes, France +33 (0)3 20 67 90 00 telephone +33 (0)3 20 04 46 24 facsimile www.osyris.com Based in Lille, France, Osyris Medical is a leading manufacturer for producing emerging technologies within a specific niche market. The company focuses on skin tightening, body contouring and vein removal procedures that are scientifically proven, clinically validated and have high consumer demand. Kleine Gartmanplantsoen 21 (5th Floor) 1017 RP Amsterdam, The Netherlands +31 20 624 3909 telephone +31 20 623 6820 facsimile www.palomarmedical.com Palomar Medical Technologies produces the StarLux Laser and Pulsed Light System for cosmetic applications such as fractional non-ablative skin resurfacing, permanent hair reduction, photofacials for pigmented and vascular lesions, fractional skin tightening through soft tissue coagulation, tattoo removal and acne treatment. Used worldwide, Palomars systems offer exceptional efficacy, affordability, ease of use and patient comfort and safety. 6 Kaufman Street, Gibor House Tel Aviv, Israel 68012 +972 3 510 4110 telephone +972 3 510 4112 facsimile www.pollogen.com / www.tripollar.com Pollogen Ltd. develops, manufactures and distributes medical aesthetic devices powered by its proprietary TriPollar technology.This advanced technology combines monopolar and bi-polar technologies and offers physicians highly efficacious, safe and cost-effective systems for the treatment of body and facial contouring, cellulite reduction and skin tightening. Pollogens first device, regen was launched in 2006 and in 2008 they have introduced the Apollo system.
Medy-Tox, Inc.
Seminariegatan 21 Uppsala, Sweden SE-75220 +46 18 474 90 00 telephone +46 18 474 90 01 facsimile www.q-med.com Q-Med is a rapidly growing Swedish, biotechnology/medical device company that develops, produces, markets and sells implants for aesthetic and medical use. All products are based on the companys patented technology for the production of stabilized, non-animal hyaluronic acid, NASHA. Their product portfolio contains Restylane, Deflux, Zuidex, Macrolane and Solesta. Via IV Novembre, 116 Solbiate Olona, 21058 Italy +39 0331 376 797 telephone +39 0331 367 815 facsimile www.quantasystem.com Quanta System S.p.a., an Italian company founded in 1985 is part of a multinational group listed on the Italian stock exchange. Quanta System is internationally recognized as a quality designer and manufacturer of light-based and multi-wavelength laser systems for medical and aesthetic applications. The superior design and innovative technology of the products allow Quanta System to constantly make quality leaps in the international market. Fractional Er:Glass, Nd:YAG, KTP, diode and alexandrite lasers, as well as Qswitched multicolor lasers and IPL systems rank Quanta at the forefront of aesthetic medicine.
Q-Med
Nordic Aesthetics
Quanta System S.p.a.
Osyris Medical
Quantel Derma GmbH
Palomar Medical Technologies BV
Am Wolfsmantel 46 Erlangen, Germany 91058 +49 (0) 9131 94088-0 telephone +49 (0) 9131 94088-99 facsimile www.quantel-derma.com Quantel Derma GmbH (formerly WaveLight Aesthetics) benefits from a long history in the medical laser field that goes back to the 1970s. It develops, produces and distributes laser systems and other innovative light source devices for the dermatologic and aesthetic fields and is synonymous with made in Germany high quality standards. 925 Commercial Street Palo Alto, CA 94303 USA +1 650 493 9155 telephone +1 650 493 9146 facsimile www.sciton.com Sciton is a leading manufacturer and provider of superior laser and light source solutions. Sciton offers medical professionals multiple modules in a single platform. The ProFractional, ProFractional-X C and TRL provide facial rejuvenation while BBLs provides hair removal and photorejuvenation, treats wrinkles, scars and acne. Pro-V offers vein solutions and ProLipo PLUS offers body contouring.
Sciton, Inc.
Pollogen Ltd.
95
25881 Industrial Blvd. Hayward, CA 94545-2991 USA +1 510 782 2286 telephone +1 510 782 2287 facsimile www.solta.com Solta Medical develops innovative products that meet and exceed the needs of the growing aesthetic market. We engineer safe, effective solutions for patients and deliver compelling business opportunities for physicians. To uphold that mission, we are committed to superior innovation, research, development and testing. Solta Medical is a collaboration of two leading brands: Thermage, a pioneer in non-invasive skin tightening and contouring, and Fraxel, a premier solution for skin resurfacing. The Thermage and Fraxel systems, both delivering non-invasive treatments with minimal recovery time, enable physicians to offer more compelling solutions to the rapidly growing anti-aging market. 357 South McCaslin Blvd., Suite 100 Louisville, CO 80027 USA +1 303 384 9133 telephone +1 720 294 2948 facsimile www.vaser.com The VASER Lipo System from Sound Surgical Technologies, represents a major advance over traditional liposuction and earlier generation UAL by combining advanced VASER technology and optimized surgical techniques. The VASER System provides a range of treatment possibilities from VASER LipoSelection of delicate to fibrous fatty tissue, to advanced contouring of areas such as the face, breast and high definition liposculpture. By minimizing damage to important tissue, patients experience excellent results, including smooth and tight contours with minimal pain and bruising. Christofsstrasse 5 Mainz, Germany D-55116 +49 6131 9066497 telephone +49 6131 1446446 facsimile www.glendale-laser.com Sperian is the new name of GPT Glendale. The laser safety division specializes in stylish comfortable eyewear solutions for use with lasers, IPL, LEDs and microdermabrasion. We also offer a complete line of disposable and re-usable eyewear solutions for the patient. Manufacturing is to stringent European EN 207 and ANSI standards in an ISO certified state-of-the-art facility. Lohstampfestrasse 8 Tgerwilen CH-8274 Switzerland +41 71 677 45 45 telephone +41 71 677 45 05 facsimile www.storzmedical.com Based in Switzerland, STORZ MEDICAL AG was founded in 1987 as part of the STORZ group. While acoustic wave technology has already proved its worth in millions of cases, revolutionary systems now open up new fields of application to aesthetic specialists. With its technical innovations STORZ MEDICAL has set new standards in aesthetic medicine.
Solta Medical, Inc.
3 Goodyear, Unit A Irvine, CA 92618 USA +1 866 259 6661 telephone www.syneron.com Syneron Medical Ltd. manufactures and distributes medical aesthetic devices that are powered by the proprietary, patented els combined-energy technology of bi-polar radiofrequency and light. els technology is the foundation for highly effective, safe and cost-effective systems that enable physicians to provide advanced solutions for a broad range of medical aesthetic applications including skin rejuvenation, skin tightening through wrinkle reduction, hair removal, acne treatment, fractional treatment, vascular lesions, body contouring and cellulite treatment. 2nd Floor, Saxon House, Heritage Gate, Friary Street Derby, Great Britain DE1 1NL +44 8451 080 613 telephone +44 2084 589 323 facsimile www.thermamedic.uk.com ThermaMedic is a pioneer of state-of-the-art equipment for skin rejuvenation treatment and cellulite reduction using non-invasive technology. ThermaLipo, ThermaClinic and now the new all-in-one ThermaLipo II, are clinically proven systems offering virtually pain free treatment of cellulite, facial wrinkles and skin tightening with unique Automatic Multi-Frequency and Low Impedance (AMFLI) bi-polar RF technology. 2150 S. Country Club Dr., Suite 27 Mesa, AZ 85210, USA +1 480 619 4069 telephone +1 480 619 4071 facsimile www.ulthera.com The innovative Ulthera platform leverages the proven power and safety of ultrasound for rejuvenation of the skin and its support structure. Ultherapy treatments enable practitioners, for the first time, to non-invasively see and treat at tailored, precise depths below the skins surface, resulting in significant, reliable outcomes.
Syneron, Inc.
ThermaMedic
Sound Surgical Technologies LLC
Ulthera, Inc.
Sperian Eye & Face Protection, Inc.
STORZ MEDICAL AG
96
PRODUCT PROFILES
ThermaCool NXT Thermage is a gold standard for non-invasive skin smoothing, tightening and contouring. The ThermaCool NXT system provides single-platform flexibility. Interchangeable ThermaTip options allow the clinician to customize individual treatments delivering excellent results on problem areas including the face, eyes, lips, arms, abdomen, thighs, buttocks and hands. Treatment guidelines have also been developed for body shaping and the treatment of cellulite. FDA cleared for the non-invasive treatment of wrinkles and rhytides, including the upper and lower eyelids and for the temporary improvement in the appearance of cellulite. Solta Medical: +1 510 782 2286 or visit www.solta.com
eMatrix eMatrix with the Matrix RF applicator is an RF-only technology for ablative wrinkle reducing and skin resurfacing treatments that deliver visible results similar to other more bulky, ablative systems. This portable, powerful device simulates the effects of different types of ablative/cellular destruction (coagulation)/heating lasers used for a range of aesthetic applications. The eMatrix system features SelectPulse to customize depth of ablation and the amount of cellular destruction and heating based on your patients needs.
Sperian Protection Test Sperians professional eye shields for your clients. Laser-Aid is designed to protect your client from laser radiation during facial procedures. Laser-Aid is now EN 207 certified with higher protection levels, and is suitable for use with even more lasers. Sperians professional eye shields are simple and quick to use, disposable, latex free and hypoallergenic. They enable full access to the temples, eyebrows and nose bridge, which results in a more efficient treatment time.
Syneron: +1 866 259 6661 or visit www.syneron.com
Sperian Eye & Face Protection: +49 6131 9066497 or visit www.glendale-laser.com
Pharaon LIPO The Pharaon LIPO is a revolutionary next-generation laser-assisted lipolysis device. Its continuous 25 watts of power at 980 nm and specifically designed cannula deliver some of the fastest, most efficacious results of any laser-assisted lipolysis device currently on the market.
Osyris Medical: +33 (0)3 20 67 90 00 or visit: www.osyris.com
tmt system The tmt system is an innovative device based on the principles of electroporation and electrophoresis. Its technology applies microcurrents to cells and tissues to form ultramicropores allowing the penetration of active substances. The tmt system is painless, non-invasive, rapid, safe and highly effective for penetration of substances into the skin. The system incorporates seven specific programs: anti-cellulite; located anti-cellulite; anti-stretch; anti-flaccidity; anti-aging; post solar; and a melanogel complex system (lightening program). Grupo Body Esthetic Laboratories: +34 902 26 20 31 or visit www.bodyesthetic.com
Ulthera System The Ulthera System, with its patented DeepSEE technology, combines ultrasound imaging with ultrasound therapy in a single see and treat device to address unmet needs in the aesthetic arena. With this system, physicians now have a new procedure category Ultherapy to firm, tighten and lift soft tissue in a profound, predictable way. Currently only available for sale outside of the U.S.
Ulthera, Inc.: +1 480 619 4069 or visit www.ulthera.com

AccentXL Adds a New Dimension

for Enhanced Body Contouring
Karen Harkaway, M.D.
Dermatologist Delran, NJ, USA

Since its introduction in April 2007, the AccentXL radiofrequency (RF) system from Alma Lasers, Inc. (Buffalo Grove, Illinois, U.S.) has been successfully rejuvenating the skins texture in a fast, safe and virtually pain free procedure. Recent data collected now suggests using AccentXL after laser lipolysis will enhance overall body contouring. AccentXL uses unipolar and bi-polar RF to tighten skin through the treatment of wrinkles and rhytides, said Karen Harkaway, M.D., a dermatologist in private practice in Delran, New Jersey, U.S. AccentXL features two proprietary modes to deliver therapeutic heat at different tissue depths within the body. By gradually heating the dermal and subdermal tissue, tightening and recontouring of the skin is achieved. Performing laser lipolysis prior to AccentXL treatments adds a whole new dimension in the way we treat increased volume and skin laxity, Dr. Harkaway noted. Some people, for example, feel they need liposuction because they view themselves as overweight. In truth they dont have enough subcutaneous tissue so the skin just hangs. They dont realize that they need skin tightening more than volume reduction. Most patients need some combination of volume reduction and skin tightening. Neither traditional liposuction nor laser lipolysis alone addresses both of these needs. Additionally, compared to traditional liposuction, which involves seven to ten days of downtime, laser lipolysis has only one day of downtime. Many surgeons disregard this difference, but for me and others, there is a real distinction, including the amount of bruising, which is 90% less, Dr. Harkaway explained. Procedure times for laser lipolysis vary from 20 minutes to one hour, depending upon the size and number of treatment areas. My most popular area to treat with laser lipolysis is the abdomen, followed by a series of AccentXL treatments several weeks later, Dr. Harkaway stated. Every one of my patients has been thrilled, even those who have previously undergone traditional liposuction. Its very gratifying to have patients compare the procedures and share their positive feedback and excitement. Recently, Dr. Harkaway performed laser lipolysis with AccentXL treatments on a surgeon. As a patient, this surgeon, who previously was not impressed with laser lipolysis when performed alone, was shocked at the difference, she related. Dr. Harkaway is still experimenting with the best protocol for combining laser lipolysis and the AccentXL system. Currently, I perform laser lipolysis, followed by AccentXL three to four weeks later, with two to four treatments spaced two weeks apart, she advised. However, this is very preliminary. Further studies will need to be conducted to determine the best method for maximum results. Even in the current challenging economic environment, Dr. Harkaway expects these types of treatments to be big sellers because its what patients want. The procedure is minimally invasive with virtually no pain. Most importantly there is almost no downtime. Results are also tremendous. Its a home run.
AccentXL features two proprietary modes to deliver therapeutic heat at different tissue depths within the body. By gradually heating the dermal and subdermal tissue, tightening and re-contouring of the skin is achieved.
Before Tx
After AccentXL Tx
Photos courtesy of Karen Harkaway, M.D.
98

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Spring 2009 Circulation 12,000 www.euroabg.

Novel Modality Unites Ultrasound

THE European Aesthetic Guide Spring 2009 www.euroabg.com

Spring 2009 Volume 6 Number 1

AAMWC Congress Preview

IMCAS Congress Review

2009 Aesthetic Market Forecast

Also In This Issue

Sperian Eye & Face Protection 55 STORZ MEDICAL Syneron Ulthera 17 19 7

Associate Publisher lmorvant@miinews.com

Ilya Petrou, M.D.

Alison Sahoo Fred Wilson

Medical Insight, Inc.

Products & Services:

Improvement in crow's feet and eyelid laxity, 90 days after one Tx

THE European Aesthetic Guide Spring 2009 www.euroabg.com

More defined jawline, 90 days after one Tx

THE European Aesthetic Guide Spring 2009 www.euroabg.com

Reduced eyelid laxity with brow lift, 90 days after one Tx

THE European Aesthetic Guide Spring 2009 www.euroabg.com

EDITORIAL ADVISORY BOARD

Koenraad De Boulle, M.D. Director Aalst Dermatology Group Aalst, Belgium

Rox Anderson, M.D. Massachusetts General Hospital Boston, MA, USA

Richard Fitzpatrick, M.D. Dermatology Associates Encinitas, CA, USA

THE European Aesthetic Guide Spring 2009 www.euroabg.com

SlimLipo Body Sculpting Laser Delivers

THE European Aesthetic Guide Spring 2009 www.euroabg.com

Jean Michel Mazer, M.D. Dermatologist Medicine of Paris Paris, France

Serge Mordon, Ph.D. Research Director INSERM Lille, France

THE European Aesthetic Guide Spring 2009 www.euroabg.com

Cynosures Smartlipo MPX

By Ilya Petrou, M.D., Contributing Editor

THE European Aesthetic Guide Spring 2009 www.euroabg.com

Letter from the Editor

Signs Indicate Early Economic

THE European Aesthetic Guide Spring 2009 www.euroabg.com

Syneron Restructures Management

Shimon Eckhouse, Ph.D.

THE European Aesthetic Guide Spring 2009 www.euroabg.com

coming to me for liposculpting are also requesting a Brazilian butt augmentation.

Overall, 98% of the patients

THE European Aesthetic Guide Spring 2009 www.euroabg.com

Adds Lasting Curves

The Brazilian Butt Lift

THE European Aesthetic Guide Spring 2009 www.euroabg.com

THE European Aesthetic Guide Spring 2009 www.euroabg.com

New Body Tip for Thermage NXT

By Kevin A. Wilson, Contributing Editor

Abdomen six months after Thermage NXT Tx

THE European Aesthetic Guide Spring 2009 www.euroabg.com

AlexTriVantage Combines Key Wavelengths

THE European Aesthetic Guide Spring 2009 www.euroabg.com

This is a safe and reliable

THE European Aesthetic Guide Spring 2009 www.euroabg.com

THE European Aesthetic Guide Spring 2009 www.euroabg.com

Combination Treatments with Scitons

Erhan Safak, M.D.

THE European Aesthetic Guide Spring 2009 www.euroabg.com

BTL Commercially Launches EXILIS

Buttocks after four treatments

THE European Aesthetic Guide Spring 2009 www.euroabg.com

AAMWC 2009 Program Introduces Inventive Age Management Ideas

AAMWC 2009 Preview