Aesthetic Trends - Mar/Apr 2008 eBook by Aesthetic Trends & Technologies, Inc.

www.aesthetictrends.com

volume 7, issue 2

march-april 2008

2007 Annual Laser & Light Technology

Anti-Aging & WELLNESS

â&#x201E;˘ Choice A wards Categories & Nominees

Gene Expression as a Predictive Tool for Breast Cancer Treatment

DERMATOLOGY

Dietary Supplements

laser & light technology

Candela Serenity Pro Enhancing Patient Comfort without Compromising Results

legal case OF the Month

medical spas

Top Five Strategies for HR Success

Ethics and the Practice of Aesthetic Medicine

plastic surgery

Sciton PROFractional Changing the Lives of Acne Patients pRACTICE MANAGEMENT

Laser Safety in the Cosmetic Practice the leading physician journal for aesthetics and wellness

800 •668•2691 candelalaser.com

Long after the shorts and tank tops have been packed away, people continue to head to Agape Medical Spa. 460 hair removal and skin rejuvenation treatments every month. See how they got there. CandelaGetThere.com

editorial advisory panel advisor y directors Michael H. Gold, M.D.

Mitchel P. Goldman, M.D.

Gold Skin Care Center Nashville, TN

La Jolla Spa MD, La Jolla, CA

editorial advisors Diane Berson, M.D.

David J. Goldberg, M.D., J.D.

George M. Martin, M.D.

Allan E. Sosin, M.D.

New York, NY

Mt. Sinai School of Medicine New York, NY

Dermatology & Laser Center Maui, HI

Institute for Progressive Medicine Irvine, CA

Timothy M. Greco, M.D., F.A.C.S.

Steven Ross Mobley, M.D.

Jeffrey Weinberg, M.D.

Eastern Cosmetic Surgery Institute, Bala Cynwyd, PA

Salt Lake City, UT

St. Luke’s Roosevelt Dermatology Assoc., New York, NY

Brian Biesman, M.D. Nashville, TN

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

Ranella J. Hirsch, M.D.

Patrick Clark, CMLSO

Skincare Doctors Cambridge, MA

Institute for Aesthetic Medicine Highland Village, TX

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

Arielle N.B. Kauvar, M.D.

Leslie Pollard, BSMT, CMLSO

Robert A. Weiss, M.D. Dermatology Associates Hunt Valley, MD

Cheryl Whitman

New York, NY

Southwest Innovative Solutions Richardson, TX

Laserium Tijuana, Mexico

Frederick N. Lukash, M.D., F.A.C.S.

Neil Sadick, M.D., F.A.C.P., F.A.C.S.

Carlos L. Wolf, M.D., F.A.C.S.

New York, NY

Miami Plastic Surgery, Miami, FL

Christine C. Dierickx, M.D.

Corey S. Maas, M.D., F.A.C.S.

Sadick Aesthetic Surgery & Dermatology, New York, NY

Antonio Cueva, M.D.

Boom, Belgium

The Maas Clinic, San Francisco, CA

Dore J. Gilbert, M.D.

Stuart Maddin, M.D., F.R.C.P.C.

Newport Dermatology & Laser Associates, Newport Beach, CA

University of British Columbia Vancouver, B.C.

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

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

Beautiful Forever, New Jersey

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

Steven E. Zimmet, M.D. Zimmet Vein & Dermatology Austin, TX

featured advisor

Bruce E. Katz, M.D. New York, NY

Dr. Bruce Katz is Clinical Professor of Dermatology at The Mount Sinai School of Medicine, Director of the Cosmetic Surgery & Laser Clinic at Mount Sinai Medical Center, and Director of the Juva Skin & Laser Center in New York. Dr. Katz, who has repeatedly been named by New York Magazine as one of the best doctors in New York, received his medical training at McGill University Faculty of Medicine in Montreal, Canada. He completed his post-graduate training at Columbia-Presbyterian Medical Center, where he was Chief Resident in Dermatology. A frequent guest on national and international news shows including The View, 20/20, Good Morning America, and CNN, Dr. Katz is a leading innovator of advanced laser technology, smart and power liposuction, and skin rejuvenation techniques. He has published extensively in leading medical and scientific journals and lectures regularly at medical symposia in the United States and abroad. A national spokesman for the Skin Cancer Foundation, Dr. Katz holds leadership positions in many local, state, and national professional organizations. He is a Fellow in the American Academy of Dermatology, the American Society for Dermatologic Surgery, and the American Society for Laser Medicine & Surgery. He is Past President of the Dermatologic Society of Greater New York.

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

march-april 2008 | www.aesthetictrends.com

—1

Letterfrom the

Editor

Technology: Lasers in Medicine

“Technology is a gift of God. After the gift of life, it is perhaps the greatest of God’s gifts. It is the mother of civilizations, of arts, and of sciences.” – Freeman Dyson Physicist, Educator & Author 1923 -

We have specially designed this issue to encompass a variety of topics related to laser medicine. We introduce you to several key aspects of operating a laser practice. Many of you have reshaped your practices to integrate medical spa procedures. Lasers are the cornerstone of a large percentage of these facilities. Patient awareness continues to grow as consumers are given information from a myriad of sources on how to look younger and keeping skin healthy. ATnT is here to help you grow your practice. The annual Laser & Light Technology Choice Awards™ are here. Technology continues to evolve, and our industry relies heavily on clinical advances from several new devices and procedures. Lasers continue to shape the future of what we know as Laser Medicine. See the nominees for each treatment category in the Choice Awards line-up for 2007 where Aesthetic Trends provides awards to key companies displaying “Business Excellence” within the operations of the manufacturing of medical devices in our industry. Also featured in the Laser & Light Technology department this issue is the Candela Serenity Analytical Report by Patrick Clark, editorial advisor and contributing editor. Learn how the evolution of technology has incorporated solutions to further patient comfort without inhibiting results. Megan Packard delivers a wealth of knowledge to the practitioner in this issue’s Legal Case of the Month department where she explains the necessity of understanding your insurance policy and having the appropriate insurance coverage to meet the needs of your individual practice. Cheryl Whitman shares with our readers the Top 5 Strategies for Human Resource Success. Learn what it takes to have a well staffed practice and the useful tools in order to implement a successful group of team players and successful leaders. The PROFractional laser is being used to change the lives of acne patients left with undesirable and, many times, life restricting scars. Dr. Gregory Wiener has been using the PROFractional device in his practice for a wide range of indications. Dr. Wiener shares with our readers how he uses this extremely versatile device to selectively target areas on the face to smooth and correct scarring caused by acne. In this issue contributing editor and advisory board member Leslie Pollard reports on the specific requirements of Laser Safety in a medical practice. Based on the ANSI standards for our industry, this may be a recap for some but a reliable and valuable resource to keep the practitioner in compliance with these important guidelines for laser use. We have the ability to create one of the most thriving markets with technology. We thank the efforts of the manufacturers for delivering these devices to the marketplace, and we thank the physicians for delivering these procedures to their patients in a safe manner. Together these groups help to evolve the world of aesthetics which lead us to the next generation and advancement of technology.

Cindy Vandruff Editor in Chief Aesthetic Trends & Technologies, Inc.

2—

march-april 2008 | www.aesthetictrends.com

m arc h-ap ril

2 0 0 8

departments

anti-aging & wellness

dermatology

laser & light technology

legal case of the month

medical spas

plastic surgery

practice management

21 13 7

Anti-Aging & Wellness Gene Expression as a Predictive Tool

Dermatology Dietary Supplements

Product Listings Dermal Fillers & Injectables

Laser & Light Technology Analytical Report: Serenity Proâ&#x201E;˘ by Candela

Choice Awards Nominees for 2007

Corporate Review Institute for Aesthetic Medicine

Product Listings Evolving Technologies/Laser & Light Technology

Legal Case of the Month Ethics and the Practice of Aesthetic Medicine

march-april 2008 | www.aesthetictrends.com

â&#x20AC;&#x201D;3

volume 7 issue 2 | march-april 2008

i n e v e r y i s s u e 55 2

letter from the editor

dermal fillers & injectables product listings

laser & light technology product listings

microdermabrasion product listings

press corner

meetings & events calendar

71 59 FEATURED MEDICAL SPAâ&#x20AC;&#x201C;Juva Skin & Laser Center and MediSpa New York City 55

Medical Spas Top Five Strategies for HR Success

Featured Medical Spa Juva Skin & Laser Center and MediSpa

Product Listings Microdermabrasion

Plastic Surgery Changing the Lives of Acne Patients

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Practice Management Laser Safety in the Cosmetic Practice

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advertiser index

edit o r in chief Cindy Vandruff cindy.vandruff@aesthetictrends.com

ASLMS (www.aslms.org). . . . . . . . . . . . . . . . . . . . . . . . . . 12

t rends edit o r

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co nt ribut ing edit o rs Valerie J. Ablaza, M.D. Elda Argenti Jennifer Barnes Leslie S. Baumann, M.D. Charles Becker Adina Carrel, D.M.D. David Cauger Mitchell Chasin, M.D. Jacqueline Clark Patrick Clark, CMLSO Joanna Cosgrove Sam Dhatt, M.S. Richard Ellenbogen,M.D.,F.A.C.S. Mark G. Erlander, Ph.D. Stuart Frolic

Michael H. Gold, M.D. David J. Goldberg, M.D. Mark Greenberg Lou Haggerty, PUMC Nicanor G. Isse, M.D. Bruce E. Katz, M.D. Benjamin Kessler Dawn Larsen Elizabeth I. McBurney, M.D. Kathy Miller-Kramer Greg S. Morganroth, M.D. Nick Morrison, M.D., F.A.C.S. Megan K. Packard Lisa Panzica Dr. Cheryl Perlis

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at t

Gene Expression as a Predictive Tool for Breast Cancer Treatment

anti-aging n & wellness

anti-aging & wellness

By Mark G. Erlander, Ph.D.

Of all the matters of wellness for a

particular patient, and assessing risk

purpose. Tamoxifen blocks the estrogen

woman, breast health is near the very

of cancer recurrence are all daunting

receptors of breast cancer cells, thereby

top—and with good reason. Breast

treatment challenges.

inhibiting estrogen stimulated tumor

cancer, despite significant treatment

growth.

improvements in recent years, remains

cancer, 70 to 75% are

a real risk. Nearly 180,000 U.S. women

estrogen receptor-

were diagnosed with invasive breast

positive, or ER+.

cancer in 2007, according to American

This designation

Cancer Society figures.

means that estrogen

stimulates the

Statistics show that one in eight

Of the various types of breast

The advent of gene-expression tests has given doctors a powerful new means of both predicting a tumor’s responsiveness to treatment and assessing its intrinsic aggressiveness.

American women will develop breast

growth of cancerous

cancer sometime during their lifetime.

tumors by activating

Compounding the problem is the fact

estrogen receptors of the cancer cells.

that breast cancer develops from a

Tamoxifen remains the most common

cancers have not spread to the lymph

broad array of causes, both genetic

form of adjuvant (post-surgical)

nodes (node-negative), have a good

and lifestyle-related, and presents itself

endocrine treatment to reduce the risk

overall survival prognosis when surgery

in many different forms. Correctly

of subsequent recurrence in pre- and

is followed by adjuvant endocrine

diagnosing the cancer type, selecting

post-menopausal, ER+ tumors, and is

therapy, typically tamoxifen. Tamoxifen

the most appropriate therapy for the

the world’s largest selling drug for that

has been a standard of care therapy for

march-april 2008 | www.aesthetictrends.com

ER+ patients, especially those whose

—7

anti-aging & wellness

women with ER+ breast cancer for over

thirty years. In addition to tamoxifen,

diagnostic, prognostic, and therapeutic

normal breast tissue but is expressed in

which works in both pre- and post-

information to the clinician, new

some pre-invasive and invasive breast

menopausal women, a new class of

gene expression tests have been

cancers. The IL17BR gene is located in

drugs known as aromatase inhibitors

developed that identify the molecular

a chromosomal region that is frequently

is also available for post-menopausal

characteristics of each patient’s tumor.

lost in cancer and is positively regulated

patients. This new class of therapy

With a better understanding of the

by estrogen.

actually blocks the body’s ability to

underlying molecular pathways that

synthesize estrogen, thereby reducing

drive breast cancer development and

IL17BR, oncologists are able to predict

its availability to fuel tumor growth.

growth, a more individualized and

both treatment benefit and recurrence

The clinical utility of these therapies

In order to provide optimal

HOXB13 is rarely expressed in

By measuring the ratio of HOXB13/

improved treatment plan can often be

risk for ER+, node-negative patients

is well established, yet roughly 40%

devised.

receiving endocrine therapy with a high

of ER+ breast cancers either fail to

degree of confidence. For example,

respond, or develop resistance to them.

wide surveys have been conducted

those patients with a high ratio of

It is currently difficult to determine

to isolate biomarkers consistent with

HOXB13 to IL17BR are less likely to

which ER+ patients after surgical

positive or negative clinical outcomes.

benefit from adjuvant tamoxifen, while

removal of the breast cancer carry the

Patients who have undergone adjuvant

a lower ratio indicates a favorable

risk of developing a subsequent distant

tamoxifen therapy and yet experienced

response.3

metastasis (i.e., cancer recurrence).

To develop these tests, genome-

recurrence, for example, have been

Clinical studies reveal that an ER+,

compared to patients for whom a

patients, in six clinical studies from

node-negative patient’s risk of

tamoxifen regimen has proved effective.

Harvard Medical School, Mayo Clinic,

developing a distant metastasis ranges

Through the retrospective analysis of

as well as two European medical

By analyzing the ratio of HOXB13/IL17BR, oncologists are able to predict treatment outcomes for ER+, node-negative patients receiving endocrine therapy with a high degree of confidence.

institutions, have

have gleaned insights into

validated H/I as

the molecular basis of breast

both a biomarker for

cancer that were hardly

assessing recurrence

imaginable 15 years ago.

risk as well as a predicting benefit

TWO-GENE SIGNATURE

to tamoxifen

therapy.1,3-7

AviaraDx, in

from 10% within five years, to nearly

collaboration with researchers at

20% within 10 years.

Harvard Medical School, discovered two

BETTER TREATMENT DECISIONS

that can be examined together as a

gene expression ratio to predict patient

Clinicians have historically been

To date, analysis in over 2,700

these studies, researchers

genes known as HOXB13 and IL17BR,

8—

limited largely to analysis of tumor

outcome to endocrine therapy.1 The

size, grade and nodal status when

expression of both HOXB13 and IL17BR

making adjuvant treatment decisions.

is controlled by estrogen via opposing

The advent of gene-expression tests,

mechanisms, and the measurement of

however, has given doctors a powerful

the HOXB13:IL17BR expression ratio

new means of both predicting a tumor’s

provides important information about

responsiveness to treatment and

the functionality of estrogen-stimulated

assessing its intrinsic aggressiveness.

signaling in ER+ breast cancers.2

march-april 2008 | www.aesthetictrends.com

The HOXB13/IL17BR test, known

assessment of recurrence risk by current gene expression tests.8-11 AviaraDx,

is a reliable indicator of long-term

in partnership with a research team at

recurrence risk. Higher expression

Harvard Medical School, developed

of HOXB13, lower expression of

and clinically validated a five-gene

IL17BR, and a higher HOXB13/IL17BR

tumor grade signature known as MGI

index have all been associated with a

(Molecular Grade Index) that replicates

high risk of relapse. In a 2006 study

tumor grades 1 and 3 and eliminates

published in the Journal of Clinical

the intermediate grade by stratifying

Oncology4, the H/I test has been shown

Grade 2 tumors as “Grade 1-like”

to assess recurrence risk irrespective

and Grade 3-like”.7 By stratifying

of subsequent adjuvant therapy.

Grade 2s, MGI eliminates the middle

Researchers in that study reported that

ground of “intermediate” and thereby

an ER-positive, node-negative patient

provides important treatment insights for

with a low two-gene index of -2.0 has

oncologists in more than 50% of breast

a 21% absolute difference in five-year

cancers. For example, a high MGI not

recurrence risk compared to a patient

only correlates with a higher risk of

with a high H/I index of +2.0.4

distant metastasis, but also serves as a

anti-aging & wellness

as H/ISM (pronounced “H over I”),

marker for chemotherapeutic sensitivity

IMPROVED TUMOR GRADING

be Grade 2 (”intermediate tumor

and potential treatment response. A

Gene-expression testing has also

grade”), a grade that makes treatment

low MGI indicates that a tumor is not

been shown to improve one of the

decisions more difficult for the treating

proliferating rapidly and will probably

most commonly used measurements of

oncologist. It is well established that

not receive any incremental benefit from

assessing risk of cancer recurrence, that

patients with Grade 3 tumors benefit

chemotherapy.

is, tumor grade. Every breast cancer is

from chemotherapy,

assessed by a pathologist to determine

whereas patients

the aggressiveness or grade of the

with Grade 1 tumors

tumor. Tumor grade ranges from Grade

do not. It is within

1 (well-differentiated, least aggressive)

the intermediate,

to Grade 3 (poorly differentiated, highly

grade 2 tumors

aggressive), and is determined by visual

that the benefits

inspection of a histologically-stained

of chemotherapy

tumor using standard light microscopy.

treatment are more

The modified Scarff-Bloom-Richardson

difficult to measure

grading system is the most commonly

and the toxicities of such therapy harder

used method for establishing tumor

to justify without a known clinical benefit. collaborators at Harvard Medical School

grade in invasive breast cancers.

analysis of the tumor has been shown

measuring both H/I and MGI to assess

tumors can help predict the risk of

to be clinically useful. In a series of

recurrence risk in ER+, node-negative

recurrence, assessment is subjective

studies, Sotiriou and colleagues have

patients. Because H/I and MGI measure

due to significant variability between

demonstrated that measurement of

distinct but inter-related tumor biology

pathologists. Furthermore, over 50%

tumor grade-related gene expression

as it relates to tumor aggressiveness, it

of breast tumors are determined to

is the common denominator for the

was hypothesized that assessing both

While histological analysis of

A high molecular grade index not only correlates with a higher risk of distant metastasis, but also serves as a marker for chemotherapeutic sensitivity and potential treatment response. A low MGI indicates that a tumor is not proliferating rapidly and will probably not receive any incremental benefit from chemotherapy.

Here again, gene expression

march-april 2008 | www.aesthetictrends.com

Recently, AviaraDx and their

have examined the clinical utility of

9—

anti-aging & wellness

H/I and MGI status will be superior

the most common form of cancer

future and see where therapeutic paths

for assessing overall recurrence risk.

in U.S. women, it is difficult to

will lead, perhaps even foregoing

Indeed, the combination of H/I and

overemphasize the importance of

adjuvant therapies in many cases. What

MGI is synergistic and superior to either

continued investigation into the

is more, analysis of gene signatures

biomarker alone in risk assessment.

disease. Fortunately, the advent of

allow clinicians to counsel their patients

A large clinical validation study of the

genomic research has opened a broad

with increasing degrees of confidence

combination of these two biomarkers

new field of inquiry not only into the

regarding their risk of recurrence and

is ongoing, with results expected to be

causes of the disease, but also into more

the most appropriate treatment path for

published by the end of 2008.

individualized and efficacious treatment

their individual situation. Through tests

options.

like H/I and MGI, the mysteries of one

MYSTERIES REVEALED

of the greatest threats to women’s health

before, it is possible to look into the

Given that breast cancer remains

With greater accuracy than ever

Mark Erlander,

REFERENCES

Ph.D. serves as

1 . Ma, et al. A Two-Gene Expression Ratio Predicts Clinical Outcome in Breast Cancer Patients Treated with Tamoxifen. Cancer Cell 5:607-16, 2004. 2. Wang et al. The Prognostic Biomarkers, HOXB13, IL17BR and CHDH are Regulated by Estrogen in Breast Cancer. Clin Cancer Res., 13(21):6327-6334, 2007. 3. Jerevall, et al. Exploring the Two-Gene Ratio in Breast Cancer—Independent Roles for HOXB13 and IL17BR in Prediction of Clinical Outcome. Breast Cancer Research Treatment 102, April 2007 4. Ma, et al. The HOXB13:IL17BR Expression Index is a Prognostic Factor in Early-Stage Breast Cancer. Journal of Clinical Oncology, 24(28):4611-19, 2006. 5. Goetz, et al. A Two-Gene Expression of Homeobox 13 and Interleukin-17B Receptor for Prediction of Recurrence and Survival in Women Receiving Adjuvant Tamoxifen. Clinical Cancer Research 12(7): 2080-87, 2006.

Chief Scientific Officer of AviaraDx. Dr. Erlander has over 18 years of experience in directing research and development for gene discovery as it relates to drug discovery and molecular diagnostics. Prior to joining AviaraDx, Dr. Erlander was Group Leader and subsequently Research Fellow at the R.W. Johnson Pharmaceutical Research

6. Jansen, et al. Retrospective Study of the HOXB13-to-IL17BR Expression Ratio Related to Tumor Aggressiveness and Response to Tamoxifen in Recurrent Breast Cancer. Journal of Clinical Oncology 25(6):662-668, 2007.

Institute (Johnson & Johnson). Prior

7. Ma X-J, Salunga, R., Dahiya, S., et al. A Five-Gene Molecular Grade Index and HOXB13:IL17BR are Prognostic Factors in Early Stage Breast Cancer. Clin Cancer Res. (in press)

and postdoctoral fellow at The Scripps

8. Sotiriou, C., Wirapati, P., Loi, S., et al. Gene expression profiling in breast cancer: understanding the molecular basis of histologic grade to improve prognosis, J Natl Cancer Inst 98:262-72, 2006

a B.S. degree in Biochemistry from the

9. Desmedt, C., Sotiriou, Proliferation. The Most Prominent Predictor of Clinical Outcome in Breast Cancer, Cell Cycle 5:2198-202, 2006

University, and received his Ph.D. in

10. Loi, S., Haibe-Kains, B., Desmedt, C., et al. Definition of Clinically Distinct Molecular Subtypes in Estrogen Receptor–Positive Breast Carcinomas Through Genomic Grade, J of Clin Oncology 25: 1239-46, 2007

California, Los Angeles. Dr. Erlander is an

11. Sotiriou, C., Piccart, M.J., Taking gene-expression profiling to the clinic: when will molecular signatures become relevant to patient care? Nat Rev Cancer 7:545-53, 2007

10 —

are beginning to be revealed.

march-april 2008 | www.aesthetictrends.com

to his time at Johnson & Johnson, Dr. Erlander was an Assistant Member Research Institute in the Department of Molecular Biology. He graduated with University of California, Davis, an M.S. degree in Biochemistry from Iowa State Neuroscience from the University of inventor of 32 issued U.S. patents, 34 U.S. patent applications, and has authored 55 scientific papers. For more information visit www.aviaradx.com

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dermatology

By Allan E. Sosin, M.D.

at t

ARE THEY SAFE? DO THEY WORK?

Nutrition is an important part of

STATISTICS ON HEALTHCARE

year and more than 2,000,000 serious

healthy skin. Due to our busy lives,

adverse reactions.

it is sometimes difficult for one to

observing our current healthcare

reach daily nutritional requirements

situation, would probably think we

would have no supplements. If we did

from food alone. Supplements help

were crazy. The United States spends

have them, no one would risk taking

to provide the nutrition our bodies

2.1 trillion dollars on healthcare, more

them.

and skin need. But, are they safe?

than $7,000 for every man, woman and

The Food and Drug Administration

child, or one out of every seven dollars

TREATING ILLNESS WITH DRUGS

is enforcing regulations to ensure the

A visitor from another planet,

If this were true of supplements, we

we earn.

safety of nutritional supplements.

paradigm treats illness with drugs and

Within the next 1-2 years, supplement

pharmaceutical therapies. Despite this

prevents illness with drugs. Children

manufacturers will need to satisfy

incredible expense, the United States

are recommended to have more than

these requirements or go out of

ranks no higher

business. The cost of buying these

than fifteenth in the

supplements will substantially

world in healthcare

increase.

outcomes.

If vitamins were as

What has caused this change? Are

More than $200 billion a year go for

dermatology n

Dietary Supplements

The conventional medical

More than $200 billion a year go for pharmaceutical therapies. Despite this incredible expense, the United States ranks no higher than fifteenth in the world in healthcare outcomes.

vitamins and minerals dangerous?

dangerous as drugs,

Are people at risk of illness or death

there would be no

from taking supplements? Should

argument about

supplements be regulated as if they

the need for intensive regulation. Of

20 vaccinations, sometimes 4 or 5 at

were drugs because they are used like

course, they are not as dangerous.

the same time, beginning at the age of

drugs, as has been suggested by an

The use of prescription and over-the-

one day. Vaccinations are implicated

editor of the New England Journal of

counter medications is responsible

as a cause of neurological disease,

Medicine?

for more than 100,000 deaths every

including autism; yet in some states

march-april 2008 | www.aesthetictrends.com

13â&#x20AC;&#x201D;

dermatology

it is illegal to send children to school

Last month a related diabetic drug,

of patients, while the true incidence

without them. Parents have told me

Avandia, was withdrawn after

was closer to 20%. The statin drugs,

they were turned away from pediatric

excessive cardiac failure and death

considered a panacea par excellence

practices when they refused to have

were identified. Vioxx, a non-steroidal

for heart disease, are claimed to cause

their children vaccinated.

pain reliever, was interred in the drug

muscle pain and weakness in a very

Non-steroidal anti-inflammatory

cemetery because it caused heart

small percent of patients. I have seen

drugs are taken by millions of people

attacks and death, after it had been

this complication in many patients,

for the relief of pain and inflammation.

prescribed to millions for years.

however; and it has often been

They are effective, but also cause

unrecognized or disregarded by their

gastrointestinal ulcers and bleeding,

FEDERAL DRUG ADMINISTRATION

primary physicians. Some patients

fluid retention, edema, high blood

Drugs are approved for use by

have been told to continue taking the

pressure and heart failure, liver and

the FDA after only brief studies have

drug no matter how bad they felt, or

kidney disease.

demonstrated statistical benefit. There

else die of heart disease. Statin drugs

are NEVER any long-term studies

provide little or no benefit for people

of hospitalization for congestive heart

performed prior to drug approval,

without pre-existing heart disease, yet

failure and are considered responsible

because costs are prohibitive. Thus

they are prescribed promiscuously,

for about 10,000 deaths a year. Most

many drug complications are

even for eighty-year-old women

of them are available over the counter.

discovered long after the drug is

with cholesterol levels only 10 points

So much for the safety of non-

released for patient consumption.

above normal. This type of practice is

prescription drugs.

It is only years later, after many

preposterous, and it is dangerous.

patients have suffered unanticipated

They are one of the major causes

Every year 4 or 5 well known drugs

complications, or died, that

Every year 4 or 5 well known drugs are withdrawn by pharmaceutical company decisions or after FDA recommendations, when previously unrecognized toxicity is discovered.

14â&#x20AC;&#x201D;

termination.

olds to be taking five and six drugs

at the same time. A couple of weeks

Sometimes

medications are approved

ago I encountered a patient taking 13

because they benefit a

prescriptions at once. I quickly helped

clinical marker, with no

him get off seven of them, and he felt

proof that they prevent or

much better. As is often the case,

cure disease. After several years of

company decisions or after FDA

proliferating prescriptions and billions

recommendations, when previously

in profits, a cholesterol-lowering

unrecognized toxicity is discovered.

drug was found to actually increase

Rezulin, the first of a new class of

arterial degeneration. Apparently the

antidiabetic drugs, was withdrawn

sponsoring pharmaceutical company

several years ago, after about

withheld the damaging results of

40 people died of liver failure.

research for two years, until forced to

Remarkably, this drug was approved

release them by congressional pressure.

for use in the United States even

after it had been removed in England

under-reported and deliberately or

because of excessive liver toxicity.

unintentionally underestimated. One

type of anti-hypertensive drug was said

Are livers any different in England

It is common for 60- and 70-year-

adverse drug effects lead to

are withdrawn by pharmaceutical

than they are in the United States?

PRESCRIPTION OVERKILL

The adverse effects of drugs are

to cause an irritating cough in 1-2%

march-april 2008 | www.aesthetictrends.com

several of his drugs were prescribed to

a conflict between conventional and

Several companies do not follow

drugs. A vicious cycle of effect/counter-

alternative medicine? How much do

good manufacturing practices. The

effect develops, with the patient the

they interfere, and how much do they

ingredients in their preparations are

unknowing recipient of multiple

help?

lower than stated on the container,

complications.

or of poor quality, or contain

most supplements are safe. There

contaminants. Some large companies

problems several years ago, with

is vast latitude in the doses that

sell supplements at prices so low as

cramps, diarrhea, and bloating. After

may be taken without concern for

to defy any possibility of value. It is

going to several medical institutions

complications. About the worst that

unlikely that a quality product will be

and an array of physicians, she was

can come from vitamin C is diarrhea,

produced at extremely low cost.

prescribed a drug that made her drowsy

except in cases of kidney disease,

and resulted in an accident when she

or a rare enzyme deficiency. Most

colorings, additives, and preservatives

dozed off while driving on the freeway.

B vitamins have no toxicity at any

that should be avoided. Read the

I told her to stop the drug and initiated

dose, although folic acid should only

labels.

a combination of nutritional therapies

be taken when vitamin B12

that she continues to take. To this day,

has been repleted. Vitamin

she has no symptoms.

D has been maligned as a

It is usual for many physicians

dangerous item, yet it turns

to repudiate the value of nutritional

out that most Americans are

supplements, or to claim they are

deficient in vitamin D and

dangerous and counteract the benefits

should take supplements

of conventional drug therapies. I have

to prevent osteoporosis,

many patients who decline to tell their

diabetes, and multiple

other physicians that they are taking

sclerosis.

supplements, afraid that they will be

bioavailable. Tablets may not dissolve.

ridiculed or turned out of the practice.

supplements along with lifestyle

High heat and pressure used in

This is especially true in the realm of

changes for many years in the

making tablets may destroy certain

cancer therapy, where oncologists and

treatment and prevention of disease.

ingredients, such as B vitamins and

radiation therapists assert that vitamin

Diabetes mellitus is preventable or

vitamin C.

and mineral supplements will impair

reversible in 70-90% of patients,

the effectiveness of their treatments.

without medications. So, often, are

hypertension, hyperlipidemia, and

My mother developed intestinal

I have many patients who silently

It is important to know that

dermatology

handle the side effects caused by other

Some preparations contain

It is usual for many physicians to repudiate the value of nutritional supplements, or to claim they are dangerous and counteract the benefits of conventional drug therapies.

I have prescribed nutritional

take recommended supplements, and

osteoporosis. Patients come who want

experience remarkable recoveries from

to get off medications, or be treated

cancer, with minimal side effects from

without medications, and without

their therapies.

surgery. They have already suffered

Some products may not be

complications of these therapies,

NUTRITIONAL SUPPLEMENTS

or have seen their family members

suffer.

Into this scenario enters an array

of vitamins, minerals, herbs, and amino acids. What is the truth about

PRECAUTIONS

them? What precautions should be

taken? Are they innocent pawns in

followed in choosing supplements.

Certain precautions should be

march-april 2008 | www.aesthetictrends.com

15â&#x20AC;&#x201D;

dermatology

Some formulations are better

than others. Minerals are better absorbed when offered as chelates. For instance, calcium and magnesium chelates are better absorbed than carbonate or oxide formulations.

Therefore, choose products

WEIGHT LOSS PRODUCTS

produced by reputable companies. If

you are unsure about which products

as a consequence of consumers

measured in blood. In patients with

are preferable, ask another healthcare

taking excessive doses of weight loss

gastrointestinal conditions, stool

practitioner who has experience in

preparations containing ephedra,

studies can be performed to evaluate

dealing with these products. It is

a relative of epinephrine. I do not

the need for beneficial bacteria and

not generally useful to inquire of a

recommend using any formulation

gastrointestinal nutrients such as

conventional physician, since he is not

containing ephedra, mainly because

likely to be trained in this area.

Supplements should be labeled

Several deaths occurred recently

glutamine or zinc. most reputable nutrient companies, the Some medications are interfered ones whose products can be trusted, with by certain nutrients. In general

with an expiration date and stored

no longer offer ephedrine-containing

it is better to separate nutritional

properly. Beyond this date, they begin

preparations.

supplements from drugs. Thyroid

to lose potency and may spoil. This is

hormone, in particular, should be taken

particularly true of fish oils containing

it is unwise to assume that they are.

omega 3 fatty acids and other oil-

Two dollars spent on a cheaper fish oil

based nutrients, which may become

supplement may be two dollars spent

rancid. Storage in light or high

for nothing. Sometimes, unfortunately,

Allan E. Sosin,

temperatures should also be avoided,

individuals working in health food

M.D., is a

and some supplements must be kept in

stores may not be knowledgeable

Volunteer Faculty

the refrigerator.

about their products. Spend some time

All supplements are not equal, and

talking, studying, and looking around,

HERBS

the way you would when looking for a

new car or a new home.

Care should be exercised in

choosing herbs, as certain herbs are

16â&#x20AC;&#x201D;

fatty acids, and amino acids can be

by itself.

Member of the University of California, Irvine, CA, and is a Staff Physician at the IrvineRegionalHospital, Irvine, CA. In addition, he is Founder

known to be toxic. Aristolochia, for

NEW FORMULATIONS AND DISCOVERIES

instance, has caused renal failure

and urologic malignancies, primarily

supplementation is diverse and

in Asia. Comfrey has caused liver

complicated. New discoveries and

disease. In general, such herbs are

new formulations are frequent. If you

not available in health food stores

are not an expert yourself, it is best to

in the United States. There are also

Board of Chelation Therapy. Address

be in communication with an expert

correspondence to Allan E. Sosin, M.D.,

reports of herbs imported from the

who can help guide you make the best

Institute for Progressive Medicine,

Orient containing toxic heavy metals

choices for your particular situation.

4 Hughes, #175, Irvine, CA 92618.

such as lead and mercury. Certain

All patients are not the same, and

Dr. Sosin can be reached at

companies are highly reputed for their

nutrients should be chosen with proper

949.600.5100 or visit his website at:

herbal formulations, and their products

attention to individual requirements.

www.iprogressivemed.com.

should be chosen preferentially.

Nutrient levels of vitamins, minerals,

The field of nutritional

march-april 2008 | www.aesthetictrends.com

and Medical Director of the Institute for Progressive Medicine, Irvine, CA. Dr. Sosin is a Diplomate, American Board of Internal Medicine; Diplomate, Nephrology; and Diplomate, American

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Dispensed Shelf Life Price Measurement

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Botulinum Toxin Type A Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Bovine Collagen Bovine Collagen Human-Based Collagen Human-Based Collagen

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ArteFill

PMMA

BioForm Medical Inc. www.bioformmedica.com 1870 Grant Ave., Suite 10 San Mateo, CA 94402 650.286.4000 p

Radiesse (formerly Radience FN)

CaHa with gel carrier

1.3 & 0.3cc

Fascia Biosystems www.fascian.com 11040 Santa Monica Blvd.,Ste 340 Los Angeles, CA 90025 888.332.7242 p

Fascian

Cadaver Tissue

Yes

Medicis Aesthetics www.restylaneusa.com 8125 North Hayden Road Scottsdale, AZ 85258-2463 800.550.5115 p

Restylane® Perlane®

NASHA gel

Sanofi-Aventis (Dermik Laboratories) www.sculptra.com 55 Corporate Drive Bridgewater, NJ 08807 800.981.2491 p

Sculptra (New -Fill)

Polylactic acid (PLA) hydrogel

Yes

Yes Yes Yes Yes No No No No

100 units/freeze-dried 100 units/freeze-dried 100 units/freeze-dried 100 units/freeze-dried .5, 1.0, & 1.5cc .5 & 1.0cc 1 cc syringe 1 cc syringe

24 months from date of manufacture

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U.S. Source Product

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Regulatory Information

$417 /vial $200-$225 $200-$225 $200-$225 List List List List

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1.0 ml syringes

18 months

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FDA Cleared in US & Canada Pending FDA Clearance

2 vials that are reconstituted into 3 x 1 cc syringes

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march-april 2008 | www.aesthetictrends.com

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Varioderm Varioderm Fine Line Varioderm Plus Varioderm Subderma

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Advanta ePTFE Facial Implants

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N/A

2 x 1.0 ml syringes

Wide selection of oval 5 years and round strands, and other configurations

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Restylane Restylane Touch Restylane Perlane Restylane Sub-Q Restylane Lipp Restylane Vital

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0.7ml syringe 0.7ml syringe 0.7ml syringe 0.7ml syringe 0.7ml syringe 0.7ml syringe

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Poly Acrylamide Poly Acrylamide Dextran - Sephadex Hyaluronic Acid

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Permaco™

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march-april 2008 | www.aesthetictrends.com

CE Mark Not FDA Cleared

19—

™ ™*

PRO

Increasing Practice Success by Enhancing Patient Comfort

With Serenity Pro your patients will experience • More comfort • Fewer side effects such as erythema • No need for topical anesthetic creams • Improved treatment outcomes

Beautiful doesn’t need to be painful

For more information, or to arrange an in-office demonstration call 800-821-2013 or visit www.candelalaser.com © 2008 Candela Corporation Serenity Pro and PSF are trademarks and Candela is a registered trademark of Candela Corporation. 0920-13-0072 Revision 01

Analytical Report Candela Corporation

at t

Serenity™ Pro Pneumatic Skin Flattening Device

laser n & light technology

laser & light technology

By Patrick J. Clark, CMLSO, Editorial Advisor

Candela Corporation (Wayland,

obsolescence, had been discussed.

Massachusetts) has added

The second two might be a small

Serenity™ Pro to their product

surprise.

offering. This second generation

Physicians reported concerns

solution has been in the works since about patient injury/complication Candela’s acquisition of Inolase in

and the concern about pain (politely

March of 2007.

Enhancing Patient Comfort without Compromising Results

What is Serenity Pro,

is it needed, and does

it work? Those are the key questions we will

attempt to answer in this Analytical Report.

Physicians reported concern about patient injury/complication and the concern about pain (politely described as discomfort) during procedures.

In a recent survey

of physicians considering the

described as discomfort) during

purchase of a laser or pulsed light

procedures.

device, there were four prevalent concerns. The first two, cost and

march-april 2008 | www.aesthetictrends.com

Clearly no one wants to have complications, especially the

21—

laser & light technology

Handpiece and Pneumatic Adapter Options Handpiece Options

Single hand operation

Two hands operation

•

Standard Handpiece (SHP) Integrated Handpiece (IHP)

Laser or IPL Pneumatic Adapters

Most laser or IPL systems

• •

Integrated handpiece.

Adaptable to

Select Candela laser models Most laser or IPL systems

•

Most Q-switched laser systems

physician adding aesthetics into

completing their treatment series

common source of discomfort is the

their practice for the first time.

simply due to pain.

targeting of a second unwanted

Most experienced practitioners

chromophore, or target, on the way

appreciate procedures/treatments

PNEUMATIC SKIN FLATTENING (PSF)

to a selected epidermal or dermal

that can be well tolerated by their

lesion.

patients. Discomfort associated

device that relies on the “Gate

with treatments has been observed

Control” theory, a natural way to

written about the difficulty of

as a barrier to future referrals.

prevent discomfort during laser/

successfully segregating melanin

Likewise, treated patients may

light treatments. It has been

from hemoglobin as one tries

never obtain their desired results

clinically proven to reduce pain

to treat skin. The Candela

due to lack of compliance in

perception by up to 80-90%. A

device uses a 26 x 52 millimeter

Serenity Pro is a unique

There are many clinical papers

Specifications

22 —

Standard window sizes

29 x 57 mm and 29 x 29 mm

Laser/IPL wavelengths

400–1800 nm

Operating modes

automatic; hand activated

Cable length

2.2 meters

Console dimensions

43W x 32L x 22H cm (16”W x 12”L x 8”H)

Weight

handpiece: 110 grams (3.8 oz.) console: 9 kg (19 lbs)

Electrical

110/220V; 60/50 Hz, 1 amp

march-april 2008 | www.aesthetictrends.com

38 J/cm2

Regular

PSF

42 J/cm2

Without PSF (Left). With PSF (Right). 20 min post, Diode Laser (30ms)

Pneumatic Skin Flattening renders the skin more transparent.

translucent sapphire window,

3. The suctioning of the skin

larger than even most pulsed

issues a light sensory trigger

significant challenge has been

light crystal dimensions, atop a

to the skinâ&#x20AC;&#x2122;s nerve endings

transmitting light to the follicle

chamber 7 millimeters in depth.

allowing for a surge into the

and bulge at a depth of up to 5

Once the periphery of the chamber

neural pathway to the brain

millimeters or more. Even the

is in contact with skin, a vacuum

that will reduce the sensation

deepest Nd:YAG and pulsed light

is automatically activated and

of the following light pulse on

wavelengths find penetrating 5 to

the skin is suctioned against the

a selected target within the

6 millimeters without significant

vacuum chamber.

window.

scatter a true task. The vacuum

laser & light technology

38 J/cm2

In treating hair with light, a

That slight vacuum,

(approximately -400-500 mbar) is reported in clinical articles (Lask 1, et al) to create some amazing and repeatable changes in the skin. 1.Competing Chromophores are expelled away from the target area because the light vacuum is greater than the pressure within the capillaries and smaller vessels. 2. The window does not chill the skin but in the absence of blood in the treatment area, competing chromophores are significantly reduced. As a result skin heating and resulting erythema are avoided.

The Gate Theory of Operation.

march-april 2008 | www.aesthetictrends.com

23â&#x20AC;&#x201D;

laser & light technology

applied by the Serenity Pro pulls those targets closer, as much as

Clinical Study

50%, and dispels blood to the outer edges of the vacuum chamber,

A controlled, peer reviewed hair removal study, which compared

allowing for better penetration and

PSF to non-PSF treatments has been conducted with two lasers, an

less scattering.

Alexandrite, Diode and an IPL.

This concept has been applied

as far back as the original ruby

Results:

hair reduction lasers, but was

accomplished through compression of the handpiece and not through

and the elevation of hair follicles closer to the skin’s surface.

the Serenity’s novel application of

vacuum. Compression often was uneven when compared across a

Remarkable reduction of pain by pneumatic flattening of the skin even at high energy densities.

number of adjacent sites creating a

varied change in tissue and varied results.

Higher efficacy in many cases was due to a more transparent skin

Considerably less post-treatment erythema. Treatment energy could be increased by 30%without erythema.

Not so in the clinical reviews

of the Serenity Pro device. In the treatment of superficial pigmented

Pneumatic flattening of the skin enhances discrimination between unwanted skin pigments and competing chromophores.

lesions the challenge has been the underlying but adjacent vascular component. The suctioning effect by the Serenity Pro significantly clears this competing target.

practitioners protected the

hypopigmentation, and blistering

epidermis from heat damage

THERMAL STABILIZATION

or Nikolsky effect (in essence a

when using lasers or other optical

fluidless blister).

Clinical research has shown

radiation to treat targets below

high efficiency of sapphire as both

the skin surface by cooling

by pre-cooling through cryogen

an optical coupler between air and

the epidermis before or during

applied directly to skin or onto

SerenityPro takes on a whole new approach by attempting thermal stability at normal body temperature by expressing away any unused energy sent to or released from the target.

24 —

Cooling has been accomplished

treatment. Cooling

a transparent plate in contact

lowers the epidermis

with skin, through cold compress

temperature below

immediately before treatment,

normal prior to the

cooled rollers, plates chilled with

laser pulse so that the

methods other than cryogen, or

epidermis does not reach

forced chilled air. Concurrent

a temperature that would

cooling has been accomplished

cause damage when

through transparent plates

skin, and the unused heat energy

heated by the laser. The paper thin

(cooled or not), and forced air.

from the laser is conducted away

epidermis and its interface with the

And, post-pulse cooling has been

from the epidermis by a translucent

dermis, the E/D junction, are the

accomplished with many of the same

sapphire window.

vicinity of the three most common

tools as pre-cooling.

complications, hyperpigmentation,

Since at least the 1980s,

march-april 2008 | www.aesthetictrends.com

The final analysis is not primarily

In fact, Dr. Auer reports that

higher, more effective energies can be applied comfortably. The result is both happier patients and the selection of treatment in additional areas, resulting in higher revenues per patient. Also patient referrals from procedures performed with his GentleYAG and Serenity Pro

laser & light technology

PATIENT SATISFACTION

have increased reportedly due in large part to the reduced pain. One of the most interesting aspects of the Serenity Pro is the ability to work across a full spectrum of laser and light devices with apparent ease.

Reports from the short

nanosecond pulse of a Q-switched tattoo laser to the long and often repeated millisecond pulses from a pulsed light device show application of equal or increased energies to the patient with the need to cool, but moreover

but thorough stimulation of nerves

reduced trauma and discomfort.

the need to thermally stabilize the

within the treatment area acts to

The practitioner, to the delight

non-target for the purposes of both

reduce or eliminate

protection and comfort. Serenity

the need of topical

takes on a whole new approach

anesthesia prior to

by attempting thermal stability

treatment. We have

at normal body temperature by

seen this in a trip to

expressing away any unused energy

the dentist where he

sent to or released from the target.

will pinch and shake

The non-target may virtually ignore transient thermal shift.

One of the most interesting aspects of the Serenity Pro is the ability to work across a full spectrum of laser and light devices with apparent ease.

the cheek prior to and during an

of the patient, must learn new,

oral injection to trick the neural

less traumatic endpoints for

pathways with signals before the

procedures.

CHANGE IN PATIENT TRENDS

pain begins.

M.D.2 of Houston, Texas, report that

patients who previously stopped him

GENTLEYAG COUPLED WITH THE SERENITY PRO

the need for topical cooling, before or

and declined continued treatment

after light application, is significantly

due to pain now find the same

that the results and patient comfort

reduced or eliminated with the

treatment at the same energies to be

levels from his GentleYAG (1,064

application of Serenity. The subtle

very tolerable.

nm) and the accessory device, the

Physicians like David E. Auer,

Dr. Auer reports that some male

march-april 2008 | www.aesthetictrends.com

At application Dr. Auer reports

25â&#x20AC;&#x201D;

laser & light technology

is not compromised (reported to be improved), additional energy is not required to compensate for cooling of the device, and pain, measured on a modified McGill Pain Questionnaire, drops as much as 1 to 2 points on a 5 point scale when compared to sites treated with other cooling/protection methods.

Serenity Pro are quite a change.

and chests. The full range of

The Candela GentleYAG is the

pulse widths allows for successful

laser of choice for a broad base

treatment of fine hair where many

of patients including the darkest

other devices fail, according to Dr.

skin types according to Dr. Elliot

Suzanne Kilmer.

Battle. Spot sizes for hair including

a 12mm, 15mm, and 18 mm spot

in the office is less due to the

size allow for rapid treatment in

elimination of topical anesthetics

even large applications like backs

and their activation times. He also

Patrick J. Clark, CMLSO has been active in

Dr. Auer finds that the time

clinical light applications since 1988. Pat moved

finds that the reduction in sensation encourages

Pain, measured on a modified McGill Pain Questionnaire, drops as much as 1 to 2 points on a 5 point scale when compared to sites treated with other cooling/protection methods.

patients to have treatments performed in additional areas than originally planned. Reports

1,3

show efficacy

from his first administrative and clinical exposure of laser use and control at the University of North Carolina Memorial Hospitals in Chapel Hill, North Carolina, to being a member of the team to first accomplish and teach routine laser laparoscopic cholecystectomy in several Northeast states. In 1992 he was selected as the founding director of the laser program

references

at the University of Texas Southwestern

1. J ournal of Cosmetic and Laser Therapy, Volume 8, Number 2, June 2006, pp. 76- 81(6)

26 â&#x20AC;&#x201D;

Medical Center at Dallas and the allied hospitals. In that position he refined a

Pneumatic skin flattening (PSF): A novel technology for marked

teaching and administrative process

pain reduction in hair removal with high energy density lasers

that included the control of some 117

and IPLs: Lask, Gary; Friedman, David; Elman, Monica;

laser and light sources in a myriad of

Fournier, Nathalie; Shavit, Raphi; Slatkine, Michael

applications and a recurring education

2. D avid E. Auer, M.D., 12121 Richmond Ave, Houston, Texas

process for physicians, residents, nurses,

3. J Cutan Laser Ther. 2000 Sep;2(3):125-30. Hair removal with

and paramedicals. Mr. Clark has given

an Athos Nd:YAG 3.5 s pulse laser: a 3-month clinical study.

over 400 clinical and lay lectures in the

Fournier N, Aghajan-Nouri N, Barneon G, Mordon S.

last 20 years.

march-april 2008 | www.aesthetictrends.com

Awards Nominees

Aesthetic Trends & Technologies Laser & Light Choice Awards™ 2007 The ATnT Laser & Light Technology Choice Awards™ were developed to recognize cosmetic devices that are outstanding in their treatment categories. Our new format provides a system where each product that received a minimum amount of votes is placed in nomination. In addition, the Awards Committee may vote to include nominees in any category based upon superior specifications. In this manner, smaller companies that have produced outstanding technology may also be recognized. For each category a maximum of 5 products are allowed. Products not cleared by the FDA in 2007 are not qualified with the exception of the category: Most Promising New Aesthetic Technology. Some categories have been changed or have been added due to technological changes in the industry. The Awards will be presented this spring at the ASLMS annual meeting in Orlando, Florida. The objective of these awards is to both recognize excellence as well as to provide an avenue of understanding of what devices are available and suggested by your peers. Aesthetic Trends & Technologies is not responsible for the outcome of any individual or entity, whether positive or negative, if they choose to purchase one of the lasers receiving in these awards.

The Nominees are presented in alphabetical order by manufacturer.

at t

2007 Choice

laser n & light technology

laser & light technology

MOST DIVERSE HAIR REMOVAL LASER FOR ALL SKIN TYPES Candela - GentleMAX Cutera - Xeo w/1064nm Nd:YAG, OPS600 & ProWave 770 Cynosure Inc. - Apogee Elite Lumenis - LightSheer Pacific Quantum Instruments Inc. - MultiWave XR BEST HAIR REMOVAL LASER FOR DARK SKIN TYPES Candela - GentleYAG Cutera - CoolGlide Excel Cynosure - Acclaim 7000 Pacific Quantum Instruments - OmniYAG XR BEST HAIR REMOVAL LASER (LIGHT SKIN TYPES) Candela - GentleLase Family Cynosure - Apogee 5500 Light Age - Epi Care LPX Lumenis - LightSheer Pacific Quantum Instruments - OmniAlex BEST LASER FOR SUPERFICIAL LEG VEINS Candela - GentleYAG Cutera - CoolGlide XL Cynosure - Acclaim 7000 or Cynergy Pacific Quantum Instruments - OmniYAG XR Sciton - Profile-S ClearScan BEST LASER FOR FACIAL TELANGECTASIAS Asclepion - MeDioStar XT Candela - V-Beam Aesthetica Cynosure - Cynergy Fotona - Dualis VP Iridex - Aura i

march-april 2008 | www.aesthetictrends.com

27—

laser & light technology

2007 Choice Awards Nominees BEST LASER FOR VASCULAR MALFORMATIONS Candela - V-Beam Platinum Cynosure - Cynergy

BEST LASER REFURFACING CO2 Lumenis - UltraPulse Encore Nidek - UniPulse Reliant - Fraxel re:pair

BEST IPL FOR PHOTO FACIAL TREATMENTS Cutera - Solera Opus Cynosure - Cynergy PL Lumenis - One Novalis - Clareon SR Palomar - StarLux

BEST IPL TECHNOLOGY FOR HAIR REMOVAL Cutera - Solera Opus Lumenis - One Novalis - Clareon HR Palomar - StarLux Syneron - Aurora DS/DSR

BEST LASER FOR ACNE Candela - SmoothBeam CoolTouch - CoolTouch CT3 Sciton - Profile MP

MOST AFFORDABLE IPL DEVICE Aesthera - Isolaz Cutera - LimeLight Focus Medical - NaturaLight Novalis - Solarus Radiancy - SPR

BEST NON-LASER DEVICE FOR ACNE CureLight - MultiClear PhotoTherapeutics - OmniLux DUSA Pharmaceuticals - BLU-U w/Levulan BEST NON-ABLATIVE LASER FOR COLLAGEN REMODELING Candela - SmoothBeam Cutera - Vantage Cynosure - Acclaim 7000 Focus Medical - NaturaLase LP Sciton - Profile MP

Best Tattoo Removal Laser Candela - TriVantage Focus Medical - NaturaLase 2J Fotona - Fotona QX Hoya ConBio - RevLite Light Age - Q- Clear

BEST DEVICE FOR SKIN LAXITY Alma - Accent Cutera - Titan Lumenis - Aluma Syneron - ReFirm ST Thermage - ThermaCool

MOST DIVERSE AESTHETIC DEVICE Alma - Harmony Cutera - XEO w/Option Package E Lumenis - One Palomar - StarLux – Configured with Lux Rs, Y, G, Nd:YAG and 1540nm Fractional Handpieces Sciton - Profile MP

Best FractionaTED Technology - Ablative Lumenis - ActiveFX Reliant - Fraxel re:pair Sciton - PROFractional

BEST BODY CONTOURING DEVICE Cynosure - SmartLipo/TriActive Syneron - VelaSmooth Eleme Medical - SmoothShapes LPG - Endermologie

Best FractionaTED Technology - NON-Ablative Cynosure - Affirm Palomar - StarLux w/1540 Fractional BEST LASER RESURFACING: ER:YAG Focus Medical - NaturaLase Erbium Fotona - Dualis XS FriendlyLight - Erbium XL Quantel - ARAMIS Sciton - Contour MOST PROMISING NEW AESTHETIC TECHNOLOGY Aesthera - Isolaz (Photopneumatic Technology) UltraShape - Contour I (UltraSonic Fat Reduction / Investigational Device) TheraLight - VersaClear STS (Patented Fluorescent PDT/ FDA Cleared) LipoSonix - LipoSonix (UltraSound Fat Reduction/ Investigational Device)

28 —

Best Customer Service/ Support Candela Cynosure Cutera Lumenis Syneron BEST STAND ALONE EPIDERMAL COOLING DEVICE Cryo-6 by Zimmer Elektromedizin ThermoTek - Artek Air

march-april 2008 | www.aesthetictrends.com

Limitless Potential

Limited Proﬁts

Our family of Smartlipo products removes a lot of things — including the growth ceiling for your business.

Smartlipo

LaserBodySculpting

Strong consumer demand for LaserBodySculpting has led to the development of a full line of Smartlipo workstations — the 6W, 12W, and the 18W. All are highly effective at removing unwanted fat and reshaping bodies, with the higher power levels allowing you to decrease treatment time and increase patient throughput. Since the 6W and 12W systems can be easily upgraded, you can also purchase the system that ﬁts your needs today and still have the opportunity to easily adapt the technology as your business evolves tomorrow. To learn more, visit www.cynosure.com.

Cynosure Corporate Headquarters - 5 Carlisle Road, Westford, MA 01886 800-886-2966 www.cynosure.com

Institute for Aesthetic Medicine Get educated. What a bright idea. I AM Educated. I AM Certified. I AM Prepared.

CME Courses Available

National Certification

Combining Clinical Training Protocols & Results Oriented Skin Care.

www.IAmEducated.com Toll-free 800.436.9311 30 â&#x20AC;&#x201D;

march-april 2008 | www.aesthetictrends.com

Insurance Coverage During Hands-On Training

Institute for Aesthetic Medicine, Inc.

Business Foundation Institute for Aesthetic Medicine is a Florida corporation founded in 2007. We provide reliable, cost-effective, superior quality training services that are dedicated to aesthetic medical professionals. The company’s management team has spent significant time and effort researching the product education, safety, and training aspects of the industry, developing its business model and products and creating strategic alliances with business partners and affiliates. The research conducted by the IAM team has helped to identify a significantly underserved market. IAM’s physician network facilities concept is uniquely positioned to serve this segment of the market because of its unyielding commitment to excellence in education and training in all major geographical areas, allowing for easy access to our training centers no matter where the physician is located.

MISSION The Institute for Aesthetic Medicine provides reliable, cost-effective, superior quality training services dedicated to professionals within the medical aesthetic industry. IAM delivers an unbiased laser training environment for practitioners and manufacturer’s customers for the highest level of education in laser use and safety available. Our mission is to uphold stringent policies and procedures and continually maintain forward thinking measures in delivering world-class technology and clinical training to advance practitioners in delivering safe and effective treatments to their patients. Our educators use the highest standard

of protocols and training guidelines in accordance with ANSI Standards, CME requirements, State and Federal regulations, and the standards of the American Medical Association. IAM is committed to bringing this standard to the entire medical aesthetic community.

SERVICES • Dedicated clinical laser training facilities with future locations throughout the U.S. • CME credits for laser training, BOTOX® and fillers, and business management courses. • On-site training in your practice with your staff. • Scheduled courses throughout the country with physician affiliates. • Malpractice coverage during training for each individual, no matter what state of origin. • Dedicated training for your specific equipment. • National Certification for a higher level of education provides our trainees with a test that allows the trainee to receive certification on the laser system trained and the opportunity to then receive a free-ofcharge review of the practitioner’s policy for accuracy in the practice where they provide aesthetic procedures to their patients. • Individual trainee guaranteed hands-on hours with the equipment you own. • Skin care education and use of skin care products based on clinical protocols that are part of our training programs. • Laser training classes for practitioners to support physician’s practices. The CME-based classes are designed for users of all skill levels—both physician and staff, new or veteran. The instruction takes the attendee from basic concepts of light and clinical application through a clear path to the most current thinking on how, why, and when aesthetic procedures are performed.

march-april 2008 | www.aesthetictrends.com

Participants now have a single laser training resource dedicated to improving patient safety and minimizing professional liability. The Institute for Aesthetic Medicine (IAM) has a nationwide laser-training physician and nurse network for physicians and staffs with aesthetic practices. Aesthetic laser practitioners unable to attend one of IAM’s clinical, hands-on certification classes can now have personalized clinical training in a single visit.

laser & light technology

CORPORATE REVIEW 800.436.9311 www.IAMeducated.com

CLINICAL DIRECTORS Michael H. Gold, M.D. Chief Medical Officer & Co-Founder Michael H. Gold, M.D., 49, is Chief Medical Officer and Co-Founder of Institute for Aesthetic Medicine. Dr. Gold is the founder of Gold Skin Care Center and Advanced Aesthetics Medi Spa located in Nashville, Tennessee. Patrick J. Clark Vice President, Director of Clinical Education Mr. Clark has been active in clinical light applications since 1988 and is currently VP, Director of Clinical Education for IAM. Often called upon by laser manufacturers and having given over 400 clinical and lay lectures in the last 20 years, Mr. Clark can bring a world of experience to your select needs.

31—

seeing is believing

MI R RO R

VISIA

VE CTR A 3 D

OM NI A

INTELLI-STUDIO

IMAGING SOFT WARE

FACIAL ANALYSIS

SURFACE IMAGING

FACIAL IMAGING

FACE & BODY IMAGING

upgrade your imaging . . . grow your revenue IMAGING EXCELLENCE FROM

introducing

RBX ™ Technology for Red/Brown subsurface analysis cross-polarized

RBX Red

RBX Brown

call for a live, web-based demonstration or product information

w w w. c a n f i e l d s c i . c o m • 8 0 0 . 8 15 . 4 3 3 0

product listings

Evolving Aesthetic Technology Laser & Light Technology

spotlight Sciton

ProFractional ProFractional quickly and effectively

Excess heat from the debris is trapped

treats wrinkles, acne scars, skin tone

in skin, causing unnecessary pain and

and texture, and pigment in a single

discomfort. ProFractional instantly ablates

pass treatment with no consumable

the hot debris from tissue, reducing pain

items. ProFractional reduces

and irritation, and speeding recovery.

unwanted collateral damage by

Clean micro-channels have the same total

instantly removing necrotic tissue and

thermal zone as non-ablative treatments

unneccesssary heat, providing patients

without the sloughing, irritation, or pain.

with a more comfortable treatment

experience.

pulse form that maintains precise control

ProFractional uses a unique

of micro-channel diameter at depths

• Fast • Comfortable

from 20 µm to 1500 µm. The clean micro-channels close and

• Variable density and depth

heal rapidly for faster recovery than non-ablative fractional

• One or two treatments

treatments.

• Single pass • No consumable costs

ProFractional utilizes a laser at a wavelength of 2940nm

for an ablative single-pass procedure that removes microcolumns of damaged tissue, resulting in a deep thermal

Sciton

response. Non-ablative fractional treatments leave thousands

888.646.6999

of micro-columns of hot necrotic debris in treated skin.

www.sciton.com

march-april 2008 | www.aesthetictrends.com

33—

evolving aesthetic technologies Product Listings Source

Aesthera www.aesthera.com 6111F Southfront Road Livermore, CA 94550 877.275.4779 p Ageless Aesthetics www.agelessaesthetics.com 6500 S Quebec St. #270 Denver, CO 80122 877.721.7975 p

Product

Aesthera Photopneumatic (PPx) System

Technology

Photopneumatic Technology

Specifications / Treatments

Price

400-1200 nm, 33-10 j/cm2, 2ms

$29,000

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

Ultra

Micro current, Ultrasound, Light Therapy ,

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

Cont. Mfr.

Quantum

Micro current

Non-surgical Facelifts

Cont. Mfr.

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

Alma Lasers www.orionlasers.com 6555 NW 9th Avenue Suite 303 Fort Lauderdale, FL 33309 954.229.2240 p 954.229.8310 f

Sonata

Diode

Harmony

AFT, Long Pulse

Harmony / Pixel

Nd:YAG. Q-Switched Nd:YAG, Pulsed UVB 2940 nm Er:YAG

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

$67,000 $109,700

Contact Mfr.

Additional Information: Harmony - Advanced Fluorescence Technology and Lasers in one unit. *Unit is $39,700.You build your own unit.Each handpiece is priced so you can pick and choose by application: Acne 420nm $5,000,Vas and Pig 540nm $5,000, SR 570nm $5,000, HR 650nm $5,000, UVB $15000, Long Pulse Yag $15,000, Q-Pulsed Yag $20,000, Erbium $18,000.Now available – the ST handpiece. IR handpiece for Skin Tightening.New tip for the Q-Switched Yag handpiece for more treatments.New home care acne treatment available. Aesthetic Technologies www.parisianpeel.com Aesthetic Technologies, Inc. 2150 West 6th Ave., Ste. J Broomfield, CO 80020 800.262.4412 p CoolTouch, Inc. www.cooltouch.com 9085 Foothills Blvd. Roseville, CA 95747 800.378.7222p

Cutera www.cutera.com 3240 Bayshore Blvd. Brisbane, CA 94005 888.4CUTERA p

34 —

Elite

Ultrasound

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

$5,900

Laser-Assisted Lipolysis and Skin Tightening

$99,950

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

CoolLipo

1320nm Nd:YAG

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

Pearl

2790 nm YSGG

Skin Rejuvenation

Titan

Tailored Infrared Light

Skin Rejuvenation

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

march-april 2008 | www.aesthetictrends.com

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

evolving aesthetic technologies Product Listings Source

Product

Technology

Specifications / Treatments

Price

Cynosure, Inc. www.cynosure.com 5 Carlisle Road Westford, MA 01824 800.886.2966 p 978.256.6556 f

Smartlipo

Dermawave Mesotherapy Systems LLC www.dermawaveusa.com 15693 83rd Lane North Loxahatachee, FL 33470 866.769.3011

No-Needle Mesotherapy™ System

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

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

$45,000

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

HydraFacial™ HydraFacial™ Wave

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

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

$24,500 $16,875

UltraCam™Color UV Camera

UV and Natural Light Photography for Skin Analysis

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

$3,495

1064 nm Nd:YAG

Laser Body Sculpting

Contact Mfr.

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

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

Flip 4 www.flip4.ca 2142 Leonard de Vinci Suite 80 Saint-Julie, Quebec, Canada 450.649.4244 p

Max7

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

RevLite™

LED

For skin rejuvenation and acne treatments.

$19,950

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

EO Q-Switched Nd:YAG with PhotoAcoustic Technology Pulse™ (PTP)

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

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

march-april 2008 | www.aesthetictrends.com

35—

evolving aesthetic technologies Product Listings Source

Innovative Med Inc. www.imibeauty.com 4 Autry, Suite B Irvine, CA 92618 877.779.9492 p 949.458.7416 f

Product

Technology

Infinity Teeth Whitening Systems

Teeth whitening with LED Light Available in a single mouthpiece or a dual model with two mouthpieces for treating two patients at once

Hand Light Therapy System

LED Red and Infrared Pulsed Light

Specifications / Treatments

Price

405+/-2nm>=80/cm2.Works to whiten teeth in only one Contact Mfr. appointment of three 7minute treatments,by combining our exclusively formulated whitening gel containing a proprietary catalyst that boosts the whitening power when the LED light is applied. Red 625+/-5nm>=60/cm2,Infrared 840+/-10nm>=40/cm2 Contact Mfr. Combines the two wavelengths in a specifically programmed pulsed sequence for skin rejuvenation of the hands.

Additional Information: Each system comes complete with 50 boxes each containing 3 treatment procedure packs with Whitening Gel and applicator, chap stick protector, and maintenance spray to help maintain the whitened teeth. Small spacesaving tabletop teeth whitening systems.

36 —

Lumenis www.lumenis.com 2400 Condensa Street Santa Clara, CA 95051 408.764.3000 p

Aluma® Skin Renewal

Myotonology, Inc. www.myoinc.com 1187 Coast Village Rd, Ste.247 Santa Barbara, CA 93018 877.969.2811 p

Microcurrent Facial Toning System

Palomar www.palomarmedical.com 82 Cambridge Street Burlington, MA 01803 800.725.6627 p

LuxIR Fractional™ Infrared Handpiece

Fractional deep heating

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

$45,000

Revitalight www.revitalight.com 119 W. Hubbard, Suite 300 Chicago, IL 60610 312.527.0131 p

Revitalight

LED

For skin rejuvenation and acne treatments.

Starting at $5,995

RF FACES Technology

For wrinkle reduction and skin tightening.

$69,900

Faradic, alternating microcurrent tones muscles and skin. Galvanic current used for Iontophoresis skin treatment.

$8,995

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

160Ua-960Ua and 3Hz-100Hz

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

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

Silhouet – Tone www.silhouettone.com 7 Champlain Commons St. Albans, VT 05478 800.552.0418 p

Soli-Tone

LED, Micronized HF polarized currents

Acne,redness,pigmentation,photoaging and lifting.

Contact Mfr.

SoundSkin www.soundskin.com 429 South Main Street Oswego, IL 60543 888.596.5277 p

SmartSound

Ultrasound / E-Stim

2.2 mhz. 2 watts/cm2 Modulated CW & Pulsed modes. For facial treatments.

$14,500

Additional Information: Combination system. SmartGel ultrasonic gel.

march-april 2008 | www.aesthetictrends.com

evolving aesthetic technologies Product Listings Source

Sound Surgical www.vaser.com 357 S. McCaslin Blvd., Ste. 100 Louisville, CO 80227 888.471.4777 p

Sybaritic, Inc. www.sybaritic.com 9220 James Avenue South Minneapolis, MN 55431 800.445.8418 p 952.888.8887 f

Synergie™ by Dynatronics www.dynatronics.com/aesthetic 7030 Park Centre Drive Salt Lake City, UT 84121 800.874.6251 p 801.568.7711 f

Syneron www.syneron.com 100 W. Beaver Creek Rd. #6 Richmond Hill, Ontario, Canada 561.357.5827 p

Product

LipoSelectionSM only by VASSER®

Technology

VASSER® UltraSound

Specifications / Treatments

Price

Body sculpting of delicate to fibrous areas.

Fee-Per Procedure

Additional Information: Assisted Lipoplasty.

Dermosonic LaserPeel Soft-MET

Ultrasound/Suction Massage Modified Erbium:YAG

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

$20,000 $39,995

Synergie AMS (Aesthetic Massage System)

Vacuum massage for body and face

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

$14,995

ReFirme ST

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

For skin tightening via wrinkle reduction.

Cont. Mfr.

FDA cleared for circumferential reduction and cellulite reduction.

Cont. Mfr.

For the treatment of cellulite.

$64,900

Solid-Tip Sapphire Handheld Anesthetic Device

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

$995

Clear point technology

For mild to moderate inflammatory acne treatment.

$225 MSRP

VelaShape

VelaSmooth

Additional Information: Patented ELOS technology.

Telsar Laboratories Inc. www.telsar.com #1 Environway, Suite 100 Wood River, IL 62095 800.255.9938 p

Tyrel, Inc. www.myzeno.com 515 W. Greens Road, Ste. 725 Houston,TX 77067 281.880.6541 p

DermaChiller4

Additional Information: FDA Cleared.

Zeno

march-april 2008 | www.aesthetictrends.com

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LASER & LIGHT technologY Product Listings

Source Product Technology

Aerolase www.aerolase.com 777 Old Saw Mill River Rd. Tarrytown, NY 10591 914-345-8300 p 914-345-8303 f

LightPod Era XL LightPod Neo XL LightPod Neo XT

X X X

X X

X X X

X X

X X X

Er:YAG Nd:YAG Nd:YAG

Wavelength (nm)

2940 1064 1064

Energy Output (J/cm2)

Up to 38 Up to 255 Up to 318

Pulse (ms)

0.30 0.65 0.65-1.5

Price

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

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

American Medical Bio Care www.medicalbiocare.com 1201 Dove Street, Suite 520 Newport Beach, CA 92660 949.477.5795 p

OmniLight FPL

Novalight FPL

BioCell www.medidermlaser.com 105 Freeman Rd Charleton, MA 01507 512.326.1025 p

MediDerm LRS

biolitec www.biolitec.com 515 Shaker Road E. Longmeadow, MA 01028 800.934.2377 x 246 p

Ceralas D

Ceralas D 15/810 Ceralas G5 LRS

Xenon Flash Lamp w/ Fluorescent Filters Diode

400-1200

Up to 90

Up to 1.5

$79,000

400-1200

Up to 55

1.5-50

$49,000

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

Er:YAG

2940

Up to 1

3,6 & 9 Hz

$34,999

Diode

980

0.01 -15

$35,000

Diode

810

0.01 -25

Diode

532

0.01 -50

0.01-99.9 sec & CW 0.01 to 99.9 sec & CW 0.1-CW

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

$35,000 $37,500

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

Candela www.candelalaser.com 530 Boston Post Road Wayland, MA 01778 800.821.2013 p

AlexTriVantage™ GentleLASE Family GentleMAX GentleYAG Family Light Station Smoothbeam SmoothPeel Vbeam Aesthetica Vbeam Perfecta Vbeam Platinum

X X X X X

X X X X X X X X X

X X X X X X X X

Q-switched Alexandrite Alexandrite Alexandrite + Nd:YAG Nd:YAG Fluorescent Pulsed Light Diode Erbium YAG laser

755 ,532, 1064 755 755, 1064 1064 417-1200 1450 2940

Pulsed Dye Pulsed Dye Pulsed Dye

595 595 595

3-12 J/cm2 10-100 Up to 600 Up to 600 Up to 60 Up to 25 Max en.750 Max fl. 4 Up to 20 Up to 40 Up to 40

50ns, 140 1.5-100 0.250-300 0.250-300 10-500 ms 250 2,4,6Hz

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

.45-40 .45-40 .45-40

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

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

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march-april 2008 | www.aesthetictrends.com

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LASER & LIGHT technologY Product Listings

Source Product Technology

CoolTouch, Inc. www.cooltouch.com 9085 Foothills Blvd. Roseville, CA 95747 877.858.2665 p

CoolTouch CT3 CoolTouch CTEV Varia

X X X

Nd:YAG Nd:YAG Nd:YAG

Wavelength (nm)

1320 1320 1064

Energy Output (J/cm2)

Up to 24 Up to 500

Pulse (ms)

50 NA .3-500

Price

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

Additional Information:VARIA - Varizoom handpiece w/ 3-10mm adjustable spot size. Pulsed cryogen cooling with pre- & post-cooling. CT3 -10mm spot size, pulsed cryogen cooling with pre-, mid- & post-cooling. CTEV - Energy output is 10W max. Automated fiber pull-back device, 600μm reusable & single-use fiber, accessory packs. CureLight, Ltd. www.curelight.com 240 Main Street, Suite C Gladstone, NJ 07934 908.470.4005 p

Clear100XL

Multiclear

Intense Blue and Near Infrared Light

405-420 850-900

$26,950

Proprietary High Intensity Plasma Light

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

.05-2.4 .1-150 1-40

.5-20

$47,000

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

Cutera (formerly Altus Medical) www.cutera.com 3240 Bayshore Blvd. Brisbane, CA 94005 888.4CUTERA p

CoolGlide CV CoolGlide Excel Solera Solera Titan

X X

Xeo

X X X

X X

Nd:YAG Nd:YAG Pulsed Light Infrared light

1064 1064 560-1200 1100-1800

10-100 5-300 6-40 5-70

Nd:YAG & Pulsed Light

1064 & 600-850

Up to 300

10-100 1-300 Automatic Closed Loop Photometric 1-300

$70,000 $95,000 $75,900 $75,900 $100,000-$135,000

Additional Information: All Cutera products are upgradeable to the next innovation, protecting your initial investment.The Xeo features Navigation software to allow the user to set the ideal parameters for each individual patient’s needs ensuring the optimal clinical benefits and patient safety. Cutera now offers Pearl, a 2790 nm wavelength device for skin resurfacing that maximizes patient outcome with minimal downtime. Cynosure, Inc. www.cynosure.com 5 Carlisle Road Westford, MA 01886 800.886.2966 p 978.256.6556 f

Acclaim™ Affirm™ Apogee® Elite™ Cynergy™ Cynergy III™ Cynosure PL™ PhotoSilk Plus™ TriActive™

X X X

X X

X X X X

X X X

X X

Nd:YAG Nd:YAG/Xenon Pulsed Light Alexandrite Alexandrite & Nd:YAG Pulsed Dye & Nd:YAG Pulsed Dye, Nd:YAG & Intense Pulsed Light Intense Pulsed Light Intense Pulsed Light Semi-Conductor

1064 1140/560-950 755 755 /1064 585/1064 585/1064/560-950

300 8/20 50 300 300 300

.04-300 3/5-35 0.5-300 0.4-300 0.5-300 0.3-300

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

560-950 500-950 808

30 30

5-50 5-50

Contact Mfr. Contact Mfr. Contact Mfr.

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

40 —

march-april 2008 | www.aesthetictrends.com

acn e hai r re mo va ski n re l juv en tat too ation rem vas ova cul l ar wri nkl e re duc tio n

LASER & LIGHT technologY Product Listings

Source Product Technology

DermaMed International, Inc. www.quadraq4.com 394 Parkmount Road PO Box 198 Lenni, PA 19052 888.789.6342 p

DermaVista www.dermavista.com 800.333.5773 p West 800.767.6765 p East Dusa Pharmaceuticals www.dusapharma.com 25 Upton Drive Wilmington, MA 01887 877.533.3872 p Edge Systems www.edgesystem.net 2277 Redondo Avenue Signal Hill, CA 90755 800.603.0102 p 562.597.0148 f Europro www.europroequipment.com 3952 Camino Ranchero Rd., Building #2 Camarillo, CA 93010 866.633.5273 p Focus Medical, LLC www.focusmedical.com 23 Francis J Clarke Circle Bethel, CT 06801 866.633.5273 p

Quadra Q4 Platinum Quadra Q4 Gold Quadra Q4 Silver

X X X

X X

Intense Pulsed Light Intense Pulsed Light Intense Pulsed Light

X X

Wavelength (nm)

500-1200 500-1200 500-1200

Energy Output (J/cm2)

Up to 20 Up to 20 Up to 20

Pulse (ms)

10-110 10-110 10-110

Price

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

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

LED Radio Frequency

$6,995 $4,995

Fluorescent Lamp

417

N/A

$8,425

CW CW

$1,500 $1,500

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

Del Sol™ Handheld LED Light Therapy System

LED - Red/Infrared LED - Blue

800-1000nm 420nm

N/A

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

HFD Cold Laser

430-750

0.3-0.5

N/A

$9,000 to $18,900

2940

Up to 20

300

$75,000

2940 1064 1064, 532, 585,650 640-1200, 530-1200 510-1200, 420-1200 800-1400

Up to 20 Over 250 Over 15 10-50

300 0.5 to 100 10 0.5 to 1000

$65,000 $64,900 $87,900–$114,900 $54,900

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

NaturaLase Fract.ER NaturaLase ER NaturaLase LP NaturaLase QS NaturaLight

X X X

X X X X

X X

Er:YAG, Fractionated Erbium and Traditional Erbium Traditiona Er Long Pulse Nd:YAG Q-Switched Nd:YAG Pulse Light System (IPL)

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

march-april 2008 | www.aesthetictrends.com

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LASER & LIGHT technologY Product Listings

Source Product Technology

Fotona www.fotona.eu www.fotonamedicallasers.com www.saratogadiagnostics.com 1415 1st Street South Suite 5 Willmar, MN 56201 Toll free 888-555-4113

Fotona XP Max Dualis XP Plus Dualis XP Fidelis XP Dualis SP Fotona SP+ (Combination Er/Nd:YAG) Dualis XS Fidelis XS Fotona QX

X X

X X X X X X

X X

Dualis VP

X X X X X X X X X

X X X X X X

Energy Output (J/cm2)

Pulse (ms)

Price

X X X X X X

Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Er:YAG

1064 1064 1064 1064 1064 2940

Up to 600 Up to 600 Up to 400 Up to 300 Up to 400 Up to 3 J

0.1-300 5-200 5-200 5-50 5-200 0.1-1.5

$104,500 $84,500 $71,500 $51,500 $99,500 $128,000

X X

Long Pulse Er:YAG Long Pulse Er:YAG Q-switched Nd:YAG KTP Nd:YAG Long Pulse Nd:YAG KTP Nd:YAG

2940 2940 1064 532 1064 532

Up to 3 J Up to 1 J Up to 12.7 Up to 6.3 Up to 400 Up to 30

0.1-1.5 0.1-1.0 4-6ns 4-6ns 5-200 1-150

$79,500 $69,500 $89,500

X X

Wavelength (nm)

$98,500

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

Genesis Biosystems www.dermagenesis.com 1500 Eagle Court Lewisville,Texas 75057 888.577.PEEL (7335) P

Chromolite Regenlite Regenstation

X X X

X X

X X X

X X

Intense Pulsed Light Pulsed Dye Laser Pulsed Dye Laser + IPL

535 - 1200 585 535 - 1200

25 9 25

5 350-450 350-450 , 5 msec

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

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

Hoya ConBio MedLite Lasers www.conbio.com 47733 Fremont Blvd. Fremont, CA 94538 800.532.1064 p

Medlite ®C3 Medlite® C6

EO Q-Switched Nd:YAG

1064, 532

Up to 12

5-7 ns

Cont. Mfr.

EO Q-Switched Nd:YAG

1064, 532, 585, 650

Up to 12

5-20 ns

Cont. Mfr.

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

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march-april 2008 | www.aesthetictrends.com

acn e hai r re mo va ski n re l juv en tat too ation rem vas ova cul l ar wri nkl e re duc tio n

LASER & LIGHT technologY Product Listings

Source Product Technology

Innovative Med Inc. www.imibeauty.com 4 Autry, Suite B Irvine, CA 92618 877.779.9492 p 949.458.7416 f

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

Wavelength (nm)

0-22 mw/cm2

Pulsed Diode LED X

X X

Pulse (ms)

0-500

Price

$13,000

630 440 525 880

X X X

Energy Output (J/cm2)

LED-Red + Ultrasound LED-Blue + Ultrasound

$195 $195

3 mhz/2 watts 3 mhz/2 watts

Additional Information: Our Multi-Wave light therapy unit has three colors + infrared in each of its three pads.With this unit you are able to select pre-programmed or custom combinations of lights (red, green, blue, infrared) and pulses allowing you to treat multiple symptoms at once or just one specific problem at a time.Touch screen option available for an additional cost.The Ultra Rev Lights are small hand-held LED wands with Ultrasonic. Iridex/Laserscope www.iridex.com 1212 Terra Bella Avenue Mountain View, CA 94043 650.962.8100 p

Aura i Gemini

X X

Lyra i VariLite

X X

Venus i

X X

KTP Nd:YAG KTP

Nd:YAG Diode-Pumped KTP Direct Diode Er:YAG

532 1064 532 1064 532/940

1-240 Up to 990 Up to 100 5-900 950

1-50 10-100, 1-100 20-100 5-100

$72,500 Contact Mfr.

2940

200-2000 mj

300 mcs

$67,000

$72,500 $56,500

Additional Information: Aura i - includes 1-5 mm continuously. Adjustable VersaStat i. Lyra i - Includes 1-5 mm continuously. Adjustable and 10 mm fixed VeraStat i. Venus i - Includes Smartscan Plus: 1 mm to 25 mm, Lens cell handpiece: 1,3,5. Gemini - Includes 1-5 mm continuously. Adjustable and 10 mm fixed VersaStat i. Lasering USA www.laseringusa.com 2246 Camino Ramon San Ramon, CA 94583 866.471.0469 p

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

X X X

X X X X X X

X X

CO2 Diode Diode Diode Diode Diode

10.6 532 532 808 808 808

0-30 0.1-5 0.1-5 10-450 10-450 10-600

10-1000 10-1000 10-9990 10-9990 10-1000

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

755 755 1064/532 755

Up to 40 Up to 40 2-12 2-12

3-300 var. 3-300 var. 10ns 60ns

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

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

Light Age www.lightage.com 500 Apgar Drive Somerset, NJ 08873 800.719.6818 p

Light BioScience, LLC www.lightbioscience.com 933 First Colonial Rd, #204 Virginia Beach,VA 23454 888.647.6219 p

EpiCare™ LP EpiCare™ LPX Q Clear™ Ta2 Eraser™

X X X

X X

Alexandrite Alexandrite Nd:YAG/KTP Alexandrite

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

GentleWaves Pro GentleWaves SelectHandheld Model

X X

LED LED

march-april 2008 | www.aesthetictrends.com

590 590

4.0mW/cm2 4.0mW/cm2

Variable from cont. to 1 msec pulses

$32,500 $19,500

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LASER & LIGHT technologY Product Listings

Source Product Technology

Lumenis www.lumenis.com 2400 Condensa Street Santa Clara, CA 95051 408.764.3000 p

Lumenis 1-Lightsheer Lumenis 1-IPL Lumenis 1-Multispot LightSheer ET™ LightSheer ST™ LightSheer XC™ IPL™ Quantum SR IPL™ Quantum DL VascuLight Elite

Diode IPL Nd:YAG Diode Diode Diode Intense Pulsed Light Nd:YAG Intense Pulsed Light Nd:YAG UV UV

X X X X X X X X

Bclear ReLume

X X

Wavelength (nm)

800 515-1200 1064 800 800 800 560-1200 1064 515-1200 1064

Energy Output (J/cm2)

10-100 10-40 10-225 10-100 10-40 10-100 15-45 90-150 3-90 90-150

Pulse (ms)

5-400 3-100 2-20 5-400 5-100 5-400 6-26 5-38 1-75 5-38

Price

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

Additional Information:Lumenis One-Lightsheer – Spot 9x9,integ.cooling,multiple applications.Lumenis One-IPL – Spot 35x15 mm & 15x8 mm, integ. cooling. Lumenis One-Multispot –Spot 3,8 ,9 mm,integ.cooling,addt’l heads. LightSheer ETTM – ChillTip hand-piece.LightSheer STTM – ChillTip handpiece. LightSheer XCTM – ChillTip handpiece,12x12mm spot size IPLTM Quantum SR – Spot:34 x 8 mm.Upgradeable,simple,optimized pre-sets, spot size:6 mm with Integrated RealTime Cooling,touch screen.VascuLight Elite – Multi-application, optimized pre-sets,spot;ITL – 45x10mm, Nd:YAG:6mm.Bclear – For psoriasis/vitiligo treatments.ReLume – For repigmentation treatments. Med-Aesthetic Solutions www.medaestheticsolutions.com 2033 San Elijo Ave, Suite 200 Cardiff by the Sea, CA 90249 760.942.8815 p 505.341.2575 f

iPulseTM i200+ iPulseTM i400 MAStique Light

MedSurge Advances, Inc. www.medsurgeadvances.com 14850 Quorum Drive, Ste. 120 Dallas,TX 75254 972.720.0425 p

Asclepion MeDioStar XT Asclepion MCL 30 Dermablate Asclepion TattooStar R Quantel Medical Aramis II Quantel Medical Prolite II Quantel Medical Virdis Derma

X X X

X X

X X X

X X

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

530-1200 530-1200 Blue-470 , Green-525,Yellow-590 , Red-640

0 -0 0-20 Up to 29

10-110 10-110 Variable with 6 pre-sets

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

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

X X X

X X

X X X

Diode Laser Er:YAG Laser Q-switched Ruby Laser Er: Glass Laser Intense Pulsed Light DiodePumped KTP Laser

808 2940 694 1540 530 - 1200 532

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

Up to 500 400 40 3.3 20 - 72 15 - 150

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

Additional Information:MeDioStar XT - Step Pulse technology,12 mm spot size (standard);6,10,and 14 mm tips available;automatic spot size detection,integrated skin cooling. MCL 30 Dermablate - built-in smoke evacuation and filter system.VarioSpot handpiece:1-6mm spot size adjustable handpiece,tips can be sterilized. TattooStar R - Ergonomic design;Homogeneous hexagonal spot through microlens array;Auto spot size detection;Tattoo and pigmented lesion removal.Aramis II - Cooling System:virtually painless treatment. Prolite II - Operator selectable filters in one handpiece (530/550/580/610/615) - spot size 10 x 20 mm. Virdis Derma - Small and portable,optional scanner. Norseld www.norseld.com 9 Claxton St., S. Australia 5000 618.8231.9000 p Norseld USA Medical Laser Engineering 2284 Main St. Concord, MA 01742 978.318.9996 p

44 —

Dual Yellow Ylite

X X

Copper Bromide Copper Bromide

578 & 511 578

300 75

FEM Micropulsed $68,000 FEM Micropulsed $58,250

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

march-april 2008 | www.aesthetictrends.com

acn e hai r re mo va ski n re l juv en tat too ation rem vas ova cul l ar wri nkl e re duc tio n

LASER & LIGHT technologY Product Listings

Source Product Technology

Novalis www.novalismedical.com 1719 W. Kennedy Blvd. Tampa, FL 33606 866.627.4475 p

Clareon™ Clareon SR Clareon HR Clareon AR Clareon VR Solarus™ Solarus SR Solarus HR Solarus AR

X X

X X X

Wavelength (nm)

Energy Output (J/cm2)

Pulse (ms)

Price

Pulsed Light Pulsed Light Pulsed Light Pulsed Light

550-1200 630-1200 420-1200 500-61/740-1200

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

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

$44,900 and up incl. handpiece

Pulsed Light Pulsed Light Pulsed Light

530-1200 630-1200 420-1200

10-20 15-35 Up to 35

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

$34,900 and up incl. handpiece

515-1100

Up to 65

Up to 25

$49,500

10-40 150 mW/cm2 - 4.5 J/cm2 R: 150 mW/cm2-4.5J/cm2 B: 90 mW/cm2-48J/cm2 R: 150 mW/cm2-4.5J/cm2 B: 90 mW/cm2-65J/cm2

10-100 Pulsed CW or Pulsed

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

CW or Pulsed

Contact Mfr.

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

OptoGenesis www.optogenesis.com 5912 Northwest Place Austin,TX 78731 512.451.3333 p

EpiCool™ Platinum/HR SR

OPUSMED www.opusmed.com 306-3333 Graham Blvd. Montreal(Quebec) H3R 3L5 Canada 866.678.7633 p

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

Intense Pulsed Light

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

X X X

LumiPhase-R/IR

X X

Diode LED LED

810 660 630/405

LED

630/850

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

Palomar www.palomarmedical.com 82 Cambridge Street Burlington, MA 01803 800.725.6627 p

StarLux™ System MediLux™ System EsteLux™ System Q-Yag 5

X X X

X X X X

X X X

Pulsed Light & Nd:YAG Pulsed Light Pulsed Light Q-switched YAG laser

500-1200, 1064 500-1200 500-1200 1064/532

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

LED LED LED LED

415 nm 633 nm (for PDT) 830 nm 633 nm

48 J/cm2 96 J/cm2 66 J/cm2 126 J/cm2

0.5-500 10-100 10-100 3 +/- 1 ns

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

Additional Information:Wavelengths vary by handpiece. PhotoTherapeutics, Inc. www.phototherapeutics.com 2720 Loker Ave.West, Suite C Carlsbad, CA 92010 800.743.8150 p 760.607.0288 f

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

X X

$24,950$34,950

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

march-april 2008 | www.aesthetictrends.com

45—

acn e hai r re mo va ski n re l juv en tat too ation re vas mova cul l ar wri nkl e re duc tio n

LASER & LIGHT technologY Product Listings

Source Product Technology

Radiancy www.radiancy.com 40 Ramland Road South Suite 10 Orangeburg, NY 10962 845.398.1647 p

Mistral SkinStation Duet WhisperNG SPR SpaTouch Pro

X X

X X X

X X X X X

X X X

X X X X

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

Wavelength Wavelength Energy Energy Output Output Pulse Pulse 2 (nm) (nm) (J/cm(J/cm ) 2) (ms)(ms)

Price

400-1200 nm 400-1200 nm 400-1200 nm 2940 nm 400-1200 nm 400-1200 nm

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

4-15 J/cm2 3-10 J/cm2 3-10 J/cm2 8.5 J/cm2 3-10 J/cm2 3-10 J/cm2

Up to 80 ms 10-35 ms 10-35 ms 300 ms 10 ms 10-35 ms

Additional Information: Skin Station - 3 yr. warranty and assorted Light Unit Assemblies.WhisperNG - Patented Extended Ablation handpiece and fractional handpiece. Reliant Technologies, Inc. www.fraxel.com 464 Ellis Street Mountain View, CA 94043 888-4FRAXEL (437-2935)

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

Rhytec info@rhytec.com 130 Turner Street, Bldg. 2 Waltham, MA 02453 888.4rhytec p 781.419.9401f

Portrait PSR3

Sciton www.sciton.com 845 Commercial Street Palo Alto, CA 94303 650.493.9155 p

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

1550 Erbium-Fiber Laser Single Mode Fiber Laser 1410 10600 Fractional CO2 laser

4 - 70 mj/ MTZ 5-20 mj/ MTZ 5-70 mJ/MTZ

0.5 - 3 0.5 - 3 0.1 - 2

Contact Mfr. Contact Mfr. Contact Mfr.

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

Non-contact Plasma Energy

1 - 4 J/cm

4 - 16 ms

$69,900 Disposable nozzles - $1,750/pkg of 5

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

X X X X X X

X X X X X X X X X X

X X X X X X

X X X X X X X X X X

Modular platform Er:YAG module Nd:YAG module Nd:YAG module Pulsed Light module Nd:YAG Nd:YAG Er:YAG Pulsed Light Nd:YAG

Various 2940 μm 1064 nm 1319 nm 400-1400 nm 1064 nm 1319 nm 2940 nm 400-1400 nm 1064 nm

Up to 400 45 Watts Up to 400 Up to 80 Up to 30 Up to 400 Up to 80 45 Watts Up to 30 Up to 400 J

0.1-200 0.1-50 0.1-200 10-200 Up to 200 0.1-200 10-200 0.1-50 Up to 200 0.1-200

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

Additional Information: Configurable; up to 5 laser modules. Scanning systems – computerized. Integrated cooling and Smart Filters. 15mm x 30mm spot size and 30mm x 30mm spot size on various units. Sybaritic, Inc. www.sybaritic.com 9220 James Avenue South Minneapolis, MN 55431 800.445.8418 p 952.888.8887 f

LaserPeel Soft-MET NannoLight SkinClear SpectraQuattro

Synergie™ by Dynatronics www.dynatronics.com/aesthetic/ 7030 Park Centre Drive Salt Lake City, UT 84121 800.874.6251 p 801.568.7711 f

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

X X X X

X X

Modified Erbium Laser Intense Pulsed Light System Q-Switched Nd:YAG Laser Intense Pulsed Light System

2940 410 - 1400 532 & 1064 410-1400

Up to 127 Up to 50 Up to 19 Up to 40

300 ns 1-30 10 ns 5-30

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

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

Yes No Yes

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

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

X X X X X

All product are Bio Stimulatory Light with Super Luminous Diodes

660-880 660-880 660-880 880 405-880

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

46 —

march-april 2008 | www.aesthetictrends.com

acn e hai r re mo va ski n re l juv en tat too ation rem vas ova cul l ar wri nkl e re duc tio n

LASER & LIGHT technologY Product Listings

Source Product Technology

Syneron Medical www.syneron.com 100 W. Beaver Creek Rd. #6 Richmond Hill, Ontario Canada 561.357.5827 p

Aurora AC Aurora DS/DSR Aurora SR Polaris DS Polaris Vascular Polaris WR Galaxy

X X

Diode/RF Optical Energy Combined with Bipolar RF electrical energy Diode/RF Diode/RF Diode/RF elos-Diode

X X

Comet

Wavelength (nm)

400-980 580-980 580-980 800 900 900 580-980

elos-Diode/RF

Energy Output (J/cm2)

6-18 L, 5-20 RF Optical plus 5-20 RF 5-20 RF Up to 25 & 20 Up to 140 & 100 Up to 140 light Up to 200 RF 50/50 J/cm2 RF

Pulse (ms)

Up to 200 Up to 100 Up to 100 Short N/A N/A Up to 200 Up to 2 Hz

Price

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

Additional Information: Aurora AC – 3 yr. warranty. No disp. costs. Aurora DS/DSR – Both applicator heads included for treatment of hair removal and vasc/pigm. lesions. Aurora SR – 3 yr. warranty. Applicator heads incl. Polaris DS – 3 yr. warranty. Spot 8 x 12 mm, cooling. Polaris Vascular – 3 yr. warranty. No disposable costs. Polaris WR – 3 yr. warranty. No disposable costs. Galaxy – 3 yr. warranty. No disp. cost. 5 application heads avail. Comet – 3 yr. warranty. Spot 12 x 15 mm. Telsar Laboratories www.telsar.com #1 Environway, Suite 100 Wood River, IL 62095 800.255.9938 p

Softlight

Thermage www.thermage.com 4058 Point Eden Way Hayward, CA 94545 510.782.2286 p

ThermaCool

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

WaveLight www.wavelight-laser.com Am Wolfsmantel 5 91058 Erlangen, Germany +49/91 31/61 86-140 p

Nd:YAG

1064

$55,00

200

N/A

$39,950

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

Radio Frequency

N/A

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

Axiom

Intense Pulsed Light

390 – 1200nm

>40 J/cm2 @ 25x50 mmspot

25-75 msec single pulse programmable multi pulse mode

$54,900

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

X X

X X X X

Alexandrite Long Pulse Nd:YAG Long Pulse Er:YAG Long Pulse Er:YAG Q-switched Ruby Excimer

755 1064 2940 2940 694 -

5-40 10-450 0.1-113 0.1-141 Up to 14 -

5-40 .05-90 350 350 20 -

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

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

march-april 2008 | www.aesthetictrends.com

47—

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

Clarifying the Insurance Requirements for Your Individual Practice

By Megan K. Packard, Professional Liability Solutions, LLC

at t

Ethics and the Practice of Aesthetic Medicine

Everywhere you turn, it seems there is

according to International Medical

does not help that we are in a time

an opportunity to have a non-invasive

Spa Association. As the rate of patient

of great flux of rules and regulations

aesthetic procedure done. Besides a

demand continues to grow, we can

regarding aesthetic procedures–who

visit to the newest medical spa in your

expect more healthcare providers (and

can perform which procedure; what

local shopping center, you may be

non-healthcare providers) to offer

constitutes proper training; what, if

able to get a shot of BOTOX™ while

these aesthetic services. The ways in

any, supervision is necessary; and so

you have your hair done, or perhaps

which the services are delivered will

forth. With so much variation, about

a chemical peel while you visit your

continue to expand.

the only thing that is guaranteed is the

primary care physician for your yearly

check-up. Don’t forget that lipodissolve

of offering such

procedure from your OB/GYN.

lucrative medical

services without

According to the American

legal n case of the month

legal case of the month

The attraction

The number of medical spas in the United States has soared from 45 to approximately 2,500 in just five years, according to International Medical Spa Association.

Society of Plastic Surgeons, there

the hassle of

were over 9.1 million minimally

reimbursement

invasive procedures performed in

draws many

2006. Topping the list of most popular

physicians (and other providers) to

opportunity for a patient to find a way

procedures were BOTOX™ injections,

transition into the entrepreneurial

to enhance his/her looks on almost

chemical peels and laser hair removal.

practice of delivering aesthetic

every corner.

The number of medical spas in the

services. This draw can be so strong

United States has soared from 45 to

that proper training and supervision

standpoint, issues can abound. Issues

approximately 2,500 in just five years,

are not given a second thought. It

may involve the corporate practice of

march-april 2008 | www.aesthetictrends.com

From a regulatory and insurance

49—

legal case of the month

medicine by lay owners of medical

providers, such as the state department

business corporation via the employed

spas, healthcare professionals not

of health, other boards (nursing

physician. In some states, the practice

properly trained, or not working

boards, cosmetology profession, etc.)

of lay corporations receiving profits

within the scope of their licensure.

or other types of committee.

from the provisions of a physician’s

Such issues may lead to devastating

Almost every state has a medical

professional services is referred to

results. Ultimately, the healthcare

corporation act, professional service

as fee splitting and constitutes the

provider who performs the procedure

corporation act, nursing and advanced

unlicensed practice of medicine.

is responsible for the outcome; and in

practice nursing act, physician

This could subject the physician to

most cases, the supervising physician

assistant practice act, barber,

penalties and fines within many states

is responsible as well.

cosmetology, esthetics, and nail

and could result in the loss of the

technology act. While all of these help

physician’s license or a probationary

STAYING ABOVE BOARD

clarify what is allowable regarding

period.

aesthetic procedures, there are many

is not, allowable for both regulatory

areas left undefined.

It seems there is a continual effort

and liability purposes, there are some

to clarify what is acceptable to

basics to follow to enable healthcare

practice of medicine (as defined by

each state’s medical board. No

providers to “stay above board.” Think

the medical practice act in your state),

matter which state you work in, it is

of it in terms of “How do I defend

then laws regarding the practice of

important to know whether you are in

Despite confusion on what is, or

If the procedure constitutes the

Just because your insurance is in place does not mean you are in compliance with the state rules and regulations.

medicine come

compliance with state laws. Too often

into play, as do the

healthcare providers feel that as long

rules regarding who

as they have malpractice insurance

can perform which

in place, they are acting above board

procedure and

within their practice setting. Just

whether physician

because your insurance is in place

myself and the choices I have made?”

supervision is required. For example,

does not mean you are in compliance

One day you may have to defend

in some states, the lay business

with the state rules and regulations.

yourself—whether it is a court of law

corporation cannot hire the physician

because there’s a malpractice claim

and render treatment through the lay

against you, or you are called before the state’s medical board to defend what or how you are practicing.

KEEP UPDATED ON REGULATIONS

Each of the 50 states, the District of

Columbia, and the U.S. territories has a medical practice act that defines the practice of medicine and delegates the authority to enforce the law to a state medical board. There are currently 70 state medical boards authorized to regulate allopathic and osteopathic physicians. There are also other state agencies that regulate other healthcare

50 —

Rules and regulations do change.

march-april 2008 | www.aesthetictrends.com

established by cosmetic physicians in the industry. This sets a bar to which others can be compared. If it has been deduced from previous professional standards, for example, that contour thread lifts are only performed in a medical setting, it would be unprofessional to perform that procedure in a day spa or hair salon.

legal case of the month

law and from professional standards

TRAINING

At this point, there is no universally

accepted standardized program that enables a provider to become an aesthetic “specialist.” While there are no set specifications for appropriate training, many of the national professional organizations

Because each state has its own

injection may indeed be in violation of

applicable laws and regulations, you

the scope of his/her licensure.

must seek legal counsel that is familiar

with your particular state’s rules and

physician providers are allowed to

regulations and the health law issues

do as permitted by the appropriate

you face in practicing retail aesthetic

professional board. For example,

medicine. Seeking out advice

many states are now regulating who

and proper guidance from various

may use lasers or intense pulsed light

associations and specialty boards

devices. All states allow physicians

that are emerging within the industry

to use them.

would also provide further knowledge.

Beyond that,

It is important to know what non-

each state

PRACTICE WITHIN THE SCOPE OF LICENSURE AND SETTING

varies. Some

only PAs,

Staying above board also means

states allow

related to aesthetics, such as the American Academy of Dermatology, American College of Surgeons, American Society for Dermatologic Surgery, and the State Medical Boards have offered recommendations. Current guidelines on training are not detailed or comprehensive, but many of these groups propose similar

Regardless of who performs the procedure, there are standards of care that have been deduced from law and from professional standards established by cosmetic physicians in the industry.

practicing within the scope of your

NPs, and

licensure. While some states allow

RNs to use the equipment, while

physicians to delegate tasks to licensed

other states allow the aestheticians to

and other personnel (unlicensed), who

operate these devices so long as the

may perform what treatments is often

penetration is not beyond the stratum

based on the state’s medical practice

corneum layer of skin.

act and its interpretations by the

applicable boards. This means that

procedure, there are standards of

the aesthetician giving a BOTOX™

care that have been deduced from

Regardless of who performs the

march-april 2008 | www.aesthetictrends.com

recommendations. I would refer you to each group for any of their suggestions as a starting point.

No matter what the recommendation,

it is essential to have the appropriate level of training to ensure competency of the provider. Look for accredited programs that provide the didactic

51—

legal case of the month

training (physics, safety, and technique) as well as some hand-on training. Training of non-physician providers should be comprehensive and include theoretical and practical training, including an understanding of patient selection, adverse events, and an appreciation of the limits of the training.

There are many choices for

defined by the individual state’s

training institutes, groups, or facilities.

medical board. For example, the

Finding out the details of training

North Carolina Medical Board writes

(the who, what, where, and how) is

that “supervising” encompasses

essential to knowing the value you will

overseeing the activities of, and

professional to perform the procedure.

receive and if it will serve to provide

accepting responsibility for, the

For many of the medical spas, the

appropriate training for the procedures

medical services rendered by non-

direct (or on-site) supervision poses

you will perform. Many of the training

physician healthcare providers (as

a problem as some medical spas are

groups have the ability to offer CMEs/

stated in the definition of supervising

structured so that the physician may

CEUs, making them more attractive

physician for a physician assistant).

only be on-site a couple hours a week,

when it can add to your continuing

Regardless of who performs the

with the majority of the procedures

education. Once initial training is

treatment, the physician, in most

being performed by non-physician

received, continuing education for

states, is ultimately responsible for the

providers.

In addition, some states are looking into the possibility that the physicians would be required to personally examine each patient before treatment begins and monitor the quality of services on a weekly basis.

52 —

safety of the patient.

into the possibility that the physicians

Many state medical

In addition, some states are looking

boards allow certain

would be required to personally

procedures to be

examine each patient before treatment

delegated to non-

begins and monitor the quality of

physician certified

services on a weekly basis. To these

or licensed office

states, the ideal way to deal with

personnel (e.g., CMA,

patient treatment, even if an allied

the aesthetic procedures is critical

LPN, NP, PA, RN). The key, though,

healthcare provider is performing

to ensure adequate performance–no

is the supervision. Certain medical

the procedure, is for the physician to

matter whether you are the physician

boards may allow this delegation,

perform the good faith exam.

or non-physician healthcare provider.

so long as the physician remains

on-site physically so that he/she can

tighten physician oversight at medical

SUPERVISION

respond quickly to the questions or

spas. It is not alone; Arizona and

problems that arise. Other states have

California are considering similar

physician supervision needed for

developed a distance rule requiring

laws. Florida and Utah have already

non-physician healthcare providers?

the physician to be within a certain

strengthened medical supervision in

What exactly does “supervision” mean

“drive time” in case problems arise.

recent years. Washington has also

and what type is required (general vs.

For example, the physician must be

made some very definitive remarks

direct vs. personal)?

within a 30-minute drive if they have

regarding who can use lasers and

delegated for an allied healthcare

how a practice can implement risk

What is the appropriate level of

Supervision by physicians is often

march-april 2008 | www.aesthetictrends.com

Colorado is looking at laws to

standardized protocols and providing

can go a long way to protect you and

what is acceptable under the board of

consent forms goes a long way to help

your practice. It will help keep you

medicine.

protect yourself and your practice.

practicing “above board.”

If your state has defined what

It is important to disclose

While the ideas touched on in

supervision is required, I would

information and fully communicate

this article are to help you stay out

suggest it is a wise move to follow. If

with your patients about what to

of trouble, it is impossible to cover

your state has not set parameters yet, it

expect, what side effects and/or

all the relevant issues in a short

again pays to think of the perspective–

possible outcomes can occur. Full

article. This article is not a substitute

“How do I defend myself should I be

disclosure is the best approach, and

for professional legal advice, and I

called before the board or in the event

this can be accomplished through

encourage all healthcare professionals

of a malpractice lawsuit?”

the informed consent form. From

involved in aesthetic medicine to

a liability standpoint this can help

discuss their pertinent situation with

UTILIZE PROTOCOLS/PROCEDURES AND CONSENT FORMS

protect you in the event of an adverse

legal counsel in their own state.

practicing good risk management.

You cannot meet everyone’s

legal case of the month

management rules to better define

outcome. It is simply a matter of Megan K.

expectations, especially within the

aesthetic field. Keeping your patients

for standardized procedures and

informed of all the possible outcomes

protocols that address things such as:

Executive Vice

and side effects helps to protect

patient selection, patient education,

President for

against potential claims. Following

instruction, and informed consent;

Professional

procedures to be followed in the

Liability

It is helpful to institute guidelines

event of possible complications or

Packard is the

Solutions,

side effects from the treatment; and

LLC, an independent agency that

procedures for emergency and urgent

specializes in providing personalized,

care situations. Call this a “quality

comprehensive insurance and risk-

assurance program” if you want.

management solutions for healthcare

These protocols and procedures

professionals. With offices in both

help direct how decisions are made,

Charlotte and Chicago, Professional

quality of treatments are monitored,

Liability Solutions has been helping

troublesome situations are dealt with,

healthcare professionals protect their

and they provide the basics to enable

practices and assets for over 15 years.

the healthcare providers to make

Megan works from the Charlotte

better decisions regarding patient care.

office, where she focuses her business

on the medical spa, aesthetic, anti-

Performing aesthetic procedures is

not without risks. Better to know how

aging and wellness segments of the

to take smart, informed risks rather

healthcare industry. Megan received

than those that are made in haste and without knowledge. Regardless of the fact that all parameters for the appropriate practice of medical aesthetics are not set, following some of the basics covered in this article

her degree from the University of Virginia. You may reach Ms. Packard by calling 800.372.3268, emailing mpackard@pls-medmal.com or at www.professionalliabilitysolutions.net.

and utilizing some common sense

march-april 2008 | www.aesthetictrends.com

53—

Enter T07 code ATN a e to receiv $200 . discount

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

877.SPA.MEDI www.medicalspasuccess.com www.medicalspaconsultant.com

medical spas

Top Five Strategies for HR Success

By Cheryl Whitman, Founder and CEO of Beautiful Forever

at t

There is a reason reason they call it Human Resources

You have been successfully running

major investment, your efforts will

a medical practice, so expanding to

require close attention to the process.

staffing steps you need to know

include a medical spa should be easy

Know the difference between a medical practice and a medical spa practice.

considering you already have a great

Demographic Metrics

staff in place, right? Not exactly!

The secret behind every successful

asset is your staff; and the better your

Your medical practice is specifically

medical spa practice is “culture-

staff, the more value your company

geared to treat individuals who

specific” planning.

will have,” shares Aimee Kaye,

are in need of treatment for health

President and founding partner of

reasons, but the medical spa is

the unique culture of a medical spa;

the human resources firm Sageview

driven by clients who use disposable

you do this by creating a strategic

Consulting. “By choosing the right

income to purchase elective services

framework within which you will

employees and following through

to improve their appearance. So

work. On one end, you need to focus

on some very important steps, you

your success with expansion rides

on the retail nature of the medical

are tailoring every aspect of your

on your strength of focus on the

spa business, including choosing the

expanded practice to be better

retail nature of the cosmetic side

right location. On the other end, you

equipped to meet the challenges of

of your practice, including stellar

need to concentrate your efforts on

today and allow your company and

customer service. There are several

the people you will choose to help

your employees to reach greater

things to consider:

you run your practice. As with any

goals going forward.”

You must take the time to plan for

medical n spas

“Your company’s most valuable

march-april 2008 | www.aesthetictrends.com

a. The retail market – According

55—

medical spas

to recent research by Datamonitor,

research statistics so you can shape

you offer. Be sure to assign one

a business information company,

your retail marketing strategy to

or two employees with extensive

68% of those surveyed believe

attract your target market. Your

knowledge of these services and

that “spending time on personal

current medical practice patients

products (and not associated with

appearance is an important aspect

may very well be your first medical

inventory control) to oversee this

of achieving a state of wellness/

spa clients, so keep them at the top

area. Offer brand-name products,

well being.” Capitalize on these

of your list. Start by marketing with

your own Private Label line, or both.

reasons that your clients visit

an internal focus, but budget for

(Developing a Private Label line will

medical spas, as well as the

external marketing to grow your

increase revenue, as well as your

qualifications you possess to meet

client list.

personal and practice brand and

Your medical practice is specifically geared to treat individuals who are in need of treatment for health reasons, but the medical spa is driven by clients who use disposable income to purchase elective services to improve their appearance.

56 —

b. Retail display and

image recognition.) Also, provide

inventory control –

testers so clients can get a hands-on

Create a “retail zone”

feel for your products. Consistently

near your reception desk

market and promote your services

with at-home skin care

and products in connection with

products and informative

your brand. Don’t be afraid to

materials that cover

turn to an expert to help display

the benefits of the

your product in an eye-catching

services and products

way since half the “sell” is in the

their expectations. Study consumer

“seeing.”

research information for consumer

preferences, purchasing criteria,

must be correctly managed. That

retail interests, and other useful

means you need to keep track of

march-april 2008 | www.aesthetictrends.com

Be aware that your inventory

exactly where it goes, because after

costs, employee performance

retirement plans and a day off for

all, it is money on your shelves.

reviews, compensation programs,

their birthdays.”

Monitor incoming receipts, outgoing

bonus programs, etc. Be aware

shipments, and sales. Track

of the ratio of total compensation

employee commissions or bonus

costs to total budget as you work

programs. You want to see when a

on your pro forma. Developing

product is low, determine your best

your working budget, recruiting

sellers, identify slow movers, and

competitively, putting plans in

As you create your winning

keep a watch on shrinkage. Monthly

place for retaining employees –

team, look for “fit” when hiring,

reports of sales percentages, along

these are some of the things that

utilize continuous training and

with your service numbers, will also

help keep your practice marketable

development to keep your team

help you to set goals and design

and competitive. Don’t forget

on point, and most importantly,

incentive programs to increase

to include a policy manual and

concentrate on exemplary

your revenue. Also, take a physical

an employee handbook in your

leadership and supervision

inventory once or twice a year to

process, such as those available at

practices.

verify accuracy.

www.medicalspasuccess.com.

that medical spa practice employees

Have clear expectations.

When developing your pro

Hire the right staff.

“It is important to bear in mind

forma, keep in mind that how

require a flare for customer service,

you compensate your medical spa

a strong knowledge base, and a

staff should be reflective of the

salesman’s attitude,” says Dr. Kelly

emphasis you expect them to place

Cobb, Medical Director in Lafayette,

To be marketable and competitive

on selling services and products.

LA. “So, in addition to the sick

in the medical spa industry, your

Underestimating

team must work seamlessly to

the importance

exemplify your mission and realize

of appropriate

your vision. Simply put, they need

compensation will cost

to know what you expect them

your practice more than

to do, how you want it done, and

it could ever save. Offer

what they will get in return for

a benefits package that

doing it well. (It doesn’t hurt if they

includes a variety of sought-after

patients directed to you by their

actually enjoy what they do and

incentives, such as insurance,

insurance companies, you will also

where they are doing it.) Create a

401k, vacation and sick time, and

be seeing cash clients who choose

clear, complete job description for

bonuses. When hiring your team

to see you for your cosmetic services

each position you wish to fill, with

players, make sure your office

and expect a higher level of service

employees’ initial and expected/

manager explains how much your

for their money.”

future contribution. Design your

benefits package is worth in real

dream staff on paper before you

dollars – and time.

performer, you are looking at

make the move to hire. Develop a

approximately four weeks of lost

pro forma that covers the expenses

Consulting points out, “Your

productivity and revenue while

you expect to encounter, including

employees judge your workplace

you work to bring a new hire up

an allocation of resources (money

in part by the benefits you offer –

to speed. That should be enough

and human resources), technology

everything from health insurance

of an incentive to hire right in

purchases, hiring and retention

and disability coverage to

the first place. By relying on the

Keep in mind that how you compensate your medical spa staff should be reflective of the emphasis you expect them to place on selling services and products.

As Ann Ortolano of Sageview

march-april 2008 | www.aesthetictrends.com

Every time you replace a subpar

57—

medical spas

job descriptions you have already crafted, you know who you are looking for, so don’t settle. Including background checks can also help assure you are taking the right person into service. If you are not hiring directly, be sure your medical spa manager or director knows what you need – and how to identify real talent. As part of their contracted responsibilities, managers will help you find the best fits between employee talents and practice needs and be your guides for the kinds of employee development each side requires.

While we’re talking about

for either endeavor frees you from

managers, please note that your

spending hours a day on HR concerns.

practice manager may not be the

Further, everyone will know who to

It may be time to hire a medical spa manager who knows how to deal with retail services and products, cash purchases, inventory control (including product orders), aesthetic consultations, hiring, and training that will increase revenue.

shadowing and/or assisting prior to

turn to for day-to-day

any solo duties. Keep track of the

issues.

results to see how much your staff

A final note on

learns and how it changes their

staffing comes from

work performance, then adjust

Medical Spa Director

accordingly. Utilizing professional

Melissa Briscoe:

mystery shoppers is just one of

“When choosing new

the ways you can spot-check for

hires and evaluating

proficiency and mastery.

their attributes, the

Your entire staff should be fully

person you want heading up your

formula to follow is: Attention to

trained to educate patients about

medical spa division. Your practice

detail + willingness to learn + genuine

the right products for their needs,

requires attention to insurance issues,

goodwill toward others = Success.”

as well as the proper application

as well as the hiring, training, and

and the best regimen to follow.

firing of personnel who are suited

Training each staff member to

to the medical field and caring for

explain the benefits of each product

ill or injured individuals or booking surgeries. It may be time to hire a

Training.

and close the sale are essential elements of your retail success

medical spa manager who knows

Building up your spa talent is a

and client retention. Continued

how to deal with retail services and

priority so make sure to provide

emphasis on consultations is also

products, cash purchases, inventory

targeted, on-site training on a regular

essential. Be sure that your medical

control (including product orders),

and ongoing basis. One aspect

spa manager is taking note of

aesthetic consultations, hiring, and

of this effort will be a dedicated

who the high performers are and

training that will increase revenue.

“new employee” training program

who might benefit from additional

As a rule, your manager or director

that might require two weeks of

attention and training. Also, create a (Continued on page 60)

58 —

march-april 2008 | www.aesthetictrends.com

featured medical spa

Juva Skin & Laser Center and MediSpa

The Juva Skin & Laser Center and Medispa became the world’s first center to combine spa related services with state of the art medical and laser procedures nearly 10 years ago, thus starting the medical spa revolution. Its founder, Dr. Bruce Katz, coined and trademarked the term “medispa” after recognizing the growing patient demand for more integrated services and a lack of lasting effects from traditional spa treatments. In this 5,000 square-foot facility located in Midtown Manhattan, patients and spa clients receive the perfect blend of aesthetics and science for all of their skin care needs. The center offers a unique contrast to the traditional sterile medical office from the first encounter. A warm and inviting environment welcomes the patient as he or she enters from the elevator. At the front desk, the patient receives an informational brochure that details the services offered by the center. In order to fully serve their patients, patients complete a detailed demographic and medical history form in the reception area. The reception area is equipped with two television monitors and wireless headphones that patients may use to learn about the procedures offered at Juva. Patients can be pampered with New York’s first physician-formulated spa treatments which confer long-lasting

medical spas

New York City By Cindy Vandruff, Editor in Chief aesthetic and medical benefits. In addition, four dermatologists, a plastic surgeon, and physician assistants are always on site to assist with every aspect of patient care. Another entirely unique feature of the practice is that any aesthetic goal a patient may have can be addressed with the availability of 42 lasers on site 7 days a week. This advantage of having all aesthetic options on site is unlike most practices. For example, if a patient is being treated for an abnormal mole, yet also has an interest in facial rejuvenation, both services can be completed on the same day, rather than rescheduling for a day that the laser may be available. Some of the most popular procedures patients are currently requesting include 1) SmartLipo (manufactured by Deka and distributed by Cynosure Inc., Westford, MA) – a revolutionary new procedure that melts unwanted fat and tightens skin with minimal recovery period. 2) Affirm Multiplex (Cynosure Inc., Westford, MA) - a nonablative fractional device for facial rejuvenation, and treatment of wrinkles or acne scarring. 3) Accent laser (Alma Lasers US, Buffalo Grove, IL) - the latest cellulite treatment which for the first time combines unipolar and bipolar radiofrequencies to improve troublesome areas such as the outer thighs, inner thighs, and buttocks. SmartLipo and the Affirm lasers

march-april 2008 | www.aesthetictrends.com

were pioneered at Juva. Because of Dr. Bruce Katz’s research and his lectures at many national and international conferences, patients and spa clients can take advantage of the latest cutting-edge technology; and they are continually updated with Juva newsletters and brochures, wine and cheese evening seminars - “Juva chats” and online webinars. Juva Skin & Laser Center truly is a complete aesthetic experience. Juva Skin & Laser Center 60 East 56th Street Suite 2 New York, NY 10022 Telephone: 212.688.5882 www.juvaskin.com

59—

medical spas

(Continued from page 58)

tracking system that utilizes weekly

extended.” Don’t jeopardize your

in HR not only helps protect your

or monthly employee reviews, to

license or put yourself at risk for

assets and minimize liability, but

include observable applications of

incurring fees – keep up with all of

also helps develop a team that is

the skills for which you are training

the state and federal laws and issues

focused on improving customer

your staff.

regarding compliance, especially

service, outdoing the competition,

with the introduction of new

and boosting your bottom line,

technologies. Also, carefully review

something that benefits the entire

your staff’s training schedule and

staff.”

your practice coverage yearly so that

you do not violate any of the laws

unique culture and a commitment to

Have the proper coverage for the

that regulate the industry. Proper

human resource management, your

medical procedures you offer at

licensing, permitting, supervision,

move to expand into the exciting

your medical spa and ensure that

and delegation of the appropriate

medical spa industry should be a

your staff is properly trained to

medical or paraprofessionals, as well

smooth one.

participate in their performance.

as maintaining HIPAA and other

According to a recent article featured

confidentiality laws is your goal. One

on the International Association for

last note on compliance: Be prepared

Cheryl

Physicians in Aesthetic Medicine

for tougher laws on the horizon.

Whitman is

Stay compliant.

With a clear understanding of this

recognized

Website, many insurers require practices of this type to “document

USING THE EXPERTISE OF A CONSULTANT

internationally

clinical and/or accredited training

as a pioneer

on all non-ablative modalities

hit these points on target is to

in the field

before a policy of coverage will be

work with an industry consultant

of medical

or utilize specialized resources,

spa business

One way to help ensure you

such as the Medical Spa Success

consulting. She is a published author,

System (available through Beautiful

a popular speaker, and has been a

Forever Medical Spa Consulting).

beauty-industry consultant for more

This system provides the latest

than 20 years. As founder and CEO of

and most comprehensive industry

Beautiful Forever, Cheryl spearheads

information and is the first and only

a successful team of medical spa

do-it-yourself guide to building

consultants and business professionals.

a profitable medical spa. With

In addition, Cheryl developed the

downloadable items such as an

Medical Spa Success System, a

employee handbook and spa staff

revolutionary program that provides

job descriptions, you will be ahead

a turnkey educational success system

of the game in no time.

and consulting services package to help clients jumpstart brilliantly

TOOLS AND STRATEGIES

successful medical spa businesses.

For more information, please call

“Making effective use of human

resources tools and strategies can

1.877.SPA.MEDI or go to

help you increase the productivity

www.medicalspaconsultant.com or

of your staff,” adds Kaye. “We

www.medicalspasuccess.com.

find that following best practices

60 —

march-april 2008 | www.aesthetictrends.com

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Again, setting itself completely apart, the DermaSweep Bristle

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deliver both a stand-alone treatment and adjunct therapy for other treatment modalities such as pre-IPL and pre-PDT, the DermaSweep treatments are rising to meet the needs of patients or clients who deal with photodamage, fine lines and wrinkles, hyperpigmentation, acne, surgical scars, and uneven skin texture. Each distinctive DermaSweep system offers the efficacy and

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63—

MICRODERMABRASION Product Listings Source

Product

Aesthetic Solutions www.dermaglow.com 651 Canyon Road Novato, CA 94947 888.345.4569 p

Vacuum Mobile/ Flow Control Weight (lbs) Handpiece

DermGlow II DermGlow II MD

Dual Dual

DermGlow EST

Yes

Yes/32 Yes/32 Wheels Yes/12

Glass, Aluminum Disposable Tips

Aesthetician Unit Price

M.D. Unit Price

On-site full training, technical and mktg support

$8,750 N/A $4,750

N/A $10,500 N/A

One day on-site advanced training

N/A

$16,900

N/A

$12,900

$6,900

$8,900

Disposables

Training

Aluminum Oxide or Sodium Bicarbonate $2-$4

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

Aesthetic Technologies www.parisianpeel.com 14828 W. 6th Avenue, Unit B-9 Golden, CO 80401 800.262.4412 p

Prestige Esprit

Dual Vacuum/ Compres.

Yes/80 Yes/46

Proprietary ergonomic design w/ sterilizable immersible cartridge tips

$3.50

Warranty & Accessories: 1 yr. warranty

Ageless Aesthetics www.agelessaesthetics.com 5889 Greenwood Plaza Blvd. Suite 400 Greenwood VIllage, CO 80111 877.721.7975 p

ClairDerm (models 1, 2, & 3)

Via Control Knob

Yes/15

Aluminum, plastic Tips & Crystals w/ cellulite roller / light therpay combo

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

Altair Instruments www.diamondtome.com 321 Aviador St., Suite 113 Camarillo, CA 93010 805.388.8503 p

DiamondTome

Variable

Yes/27

Diamond tipped wands

$0.50

Video On-site Training

$10,250

$10,400

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

Bella Products www.bellaproducts.com 27136 Burbank Foothill Ranch, CA 92610 877.550.5655 p

BD II BD II-ASM BD II-ASP BD M II BD M II-MAX Bella Micro

Yes Yes Yes Yes Yes Yes

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

Aluminum Poly carb caps; Direct particle abrasion

Warranty & Accessories: 1 yr. warranty.

64 â&#x20AC;&#x201D;

march-april 2008 | www.aesthetictrends.com

$3-$3.50

Video on-site

$11,950 $13,950 $15,950 $19,950 $21,950 $4,950

MICRODERMABRASION Product Listings Source Product

DermaMed USA www.megapeel.com P.O. Box 198 Lenni, PA 19052 888.789.6342 p

Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training

MegaPeel Platinum

Yes

Yes/32

MegaPeel Gold

Yes

Yes/25

MegaPeel Silver

Yes

Yes/25

Autoclavable; detachable; condition specific tips

Aesthetician Unit Price

M.D. Unit Price

$2.50 per treatment $3.50 per treatment $3.00 per treatment

Intensive on-site;Video; Workshops; Seminars; Mfr. Corp. office

N/A

$19,500

N/A

$15,000

$12,500

N/A

$.50- $5.00

On-site

N/A

$13,900 - $14,500

$.50- $5.00

On-site

$12,900

N/A

$0.50

Yes

$4,999

$5,900

N/A

Starts at $13,900

$11,450

$11,800

$7,500

$7,850

N/A

$22,465

N/A

$8,500

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

DermaSweep® www.dermasweep.com 7251 Galilee Road Suite 160 Roseville, CA 95678 916.772.9134p

DermaSweep MD

Variable

Yes/26

DermaSweep Pro

Variable

Yes/26

DermaSweep Mini

Variable

Yes/8

Particle Free, Autoclavable Stainless Steel 7 Different treatment tips

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

Edge Systems www.edgesystem.net 2277 Redondo Avenue Signal Hill, CA 90755 800.603.4996 p 562.597.0148 f

Delphia

Dual

Yes/24

Delphia™ Del Sol Plus

Dual

Yes/30

Delphia IIe Plus

Dual

Yes/30

Diamond Delphia

Dual

Yes/24

Crystal, Lymphatic masssage optional LED lights and crystal micro, Lymphatic and Crystal-free Optional Lymphatic massage & LED lights optionalCrystal-free

$.55 - $3.00

Full certification On-site, local courses & video

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

emed www.silkpeel.com 31340 Via Colinas, Suite 101 Westlake Village, CA 91362 888.848.3633 p

Focus Medical, LLC www.focusmedical.com 23 Francis J Clarke Circle Bethel, CT 06801 866.633.5273 p

SilkPeel Dermalinfusion System

Dual

Yes/30

Diamond-tipped handpiece; autoclavable; crystal-free

$9.95 tips only

On-site certification

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

NaturaBrador

Yes

Yes/30

Reusable, Plastic, Disposable

$1.00-$1.50

Video & on-site

Warranty & Accessories: Massage therapy attachment.

march-april 2008 | www.aesthetictrends.com

65—

MICRODERMABRASION Product Listings Source

Product

Genesis Biosystems www.dermagenesis.com 1500 Eagle Court Lewisville,TX 75057 888.577.PEEL (7335) p

AccelaFuze AccelaGen M2 - Turbo M2 M1 Infusion Peel

Vacuum Mobile/ Flow Control Weight (lbs) Handpiece

Programmed Programmed Yes Yes Yes Yes

Yes/39 Yes/34 Yes/19 Yes

Disposables

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

Bio-Barrier Tips $.50-$3.00

Training

Hands On Onsite and Online

Aesthetician Unit Price

N/A $13,995 N/A N/A $8,495 $12,995

M.D. Unit Price

$17,995 $16,995 $15,995 $12,995 N/A $12,995

Warranty & Accessories: 3 yr. warranty. Plug-N-Peel Closed Canisters, Handpiece, Crystal and Crystal-Free Disposable Tips, CoolBreezeâ&#x201E;˘ LED Lights, Blue, Red,Yellow

ImageDerm www.imagederm.com 3032 Dolores Street Los Angeles, CA 90065 818.500.9034 p

ImageDerm

Dual

Yes/30

Reusable Delrin Tip

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

Innovative Med Inc. www.innovativemedinc.com 4 Autry , Suite B Irvine, CA 92618 877.779.9492 p 949.458.7416 f

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

Yes Yes Yes Yes Yes

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

$3.00

Full Training with Manual

$8,500

$10,700

$2-$4.00

Comprehensive manual, technical support & marketing support

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

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

$14,500 N/A

N/A $18,995

Ergonomic, patented handpieces; disposable, reusable, metal & crystal free avail., disposable tips for face & body

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

Lumenis www.lumenis.com 2400 Condensa Street Santa Clara, CA 95051 408.764.3000 p

SkinScape SkinScape Plus

Single Dual

Yes/22 Yes/30

Autoclavable small & large handpieces Aluminum/ disposable tips

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

66 â&#x20AC;&#x201D;

march-april 2008 | www.aesthetictrends.com

$2.80 $2.80

Intensive On-site training

MICRODERMABRASION Product Listings Source Product

Mattioli Engineering www.matteng.com 4200 Wilson Blvd., Suite 750 Arlington,VA 22203 877.628.8364 p

Aesthipeel™ Ultrapeel® Pepita Ultrapeel® Crystal

Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training

3 Pre-set Positions Dual/Count Variable

Yes/17

Plastic/Glass

$3.00-$9.00

No/39 No/44

Glass Pyrex/reusable Glass Pyrex/reusable

$3.00-$9.00

1 day on-site

Aesthetician Unit Price

M.D. Unit Price

$3,675

N/A

$10,710 N/A

N/A $13,860

$13,900

$16,500

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

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

Salt-APeel™ MacroDermabrasion Therapy

50 lbs

Proprietary aluminum design, with no mess auto control

$3/treatment

Warranty & Accessories: Proprietary crystal delivery system uses water-soluble, non-toxic salt. Pre-packaged salt containers and disposable 0.1 micron ULPA Filter waste containers. Positive and negative pressure system with little to no redness. Natural salt for superior results. Patented DermaMask and MacroTouch® 3 MHZ Ultrasound module for Physician model. Marketing support program.Three year warranty parts and labor.

Raja Medical www.rajamedical.com 6542 Hypoluxo Rd, #171 Lake Worth, FL 33467 561.868.4600 p

Sapphire Abrastim

Yes/15

Stainless steel, Sapphire heads

$5.00

1 day

N/A

$14,500

On-site, manual, PP presentation

$10,900

$13,500

Warranty & Accessories: 2 yr. warranty.

Science Innovative Aesthetics www.scienceaesthetics.com 30 Montgomery Street Suite 660 Jersey City, NJ 07302 201.332.4100 p

Aurora

Yes

Yes/46

Stainless steel, 9 different tips, autoclavable

$.40 per filter, one filter per treatment

Gemini

Dual, pin point crystal flow control

Yes/55

Crystal - flexible, w/disposable plastic caps. Crystal Free stainless steel w/9 different tips

$1.50 for alum. ox. crystals, varies per treatment

Warranty & Accessories: 2 yr. warranty with next day loaner, 100 filters plus ultrasonic cleaner included with purchase, marketing material, tech-support, additional filter inside machines, quietest machines on the market (ask about our trade-in program). Gemini includes 2 (4 lbs.) bottles of crystals, closed loop system.

march-april 2008 | www.aesthetictrends.com

67—

MICRODERMABRASION Product Listings Source

Product

Sciton www.sciton.com 845 Commercial Street Palo Alto, CA 94303 650.493.9155 p

MicroLaserPeelâ&#x201E;˘

Vacuum Mobile/ Flow Control Weight (lbs) Handpiece

N/A

Yes/wheels

Disposables

Training

Aesthetician Unit Price

M.D. Unit Price

Large area scanner

None

In-office

N/A

$19,500 module

Stainless steel disposable tips

$3.00

Video on-site training

$9,950

$11,950

$10,995

Warranty & Accessories: 10 to 40 microns in 5-micron steps.

Silhouet-Tone USA www.silhouettone.com 7 Champlain Commons St. Albans,VT 05478 800.552.0418 p

S.T. Peel

Yes

Yes/65

Warranty & Accessories: 3 yr. warranty. Disposable tips. Manual included, complete marketing tools. Rotational projection handpiece.

Sybaritic www.sybaritic.com 9920 James Avenue South Minneapolis, MN 55431 800.445.8418 p 952.888.8887 f

SkinBella

N/A

Yes/ 22 lbs Cart 32 lbs

Ultrasonic Applicator

$2.50

On-Site Advanced Training

Warranty & Accessories: 1 yr. warranty included with extended warranty available. Professional and retail skin care products, marketing kit and cart included.

SoundSkin Corporation www.soundskin.com 429 South Main Street Oswego, IL 60543 888.596.5277 p

SmartPeel - Esthetician

16 settings + lymphatic

SmartPeel-M.D.

Yes/18

Acetyl copolymer with full range of accessories

Yes/23

$1.50

On-site by specialist

$10,500

N/A

$13,500

32 settings

Warranty & Accessories: 1 yr. warranty, parts & labor with dual probe lymphatic drain module, dual SmartFilter viral barrier system to 0.1 microns.

68 â&#x20AC;&#x201D;

march-april 2008 | www.aesthetictrends.com

MICRODERMABRASION Product Listings Source Product

Syneron Medical www.syneron.com 100 W. Beaver Creek Rd. #6 Richmond Hill, Ontario, Canada 800.445.8418 p

Libra

Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training

Variable

Yes/34

Custom disposable tips $.50-$1.00

Aesthetician Unit Price

M.D. Unit Price

Video on-site training

N/A

$9,995

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

Vibraderm, Inc. www.vibraderm.com 2100 N. Hwy 360 Suite 1502 Grand Prairie,TX 75050 800.494.7181 p

Vibraderm

None

Yes/21

High-Tech Aluminum Alloy

None

On-site training included

$18,100

Ergonomic stainless steel design; 10-13tips depending on model; auto-clavable

$.30/filter

Manufacturer support Manufacturer support

$10,900

$11,900

$15.900

$16,900

Warranty & Accessories: 1 yr. warranty.

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

Pristine - Dimond System

Single

Yes/28

Marquis - Dimond and crystal System

Dual

Yes/35

$.30/filter

Warranty and Accessories: Pristine - 2 yr. warranty with next day loaner. Esthetician unit sold with 10 DPeel tips; M.D. unit sold with 13 DPeel tips; 100 disposable filters, 25 client brochures, 1 poster, ultrasonic cleaner; system manual. Marquis - 2 yr. warranty with next day loaner. Esthetician unit sold with 10 DPeel tips; M.D. unit sold with 13 DPeel tips. Diamond Peel-100 disposable filters, 25 client brochures, 1 poster, ultrasonic cleaner. Crystal Peel -10 plastic caps.

Vita Medical Technologies www.vitamedtech.com 1286 University Avenue, #264 San Diego, CA 92103 619.795.7953 p

Beauty Skin

Dual

Yes/20

45 degree angle Teflon handpiece; reusable or disposable tips

$1.50

On-site by representative

$7,900

$7,900 Dual Motor

Warranty & Accessories: 2 yr. warranty, parts & labor. 2 handpieces; abrading and peeling.Variety of tip sizes available.

march-april 2008 | www.aesthetictrends.com

69â&#x20AC;&#x201D;

0ATIENT STRESSED ABOUT PAIN

plastic surgery

Changing the Lives of Acne Patients

with ProFractional™ Laser Treatments By Gregory Alan Wiener, M.D., F.A.C.S.

at t

It is an exciting time to be part of

laser separately—instead Sciton

laser microbeam to the tissue with

the cosmetic surgery field. It seems

offers a simple upgrade to the

pinpoint accuracy. The microbeam

that every month new procedures

existing MicroLaserPeel technology.)

creates very small diameter micro

are discovered and old procedures

The PROFractional is a Class IV laser,

wounds without uncontrolled heating

are improved. The release of the

and it has the ability to penetrate a

of the tissues, and this stimulates

PROFractional™ laser is part of this

depth of 25-1000 µm and a width of

fibroblasts to produce new collagen

boom, and people across the world

6 x 6 mm to 20 x 20 mm.

are now realizing that cosmetic

With this technology,

surgery procedures can be safe,

the PROFractional

simple, and smooth.

laser can improve skin texture and tone,

MicroLaserPeel

dramatically improving

the appearance wrinkles,

The Sciton PROFractional laser is

an upgrade of the Contour 2940

scars, and sun damage

Er:YAG laser which is used to

with one pass of the laser.

plastic n surgery

The depth of penetration (up to 1.5 millimeters) is far greater than traditional resurfacing procedures, yet the downtime is minimal because the epidermis is left largely intact.

perform the MicroLaserPeel.

within each micro-zone of treatment. The laser is named for its ability to

(Physicians who currently use the

PINPOINT ACCURACY

improve skin tone, texture, and color

Contour 2940 Er:YAG laser do not

by removing only a fraction of the

have to purchase the PROFractional

ablative procedure which delivers a

The PROFractional laser is a semi-

march-april 2008 | www.aesthetictrends.com

actual skin surface. The depth of

71—

plastic surgery

penetration (up to 1.5 millimeters)

is far greater than traditional

pick or depressed acne scars,

little more downtime, as they might

resurfacing procedures, yet the

the PROFractional laser can be

experience pinkness or sensitivity of

downtime is minimal because the

combined with the MicroLaserPeel

the skin for several days. Although

epidermis is left largely intact. The

for deep skin resurfacing. After the

it is possible for patients to return

new tissue is healthy in texture and

PROFractional targets the damaged

to their daily routine following

pigment which leads to a marked

skin tissue, the MicroLaserPeel can

treatment, most patients who receive

difference in the appearance of the

be used to smooth the skin’s total

the PROFractional treatment do

The PROFractional laser has revolutionized the treatment of acne scars since it comes closer to the total removal of damaged tissue than any other procedure.

For patients who have ice-

these patients should plan for a

appearance. Depending

experience a light red or pink tinge to

on the patient’s needs, the

the skin, which is similar to sunburn.

MicroLaserPeel can be

minimal to a full removal

normally fade within 24-48 hours; and

of the upper layer of

patients are able to recommence their

skin. By combining

usual skin routine, such as applying

these two incredible skin

cosmetics. However, ultraviolet

resurfacing procedures,

light can be harmful to skin during

patients can discover the

these sensitive hours following the

These effects to the treatment area

patient’s skin. Some patients need

beautiful, healthy skin underneath

procedure, so patients must avoid

only one treatment, while patients

their acne scars.

direct sunlight. Of course, SPF is a

with more serious skin damage might need two or three treatments.

ACNE SCARS

The PROFractional laser has

revolutionized the treatment of acne scars since it comes closer to the total removal of damaged tissue than any other procedure. I first began using the Sciton PROFractional laser in the fall of 2007, and patients of all ages have come to me seeking the removal of their acne scars. For many people, acne scars are not only unpleasant to look at, they also serve as

Before (Left) and After Acne Treatment (Right). Photos Courtesy Gregory Wiener, M.D.

reminders of high-school bullying or other sad adolescent memories.

72 —

Acne scars from adult-onset acne

DOWNTIME AND POST CARE

must for all patients seeking healthier

can be equally troubling, since

skin, regardless of the procedure they

these individuals feel as though

upon the depth of the PROFractional

seek.

their acne separates them from their

laser. Acne scars require deep

peers who have not experienced

ablation, generally at around 750

laser and the MicroLaserPeel

acne for decades.

to 1000 microns. This means that

treatments are combined, patients

Patient downtime is dependent

march-april 2008 | www.aesthetictrends.com

In cases where the PROFractional

should expect a more significant

procedure on numerous clients, and

and isolated.

downtime, including redness and

I have seen firsthand how patient-

perhaps peeling.

friendly this technique is—and also

I hope to rid myself of the constant

how important this procedure can

reminder of how hard my adolescence

be in patients’ lives.

was for me.”

RESULTS

These initial results might

“By getting rid of the acne scars,

The patient’s acne scars were

intimidate patients who look in the

PATIENT STORY

atrophic boxcar scars that were

mirror following the procedure—the

contained to her T-zone area—her

tiny droplets of blood which rise

suffering from acne scars for 12

One patient came to me after

nose, forehead, and sprinkled across her cheeks. She also had ice-pick acne scars on her upper back that she wanted to treat. I decided that the best mode of treatment would be the PROFractional combined with the MicroLaserPeel technology for her face and the PROFractional laser for her upper back.

The patient came in for her

first appointment in November. I performed the MicroLaserPeel first, as research suggests that performing the MicroLaserPeel before the PROFractional leads to optimal and long-lasting results. I

Before (Left) and After Acne Treatment (Right). Photos Courtesy Gregory Wiener, M.D.

then treated her boxcar scars with the PROFractional at 800 microns. to the surface can be frightening

years. As a teenager, she was

After two days she reported a visible

for those who are squeamish,

on medication which caused her

difference in her skin, and she noted

but within a week the healing

hormones to fluctuate. As a result,

minimal discomfort, though her face

process should leave the patients

she suffered from very bad acne. My

was tinged with a slight sunburn-like

very pleased with the procedure.

patient recalled her high school

Moreover, not only does the

memories to me stating, “It

accuracy of the PROFractional

was the worst time of my life.

prevent unnecessary damage to

So many things were going

the patient’s healthy dermis, it

wrong. My medication affected

also helps to decrease discomfort.

my weight and my skin—I

Indeed, there is almost no pain

thought I was the ugliest thing

involved, although some patients

to ever walk the planet. Shortly

do report a tingling sensation

thereafter, my parents got divorced

appearance and some sloughing of

which can be alleviated by topical

and my world was ripped apart. When

the skin. In December, she came in for

anesthesia.

I look in the mirror now and see my

her next appointment, and I treated

acne scars, I go right back to that time

the facial scars with 800 microns

in my life when I was so miserable

and her back with 700 microns.

In the past six months, I have

performed the PROFractional laser

march-april 2008 | www.aesthetictrends.com

Within two days of treatment, makeup can be applied again, and patients can resume their normal exercise activities.

73—

plastic surgery

The scarring on her back was

after the treatment (since

significantly less severe and deep.

her skin was redder than

usual), but she soon

After the third appointment, her

facial and back acne scars were

found that it was not

almost invisible to the naked eye.

very noticeable.

She was very pleased with her results and reported that she felt

PATIENT INSTRUCTIONS

more confident after the treatments.

As she said, “I am now able to go

treatment, I

out of the house without makeup

recommend that my

on—something I have not done since

patients avoid the

I was 12 years old. I am very happy

direct sunlight for 2

I underwent the procedure. I feel

weeks. Aquaphor is used for two to

more confident in myself, and I am

three days after surgery along with

glad to leave the painful memories

a non-comedogenic cleanser and

of adolescence behind me! I am

sun block with SPF 30 or higher.

ready to take on the world!”

If peeling of the skin occurs, they

should never pick it! Moisturizers

With all of the treatments, I

After each

administered a numbing cream to

(such as Aquaphor mentioned

the area of the skin to be treated

above) can help with the peeling of

prior to the procedure. She noted

the skin, and if itchiness occurs oral

minimal pain and said the pain

Benadryl usually suffices.

she did feel was similar to a light

stinging or tingling sensation. (For

makeup can be applied again,

patients who do note more severe

and patients can resume their

pain, administering an analgesic

normal exercise activities. We also

is recommended, though most

administer anti-viral medications

Within two days of treatment,

to our patients to help prevent infections from

With almost no downtime, little patient discomfort, and quick, simple treatments, the PROFractional laser technology stands at the forefront of recent cosmetic surgery developments.

occurring. (Like all medical procedures, there is a slight risk involved with the PROFractional, and infections can

74 —

patients do not need more than

occur from the laser. Of course,

Tylenol.) After each procedure, this

this is very uncommon, especially

patient cooled her face with a wet

if the patient takes the anti-

towel and followed with the healing

viral medications every day as

moisturizing lotion, Aquaphor. She

prescribed.)

did note that she felt slightly self-

conscious venturing back to work

little patient discomfort, and

With almost no downtime,

march-april 2008 | www.aesthetictrends.com

quick, simple treatments, the PROFractional laser technology stands at the forefront of recent cosmetic surgery developments. As the plastic surgery field continues to develop and improve, patientfriendly procedures and painless treatments will continue to remain the priority of physicians and researchers.

Dr. Gregory A. Wiener is an American Board of Plastic Surgery certified surgeon, with a successful 10-year-old practice. Dr. Wiener’s skill and dedication to the needs of his patients earned him a spot in the Guide to America’s Top Surgeons and appearances in media outlets like Fox News, Healthy and Fit Magazine, Forbes, and E! News Live. Dr. Wiener is a fellow of the American College of Surgeons and currently serves on staff at Resurrection Medical Center in Chicago. For more information, visit www.theartofplasticsurgery.com.

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pipeline CMS

practice management

Laser Safety in the Cosmetic Practice By Leslie Pollard, CMLSO & Contributing Editor

As the science and technology of

aesthetic light based devices continue

requires awareness of multi-level

safety program development

to refine and develop the science of

influences that may have an impact

information with each medical director

photonic interaction with skin, the

on the requirements of a cosmetic

and other office staff who may be

concern over the safety of both patients

office laser safety program. In

impacted with any changes in the

and staff becomes a serious issue

the physician office setting, it is

program.

not only for the responsible medical

important to assign the duties of the

practice director, but all laser and light

office Medical Laser Safety Officer.

STATE REGULATIONS AND STANDARDS

based device operators, state and local

The role of this individual is most

regulatory agencies, and even medical

important in the initial establishment

the office laser safety program may be

malpractice insurance carriers. It can

of the Office Laser Safety Program as

influenced by the federal government,

be a challenge to continue to be on

well as the continued maintenance

state government, and the involved

the forefront of the most efficient and

and development

effective technological knowledge

of the program.

curve. Having access to independent

Occasionally, this

information sources based on the

role is accepted by

science of light and tissue reaction is

a Medical Director

crucial. However, establishing a safe

and then delegated

environment to provide these services

to a member of the

should be a reproducible and straight

office staff who works with the lasers

state medical boards. The parent

forward process that all providers of

on a routine basis. It is important that

documents for understanding the

office based laser services should be

the MLSO maintains contact with

responsibilities associated with any

aware of.

advances in laser safety knowledge

Laser Safety Program in a healthcare

and continues to share office laser

at t

Providing a laser safe environment

practice n management

The MLSO should be aware that

Providing a laser safe environment requires awareness of multi-level influences that may have an impact on the requirements of a cosmetic office laser safety program.

march-april 2008 | www.aesthetictrends.com

77â&#x20AC;&#x201D;

practice management

setting are the documents ANSI Z136.1

and ANSI Z136.3 (American National

laser safety program implementation,

Standard for Safety Use of Lasers and

the MLSO representative should

Safety Use of Lasers in Healthcare

determine if the resident state has

Facilities). These documents provide

state laser safety regulations. This

guidelines, explanations, and specific

information may be obtained from

documentation examples for all

a variety of consultative services,

facilities utilizing laser technology. A

or may also be researched on state

copy of the ANSI Z136.3 document

government internet sites. Although

is the accepted information core and

these regulations will be based on

for non-physician healthcare

reference manual for all medical/

the Federal Guidelines (both ANSI

boards to offer independent

surgical laser safety programs. Other

Z136.1 and Z136.3), a copy should

opinions on their specific

federal government agencies, such as

be obtained to determine other

perspectives regarding

OSHA, will also provide regulations to

requirements outside of the ANSI

support of their licensure

help establish safe environments for

guidelines. Should your state have

during the operation of

staff members working around these

laser safety regulations on the state

medical lasers. Be sure to

laser systems. It is helpful to know that

level, you may also be required to

check any specific board

these regulations are based on the

that may be involved in

ANSI Z136.3 guidelines.

MLSO with that state agency.

your practice (nursing

boards, cosmetology

All laser safety programs begin

with the trained MLSO determining

During the initial stages of your

The third regulatory entity that

should be consulted is the state or

boards, etc.).

local medical board. The medical

The key component to all office laser safety programs is documentation.

board may provide information

EDUCATION

that will provide direction to the

medical director about delegation

educational guidelines for

of authority for laser operation,

cosmetic laser operators,

level of supervision required, and

both physician and

Many states will provide

the classification of each laser system.

educational and training requirements

non-physician. This

The required laser safety policies

of physician and non-physician

will often depend on the

and procedures to be put in place

operators. Some medical boards

level of supervision and

are dependent on the Class of laser

require specific involvement from the

the level of licensure of

associated with potential for injury

supervising physician.

each individual. Since

for those working with or near this

these guidelines and regulations may

equipment. Once the equipment is

in their views on these issues. Many

be in a development process in many

classified, the policies and procedures

are in the process of major changes.

states, it would be wise to become

are developed for that risk level.

The subject is taken quite seriously

familiar with the current standings

Lasers are classified as Class 1, 2,

by a number of states. Again, this

of your state regarding laser safety

3a, 3b, and 4, Class 4 being the most

information may be obtained by

issues as well as your state medical

potentially dangerous. Most lasers

consultative services or with specific

board position, and continue to follow

found in the cosmetic office practice

web searches on the state specific

any legislative process or task force

are Class 3b or Class 4 requiring the

medical board sites. The investigative

involved in this area. It is always

most stringent of laser safety protocols

MLSO and Medical Director should

recommended that each cosmetic

and oversight.

also be aware that it is not uncommon

physician office educational program

Currently, states are quite variable

(Continued on page 85)

78 â&#x20AC;&#x201D;

march-april 2008 | www.aesthetictrends.com

PRESS CORNER PRESS CORNER

Facelifts Fuel Rise in Cosmetic Operations

facial rejuvenation.”

The most popular operation among

men was rhinoplasty, or nose job, with A record number of women

more than 700 men taking this option,

having facelifts fuelled a 12% rise

a rise of more than a third. Liposuction

in cosmetic operations in Britain last

was the next most popular, with 582

year, figures show. A total of 32,453

procedures (up 18%), then eyelid

surgical procedures were carried out,

surgery, ear correction and neck or

compared with 28,921 in 2006, the

facelifts (230 - up 21%).

British Association of Aesthetic Plastic

Surgeons said.

on men, up 27% on the 177 in 2006,

and 10 times the 22 operations carried

and the development of new wrinkles

research carefully when choosing

out in 2002. The biggest rise was in

and crow’s feet.

a provider,” commented Douglas

“tummy tucks” as 98 men underwent

McGeorge, British Association of

the procedure, up from 61 in 2006 - a

ingredients is Euk-134, which is

Aesthetic Plastic Surgeons.

rise of 61%.

a powerful antioxidant with anti-

Source: BBC News

inflammatory properties that mimic

“It is crucial that people do their

Some 91% of patients were

There were 224 breast reductions

the activity of natural skin enzymes to

women, but “tummy tucks” and breast reductions on men also increased to record levels. Association members reported a 37% rise in face or necklifts on women to 4,238. The annual audit

One of Alphasomes most unique

protect skin tissue against free radicals

Doctor D. Schwab Alphasomes™ RC Rejuvenate and Correct

and the damaging effects of the sun.

CA BOTANA is a leading

manufacturer of personal care products with worldwide distribution. With over

covers only members of the association,

likely to be higher.

rejuvenating and stimulating anti-aging

BOTANA has studied the effects of sea

line for mature skin manufactured by

extracts, plants, herbs, and vitamins

women remained breast enlargement

San Diego based CA BOTANA, has

and has integrated it with the latest

surgery, with 6,847 cases.This was

introduced its most luxurious product,

skin care technology to satisfy today’s

followed by eyelid surgery (5,148 - up

Alphasomes™ RC Rejuvenate and

consumers.

13%), face or neck lifts, liposuction

Correct to combat the signs of aging.

(3,990 - up 15%), and breast reduction

(3,178).

its kind on the market today which

800.872.2332

contains a proprietary blend of

www.ca-botana.com

The most popular operation for

The association says it is the rise of

Doctor D. Schwab, a unique

40 years of in-house research, CA

so the true number of procedures is

Alphasomes is the only product of

CA BOTANA International, Inc.

non-surgical versions, involving fillers

vegetable ingredients and transformers

and BOTOX™, that is responsible for

which act as an alternative to

the increase in facelifts. Rajiv Grover,

BOTOX™. The cream’s re-densifying

the association’s secretary, said: “Ten

action helps to fill wrinkles and smooth

years ago there may not have been

out expression lines. Additionally,

much choice between a face cream

Alphasomes prevents the breakdown

and a facelift, but more recently non-

of the skin’s elastin, promotes collagen

surgical procedures have introduced

production, corrects loss of skin tone

CLZR) announced that Robert LaRoche

a large number of patients to gradual

and firmness, and prevents dehydration

has joined the company as Vice

march-april 2008 | www.aesthetictrends.com

Candela Names Robert LaRoche Vice President of Global Marketing Candela Corporation (NASDAQ:

79—

PRESS CORNER and services its products in over 70

acknowledge healthcare professionals

countries from offices and distributors

for their significant contributions to

in the United States, Europe, Japan,

patients and medical care.

President of Global Marketing. Mr.

China, and other Asian locations.

LaRoche will lead Candela’s worldwide

Candela established the aesthetic laser

have received throughout the

marketing efforts of current products

market 18 years ago and currently has

years are a true testament to the

and pipeline product opportunities.

an installed base of an estimated 12,000

immense dedication that healthcare

lasers worldwide.

professionals display on a daily

“With over 25 years of medical

basis,” said Michael Singer, President

device marketing and sales experience, Bob is a proven leader in the medical

Candela Corporation

and CEO of Cherokee Uniforms.

device marketplace. We are confident

800.733.8550

“We are proud to recognize those

that he will apply his unique skill set

www.candelalaser.com

individuals who have made the healthcare industry what it is today

and insight to drive sales revenues and

by providing care and compassion to

increase global awareness of Candela’s products,” said Jay Caplan, Chief Operating Officer. Most recently, Mr. LaRoche served

Cherokee Inspired Comfort Awards Program Call for Nominations

their patients at times when they need it the most.”

To nominate a healthcare

professional, visit www.

as Vice President of Marketing and Sales at InfraReDx, Inc., a Burlington,

Massachusetts-based medical device

Cherokee Uniforms first began

a nomination form from a Cherokee

start-up, where he led the marketing

recognizing healthcare professionals

Uniforms retailer. Candidates may

and sales development process for

through its Inspired Comfort Awards

be nominated in two of the following

the company’s first commercialized

program. Since that time, the leading

categories but can only win in one:

product. Prior to that, he was Founder

Six years have passed since

designer and manufacturer of

Registered Nurses (RNs); Advanced

CherokeeUniforms.com or pick up

and President of Octant Marketing

Practice Nurses (APNs); Licensed

Inc., a consultancy serving the medical

Practical Nurses/Licensed Vocational

products industry, and has also

Nurses (LPNs/LVNs); Students

held various managerial marketing

enrolled in schools of nursing; and

positions.

other Non-Physician Healthcare healthcare apparel has awarded nearly

Professionals.

degree in Marine Fisheries Biology

60 healthcare professionals from

from the University of Massachusetts

across the country for their exceptional

a donation for every healthcare

Amherst.

service, sacrifice, and innovation.

professional who is nominated for

Although winners have had diverse

the award through May 31, 2008,

and distributes innovative clinical

backgrounds, all of them have one

to Nurses House, a national fund

solutions that enable physicians,

thing in common—a sincere passion

that provides short-term financial

surgeons, and personal care

for bettering the lives of others.

assistance to registered nurses facing

practitioners to treat selected cosmetic

serious hardship.

and medical conditions using lasers,

March 1 – May 31, 2008 for this

aesthetic laser systems, and other

year’s awards program. The program

Cherokee Uniforms

advanced technologies. Founded near

provides a meaningful way for

818.671.2100

Boston in 1970, the company markets

peers, friends, and colleagues to

www.CherokeeUniforms.com

Mr. LaRoche earned a Bachelor’s

Candela Corporation manufactures

80 —

“The nominations that we

Nominations are being accepted

march-april 2008 | www.aesthetictrends.com

Cherokee Uniforms will make

PRESS CORNER workstations.”

Cynosure Announces Three New Aesthetic Products

Recently FDA cleared,

SmartSense is a proprietary intelligent handpiece delivery

Cynosure, Inc. (Nasdaq: CYNO), a

system for Smartlipo, Cynosure’s

GLS’ New Thermoplastic Elastomer Offers PhthalateFree / Plasticizer-Free Formulations

leading developer and manufacturer

ground-breaking, minimally invasive

of a broad array of light-based

system that liquefies and removes

aesthetic treatment systems,

localized deposits of fat and results

(NYSE: POL), and global leader in the

announced the introduction of three

in tissue tightening through tissue

manufacture of high-performance,

aesthetic products for fast-growing

coagulation.

custom-formulated thermoplastic

elastomers (TPEs), announced the

Accolade is a high powered

GLS Corp., a PolyOne company

755 nm, Q-switched Alexandrite

introduction of a new phthalate-free

laser for the removal of pigmented

TPE in its specialty VERSAFLEXTM

lesions. The unique combination

TPE product line. The new product,

of various spot sizes and the

called VERSAFLEX CL E95 TPE,

laser’s high repetition rates allow

addresses recent regulations limiting

applications including laser lipolysis,

for rapid treatment. “Given the

phthalate-based plasticizers and

the removal of pigmented lesions and

market potential for this technology,

recent market demands for low

ablative skin resurfacing. Cynosure

particularly in the Asia Pacific

extractable TPEs. This new phthalate-

will showcase its new products,

region, we are excited about the

free, plasticizer-free TPE offers water

SmartSense™ for Smartlipo™,

prospects for Accolade,” Davin said.

clarity, sterilization capability, and

Accolade™ and Affirm Er, at the

“As a flagship product, Accolade is

low extractables. It is well suited for a

American Academy of Dermatology

expected to generate a minimum of

variety of extruded tubing and films as

(AAD) 2008 Annual Meeting, in San

$10 million in revenue in its first full

well as blow-molded bags, containers,

Antonio, Texas.

year on the market.”

toys, and other infant care items.

According to Joseph Kutka, GLS

“Cynosure’s strategic vision

Cynosure’s new Affirm Er is a

is centered on the continuous

2940 nm wavelength, Erbium:YAG

Technology Launch Manager, “We

improvement of aesthetic procedures

laser for ablative skin resurfacing

developed VERSAFLEX CL E95

through technology innovations that

applications, such as the treatment

to provide

benefit patients and practitioners,”

of deep lines and wrinkles. The

our medical

said Michael Davin, Cynosure’s

Affirm Er handpiece is designed

customers with

President and Chief Executive

as a complementary fourth

an extrudable

Officer. “Each of the products we are

wavelength for the Affirm Anti-

and water

launching today fulfills that mission.

Aging workstation, Cynosure’s

clear product

Accolade, the sixth flagship product

award-winning platform for

that complies

we have introduced in the past four

anti-aging applications such as

years, creates exciting new revenue

skin rejuvenation, wrinkles, skin

demands of autoclave sterilization.

opportunities for us, particularly

discoloration, and tissue tightening.

We view our new plasticizer-free

with the

technology, combined with our entire

in markets throughout Asia, while SmartSense and Affirm Er enhance

Cynosure, Inc.

phthalate-free TPE product line, as

the benefits and performance of

800.886.2966

the technology platform to support our

our two most recently introduced

www.cynosure.com

customers requiring no phthalates. (Continued on page 84)

march-april 2008 | www.aesthetictrends.com

81—

meetings &

January 2008

The American Academy of Cosmetic Surgery – AACS 24th Annual Scientific Meeting January 17 - 20, 2008 Rosen Shingle Creek Resort Orlando, FL Contact: Moira Murphy 312.981.6762 p www.cosmeticsurgery.org The Orlando Dermatology & Aesthetic Conference – ODAC January 18 – 21, 2008 Buena Vista Palace Orlando, FL Contact: Beth-Ellen Keyes 646.453.5709 www.orlandoderm.org American Academy of Facial Plastic & Reconstructive Surgery – AAFPRS 14th Annual Winter Symposium on the Latest Advances in Facial Plastic Surgery January 18 - 22, 2008 Vail Marriott Mountain Resort and Spa Vail, CO Contact: Ollie Edwards 703. 299.9291, ext 237 p oedwards@aafprs.org www.aafprs.org

February 2008

American Academy of Dermatology – AAD 66th Annual Meeting February 1 - 5, 2008 San Antonio,TX Contact: Robin Downey 866.503.SKIN (7546) www.aad.org Advances in Cosmetic Medical Dermatology – ACMD MauiDerm 08 Advances in Cosmetic Medical Dermatology February 25 - March1 , 2008 Grand Wailea Resort Maui, Hawaii Contact: ACMD Administrative Office www.acmd-derm-hawaii.coml

82 —

March 2008

Medical Spa Expo March 23 - 25, 2008 Los Angeles Convention Center Los Angeles, CA Contact: Reed Exhibitions 800.363.3631 p www.spaandresortexpo.com

American College of Obstetricians And Gynecologists – ACOG 56th Annual Clinical Meeting May 3 - 7, 2008 Ernest N. Morial Convention Center New Orleans, LA Contact: acm@acog.org 202. 638.5577 www.acog.org/acm

Dermatology Nurses’ Association – DNA 26th Annual Convention March 25 - 28, 2008 Las Vegas Hilton Las Vegas, NV Contact: DNA@ajj.com 800.454.4DNA (4362) p www.dna.inurse.com

China Beauty Expo May 20 - 22, 2008 Shanghai New International Expo Center Shanghai, China Contact:Vanessa Kuhlmann +49 711 490 890 0 beauty@businessmediachina.com

June 2008 April 2008

American Society for Laser Medicine & Surgery – ASLMS 28th Annual Meeting April 2 - 6, 2008 Gaylord Palms Resort Kissimmee, FL Contact: Dianne Dalsky 715.845.9283 p dianne@aslms.org www.aslms.org American Academy for Anti-Aging Medicine–A4M 16th Annual International Congress April 25 - 27, 2008 Gaylord Palms Resort & Convention Center Orlando, FL Contact: Aaron Smith 800.558.1267 p www.worldhealth.net

May 2008

American Society for Aesthetic Plastic Surgery – ASAPS/ASERF Annual Meeting May 1 - 6, 2008 San Diego Convention Center San Diego, CA Contact: Linda Stanton 800.364.2147 p www.surgery.org march-april 2008 | www.aesthetictrends.com

Cosmetic Boot Camp 4th Annual Meeting June 12 - 15, 2008 Broadmoor Resort Colorado Springs, CO 888.355.3675 p www.cosmeticbootcamp.com International Esthetics, Cosmetics and Spa Conference – IECSC June 28 - 30, 2008 Las Vegas Convention Center Las Vegas, NV Contact: John Clarke 800.624.3248 info@iecsc.com www.iecsc.com

July 2008

American Academy for Anti-Aging Medicine – A4M July 17 - 19, 2008 Washington, DC Contact: Aaron Smith 800.558.1267 p www.worldhealth.net American Academy of Dermatology–AAD Academy ’08 Summer Meeting July 30 - August 3, 2008 Chicago, IL Contact: Robin Downey 847.330.0230 p www.aad.org

events 2008 August 2008

Face & Body–Spa & Healthy Aging Annual Conference & Exhibition 15th Annual Meeting August 16 - 18, 2008 Moscone North San Francisco, CA Contact: Faceandbody@allured.com 630.653.2155 p www.faceandbody.com

September 2008

Medical Spa Expo September 8 - 10, 2008 Jacob Javits Convention Center New York, NY Contact: Reed Exhibitions 877.271.6789 American Academy of Family Physicians –AAFP Annual Scientific Assembly September 17 - 21, 2008 San Diego, CA Contact: Sondra Biggs 800.874.2237 x 5360 p www.aafp.org American Academy of Facial Plastic & Reconstructive Surgery–AAFPRS Annual Fall Meeting September 18 - 20, 2008 Promer House Hilton Chicago, IL Contact: Ollie Edwards 703. 299.929 p oedwards@aafprs.org www.aafprs.org American Academy of Otolaryngology Head and Neck Surgery–AAOHNS 2008 Annual Meeting & OTO EXPO September 21 - 24, 2008 McCormick Place Convention Center Chicago, IL Contact: Irma Chavez 703.519.1557 p www.entnet.org

International Society of Cosmetic and Laser Surgeons–ISCLS 17th Annual Meeting Date and Location to be Determined Contact: info@thesentergroup.com 312.981.6799 p www.iscls.org

October 2008

International Esthetics, Cosmetics & Spa Conference–IECSC October 4 - 6, 2008 Orlando/OC Convention Center Orlando, FL Contact: John Clarke 800.624.3248 p info@iecsc.com www.iecsc.com China International Beauty Week Date Pending Beijing Exhibition Center, Beijing, China Contact:Vanessa Kuhlmann +49 711 490 890 0 p www.beautyweek-china.com American Society of Plastic Surgeons– ASPS 77th Annual Scientific Meeting October 31 - November 5, 2008 McCormick Place West Chicago, IL Contact:ASPS/PSEF Registration 800.766.4955 p www.plasticsurgery.org

American College of Phlebology–ACP 22nd Annual Congress November 6 - 9, 2008 Marco Island Marriott Resort Golf Club & Spa Marco Island, FL Contact: Dana DePonzi 510.834.6500 p www.phlebology.org American Academy of Ophthalmology–AAO joined with European Society of Ophthalmology -SOE Annual Meeting November 8 - 11, 2008 Georgia World Congress Center Atlanta, GA Contact: Meetings Department 415.561.8500 x320 p www.aao.org International Spa Association–ISPA 18th Annual ISPA Conf. & Expo November 10 - 13, 2008 Las Vegas, NV Contact: Jennifer Spencer 888.651.4772 p www.experienceispa.com American Society of Cosmetic Dermatology and Aesthetic Surgery – ASCDAS 7th Annual Meeting and Exhibition December 4-7, 2008 The Wynn Las Vegas Resort Las Vegas, Nevada Contact: Larry Bodkin 850.531.8330 p lbodkin@ascdas.org

December 2008 November 2008

American Society for Dermatologic Surgery–ASDS 35th Annual Scientific Meeting November 6 - 9, 2008 J.W. Marriott Orlando, FL 847.956.0900 p www.asds.net march-april 2008 | www.aesthetictrends.com

American Academy of Anti-Aging Medicine–A4M 16th Annual World Congress on Anti-Aging Medicine and Regenerative Biomedical Technologies December 11-14, 2008 Venetian Hotel Las Vegas, NV Contact: Aaron Smith 800.558.1267 p www.worldhealth.net

83—

PRESS CORNER

(Continued from page 81)

By choosing this technology, customers requiring a single nonphthalate-containing global product can manufacture and market their

Institute for Aesthetic Medicine Announces New Laser Training Physician and Nurse Networks

products globally.”

California recently passed a bill

“Receiving aesthetic hands-

on laser training in a hotel setting is not conducive to a real-world environment and is potentially risky,” said Michael Gold, M.D., Chief

The Institute for Aesthetic

Medical Officer and co-founder of

(California AB 1108) that will restrict

Medicine (IAM) announced the

The Institute for Aesthetic Medicine.

six forms of phthalates used in any

creation of a nationwide laser-

“Only training in a well-defined

toy or childcare article beginning Jan.

training physician and nurse network

clinical setting can deliver the most

1, 2009. Other states are considering

for plastic surgery and dermatology

professional, efficacious skills.”

similar legislation, and the European

professionals. Laser practitioners

Parliament voted in 2005 to restrict

unable to attend one of IAM’s

in Charlotte, NC, Feb 23-24 (Sciton-

the same six forms of phthalates in

clinical, hands-on certification