winter 2007
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volume 6, issue 6
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aesthetic trends & technologies™
Anti-Aging & WELLNESS Diabetes: An Integrative Approach DERMATOLOGY Medical Photography laser & light technology
Fractional Resurfacing legal case OF the Month Understanding Your Insurance Policy–Part II medical spas Med Spa Metrics–Part III
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editorial advisory panel advisory 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.
Timothy M. Greco, M.D., F.A.C.S.
Nick Morrison, M.D., F.A.C.S.
Jeffrey Weinberg, M.D.
New York, NY
Eastern Cosmetic Surgery Institute, Bala Cynwyd, PA
Morrison Vain Institute Tempe and Scottsdale, AZ
St. Luke’s Roosevelt Dermatology Assoc., New York, NY
Ranella J. Hirsch, M.D.
Neil Sadick, M.D., F.A.C.P., F.A.C.S.
Brian Biesman, M.D. Nashville, TN
Skincare Doctors, Cambridge, MA
Valéria B. Campos, M.D.
Arielle N.B. Kauvar, M.D.
São Paulo, Brasil
Christine C. Dierickx, M.D. Boom, Belgium
New York, NY
Joel Schlessinger, M.D.
Frederick N. Lukash, M.D., F.A.C.S.
Skin Specialists, P.C., Omaha, NE
New York, NY
Dore J. Gilbert, M.D. Newport Dermatology & Laser Associates, Newport Beach, CA
David J. Goldberg, M.D., J.D. Mt. Sinai School of Medicine New York, NY
Sadick Aesthetic Surgery & Dermatology, New York, NY
Corey S. Maas, M.D., F.A.C.S.
Stacey L. Silvers, M.D.
Salt Lake City, UT
featured advisor
Gregory Wiener, M.D., F.A.C.S. Chicago, Illinois
Dermatology Associates Hunt Valley, MD
Cheryl Whitman Beautiful Forever, New Jersey
Carlos L. Wolf, M.D., F.A.C.S. Miami Plastic Surgery, Miami, FL
New York, NY
Cecil Yeung, M.D., F.A.C.S.
Allan E. Sosin, M.D.
Steven E. Zimmet, M.D.
Institute for Progressive Medicine Irvine, CA
Zimmet Vein & Dermatology Austin, TX
The Maas Clinic, San Francisco, CA
Steven Ross Mobley, M.D.
Robert A. Weiss, M.D.
Yeung Institute, Houston, TX
D r . G regory W iener is Board Certified by the American Board of Plastic Surgery, the only plastic/cosmetic surgery board recognized by the American Board of Medical Specialties. The Doctor received his undergraduate degree from Lehigh University in Bethlehem, Pennsylvania, where he graduated as a member of the Phi Beta Kappa Society. He went on to receive his medical degree in his home state at the University of Kansas. He completed a 5-year residency in general surgery at Rush Medical Center in Chicago, as well as Board Certification in General Surgery. He served a 3-year residency in plastic surgery at the University of Illinois at Chicago Hospitals. Dr. Wiener is a member of the American Society of Plastic Surgeons, the largest plastic surgical society in the world. He is also a member of the American Society of Aesthetic Plastic Surgeons, the Chicago Society of Plastic Surgeons, and the Midwest Association of Plastic Surgeons. He is a Fellow of the prestigious American College of Surgeons (FACS).
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.
winter 2007 | www.aesthetictrends.com
—1
Letterfrom the
I
Editor
Business is What We Do...
“Whenever you see a successful business, someone once made a courageous decision.” - Peter F. Drucker, 1909 – 2005 Professor & Writer of Management-Related Literature
In the past several issues, Aesthetic Trends has focused more passionately than ever before on assisting you with the business aspect of your practice. We must be more and more prudent in spending our hard-earned dollars in the current economy. We have also learned to deliver our product to our customers in the savviest ways in order to keep their business. You are no longer dealing with uneducated patients who will try any new treatment that comes along. Patients want to see results, and they are now asking those around them and researching on their own to make sure their dispensable income is going toward a proven procedure with a benchmark. Some of you might think you have a practice and want to practice medicine. Others of you may say, “I want a thriving practice, and I want to cultivate my business.” No matter who you are or where your thought process leads you, your practice can reach its demise very quickly, should you not instill good business sense. Being cautious in understanding business principles and how to apply them to your practice will make all the difference in the world. Of course, to some it may not come naturally to run a business, after all you went to medical school! Be sure to read this issue’s Medical Spas department where Cheryl Whitman finishes off the three-part series on Business Metrics – Measurements for Success. Part III describes how you can gain beneficial knowledge about your business from demographics and lead data, a very powerful tool to better understand your target market and how to effectively generate leads for your practice, resulting in a larger patient base. Trends Editor, Mai Pham, provides an in-depth look at Fractional Resurfacing, a technology that is now in the forefront of aesthetic care. Understanding the offerings within our industry is key in making sure you are providing services that directly reflect an accurate demographic account within your city, helping you to drive your business further. In the Practice Management department, read how you can offer your patients easy payment methods that also make a financial difference in the structure of your revenue sources. And, also find out what to do in this credit crunch marketplace to continue delivering your message to your patients and to keep them coming back. I have had the opportunity to observe several practices across the country in all stages of business, i.e., the thriving practice run by a physician with entrepreneurial spirit; the new practice with the physician just coming out of medical school and wanting to do everything the right way, but needing a push; and the physician who just didn’t have the right staff and is now considering selling his practice to a physician down the street who is a booming competitor needing additional office space to continue growing. No matter where you are within the practice landscape, think about how you could help your business progress. Be courageous. Make a decision that can alter the way you do business for the better. Use the tools we have provided you and continue to share with you in areas that will help to make a monumental change in the future of your practice. Happy Holidays & Bright New Year to All!
Cindy Vandruff Editor in Chief Aesthetic Trends & Technologies, Inc.
2—
winter 2007 | www.aesthetictrends.com
winter
2 0 0 7
departments
7
7
anti-aging & wellness
13
dermatology
21
laser & light technology
55
legal case of the month
61
medical spas
77
plastic surgery
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practice management
21 13 7
Anti-Aging & Wellness Diabetes: An Integrative Approach
13
Dermatology Gold Skin Care Center
21
Laser & Light Technology Micro-Ablative Fractional Resurfacing
33
Stock Report Cutera, Inc.
39
Product Listings Evolving Technologies/Laser & Light Technology
55
Legal Case of the Month Understanding Your Insurance–Part II
winter 2007 | www.aesthetictrends.com
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—3
volume 6 issue 6 | winter 2007
in every issue 2
letter from the editor
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laser & light technology product listings
45 69
ATnT subscription form microdermabrasion product listings
89
press corner
92
meetings & events calendar
61
77 67 FEATURED MEDICAL SPA–Laser Dermatology Institute Beverly Hills, California
4—
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Medical Spas Med Spa Metrics–Part III
67
Featured Medical Spa Laser Dermatology Institute
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Product Listings Microdermabrasion
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Net Visibilities
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Plastic Surgery Male Procedures
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Practice Management Credit Card Processing Made Simple
88
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editor in chief
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David J. Goldberg, M.D. Mark Greenberg Lou Haggerty, PUMC Nicanor G. Isse, M.D. Benjamin Kessler Dawn Larsen Marc Mataya 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
Debra Price, M.D. Robert Prince Dr. Zakia Rahman Matthew Schulman, M.D. Asad Shahsavari, N.M.D. Steven D. Shapiro, M.D. Allan Sosin, M.D. Rada K.Tierney Ken Washenik, M.D., Ph.D. Greg Washington Sara Wasserbauer, M.D. Cheryl Whitman Gregory Wiener, M.D., F.A.C.S. Steven E. Zimmet, M.D.
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winter 2007 | www.aesthetictrends.com
—5
D
at t
Diabetes: An Integrative Approach
By Allan Sosin, M.D., Editorial Advisor
Diabetes and obesity go hand in hand.
refined foods of high caloric density.
treadmill at a 15 degree grade uses
The epidemic proportions of diabetes
correspond to the growth of our body
impossible, to walk. Motorized vehicles
up 250 calories. Doing that for 7 days
proportions. Nor is this problem
are everywhere. The highways are
pound of body fat. Every two weeks you
restricted to the United States and
glutted with cars. “Rush hour” is
lose another pound.
the rest of the Western world. South
defunct terminology, since the rush
America, Asia including China and
and the jam encompass all our waking
weight; but it makes you feel better,
Japan, the Middle East, and North
hours. You would not suggest that
enables you to perform other activities
Africa are all beset with explosive
a field hand go to a health club after
faster and longer, and reinforces the
obesity and concomitant diabetes.
spending eight hours
There are 1.3 billion overfed people
bending, picking, lifting,
in the world, and that number is
and carrying. Most of
increasing rapidly.
us aren’t able to exercise
It has become inconvenient, if not
in the course of our
THE ISSUES FOR HUMANITY
daily routine. We have
to schedule exercise
Why? We have developed
anti-aging n & wellness
anti-aging & wellness
burns 1750 calories, equal to half a
Exercise is not a rapid way to lose
Diabetes is defined as a fasting blood sugar of 126, or a blood sugar of 200 after eating. There are 20 million diabetics in the United States.
technology to feed all of humanity.
as a separate activity
Starvation is now the result of war,
requiring allotted time and often more
major lifestyle therapy for overweight
political suppression, and poverty,
driving. Exercise is another job to do.
and diabetes-correct nutrition. I walk
leading to a maldistribution of
and run one and a half miles every day,
resources. The well-fed majority is
WHAT EXERCISE CAN DO
running uphill and walking downhill,
succumbing to a different opposition
for 30 minutes. In order do that I wake
- sedentary lifestyle and the ingestion of
calories. Walking one mile on a
Walking one mile uses up 100
winter 2007 | www.aesthetictrends.com
up 30 minutes earlier every morning. A
—7
anti-aging & wellness
couple days a week I also swim and lift
history, it has become normal for adult
NUTRITIONAL THERAPY
weights.
Americans to be overweight. Those
Diabetes is defined as a fasting
who are overweight comprise 65% of
prediabetes, obesity, and overweight
blood sugar of 126, or a blood sugar of
us. Childhood overweight and obesity
should implement a low glycemic
200 after eating. There are 20 million
have doubled in the last ten years, and
index diet. Glycemic index indicates
diabetics in the United States. Because
are now a major cause of diabetes in
how much a specific quantity of a
early diabetes produces no symptoms,
children.
food will raise the blood sugar. High
it is usually discovered during routine
The complications of diabetes
glycemic index items, which raise the
laboratory testing. One third of those
are all directly related to the degree
blood sugar more, are generally high
with diabetes are undiagnosed.
of blood glucose elevation. These
in carbohydrates, especially refined
include heart attack and stroke,
PRE-DIABETES
sugar and starches. These include
kidney failure, blindness, peripheral
almost anything made from flour, such
neuropathy causing pain, weakness
as bread, bagels, pizza, cake, cookies,
who have pre-diabetes, defined as a
and paralysis in the legs, and peripheral
doughnuts, or pancakes, or anything
fasting blood sugar above 100 but less
vascular disease causing leg ulcers and
containing refined sugar or corn syrup,
than 126. These people are at high
amputation. Diabetes is the major cause
such as soft drinks, candy, cold cereals,
risk of developing diabetes as they get
of blindness and kidney failure in the
older, since diabetes is an age-related
United States. The better the control of
phenomenon. Moreover, research
diabetes, the fewer the complications.
There is a larger group of people
reveals that prediabetics have a greatly increased risk of heart disease. There
TREATMENT GOALS
are an estimated 50 million of these
people in the United States. Most of
a glycohemoglobin, or hemoglobin
them are overweight.
A1C level, less than 7. Hemoglobin
The goal of treatment is to achieve
A1C indicates the
average blood sugar level
Walter Willett, a renowned nutritional epidemiologist at the Harvard School of Public Health, states that an increase of body mass index from 20 to 25 quadruples the risk of getting diabetes.
during the preceding 60-90 days, and takes into account fasting and post-prandial changes. Eating always raises the blood sugar level, but it
Walter Willett, a renowned
determines how much the blood sugar
Harvard School of Public Health, states
will rise. An ideal hemoglobin A1C
that an increase of body mass index
level is 5. Levels between 5 and 7 are
from 20 to 25 quadruples the risk of
consistent with a prediabetic, or insulin
getting diabetes. An increase of body
resistant state. As noted, individuals
mass index up to 30, which defines
with these levels are at greater risk
obesity, increases the risk of diabetes
of heart attack and stroke. Certain
30-60 times.
factors may artificially influence
hemoglobin A1C, particularly iron
A body mass index of 25 defines
overweight. For the first time in
8—
is the type and quantity of food that
nutritional epidemiologist at the
deficiency, which will raise it.
winter 2007 | www.aesthetictrends.com
Nutritional therapy of diabetes,
A Good Diet Helps with Diabetes
glycemic starchy foods include French fried potatoes, chips, corn, and white
The diet that helps weight control also helps diabetes. The diet that helps diabetes also helps weight control. It has the following specifications:
rice. Many individuals consume the majority of their calories from these
1. Low glycemic index foods 2. High fiber 3. Avoid refined carbohydrates and sugars 4. Limit starchy foods 5. Eat three meals daily plus snacks 6. Do not miss breakfast or lunch. You will end up gaining more weight. 7. Lots of vegetables, legumes, beans, and unsalted nuts 8. Fruits primarily berries, apples and pears, avoiding high glycemic tropical fruits such as bananas and pineapple 9. No soft drinks 10. No juices 11. Very little bread 12. Animal products that are low in saturated fat, especially fish 13. Diabetics may have up to 7 eggs a week without raising cholesterol 14. Lots of water, 6-8 glasses a day
foods. Some children take in 1,000 calories in soft drinks every day. One soft drink a day causes the average child to gain 2 pounds a year, every year.
Low glycemic foods include all
vegetables except root vegetables such as potatoes and carrots. Green vegetables, including broccoli, Brussels sprouts, spinach, lettuce, cabbage, and celery, all have a very low glycemic index, and can be eaten freely. They will not raise the blood sugar level. Foods
anti-aging & wellness
and commercial bakery products. High
high in vegetable fats also tend to be low glycemic, including nuts and avocadoes.
CONVENTIONAL DIABETIC THERAPY
High protein products are also low
glycemic, and these include eggs, fish,
against both diabetes and obesity.
It is remarkable that conventional
chicken, meat, soybeans, and milk.
Fiber is undigestible carbohydrate that
diabetic therapy is directed almost
adds volume to food but no calories.
exclusively to medications alone, with
High fiber foods are protective
FOOD CHOICES
Fiber also slows the absorption of other little attention to diet, exercise, and
There is another consideration in
food components. Whole fruits contain
lifestyle issues. It is as if patients were
making food choices, called glycemic
large amounts of fiber, and do not raise
considered to have no self-determinism
load. The glycemic load indicates the
the blood sugar as much as fruit juice,
in their own lives, or that lifestyle factors
effect of the quantity of food ingested
from which fiber has been removed.
were of no significance. The physician
on the blood sugar. It takes into account
Vegetarian foods all contain fiber,
orders drugs, perhaps sends the patient
how much of that food you actually
while animal products contain no fiber.
to a nutritionist, and requires no feedback
consume. Ten doughnuts have ten times
The more refined the food, the less
from either the nutritionist or the patient
the glycemic load of one doughnut.
fiber it contains. Whole grain bread,
regarding what was recommended or
Although carrots have a higher glycemic
containing 3-4 grams of fiber per slice,
followed. I have seen child diabetics
index than pizza, you would have to
is much preferable to refined white
enter my office carrying cold cereals and
eat a dozen carrots to raise the blood
bread, which may contain no fiber.
juice drinks, whose parents were never
sugar as much as two slices of pizza.
Lists are available indicating the
told by the nutritionist or physician that
Therefore, carrots are safer than pizza.
amount of fiber in various foods. An
such foods were poor choices. I have
In practice, if you’re going to eat the
apple provides 4 grams of fiber. High
seen chart records of obese patients
wrong foods, don’t eat so much of them,
fiber intake lowers both blood sugar
placed on massive doses of both oral
and don’t eat them every day. I often
and body weight. Most Americans
agents and insulin, whose weight
suggest to people that they choose one
get only 10 grams of fiber daily.
increased even more. The physician was
day a week to eat whatever they want,
They should get 25 grams. Diabetics
content, as long as he could get the blood
but only once on that day.
should get 50 grams.
sugar down with drugs.
winter 2007 | www.aesthetictrends.com
9—
anti-aging & wellness
LABORATORY TESTING
Valuable Nutritional Supplements
Special laboratory testing is very useful: 1. Hemoglobin A1C – to assess progress and status. Since it does not require
1. Omega 3 fatty acids (fish oil) – at least 1500 mg of EPA/DHA daily.
the fasting state, it may be used for
These will improve blood glucose control, lower blood pressure,
diabetic screening. A level of 5 is
reduce triglyceride levels, and reduce the risk of heart disease and
ideal, over 5 but less than 7 suggests
sudden death.
an emerging prediabetic state, and
2. Alpha lipoic acid – 400-1500 mg daily. This is a potent antioxidant
over 7 strongly suggests diabetes.
that will lower blood sugar and prevent diabetic injury, especially
2. Three hour glucose-insulin
to eyes and nerves. Higher doses are used for neuropathy. We
tolerance test (GITT) – The
sometimes use it intravenously as well.
individual drinks a high sugar
3. B vitamins – vitamins as well as minerals are lost in large amounts
liquid. Blood is drawn at 0, 30, 60,
through the urine of diabetics, as glucose pulls them out. Nutrient
120, and 180 minutes and tested
deficiencies further impair glucose control and damage cells.
for insulin and glucose levels. This
4. Magnesium – 400-1000 mg a day. Magnesium controls glucose
is a very sensitive test and can
levels, stabilizes heart rhythm, and lowers blood pressure.
detect diabetes or prediabetes in
5. Cinnamon, gymnema sylvestre, chromium, and vanadium – these
people with normal fasting blood
are herbs and minerals that improve glucose by enhancing the
sugar levels. Insulin measurements
action of insulin.
reveal if the individual is releasing large amounts of insulin to keep the blood sugar under control and
are a marker of insulin resistance
and reversible. It can be kept from
and a tendency toward diabetes.
occurring despite family history to the
We employ this test frequently in
contrary. It can be made to disappear
our practice. Triglycerides may
by pursuing lifestyle changes that
also be measured during this
enhance insulin sensitivity and reduce
test. High triglycerides indicate a
or eliminate the need for medication.
predisposition to heart disease from
I disagree with the automatic
sugar intake.
prescription of medication to a diabetic
3. Continuous glucose monitoring
10 —
Diabetes is both preventable
who has not first been offered nutrition,
Allan E. Sosin, M.D., is a Volunteer Faculty Member of the University of California, Irvine, CA, and is a Staff Physician at the IrvineRegionalHospital, Irvine, CA. In addition, he is Founder and Medical Director of the Institute
system (CGMS) – A fine needle
nutrient supplementation, and exercise
is placed under the skin of the
therapy.
abdomen. It is connected to a small
Doctors in our practice see hundreds
Board of Internal Medicine; Diplomate,
portable device worn on a belt
of diabetic and prediabetic, overweight,
Nephrology; and Diplomate, American
for three days. It records multiple
and obese adults and children. It is
Board of Chelation Therapy. Address
blood sugar readings during the day
most beneficial to approach these
correspondence to Allan E. Sosin, M.D.,
and night. A diary is kept of foods
individuals with a full assortment
Institute for Progressive Medicine,
ingested. Blood sugar readings
of lifestyle approaches to assert the
4 Hughes, #175, Irvine, CA 92618.
are compared with the foods eaten
possibility of controlling and reversing
Dr. Sosin can be reached at
to determine specific glucose
their conditions. Young people,
949.600.5100 or visit his website at:
sensitivities. The individual then
especially, should learn that they can
www.iprogressivemed.com.
knows which foods are safest to eat.
take responsibility for their health.
for Progressive Medicine, Irvine, CA. Dr. Sosin is a Diplomate, American
winter 2007 | www.aesthetictrends.com
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dermatology
H
Medical photography— an essential part of this highly successful practice
at t
By Michael H. Gold, M.D., Editorial Advisory Director
High quality medical photography is a
comprised of four divisions and 55
regard to our photographic hardware
key component of patient care at Gold
employees in a 20,000 square-foot
and software systems, and their benefit
Skin Care Center (GSCC) of Nashville,
facility.
in terms of photographic documentation
Tennessee. Helping to drive continuous
for patient communication, treatment
improvement and growth in patient
Skin Care Center dermatology and
services, proper photographic records
dermatologic surgery
have established the practice as a
clinic, the founding
leading center for laser and light-based
company; The Laser &
aesthetic services.
Rejuvenation Center,
devoted solely to the
From specialized imaging platforms
GSCC’s four divisions are Gold
plans, and outcome tracking.
Quality images in the medical record not only improve patient care, they are also the most comprehensive and inexpensive insurance available.
such as VISIA® Complexion Analysis
aesthetic needs of
System and OMNIA® Facial Imaging
patients; Advanced
System to Mirror® Image Management
Aesthetics Medi Spa, for relaxation
Software from Canfield Scientific,
and renewal; and The Tennessee
quality medical photography is not
Inc. (Fairfield, NJ), GSCC’s use of
Clinical Research Center, providing
optional—it is mandatory. In today’s
photographic hardware and software
clinical research services for general
world of third-party payers and an
tools has progressed in tandem with the
dermatology and dermatologic surgery,
ever-escalating incidence of litigation,
development of laser and light-based
including laser and light-based devices
photographs have become part of the
technologies for dermatologic and
and treatments.
patient medical record. Without proper
aesthetic treatments.
photographic documentation—and
independent business unit, there is also
particularly for anything cosmetic—the
office in 1989—myself, a nurse, and a
a dynamic synergy created through the
case history can easily degenerate to
receptionist—Gold Skin Care Center
cross-flow of patients, staff, and shared
nothing more than one person’s word
has grown to become a medical campus
resources. This is especially so with
versus another’s. Quality images in
From our initial three-person
dermatology n
Gold Skin Care Center
While each division functions as an
winter 2007 | www.aesthetictrends.com
Throughout the entire company,
13—
dermatology
the medical record not only improve
on each patient visit. This
patient care, they are also the most
practice, which has been
comprehensive and inexpensive
incorporated in our day-to-day
insurance available.
operation, allows us to be able to show people they are actually
The Laser & Rejuvenation Center With the largest and most
getting better.
advanced collection of lasers and light
Advanced Aesthetics Medi Spa
sources in the Southeast, The Laser
& Rejuvenation Center acts as the
services menu designed
technological hub for the practice. The
for relaxation and renewal,
VISIA Complexion Analysis is often
Advanced Aesthetics Medi Spa
used within The Laser & Rejuvenation
provides certified aestheticians
Center, where one hundred percent of
for consultations and services
the patients are digitally imaged. All
such as skin care, makeup,
of these photos are stored within Mirror
micropigmentation, and eyelash
software, allowing both the patients as
extensions.
well as the staff to visually access the
progress of the patients’ treatment.
skin care improvement, imaging
and analysis is often done with
With the ability to track even
In addition to a complete
For medi spa clients seeking
subtle changes, VISIA provides us
the VISIA system. The medi
with in-depth documentation and
spa aestheticians also work
communication capability. For instance,
cooperatively with laser center
when administering photodynamic
staff assuring that each patient
therapy (PDT), you can actually show
receives the best design for
a patient the number of porphyrins on
the most effective treatment
Day 63 (Top) and 30 Days Post Treament (Below). Photos Courtesy of Michael H. Gold, M.D.
programs. Working as a team, they set a good
Pathologists put the pieces of puzzles together, so including a photo allows the opportunity to have one more piece of the puzzle.
example of how the different
partnered with Colorescience Micronized
divisions assist each other.
Mineral Makeup (Dana Point, CA). The
Similarly, medi spa
Colorescience team was on site for free
aestheticians, laser center
makeup and skin care consults as well
and clinical dermatology staff
as mini-lectures on sun safety and skin
the skin, the UV spots on the skin, red
all worked together this past May
care. To demonstrate the importance
and brown spots, wrinkles, and more.
promoting Skin Cancer Awareness
of skin cancer screening, we continued
The most recent development in skin
Month. GSCC hosted a kick-off event in
to promote additional free screenings
analysis has been the introduction of
conjunction with the national program
throughout May, June, and July.
RBX imaging capability within VISIA.
that featured spokesperson Marcia
RBX enhances viewing and analyzing
Cross of Desperate Housewives.
Gold Skin Care Center
of vascular and melanin conditions.
During the month of May, the clinical
Even with the growth of the entire
staff of GSCC provided free skin cancer
practice over the years, a significant
photograph a patient, it is simple—any
screenings; the medi spa aestheticians
portion of my time remains devoted to
cosmetic procedure requires a picture
provided free skin care analysis and
general dermatology and dermatologic
As for how frequently we
(Continued on page 17)
14—
winter 2007 | www.aesthetictrends.com
spotlight
Clarisonic Skin Care System
Reliant Technologies
FRAXEL®
From the lead inventors of the Sonicare Toothbrush comes a
The Fraxel Skin Ecology
breakthrough technology in skin care: the CLARISONIC Skin
System is a skincare line
Care System. Used pre-treatment by top dermatologists and
specifically formulated
spas throughout the country and now available to consumers,
and dermatologist-
the proprietary sonic technology found in Clarisonic has
tested to enhance the
proven to be instrumental in improving facial cleansing, the
experience of Reliant’s
first and most important step in any beauty regimen. To keep
Fraxel laser treatment, a
the skin glowing past the holiday season, or to refresh in
skin rejuvenation therapy
between the holiday rush, Clarisonic is the key to perfect skin.
that provides patients with effective, consistent results without
significant downtime and risk of complications.
Pacific Bioscience Laboratories, Inc. continues skin-
dermatology
spotlight
Pacific Bioscience Labs
related research on the benefits of the Clarisonic. Recently
completed studies will be summarized in poster presentations
cosmeceutical line that includes deep hydration masks, green tea
The Fraxel Skin Ecology System is a physician-dispensed
at the 2008 annual
infusion masks, antioxidant infusion serum, foaming cleanser, daily
meeting of the
moisturizer (SPF 30) and hydrating night cream. All components
American Academy
are formulated to enhance the experience of the Fraxel treatment
of Dermatology
by moisturizing, cooling and protecting the skin throughout the
(AAD) in February;
patient’s Fraxel treatment cycle and beyond as part of a healthy
studies include use
skincare regimen. Fraxel Skin Ecology System products will be
of Clarisonic as a
available at physicians’ offices.
“high-tech” shaving
brush to reduce razor
protect a patient’s skin following Fraxel laser treatment,” said Anja
rash and irritation,
Krammer, vice president of marketing of Reliant Technologies.
the reduction in
“This cosmeceutical line is formulated using natural ingredients
the appearance of
that are hypoallergenic and fragrance-free to provide a gentle
fine lines, clearing
after-treatment regimen.”
“The Fraxel Skin Ecology System is designed to soothe and
of congested pores, and a pilot safety study on subjects with
rosacea. We invite you to come by our booth at the AAD to
considered the experience of the physicians who have performed
“In developing the Fraxel Skin Ecology System, we
discuss our latest research with Robb Akridge, PhD (Co-
Fraxel laser procedures to create a skincare line that moisturizes,
founder and Vice President of Clinical Affairs). Be sure to ask
cools and soothes the skin, uses natural ingredients, and comprises
him about our recent grant award from the NIH to develop
a comprehensive regimen that begins the moment a Fraxel
a new related device for the cleansing and debridement of
treatment ends,” said Ms. Krammer.
diabetic foot ulcers; a chronic wound condition that, even
with current standard of care, results in tens of thousands of
tea infusion masks are available for purchase. We will launch
amputations each year.
additional Fraxel Skin Ecology System product options after the 1st
Effective immediately, the hydration masks and green
of the year.
Pacific Bioscience
425.283.5700
Relaint Technologies
www.clarisonic.com
888.4FRAXEL
www.clarisonic.com
winter 2007 | www.aesthetictrends.com
15—
surgery. As it always has, medical
piece of the puzzle. My experience
investigators to meet the study sponsor’s
photography continues to play an
has been that the pathologists greatly
requirements. Canfield is the most
important role in my dermatology
appreciate receiving the photos because
widely recognized company in clinical
practice.
this gives them more information.
research imaging.
For instance, if I have a large
Anything that can provide more insight
skin cancer that I’m taking care of,
is much, much better for both the
dedicated to research photography. The
it is always imaged with a grading
physician and the patient.
team at TCRC always utilizes standard
scale beneath the lesion because
The Research Center has two rooms
backgrounds, always places the subject
documentation is essential. From the
Tennessee Clinical Research Center
in the same position, and does not move
insurance company point of view,
the cameras from the room to which it is
the photograph becomes part of the
dermatology and dermatologic surgery
assigned. Consistent environment allows
medical record. We also photograph
research, Tennessee Clinical Research
for consistent photographs. Having
unusual rashes and other extraordinary
Center (TCRC) is regarded as one of
designated photography rooms also
cases. Not only does this help with
Tennessee’s leading clinical trial sites,
allows for body imaging. With stand-
documentation of medical records, it
with an existing database of more than
alone digital equipment imaging, large
also allows the patients to see their
75,000 patients.
surface areas become easy to manage.
device manufacturers use photographic
Facial Imaging Systems. The OMNIA
with images in addition to tissue
documentation to prove efficacy of the
is a great system for positioning the
samples. Pathologists put the pieces of
product or treatment during research.
patient’s head and then having the ability
puzzles together, so including a photo
Often specialized apparatus, training,
to rotate the camera system 90° to either
allows the opportunity to have one more
and support are provided to the
the left or right side. With the ability to
improvements throughout the visits.
For biopsies I provide pathologists
dermatology
(Continued from page 14)
Initially formed to conduct
Large pharmaceutical and medical
TCRC also possesses two OMNIA
overlay photos from session to session, the OMNIA is one of the best devices on the market for picture consistency. It produces excellent patient images in a minimal amount of time.
Because consistency of research
imaging is so vital, the stringent requirements involved provide additional benefits to the other divisions within Gold Skin Care Center. Basically, we have been fortunate The VISIA Complexion Analysis System with RBX Technology
with the number of research studies conducted with Canfield over the years. Occasionally, we retain them to come on site and train members of GSCC on our non-research photo systems.
Imaging systems support
With thousands of images generated
among Gold Skin Care Center’s four divisions, a master imaging database for
winter 2007 | www.aesthetictrends.com
17—
dermatology
maintenance and access is a necessity.
become part of our standard operating
Because images have to be readily and
procedures, we can only benefit in the
Michael H.
easily accessible, we have chosen to
long run.
Gold, M.D. completed his
work with the Mirror software system. of the campus computers but is user
The next evolution of medical photography
specific, which assists in confidentiality.
more effective delivery systems and
The software is interfaced with many
GSCC has people in each
As treatments continue toward
undergraduate studies at Tulane University in 1981 in New Orleans,
department who are assigned to
therapies, the hardware and capabilities
download and label pictures. It was
for medical photography continue
a conscious decision to make such
to evolve as well. Already, both in
an assignment, expecting that with
research and in mainstream medical
School in 1985 and was part of the
consistency comes reproducible and
photography, we are beginning to see
first class to utilize and graduate from
usable pictures. Again, with fewer
increasing movement toward the next
the North Chicago Medical School
people handling the photos, we are
major development, a new frontier of
campus. He performed an internship in
able to maintain patient confidentiality.
volume and form, of height, breadth
internal medicine at Emory University
Louisiana. He obtained his medical degree from the University of Health Sciences/The Chicago Medical
and depth—medical photography and
in Atlanta before returning to the
photography at Gold Skin Care
analysis in 3-D. As can already be seen
Chicago area to complete his training
Center is that constant striving for
in the development of both the GFM’s
in dermatology at Northwestern
improvement. As this photography
Primos™ and Canfield’s VECTRA™
University Medical Center. At
becomes part of our medical records,
systems, this type of quantitative
Northwestern, Dr. Gold trained under
it is vital that reliable, dependable
analysis will impact our ability to
the leadership of Henry H. Roenigk,
pictures be taken on each visit. It
make better patient assessments and,
is critical that we all slow down to
therefore, better diagnoses. It is only a
remember that proper documentation
matter of time before they become the
is vital. I have faith that as this has
standard.
Underlying all the medical
M.D., a world renowned expert in cosmetic, surgical dermatology. Dr. Gold is the founder of Gold Skin Care Center and Advanced Aesthetics Medi Spa located in Nashville, Tennessee. Dr. Gold is a Board Certified Dermatologist who oversees the various
Canfield Imaging Systems Product Lines
facets of the Center’s operations, a combination of medical and surgical
18 —
Product
Applications
dermatology, cosmetic dermatology,
VISIA® Complexion Analysis System
Automated facial analysis of eight skin features, including on-screen displays, reports, and patient communication tools
aesthetic services, and research
OMNIA® Facial Imaging System
Repeatable facial images for medical records, patient consultation, pre- and post-op review
national and international reputation
Mirror® Medical Imaging Software
An integrated suite of medical imaging applications, including capture, archiving, simulation, and analysis
edge technological advances and has
VECTRA® 3D Imaging System
Scalable three-dimensional imaging systems for documenting plastic surgery procedures.
and aesthetic care. He is the author of
IntelliStudio™ Clinical Photography System
A simple-to-use, integrated photo studio including camera support and lighting in a versatile, mobile facial-to-full-body imaging system
Dr. Gold is an Adjunct Instructor at
DermaTrak Skin Imaging Centers
A nationwide network of Total Body Photography service centers serving dermatologists and patients with body mapping services and products for cancer screening
winter 2007 | www.aesthetictrends.com
endeavors. Dr. Gold has earned a for providing patients with leading expertise in all facets of dermatology over 75 published scientific articles. Vanderbilt University Medical Center in the Department of Medicine.
Let’s Join Hands for a Cure. Show your support for breast cancer research, treatment, and education when you wear The Pink Glove while performing services. For each box of gloves sold during this promotion, $5.50 of the purchase price will be donated to City of Hope. You’ll help fight breast cancer and your clients will be inspired by your commitment. Hand-in-hand we can help find the cure. The Pink Glove is lightly powdered, latex-free vinyl, and embossed with ribbon logo. Available in small or medium. $9.99 per box of 100.
To order now visit:
www.thepinkglove.com City of Hope, an innovative biomedical research, treatment and educational institution, is dedicated to the prevention and cure of cancer and other life-threatening diseases.
Micro-Ablative Fractional Resurfacing
By Mai Pham, Trends Editor
For several years now, the laser
Dieter Manstein showed a prototype
achieve better results in one session
industry has been repackaging old
fractional CO2 device video, where
than non-ablative technologies, with
technologies with more power, bigger
one could see immediate skin
significantly less downtime than full
spot sizes, better software, and better
tightening and contraction upon
face laser resurfacing. This family
treatment protocols. But there hasn’t
contact with the fractionated laser
of devices includes fractional CO2 as
been anything really new or exciting
beam. The video
until now.
was captured in
real time, so this
F
I hear it in the voices of the
at t
An overview of fractional CO2
Micro-ablative fractional resurfacing purports to achieve better results in one session than non-ablative technologies, with significantly less downtime than full face laser resurfacing.
physician-researchers I interviewed
was not a lighting
for this article. One of them
trick, a photoshop
specifically told me that he didn’t
touch-up, or
want to appear overly exuberant or
strategic placement
enthusiastic, even though his tone
of the camera
indicated otherwise. I can understand
angle that so often accompanies new
well as fractional 2940nm Er:YAG
his enthusiasm, having received a
technology presentations. This was
devices; but for the purposes of this
preview of this new technology at
the real deal.
article, we will limit our discussion to
last year’s Laser and Aesthetic Skin
the three main manufacturers offering
Therapy meeting in Boston.
exciting new technology is available
fractional CO2 technology: the Fraxel
to consumers. Micro-ablative
re:pair™ (Reliant Technologies), the
fractional resurfacing purports to
Ultrapulse® Encore™ and DeepFX™
I remember the excitement that
spread through the room when Dr.
laser n & light technology
laser & light technology
Roughly one year later, this
winter 2007 | www.aesthetictrends.com
21—
laser & light technology
(Lumenis), and the MiXto SX (LaseringUSA).
Ultrapulse Encore ActiveFX and DeepFX
Why fractional CO2?
With software upgrades and a couple
To explain why fractional CO2 makes
of interchangeable handpieces,
sense, one must have an understanding
Lumenis transforms its traditional CO2
of full face ablative resurfacing. Full
laser, the Ultrapulse Encore, into a
face CO2 resurfacing is widely regarded
micro-ablative fractional resurfacing
as the gold standard in laser facial
device. The ActiveFX ablative mode
rejuvenation. One single procedure
has been on the market for over a
with this device can treat a wide variety
year, while their true fractionated
of skin conditions: wrinkles, solar
DeepFX ultrascan just became
lentigines, keratoses, acne scarring,
available this October 2007. I had
poor skin texture. In addition, the
the opportunity to view the first
Figure 1.
thermal effect generated by the CO2
live demonstration in Buenos Aires,
is quite simple. I will forego a
laser results in tissue-tightening, an
Argentina.
discussion about MaxFX because its
effect not achieved via 2940nm Er:YAG
uses were unclear to me.
resurfacing.1
of treatments for the fractional CO2
To get the increased effectiveness
Lumenis has created a portfolio
modality. For me, the verbiage is very
sizes from which to choose: a 1.2mm
of CO2 resurfacing, patients pay the
confusing when we start talking about
microspot and a .12mm microspot.
price in pain, downtime, and wound
the different treatment protocols:
care. CO2 resurfacing requires
ActiveFX, DeepFX, PigmentFX,
true microspot. In this mode, roughly
anesthesia or IV sedation, and can
TotalFX, MaxFX, but the technology
70% of the skin is ablated at a more
cause complications such as infection, pigmentary changes, and scarring. It is also not possible to treat off face into the neck area, and can leave a line of demarcation between the face and neck.
Micro-ablative fractional CO2
resurfacing is the laser industry’s solution to the ablative/non-ablative conundrum: how do you increase efficacy without the downtime and the complications? With microablative fractional CO2 you get tissue tightening, textural, and pigmentary improvement in one session, 4-5 days’ worth of downtime, no oozing or prolonged erythema; and as a bonus, you can treat off the face, meaning no line of demarcation at the neck and Figure 2.
better complexion blending.
22 —
Basically, there are two microspot
winter 2007 | www.aesthetictrends.com
The larger 1.2mm spot is not a
to the next. This scanning pattern
improvement of about 2 on a 5 point
Lumenis refers to these modalities
reduces thermal damage that can
scale by blinded investigators, and
as the PigmentFX and ActiveFX,
cause complications, increased
evidence of collagen remodeling and
with the PigmentFX targeting
downtime, and patient pain. As
neocollagenesis in the histology 6
dyschromias, and the ActiveFX
a result, the procedure can be
months after treatment.
targeting dyschromias and wrinkles.
performed after application of a
The superficial depth does not allow
topical numbing agent, and the
Dr. Goldberg, is that the patient only
the heat to penetrate deep enough
patient does not experience more
needs to do 1 treatment, then takes a
for significant skin tightening, so the
than slight crusting or sunburn-like
few days off, whereas with the Fraxel
DeepFX was developed.
redness and pain.
SR and other fractional non-ablative
The DeepFX uses the smaller
The upside to this procedure, says
technologies, the patient must return
0.12mm microspot to drill tiny holes
WhAT THE EXPERTS SAY:
for 4 or 5 sessions and still have some
at a much higher depth of penetration
I interviewed David J. Goldberg,
slight downtime. For the ActiveFX,
of 500-700 microns. It is theorized
M.D., Director, Skin Laser & Surgery
the downtime is about 3 days, while
that the DeepFX causes more tissue
Specialists of NY/NJ, Director,
the DeepFX downtime is about 2
Before Treatment.
laser & light technology
superficial depth of penetration.
Immediately After Treatment.
14 Days After Treatment.
60 Days After Treatment.
Lumenis ActiveFX Progression. Photos Courtesy of David J. Goldberg, M.D.
tightening and collagen remodeling,
Laser Research, Department of
days. When one combines both
thus it is used to target acne scars and
Dermatology, Mount Sinai School
procedures, the downtime is roughly
to help with skin laxity.
of Medicine, New York, NY, who
4 days. “There is no single device
The TotalFX combines both the
recently completed a study on
that does everything,” but, he says,
superficial, large microspot modality
this device. The study followed
“this device (ActiveFX) is absolutely
with the small microspot modality to
15 patients for 6 months after one
a winner and patients are happy with
treat dyschromias, wrinkles, scars,
ActiveFX procedure. The goals of
it so long as you tell them there will
and get tissue tightening in two
the study were to see: 1) Does it
be a few days of downtime.”
different passes. One pass of the
work, 2) Safety and healing time,
DeepFX is performed, followed by
and 3) Histology. There were no
with Dr. Robert Weiss, President-
another pass in ActiveFX mode.
complications. The results were
Elect of the American Society of
The Lumenis device also employs
extremely promising, showing a
Dermatologic Surgery 2007, Associate
a non-sequential scanning algorithm
drop in the mean solar elastosis
Professor of Dermatology at Johns
so that no one microspot is adjacent
score from 4.2 to 2.7, textural
Hopkins, and Director of
I had the pleasure of speaking
(Continued on page 28)
winter 2007 | www.aesthetictrends.com
23—
Why did Reliant Technologies spend more than two years optimizing the wound healing response and investigating tens of thousands of histologies?
速
Why did Reliant Technologies complete a three-phase, ten-site FDA-cleared clinical trial with more than four hundred patient treatments?
Why did Reliant Technologies engineer the broadest range of treatment modalities, design them into one handpiece and offer them i n a s i n g l e t re a t m e n t ?
Why are we so serious about our science and engineering?
Because... it’s what you expect when you buy a Fraxel brand product. ®
INTRODUCING THE LATEST MEMBER OF THE FRAXEL FAMILY: The Fraxel re:pair™ Laser System LIST: O D O T an ce in a p s e air™ v Reser Fraxel re:p ming op! upco orksh w 5) r e -293 las (437 XEL 4FRA or com pair. e r l e .frax www
81-88
Fraxel re:store™ Laser System
Fraxel Skin Ecology System
Fraxel re:fine™ Laser System
©2007 Reliant Technologies, Inc. All rights reserved. Fraxel, the Fraxel dots logo, Fraxel re:pair, Fraxel re:store and Fraxel re:fine are trademarks belonging to Reliant Technologies, Inc. Fraxel is registered in the U.S. Patent and Trademark Office and in other countries. 00409 (10/07)
laser & light technology
(Continued from page 23)
the Maryland Laser, Skin, and Vein
springwater kit,
Institute about his experience with
which includes
the ActiveFX device over the last
a water based
year. He reports that after a year of
gel and light
using ActiveFX, he has not seen any
moisturizer.
of the complications associated with
After 3 days
old-school full face CO2 resurfacing
patients
- delayed pigmentary changes, sharp
can resume
line of demarcation, lighter regional
their regular
areas, or prolonged erythema -
products except
although he did have one case of fever
retinoids.
blisters which was effectively treated
with Valtrex.
echoed Dr.
Like Dr. Goldberg, Dr. Weiss says
Goldberg’s observation that one
that typical downtime for the ActiveFX
treatment with the ActiveFX can
about his statements on the DeepFX.
is 3-4 days; but to get better effects,
achieve similar results to 5 Fraxel SR
He says that the “role of DeepFX is still
one must trade downtime for results.
treatments, but says that there is still
being determined, and I am waiting for
For instance, when he treats at 80-
a place in the practice for Fraxel SR.
the six-month point and for histology
100mJ at a density of 1-2 and 70%
He does not delegate the ActiveFX
studies to say with confidence what this
ablation, the downtime is 3-4 days.
procedure because it is ablative, while
technology can do.”
However, if he increases the power to
Dr. Weiss
100 mJ at Face; Forehead at 90 mJ, Density of 2. 7 Days Post Treatment. Photos Courtesy of Alexander Attai, M.D.
Dr. Weiss was much more cautious
the Fraxel SR can be performed by his
100-125mJ at a density of 2 and 78%
supporting staff. When asked about the
perspective on ActiveFX, I searched
Looking for a non-academic
ablation, he can treat scars, wrinkles,
ideal patient for ActiveFX treatment,
the internet for a practitioner with
and get some tissue contraction with a
he says, “The ideal candidate has
more than a year’s experience with the
resulting downtime of 5-7 days. The
photodamage, moderate wrinkles, skin
device and found Dr. Alexander P. Ataii,
total procedure takes about 20 minutes
sagging, and puffy eyelids. With this
Medical Director of Laser Clinique, a
for a full face. Home care is relatively
device, I can treat inside the orbital rim,
medical and dental spa in the San Diego
simple with this procedure; patients
and off-face on the neck, arms, and
area. Dr. Ataii said that one of the best
are sent home the Avene thermal
hands.”
things about ActiveFX is the ability to (Continued on page 30)
David J. Goldberg, M.D., J.D., earned his medical degree from Yale University. He completed his dermatology residency and dermatologic surgical fellowship at New York University Medical Center. Dr. Goldberg was the very first recipient of the prestigious Leon Goldman award. This award is named after the founding father of laser surgery.
28 —
Robert A. Weiss, M.D., received his medical degree from Johns Hopkins University School of Medicine in 1978. He completed a dermatology residency in 1983 at the Johns Hopkins University School of Medicine. In 2005, Dr. Weiss was promoted to Associate Professor of Dermatology at Johns Hopkins University School of Medicine.
winter 2007 | www.aesthetictrends.com
Alexander P. Ataii, M.D., received his medical training from Harvard University, the University of California at Berkeley and the University of Southern California. Dr. Ataii is certified in the American College of Phlebology, American Academy of Laser Medicine and Surgery, American Academy of Anti-Aging Medicine, and the American Academy of Cosmetic Surgery.
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spotlight
SMARTLIPO LASERBODY SCULPTING WORKSTATION Cynosure, Inc.
The Smartlipo LaserBodySculpting Workstation provides aesthetic surgeons with a less invasive technique than conventional liposuction methods for fat reduction and body toning. As the industry’s only laser lipolysis system designed to destroy fat cells and coagulate tissue for tighter skin, Smartlipo is ideal for treating localized fat deposits on the face and body. In addition, Smartlipo can easily treat challenging areas—such as regions of high vascularity and flaccidity. A Workstation for Every Practice Cynosure now offers three Smartlipo workstations - the 6W, 12W and 18W. All are highly safe and effective, with the higher wattage machines allowing for faster treatment and greater patient throughput. Since either of the smaller wattage systems can be upgraded, you can purchase a machine that fits your needs today and easily adapt it as your practice evolves tomorrow. How Smartlipo Works The Smartlipo laser-assisted lipolysis system is a highly efficacious solution for destroying and permanently eliminating fat cells:
• A 1064-nm Nd:YAG laser fiber is introduced through a small cannula, delivering energy directly to subcutaneous fat cells-causing them to rupture. The emitted fat melting energy also coagulates tissue, thus inducing collagen retraction and tissue tightening. • The laser causes small blood vessels to coagulate immediately— resulting in less bleeding, swelling and bruising than conventional liposuction, for faster healing and recovery. • Smartlipo can supplement or augment traditional methods of cellulite treatment. • Given the cannula’s small size and gentleness of the procedure, Smartlipo is a minimally invasive treatment that only requires local anesthesia—enhancing client safety and reducing the likelihood of side effects. • A confluent red diode laser provides a powerful visual guide during treatment. • Typically only one short treatment session is needed—enabling you to maximize your client throughput. Cynosure 800.886.2966 www.cynosure.com.
winter 2007 | www.aesthetictrends.com
29—
laser & light technology
(Continued from page 28)
adjust the scanning shape that you can make on the skin. There are 7 different
Fraxel re:pair
shapes to choose from, such as a square, a triangle, a line, a rectangle, that allow
On December 4, 2007, Reliant
brand recognition is high. Reliant
the user to customize the treatment to
Technologies announced that the
representatives also tell me that built
the different planes of the skin. A full
Fraxel re:pair laser system had
into the price of the device is a user
face treatment takes about 30 minutes,
received the industry’s only FDA
support program that allows Reliant
and 9 out of 10 patients are extremely
510(K) clearance for a fractional
clinical advisors to visit end users for
happy with the procedure. Dr. Ataii
ablative laser system for treatment of
clinical in-service several times a year.
says the one patient who is unhappy is
wrinkles, rhytides, furrows, fine lines,
the patient who needs a facelift. He has
textural irregularities, pigmented
WhAT THE EXPERTS SAY:
successfully treated over 150 patients
lesions, and vascular dyschromia.
I interviewed Christopher Zachary,
up to skin type IV, and has not yet
This much anticipated device was
M.D., Professor and Chair of the
seen any hypo or hyperpigmentation,
unveiled at this year’s October ASDS
Department of Dermatology,
“There is no reason to have both devices (ActiveFX and Fraxel re:fine) in the same office.” –Alexander P. Ataii, M.D.
meeting and is now
University of California, Irvine,
available for purchase
a lead researcher for the Fraxel
with delivery in early
re:pair, who has been using a
2008.
prototype device with a 200μm
microspot for the last year. Dr.
Of the three true
micro-ablative systems,
Zachary co-authored a white paper
the newest to market
that describes the technology as
despite the fact that he typically treats
is the Fraxel re:pair, which has been
“fractional deep dermal ablation,”2
at relatively high fluences of 100-
in R&D for two years. It was the
which says that “a thin layer
125mJ. At these settings, the patients
prototype of this device that I saw at
of thermally coagulated tissue
require about 5 days of downtime, but
the Boston meeting last year. What
approximately 50-70μm thick
the post-treatment care is simple. Dr.
sets the
Ataii has the patient apply aquaphor
Fraxel re:pair
for 48 hours followed by mild cleanser,
device apart
moisturizer, and sunscreen and sun
is its ability
avoidance for the following days.
to achieve
Dr. Ataii says that the ActiveFX is a
micro-ablation
good solution for patients who don’t
depths of up to
have the time to come in for a series
1.6mm. The
of Fraxel SR or IPL. He positions
Fraxel device
the device in his practice to treat
also utilizes
dyschromias and wrinkling in one
a hand roller
treatment session. On a controversial
scanning
note, Dr. Ataii, who has a Fraxel
technology
Refine third generation 1410nm
whereas
device in another office, says, “There
the other
is no reason to have both devices
two models use a scanner. Reliant
surrounds each ablation site which
(ActiveFX and Fraxel re:fine) in the
has also done an excellent job of
contribute to tissue contraction and
same office.”
marketing to consumers, so Fraxel
closure of the ablated dermal
Before Fraxel re:pair Treatment for Pigmentation/Laxity. 3 Months Post 2nd Tx . Photos Courtesy of Dr. Z. Rahman.
(Continued on page 32)
30 —
winter 2007 | www.aesthetictrends.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 Insurance Coverage During Hands-On Training
Combining Clinical Training Protocols & Results Oriented Skin Care.
www.IAmEducated.com Toll-free 800.436.9311
laser & light technology
(Continued from page 30)
volume.” The paper evaluated
the histology and showed that as
as patient
treatment energy increased, so too
downtime,
did the ablated tissue mass, with
“This is not a
1.6μm depth of penetration at high
no-downtime
energy levels. Dr. Zachary says that
procedure,”
for an ablative device, the re:pair is
says Zachary,
“effective, offers rapid healing, and
who tells
low side effects.”
the patient
to expect
According to Dr. Zachary, “Nobody
As far
is aware how close or how far apart
significant
the microspots should be. Sciton says
redness for 4-5
3-5% coverage, whereas at Reliant,
days. “Deeper
30-50% coverage has been used.”
fluences with
For the initial studies he completed,
more energy
the IRB defined energy level was 15-
that penetrate
20mJ per pulse. Now he is using from
to the 300-
70-100mJ/pulse. He says that the
400μm are
re:pair has a very fast scanning
associated
device, allowing him to place millions
with more pain
of pulses into the skin very rapidly,
and pinpoint
and full face treatment times are
bleeding,
about 30 minutes.
but you can
go more
When comparing fractional CO2
Before Fraxel re:pair Treatment for Pigment/Vascular Dyschromia. 3 Months Post 1 Tx . Photos Courtesy of Dr. Z. Rahman.
Before Fraxel re:pair Treatment for Tightening/Rhytides. 1 Month Post 1 Treatment. Photos Courtesy of Dr. Z. Rahman.
with fractional er:YAG 2940nm,
superficially
Dr. Zachary says that if you are
at 100μm and
just interested in vaporizing tissue
there would be little to no downtime.
with little heat, the fractional er:YAG 2940nm treatment (Sciton
The upside is that you trade downtime stopped doing dermabrasion,” he says. “The best results are achieved for the number of treatments. One
ProFractional) is associated with less
treatment with the Fraxel re:pair
at high fluences between 40-70mJ per
discomfort and faster healing, but that
gives you the similar results to 3-4
pulse, 30-50% ablation, with 5-7 days
one could “make an argument that
nonablative treatments, but with the
of downtime.”
“There is such significant improvement (with Fraxel re:pair) to acne scarring that I’ve stopped doing dermabrasian,” –Christopher Zachary, M.D.
re:pair) to acne scarring that I’ve
added effect of skin
tightening.”
Dr. Zachary said that he saw one
patient with thickening of the skin,
Dr. Zachary
When asked about complications,
recommends this
which resolved with pulsed dye laser
treatment for someone
and steroids, one case of PIH, and one
with skin laxity,
case of acne secondary to aquaphor
wrinkles, photodamage
occlusion post-treatment. Dr. Zachary
(dyschromia), and
now recommends a water-based
the CO2 laser is more likely to cause
acne scarring, or for someone with
moisturizer post-treatment.
tissue contraction associated with
just acne scarring. “There is such
more heat.”
significant improvement (with Fraxel
Clinical Instructor for the University of
I also interviewed Dr. John Burns,
(Continued on page 35)
32 —
winter 2007 | www.aesthetictrends.com
Laser Company
Symbol
Price
Change
$
%
Volume
American Medical Systems
AMMD
14.22
s
0.11
14.16
201,435
Candela Corporation
CLZR
6.00
l
0.00
5.99
69,418
Cutera, Inc.
CUTR
16.07
t
-0.40
16.53
60,031
Cynosure, Inc.
CYNO
32.76
t
-0.06
33.29
90,397
IRIDEX Corporation
IRIX
32.76
s
0.01
2.54
5,308
Palomar Medical Technologies, Inc.
PMTI
20.34
s
0.47
20.05
203,245
Syneron Medical Ltd.
ELOS
15.59
s
0.01
15.60
26,077
laser & light technology
STOCKreport Source: Yahoo Finance 12.11.07- NASDQ
STOCKhighlight Cutera, Inc.
888.4.CUTERA (428.8372) www.cutera.com 2006 Revenue $100.7M Employees (12/06): 225 Net Income: $2.1M Market Cap: $209.0M Officers: Kevin P. Connors, CEO/President Director Ronald J. Santilli, CFO/Executive VP Cutera Inc. was incorporated in Delaware in August 1998 as Acme Medical, Inc. The Company changed its name to Altus Medical, Inc. in July 1999 and to Cutera, Inc. in January 2004. Cutera is a global medical device company specializing in the design, development, manufacture, marketing and servicing of laser and other light-based aesthetics systems to the professional aesthetic market. Its easy-to-use families of products—CoolGlide, Xeo and Solera—enable dermatologists, plastic surgeons, gynecologists, primary care physicians and other qualified practitioners to perform safe, effective and non-invasive aesthetic procedures for its patients. The Company commercially launched its first CoolGlide product in March 2000 for hair removal, and every year since then the Company has introduced at least one new product. Cutera introduced its first Xeo product in 2003 combining pulsed light and laser treatments in a single platform. In
2004, the Company introduced its first Solera product, a compact tabletop system designed to support a single technology platform. The first technology available on the Solera platform was the Titan, a heat lamp used for deep dermal heating to treat wrinkles, which was introduced initially as an upgrade option on the Xeo platform. In 2005, Cutera added the Solera Opus to its Solera family. Each of the Cutera products consists of one or more handpieces and a console that incorporates a universal graphic user interface, a laser or other lightbased module, control system software and high voltage electronics. Its unique CoolGlide, Xeo and Solera families of products provide the long-lasting benefits of laser and other light-based aesthetic treatments. Its technology allows for a combination of the widest variety of applications available in a single system. Most recently, Cutera added the LimeLight and Pearl to its portfolio of products. Cutera sells, markets and distributes its products in the United States through a direct sales force supported by a team of technical service specialists. The Company’s research and development group develops new products to address unmet or underserved market needs. It manufactures its products with components and subassemblies supplied by vendors. Cutera assembles and tests each of its products at its Brisbane, CA, facility.
Source: www.CNNmoney.com
winter 2007 | www.aesthetictrends.com
33—
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Texas Southwestern Medical Center,
wrinkles, he used 30mJ, and
can delegate it to a nurse. The
Department of Plastic Surgery, who
performed 4-8 passes at 100 MTZ/cm2.
re:pair is an ablative laser, so Dr.
conducted an off-face study using the
“In 3-6 days the patients were healed
Burns feels that it is better left in the
re:pair device on hypertrophic scars.
completely and the improvement in
hands of a physician. In the end,
Although the study yielded mild
wrinkles was much better.”
the cost to the patient is roughly
results in terms of scar improvement,
Just because the re:pair offers
the same; the difference is in the
the significance of the study,
greater improvement than the re:store
downtime and in the number of
according to Dr. Burns, is that the
does not mean it is time to shelve the
treatment sessions. Patients who
re:pair can be safely used off face.
re:store. The Fraxel re:store still has a
cannot afford downtime must still opt
“With CO2 resurfacing, the patient
place in his practice because he
for the Fraxel re:store.
laser & light technology
(Continued from page 32)
often had a line of demarcation between areas that had been resurfaced vs. areas that had not,” says Dr. Burns. “With the re:pair, you
MiXto SX
can treat off the face down to the neck and décolleté, producing a better overall cosmetic result.”
The MiXto SX (pronounced “mix-too”) Center. Compared to the Lumenis is a product from Lasering Italia, an Encore ActiveFX/DeepFX and the
Italian firm based in Modena, Italy.
Dr. Burns, who has had four years’
Fraxel re:pair, the MiXto is a fairly
experience with the Fraxel re:store
It is now offered in
device, says that when comparing
the U.S. by Lasering
the two devices, the Fraxel re:pair
USA and via third
is superior at treating wrinkles. “In
party distributors. The
one treatment with the re:pair, you
MiXto was available
get better improvement in terms of
in Europe and Asia
wrinkles than with 5 treatments of
before arriving in the
the Fraxel re:store at recommended
U.S. and has been
settings.” For periorbital wrinkles,
used extensively by
he used the Fraxel re:pair at 30mJ
Dr. Cassuto as well as in Singapore
simple device. In fractional mode, the
and 400 MTZ/cm2, and for perioral
by C.L. Goh at the National Skin
MiXto is set to a fixed ablation of 20%
“In one treatment with the re:pair, you get better improvement in terms of wrinkles than with 5 treatments of the Fraxel re:store at the r ecommended settings.” –John L Burns, M.D.
of the skin. The other parameters are index, watts (power), and treatment Christopher Zachary, M.D. was born in Yorkshire, England, and educated at Ratcliffe College, Leicester, UK. Following medical school education at the Royal Free Hospital, University of London, he subsequently trained in Internal Medicine and Dermatology. His formal surgical education was received at the Department of Dermatology, University of Michigan, Ann Arbor, USA.
John L. Burns, M.D., graduated from the University of Texas Medical Branch, Galveston, TX, M.D., Medical School Research Honors Program. He did a Residency in Plastic Surgery, Integrated Program from the University of Texas Medical Branch, Galveston, TX, and a Microvascular Reconstructive Surgery Externship at the University of Texas MD Anderson Cancer Center, Houston, TX.
winter 2007 | www.aesthetictrends.com
area, which defines the size of the scanning beam. When researching this device, the two things that stood out in my mind are its affordable price tag ($73,500) and proprietary scanning algorithm, which ensures that each strike of the micro-beam is separated by the longest possible interval. This fixed scanning pattern reduces the amount of thermal injury, which reduces patient pain and downtime.
35—
laser & light technology
Before MiXto SX Treatment for Acne Scars (Left), and 90 Days After 2 Treatments. Photos Courtesy of Daniel Cassuto, M.D.
Before MiXto SX Hand Treatment (Left), and 90 Days After 1 Treatment. Photos Courtesy of Daniel Cassuto, M.D.
WhAT THE EXPERTS SAY:
only 3 parameters and most treatments
interchangeable handpieces that
are performed at a power of 8-10 watts
can be cumbersome and requires
M.D., a Professor of Plastic Surgery
and an index value of 6-8 watts. The
software to function properly. The
at the University of Catania, Italy,
last parameter is the scan size, which
Reliant re:pair will give you the
one of the pioneers in the use of
can be from 5-20mm, depending on
highest depth of penetration, best
this device, who was in the U.S. for
the area of treatment. “There is no
brand recognition, and will be
a short period of time in October
blood in this procedure because the
supported by the most research;
to perform demonstrations on this
tissue is vaporized immediately.” Like
but it has disposable costs, and the
product. Dr. Cassuto performed a
the Lumenis and Reliant products, this
handroller/scanner may not be for
study using MiXto SX for overall
device can also function in regular CO2
everyone. The MiXto device is a very
skin rejuvenation.3 “Because of
mode to vaporize solid lesions. And,
easy-to-use device with a great price
the scanning algorithm that places
although the fractional component is
tag, but it has the most superficial
each spot farthest from the next, the
set to a fixed ablation of 20% of the
depth of penetration and its fixed
patients felt very little pain, even
tissue, Dr. Cassuto can increase the
tissue ablation may not offer the
without topical numbing cream. On
ablation density to 40% by overlapping flexibility of the other devices.
I interviewed Daniel Cassuto,
The patients felt very little pain, even without topical numbing cream. On a pain scale of 1-5, the average pain level was 1.8.
the scanned spots at a 45
degree angle. Dr. Cassuto
this technology. The idea that one
has successfully treated Asian Skin Type IV for acne scarring using this device, with no adverse sequelae. He has not yet observed any
a pain scale of 1-5, the average pain
post-treatment complications since
level was 1.8,” says Dr. Cassuto. He
beginning treatment with device.
likes the fact that he does not need
36 —
to apply topical numbing creams
CONCLUSION
because these types of preparations
can alter the water content of the skin.
a fairly flexible device that offers
different modes of treatment with
Furthermore, Dr. Cassuto says
I am personally very intrigued by
The Lumenis device seems to be
that the design of the device makes
the largest spot and highest level of
it extremely simple to use. There are
volumetric tissue ablation, but it has
winter 2007 | www.aesthetictrends.com
Daniel Cassuto, M.D., received his Doctor in Medicine, Hadasssah Medical School, Jerusalem Hebrew University, Israel, Plastic Surgery training at the Hadassah University Hospital in Jerusalem (Israel), the Soroka University Hospital in Beer-Sheva (Israel), and Doctor in Medicine and Surgery, University of Milan, Italy.
Fraxel re:pair
MiXto SX
Lumenis Encore ActiveFX
Lumenis Encore DeepFX
Wavelength
10600nm
10600nm
10600nm
10600nm
Beam Spot Size
200 Microns
300 Microns
1.2 mm
120 Microns
Power
40 Watts
30 Watts
60 Watts
60 Watts
Type of Emission
Pulsed
C/W Pulsed
C/W Pulsed
C/W Pulsed
Scan Area
N/A
5-20mm2
Up to 14mm2
Pulse Energy
5-70mJ/MTZ
5-20 Watts
2-225mJ
2-225mJ
Handpiece
Roller
Scanner
Scanner
Scanner
Ablation Depth
Up to 1.6mm
Up to 500 Microns
Up to 120 Microns
Up to 700 Microns
Disposables
Yes
No
No
No
Price
$119,000
$73,500
Contact Mfr.
Contact Mfr.
references 1. Kilmer, S., Semchyshyn, K. “Ablative and Nonablative Facial Resurfacing.” Laser Dermatology. Ed. David J. Goldberg, New York: Springer, 2005. 2. Stumpp, O., Bedi, V.P., Chan, K.F., Zachary, C.B. “Fractional Deep Dermal Ablation (FDDA) Treatment: Combining the Efficacy of a Deeply Ablative CO2 Laser Device with the Safety of a Fractional Treatment Modality.” White Paper, Reliant Technologies. Mountain View, CA. April 2007.
laser & light technology
Laser Specifications Table
3. Cassuto, D.A., Scrimali, L., Siragò, P. “An innovative device for fractional CO2 laser resurfacing: a preliminary clinical study.” White paper, LaseringUSA, 2007.
Disclaimer: The opinions expressed in this article are based on the author’s research. The author has not been financially compensated to endorse any product in this article.
Mai Pham, MPH, is a nationally
visit can treat dyschromias, dermal scarring, and achieve skin tightening
certified
Financial Disclosures
medical laser
with low complication profile seems just too good to be true. At one of the meetings I attended recently, E. Victor Ross, M.D., President-Elect of ASLMS, said, “We do not know if deeper is better. Diameter may be the problem, not the depth of penetration.” If you are evaluating these devices, you should ask yourself: Is it the depth of the ablation, the density (amount of skin ablated), or the diameter of the ablation that gives the best results? Until we have some good split-face studies and long-term follow-up results with a larger patient pool, we will not know for sure. But for those of you who want to be cutting edge and on the forefront of research, this
safety officer
Dr. David J. Goldberg received a research grant from Lumenis for his study on ActiveFX. Dr. Robert Weiss is a paid researcher for Lumenis, Cynosure, and Palomar, and is on the Medical Advisory Board for Lumenis. Dr. Alexander Ataii is a paid preceptor for Lumenis. Dr. Christopher Zachary is an unpaid consultant to Sciton and Reliant. He received grant support from Reliant. Reliant also granted educational support, honoraria, and loan or discounted equipment to the University of California, Irvine.
and Director of the Medispa Institute, a medical spa based in Houston, TX. Mai is passionate about laser aesthetics and an expert in the laser treatment of Asian skin. She has a broad background in consulting and has spent more than 10 years consulting for physicians/ surgeons, medical spas, and multispecialty ambulatory surgery centers. For more information, please contact 832.752.7772, mai@medispainstitute.com, or visit www.medispainstitute.com.
Dr. John Burns is a researcher for and will receive equipment from Reliant.
Mai Pham is the Trends Editor for
Dr. Daniel Cassuto received research funding from Lasering Italy.
part of the research team for medical
Aesthetic Trends & Technologies and spa reporting.
is the place to be.
winter 2007 | www.aesthetictrends.com
37—
product listings
Evolving Aesthetic Technology Laser & Light Technology
Aesthetic Trends & Technologies Product Listings are shown on the following pages for your buying power. Conveniently listed, you may refer to these products. If at any time you do not see a product listed here, please contact us by e-mailing the staff at product.listings@aesthetictrends.com. We will update the listings to include the products in which you are most interested.
spotlight AXIOM IPL Viora
The Axiom IPL is a breakthrough phototherapy solution featuring Thermal Light Channeling (TLC) technology. It realizes unprecedented results for a range of applications including long-term hair removal, anti-aging skin renewal, and treatment of acne, vascular and pigmented lesions. The Axiom’s TLC solution provides better, more accurate results for the practitioner with faster procedures and safer, painless treatments. Axiom’s 40 joules of energy, distributed over one of the largest spot sizes in the industry, allows for full back treatments in less than 20 minutes with unmatched results. The Axiom’s TLC technology eliminates the need for messy cooling gels using Circular Heat Cooling feature which suspends thermal energy in a special air-cooling chamber between the light source and filter, allowing the patient to enjoy a relaxing, topical-free experience. The Axiom’s Innovative TLC technology combines thermal and optical energy, enabling a higher level of
total energy, which optimizes the patient benefits. At 50mm x25 mm, Axiom’s groundbreaking plug-and-play treatment lamps offer the largest spot size in the industry. The four interchangeable lamps are configured to treat a wide range of conditions and complexions including light or heat sensitive skin. Designed using the latest technology and best-of-breed components, the patented Axiom system holds CE, FDA and ISO certifications and is extensively tested both in the laboratory and through a network of clinics to meet rigid self-imposed standards that exceed current market offerings. Along with the Axiom, Viora Inc. has created a comprehensive 12-month marketing plan, the “Viora Support Program” or VSP to provide the tools necessary to succeed in the aesthetic market. Viora 877.384.8032 www.vioramed.com
winter 2007 | www.aesthetictrends.com
39—
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. ATI – Parisian Peel www.parisianpeel.com Aesthetic Technologies, Inc. 2150 West 6th Ave., Ste. J Broomfield, CO 80020 800.262.4412 p Cutera www.cutera.com 3240 Bayshore Blvd. Brisbane, CA 94005 888.4CUTERA p
Cynosure, Inc. www.cynosure.com 5 Carlisle Road Westford, MA 01824 800.886.2966 p 978.256.6556 f
40 —
Elite
Ultrasound
1 & 3 MHz. 2.2 watts/cm2 Modified CW & Pulse Modes. For skin rejuvenation treatments.
$5,900
$45,000$90,000 $40,000$85,900
Additional Information: 1 yr. warranty. 25% Vitamin C lipid soluble serum.
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.
Smartlipo
1064 nm Nd:YAG
Laser Body Sculpting
Contact Mfr.
Additional Information: Affirm is the first microrejuvenation which uses the exclusive mid-infrared Combined Apex Pulse™ (CAP) technology.This technology stimulates collagen production throughout the entire treatment area.Through precise thermal manipulation of the epidermal and dermal tissue, it remodels collagen through the papillary dermis to promote collagen production and skin tightening.
winter 2007 | www.aesthetictrends.com
evolving aesthetic technologies Product Listings Source
Product
Technology
Specifications / Treatments
Price
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.
$40,000
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
Telangitron
Dual Frequency
For the removal of facial veins, ruby points, and blemishes.
$4,500
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
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. Lumenis www.lumenis.com 2400 Condensa Street Santa Clara, CA 95051 408.764.3000 p
Aluma® Skin Renewal
RF FACES Technology
For wrinkle reduction and skin tightening.
$69,900
Additional Information: Utilizes vacuum to conform skin to allow heating of dermis.
winter 2007 | www.aesthetictrends.com
41—
evolving aesthetic technologies Product Listings Source
Myotonology, Inc. www.myoinc.com 1187 Coast Village Rd, Ste.247 Santa Barbara, CA 93018 877.969.2811 p
Product
Microcurrent Facial Toning System
Technology
160Ua-960Ua and 3Hz-100Hz
Specifications / Treatments
Faradic, alternating microcurrent tones muscles and skin. Galvanic current used for Iontophoresis skin treatment.
Price
$8,995
Additional Information: Myotonology® is a patented microcurrent facial toning process with proven clinical efficacy that can be combined with numerous other cosmetic procedures such as IPL, Microdermabrasion, Chemical Peels, and more.
Palomar www.palomarmedical.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
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.
42 —
winter 2007 | 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
winter 2007 | 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 X X
X X X
Er:YAG Nd:YAG Nd:YAG
Wavelength (nm)
2940 1064 1064
Energy Output (J/cm2)
Up to 130 Up to 255 Up to 318
Pulse (ms)
0.30 0.65 .65-1.5
Price
$43,500 $44,500 $46,500
Additional Information: 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
X
X
X
X
Novalight FPL
X
X
X
X
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
X
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
X
Er:YAG
2940
Up to 1
3,6 & 9 Hz
$34,999
Diode
980
0.01 -15
$35,000
X
Diode
810
0.01 -25
X
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 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.
44 —
winter 2007 | www.aesthetictrends.com
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ATnTWINTER07
Payment method: Please fill out your payment information to begin your subscription (Required)
Name m check
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Zip Code Fax
Subscription type
m $75 annual (U.S. Only)
Topics of Interest
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Please sign and date below to begin your subscription (Required)
Non-U.S. Subscribers-add $50 to each year of subscription
Signature Date
m $129 two years (U.S. Only)
Please fax to: 858.605.0469 You may also mail your subscription form OR for more information, please contact:
Specialty m Dermatologist
m Medical Spa
m Otolaryngology
Aesthetic Trends & Technologies, Inc.
m Family Practice
m OB/Gyn
m Plastic Surgeon
11622 El Camino Real, Suite 100 San Diego, CA 92130 USA pH: 858.605.0470
m Industry Executive
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m Other
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ATnTWINTER07
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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 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
X
Multiclear
X
X
X
Intense Blue and Near Infrared Light
405-420 850-900
60
CW
$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 Classic CoolGlide Excel Genesis Plus CoolGlide Vantage CoolGlide Xeo XeoSA Xeo w/Titan
X X X X
X X X X
X X
X X X
X X
Long Pulse Nd:YAG Long Pulse Nd:YAG Nd:YAG & Pulsed Light Long Pulse Nd:YAG Nd:YAG & Pulsed Light Pulsed Light Light-Based System
1064 1064 1064 & 600-850 1064 1064 & 600-850 560-1200 1100-1800
10-100 5-300 Up to 200 Up to 300 Up to 300 6-40 5-70
10-100 1-300 1-30 1-300 1-300 Automatic Closed Loop Photometric
$70,000 $95,000 $99,000 $110,000 $155,000 $75,000 $195,000
Additional Information: All Cutera products are upgradeable to the next innovation, protecting your initial investment.The Xeo now features Navigation software to allow the user to set the ideal parameters for each individual patient’s needs ensuring the optimal clinical benefits and patient safety. 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 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.
46 —
winter 2007 | www.aesthetictrends.com
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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
Quadra Q4 Platinum Quadra Q4 Gold Quadra Q4 Silver
X X X
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
LED
$6,995
VascuTouch
Radio Frequency
$4,995
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. Dusa Pharmaceuticals www.dusapharma.com 25 Upton Drive Wilmington, MA 01887 877.533.3872 p
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
BLU-U w/Levulan
X
Fluorescent Lamp
417
N/A
CW
$8,425
Additional Information:The Cold Light – For rejuvenation (photo facial) stimulates tissue growth, collagen reprod, and rosacea. VascuTouch – For the treatment of vascular lesions.
Phytoscan
X
X
X
HFD Cold Laser
430-750
0.3-0.5
N/A
$9,000 to $18,900
Er:YAG, Fractionated Erbium and Traditional Erbium Traditiona Er Long Pulse Nd:YAG Q-Switched Nd:YAG
2940
Up to 20
300
$75,000
2940 1064 1064, 532, 585,650
Up to 20 Over 250 Over 15
300 0.5 to 100 10
Pulse Light System (IPL)
640-1200, 530-1200 510-1200, 420-1200 800-1400
10-50
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
X
NaturaLase ER NaturaLase LP NaturaLase QS
X X
X X X
NaturaLight
X
X
X X X X
X X
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.
winter 2007 | 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 888-55-4113
Fotona XP Max Dualis XP Plus Dualis XP Fidelis XP Dualis SP Fotona SP+ Dualis XS Fidelis XS Fotona QX
X X X X
Dualis VP
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
Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Er:YAG Long Pulse Er:YAG Long Pulse Er:YAG Q-switched Nd:YAG KTP Nd:YAG Long Pulse Nd:YAG KTP Nd:YAG
Wavelength (nm)
1064 1064 1064 1064 1064 2940 2940 2940 1064 532 1064 532
Energy Output (J/cm2)
Up to 600 Up to 600 Up to 400 Up to 300 Up to 400 Up to 3 J Up to 3 J Up to 1 J Up to 12.7 Up to 6.3 Up to 400 Up to 30
Pulse (ms)
0.1-300 5-200 5-200 5-50 5-200 0.1-1.5 0.1-1.5 0.1-1.0 4-6ns 4-6ns 5-200 1-150
Price
$104,500 $84,500 $71,500 $51,500 $99,500 $128,000 $79,500 $69,500 $89,500 $98,500
Additional Information: No disposable costs. Multiple handpieces available suited for specific applications and optimized for maximum efficiency. All systems include VSP technology, Electronic Feedback Control for added safety, efficacy, ease-of-use and peace-of-mind. All systems calibrate automatically - no manual or periodical calibration necesarry. Fotona XP MAX, DualisXP Plus, DualisXP scanner supported with 65x65 mm Tx area, multiple scanner spotsizes. DualisSP scanner supported with 35x35 mm Tx area. Spotsizes: Fotona XP MAX 2-20 mm, DualisSP 0.45 - 12 mm (Er:YAG), 2 - 8 mm (Nd:YAG), DualisXP Plus 2 - 10 mm, DualisXP 2 - 8 mm, FidelisXP 2 - 8 mm, DualisXS 0.45 - 12 mm, FidelisXS 0.45 - 10 mm, Fotona QX 2 - 8 mm, DualisVP 2 - 7 mm (Nd:YAG), 2 - 6 mm (KTP).
Genesis 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 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
X
X
X
X
X
X
X
X
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.
Inner Act www.inneractproducts.com 4750 Turbo Circle Reno, NV 89502 888.212.6342 p
LiteLift Medical™ LiteLift™
X X X X
X
X
X
X
LED (Red) - 1 head (Blue) - 1 head LED (Red) (Blue)
627 405 660/735/880 405
Up to 200 80 -
CW CW -
$34,990 $34,990 $4,113 to $6,268
Additional Information:The upgradeable family of CoolGlide aesthetic systems features PowerFlex™ which allows independent control of pulse width and power for customized treatments.Treat all skin types including tanned skin. Upgrade to add more applications.
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winter 2007 | www.aesthetictrends.com
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LASER & LIGHT technologY Product Listings
Source Product Technology
Innovative Med Inc. www.innovativemedinc.com 4 Autry, Ste. 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
X
X X
Pulse (ms)
0-500
Price
$13,000
630 440 525 880
X 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 X
Venus i
X X
X X
X X
X X
X
X
KTP Nd:YAG KTP
X
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 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 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
winter 2007 | www.aesthetictrends.com
590 590
4.0mW/cm2 4.0mW/cm2
Variable from cont. to 1 msec pulses
$32,500 $19,500
49—
acn e hai r re m ski oval n re ju tat venat too ion re vas mova l cul ar wri nkl e re duc tio n
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
X
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
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 , Green525,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
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
50 —
Dual Yellow Ylite
X X
X X
X X
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.
winter 2007 | www.aesthetictrends.com
acn e hai r re m ski oval n re ju tat venat too io rem n ova vas l cul 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
X
X
X
X X
X
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
X
X
X
X
Intense Pulsed Light
Additional Information: PhotoFace™ Rejuvenation. Hair Removal for all skin types. Superior sapphire cooling.
X X X
LumiPhase-R/IR
X X
X X
Diode LED LED
810 660 630/405
X
X
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
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
X X
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.
winter 2007 | www.aesthetictrends.com
51—
acn e hai r re m ski oval n re ju tat venat too ion re vas mova l cul ar wri nkl e re duc tio n
LASER & LIGHT technologY Product Listings
Source Source Product Product T Technology echnology
Radiancy www.radiancy.com 40 Ramland Road So., Ste. 10 Orangeburg, NY 10962 845.398.1647 p
Skin Station Duet WhisperNG SPR SpaTouch Pro CTL FSD
X
X X
X X X
X X X X
X X
X X X
X
LHE (Light Heat Energy) LHE (Light Heat Energy) Er:YAG, Extended Ablation LHE (Light Heat Energy) LHE (Light Heat Energy) LHE MicroPhototherapy LHE MicroPhototherapy
Wavelength Wavelength E nergy Energy OutputOutput PulsePulse 2 (nm) (nm) (J/cm(J/cm ) 2) (ms(ms) )
Price Price
400-1200 400-1200 2940 400-1200 400-1200 430-1100 400-1200
$32,990 $24,990 $39,990 $19,900 $19,900 Contact Mfr. Contact Mfr.
3-10 3-10 8.5 3-10 3-10 6 1.2
10-35 10-35 300 10 10-35 1 1.6
Additional Information: Skin Staion - 3 year warranty and assorted Light Unit Assemblies.WhisperNG - Patented Extended Ablation handpiece and fractional handpiece. CTL and FSD are prescription devices for home use (available only through doctor’s office). Reliant Technologies, Inc. www.fraxel.com 464 Ellis Street Mountain View, CA 94043 888-4FRAXEL p
Fraxel re:store™ laser (previously known as Fraxel SR1500 laser) Fraxel re:fine™ laser
X
X
X
Reliable Erbium-Fiber laser
1150
4-70 mJ pulse energy
0.5-3
$110,000
X
X
Single mode fiber laser
1410
1-10mJ
0.5-3
$79,000
Additional Information:Fraxel re:store™ laser,FDA cleared for the treatment of pigmented lesions,soft tissue coagulation,melasma,periorbital wrinkles,skin resurfacing, acne scars and surgical scars.Safe and effective treatment with minimal downtime. Sold more than 1,000 units worldwide. Fraxel re:fine™ laser,FDA cleared for the treatment of pigmented lesions,melasma,periorbital fine lines,skin resurfacing,texture and tone. Safe and effective treatment with minimal downtime and patient discomfort.
Rhytec info@rhytec.com 130 Turner Street, Bldg. 2 Waltham, MA 02453 888.4rhytec p
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™
X
X
Non-contact Plasma Energy
1 - 4 J/cm
4 - 16 ms
$64,900 Disposable nozzles - $1,750/pkg of 5
Additional Information: Ergonomic handpiece, disposable delivery nozzle, marketing program, PR support, on-site training, 1-yr limited/optional extended warranty. 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 X X
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
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.
52 —
winter 2007 | www.aesthetictrends.com
acn e hai r re m ski oval n re ju tat venat too io rem n ova vas l cul 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 X
X
X X
X
Diode/RF Optical Energy Combined with Bipolar RF electrical energy Diode/RF Diode/RF Diode/RF elos-Diode
X X
X X
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
X
X
Nd:YAG
1064
3
12
$55,00
200
N/A
$39,950
Additional Information: Refurbished systems only. Only laser licensed to use patented carbon lotion.
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
Axiom
WaveLight www.wavelight-laser.com Am Wolfsmantel 5 91058 Erlangen, Germany +49/91 31/61 86-140 p
X
X
X
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.
X
X
X
X
Intense Pulsed Light
390 – 1200
2-39
25-75 msec with 1 msec steps (single mode) 2.2 – 12.5 msec with .1 msec steps (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.
winter 2007 | www.aesthetictrends.com
53—
You’ve spent valuable time and money building your practice.
Let us help you protect it. In today’s environment, effective medical malpractice insurance is a must for anyone involved in providing health care. Without such coverage, healthcare professionals’ personal assets—and their very careers—remain at significant risk due to the potential threat of litigation. Take the steps necessary to minimize your risks and protect your livelihood. Professional Liability Solutions is an independent insurance agency that specializes in providing personalized, comprehensive risk-management solutions for healthcare professionals. We have the experience, knowledge and commitment to provide you with the expertise and customer service that you deserve.
For a free consultation, call 800-372-3268.
Professional Liability Solutions, llc www.professionalliabilitysolutions.net | 800-372-3268
A Guide to the Basics – Part II
By Megan K. Packard, Professional Liability Solutions, LLC
Understanding your medical
providers, the most familiar piece
individual risk. One of the most
malpractice policy needs to be a
of the malpractice policy, and really
important factors in determining
priority at the time you select your
any type of insurance policy, is the
the premium is the expected claims
insurance carrier and your particular
premium. The premium is the amount
expenses the company will incur to
policy. However, as I mentioned in
the insurance company charges for
defend a particular physician and
Part 1 of this two-part series, most
the duration of the policy period, in
pay the injured patient(s). Also
healthcare providers have limited
most cases for a 12-month time frame.
taken into account are factors such
knowledge of their policy unless they
Premiums are developed based on
as the necessary expenses to run the
face a malpractice claim. In Part 1, I
the insurance
went over the differences in types of
company’s
policies (claims made vs. occurrence),
rates. Rates
types of insurance markets (standard
are based on
vs. surplus), and touched on the
calculated
components that make up a policy,
predictions
along with the implications of the
of the future,
limits of liability. To further expand on
using the past claims experience
company and provide policyholder
the basics, this follow-up article will
as a guideline. Premium amounts
services, contingencies, profit, and
continue to define and describe many
vary from physician to physician and
investment income.
important aspects of a malpractice
are dependent on claims history,
policy.
specialty, geographic location,
standard insurance carriers must
and other aspects unique to each
establish rates on which they base
To the majority of healthcare
at t
U
Understanding Your Medical Professional Liability Insurance Policy
legal n case of the month
legal case of the month
Premium amounts vary from physician to physician and are dependent on claims history, specialty, geographic location, and other aspects unique to each individual risk.
winter 2007 | www.aesthetictrends.com
As mentioned in Part 1, the
55—
legal case of the month
their premiums, and then file these rates with each state where they are authorized to write malpractice as an admitted insurance company. The state’s Department of Insurance is able to closely analyze and monitor the rates. The surplus insurance companies, on the other hand, have more flexibility to make changes to rates without going through the state’s Department of Insurance. The surplus carriers have the flexibility to create rates acceptable to insure the risks the standard companies simply cannot, or will not, insure. While surplus carriers do not have to file their rates with the state’s Department of Insurance, they must establish eligibility to write policies in that particular state by
then provide a specific dollar amount
demonstrating financial soundness and
per visit in excess of the stated
policies is the presence or absence of
meeting other consumer protection
“threshold.” Other companies that
a deductible. Typically the standard
requirements.
offer low premiums may assess all
carriers do not have deductibles,
policyholders or ask them for capital
while the surplus carriers do. Higher
cost is often the number one deciding
contributions at a later date. Many do
deductibles can lend to lower
factor. In malpractice insurance,
this because they have not charged the
premiums, although it is not usually
though, factors besides cost should
appropriate premiums to cover their
a drastic drop in cost. Policies that
be taken into consideration when
financial obligations, such as paying
do have a deductible may require
selecting a policy. Premiums are not
out claims. If there are not enough
the deductible to be paid when a
always guaranteed. Some policies
capital reserves to meet financial
claim is made and the insurer begins
As with many purchases in life,
If there are not enough capital reserves to meet financial obligations, then the company may become financially insolvent (bankrupt) and leave the insured scrambling for coverage.
Another aspect that varies among
obligations,
to incur expenses on behalf of the
then the
insured to defend the insured (“claims
company
expenses”). Or the policy may
may become
require the deductible to be paid for
financially
both claims expenses and indemnity
insolvent
separately. This means that the
(bankrupt)
deductible must be paid by the insured
and leave the
when the carrier defends the claim,
have an audit rate, which means they
insured scrambling for coverage. If
and paid again if any monies are paid
may charge an additional amount at
this happens, it does not matter what a
out in damages. Again, knowing the
the end of the policy period or upon
great rate you received for insurance,
specifics of your policy is crucial to
renewal of the policy. For example,
as you may be left without a policy and
understanding what you will be faced
the insurer may base the premium
a gap in your insurance history, which
with when a claim arises.
on a set number of patient visits and
can affect securing future coverage.
In order for the insurance policy (Continued on page 58)
56 —
winter 2007 | www.aesthetictrends.com
legal case of the month
(Continued from page 56)
to go into effect, coverage must be
conditions of the policy. They can
not always the case. For example, a
triggered in one of two ways. Some
either expand or narrow the coverage
physician who owns and operates a
policies are “incident sensitive,”
for the insured. Endorsements can
medical spa may only have coverage
while others are “written demand.”
specifically state what the policy
for claims arising from acts, errors,
“Incident sensitive” policies allow
covers the insured for, as well as
and omissions that occur within the
the insured to contact the insurance
widen the scope of coverage by
medical spa facility and not from
company when an event has occurred
including additional procedures,
claims that arise elsewhere. It is
which the insured feels could result
insureds, or locations. Exclusions,
extremely important to know what you
in a future malpractice claim, even
which can be added by endorsement,
are being covered for and where you
if there has not been a demand
state what the policy does not
are covered.
for money or services, including
insure. For an example, there may
the service of suit or institution of
be an endorsement which expands
should also know whether the policy
arbitration proceedings. The carrier
coverage to allow a physician to
provides the insured the “consent to
can begin investigating the potential
do sclerotherapy, mesotherapy or
settle.” “Consent to
claim and will pay the defense costs
lipodissolve, but specifically excludes
settle” provisions
associated with defending the insured.
coverage for any physician’s assistant,
define the
The scope of coverage can be expanded or narrowed according to policy endorsements and exclusions.
58 —
In addition to coverages, providers
nurse practitioner, or
terms under
registered nurse doing
which a
such procedures.
settlement
In addition to
might be
covering the negligent
agreed
act, error, or omission
upon by the
of the insured, the
insurer and
If the policy is “written demand,” the
exact coverage may be more narrowly
the healthcare
coverage will be triggered only when
defined to include the specialty
provider. Having
there has been a written demand for
(procedures within the scope of that
the consent to settle
money or services or written notice
specialty), types of claims (some
ultimately can
that a “medical incident” may result
include claims against your license),
provide the
in a demand for money or services or
territory, and many others. While
insured
a service of suit, or notice of initiation
some policies follow the provider
of arbitration has been served to you.
anywhere, the territory may be defined
Understanding what your policy allows
by specific states or exact practice
will help you to know how and when
address locations. For example, if
you can report a claim to your carrier.
you have a policy with a location
restriction, your policy only covers
The policy itself is general in
nature and states that coverage is for
you for malpractice claims that
the healthcare provider for his/her
arise out of rending, or failure to
professional services rendered or
render, professional services in
the failure to render services. The
that particular location. Some
scope of coverage can be expanded
providers mistakenly think
or narrowed according to policy
their coverage follows them
endorsements and exclusions.
wherever they go and for
Endorsements change the terms and
whatever they do. This is
winter 2007 | www.aesthetictrends.com
ifs” before a claim occurs. Seek knowledge first before you find yourself in a position where you wish “if only I had known.” It is in your best interest to understand your policy now. Then, at the time a claim is made, you can spend less time consumed with the ins and outs of your policy and its ramifications,
legal case of the month
against you. So, think of the “what
and more time doing what you love - practicing medicine.
Megan K. Packard is the
greater control over their claim
to protect them after they no longer
Executive Vice
history. A claim settlement does
have an active policy. Extended
President for
become a part of that provider’s claim
reporting endorsement (“tail
Professional
history and can affect professional
coverage”) options can range from
Liability
reputation and the ability to secure
one year to unlimited/lifetime. This
Solutions, LLC,
future coverage. While some policies
may require additional premium
an independent
provide the insured the right to
and is purchased when a claims
agency that specializes in providing
consent, many do not include that
made policy ends and the new policy
personalized, comprehensive
provision, or they include it with
does not pick up prior acts. Tail
insurance and risk-management
limitation. Consent to settle with
coverage may also be selected in the
solutions for healthcare professionals.
limitation, also known as a “hammer
event of retirement. Tail coverage
clause,” provides the insured the
is always purchased from the “old”
With offices in both Charlotte and
right to consent; however, if the
carrier. If additional premium
insured does not consent to the
is charged for tail coverage, it is
recommendation to settle, the
always a percentage of the ending
insured could be responsible for
annual premium. Many providers
ongoing defense costs and the
are comfortable aligning the length
amounts of any verdict that exceeds
of tail coverage with their particular
the amount of the recommended
state’s statute of limitations.
settlement.
policy is complicated, yet critical
Lastly, for those healthcare
Understanding your malpractice
Chicago, Professional Liability Solutions has been helping healthcare professionals protect their practices and assets for over 15 years. Megan works from the Charlotte office, where she focuses her business on the medical spa, aesthetic, anti-aging, and wellness segments of the healthcare industry. Megan received her degree from the University of Virginia. She
providers who have a claims made
to your career. There is great
policy, knowing what options are
importance in knowing the basics
can be reached by calling 800.372.3268,
available to extend the reporting
and the resulting implications
www.professionalliabilitysolutions.net,
period in which claims can be made
because in selecting a policy it is not
or by emailing her at
after the expiration, or cancellation,
about the here and now, but rather
mpackard@pls-medmal.com.
of the policy is important to continue
the future when a claim is made
winter 2007 | www.aesthetictrends.com
59—
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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
Med Spa Metrics
Part Three: Demographic and Lead Metrics
at t
By Cheryl Whitman and Mac Fadra, Beautiful Forever
Becoming a success in the aesthetics
including age, gender, ethnicity,
your ability to go beyond your current
industry may not be an exact science, but
income, education, occupation, and
market and assess the potential
using some specific scientific measures
geographic location. Demographic
opportunities for growth. Demographics
can help you get where you want to be.
trends show the changes in a population
play a key role in determining just how
In addition to measuring financial, client,
over time.
large your target market is.
and consultation metrics, it is important
to keep a close eye on demographics and
to drill down through the demographics
analysis of the demographics of your
lead generation.
to identify the prospects you absolutely
database, particularly for current
want to see, as
Demographic and lead metrics are
Once you collect the data, you need
It is vital to perform a quarterly
vital measurements that can help you
well as a new
pinpoint growth opportunities as well
target audience
as recognize obstacles that can hamper
you have not
your success. Further, understanding
previously
your data provides you with a powerful,
recognized.
competitive tool that can help identify
the demographics of your target market
related to
and determine the best lead generation
demographics include gathering historic
clients. Include important demographic
avenues.
results, which measure information
questions on your registration forms,
Best practices
Best practices related to demographics include gathering historic results, which measure information about actual clients, and forecasting real market opportunities, which include new prospects that your demographic numbers uncover.
about actual clients, and forecasting real
lead retrieval forms and/or client
Demographic Metrics
market opportunities, which include
questionnaires. The key demographics
Demographic metrics measure
medical n spas
B
MEASUREMENTS FOR SUCCESS A THREE-PART SERIES
new prospects that your demographic
to capture are:
selected population characteristics that
numbers uncover. Increasing your
• Gender – What percent of your
are used in marketing and research,
market share and revenue rely upon
winter 2007 | www.aesthetictrends.com
paying clients are male vs. female?
61—
medical spas
Do you notice a trend? Try to ascertain
breakdown by occupation of clients
if you are over-targeting or under-
who have undergone treatment is
market. Learning more about your client
targeting any particular segment.
also very helpful in target marketing.
base will give you some insights into
You should sort gender analysis by
For example, a recent analysis at a
other markets you should be targeting.
category or procedure, such as day
hair restoration practice revealed that
Rather than relying on old statistics, you
spa, medical spa, laser hair removal,
a significant percent of clients were in
can begin taking more aggressive steps
photo facials, etc.
the sales and marketing profession.
to reach a larger audience of interested
This enabled the practice to target
and qualified prospects.
age group for your database. If
this segment more aggressively
possible, define by category or service
through sales and marketing
office in a new area, you can apply the
as mentioned above. Knowing your
associations, local chambers of
results of these numbers. Learn as much
commerce, and other groups.
as you can about the demographics
• Age – It is vital to find out the target
target age for your different services will enable you to select the pertinent
• Geography – Define your client base
Take a fresh look at your actual
If you are looking to open another
of more than one location so you can
media sources and methods with
and leads by geography or zip code.
compare the viability of each option
more predictability.
If you receive leads from a 50-mile
and make the best choice for success.
Your demographics will make a big difference in refining your lead qualifications, thus making better use of the dollars you spend for those leads.
radius but your clients
Further, you should gather as much
who receive services are
information about the demographics of
largely within a 5-mile
your competitors. If they have missed
radius, you may need
an important opportunity, it could be
to develop a satellite
one you can capitalize upon with added
location, especially if
services.
business in the primary site is good. This type of tracking
LEAD Metrics
comes into your practice, it is
also helps you identify areas that you
important to ask a few questions on
should be targeting.
new customers. Your demographics will
• Occupation – When a new client
Lead generation is all about finding
• Ethnicity – In the aesthetics industry,
make a big difference in refining your
to find out more about him or her. A
it is certainly prudent to be aware of
lead qualifications, thus making better
quarterly report showing a
your client base’s ethnicity and the
use of the dollars you spend for those
specialized needs they may have. For
leads. Simply put, when you know
example, if your serve a significant
the attributes of your best customers,
number of Hispanic or Asian clients,
where they live, why they are your
you may want to offer technologies,
best customers, and the needs and
procedures, and services that are
desires your practice satisfies, you can
appropriate for their skin type and
strategically target similar prospects.
needs. Furthermore, marketing in this
way is highly effective, particularly in
cost of acquiring new leads compared
large, metropolitan markets.
to the actual return on investment (ROI)
the consult registration questionnaire
Lead metrics help you measure the
from those leads. With these numbers, you can track your dollars and time spent with each attempt made, as well as your effectiveness with converting the leads into revenue building service appointments.
62 —
winter 2007 2007 | www.aesthetictrends.com
Since not all leads are created equal,
• Lead Acquisition Cost – A lead is a
You should carefully track your
you will need to track where your leads
call, albeit one that provides contact
attempts to contact and secure
are coming from and see which ones
information such as an address,
your leads. Capture the data for the
convert to sales. There is frequently
phone number, and or email. If 80 out
following:
a cost associated with acquiring and
of your 100 calls are leads, your cost
• Total Leads Received - Where is each
converting leads, so you can use these
per lead for a $5,000 spend would be
of your leads from? How many leads
numbers to determine where you
$62.50. Determine lead acquisition
do you receive from each source?
money is best spent.
cost for each of the media or lead
Demographic and lead metrics are vital measurements that can help you pinpoint growth opportunities as well as recognize obstacles that can hamper your success.
only can measure the attempted
advertise in a newspaper as well as
contacts overall, but also the time it
television, compute the cost per lead
took for each call and the number of
for the newspaper separately from television. This step can help you
attempts per lead. • Total Contacts Made - When
identify the most efficient and cost-
measuring the actual contact with
effective lead generation sources.
prospects, you need to include the
• Cumulative Cost Per Lead – While it
source of each successfully contacted
is important to analyze cost per lead
lead. This will help you to evaluate
on a weekly or monthly basis using
the value of each lead generation
media or referral source, it is also
method you are using and decide
vital to analyze cost per lead on a • Call Acquisition Cost – This is simply
• Total Attempts to Contact - You not
sources you use. For example, if you
which you will continue using.
cumulative basis by media or referral
• Total Appointments Made - The
source. This is because your cost per
more appointments made, the
the cost per call generated in your
lead can go up over time, particularly
more valuable your lead source. If a
medical spa or cosmetic practice.
if you have saturated a certain media.
lead generator does not meet your
If you spend $5,000 per month and
The response to this could be a
standards, move your investment to
generate 100 calls, your cost per call
change in creative strategy or the use
is $50 per call.
of alternative media source.
winter 2007 | www.aesthetictrends.com
one that does. • Total Procedures Booked - This
63—
medical spas
is your best tracking source for successful leads. Obviously, the more procedures you book, the better your leads and consultation practices. If the numbers are below your goal, you will need to make some adjustments in one or both of these areas.
In addition to tracking metrics and
revising your methods as needed, you can increase your number of procedures booked by putting other practices in place. An obvious choice is to offer treatments that use gold standard equipment, such as the Fraxel® re:store laser system. The Fraxel® is appropriate for treatment of
marketing and consultations will
the entire body and is suitable for use
now make your services affordable to
Cheryl
on all skin colors to treat conditions
everyone.
Whitman is recognized
such as acne scarring, fine lines, pigment, and texture in less time than
MEASURE YOUR WAY TO SUCCESS
internationally
the average laser.
Using a combination of demographic
as a pioneer
and lead metrics, you can refine your
in the field
you also should consider including
marketing efforts to more closely
of medical
patient financing. In fact, a recent study
match your target market – both the
spa business
noted that 78% of patients were more
established market and the new market
Besides providing service packages,
There is frequently a cost associated with acquiring and converting leads, so you can use these numbers to determine where you money is best spent.
64 —
consulting. She is a published author,
that emerges from
a popular speaker, and has been a
your measurements.
beauty-industry consultant for more
By knowing your real
than 20 years. As founder and CEO of
customer base, you can
Beautiful Forever, Cheryl spearheads
target your marketing
a successful team of medical spa
efforts to attract new
consultants and business professionals.
business. You will have
In addition, Cheryl developed the
likely to schedule an appointment
a way to anticipate trend growth as well
Medical Spa Success System, a
when a patient payment plan was
as meet emerging needs of current and
revolutionary program that provides
offered (2006 Inquire Market Research).
new clients.
a turnkey educational success system
CareCredit, a subsidiary of GE Capital,
and consulting services package
offers a financing option that allows
closely control the effort and cost
to help clients jumpstart brilliantly
patients to enjoy affordable monthly
required to generate new revenue. It
successful medical spa businesses.
billing for the procedures they desire,
is not just about making more calls,
For more information, please call
in some cases at zero percent financing,
sending more postcards, and placing
1.877.SPA.MEDI or go to
while the practice receives full payment
more ads. You need to understand
www.medicalspaconsultant.com or
up front with no need for follow-up
your true target market and seek lead
www.medicalspasuccess.com.
billing. Including this feature in your
generation that delivers.
More importantly, you can more
winter 2007 | www.aesthetictrends.com
Anti-Aging & Wellness Dermatology Laser & Light Technology Legal Case of the Month Medical Spas Plastic Surgery Practice Management
Log On Now For information about current findings, ongoing clinical trials and frequently asked questions related to aesthetic procedures and products... Copyright Š 2002-2007 Aesthetic Trends & Technologies, Inc. 11622 El Camino Real, Suite 100, San Diego CA 92130 USA
800.277.1391 Fax 858.605.0469
www.aesthetictrends.com
.EED HELP OPENING YOUR MEDISPA BUT DON T HAVE TO SPEND ON CONSULTING
WWW MEDISPAINSTITUTE COM QUESTIONS MEDISPAINSTITUTE COM FAX
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featured medical spa
medical spas
Laser & Dermatology Institute Beverly Hills, California By Cindy Vandruff, Editor in Chief
The winning components that make
believe that combination therapies are
Laser & Dermatology Institute (LDI)
necessary to achieve the desired results
Founded in
a success was founded on four key
effectively.
1977, the
strengths - knowledge, experience,
Laser &
skill, and the latest medical
Institute, they believe in providing
Dermatology
advancements. Jacob Rispler, M.D.
exemplary care utilizing the most
Institute
is the founder and medical director of
technology proven to be safe and
(LDI) is
the Laser & Dermatology Institute and
effective by FDA standards. Dr. Rispler
one of the
created the Institute with a vision to
personally selects each laser system
longest standing practices in
expertly treat the special needs of each
based on realistic results in clinical use
laser medicine. Jacob Rispler,
At the Laser & Dermatology
and every patient quickly and economically.
Known as
a pioneer in
3 Popular Treatments Factional Resurfacing
and by his vast
M.D. is Certified by the American
experience with
Board of Dermatology, a photo
laser technology.
biologist, and laser surgeon. He is
widely recognized as a pioneer in
Dr. Rispler
has helped over
Soft Tissue Fillers
dermatology and laser surgery.
tens of thousands
Dr. Rispler is a member
of patients in the
of the American Academy of
laser technology,
past 30 years
Dermatology, American Society
Dr. Rispler and
and is passionate
of Laser Medicine and Surgery,
the field of dermatology and
Skin Tightening
the Laser & Dermatology Institute
to continue to bring cutting edge
and numerous other societies. Dr.
offer state-of-the-art treatments for an
technology and expertise in the field
Rispler has appeared on many
array of skin conditions and hard-to-
of Dermatology and laser Treatments.
local and national television
diagnose and treat skin disorders.
LDI keeps up-to-date on the latest
programs. In addition, he has
medical advancements of Dermatology
been featured in articles that have
is a comprehensive laser center that
and laser Surgery.
appeared in local and national
offers over 30 laser so that they can
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newspapers, magazines, and
offer a complete solution for their
800.606.6000
prestigious medical publications.
patient’s skin condition. Dr. Rispler
www.laserhq.com
The Laser & Dermatology Institute
winter 2007 | www.aesthetictrends.com
67—
w w w. i e c s c . c o m
The International Esthetics, Cosmetics & Spa Conference – New York, provides the perfect meeting ground for the world’s most elite and qualified spa attendees looking to meet the top skin, cosmetic and wellness companies. Our dynamic tradeshow floor and comprehensive education program enables spa professionals to see the latest trends, learn the latest techniques and purchase the latest products in the spa and medical spa industry.
T O AT T E N D V I S I T:
w w w. i e c s c . c o m T O E X H I B I T: 203.926.0528
PRESENTED BY
MEDICAL SPA EDUCATION PROGRAMMED BY
CO-LOCATED WITH
ENDORSED BY
©2007 Questex Media. All rights reserved.
product listings
Microdermabrasion
Aesthetic Trends & Technologies Product Listings are shown on the following pages for your buying power. Conveniently listed, you may refer to these products. If at any time you do not see a product listed here, please contact us by e-mailing the staff at product.listings@aesthetictrends.com. We will update the listings to include the products in which you are most interested.
spotlight
M2-T™ Turbo Medical Microdermabrasion with Plug-n-Peel™ Genesis Biosystems
The most advanced, highest-powered medical microdermabrasion system from GENESIS BIOSYSTEMS. This system has been designed to give the physician the ultimate in control for the deepest tissue abrasion. The M2-T™ features: • Crystal & Crystal-Free Skin Resurfacing Technology • Independent Vacuum, Crystal Flow & Turbo Pressure Controls • Positive-Pressure Turbo Mode designed for the Most Advanced Microdermabrasion Procedures, activated by the Footswitch Control • High Flow Fluidics designed with advanced pneumatics for optimal performance • Independent Vacuum & Positive Pressure Flow Gauges • Ergonomic Dual-Mode Hand Piece with Dual-Lumen,
Color-Coded Tubing Set • Start-Up Kit” of Disposable Crystal Delivery and Crystal-Free Face and Body Tip Caps • NEW! Plug-n-Peel™ Closed Canister System with Micro Filtration (Better than HEPA)
Genesis Biosystems 888. 577.7335 www.genesisbiosystems.com
winter 2007 | www.aesthetictrends.com
69—
MICRODERMABRASION Product Listings Source
Product
Advanced Laser Centers www.dermaglide.com 1900 E. Golf Rd. Schaumburg, IL 60173 888.525.2737 p
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece
Dermaglide Legacy KS
Yes
Yes/23-29
Microglide
Yes
Yes/23-24
LED/Crystal and Vacuum Flow Control Adjustable Autoclavable/ Disposable
Disposables
$1.25
Training
Video on-site turnkey
Aesthetician Unit Price
M.D. Unit Price
$10,900
$10,900
$14,900
$14,900
N/A N/A N/A $12,500 $9,900
$17,500 $15,500 $13,500 N/A N/A
$8,750 N/A $4,750
N/A $10,500 N/A
$6,900
$8,900
Warranty & Accessories: Lifetime Limited w/overnight loaner. Ultrasound Electro-pulsed facial toning. LED treatment lighting. Sodium bicarbonate Conversion. Upgrades available for most other systems or trade-in allowances. Progressive check valve.
Aesthetic Lasers www.powerpeel.com 530 College Parkway, #D Annapolis, MD 21401 800.925.5022 p
Power Peel 2000M Power Peel M-360 Power Peel 1500M Power Peel A-360 Power Peel 1500A
No Yes No Yes No
No/63 Yes/41 Yes/56 Yes/31 Yes/40
Titanium & Autoclavable, Disposable Tips (sml, med, lg)
$7.00
Intensive on-site, certificate no charge
Warranty & Accessories: Lifetime Limited w/overnight loaner. Ultrasound Electro-pulsed facial toning. LED treatment lighting. Sodium bicarbonate Conversion. Upgrades available for most other systems or trade-in allowances. Progressive check valve.
Aesthetic Solutions www.dermaglow.com 651 Canyon Road Novato, CA 94947 888.345.4569 p
DermGlow II DermGlow II MD
Dual Dual
DermGlow EST
Yes
Yes/32 Yes/32 Wheels Yes/12
Glass, Aluminum Disposable Tips
Aluminum Oxide or Sodium Bicarbonate $2-$4
On-site full training, technical and mktg support
Warranty & Accessories: Lifetime warranty with 24-hour loaner. HEPA filtration.Trade-in program.
Ageless Aesthetics www.agelessaesthetics.com 6500 S Quebec St. #270 Denver, CO 80122 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
NewApeel
Variable
Yes/27
DiamondTome
Variable
Yes/27
Video On-site Training Diamond tipped wands
$0.50
Warranty & Accessories: 1 yr. warranty, HEPA filters, filter pads, and assorted wands. Four grit sizes.
70 —
winter 2007 | www.aesthetictrends.com
$10,250 $10,400
MICRODERMABRASION Product Listings Source Product
ATI-Parisian Peel www.parisianpeel.com 14828 W. 6th Avenue, Unit B-9 Golden, CO 80401 800.262.4412 p
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training
Prestige
Dual
Yes/80
Esprit
Vacuum/ Compres. Single
Yes/46
Entrée
Yes/35
Proprietary ergonomic design w/ sterilizable immersible cartridge tips
One day on-site advanced training $3.50
Aesthetician Unit Price
M.D. Unit Price
N/A
$21,000
N/A
$12,900
N/A
$8,900
Warranty & Accessories: 1 yr. warranty.
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
$3-$3.50
Video on-site
$11,950 $13,950 $15,950 $19,950 $21,950 $4,950
Warranty & Accessories: 5 & 10 yr. warranties, 0.01 micron air filtration, closed micron HEPA waste cartridge, aspiration systems.
Bio-Therapeutic www.bio-therapeutic.com 4822 California Avenue, SW Seattle,WA 98116 800.976.2544 p
Bio-Cellupeel
Variable
Yes/27
Glass handpiece included
-
One day on-site training
$9,995
$9,995
$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
$5,900
N/A
Starts at $13,900
Starts at $13,900
$11,450
$11,800
$7,500
$7,850
Warranty & Accessories: 1 yr. warranty, includes accessories and skin care products.
DermaMed USA www.megapeel.com P.O. Box 198 Lenni, PA 19052 888.789.6342 p
MegaPeel Platinum
Yes
Yes/32
MegaPeel Gold
Yes
Yes/25
MegaPeel Silver
Yes
Yes/25
Autoclavable; detachable; condition specific tips
Warranty & Accessories: Enviro-Sealed Closed HEPA filter, up to 3 yr. warranty; same day loaner; comprehensive marketing package.
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
Crystals $.82 Abrasive Filter Pads $.55; Tips $.78
Full certification On-site, local courses & video
Warranty & Accessories: 1 yr. warranty, overnight loan program. 4 lbs. crystal and 10 tips included.
winter 2007 | www.aesthetictrends.com
71—
MICRODERMABRASION Product Listings Source
Product
emed www.silkpeel.com 31340 Via Colinas, Suite 101 Westlake Village, CA 91362 888.848.3633 p
SilkPeel Dermalinfusion System
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece
Dual
Yes/30
Disposables
Diamond-tipped handpiece; autoclavable; crystal-free
$9.95 tips only
Training
On-site certification
Aesthetician Unit Price
M.D. Unit Price
N/A
$22,465
N/A
$8,500
N/A N/A $8,495 $12,995
$15,995 $12,995 N/A $12,995
Warranty & Accessories: 1 yr. warranty, extended warranty options. 11 combinations of grit sizes.Three choices of topical solutions.
Focus Medical, LLC www.focusmedical.com 23 Francis J Clarke Circle Bethel, CT 06801 866.633.5273 p
NaturaBrador
Genesis Biosystems www.dermagenesis.com 1500 Eagle Court Lewisville,TX 75057 888.577.PEEL (7335) p
M2 - Turbo M2 M1 Infusion Peel
Yes
Yes/30
Reusable, Plastic, Disposable
$1.00-$1.50
Video & on-site
$.50-$3.00
Onsite and Online
Warranty & Accessories: Massage therapy attachment.
yes yes yes yes
Yes/39 Yes/34 Yes/19 Yes
Ergonomic Dual-Mode Handpiece with DualLumen, Color-Coded Tubing Set
Warranty & Accessories: Lifetime Perpetual Warranty, Disposables for 50 treatments. No Downtime Promise Plan,Tech Support, Pre & Post Skin Care Kit, Protective Eye Pads, Crystal and Crystal Free, Microderm Starter Kit & Cart. ImageDerm www.imagederm.com 3032 Dolores Street Los Angeles, CA 90065 818.500.9034 p
ImageDerm
Inner Act, LLC www.inneract.com 4750 Turbo Circle Reno, NV 89502 888.212.6342 p
MicroLift™
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
Dual
Yes/30
Reusable Delrin Tip
Warranty & Accessories: Full 5 yr. warranty. M.D. unit has 3-feature function.
Yes
Yes/30
$3.00
Full Training with Manual
$8,500
$10,700
$5.00
On-site Advanced Training Seminars
$4,984
$4,984
Patent Spiral Flow with disposable tips
Warranty & Accessories: 3 yr. parts & labor warranty with loan program, 5 lb. crystal, 10 tips, manual, and marketing support materials included. Direct manufacturer support, Clinical/technical support. Yes Yes Yes Yes Yes
Yes/14 Yes/16 Yes/18 Yes/35 Yes/37
Ergonomic, patented handpieces; disposable, reusable, metal & crystal free avail., disposable tips for face & body
$2-$4.00
Comprehensive manual, technical support & marketing support
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.
72 —
winter 2007 | www.aesthetictrends.com
$4,500 $4,500 $6,800 $9,500 N/A
N/A N/A N/A N/A $12,000
MICRODERMABRASION Product Listings Source Product
IntegreMed www.integremed.net 6808 E. Academy Parkway NE Building A, Suite One Albuquerque, NM 87109 877.733.7627 p
Lumenis www.lumenis.com 2400 Condensa Street Santa Clara, CA 95051 408.764.3000 p
Mattioli Engineering www.matteng.com 4200 Wilson Blvd., Suite 750 Arlington,VA 22203 877.628.8364 p
DermMaster II DermMaster IIPlus MicroPro S10 MicroPro S10 Plus
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training
Positive Pressure “No-VAC” Salt Recov. System
Yes/80 Yes/83 Yes/35 Yes/35
Autoclavable; anodized aluminum
$7.00 with skin care products
One day On-site turnkey program
Aesthetician Unit Price
M.D. Unit Price
N/A N/A $9,500 N/A
$19,500 $21,500 $13,900 $16,500
Warranty & Accessories: All systems include: 3 yr. warranty, 40% discount on microdermabrasion product, system uses salt (NaCl) as the abrasive, allowing for easy clean-up. SkinScape SkinScape Plus
Single Dual
Yes/22 Yes/30
Autoclavable small & large handpieces Aluminum/ disposable tips
$2.80 $2.80
Intensive On-site training
$14,500 N/A
N/A $18,995
1 day on-site
$3,675
N/A
$10,710 N/A
N/A $13,860
$13,900
$16,500
Warranty & Accessories: 1 yr. warranty. Education and marketing materials.
Aesthipeel™ Ultrapeel® Pepita Ultrapeel® Crystal
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
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
MedSurge Advances, Inc. www.medsurgeadvances.com 14850 Quorum Drive, Ste. 120 Dallas,TX 75254 972.720.0425 p
Parisian Peel Esprit PRO-xp
No
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.
Yes
Yes/40
Ergonomic with re-usable plastic tips and optional DiamondTome Wands
$2.00
On-site training
$15,000$19,000
$15,000$19,000
Stainless steel, Sapphire heads
$5.00
1 day
N/A
$14,500
Warranty & Accessories: Standard 1 yr. warranty. Raja Medical www.rajamedical.com 6542 Hypoluxo Rd, #171 Lake Worth, FL 33467 561.868.4600 p
Sapphire Abrastim
No
Yes/15
Warranty & Accessories: 2 yr. warranty.
winter 2007 | www.aesthetictrends.com
73—
MICRODERMABRASION Product Listings Source
Product
Science Innovative Aesthetics www.scienceaesthetics.com 30 Montgomery Street Suite 660 Jersey City, NJ 07302 201.332.4100 p
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece
Aurora
Yes
Gemini
Dual, Yes/55 pin point crystal flow control
Yes/46
Disposables
Stainless steel, 9 different tips, autoclavable
$.40 per filter, one filter per treatment
Crystal - flexible, w/disposable plastic caps. Crystal Free stainless steel w/9 different tips
$1.50 for alum. ox. crystals, varies per treatment
Training
On-site, manual, PP presentation
Aesthetician Unit Price
M.D. Unit Price
$10,900
$10,900
$13,500
$13,500
Warranty & Accessories: 2 yr. warranty with next day loaner, 100 filters plus ultrasonic cleaner included with purchase, marketing material, tech-support, additional filter inside machines, quietest machines on the market (ask about our trade-in program). Gemini includes 2 (4 lbs.) bottles of crystals, closed loop system.
Sciton www.sciton.com 845 Commercial Street Palo Alto, CA 94303 650.493.9155 p
Silhouet-Tone USA www.silhouettone.com 7 Champlain Commons St. Albans,VT 05478 800.552.0418 p
MicroLaserPeel™
N/A
Yes/wheels
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
$10,995
Warranty & Accessories: 10 to 40 microns in 5-micron steps.
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
SoundSkin Corporation www.soundskin.com 429 South Main Street Oswego, IL 60543 888.596.5277 p
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.
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
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.
74 —
winter 2007 | www.aesthetictrends.com
MICRODERMABRASION Product Listings Source Product
Synergie™ by Dynatronics www.dynatronics.com/aesthetic 7030 Park Centre Drive Salt Lake City, UT 84121 Albuquerque, NM 87109 800.874.6251 p 801.568.7711 f
Synergie Peel
Syneron Medical www.syneron.com 100 W. Beaver Creek Rd. #6 Richmond Hill, Ontario, Canada 800.445.8418 p
Libra
USA Photonics www.usaphotonics.biz 169 Main Street, 1st Floor Nyack, NY 10960 845.348.4900 p
Easy Peel
Vibraderm, Inc. www.vibraderm.com 2100 N. Hwy 360 Suite 1502 Grand Prairie,TX 75050 800.494.7181 p
Vibraderm
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training
Yes
13.5
Titanium / stainless steel, disposable tips
$3.00
2-day training included/ manufacturer certification
Aesthetician Unit Price
M.D. Unit Price
$4,995
$5,495
Video on-site training
N/A
$9,995
Warranty & Accessories: 1 yr. warranty, marketing materials; facial massage hand set, MDA handpieces and tips.
Variable
Yes/34
Custom disposable tips $.50-$1.00
Warranty & Accessories: 1 yr. warranty. Education and marketing materials.
Single
Yes/40
Stainless steel, disposable tips
$3.00
On-site
$11,500
$13,000
Yes/21
High-Tech Aluminum Alloy
None
On-site training included
$18,100
$18,100
Ergonomic stainless steel design; 10-13tips depending on model; auto-clavable
$.30/filter
All day on-site training; PowerPoint presentation; DVD training disc
$10,900
$11,900
$15.900
$16,900
Warranty & Accessories: 1 yr. warranty.
None
Warranty & Accessories: 1 yr. warranty.
Viora, Inc. www.vioramed.com 30 Montgomery Street Suite 660 Jersey City, NJ 07302 877.384.8032 p
Pristine
Single
Yes/28
Marquis
Dual
Yes/35
$.30/filter $1.50/tx
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.
winter 2007 | www.aesthetictrends.com
75—
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plastic surgery
Aesthetic Trends in Plastic Surgery: Male Procedures By Gregory Alan Wiener, M.D.
has become more accessible and
increase in male plastic surgery? One
the forehead, to cosmetic fillers in the
socially acceptable within mainstream
reason could be the changing face
nasolabial folds, many men are now
society. Once a luxury reserved for the
of corporate America. In previous
seeking subtle procedures to keep
rich and famous, plastic surgery has
decades, age and experience were
them looking young, energetic, and
now become a staple in both middle
valued in the job market. However,
worthy of a raise!
class suburbia and metropolitan areas.
the job market is now a place that
equates youth with potential and
health kick which has taken over our
Part of the reason for this increased
How can we account for this
competition. From a little Botox in
at t
Over the past decade, plastic surgery
plastic n surgery
O
increasingly an important PART of today’s cosmetic arena landscape and statistics
Another reason could be the new
popularity is the large number
technological
of men who are now seeking out
skills; and,
plastic surgery. Previously viewed as
as a result,
belonging in the feminine realm with
older men
lipstick, pantyhose, and garter belts,
are having a
plastic surgery is no longer taboo
harder time
in the male demographic. Indeed,
finding jobs
according to the American Society
or securing
for Aesthetic Plastic Surgery, men
promotions. In fields where looks and
society in recent years. More men are
accounted for 940,049 surgical and
charisma matter—such as sales, public
taking care of their health than ever
non-surgical cosmetic procedures in
relations, etc.—a little bit of ‘nip-tuck’
before. They are not smoking, they
2006.
might give a man the edge over his
are eating right, they are exercising,
Traditional facelifts are not as common in men as they in women, presumably because most men wear their hair short and are thus not able to hide scarring behind the ears as women do.
winter 2007 | www.aesthetictrends.com
77—
plastic surgery
and watching their cholesterol and
of midface lifts, in
carbohydrate intake. All of these
which the whole
efforts make them feel youthful and
cheek is lifted
energetic; but unfortunately, their
for a younger
facial muscles might not tell the same
appearance.
tale. Even the healthiest man will find
These constitute
that his face ages much sooner than
10-15% of the
he would like. These men want to look
procedures my
as young as they feel, so a little plastic
male patients
surgery might seem to be the perfect
request.
addition to a healthy lifestyle.
facelifts are not
Plastic surgery rates among men
Traditional
might also be increasing due to the
as common in
number of men seeking plastic surgery
men as they
after divorce or separation. After
in women,
these life-changing events, many men
presumably
want to improve their appearance and
because most
increase their self-esteem by receiving
men wear their
a few rejuvenating procedures.
hair short and
are thus not able
Some of the most common
Before (Left) and After Lipo Treatment (Right). Photos Courtesy Gregory Wiener, M.D.
procedures for men to undergo
to hide scarring
include: Liposuction, Rhinoplasty,
behind the ears
Male Breast Reduction, and Facelift
as women do. Instead, these men tend
co-workers and friends.
[American Society for Aesthetic
to opt for micropeels or Botox—over
Plastic Surgery, 2006]. In my Chicago-
300,000 men received Botox in 2006
most popular non-surgical procedure
based office, the majority of male
alone, and it ranked as the number
for men to request in 2006. About 20-
patients seeking facial surgery receive
one non-surgical procedure for men
25% of my male patients request laser
rhinoplasty. The procedures generally
to undergo [American Society for
hair removal, mainly for their back
involve fine-tuning or reducing nasal
Aesthetic Plastic Surgery]. Twenty
and chest. This number has increased
bumps and fixing old sports-injuries.
percent of the men who come to my
in the last five years, primarily due to
office receive Botox, primarily between
the American obsession with smooth,
The second most popular procedure
The “metrosexual” movement, in which men were suddenly encouraged to be meticulous about their appearance, replaced the traditional male grooming rites of nothing more than quick comb and a shave.
78 —
Before (Left) and After Facelift Treatment (Right). Photos Courtesy Gregory Wiener, M.D.
Laser hair removal is the second
their foreheads and
hairless bodies. What started as a
between their eyebrows.
trend for women has now crossed over
Unlike my female
into the male spectrum as well. You
patients, men are less
would be hard pressed to find a male
concerned with crow’s
model or a male movie star with even a
feet and procedures to
speck of body hair. Laser hair removal
eliminate them. Perhaps
is the best way for men to become part
Botox, with its subtle
of this new trend, since waxing and
I perform for my male patients is eyelid
results, no downtime, and non-
shaving can be time-consuming and
lifts. This could include tightening up
invasive convenience, is the perfect
painful.
eyelid “hooding” or lifting bags on the
procedure for men who are looking to
lower lids. I also perform a good deal
keep their procedures secret from their
men are also now expected to have
winter 2007 | www.aesthetictrends.com
Along with smooth, hairless bodies,
smooth, flawless skin. Acne scars, sun
which men were suddenly encouraged
spots like “love-handles,” and weight
damage spots, and age spots can all
to be meticulous about their
loss itself, which can cause loose skin
mar a man’s face and age him beyond
appearance, replaced the traditional
and excess flab, may only be improved
his years. Many men are now seeking
male grooming rites of nothing more
through plastic surgery. Indeed, males
non-surgical cosmetic enhancements
than quick comb and a shave. Men
who are not overweight may also
in order to deal with these facial
now use salon hair products, facial
struggle with enlarged breasts which
imperfections. Microdermabrasion
creams, and receive manicures and
are caused by fatty deposits in the
and laser micropeels can resurface the
pedicures. For the well-groomed man
breast tissue. This can be incredibly
skin deep below the pore and strip
who wants his appearance to be as
embarrassing and emasculating for
off the outer layer of damaged skin.
flawless as possible,
These procedures can also decrease
microdermabrasion
pore size, strip off sun damage, and
and micropeels are
tighten very fine wrinkles.
just another necessary
part of the grooming
In the past, I only performed these
According to the British Association of Aesthetic Plastic Surgeons (BAAPS), the number of men turning to cosmetic surgery has more than doubled since 2004.
cosmetic procedures on 5% of my
process. And as more
male patients. In recent years, that
men undergo these
number has increased to 10-15%. This
procedures and talk openly about
these men. Male breast reduction
drastic jump could be linked to the
them, other men will begin taking part
surgery is a staple in my plastic
fact that grooming and primping are
in this beautifying regimen, too!
surgery office. I perform 20 or 30 cases
no longer viewed as feminine traits.
Body sculpting is also high on the
per year, and the number has stayed
The “metrosexual” movement, in
list of male plastic surgery demands.
quite stable throughout my practice.
Before (Left) and After Chin Implant (Right). Photos Courtesy Gregory Wiener, M.D.
Before (Left) and After Tummy Tuck (Right). Photos Courtesy Gregory Wiener, M.D.
In 2006, men
received
all procedures for men to undergo
liposuction, and
is liposuction. Over 53,000 men
23, 670 men
underwent liposuction in 2006
received male
[American Society for Aesthetic
breast reduction
Plastic Surgery]. Over 15-20% of
procedures
my male patients request liposuction
(gynecomastia).
procedures, for everywhere from their
Men have
abdomen, their necks, to their love
always longed
handles. In my office, I use the VASER
for the perfect
Ultrasonic liposuction, which is better
body, and it
at breaking up dense, fibrous fat than
cannot always
traditional liposuction.
be achieved
through exercise
just increased in America, it has
and diet alone.
increased across the globe, from the
Despite a man’s
United Kingdom, to Australia, to
best effort in the
Korea, and to India. According to the
gym, he may
British Association of Aesthetic Plastic
never be able
Surgeons (BAAPS), the number of men
to completely
turning to cosmetic surgery has more
diminish trouble
than doubled since 2004.
The most popular procedure of
Male cosmetic surgery has not
(Continued on page 81)
winter 2007 | www.aesthetictrends.com
79—
w w w . a e s t h e t i c t r e n d s . c o m
0ATIENT STRESSED ABOUT PAIN IN EVERY ISSUE
Anti-Aging & Wellness Dermatology Laser & Light Technology Legal Case of the Month Medical Spas Plastic Surgery Practice Management SUBSCRIBE
Use the form on page 87
Copyright © 2002-2008 Aesthetic Trends & Technologies, Inc. 11622 El Camino Real, Suite 100 San Diego CA 92130 USA
800.277.1391 Fax 858.605.0469
80 —
the leading physician journal for aesthetics and wellness
(Continued from page 79)
The most common procedures in the
this change in patient demographics.
differ from the surgeries women ask
UK are similar to the most common
Some have even gone so far as to
for, so surgeons should be prepared for
American procedures: rhinoplasty,
cater their plastic surgery offices to
their practices to change, grow, and
blepharoplasty, liposuction, otoplasty,
men only, while others have merely
even improve.
and neck and face lifts. In India,
turned their offices into male-friendly
the number of would-be brides and
spaces with a spa-like feel and relaxed
grooms seeking plastic surgery has
atmosphere. However, altering the
increased 25%. Improving one’s
lobby décor and revamping the office
appearance to land a good match is
to be non-gender specific are not
no longer just a female ritual; and
the only concerns surgeons should
hopeful men are seeking procedures
address. Certain procedures, such
to remove acne scars, improve dark
as blepharoplasty, are more likely to
circles under the eyes, rhinoplasty, and
cause scarring in men than they do
hair implantation. As a result of this
in women, an important caveat as
increased demand for plastic surgery,
it shows that gender might change
the number of plastic surgeons in India
more than just the type of magazines
has increased steadily each year, and
surgeons put out in their waiting
the current population is now 1,200.
rooms.
Plastic surgeons across the globe
are wondering how they can adapt to
The surgeries and alterations which
2006 Statistics Top 5 Cosmetic Surgeries for M en Procedure # of Procedures Liposuction 52,563 Rhinoplasty 33,143 Eyelid Surgery 27,602 Male Breast Reduction 23,670 Facelift 14,051 Source: American Society for Aesthetic Plastic Surgery
male patients ask for will dramatically
Dr. Gregory
REFERENCES 1. Abramo, “Axillary approach for gynecomastia liposuction.” Aesthetic Plastic Surgery, 18(3): 265-268. June 1994. 2. Gray, “Update on Experience with Liposuction Breast Reduction.” Plastic and Reconstructive Surgery, 108(4):1006-1010. September 15, 2001. 3. Flynn, “Powered Liposuction: An Evaluation of Currently Available Instrumentation.” Dermatologic Surgery, 28(5) 376-387. May 2002. 4. Flowers, “Periorbital Aesthetic Surgery for Men. Eyelids and Related Structures.” Clinical Plastic Surgery, 18(4): 689-729. October 1991. 5. Fagien, “A Critical Analysis of the Current Surgical Concepts for Lower Blepharoplasty.” Plastic & Reconstructive Surgery, 114(3):794-796. September 1, 2004. 6. Rohrich, “Male Rhinoplasty.” Plastic & Reconstructive Surgery, 12(4): 1071-1086. September 15, 2003. 7. Ely, “Less is more: A conservative approach to male rhinoplasty.” Aesthetic Plastic Surgery, 20(1): 23-28. January 1996. 8. Mentz, “Correction of Gynecomastia Through a Single Puncture Incision.” Aesthetic Plastic Surgery, 31(3): 244-249. June 2007. 9. Graf, “Ultrasound-Assisted Liposuction: An Analysis of 348 Cases.” Aesthetic Plastic Surgery, 27(2): 146-154. April 2003. 10. Mentz, “Abdominal etching: Differential liposuction to detail abdominal musculature.” Aesthetic Plastic Surgery, 17(4): 287-290. September 1993.
winter 2007 | www.aesthetictrends.com
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.
81—
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practice management
Credit Card Processing Made Simple
by Marc Mataya, ClientTrak! Software Inc.
Cost Percentage
you find a good, honest mechanic, it
replacing cash and checks as the
becomes a partnership that benefits
preferred method of payment in all
of sales that is going to credit card
both parties: He recommends the right
types of businesses including medical
processing costs. This formula is very
services and options and keeps your car
spas and practices. Their convenience
important because it encompasses ALL
running smoothly. You, in turn, pay for
for business owner and consumer alike
of your fees collectively. If this amount
those values, enjoy a safe and reliable
results in many benefits including more
is more than two percent, you should
car, and lower costs in the long run.
efficiency, greater customer satisfaction,
consider shopping for a better deal.
In credit card processing, expansive
and increased sales.
technical resources and networks
this article provides some essential
must work harmoniously to handle
not you are getting the best value from
background information about the
transactions and ultimately put money
your credit card processing agent or
credit card processing industry as well
into your checking account. These are
how to compare one agent to another to
as some advice on how to compare
some of the costs your agent will be
make the best choice?
agents before making
But how can you know whether or
This gives you the percentage
In the tradition of “trust but verify,�
your choice.
Total Cost: The Only Thing That Counts
at t
Credit and Debit cards are very quickly
Their convenience for business owner and consumer alike results in many benefits including more efficiency, greater customer satisfaction, and increased sales.
and debit cards, you can quickly
You Are Buying a Service
determine whether or not your costs
are reasonable by calculating your
card processing agent
Total Cost Percentage for processing
is a lot like choosing an auto mechanic.
paying in order to handle your account.
services. Take your total monthly Visa
You are buying a service from the
and Mastercard credit card processing
mechanic, but remember that he also
deal to do with Total Cost; but you are
fees, divide by your total sales, then
has business expenses. He has to pay
also shopping for reliability, integrity,
multiply by 100. (Total monthly bill /
rent for his shop, buy his tools and
access to solid information and advice,
Total sales for the month) x 100 = Total
supplies, and pay other bills. When
and someone who will work with you
If you currently take credit
practice n management
C
Tips to Help You Profit from This Convenient Payment Option
Choosing a credit
winter 2007 | www.aesthetictrends.com
Your choice of an agent has a great
83—
practice management
as your business grows and changes to
(“standard no perks,” “rewards,”
fee on the Interchange chart. This is a
make sure you have the tools you need.
corporate, etc.). Rates also are set by
rate charged by your processor at the
type of transaction (e.g., riskier “key
point of the transaction. Authorization
and fees from Visa and Mastercard.
entered” transactions garner higher
fees (usually about 15 cents) are
These are called “Interchange Rates
costs). You cannot choose which types
important when your average charge is
and Assessment Fees” (see Chart). The
of cards to accept, but you can control
small (say, under $10). Otherwise, always
difference in transaction costs between
things such as swiping versus manual
go for the lowest transaction rate you
one agent and the next is the difference
key entry of card numbers, which can
can get and don’t worry too much about
between the agents’ rate structures.
help you manage costs.
Authorization fees since 15 cents on a
As long as your Total Cost is within an
$100 charge is nominal.
acceptable range, you may choose to
and Mastercard—Interchange Rates
Interchange Rate: This is the rate Visa
pay slightly more for better advice and
and Assessment Fees—are publicly
and Mastercard charge all agents equally
services such as faster deposits, better
available information. The following
to process the transaction and includes
equipment, better support, etc., but you
is a sample of Interchange Rates and
a percentage plus a Settlement Fee
should do so consciously.
how they break down.
(usually around 10 cents per transaction).
All agents start with the same rates
The rates structures used by Visa
Assessment Fee: This is an additional
Sample Interchange Rates and Assessment Fees
fraction of a percent that Visa and Mastercard charge for every transaction. Currently these are at 0.0925%
Card Type
Interchange
Settlement Fee Assessment Fee
Visa DEBIT Card
1.03%
$0.15
.0925%
MC DEBIT Card
1.05%
$0.15
.095%
Visa Credit Card
1.54%
$0.10
.0925%
MC Credit Card
1.64%
$0.10
.095%
Visa Rewards Card
1.65%
$0.10
.0925%
MC Rewards Card
1.74%
$0.10
.095%
Visa Key Entered
1.85%
$0.10
.0925%
MC Key Entered
1.95%
$0.10
.095%
These are just a few examples of card and transaction types and their rates (2006). For a full listing of rates, search “Interchange Rates” or go to the following web addresses: Visa: http://usa.visa.com/download/merchants/Interchange_Rate_Sheets.pdf; or MasterCard: http://www.mastercard.com/us/wce/PDF/14992_MasterCard_Interchange_Rates_and_Criteria_October_2007.pdf
(0.000925) for Visa, and 0.095% for Mastercard. They typically do not change. Agent’s Rate: Also referred to as a markup for the purposes of this article, this is the percentage of each transaction amount the agent adds to cover his services.
In addition, there may be a monthly
fee from the processor of about $10, and you will need to purchase equipment (card reader, pinpads, or terminals) as well.
Controlling Transaction Costs
84 —
Interchange Rates = Wholesale
and “non-qualifying” are designations
more “rewards” cards which have
associations of banks that lend money
Visa and Mastercard use to indicate
higher rates than standard “no perks”
to consumers. They base their rates
riskier transactions for which they charge
cards; however, approximately 65%
on risk and to pay for the perks they
higher rates, and are terms you may see
(versus 50% just two years ago) of
offer. Rates are set each April and
on your statements.
all credit transactions are now debit
change by plus or minus .02% per
cards, which can prove to be a real cost
year on average. Rates differ by the
break down as follows:
savings for your business since debit
type of card to which they are applied
Authorization Fee: You will not see this
cards have the lowest risk and, in turn,
Visa and Mastercard are
“Downgrade,” “partially qualifying”
The rates you are ultimately charged
winter 2007 | www.aesthetictrends.com
Today’s trend is toward more and
is normally well justified by the income
are someone you have worked with
credit cards.
generated.
for years, such as your bank or CSM
• Accepting PIN-based debit cards
• Use an “integrated” credit card
software company, or someone new
(having customers enter their PIN
processing solution if at all possible.
who demonstrates integrity in their
number) can realize substantial savings
Many software programs for medical
approach. It is easy just to go to your
because they are charged a flat fee
spas and practices now incorporate
bank, but banks do not always offer the
with NO percentage-based rate. This
this service into their systems, offering
best deals on credit card processing;
becomes advantageous on transactions
greater accuracy and efficiency. Not
and since any agent can deposit funds
above $50, where the authorization
only are there fewer steps involved
into any bank account, access is not the
and settlement fees are offset by the
in processing a transaction, but there
issue. Still, check with your bank; it will
transaction rate savings.
is less chance for human
• To get the best qualifying rates, you
error. Records are kept
must settle your transactions within 24
automatically, and all
hours. Late settlements will incur higher
transactions—cash and
rates.
credit—are available on
• Train your staff well to guard against
your reports and receipts.
practice management
the lowest rates compared to all other
Look for a processor who gets the money from your charges into your account within 24 to 48 hours, and make sure it says that in your contract.
higher transaction rates and surcharges that result from human error. Avoid key-
Guidelines for Choosing an Agent
serve as a good basis for comparison as
entered transactions: If the card swipe
you shop for an agent.
doesn’t work the first time, try again,
points of comparison which you can
• For medical spas and practices
don’t immediately enter the information
use to help you choose an agent who
whose smallest charges are likely to be
by hand. Also, make sure your staff
is right for your business. The credit
co-pays, but whose transactions can run
answers all inquiries the terminal
card processing industry has exploded
hundreds or even thousands of dollars,
makes during a transaction rather than
in recent years, opening up both your
authorization rates are really not an
pushing the Enter key to bypass them.
choices for getting a good deal and the
issue. Your main concern should be the
Prompts can include employee numbers
chance that you could be taken by a
transaction rate and, more specifically,
to corporate tax amounts which help
clever, but deceptive pricing structure.
your prospective agent’s markup of
your patients better manage their credit
These guidelines will help you
Interchange.
card purchases.
detemine the truth about what a
• Look for “Interchange Plus” where
• Automatically collecting money
prospective agent is offering.
the “Plus” is a SET percentage rate
(recurring billing) is always a good
• Trust your gut and choose someone
for ALL transactions and card types.
thing. Memberships or loyalty programs
you feel comfortable with, whether they
A “tiered” system, where the agent’s
There are a number of quantifiable
with recurring billing can provide a steady, predictable influx of cash. You can offer this option to your patients and guests on high-cost services or treatment series to help “close the deal” while allowing them to absorb costs incrementally. Just note that after the first swiped transaction, subsequent billings are considered key-entered transactions and are charged at a slightly higher rate. This additional cost
winter winter 2007 2007 | www.aesthetictrends.com www.aesthetictrends.com
85—
practice management 86 —
markup percentage varies depending
purchasing habits or card types; the
fee. If you find that you are paying more
upon the transaction (qualifying, partially
markup is the same regardless. If you do
than you expected in higher transaction
qualifying, non-qualifying) or card type
a high volume of sales with large tickets,
rates or surcharges and decide to find
(standard, rewards, corporate, etc.) is
telling them the average ticket amount
another agent, the cancellation fee likely
inherently unfair to you. For one thing,
might allow you to negotiate for a better
will be offset by the lower rates and fees
in order to come up with a tiered charge
rate or lower authorization fee. Again,
you get from your new agent.
structure for your business, the agent has
the lower transaction rate is always
to attempt to forecast your sales volumes,
going to be the better deal on larger
someone you know and trust—business
transaction amounts, and likely card type
charges.
colleagues, associations of business
usage. This usually results in a system
• Buy your own terminals and other
owners, your accountant, others
of inflated rates and surcharges. Tiered
hardware from the agent. Do not lease
with whom you have had a business
systems are smoke and mirrors. Skip the
equipment and do not accept “free”
relationship in the past. Find out who
magic and look for an agent who charges
equipment for signing up. In this
they use and what kind of experiences
a flat percentage over Interchange,
business, there is no “free;” you will end
they have had. Then you can begin to
regardless of the transaction or card type,
up paying for it somewhere in your fee
talk directly with the agents themselves.
and you’ll be getting the better deal.
structure. You should not have to pay
• Debit cards are charged at the lowest
“set up” fees or annual fees for card
proven to increase average sales by
Interchange Rates; but again, make
processing, although some specialized
significant margins and are an excellent
sure you are on an Interchange Plus rate
equipment, such as wireless terminals,
customer service as well as an easier
structure. A tiered system will likely set a
often require a setup fee for their
way for you to keep track of sales and
higher transaction rate across the board
network. Most agents charge a monthly
payments. The right processing agent
that will apply to debit cards as well,
fee (usually around $10). Expect to pay
can be a tremendous asset, contributing
resulting in your paying too much for
$350 and up for your terminal.
to the growth and future success of your
debit transactions.
• Look for a processor who gets the
medical spa or practice.
• Look for clear, concise reporting on
money from your charges into your
your monthly statement. Ask to see a
account within 24 to 48 hours, and make
sample statement from any prospective
sure it says that in your contract. Note
agent. The statement should clearly
that the clock starts when you settle
show each type of transaction and card
your transactions, not when you swipe
taken, the rate charged for each, and
the card. For example, if you settle the
any additional itemized charges (such as
batch on Friday night at six o’clock,
monthly service fees or transfer fees for
some banks won’t begin the process
which develops
American Express transactions).
until Monday morning during normal
and markets
• Be wary of agents who offer
business hours.
“custom” deals, who refuse to show
• Choose an agent with a flat
management software and integrated
you Interchange rates (should you ask
cancellation fee, and be sure the fee is
payment systems to medical spas and
for them), or who won’t show you their
written into your contract. Believe it or
practices. Marc specializes in the
statements and other paperwork.
not, there are companies who will charge
intricacies of the credit card processing
• Be suspicious if a prospective agent
a percentage of past transactions upon
wants to see your previous statement(s),
cancellation. A standard fee should be no
and do not provide them. With
more than $300 for cancellation within
Interchange Plus, they do not need to
three years.
know anything about your customers’
• Do not be afraid of the cancellation
winter 2007 | www.aesthetictrends.com
To get started, ask around. Talk to
Credit and debit cards have been
Marc Mataya is Vice President of Sales and Marketing for ClienTrak! Software, Inc.,
customer
industry and enjoys helping business owners understand and utilize this valuable resource to their best advantage. Contact Marc at 1.888.313.1308 or visit www.clientrak.com
marketing tip
In the Consumer Credit Crunch Market–
Stay the Course!
• Using your Website to use Internet specials, holiday special offers, gift certificates, e-newsletters, broadcast emails. Remember more consumers are spending time online versus getting in their cars to go to shopping. • Reconnecting with patientsof-record by using broadcast emails, holiday greeting cards with an incentive to visit, flyers, and special offers. • Holding a special event for referring patients, inviting them to bring a friend, and providing “thank you gifts.” • Advertising in local newspapers holiday gifts, beauty makeovers, seminars. Remember, it is not necessarily as important to fill up the seminars as it is to make the phone ring to create opportunities for sales. PUMC recommends that you increase your visibility with your patients and prospects, and not cut back!
PUMC distributed their October
that businesses that see a downturn
newsletter focusing on their Tip of the
in sales tend to get more aggressive
Month - Marketing in the Consumer
with their marketing in order to find
Credit Crunch Environment, which
those consumers who are still spending
provided concrete advice and tips
in the short term. This means that
on how to maximize the results from
even though they may start to cut ad
every promotional dollar invested.
spending, a need to increase efficiency
PUMC understands that the effect of
with their remaining marketing
the consumer credit crunch is taking
budgets will lead businesses to focus
its toll on cosmetic practices as the
on one of the most measurable and
competition for discretionary income
effective advertising vehicles.
dollars is keen.
following thought on advertising in
In this issue of Aesthetic Trends, we
PUMC suggests you post the
provide advice on the need to continue
your staff lounge to remind your staff
promotion via advertising in the
about the importance of advertising
market. PUMC feels that the quote of
and how last month’s tip of making
one of baseball’s great, Satchel Paige,
each patient and prospective patient
speaks to the importance of staying the
encounter count.
at t
PUMC’s experience is that “tried and true” promotional vehicles are:
by Greg Washington, PUMC
practice n management
course: “You win a few, you lose a few. Some get rained out. But you got to dress for all of them.”
WHY IS IT?
is going to have an impact
A man wakes up after sleeping under an ADVERTISED blanket, on an ADVERTISED mattress and pulls on ADVERTISED pajamas, bathes in an ADVERTISED shower, shaves with an ADVERTISED razor, brushes his teeth with ADVERTISED toothpaste, washes with ADVERTISED soap, puts on ADVERTISED clothes, drinks a cup of ADVERTISED coffee, drives to work in an ADVERTISED car and then... Refuses to ADVERTISE, believing it doesn’t pay! Later if business is poor he ADVERTISES it for sale. why is it?
on advertising is true. But
Author unknown
Augmenting your 2007
final quarter promoting plan and preparing your marketing plan and budget for 2008 are extremely important. According to experts the prediction that the stock market correction
experience demonstrates
winter 2007 | www.aesthetictrends.com
87—
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ATnTWINTER07
PRESS CORNER New GFX Technology Hits the Market as the First Effective Alternative to BOTOX® Cosmetic GFX, Livingston, NJ, is a new,
of Reflections, center for skin and
that had plagued me for ten years and
body in Livingston and Bridgewater,
vanquished all of my fine lines and sun
NJ is one of the first physicians in the
damage. After the treatments, I could
country to acquire the GFX system and
not stop touching my velvety skin. I am
describes the treatment to be safe, and
making standing appointments every
the results, remarkable. “This is truly
month.”
Botox®
revolutionary and recently FDA cleared
the first and only alternative to
treatment used to treat glabella frown
Cosmetic that is showing dramatic
renowned Dr. Frederic Brandt, is
lines (lines between the eyebrows),
results for treating furrow lines between
also a fan of the treatment. “The
eliminating the need for Botox®
the eyebrows,” says Chasin. “The GFX
Isolaz painless laser facial is one of
Cosmetic injections. GFX is a minimally
technology is the future of treating
the most innovative and effective
invasive procedure that uses a novel
dynamic wrinkles without the need for
in-office treatments for acne and skin
bipolar radio frequency technology to
Botox®
rejuvenation that I have seen in years.”
relax the tense frowning muscles of the
The need for less frequent visits and
Aesthera’s Isolaz™ is the only
forehead.
immediate results will likely appeal
system FDA cleared to treat comedonal
to present Botox® users as well as to
and pustular acne. The Isolaz therapy is
puncture is made in the skin, and the
people who refrain from using Botox®
also cleared to treat mild to moderate,
GFX needle probe is then inserted.
due to fears of an injectable toxin.
inflammatory acne and acne vulgaris.
With the GFX technology, a tiny
Advanced Cosmetic
The physician then locates the specific
A recent clinical study also showed
area of the
Intervention, Inc.
that, in addition to acne reduction,
forehead to be
303.893.0552
64 percent of acne patients who had
treated through
www.acisurgery.com
not responded to oral medications,
a painless
topicals and traditional lasers in the
process of
past had shown greater than a 75
electrical stimulation. A controlled Dr. Mitchell Chasin
Cosmetic injections or surgery.”
Ms. Dunn’s dermatologist, the
dose of radio
percent clearance of acne lesions
Aesthera’s Breakthrough Painless Isolaz™ Therapy for Acne Featured in Vogue
after treatment with the Isolaz system. After four treatments, an 88 percent reduction in papular, pustular, comedonal and nodular acne was
frequency energy is then applied, ablating a tiny
Aesthera Corporation’s Isolaz painless
section of the targeted area. Ablation
acne therapy was featured in the
of a section of motor nerves causes
September issue of Vogue, the most
of Aesthera’s Isolaz and PPx™ systems.
immediate relaxation of the muscle,
widely read issue of the year, as a
Currently there are over 1000 systems
softening lines and wrinkles. The
unique treatment that gets rid of acne
available worldwide.
nerve-disabling result is similar to that
fast.
of a Botox® Cosmetic injection, yet GFX injections produce an immediate result which can last up to 18 months and
Dunn, Contributing
sometimes longer, a dramatic increase
Beauty Writer for
from the 4-month duration of Botox®
Vogue and author
Cosmetic injections.
of the piece. “The
laser surgeon and Medical Director
Isolaz acne therapy is offered on all
Aesthera “I haven’t been this excited by
a treatment in years,” stated Jancee
Dr. Mitchell Chasin, board certified
observed.
877.275.4779 www.aesthera.com
Isolaz completely cleared up the acne
winter 2007 | www.aesthetictrends.com
89—
PRESS CORNER
Candela Appoints Chief Operating Officer Candela Corporation (NASDAQ:CLZR)
across all functions, which will be of
Imaging Systems recently announced
great assistance to us as we return to
plans to unveil the world’s largest skin
a growth path and as the leader in our
imaging database in Feb. ‘08. The
industry.”
1,000,000 image database will allow for
Candela established the aesthetic
the most accurate skin analysis ever,
announced that it has appointed Jay D.
laser market 18 years ago, and
and in turn change the way that skin
Caplan in the newly created position
currently has an installed base of an
care experts market to clients and the
of Chief Operating Officer. Mr. Caplan
estimated 12,000 lasers worldwide.
way that beauty/skin companies test
holds a B.S. in Electrical Engineering
Candela Corporation
from the Massachusetts Institute
800.821.2013
of Technology, and an M.B.A. with
www.candelalaser.com
their products. RBX™ Technology: Used in conjunction with the VISIA, the new
distinction from the Wharton School
RBX Technology offers unequaled detection and analysis of melanin and vascular conditions, such as facial
See the Future Now. See the Latest from Canfield Imaging Systems of The University of Pennsylvania. He is an inventor on both issued and
spider veins, before they are visible to the naked eye. Mother/Daughter Campaign: Canfield is set to launch an innovative
With cutting-edge, popular brands, VISIA®
and
Mirror®,
Canfield
campaign that invites mothers and
pending patents, and is the author of
such as
several peer-reviewed publications and
Imaging Systems is the premier
change the way they see their skin with
medical journals.
worldwide provider and developer
an illuminating “Skin Physical.” The
of imaging software and specialized
“Skin Physical” is launching at medical
was Chief Technology Officer at
photographic systems to the medical
spas, spas nationwide after Labor Day.
InfraReDx, a venture funded start-up.
and skin care industries.
Most recently, Mr. Caplan
daughters to take a deeper look and
Canfield Imaging Systems
At InfraReDx, Mr. Caplan directed
800.815.4330
the development of a novel coronary
www.canfieldsci.com
diagnostic product from concept to clinical validation. Prior to InfraReDx, Mr. Caplan was Vice President of
Cutera’s New Laser, Pearl, Receives Health Canada Clearance
Operations at Thermo Cardiosystems, a supplier of ventricular devices for heart failure. Mr. Caplan was previously employed at Candela between 1988
Cutera, Inc.® (Nasdaq:CUTR - News), a
and 2000. During that time, he held positions in Marketing, Finance,
leading provider of laser and other light-
will be on display at the ASDS Annual
based aesthetic systems for practitioners
President of Operations.
Meeting in Chicago, Thursday, October
worldwide, announced Health Canada
11-14th at booth # 506 and at the ASPS
approval for its new laser, Pearl, with
President and Chief Executive Officer,
Expo in Baltimore Friday, October 26-
proprietary YSGG technology. Pearl
said: “Jay returns to Candela with
31st at booth #323 .
received FDA clearance in March 2007
Gerard E. Puorro, Candela’s
an impressive resume of experience
90 —
Canfield’s latest advancements
International, and later was Vice
World’s Largest Database: Canfield
winter 2007 | www.aesthetictrends.com
and CE Mark approval in July 2007.
PRESS CORNER “We are pleased Pearl has received Canadian clearance, which means it meets all health, safety, and environmental standards required by
Cynosure Continues to Expand the Smartlipo™ LaserBodySculpting Product Family
Canada’s Ministry of Health. We will immediately begin shipping Pearl into
with the 18-watt Smartlipo, compared with about 35 minutes with the 6-watt workstation.” Launched in January, Cynosure’s minimally invasive Smartlipo
Cynosure, Inc. (Nasdaq: CYNO), a
workstation is an innovative system
the Canadian market,” said Kevin
leading developer and manufacturer of
designed as an alternative to traditional
Connors, President and CEO of Cutera.
a broad array of light-based aesthetic
liposuction in patients with smaller
“I see Pearl as a big step forward
treatment systems,
areas of localized
in facial rejuvenation. There is nothing
announced the
fat. The system’s
else like it on the market,” said
addition of an 18-
proprietary pulsing
Kevin Smith, M.D., Board Certified
watt workstation
format delivers laser
Dermatologist in Ontario, Canada. “I
to its family of
energy that liquefies
can identify five to seven patients every
Smartlipo LaserBodySculpting(SM)
the fat, which is
day who will benefit from Pearl because
products. This higher-power
then removed through a cannula.
it provides effective and safe results for
workstation will allow physicians to
The Smartlipo’s laser energy also
treating people with fine lines, irregular
continue to reduce patient treatment
coagulates the tissue, thereby sculpting
color, and other signs of sun damage.”
times for laser-assisted liposuction.
body contours and tightening the
Cynosure is introducing the 18-watt
skin. The procedure generally causes
designed to improve the appearance
Smartlipo at the American Society
less bleeding, swelling and bruising
of wrinkles, uneven texture, age spots,
of Plastic Surgeons (ASPS) meeting,
than traditional liposuction, resulting
and sun damage with only one or two
Plastic Surgery 2007, which is
in fewer complications and faster
treatments and minimal downtime. It
continuing through October 31 at the
is the first application of the 2790 nm
Baltimore Convention Center.
Pearl is a minimally invasive laser
wavelength for cosmetic dermatology. Clinical data supports that Pearl’s
In addition to its new 18-watt system, Cynosure offers Smartlipo in
controlled thermal effect creates residual
upgradeable configurations of 6-
heat in the upper dermis that stimulates
watt and 10-watt workstations, each
new collagen production. Pearl is
designed to address the specific needs
expected to become a leading skin-
of an aesthetic practice. All systems in the field can be upgraded to the new 18-watt system. “The 18-watt Smartlipo
rejuvenation procedure because of its
workstation provides practitioners
patient-friendly approach and excellent
a highly efficient approach for
clinical results. Pearl is available on
performing laser-assisted liposuction,
Cutera’s multi-application Xeo platform,
with the same level of safety and
as an upgrade to all existing customers,
efficacy as earlier versions,” said Bruce
and as a standalone unit.
Katz, M.D., founder of New York’s Juva
Cutera, Inc.
Skin & Laser Center. “For example, an
800.4CUTERA
area of localized fat within an abdomen
www.cutera.com
can be treated in about 12 minutes (Continued on page 94)
winter 2007 | www.aesthetictrends.com
91—
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, HI Contact: ACMD Administrative Office www.acmd-derm-hawaii.coml
92 —
meetings &
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 Gynecologist – 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 winter 2007 | www.aesthetictrends.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 Cosmetic Boot Camp 4th Annual Meeting June 12 - 15, 2008 Broadmoor Resort Colorado Springs, CO 888.355.3675 p www.cosmeticbootcamp.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 Date and Location Pending 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 winter 2007 | www.aesthetictrends.com
American Academy of Anti-Aging Medicine–A4M 16th Annual World Congress on Anti-Aging Medicine and Regenerative Biomedical Technologies Date Pending Venetian Hotel Las Vegas, NV Contact: Aaron Smith 800.558.1267 p www.worldhealth.net
93—
PRESS CORNER
(Continued from page 91)
recovery. Cynosure received U.S. Food
approval, market launch is expected in
and Drug Administration clearance to
the first quarter of 2008.
market Smartlipo in the fourth quarter of 2006. “The addition of the more
“The approval of Levulan in Korea
approval process.” Currently, Levulan PDT is approved for sale in the U.S., Canada,
is another important milestone for
several Latin American markets and
DUSA, which reinforces our strategy
now Korea.
powerful 18-watt system to our
of gaining worldwide distribution
DUSA Pharmaceuticals, Inc.
Smartlipo product family is designed
of Levulan PDT in conjunction with
416.363.5059
to benefit physicians, such as plastic
strategic partners,” said Bob Doman,
www.dusapharma.com
surgeons and dermatologists, who
President and CEO of DUSA. “We
are experienced in body sculpting,”
were particularly impressed with
said Cynosure President and Chief
how quickly Daewoong filed and
Executive Officer Michael Davin.
gained regulatory approval in Korea.
“The minimally invasive nature of the
Daewoong, with an existing customer
Smartlipo makes it an increasingly
base of over 2,500 dermatologists and
attractive option for active patients who
plastic surgeons, is well positioned to
want to remove localized areas of fat
gain rapid penetration in the Asian
through a procedure that keeps lifestyle
markets.”
FotoFinder Systems Reaches Sales Agreement for Northeast and Mid Atlantic Sales Efforts FotoFinder Systems, Inc., the leading manufacturers and vendors for
In early January 2007, DUSA
digital imaging systems, announced
we believe Smartlipo is enjoying a high
entered into an exclusive marketing,
a sales agreement with THM Group,
level of satisfaction from physicians and
distribution and supply agreement with
LLC, a sales outsourcing firm, which
patients.”
Daewoong Pharmaceutical Co., Ltd and
calls for THM to manage all aspects of
Cynosure
DNCompany. Under the terms of this
Northeast and Mid Atlantic sales efforts
800-886-2966
collaborative agreement, DUSA will
of FotoFinder.
www.cynosure.com
manufacture and supply Levulan, while
disruption to a minimum. As a result,
Levulan® Approval in Korea Expands DUSA’s Global Market Reach
“We’re confident that we have
Daewoong Pharmaceutical Co., Ltd and
the best products on the market and
DNCompany will market and distribute
have begun to see greater market
Levulan in 11 Asian countries,
acceptance for our products. THM
including Korea. “The approval of Levulan in Korea is the beginning of a new opportunity
DUSA Pharmaceuticals, Inc.®
94 —
for Daewoong and DNCompany to
(NASDAQ GM:DUSA), is pleased to
expand our dermatology products,”
announce that the Korea Food and
said Shin Hee Soo, CEO of
Drug Administration (KFDA) has
DNCompany. “Korea is considered
approved Levulan® Kerastick® for
a pioneer market in skin care in
Photodynamic Therapy (PDT) for
Asia and the approval of Levulan in
the treatment of actinic keratoses
Korea will be seen as the first step of
is a professional sales company that
(AKs) through its marketing partner
success in the Asian market. We have
will apply their skills to building and
Daewoong Pharmaceutical Co., Ltd and
expectations that the product will be
expanding our customer base, allowing
its affiliate, DNC Daewoong Derma
commercially available in 11 Asian
management to focus on its strengths
& Plastic Surgery Network Company
countries, including China, where we
in the development, enhancement,
(DNCompany). Having received
have already begun the regulatory
and production of the products,” said
winter 2007 | www.aesthetictrends.com
PRESS CORNER Ferdinand Mayer, Vice President of FotoFinder.
NewReality Launches New CVR Medical Series
“We are excited at the
• Staying Relaxed After Your Procedure • Post-Surgery Visualization for Body
opportunity to work with FotoFinder,
Silicon Valley-based technology
one of the top manufactures in digital
Mending
corporation NewReality is calming
imaging systems,” said Michael
clients and helping heal post-operative
of high-tech executives concerned
Engelhart, a Principal of THM Group.
patients with the launch of its new
about the impact of technology on
“We have a complete understanding
Creative Visualization and Relaxation
the quality of life, NewReality has
for the dermatology market and
(CVR) Medical Series. Designed to help
a rapidly expanding network of
together, we are in a strong position
clients cope with the preparation for and
creative visualization and relaxation
to build FotoFinder’s sales and
the post-operative effects of surgery, the
providers. Patrick Porter, PhD., who
distribution.”
Medical Series debuted September 8-10
has over twenty years of experience
Established in 2006 by a team
in the Javits Convention Center at the
as a therapist,
2007 New York Spa & Resort/Medical
joined with
Spa Expo and Conference.
NewReality after
The Medical Series program is FotoFinder Systems, Inc. is one
designed by esteemed therapist and
developing a
of the world’s leading manufacturers
award-winning author Dr. Patrick Porter,
chain of more
and vendors for digital imaging
and uses New Reality’s CVR systems,
than eighty self-
systems. For over a decade they
the NXTlynk Pro™ and NXTlynk
help centers
have been providing professionals
PADTM (Personal Achievement Device),
worldwide with the best in image
to help patients overcome the mental
Dr. Patrick Porter, Founder
throughout North America.
management and archiving.
and physical issues associated with
He is also the author of the award-
Since then their products have
medical procedures. The NXTlynk’s
winning bestseller, Awaken the Genius,
become well established in the
specially designed OptoPath™
Mind Technology for the 21st Century.
sectors of aesthetics, dermatology,
glasses coupled with CVR’s imbedded
NewReality
binaural beats relax clients, creating an
925.837.7000
advanced learning state for the targeted,
www.newrealitylife.com
pharmaceutics and industry. THM Group, LLC provides outsourcing of sales to public and private small and mid-market
motivational programming. The new Medical Series includes
companies. THM develops and
the following programs:
implements tactical sales programs
• De-Stress and Lower Blood Pressure
directed at building sales forces,
• Pre-Surgery Calm for Better Healing
identifying alternative channels of
• Post-Surgery Stress Relief for a
distribution, developing strategic alliances and implementing direct sales programs designed to produce
Reliant Technologies Receives Industry’s Only 510(K) Clearance for a Fractional Ablative Resurfacing Device
Healthy Mind and Body • Soothing Pain Relief for Rapid Healing
Reliant Technologies, Inc., the pioneer of fractional skin resurfacing and
business growth and achieve financial
• Rid Your Mind of Pre-Surgery Jitters
market leader in aesthetic medicine,
objectives.
• Mentally Prepare for Your Procedure
announced that its Fraxel re:pair laser
FotoFinder Systems, Inc.
• Relax and Heal After Surgery
system has received the industry’s only
888.501.0805
• Mental Relaxation During a
FDA 510(K) clearance for a fractional
www.fotofinder-systems.com
Procedure
winter 2007 | www.aesthetictrends.com
ablative laser system for treatment of
95—
PRESS CORNER wrinkles, rhytides, furrows, fine lines,
pigmentation, fine lines, texture and
offer 40 different treatments and services.
textural irregularities, pigmented lesions
vascular dyschromia. It also has the
Multiple services and treatments per visit
and vascular dyschromia. The Fraxel
flexibility to deliver FDDA treatment
in our respondent spas were common.
re:pair system, initially cleared for
for more severe rhytids and furrows by
At least 60% of clientele received two
ablation, coagulation and skin resurfacing
stimulating new collagen and elastin
treatments; around 80% of all clients spent
in May, 2007, becomes the only fractional
production deep into the dermis.
less than $150.
ablative resurfacing system cleared by the
Treatment is delivered with the safety
FDA for specific indications of use.
and proven efficacy of a Fraxel brand
that retail business contributed around
treatment.
10% to their gross annual revenue. More
The Fraxel re:pair laser is the industry’s only minimally invasive, ablative
Reliant Technologies, Inc.
than 50% of clients spent less than $50 on
fractional laser system that delivers a
888.4.FRAXEL (437.2935)
retail purchases; 60% carried less than 150
full spectrum of aesthetic treatment
www.fraxel.com
retail items at their spa.
from Fractional MicroDermAblation™
Almost all respondent spas had a spa
(FMDA™) treatment to Fractional Deep Dermal AblationTM (FDDA™) treatment. It is the only ablative resurfacing device
website; however, most spas do not do
Spa Finder Releases Results of Day Spa Industry Survey
capable of being operated by a single
much to promote their online presence. A large majority of respondents did not use any internet marketing strategies.
clinician, because of its built-in smoke
Spa Finder has released the results of
evacuation system, and capable of treating
the Day Spa Industry Survey. Conducted
commonly used salary structure. If a spa
at depths from 300 micrometers (μm) to
electronically in August 2007, with email
was using a combination of pay-per-
1.6 mm into the dermis, all in a single
invitations sent to a random sample of
hour and commission wage structure,
hand piece.
6200 day spas nationwide, Spa Finder
the pay was about $10 with an average
collected 389 complete surveys.
commission rate of 29%.
“In my 20 years of using lasers, I have not seen an ablative technology safely
Highlights from the survey:
capable of targeting all of the elements of
85% of day spa businesses have
Commission only was the most
Human resources issues such as obtaining, retaining, and managing
severe photodamage on and off the face,
just one location, and the majority of
motivated and quality staff was listed as
including the delicate neck and chest
spa facilities measure less than 2000
the greatest challenge faced.
regions. It is now possible with the Fraxel
square feet. More than one out of three
re:pair system,” said A. Jay Burns, M.D.,
day spas report gross annual revenues
reservations department (to handle client
Assistant Professor of Plastic Surgery at
under $200,000, with 56% (the majority)
appointment bookings) separate from
the University of Texas Southwestern
reporting gross revenues falling under
their front desk operations.
Medical Center and past president of the
$400,000. At least 80% of
31% had a
American Society
our respondent spas had
marketing budget of
of Laser Medicine
been in operations for less
under $5,000 per year.
and Surgery.
than ten years. A majority
Respondent spas with
The Fraxel re:pair laser delivers FMDA
Almost 85% did not have a
of spas had been fully operational for only
higher revenues did not necessarily use
about two years.
expensive marketing methods but chose
Spas reporting revenues at the one
to focus on marketing tools that reached
treatments
million mark or above (one in five spas)
for superficial
have been in business for at least nine
SpaFinder
photodamage,
years.
212.924.6800
including
96 —
Almost half of the respondents stated
On average, respondent spa menus
winter 2007 | www.aesthetictrends.com
their target audience appropriately.
www.spafinder.com
*
* Skin rejuvenation by reduction of diffuse redness and pigmentation © 2007 Candela Corporation. Candela is a registered trademark of Candela Corporation. 0920 -13 - 0064 Revision 01
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800 •668•2691 candelalaser.com
winter 2007
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volume 6, issue 6
|
winter 2007
aesthetic trends & technologies™
Anti-Aging & WELLNESS Diabetes: An Integrative Approach DERMATOLOGY Medical Photography laser & light technology
Fractional Resurfacing legal case OF the Month Understanding Your Insurance Policy–Part II medical spas Med Spa Metrics–Part III
volume 6
plastic surgery Male Procedures
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pRACTICE MANAGEMENT Credit Card Processing Made Simple
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