Aeshtetic Trends - Jan/Feb 2008 eBook by Aesthetic Trends & Technologies, Inc.

www.aesthetictrends.com

volume 7, issue 1

january-february 2008

Anti-Aging & WELLNESS Vibration Training DERMATOLOGY Bridge Therapy–Lumenis laser & light technology The Erbium YAG: 2940nm legal case OF the Month Insurance Landscape for Medical Spas medical spas Marketing Metrics plastic surgery The Use of Harmonic® Technology pRACTICE MANAGEMENT Win Patients With a Winning Website

the leading physician journal for aesthetics and wellness

See

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a GFX

–B

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\ hPrecision l fRadio ^mb\ Frequency Application

GFX treats motor nerves typically treated with neurotoxin or brow-lift. GFX from Advanced Cosmetic Intervention

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(ACI) incorporates Precision, Control and Safety: • Immediate and profound results with minimal downtime • An effective and economical solution

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After GFX

303.799.1988, ext.121, or visit us at www.GFXCosmetic.com

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

for your patients

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.

Steven Ross Mobley, M.D.

Jeffrey Weinberg, M.D.

New York, NY

Eastern Cosmetic Surgery Institute, Bala Cynwyd, PA

Salt Lake City, UT

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

Ranella J. Hirsch, M.D.

Morrison Vain Institute Tempe and Scottsdale, AZ

Brian Biesman, M.D. Nashville, TN

Skincare Doctors, Cambridge, MA

Valéria B. Campos, M.D.

Bruce E. Katz, M.D.

São Paulo, Brasil

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

Newport Dermatology & Laser Associates, Newport Beach, CA

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

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

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

Juva Skin & Laser, New York, NY

Sadick Aesthetic Surgery & Dermatology, New York, NY

Cheryl Whitman

Arielle N.B. Kauvar, M.D.

Joel Schlessinger, M.D.

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

New York, NY

Dore J. Gilbert, M.D.

Nick Morrison, M.D., F.A.C.S.

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

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

featured advisor

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

Skin Specialists, P.C., Omaha, NE

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

Allan E. Sosin, M.D. Institute for Progressive Medicine Irvine, CA

Beautiful Forever, New Jersey Miami Plastic Surgery, Miami, FL

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

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

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

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.

january-february 2008 | www.aesthetictrends.com

—1

Letterfrom the

Editor

Roll up those sleeves and let’s get down to business! 2008 has been said by many to be a year for greatness. I have heard this more now than ever before that physicians are ready to have a winning year of business that surpasses anything they have seen in this decade. I believe it’s true, and we are here to

Helping Your Practice Grow

help you in making it a reality.

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

Editorial Advisory Panel. She brings over twenty years of expertise in the set-up and ongoing management of medical spas. It is our goal to expand your knowledge in the ongoing articles within the Medical Spas department for practice success. This year, we will be announcing several new online courses for the medical professional. CME category 1 credits will be the reward for participation in these lectures to help you shape your business for growth. Look for more information as these courses are rolled out and become available.

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

& Light department, has written a very informative article regarding the updates from past years on the Erbium laser in aesthetic treatments. Be sure to read the details of how these lasers have evolved, improved, and

“Formula for success: rise early, work hard, strike oil. “ - J. Paul Getty, 1892-1976 Entreprenuer, Art Collector and Founder of the Getty Oil Company

have shaped the industry in the application of popular skin rejuvenating techniques.

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

growing industry of technology and the use of the worldwide web for the added exposure of your practice. Featured in this issue of the Practice Management department our contributing editor John McCormack writes about how to communicate with your patients and draw new clients into your practice doors with this increasingly popular vehicle.

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

Although it is always hard work to keep your practice running, we hope that several of these new practice growing formulas will be the perfect fit for the coming year. Grow and prosper in 2008 and beyond.

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

2—

january-february 2008 | www.aesthetictrends.com

january-february

2008

departments

anti-aging & wellness

dermatology

laser & light technology

legal case of the month

medical spas

plastic surgery

practice management

21 13 7

Anti-Aging & Wellness Vibration Training

Dermatology Bridge Therapy

Product Listings Dermal Fillers & Injectables

Laser & Light Technology The Erbium YAG: 2940nm

Log On Now www.aesthetictrends.com

Product Listings Evolving Technologies/Laser & Light Technology

Legal Case of the Month Insurance Landscape for Medical Spas

january-february 2008 | www.aesthetictrends.com

â&#x20AC;&#x201D;3

in every issue 2

letter from the editor

dermal fillers & injectables product listings

laser & light technology product listings

microdermabrasion product listings

press corner

meetings & events calendarr

ATnT subscription form

59 73

63 FEATURED MEDICAL SPA–Renu Medispa Eagle, Idaho

4—

Medical Spas Marketing Metrics

Featured Medical Spa Renu Medispa, Eagle, Idaho

Product Listings Microdermabrasion

Net Visibilities

Plastic Surgery The Use of Harmonic® Technology

Practice Management Win Patients With a Winning Website

Press Corner

Meetings & Events Calendar

Aesthetic Trends & Technologies Subscribe!

january-february 2008 | www.aesthetictrends.com

advertiser index

editor in chief

Aesthetic Cosmetic Intervention (ACI) (www.acisurgery.com). . . . . . . . . . . . . . . . . . . . . . . . . C2

Cindy Vandruff cindy.vandruff@aesthetictrends.com

t re nd s e d i t o r Mai Pham mai.pham@aesthetictrends.com

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Valerie J. Ablaza, M.D. Al S. Aly, M.D., F.A.C.S. Elda Argenti Jennifer Barnes Leslie S. Baumann, M.D. David Cauger Mitchell Chasin, M.D. Padraic Deighan, M.B.A., J.D. Sam Dhatt, M.S. Richard Ellenbogen,M.D.,F.A.C.S. Stuart Frolic Michael H. Gold, M.D. David J. Goldberg, M.D. Mark Greenberg

Lou Haggerty, PUMC Nicanor G. Isse, M.D. Scott Hopson, B.S. (Hons) Benjamin Kessler Dawn Larsen Elizabeth I. McBurney, M.D. Kathy Miller-Kramer Greg S. Morganroth, M.D. Nick Morrison, M.D., F.A.C.S. Megan K. Packard Lisa Panzica Dr. Cheryl Perlis Debra Price, M.D. Robert Prince

Dr. Zakia Rahman Joseph Sameh Matthew Schulman, M.D. Asad Shahsavari, N.M.D. Steven D. Shapiro, M.D. Rada K.Tierney Ken Washenik, M.D., Ph.D. Greg Washington Sara Wasserbauer, M.D. Scott B.Wells, M.D., P.C. Cheryl Whitman Gregory Wiener, M.D., F.A.C.S. Steven E. Zimmet, M.D.

s e n io r gra ph i c d e s i g ne r David Meyer pro du cti o n m a na g e r Melissa Poliseno cre ati ve d i re c t o r Danielle Hudson pro du ct i o n d i re c t o r Kerry Shaughnessey produ ction co o r d i na t o r B. Gunstenson s ub s c r i b e 800.277.1391 8:30 AM to 5 PM PT, Monday–Friday Subscribe online: www.aesthetictrends.com or use the convenient subscription order form provided in this issue.

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

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january-february 2008 | www.aesthetictrends.com

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Vibration Training A Painless Path to Health, Wellness, and Performance

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

Whole Body Vibration (WBV) is a

the Earth’s gravitational field is equal

Reflex (TVR). TVR is determined

mechanical stimulation characterized

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

greatly by the amount of pre-

by an oscillatory motion. The

perturbations of the gravitational

tension existing in the muscle, thus

parameters that determine its stress

field over a specified course of time.

movement selection and execution

factor (intensity) are frequency,

Given that gravity is a necessary and

are crucial in determining efficacy of

amplitude, and magnitude of these

sufficient load on our

oscillations. The vibration creates

body, WBV provides

disruptions to instability and gravity,

a resistance against

thus forcing the body to stabilize itself

which to train.

-2

through innate and natural reflex muscle actions.

Low frequency, low amplitude

EFFECT ON HUMAN PERFORMANCE

at t

anti-aging n & wellness

anti-aging & wellness

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

Whole Body Vibration (WBV) has

Vibration

been studied with subjects exercising

stimulates reflexive muscle action;

outcomes. Furthermore, effects are

on vibrating platforms that possess

and the rapid continual firing of

also proportional to the load imposed

frequencies ranging from 15–44Hz

this mechanism, due to vibration,

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

and magnitudes of 1.8–15g. Where

is known as the Tonic Vibration

In normal conditions, muscles

january-february 2008 | www.aesthetictrends.com

—7

anti-aging & wellness

exposed to the daily g-force[s] of

functional power outcomes safely

most effective form of fighting bone

Earth are capable of maintaining

and effectively without concerns

loss and thus osteoporosis. Studies

their performance capabilities and

for high load, high stress, and high

have been performed in both animal

capacities. When gravitational load

impact on the kinetic chain similar

and human populations showing

is reduced (microgravity), i.e. less

to many traditional methods of

an improvement in bone mineral.

than 1g, a marked decrease in both

training. Obviously such factors are

Excitingly, new research has shown

muscle mass and function is observed.

crucial, particularly in many where

significant (1.5%) increase in hip

Comparatively, if gravitational load is

musculoskeletal systems (both active

area bone mineral density, as well as

increased (macrogravity), i.e. above

and passive) are less tolerant of these

muscle strength and postural control

1g, a concurrent increase in muscle

high mechanical and morphological

in post-menopausal women. These

cross-sectional area and functional

stresses. Current research shows

findings present an exciting solution

capacity occur.

not only strength and power

for an ever worsening problem in our

WBV research in many and varied

improvements, but also much needed

aging populations: osteoporosis, loss

populations have shown marked

speed of movement. Velocity of

of postural control and balance, bone

improvements in static, dynamic,

movement is one of the most important

fractures from falls, and difficult and

and explosive strength and power.

criteria for optimal human function!

incomplete recovery from traumatic

These are significant findings as

8â&#x20AC;&#x201D;

falls. So effective is WBV that its impact

such improvements are both acute

INCREASE IN BONE MINERAL DENSITY

is being achieved at knee, hip, and

and chronic in nature. Particularly

spine as well as utilized to expedite

of interest is that WBV is eliciting

and power improvements, WBV is a

Concurrent to functional strength

january-february 2008 | www.aesthetictrends.com

orthopedic injury recovery from

many, if not most people, this is not the

IMPROVE THE IMMUNE FUNCTION

likely a combination of WBV applying

case. Anything that naturopathically

traction to the bone, re-vascularization

enhances our anabolic hormones aids in

respond to the expedited muscle

of the bone matrix, and elevated

this.

activity, the circulatory system is

available growth hormones.

similarly overloaded. Indeed research

INCREASE IN METABOLISM HORMONAL BALANCING EFFECT

Hormonal factors are intrinsically

As the body is forced to react and

shows WBV to increase muscle blood Body composition and body mass are volume by as much as 100%. With this an increasing concern as we now have increased muscle blood volume is a

linked to both neuromuscular and

more obesity, android obesity, diabetes,

concurrent stimulation of the lymphatic

morphological adaptations. Indeed

and disease[s] of toxicity than ever

drainage system. Combined, these

changes in gravitational load will

before. WBV has a tremendous impact

two systems of circulation provide

inevitably involve neural and hormonal

on the metabolic demand of exercise,

optimal nutrient and energy exchange

responses. Studies in astronauts have

both during and following. A muscle

at the metabolic level, as well as an

shown that microgravity will produce

firing rate of 30 to 50 times per second

enhanced waste product and toxin

a decline in androgen and human

(Hz) in multiple directions (planes) will

removal. In themselves these are very

growth hormone â&#x20AC;&#x201C; primarily due to

not only increase type 1 (slow) fibers

significant findings, yet they will also

reduced musculoskeletal tension,

usage, but activate those type II (fast)

carry integrated benefits on flexibility,

loss of hydrostatic pressure, and

fibers that are so desperately needed

morphological changes, pain reduction,

altered sensory motor systems. In

for real morphological change[s]. By

and body composition (fat cells house

contrast, an increase in gravitational

utilizing fast twitch fibers (WBV) the

toxins!). This explains why so many

load (WBV) has been shown to

metabolic demand during and post

clinical environments are witnessing

increase human growth hormone,

exercise will be greater. Research has

elevated immune function in those

testosterone, and IGF-1. Furthermore,

shown WBV to be

WBV is decreasing cortisol response

as much as 25%

post exercise. This reduction carries

more compared

implications regarding prevention

to traditional

of atrophy (muscular, skeletal, and

resistance training.

neural) as well as balancing the

Considering that

autonomic nervous system. In short,

fast twitch muscle

the increased force generating capacity

fibers are linked

and enhanced proprioceptive qualities

to increases in

from WBV are creating an anabolic

testosterone and

environment in which recovery,

human growth

regeneration, and growth can occur.

hormone, it makes great sense that

patients and clients who utilize WBV.

Again, this is of paramount importance

WBV increases metabolic demand

in all populations as we now live in

and initiates an anabolic response.

circulatory (blood and lymph) and

highly stressed external and internal

Subsequently, testosterone and human

hormonal systems have a tremendous

environments where catabolism is

growth hormone will in turn positively

impact on many other tissues in the

the norm. We must remember that

impact on oneâ&#x20AC;&#x2122;s basal metabolic rate

body that also significantly impact on

exercise is a STRESS. This stress

as well as tissue repair and recovery.

the way we look - in particular cellulite,

only becomes positive if we create an

The net result: increased muscle mass,

skin tone, and body fat reduction. The

environment for positive (anabolic)

decreased body fat, and improved

most important factors that influence the

change, i.e. supercompensation. For

weight loss and maintenance.

appearance of cellulite are fat storage,

anti-aging & wellness

traumatic surgery. These outcomes are

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

january-february 2008 | www.aesthetictrends.com

Interestingly, the effect of the

9â&#x20AC;&#x201D;

anti-aging & wellness

fluid retention, the amount and

growth hormone while suppressing

which validates its safety for use in

arrangement of collagen and elastin

cortisol, the stress hormone known to

42 European countries for people

fibers in the connective tissue layers

add fat around our mid-sections, as

with disabilities. Where access is

just under the skin. Where there is

well as the most catabolic hormone

a real factor to participation (and

a decreased circulation in the body,

and long-term stress marker. Finally

adherence), this is a welcome and

the bodyâ&#x20AC;&#x2122;s waste removal system can

the improved collagen remodeling

exciting development. In the U.S.

fail; and the body holds toxic waste,

is perhaps the most important for

alone there are some +100 million

causing connective tissue to become

healthy looking and functioning skin.

(out of 300 million) people living with

saturated with fluid, often leading to swelling and inflammation.

The bulging fat cells, or adipocytes, stress the collagen and elastin network nearby and cause the connective

some form of disability. How many

APPLICATIONS

are training in mainstream health

and fitness facilities? For a modality

Many traditional exercise

interventions for health, wellness,

that has been proven to be fast (12-20

and performance have had to

mins.) and effective (strength, power,

overcome varied and persistent

balance, bone, pain, hormones, pain

obstacles, thus participation and

reduction, etc.), WBV is providing

adherence rates of physical activity

exercise intervention with an

and exercise (especially in an elderly

innovating application for optimal

and become

population) are decreasing. These

health, wellness, and performance.

fibrotic, which

factors are complex and transient, yet

As part of an integrated approach to

encroach on

include access, resources, time, poor

exercise programs, WBV offers a very

healthy blood

outcomes (results), pain / dysfunction

powerful and holistic set of tools.

tissues to harden

and lymphatic flow. WBV offers solutions for strengthening,

(exacerbated), and confusion (what, how and when to use), as well as spiritual factors.

This technology and science is not

B.S. (Hons), is the Director of

adding muscle which

only supported by research-based

burns fat and improves

evidence but a wealth of global

Training for

circulation. WBV

practice-based evidence which

Power Plate North

Education and

training has been

now has WBV at the core of applied

shown to improve

health practices in sports medicine,

Hopson has an Honors degree in Sport

physical therapy, chiropractic care,

and Exercise Science from London, UK

athletic training, beauty, and wellness

as well as being internationally certified

worldwide.

through the CHEK Institute, the National

Strength and Conditioning Association,

the texture of skin, to free areas of restricted blood flow, and support

WBV is proving to be safe, fast,

and effective. Sessions may only last 12â&#x20AC;&#x201C;20 minutes, yet they provide the optimal

America. Mr.

the National Academy of Sports Medicine and the American College of Sports Medicine. He is also successfully

balance between

completing his Masters Degree in

stress and recovery.

advanced Kinesiology in addition to

Some machines,

being a certified and practicing USA

such as the Power-

Rugby Coach. For more information,

Plate, have been accredited by the IFI,

10 â&#x20AC;&#x201D;

Scott Hopson,

january-february 2008 | www.aesthetictrends.com

visit www.power-plate.com

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

SUBSCRIBE Using the form found on page 87 IN EVERY ISSUE Anti-Aging & Wellness Dermatology Laser & Light Technology Legal Case of the Month Medical Spas Plastic Surgery Practice Management

858.605.0470

Fax 858.605.0469

the leading physician journal for aesthetics and wellness

dermatology

Lumenis UltraPulse Encore

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

I vividly remember seeing Bridge

My only skepticism at the time was

by gentle dermaplaning. I still

Therapy for the first time a little over

that leaving little bridges of tissue,

wasn’t convinced the laser pattern

a year ago. What was so amazing

between points of contact of the

wouldn’t be permanent. However,

to me was not that I was seeing skin

laser, would necessarily result in a

her second return visit, at one week,

resurfacing for the first time, (I had

reticulated pattern on the skin.

totally amazed me! From a social

over ten years of experience with

CO2 Laser Resurfacing), but that the

performing the

revolution in delivery of the beam

procedure was from

instantaneously answered so many

out of town, and the

questions in my mind concerning

patient was local to

what was imperfect about earlier

New York, I offered to

resurfacing.

provide follow-up care

after the procedure. I

It immediately brought to mind the

at t

dermatology n

Bridge Therapy

Since the surgeon

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

technological advances of targeting

must admit, my motivations were not

distance, her skin was flawless; and

that amazed us all during the Gulf

entirely altruistic, as I really wanted

she truly had fresh, new, and younger

War. After an explanation of how

to see if the results were as impressive

appearing skin. I became instantly

it works and seeing the first laser

as promised. The patient returned

convinced that this represented a

shot, I whispered in my laser nurse’s

at four days with the anticipated

true revolution in skin resurfacing

ear, “Wow, we need one of these!”

speckled “peel,” which we treated

technology.

january-february 2008 | www.aesthetictrends.com

13—

dermatology

Before Treatment.

Immediately After Treatment.

14 Days After Treatment.

60 Days After Treatment.

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

ABLATIVE AND MICROABLATIVE THERAPY

treatments for pigment correction

deliver carbon dioxide energy deep

(Pigment FX) all the way to rapid

into the dermis, sparing much of

latest evolution in fractionated

healing ablative treatments for skin

the epidermal response, thereby

delivery of carbon dioxide laser

tightening (Active FX).

achieving long-term collagen

skin resurfacing. Lumenis LTD

remodeling with only a fraction of

manufactures the UltraPulse®

in the delivery system involve using

the recovery, and almost none of the

system carbon dioxide laser

a specialized computer pattern

complications formerly associated

application. This system has been

generator to diminish the diameter

with earlier deep carbon dioxide

in existence for many years. What

of the beam, as well as randomizing

treatments.

is truly revolutionary are the recent

the delivery of the pattern, including

advancements in the delivery of the

tiny bridges of intact skin between

CUSTOM DESIGNED TREATMENTS

beam and its patterning that allows

treatment zones. By changing the

for dramatic single treatment results

equation on beam delivery, there

of Active FX with the deep collagen

with greatly reduced patient down

is a change in the natural healing

stimulating and tightening effects of

time. By applying fractional delivery

response to the laser, promoting

Deep FX, a true three dimensional

techniques to carbon dioxide laser

rapid epidermal regrowth as well

approach to skin resurfacing may

Bridge Therapy represents the

The technological advancements

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

14—

By combining the surface benefits

as neocollagenesis

be achieved (Total FX). What this

within the superficial

means to a clinical practice is the most

dermis.

comprehensive skin rejuvenation

The result

system offering custom designed

is a dramatic

treatments tailored to a patient’s

improvement in

results objective and downtime

wrinkles, texture,

tolerance.

and tone with

Within my plastic surgical practice,

energy, the best of both ablative and

minimal recovery time. The newest

I have been using Bridge Therapy

microablative treatments may be

and most exciting addition to the

procedures for well over a year.

combined. Bridge Therapy includes

Bridge Therapy family is Deep FX

We have applied these resurfacing

a continuum of treatment options

and Total FX. By reducing the beam

techniques effectively not only to the

from microablative procedures using

width and density even further,

face, but routinely to the neck and

“Deep FX” technology to subablative

Deep FX treatments are able to

décolleté as well. The results have

january-february 2008 | www.aesthetictrends.com

collagen. The “organic” correction of

One division of my practice has now

well over one hundred cases. Within

this change involves thickening and

become devoted to Comprehensive

the last six months, we have begun

rebuilding collagen within the skin,

Beauty and Age Management.

routinely resurfacing the skin at the

thus restoring elasticity. Applying

Procedures such as Active FX, Deep

same time as minimally invasive

traditional “pull techniques” to

FX, and Total FX may be used as

facelift and eyelid rejuvenation

progressively aged skin generally

much to “bank collagen” in younger

procedures; and we have found

yielded diminished results. Less

patients as to rebuild it in the aged

this to also be quite safe and

invasive surgical maneuvers are

patient. Thinking of skin fitness

reproducible.

reserved more to correct gravitational

in terms of “gym memberships”

changes within the underlying tissues

for the skin, we orient our patients

BALANCED ORGANIC REJUVENATION

than to correct for skin laxity.

to understanding that regular

maintenance through the use of laser

The ability to rebuild elasticity

The third component to Balanced

and collagen density within aged

Organic Rejuvenation involves

and light based treatments is most

skin has added a tremendous

physiologic volume restoration

appropriate to preserving beauty for

dimension to rejuvenation

through the use of autologous fat

life.

procedures. In fact, this has helped

grafts or commercially available

us to reorganize our surgical

volume fillers. Having a tool to safely

philosophy to one that we call

and comfortably rejuvenate skin

Dr. Scott B.

Balanced Organic Rejuvenation™.

has provided a way to reproducibly

Wells is a

achieve

Board Certified

absolutely

Plastic and

natural results.

Reconstructive

Even more

Surgeon

importantly,

practicing in

applying these technologies to skin rejuvenation has allowed better results 100 mJ at Face; Forehead at 90 mJ, Density of 2. 7 Days Post Treatment. Photos Courtesy of Alexander Attai, M.D.

with more minimally invasive

New York City and Great Neck, Long Island. Dr. Wells is the Medical Director of the Park Avenue Plastic Surgery Center and Skin NY, a state-of-the-art medical rejuvenation medispa. Dr. Wells has appeared on various television programs and has been quoted in numerous articles such as in Vogue, W, and Hamptons magazine. He has

The essential notions of Balanced

surgical alterations, translating into

also written and spoken extensively

Organic Rejuvenation involve

fewer complications and greatly

on cosmetic surgery topics including

applying several different

reduced recovery times.

presentations on facelifts, eyelids, brow

technologies into a rejuvenation plan,

lifts, abdominal surgery, liposuction, rhinoplasty, laser resurfacing and breast

and naturally correct the separate

COMPREHENSIVE BEAUTY AND AGE MANAGEMENT

components of senescent changes.

has contributed to numerous books and

ways of looking at this family of

is still actively involved in teaching and

alteration in skin’s thickness and

skin rejuvenating procedures is the

medical education.

elastic properties due to loss of

prospect of using them proactively.

each designed to most effectively

A significant part of aging is

dermatology

proven to be reproducible and safe in

One of the most progressive

january-february 2008 | www.aesthetictrends.com

augmentation and reconstruction. He

15—

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product listings

Dermal Fillers & Injectables

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 ALLERGAN Juvéderm

The JUVÉDERM™ dermal filler

compared to the smooth consistency

family of products, cleared by the

gel of the JUVÉDERM™ dermal filler

U.S. Food and Drug Administration

family of products.

in 2006, is the next generation in

To provide physicians with the

hyaluronic acid dermal fillers that

flexibility to tailor each treatment

provide a smooth, long-lasting correction of moderate to

to the specific needs of the patient, there are two

severe facial wrinkles and folds.

formulations of JUVÉDERM™. Product formulations

include: JUVÉDERM™ Ultra, a highly cross-linked

JUVÉDERM™ is the first smooth consistency gel

formulation and is clinically proven to last up to one

formulation for more versatility in contouring

year. JUVÉDERM™ is developed using the proprietary

and volumizing of facial wrinkles and folds; and

HYLACROSS™ technology, an advanced manufacturing

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

process that results in a malleable, smooth gel that flows

thicker gel for volumizing and correction of deeper folds

easily into the skin and creates a smooth, natural look

and wrinkles.

and feel. All other hyaluronic acid dermal fillers currently

Allergan

on the market use a granular consistency gel. These

714.246.4500

granules can be seen under 2.4x magnification when

www.allergan.com

january-february 2008 | www.aesthetictrends.com

17—

Allergan www.allergan.com 2525 Dupont Drive Irvine, CA 92612 714.246.4500 p

18 —

Product Source

Dispensed Shelf Life Price Measurement

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

Artes Medical, Inc. www.artesmedical.com 5870 Pacific Center Blvd. San Diego, CA 92121 858.550.9999 p 858.875.5556 f

ArtFill

PMMA

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

Radiesse (formerly Radience FN)

CaHa with gel carrier

1.3 & 0.3cc

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

Fasciablast Fascian

Cadaver Tissue Cadaver Tissue

Yes Yes

No No

Multiple sizes,standard 5 years & custom.Pre-filled 5 years with 80 mg of particles; comes in six sizes from 0.01 to 2.0 ml

Varies by size No $85 /syringe No

FDA registered FDA registered

LifeCell www.lifecell.com One Millenium Way Branchburg, NJ 08876 908.947.1100 p

Alloderm

Cadaver Tissue

Yes

Multiple sizes, both standard and by request 1 cc syringes

Up to 2 years

varies depending on size

Accredited Tissue Bank

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

Restylane Restylane Touch Restylane Perlane Restylane Sub-Q

NASHA gel

1.0 ml syringes

18 months

$275 per cc

FDA Cleared in US & Canada Pending FDA Clearance Pending FDA Clearance Pending FDA Clearance

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

Sculptra (New -Fill)

Polylactic acid (PLA) hydrogel

Yes

2 vials that are reconstituted into 3 x 1 cc syringes

N/A

$480/vial

FDA cleared for restoration and/or correction of the signs of facial fat loss (lipoatrophy)

SeSDERMA USA www.sesedermusa.com 22-A Lenox Point Atlanta, GA 30324 404.846.2044 p

HylanSeS FillDerma

Hyaluronic Acid Collagen

No No

Yes No

1 ml syringe 2 bottles; 1-10ml oil 1-10ml activator

2 years 2 years

List $80

No No

Not FDA Cleared Not FDA Cleared

Therapeutic Silicone Technologies, Inc. www.orentreich.org/tst.htm 909 Fifth Avenue New York, NY 10021 212.606.0830 p 212.794.6261 f

SilSkin

Silicone Fluid

N/A

2 years

N/A

U.S.& Canadian Clinical Trials

Yes Yes Yes Yes Yes Yes Yes Yes

24 months from date of manufacture

Regulatory Information

Botox® Cosmetic Juvéderm 24 HV Juvéderm 30 HV Juvéderm 30 Zyderm® 1 & 2 Zyplast® CosmoDerm™1 Cosmoplast™

Yes Yes Yes Yes No No No No

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

Ski n Req Test uir ed

U.S. Source Product

Rec o Reh nstitu ydr ted ate / d Ref rig era tio n

DERMAL FILLERS & INJECTABLES Product Listings

3 years 3 years 2 years 2 years

Yes

january-february 2008 | www.aesthetictrends.com

2 years

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

No No No No No No No No

Cleared for Cosmetic Use FDA Cleared FDA Cleared FDA Cleared FDA Cleared FDA Cleared FDA Cleared FDA Cleared

$700 - $800 per cc

Yes

FDA Cleared

$250

Cleared for Vocal Fold, Tissue Marketing, Oral/Maxillofacial Defects

Product Source

ABR Development www.atlean.com Parc d’activité Aftalion Rue François Perroux 34670 Baillargues France (+33) 4 67 10 94 81 p (+33) 4 99 62 05 73 f

Atléan

BTCP

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

Varioderm Varioderm Fine Line Varioderm Plus Varioderm Subderma

Non-animal Hyaluronic Acid

Atrium Medical www.atriummed.com Rendementsweg 24, LIII 3641 SL Mijdrecht The Netherlands 31.297.230.420 p Atrium Australia-Pacific www.atriummed.com L1 Bridgepoint 3 Brady Street Mosman NSW 2088 61.2.9960.0169 p

Advanta ePTFE Facial Implants

Dual-Porosity ePTFE

BioPolymer GmbH & Co. KG www.biopolymer.info Bahnhofsplatz 4 D-56410 Montabaur Germany 0049 2602 83868 0 p 0049 2602 83868 20 f

MATRIDEX® MATRIDUR® MATRIGEL®

Dispensed Shelf Life Price Measurement

Ski n Req Test uir ed

Sources Outside U.S. Product

Rec o Reh nstitu ydr ted ate / d Ref rig era tio n

DERMAL FILLERS & INJECTABLES Product Listings

N/A

2 x 1.0 ml syringes

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

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

Regulatory Information

CE Mark

CE Mark/TUV

Cleared in Australia

DEAE Sephadex

$250 - $350

Prollenium Medical Technologies ReDexis www.revanesse.com Revanesse 10670 Yonge St Revanesse Ultra Richmond Hill, ON L4C 3C9 Canada Toll Free 866.353.3015 905.508.6716 f

Hyaluronic Acid

$175 - $225 per cc

Cleared in Canada. U.S.Pending

Q-Med AB www.q-mediesthetics.com Seminarjegatan 21, SE-752 28 Uppsala, Sweden +46 18-474 90 00 p

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

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

No No No No No No

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

18 months

$275 per cc

No No No No No No

FDA Cleared FDA Cleared FDA Cleared FDA Cleared FDA Cleared FDA Cleared

Rofil Medical Int’l N.V. www.rofil.com Heusing 16 4817 ZB Breda The Netherlands +31 (0) 76 5315670 p

Beautical 2 Beautical 5 REVIDERM Rofilan

Poly Acrylamide Poly Acrylamide Dextran - Sephadex Hyaluronic Acid

No No No No

Yes Yes Yes Yes

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

2 years 2 years 2 years 2 years

$150 $190 $336 $235

No No No No

Not FDA Cleared

Tissue Science Laboratories www.tissuescience.com Victoria House,Victoria Road Aldershot, Hampshire GU11 1EJ United Kingdom (01252) 333.002 p

Permaco™

Porcine Dermis processed to yield a sterile collagen matrix

Various sizes of sheet goods 1mm in thickness

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

Varies according in size

FDA Cleared

january-february 2008 | www.aesthetictrends.com

CE Mark Not FDA Cleared

19—

Aesthetic Trends & Technologies Presents:

The 2007 Laser & Light Choice Awards Ceremony ASLMS–April 2008 Orlando, Florida Last Year’s 2006 Recipients Alma Candela CoolTouch Cynosure Cutera Focus Medical Hoya ConBio Iridex Novalis Palomar PhotoTherapeutics Reliant Syneron Sciton Thermage Lumenis Zimmer Elektromedizin

LASER LIGHT TECHNOLOGY

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www.aesthetictrends.com

A Rejuvenated Laser

By David Cauger, Contributing Editor

at t

The Erbium YAG: 2940nm

laser n & light technology

laser & light technology

Non-surgical facial rejuvenation

collagen synthesis to smooth out fine

non-ablative lasers and other non-

treatments are the fastest growing

wrinkles, or BOTOX™ and dermal

laser devices that tighten the skin.

segment in aesthetic medicine. It is

fillers for dynamic and static wrinkles.

estimated over 8 million procedures

The term facial rejuvenation may also

do specific things according to their

will be performed annually world

be used in the context of ablative and

wavelengths, optics, power, and other

Aesthetic lasers are designed to

wide by 2009, producing $6.4 billion in fees.

This article will present the Erbium

YAG (Er:YAG) as a key component in advanced facial rejuvenation

strategies for the cosmetic practice. In addition, technical information and indications for the Er:YAG will also be included.

Facial rejuvenation is broad term

that may include treating sun induced “age spots”, broken capillaries and small vascular abnormalities of the face. The term may also be used to refer to treatments that create

Figure 1. Water Absorption Coefficient.

january-february 2008 | www.aesthetictrends.com

21—

laser & light technology

features. Laser manufacturers will

The Er:YAG is on the peak

attempts to go deeper with less

often emphasize the “secondary”

coefficient of water. This provides

“downtime.” It can achieve this

treatment benefits of their devices.

very precise ablation of skin tissue

because it ablates skin tissue

The merits of these benefits range

without the “spread” of thermal

in “piecemeal” fashion using a

from efficacious to questionable.

heat to the dermis as is the case with

“screen” type lens to break up the

These will be covered later in this

the CO2 laser. The upside of this is

beam into many “microbeams”

article. The non-ablative lasers

recovery times can be as short as <1

within the spot size. This is now

designed for collagen synthesis

day. The downside is no residual

commonly referred to as the

via the wound healing response

heat finds its way to the dermis, and

“Thermal Micro-ablation Zone” or

include variations of the Nd:YAG,

therefore no collagen remodeling or

MTZ. The rules as defined in Fig.1

the 1540 Erbium glass, and even

contraction achieved.

somewhat change as small wounds

intense pulsed light devices with

heal at a faster rate than large

high energies in the 800nm–1200nm

is directly proportional to fluences

The Er:YAG’s depth of ablation

The more sophisticated cosmetic physician may take a more strategic path to achieving desired cosmetic improvements while keeping the patient fully engaged in the process of facial rejuvenation.

wounds. The upside of this is that

and overlap. Spot sizes

the physician may ablate lesions

range from 4mm to

that are deeper with downtimes

10mm, fluences range

that would equal superficial depths.

from .2J/cm to 10J/

The downside is the entire targeted

cm2 and repetition rates

area is not treated, and several

range from 1–3 shots

treatments are required to complete

per second. All of this

the area. So it is a trade off; more

translates into how fast

visits for less downtime.

range. Ablative lasers include the

you can treat and how far down you

traditional and fractional Erbium

wish to ablate.

fractional Er:YAG, add up the total

YAG, the traditional and fractional

If you intend on purchasing a

power density of each MTZ for each

carbon dioxide laser, and a unique

WHAT ABOUT THE FRACTIONAL ER:YAG?

available spot size. This is done by

2790nm YAG laser. In addition,

adding the number of “microbeams”

plasma devices that use superheated

is indicated just as the traditional

to the power (watts) x the time each

gas can also be used for ablation.

Er:YAG. The difference is it

beam is exposed to the surface. The

The ablative fractional Er:YAG

micro beams will be in millijoules. Remember that 1 joule = 1 watt

Treatment

Setting

Overlap

Depth

Recovery

Minimum

1.25 J/cm2

10%

7-15 microns

1-2 days

Light

1.25 J/cm2

50%

20-25 microns

2-3 days

Medium

3-5 J/cm

exposed to the skin for 1 second. “Milli” refers the 1/1000 of any value in the mathematical lexicon of aesthetic laser. Therefore, 1000 microbeams at 1 millijoules each (1mJ) would equal 1 joule per shot. The size of the spot or MTZ will

50%

45-70 microns

3-5 days

give you the total power density for each shot. This equation is not a true

Heavy

10 J/cm2

50%

>130 microns

7 days

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

22 —

january-february 2008 | www.aesthetictrends.com

specification but rather an easy rule that will assist you in comparing the power of fractional Er:YAG lasers. One other word to the wise is to

a specific timeline that

the reliability and accuracy of the

meets the needs of the

scanning devices. These devices

patient, both clinically and

can range from very reliable to very

psychologically.

problematic.

To provide an example,

let’s create a hypothetical

NON-ABLATIVE VS. ABLATIVE

case: a 45-year-old woman

enters your office. She is a

Non-ablative devices offer a “no

downtime” method to stimulate

Fitzpatrick type II and has

new collagen formation in the

a combination of mild to

papillary dermis, but results can

severely moderate rhytides,

take 4-8 months to be clinically

numerous solar lentigos,

noticeable. If this modality is used

mila, moderate atrophic

alone, the patient may lose her

acne scars, and moderate

enthusiasm for further procedures;

jowl laxity. The patient

and negative referrals may emerge

indicates nervousness

from a patient whose expectations

about injectibles and

were not met. Exclusions to this

lasers. She has recently

rule are non-ablative devices

seen a television piece

that tighten the skin such as

about “miracle light-

ThermaCool™ (Thermage,

based” treatments. How

Haywood, CA), Fraxel® SR ( Reliant

do you achieve the results

Technologies, Mountain View, CA),

she desires with only IPL?

and Titan (Cutera, Inc. Brisbane,

The answer is you cannot.

CA).

Tactfully explain to the patient

STEP 2: Light Er:YAG:

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

where you can bring her. Show her

The Laser peel

THE MULTI-MODAL STRATEGY FOR SUCCESS

some of your patient photos that

most closely match her condition.

a Fractional Laser Peel™.

Offer her a treatment path that is

this term an excellent alternative to

cosmetic physician may take a

non-threatening, yet one that will

“Laser Resurfacing.” Another term is

more thoughtful path to achieving

embolden her to “take that next

the “Arctic Laser Peel.” The “Arctic

desired cosmetic improvements

step” during the treatment course.

Peel” utilizes a Cryo-5 Zimmer.

The more sophisticated

laser & light technology

ask your trusted colleagues about

while keeping the patient fully

Next, suggest a Laser Peel™ or I find

The Zimmer is used to cool the skin

engaged in the process of facial

STEP 1: IPL and Home Care

periodically during a light to moderate

rejuvenation. Physicians may

Regimen

Er:YAG procedure. The ablation

develop treatment plans that meet

depth would be approximately 20

individual patient expectations,

followed by a home care regimen

microns with post erythema lasting

needs, and lifestyles by employing

of sunscreen, skin lighteners, and

only 1-2½ days. Schedule the

a combination of Intense Pulsed

moisturizers. This is the least

treatment on a Friday and provide the

Light, Er:YAG, (Traditional and

“threatening” of your modalities and

appropriate post-operative ointments

Fractional), CO2 (Traditional and

is what she has most likely seen in

such as Aquaphor® or Catrix 10

Fractional), BOTOX ®, non-ablative

the media. Schedule the patient for

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

lasers and dermal fillers along

follow-up in 2 weeks.

wise to provide a camouflage and/

Start with an IPL photo facial

january-february 2008 | www.aesthetictrends.com

23—

laser & light technology

or mineral makeup for the patient.

good level

Schedule the patient for follow-up in

of trust and

7 days.

goodwill

STEP 3: BOTOX®

established.

Schedule a

should be

At this point the patient has

actually had a surgical procedure

follow-up visit

from the Er:YAG. Explain this to her.

in 14 days.

This is quite different from having

Make sure

a microdermabrasion or chemical

the patient

peel treatment, both of which are

is complying

inferior to the Er:YAG and both are

with your

available at most day spas. It is

home care

wise that medical spas or practices

regimen.

Primary Indications

Secondary Indications

Mild Photodamage

Moderate Photodamage

Mild Atrophic Scarring

Moderate Atrophic Scarring

Superficial Keratosis – Other Dermal Lesions

Various Dermal Lesions

Mild Perioral and Periorbital Rhytides

Recalcitrant melasma

Other Mild Non-Dynamic Rhytides

Diffuse lentigenes

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

differentiate themselves. In any event, now is the perfect time for

STEP 5: Aggressive Non-Ablative

non-ablative treatment.

your newly emboldened patient to

or Ablative Treatment (Fractional or

try a little BOTOX® on her dynamic

Traditional)

lasers include Fraxel® SR (Reliant

wrinkles that will be noticeable

Technologies, Mountain View, CA),

almost right away. It is generally

more aggressive treatments that will

Affirm™ MultiPlex (Cynosure,

a good idea to inject less than the

provide the clinical outcomes you

Westford, MA), LuxIR 1540 Er:YAG

“normal” dose on the first treatment.

know they seek but were previously

(Palomar Medical Technologies,

A full dose injection in the first

afraid to try, explain the options. In

Burlington, MA).

treatment is a mistake often made

the case of this patient it would be

by physicians. Explain to the patient

wise to suggest the fractional CO2

process should move at a pace dictated

treatment. This is a

by clinical restrictions, practicality, and

relatively new treatment

a very good understanding of your

but in this case will

patient needs and financial situation.

greatly improve those

One benefit of this strategic approach

deeper rhytides, jowl

is that costs may be spread out over

laxity, and acne scars

a 6–8 month period of time. On the

without the downtime

other hand, a complete program may

If you feel the patient is ready for

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

Some aggressive non-ablative

The consultative and treatment

that 2 treatments will be required

and risks of the traditional CO2 laser.

be offered. This all depends on the

so that you may get a sense of how

For further laser reading, please refer

motivational and financial status of

her facial muscles are responding to

to the previous Aesthetic Trends &

your patient. As opposed to managed

the dose. The odds the patient will

Technologies erbium article found in

care, frequent visits and consultations

experience ptosis (eyelid droop) will

the March-April 2005 issue (archived

are a positive in the world of aesthetic

be greatly reduced as well.

on www.aesthetictrends.com/

medicine.

products_services/analytical_reports). STEP 4: BOTOX® 2nd Treatment

24 —

After the second BOTOX

If the patient is still resistant to the

3-4 day downtime of the fractional CO2

treatment there should be some real

because of lifestyle or psychological

enthusiasm from the patient, and a

reasons, then suggest an aggressive

STEP 6: Dermal Fillers After 7–8 months it is now time to

address any moderate rhytides that were not completely resolved (Continued on page 29)

january-february 2008 | www.aesthetictrends.com

Buried

in your work?

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Learn the latest in

• Fundamentals of Lasers in Health Care • Skin Rejuvenation • Laser and Light Source Hair Removal • Laser Treatment of Patients of Color

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Visit www.aslms.org for more conference information. ASLMS • 2100 Stewart Avenue • Suite 240 • Wausau, WI 54401 • Telephone: (715) 845-9283 • information@aslms.org • http://www.aslms.org

Cynosure - Affirm with MultiPlex™

The Affirm Anti-Aging Workstation offers wrinkle reduction, scar treatment, pigmentation and redness reduction, age spot treatment, facial rejuvenation and coagulation of tissue resulting in tighter skin for overall younger looking skin. Affirm incorporates Cynosure’s MultiPlex™ technology with their Combined Apex Pulsesm (CAPSM) technology and Xenon Pulsed Light (XPL) technology into one compact workstation. The result for the practitioner - a complete skin rejuvenation solution that provides better and faster results with less pain. Aesthetic Trends interviewed two top physicians in the U.S. to find out how they have integrated the Affirm into their practices and the outcomes seen by their patients.

ATnT What clinical applications is the Affirm with MultiPlex used for in your practice? Dr. Goldman “Skin tightening, especially the neck area , acne scarring, and facial and hand rejuvenation.”

ATnT Comment on the success you have had integrating the Affirm into your practice offerings. Dr. Goldman “Spa MD has seen

By Cindy L. Vandruff, Editor in Chief

PRACTICE PROFILE

D. Mitchel P. Goldman, M. a Spa MD - La Jolla, Californi 21 Years in Practice: 02 20 Facility Open Date: 80 No. of Employees: 0 ,00 20 : Size of Facility(sq. ft.)

at t

laser n & light technology

Physician’s Prescription

laser & light technology

procedures. Spa MD paid for the device within 3 months of owning it. Our fees are $500-$750 per treatment with approximately 4-6 treatments for good results, every 3-4 weeks.”

complete success with the Affirm. It has been very successful. The Affirm is the laser of choice among our patients with no downtime, but who wish to see results. When used in conjunction with BOTOX® and our growth factor cream (combination therapy treatments) deliver superior results. The Affirm treatment stimulates the fibroblasts in two levels of the dermis, delivering two wavelengths simultaneously (1320nm and 1440nm), providing uniform bulk heating. The growth factor cream acts as a fertilizer, generating more collagen and elastic fibers.”

ATnT What percentage of your practice revenues are derived from this procedure? Dr. Goldman “Our annual gross revenues were $12Million in 2007, and $250Thousand was derived from Affirm

january-february 2008 | www.aesthetictrends.com

ATnT In your opinion, who are the best candidates for this treatment? Dr. Goldman “Anyone with loose or lax skin , fine lines, and acne scars. However, it’s for everyone when combined with IPL and BOTOX®.”

ATnT What have been the results for your patients? Dr. Goldman “Patients are very happy and return for treatment. We see many referrals from patients who have had the same treatment.”

ATnT

What do you like best about the Affirm product? Dr. Goldman “It never breaks, patients have minimal pain and downtime, and the results are always consistent. We give our patients reasonable expectations they get that result.

27—

laser & light technology

ATnT What percentage of your practice revenues are derived from this procedure? Dr. Katz “We are a very diverse practice with specialties such as plastic surgery, dermatology, and our medical spa. The affirm represents a growing percentage as far as laser procedures within the Before (Left) and After One Month, 4 Treatments (Right). practice and represents approximately 20% of our PRACTICE PROFILE total revenue dollars. We see Bruce E. Katz, M.D. a good number of patients – JUVA Skin + Laser Center with our full-time plastic New York, NY surgeon on staff (4 operating 24 Years in Practice: Baseline (left) and 1 month after (right) 4th treatment. rooms), our MOHS surgeon 1999 Photos courtesy of Mitchel P. Goldman, M.D. Facility Open Date: – which gives excellent 45 es: ye plo No. of Em exposure to this new 5,000 Size of Facility(sq. ft.): are excited that it is a new type of laser, offering for future patients requesting plus clinical improvement outcomes these procedures with the Affirm.” are what they are interested in and ATnT What clinical applications is the they are seeing first hand.” ATnT Who performs the affirm treatments Affirm with MultiPlex used for in your within your practice? practice? ATnT Have you been involved with the Dr. Katz “Our Dermatologists, and also Dr. Katz “The Affirm is used at JUVA Affirm clinical studies? Can you share our Physician Assistant is now starting to for fine wrinkles, pigmentary changes in with us your expectations of the study use it as well.” the skin, acne scarring, tightening in the and the outcomes? jowl area, chest / décolleté, and back of Dr. Katz “Yes, I have. One of the ATnT In your opinion, who are the best hands.” original studies with the 1440 candidates for this treatment? wavelength about a year and a half Dr. Katz “People who have significant ATnT Comment on the success you have ago. We did a white paper and are sun damage and acne scarring.” had integrating the Affirm into your now looking at the accommodation practice offerings. of the two wavelengths as well. ATnT What have been the results for your Combing wavelengths ultimately patients? provides our patients with better results Dr. Katz “Patients are seeing “ The Affirm represents a breakthrough in technology rather than with either wavelength marked improvement with by combining two wavelengths - by taking advantage alone. The is definite synergy with wrinkling, sunspots on the chest of these two wavelengths, we expect to see significant the clinical benefits and the degree of area which are fading, and quite a results.” —Bruce E. Katz, M.D. improvement we see, twice as effective bit of improvement overall.” with some treatments. Superficial and Dr. Katz “Patients are interested in deep heating is a winning combination. ATnT What do you like best about the fractional procedures – this product The Affirm represents a breakthrough Affirm product? is revolutionary, having the two in technology by combining two Dr. Katz ”The fact that it is a new wavelengths sequentially firing through wavelengths - by taking advantage of technology – two wavelengths (it is the same fiber. Patients are happy with these two wavelengths, we expect to like having two lasers in one box) is a the results.” see significant results.” significant advancement for us – patients 28 —

ATnT

What do you like best about the Affirm product? Dr. Goldman “The sign of our success is that we can charge $2,000-$4,000 for a series of treatments, and the outcome has been that we received many referrals by these Affirm patients who make appointment for the same treatment.”

january-february 2008 | www.aesthetictrends.com

by the fractional CO2 or a series of

patient satisfaction and loyalty.

physicians understand the limits

aggressive non-ablative treatments.

of what can be achieved with light

This could be the appropriate time in

at a point where trust has been

based devices, injectables, and

this case for dermal fillers.

established through a thoughtful

topicals. What is important is to fully

treatment program that has yielded

understand the limits your patient

Patient Maintenance

significant positive results. If the

may initially have, and work at an

When dermal filling has been

patient is still not 100% satisfied, and

appropriate pace towards achieving

completed, a maintenance program

it is obvious that a surgical procedure

their cosmetic goals.

is recommended. Aside from

is the appropriate way to achieve her

cosmeceuticals, it may be wise to

cosmetic goals, you should now have

prescribe tretinoin in a form and at

In this hypothetical case we are

What Er:YAG is best for me?

the trust to review the desired surgical

a dose that is appropriate for the

procedure.

Er:YAG, I would suggest you buy one.

skin type and condition. If all goes

The Er:YAG is what differentiates

as planned, you should have a very

single scenario designed to provide

your peeling modality from the

satisfied patient creating valuable

insight. I fully understand the highly

plethora of non-medical peeling

referrals for you.

dimensional circumstances regarding

modalities. Also, the prices have

patient needs, expectations, and

I would strongly recommend that

Please understand this is only a

First, if you do not have an

an assistant trained in the use of

conditions. The hypothetical

mineral makeup be used throughout

case in this article is built upon

this treatment plan. Mineral makeup

the use of light based devices

can “double” as sunscreen, and this

and injectables. In some

may improve patient compliance

circumstances the patient may

and keep those solar lentigenes from

require or desire a surgical

re-emerging. Several companies

procedure, and may have no

dropped dramatically and now start

make it very easy to create your own

reservations about going “under the

at $35,000 or approximately $750/

brand of mineral makeup. Makeup

knife.” It all depends. The point

month for a lease, Symedex Medical,

is indeed the finishing touch and can

is that a good majority of surgical

(Bloomington, MN), or FriendlyLight™

make a great difference in overall

candidates need to first “test the

(Tarrytown, New York). Depending

Primary Indications

Secondary Indications

Deep and Moderate Rhytides

Superficial Rhytides

Moderate to deep Atrophic Scarring

Superficial Atrophic Scarring

Superficial Keratosis – Other Dermal Lesions

Various Dermal Lesions and Cysts

Moderate Skin Laxity

Very superficial skin laxity

Moderate to Severe Photo Damage

Mild photodamage

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

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

waters”

on your market, the break-even point

and become

is 1 to 1.5 procedures per month.

comfortable

The best Er:YAG I have seen is the

with you

NaturaLase Erbium (Focus, Bethel,

before they

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

allow you

month but has a 10mm spot size that

to operate

is fast and powerful. Then there are

on them. In

fractional Er:YAGs to consider. A few

any event

companies that sell these products

the market is

include Sciton and Palomar. Their

demanding

contact information is included in the

the “non-

Laser and Light Product Listings of

surgical”

this issue.

facelift. Most

cosmetic

described earlier in this article, the

january-february 2008 | www.aesthetictrends.com

laser & light technology

(Continued from page 24)

Besides the fractional technology

29—

laser & light technology

who have appropriate training in

Skin Type

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

Herpes Simplex Virus

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

the cosmetic practice. For other

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

and modalities mentioned in this

laser physics and tissue interactions. Used appropriately, the Erbium YAG has many important uses in

Immunologic or Collagen Vascular Disorders

History of Keloid or Hypertrophic Scarring.

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

indications and contraindications for the Er:YAG as well as other devices article, the surgeon is advised to call trusted and qualified colleagues and the manufacturers.

Figure 5. Pre-Operative Checklist.

References Benign Nevi, Actinic Keratosis,

Er:YAG device designs are that one

Epidermal Nevus, Warts, Seborrheic

design has a high pulse rate with

Keratosis, Xanthelasma, Syringomas,

low pulse energy. Therefore, more

Sebaceous Hyperplasia, Melasma,

pulses have to compensate for the

Acrochordons, Dermatosis Papilosa

low energy. More pulses seem to

Nigra, Rhinophyma, Superficial

contribute to higher pain levels by

Basal Cell Carcinoma, Squamous

mechanisms that are beyond the

Cell Carcinoma in Situ, and various

Aesthetic Trends’

scope of this article. The other design

epidermal cysts. These epidermal

Contributing

has higher pulse energy with a low

lesions may be removed without

Editor David

pulse rate. This is clearly a more

damaging the dermis and reduce the

M. Cauger

advanced design and will reduce

risk of scarring.

is President

pain in equivalent depths. There are

30 —

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

critical differences between the

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

of Boston

numerous other advantages to this

PRE-OPERATIVE CHECKLIST

design that should be investigated

further. One disadvantage is that the

important in managing patient

that specializes in the development

higher energy pulse design is not as

expectations. Since the Er:YAG

and implementation of strategies for

portable. This is because the power

target is water, a hydrated skin will

increased cosmetic practice success. In

supply and other components are

obtain better results than thick,

providing this information, Mr. Cauger

larger.

fibrotic, or de-hydrated skin. Review

is open to telephone consultations for

all previous procedures performed on

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

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

the face.

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

for the removal of many benign,

CONCLUDING REMARKS

pre-malignant, and malignant

cutaneous lesions. These include

should be used by trained physicians

Pre-operative education is very

The Er:YAG is a surgical laser and

january-february 2008 | www.aesthetictrends.com

Aesthetics, LLC, a company

can be reached at the following number: 508.460.1128 or email him at DavidCauger@comcast.net.

800 •668•2691 candelalaser.com

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

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Anti-Aging & Wellness Dermatology Laser & Light Technology Legal Case of the Month Medical Spas Plastic Surgery Practice Management

For information about current findings, ongoing clinical trials and frequently asked questions related to aesthetic procedures and products...

800.277.1391 Fax 858.605.0469

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As the original fractional system, the Fraxel laser’s strong track record of research, FDA clearances and proven results speaks for itself. It has the endorsement of top physicians. And, it has the attention of consumers, who ask for it by name. There are many fractional lasers…but only one Fraxel brand laser. And there’s only one way to get it. From us – Reliant Technologies. We’re serious about our brand. And about your success. Fraxel Laser Systems. We mean business.

www.reliant-tech.com or 1-888-4FRAXEL (437-2935) ©2007 Reliant Technologies, Inc. All rights reserved. Fraxel and the Fraxel dots logo are trademarks belonging to Reliant Technologies, Inc. Fraxel is registered in the U.S. Patent and Trademark Office and in other countries.

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product listings

Evolving Aesthetic Technology Laser & Light Technology

spotlight The Hair Loss Control Clinic has become the worldwide leader in stopping hair loss using the most advanced proven laser technology, patented products, and customized treatment programs. HLCC has 3 Medical Directors and has grown to 71 clinics in 16 countries. During our 20 years in business we’ve helped doctors and many other businesses, such as salons and spas, take advantage of this opportunity by introducing this new phenomenon to their existing clients in their already established businesses. As a result, many have added hundreds of thousands of dollars to their bottom line. It is very simple, and anyone can do it. HLCC incorporates the best hair loss laser technology, best products, advertising, performance, and quality training to help your clients see results quickly. Take that competitive edge from your competitors and add something unique to your business that

others in the area don’t have. Are you asking yourself, “I don’t really know how this works, so how can I sell it to clients?” Don’t worry…HLCC provides comprehensive training, which includes product knowledge, sales training, marketing, advertising, and proprietary material, using our earned credibility and anything else you may need to become successful in this industry. It has proven successful for so many others. The new FDA clearance earlier this year has opened the door to new profits for salons and spas. Over 65% of clients will ask their Hair Stylists about their hair loss before they ask anyone else. Why risk your clients going elsewhere? Call HLCC NOW to learn more about this new trend that is sweeping the nation. Hair Loss Control Clinic 866.HLCCNow (452.2669) www.hlcconline.com

january-february 2008 | www.aesthetictrends.com

35—

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 CoolTouch, Inc. www.cooltouch.com 9085 Foothills Blvd. Roseville, CA 95747 800.378.7222p

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

36 —

Elite

Ultrasound

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

$5,900

Laser-Assisted Lipolysis and Skin Tightening

$99,950

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

CoolLipo

1320nm Nd:YAG

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

Pearl

2790 nm YSGG

Skin Rejuvenation

Titan

Tailored Infrared Light

Skin Rejuvenation

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

january-february 2008 | www.aesthetictrends.com

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

evolving aesthetic technologies Product Listings Source

Product

Technology

Specifications / Treatments

Price

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

Smartlipo

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

No-Needle Mesotherapy™ System

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

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

$45,000

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

HydraFacial™ HydraFacial™ Wave

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

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

$24,500 $16,875

UltraCam™Color UV Camera

UV and Natural Light Photography for Skin Analysis

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

$3,495

1064 nm Nd:YAG

Laser Body Sculpting

Contact Mfr.

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

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

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

Max7

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

RevLite™

LED

For skin rejuvenation and acne treatments.

$19,950

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

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

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

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

january-february 2008 | www.aesthetictrends.com

37—

evolving aesthetic technologies Product Listings Source

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

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

Product

Aluma® Skin Renewal

Technology

RF FACES Technology

Specifications / Treatments

Price

For wrinkle reduction and skin tightening.

$69,900

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

$8,995

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

Microcurrent Facial Toning System

160Ua-960Ua and 3Hz-100Hz

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

38 —

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.

january-february 2008 | www.aesthetictrends.com

evolving aesthetic technologies Product Listings Source

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

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

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

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

Product

Technology

LipoSelectionSM only by VASSER®

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

january-february 2008 | www.aesthetictrends.com

39—

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

LASER & LIGHT technologY Product Listings

Source Product Technology

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

LightPod Era XL LightPod Neo XL LightPod Neo XT

X X X

X X

X X X

X X

X X X

Er:YAG Nd:YAG Nd:YAG

Wavelength (nm)

2940 1064 1064

Energy Output (J/cm2)

Up to 38 Up to 255 Up to 318

Pulse (ms)

0.30 0.65 0.65-1.5

Price

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

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

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

OmniLight FPL

Novalight FPL

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

MediDerm LRS

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

Ceralas D

Ceralas D 15/810 Ceralas G5 LRS

Xenon Flash Lamp w/ Fluorescent Filters Diode

400-1200

Up to 90

Up to 1.5

$79,000

400-1200

Up to 55

1.5-50

$49,000

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

Er:YAG

2940

Up to 1

3,6 & 9 Hz

$34,999

Diode

980

0.01 -15

$35,000

Diode

810

0.01 -25

Diode

532

0.01 -50

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

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

$35,000 $37,500

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

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

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

X X X X X

X X X X X X X X X

X X X X X X X X

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

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

Pulsed Dye Pulsed Dye Pulsed Dye

595 595 595

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

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

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

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

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

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

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january-february 2008 | www.aesthetictrends.com

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LASER & LIGHT technologY Product Listings

Source Product Technology

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

CoolTouch CT3 CoolTouch CTEV Varia

X X X

Nd:YAG Nd:YAG Nd:YAG

Wavelength (nm)

1320 1320 1064

Energy Output (J/cm2)

Up to 24 Up to 500

Pulse (ms)

50 NA .3-500

Price

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

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

Clear100XL

Multiclear

Intense Blue and Near Infrared Light

405-420 850-900

$26,950

Proprietary High Intensity Plasma Light

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

.05-2.4 .1-150 1-40

.5-20

$47,000

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

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

CoolGlide Classic CoolGlide Excel Genesis Plus CoolGlide Vantage CoolGlide Xeo XeoSA Xeo w/Titan

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

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.

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january-february 2008 | 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 Dusa Pharmaceuticals www.dusapharma.com 25 Upton Drive Wilmington, MA 01887 877.533.3872 p Edge Systems www.edgesystem.net 2277 Redondo Avenue Signal Hill, CA 90755 800.603.0102 p 562.597.0148 f Europro www.europroequipment.com 3952 Camino Ranchero Rd., Building #2 Camarillo, CA 93010 866.633.5273 p Focus Medical, LLC www.focusmedical.com 23 Francis J Clarke Circle Bethel, CT 06801 866.633.5273 p

Quadra Q4 Platinum Quadra Q4 Gold Quadra Q4 Silver

X X X

X X

Intense Pulsed Light Intense Pulsed Light Intense Pulsed Light

X X

Wavelength (nm)

500-1200 500-1200 500-1200

Energy Output (J/cm2)

Up to 20 Up to 20 Up to 20

Pulse (ms)

10-110 10-110 10-110

Price

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

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

LED Radio Frequency

$6,995 $4,995

Fluorescent Lamp

417

N/A

$8,425

CW CW

$1,500 $1,500

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

Del Sol™ Handheld LED Light Therapy System

LED - Red/Infrared LED - Blue

800-1000nm 420nm

N/A

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

HFD Cold Laser

430-750

0.3-0.5

N/A

$9,000 to $18,900

2940

Up to 20

300

$75,000

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

Up to 20 Over 250 Over 15 10-50

300 0.5 to 100 10 0.5 to 1000

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

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

NaturaLase Fract.ER NaturaLase ER NaturaLase LP NaturaLase QS NaturaLight

X X X

X X X X

X X

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

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

january-february 2008 | www.aesthetictrends.com

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LASER & LIGHT technologY Product Listings

Source Product Technology

Fotona www.fotona.eu www.fotonamedicallasers.com www.saratogadiagnostics.com 1415 1st Street South Suite 5 Willmar, MN 56201 Toll free 888-55-4113

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

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

Intense Pulsed Light Pulsed Dye Laser Pulsed Dye Laser + IPL

535 - 1200 585 535 - 1200

25 9 25

5 350-450 350-450 , 5 msec

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

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

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

Medlite ®C3 Medlite® C6

EO Q-Switched Nd:YAG

1064, 532

Up to 12

5-7 ns

Cont. Mfr.

EO Q-Switched Nd:YAG

1064, 532, 585, 650

Up to 12

5-20 ns

Cont. Mfr.

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

Inner Act www.inneractproducts.com 4750 Turbo Circle Reno, NV 89502 888.212.6342 p

LiteLift Medical™ LiteLift™

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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january-february 2008 | www.aesthetictrends.com

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800.277.1391

Fax 858.605.0469

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

Add a Turn-Key Hair Loss Clinic to your Business

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

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

Avg. Sale

4,000

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

Distributor Opportunities also available Ask for availability in your area! *5-12 Customers Covers Your Investment

laser & light technology

spotlight

Pristine: Precision Diamond Peel Viora

Viora’s Pristine Microdermabrasion system combines the precision polishing action of densely packed real lasercut diamonds with a medical grade, fully adjustable suction device. Only medical grade Diamond exfoliation offers your patients aggressive yet gentle exfoliation with the ability to customize the procedure to your patients’ needs. This third generation device, a market leader

internationally, is now available in the US directly from its manufacturer Viora Inc. Featuring the quietest system, the largest array of diamond tips, and an ultrasonic tip cleaner, the Pristine offers a two-year warranty and a network of support representatives. Microdermabrasion remains one of the most profitable and popular treatments performed in this country. Don’t sell your clinicians or patients short; invest in a product that will outperform your competition and protect your client base. Pristine, no gimmicks, only performance! Viora 877.384.8032 www.vioramed.com

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

LASER & LIGHT technologY Product Listings

Source Product Technology

Innovative Med Inc. www.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

Pulse (ms)

0-500

Price

$13,000

630 440 525 880

X X X

Energy Output (J/cm2)

LED-Red + Ultrasound LED-Blue + Ultrasound

$195 $195

3 mhz/2 watts 3 mhz/2 watts

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

Aura i Gemini

X X

Lyra i VariLite

X X

Venus i

X X

KTP Nd:YAG KTP

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

532 1064 532 1064 532/940

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

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

$72,500 Contact Mfr.

2940

200-2000 mj

300 mcs

$67,000

$72,500 $56,500

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

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

X X X

X X X X X X

X X

CO2 Diode Diode Diode Diode Diode

10.6 532 532 808 808 808

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

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

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

755 755 1064/532 755

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

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

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

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

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

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

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

X X X

X X

Alexandrite Alexandrite Nd:YAG/KTP Alexandrite

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

GentleWaves Pro GentleWaves SelectHandheld Model

X X

LED LED

january-february 2008 | www.aesthetictrends.com

590 590

4.0mW/cm2 4.0mW/cm2

Variable from cont. to 1 msec pulses

$32,500 $19,500

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LASER & LIGHT technologY Product Listings

Source Product Technology

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

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

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

X X X X X X X X

Bclear ReLume

X X

Wavelength (nm)

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

Energy Output (J/cm2)

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

Pulse (ms)

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

Price

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

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

iPulseTM i200+ iPulseTM i400 MAStique Light

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

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

X X X

X X

X X X

X X

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

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

0 -0 0-20 Up to 29

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

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

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

X X X

X X

X X X

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

808 2940 694 1540 530 - 1200 532

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

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

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

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

48 —

Dual Yellow Ylite

X X

Copper Bromide Copper Bromide

578 & 511 578

300 75

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

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

january-february 2008 | www.aesthetictrends.com

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LASER & LIGHT technologY Product Listings

Source Product Technology

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

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

X X

X X X

Wavelength (nm)

Energy Output (J/cm2)

Pulse (ms)

Price

Pulsed Light Pulsed Light Pulsed Light Pulsed Light

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

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

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

$44,900 and up incl. handpiece

Pulsed Light Pulsed Light Pulsed Light

530-1200 630-1200 420-1200

10-20 15-35 Up to 35

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

$34,900 and up incl. handpiece

515-1100

Up to 65

Up to 25

$49,500

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

10-100 Pulsed CW or Pulsed

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

CW or Pulsed

Contact Mfr.

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

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

EpiCool™ Platinum/HR SR

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

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

Intense Pulsed Light

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

X X X

LumiPhase-R/IR

X X

Diode LED LED

810 660 630/405

LED

630/850

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

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

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

X X X

X X X X

X X X

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

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

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

LED LED LED LED

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

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

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

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

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

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

X X

$24,950$34,950

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

january-february 2008 | www.aesthetictrends.com

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LASER & LIGHT technologY Product Listings

Source Product Technology

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

Mistral SkinStation Duet WhisperNG SPR SpaTouch Pro

X X

X X X

X X X X X

X X X

X X X X

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

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

Price

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

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

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

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

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

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

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

Portrait PSR3

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

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

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

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

0.5 - 3 0.5 - 3 0.1 - 2

Contact Mfr. Contact Mfr. Contact Mfr.

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

Non-contact Plasma Energy

1 - 4 J/cm

4 - 16 ms

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

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

X X X X X X

X X X X X X X X X X

X X X X X X

X X X X X X X X X X

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

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

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

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

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

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

LaserPeel Soft-MET NannoLight SkinClear SpectraQuattro

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

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

X X X X

X X

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

2940 410 - 1400 532 & 1064 410-1400

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

300 ns 1-30 10 ns 5-30

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

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

Yes No Yes

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

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

X X X X X

All product are Bio Stimulatory Light with Super Luminous Diodes

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

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

50 —

january-february 2008 | www.aesthetictrends.com

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

LASER & LIGHT technologY Product Listings

Source Product Technology

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

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

X X

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

X X

Comet

Wavelength (nm)

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

elos-Diode/RF

Energy Output (J/cm2)

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

Pulse (ms)

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

Price

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

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

Softlight

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

ThermaCool

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

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

Nd:YAG

1064

$55,00

200

N/A

$39,950

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

Radio Frequency

N/A

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

Axiom

Intense Pulsed Light

390 – 1200nm

>40 J/cm2 @ 25x50 mmspot

25-75 msec single pulse programmable multi pulse mode

$54,900

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

X X

X X X X

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

755 1064 2940 2940 694 -

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

5-40 .05-90 350 350 20 -

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

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

january-february 2008 | www.aesthetictrends.com

51—

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

Insurance Landscape for Medical Spas

Protecting Your Business Assets By Megan K. Packard, Professional Liability Solutions, LLC

at t

It is great to hear excitement in the

assets against risk. The response

protection can be pierced under certain

voice of a physician talking about the

typically is, “I don’t have any business

circumstances. This, of course, varies

medical spa/anti-aging center he/

assets they can take since I’m just

by state; but the smaller you are (as

she will be opening. Usually, they call

starting my medical spa. The value is

is the case in medical spas), the more

to secure the malpractice insurance

minimal.” This comment amazes me.

likely it is that they can come after you

for the medical spa; but when the

Why would anyone create something

personally.

conversation turns to other types of

just to leave it exposed to destruction

business insurance available many

or potential loss? It’s like investing

medical spa owners do not thoroughly

respond, “What’s general liability?

the time and financial resources into

think through the insurance coverage.

What’s a BOP? Why do I need that?”

building a house,

While physicians are extremely adept

then deciding

clinicians, many are not schooled in the

the homeowner’s

business end of running a retail medical

insurance isn’t

practice. As I once heard it stated,

worth it.

“It takes more than hanging out your

shingle to create a successful medical

frequent comment

spa.”

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

A physician owner who knows only of

It is amazing how many physicians

Another

legal n case of the month

legal case of the month

There’s a myriad of reasons why

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

therefore, I’m not personally liable.

medical malpractice insurance or the

forgo all types of business insurance

They can’t come after my assets.”

entrepreneur who doesn’t realize the

with the exception of malpractice.

While a corporate format can protect

complexity the medical aspect adds to

Again, this relates to lack of

owners, investors, and officers from the

the business’ risk. Whatever the reason,

understanding on how to protect their

corporate liability, in many states that

it serves medical spa owners well to

january-february 2008 | www.aesthetictrends.com

53—

legal case of the month

do their homework about what types

any physicians, allied healthcare

of risk they face and how to protect

professionals, including aestheticians

themselves and their business. What

and licensed massage therapists, along

follows is a basic guide to the essential

with the corporate entity. Yes, I did

insurance coverages.

say corporate entity. A lawsuit can name the medical spa in addition to the

Medical Professional Liability Insurance – “Malpractice”

healthcare professional who treated the

cover all of these aspects.

Malpractice insurance protects

patient. Comprehensive policies will

against the liability due to the

negligent acts (“direct patient care”)

the physician acts solely as a medical

of the healthcare professionals in the

director without direct patient care. By

medical spa. This is for the professional

setting the protocols and procedures

services rendered or for the failure

to ensure quality standard of care,

to render services. Besides the

the physician can ultimately be

procedures or treatments performed,

responsible for any substandard care

direct patient care may also include

provided. There are policies that

will include coverage for “products

making diagnoses, rendering opinions

cover the malpractice claims for the

completed.” If this is included, the

and advice, or prescribing. Too often

physician’s administrative acts only.

policy will cover against loss arising out

physicians open their medical spa and

Comprehensive medical spa policies

of injury or damage resulting from a

assume their current malpractice policy

will include this coverage.

product. Many medical spas distribute

There are certain set-ups when

(for their primary specialty) covers

General Liability – The “Slip ‘N Trip”

This is not always the case. A plastic

surgeon’s malpractice policy may

negligent acts resulting from the

cover medical spa work, while a family

operation of the medical spa or from its

practice physician’s policy may not. It is

employees (i.e. bodily injury to patients,

important to determine where coverage

property damage, personal injury or

Business Property Insurance – “Is Your Laser Covered?”

exists.

advertising injury). For example, a

General Liability insures against

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

they may not manufacture the product, liability still occurs by selling the product to the client.

Property insurance provides

patient visits the

protection against loss or damage to the

medical spa and

location of the business and its contents.

trips over the rug

Some policies cover basic equipment

in the reception

(building structure, furniture, inventory,

area. She

equipment, supplies), while others also

sustains bodily

insure money and securities, hard-

injury for which

to-replace records, such as accounts

she can sue the

receivable. It also includes property of

medical spa. This is not a negligent act

others that is in your care, custody, or

ensure that all parties involved who

due to medical professional services;

control.

could potentially be named in a lawsuit

therefore, malpractice will not cover

are indeed covered for their medical

this type of claim, but a general liability

location is owned or leased. It is

professional services provided in the

policy would.

important to insure against loss to

medical spa. This would include

the items that keep the medical

54 —

and sell a variety of products. While

them for their work in the medical spa.

Another aspect of malpractice is to

Some general liability policies

january-february 2008 | www.aesthetictrends.com

It does not matter whether the

spent significant money in high tech

for the full amount it would cost to

buys for a medical spa besides the

equipment such as lasers. With some

replace all items. In the event that you

medical malpractice insurance. The

of these costing close to $200,000,

experience a total loss, you do not want

BOP always consists of the general

one mishap and the loss significantly

to discover you valued your property

liability and the property insurance, and

impacts the medical spa’s revenues.

too low and will not get the amount

often includes additional aspects such

The causes of loss covered by

It is advisable to insure your property

insurance and can be one of the best

it costs to replace your property. Too

as business interruption insurance.

property insurance can vary from

often medical spa owners find out the

weather-related events like lightning

hard way that they have undervalued

name a financing company as a loss

strikes or hail, or human causes like

their business property. They may

payee in the event of loss on equipment,

robbery. Keep in mind that most

face financial difficulties as they try to

such as a laser machine. The landlord

property insurance policies do not

replace the essential pieces to get the

for the medical spa location may require

insure against every type of loss.

business functioning again.

that they are named as additional

Specific perils, such as fire or flood, may

Often a medical spa is required to

insured or loss payee. This allows either

Business Owner’s Policy – Combining the GL and the Property

party to receive an insurance settlement

policies that specifically name those types of losses.

policy. Again, a BOP is effective

spas, general liability and property

at combining both general liability

your policy covers the actual cash

insurance are often combined together

and property in order to satisfy such

value (“ACV”) or the replacement

in a business owner’s policy (“BOP”).

requirements from third parties involved

cost of the business property. ACV

Typically purchasing them together

with the medical spa.

means that your property will

is a more cost effective way to secure

be obtained through separate insurance

It is important to know whether

legal case of the month

spa functioning. Most spas have

For smaller businesses like medical

due to loss covered by the insured’s

Business interruption insurance

be replaced for the current

provides protection against loss

value. This takes into account

or damage to the cash flow and

depreciation. Replacement

profit of a business caused by

cost means that you are

some type of loss (i.e. fire or

reimbursed for the actual

other disaster). Let’s say a fire

amount needed to replace the

destroys your medical spa and

piece of property in today’s

puts the business in a temporary

dollar. For example, the laser

holding pattern while trying

machine purchased two years

to rebuild or relocate. Without

ago for $200,000 is now worth

business interruption coverage,

$150,000 due to depreciation.

the medical spa cannot recoup

The machine is damaged and

the revenue lost during the

your policy covers on an ACV

inoperable time. Without

basis. You would only receive

recouping these costs, it may

$150,000. Replacement cost

be impossible to pay employees

would provide reimbursement

and, therefore, you risk losing

for the same model in today’s

key personnel. Loan payments

dollar. Replacement cost

and other ongoing financial

typically comes at a higher

obligations do not go away.

premium but is well worth it

Business interruption insurance

when a loss occurs.

can help with such risks.

january-february january-february2008 2008 | www.aesthetictrends.com www.aesthetictrends.com

55—

legal case of the month

Employee-Specific Insurance – Taking Care of Your Business Personnel

Group or individual health

compensation so that the employees are

Things such as wages, equipment,

fully covered and you are not at risk.

and bank accounts can be seized, not to mention that judgment liens can be renewed. In addition, destruction to and

benefits, may be necessary in order

Employer-Specific Insurance – Taking Care of the Business

to attract and retain top employees.

any time.

As more medical spas open and

it is often necessary to protect

competition for top personnel increases,

the business against errors in the

spa adequately protected against

it is essential to offer the insurance

administration of the employee benefits

potential loss or claims? As a business

benefits that potential employees are

programs. There are also insurance

owner, only you can decide what is most

seeking. This can help to provide a

policies (employment practices liability

important. But before you can make

insurance policies, and other such

In addition to protecting employees,

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

56 —

loss of business property can happen With this in mind, is your medical

insurance) to protect the

that decision, you must be educated on

business against claims

what risks you face and what options

by workers that their legal

are available to protect you and your

rights as employees have

medical spa.

been violated (i.e. claims of discrimination in hiring, wrongful discharge, sexual

Megan K.

harassment, etc.).

Packard is the

Disability and Life Insurance protect

Executive Vice

more competitive employment offer.

the medical spa against the death or

President for

worker’s compensation insures against

disability of key employees. These types

Professional

work related injuries and illnesses.

of products can be used to provide funds

Liability

Worker’s compensation is state specific.

to ensure succession in the event of

Solutions, LLC,

Most states have in place some form of

changes in ownership or unexpected loss

a worker’s compensation system.

of key personnel or owners. This may be

more pertinent when there are multiple

In addition to health insurance,

The worker’s compensation system

an independent agency that specializes in providing personalized, comprehensive insurance and risk-management

was designed to eliminate unnecessary

partners who own the medical spa. It

litigation from employees against their

may also be important if the medical spa

employers for on-the-job injuries.

is well established and ingrained in the

In return for eliminating this, some

community with a particular healthcare

Solutions has been helping healthcare

state systems mandate the employer

provider’s personality. Loss of that key

professionals protect their practices

must participate in the system which

person may greatly affect the success of

and assets for over 15 years. Megan

automatically pays out for medical bills

the medical spa.

works from the Charlotte office,

and damages for work related injuries.

where she focuses her business on the

There are many options for this type of

we least expect it. And it is hard to

medical spa, aesthetic, anti-aging, and

coverage, and some states even allow

deny that we live in a litigious society.

wellness segments of the healthcare

employers to opt out if they self-insure.

Everybody and every business can

be sued. Once a money judgment

Many on-the-job injuries are only

A loss or a claim can come when

covered by worker’s compensation

is rendered against an individual

and not the medical group plan.

or a business, that judgment can

It is important to follow your

be collected. If it is not collected

state’s requirements for worker’s

immediately, it does not just go away.

january-february 2008 | www.aesthetictrends.com

solutions for healthcare professionals. With offices in both Charlotte and Chicago, Professional Liability

industry. Megan received her degree from the University of Virginia. She can be reached by calling 800.372.3268, www.professionalliabilitysolutions.net, or by emailing her at mpackard@pls-medmal.com.

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

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

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

medical spas

Marketing Metrics

By Cheryl Whitman, CEO of Beautiful Forever

at t

medical n spas

Getting the most from your marketing dollars

You know you need to market, but

marketing campaigns that you will

valuable information about what is

how effective are your methods? How

use over time. By weaving a consistent

working.

do your marketing initiatives affect

brand message into every short-term

your bottom line? By measuring the

and long-term marketing strategy you

DETERMINING WHAT TO MEASURE

impact of your efforts, you can refine

use, you can keep your fingerprint

Marketing success is largely

and optimize your “marketing mix”

firmly placed, and recognizable, within

determined by how well you know

to capture more–and make the most

the market–no matter how much

your customers. Especially important

of–your existing customer base and the

competition grows.

emerging prospect market.

Metrics is an integral part

of this marketing process. Not

BEHIND THE Metrics

only does it provide specific

information regarding quarterly

Your practice puts its own unique

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

fingerprint on the marketplace –

performance, but it also helps

one that should stand out in the

to track softer measurements

growing crowd of medical spas.

such as market perception,

Your fingerprint, or brand, should

brand awareness, and customer

are those customers who really drive

be easily identifiable on all customer

loyalty. Regularly taking the pulse of

your revenue. Measure at a strategic

touch points and throughout the

marketing expenditures and programs

business level by answering questions

development of your marketing. Your

helps to manage the process so you

such as:

long-term objectives for your brand

can isolate inefficiencies as they arise

• What are the historical purchasing

should extend across the short-term

and act swiftly. In addition, it provides

patterns of your existing customers

january-february 2008 | www.aesthetictrends.com

59—

medical spas

(including previous market basket

• The target audience for this

analysis [see sidebar])?

marketing project

an overall plan for your marketing,

• Which customers provide the

• Branding that will create a bridge

greatest revenue (and why)?

from one campaign to the next to

allocation. However, you also must

build recognition

have a way to track the performance

• What marketing campaigns have they been most responsive to? • Which services and/or products

of your marketing and provide

• A summary and definition of the

measurable, quantifiable justification

(Adapted from “ROI: Friend or Foe?” by Christopher Kenton)

project (you may want to include

for your marketing expenditures.

samples of similar projects)

Important measurements include:

• The correct marketing activity for

In addition to tracking customers,

you will need to design short-term

you can determine your budget

• A well-defined goal or objective

have driven the greatest revenue?

the goal • A clear listing of what will be

and long-term marketing campaigns. Even before a campaign gets off the

60 —

their purchasing patterns, as well as

• The number of clients/patients you have today • The number of clients/patients that

measured, how often, and in what

will remain a year from now (How

format

much you plan to grow your client/

ground, you should be sure your

• Practice benefits

activities are measurable. In fact,

• Client/Patient benefits

develop an outline that you will follow

• A commitment to follow through

patient will spend with you in the

as you create a marketing program

first year

that includes:

understanding of your clients and

Once you have a clear

january-february 2008 | www.aesthetictrends.com

patient base in the next year) • How much the average client/

If a client buys a certain group of services or items, he

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

your practice with direct visibility into the “market basket”

services or items. For example, if a client undergoes

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

microdermabrasion treatment, he or she is more likely to

the events as they happened, understanding not only

purchase at-home skin care products specifically designed

the quantity of the items that were purchased in that

to care for treated skin.

particular basket, but how these items were purchased in

conjunction with each other. In turn, this capability enables

The set of services or items a customer buys is referred

Market basket analysis is very useful as it provides

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

advanced analytics such as:

relationships between purchases. Typically the relationship

• Item affinity: Defines the likelihood of two (or more)

will be in the form of a rule: IF [microdermabrasion, no hydration products] THEN [acne treatment at-home skin

services and/or items being purchased together. • Identification of driver items: Enables the identification

care].

of the services or items that drive people to your

practice, showing the number of providers who need

The probability that a customer will undergo

microdermabrasion without purchasing at-home hydration products is referred to as the support for the rule. The conditional probability that a customer will purchase acne

to be trained for certain procedures, as well as the inventory needed on hand. • Trip classification: Analyzes the contents of the basket

treatment products is referred to as the confidence.

and classifies the category for services: maintenance,

reconstructive, special occasion, etc.

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

deciding the products to offer in conjunction with certain

• Service-to-service comparison: Understanding the

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

number of “baskets” or services allows any metric to

market basket analysis can find interesting results and can

be divided by the total number of baskets, effectively

also eliminate the problem of a potentially high volume

creating a convenient and easy way to compare with

of trivial results. Predictive market basket analysis can be

different characteristics (units sold per client, revenue per

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

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

that generally occur in sequence—something of interest to

(Adapted from “Demystifying Market Basket Analysis” by

direct marketers.)

Noe Gutierrez)

patient will spend with you each

measurements should provide you

MEASURE THE EFFECTS OF YOUR MARKETING

subsequent year

with the information you need to

The goal of using marketing metrics is

• Your gross margins

fine tune your campaigns. The

to make wise investment decisions. To

• The percentage of prospects you

other option, of course, is to “fly

do that, you need to have information

by the seat of your pants” without

about how well your marketing dollars

a plan, leaving yourself with a

are currently working. A few simple

leads you will convert into

jumble of unconnected efforts that

steps can make all the difference:

clients/patients

defies effective measurement. And

1. Use a Database – Keep track

• The amount the average client/

will qualify as leads • What percentage of qualified

planning on the front end, your

as Peter Drucker has said, “If you

of individual marketing efforts.

marketing this year

can’t measure it, you can’t manage

Include the dates of each campaign,

If you take care of the

it.”

campaign descriptions, the number

• Your budget for acquisition

medical spas

Market Basket Analysis

january-february 2008 | www.aesthetictrends.com

61—

medical spas

of leads generated and sales made. This information can give you the information you need to make future marketing decisions. 2. Make Data Entry Easy – Make certain everyone is up to speed on your latest systems. Training is a must. 3. Ask Questions – Ask you prospects how they heard of your business. It is such a simple way to gather valuable information. Make it easy for your prospects to properly identify the marketing piece to which they respond. For example, if you have multiple phone lines

negatively. In addition, it will be

into your office, you can assign a

important to see how your marketing

Cheryl

unique phone number to individual

efforts are impacting each other and

Whitman is

marketing efforts.

if they are in alignment with your

recognized

mission. Then, you’ll want to determine

internationally

Gather as much information as

the correct “media mix” to meet the

as a pioneer

you can about which marketing

goals you have set for your practice.

in the field

4. Move Your Marketing Forward–

of medical

mechanisms generate the best (and worst) response, who is responding,

THE BENEFITS

and why they chose to respond.

Accountability is the key to your

consulting. She is a published author,

(Adapted from “Make More Money

success. Knowing how your marketing

a popular speaker, and has been a

with Marketing Metrics” by Jeremy

dollars are spent–and how effective

beauty-industry consultant for more

Cohen)

each dollar is–will help you keep

than 20 years. As founder and CEO of

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

moving smoothly

Beautiful Forever, Cheryl spearheads

forward. Strategically,

a successful team of medical spa

marketing metrics

consultants and business professionals.

will give you a better

In addition, Cheryl developed the

understanding of

Medical Spa Success System, a

the cost of acquiring

revolutionary program that provides

and retaining clients,

a turnkey educational success system

as well as the true value of your client

and consulting services package

marketing programs–both direct

base. Tactically, the metrics you choose

to help clients jumpstart brilliantly

(personalized email offers, brochures)

will help you determine the goals and

successful medical spa businesses.

and broader media options (search

objectives of each campaign and the

For more information, please call

engine marketing, print ads).

revenue you should expect to gain.

1.877.SPA.MEDI or go to

Obviously, you will need to understand

Combined, you will be better prepared

www.medicalspaconsultant.com or

how these metrics affect the client

to make informed decisions about your

www.medicalspasuccess.com.

relationship, whether positively or

marketing.

62 —

spa business

You should measure all of your

january-february 2008 | www.aesthetictrends.com

featured medical spa

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

Renu Medispa

medical spas

Eagle, Idaho By Cindy Vandruff, Editor in Chief

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

january-february 2008 | www.aesthetictrends.com

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

Dr. Simon and Renu Medispa have achieved the much coveted Platinum Injector status with Allergan, the makers of BOTOX® and Juvéderm™ putting the medispa among the top 4% of injector locations. With the combination of results driven services and a cultural atmosphere that welcomes laughter and lightheartedness, it is easy to see why Renu Medispa has one of the highest client retention rates in the industry. Tamara Simon, M.D., M.P.H. Dr. Simon has worked side by side with some of the world’s most renowned age management and hormone experts. She also specializes in minimally invasive surgery such as Smartlipo, a laser contouring treatment; Novasure, endometrial ablation, a treatment for dysfunctional uterine bleeding; and Renessa, a longlasting treatment for urinary stress incontinence. For more information, visit www.renumedispa.com.

63—

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

product listings

Microdermabrasion

spotlight eMed Incorporated SilkPeel™

SilkPeel’s Dermalinfusion™ is the most dynamic skin treatment available today. It is the only procedure that provides both non-invasive exfoliation and delivery of skin-specific topical solutions, leaving patients with fresherfeeling and better-looking skin. SilkPeel is safe and painless, allowing patients to achieve optimum results on an accelerated basis without the complications and discomfort usually associated with invasive procedures. In addition, SilkPeel is unique because it does not use crystals or other abrasive particles that can irritate the skin. For the Physician, the SilkPeel features: • Simultaneous exfoliation and topical delivery • A selection of topical solutions specific to the patient’s skin condition • More than 10 combinations of medical grade diamond treatment heads and handpiece tip sizes for optimal treatment

• Patented handpiece design • Dual digital LED display for precise vacuum and flow settings For the Patient, the SilkPeel: • Goes beyond microdermabrasion by providing simultaneous exfoliation and Dermalinfusion topical delivery treatment • Performs a painless, soothing treatment • Delivers noticeable near-term results and lasting skin improvement • Allows an immediate return to normal activities • Offers a choice of topical formulations to address each person’s unique skin care needs • Eliminates the risk and health concerns of aluminum-based crystals SilkPeel can be used on all skin types including skin with hyperpigmentation, acne, photodamage, dehydration and fine line wrinkles. eMed Incorporated 888.848.eMed (3633) www.silkpeel.com

january-february 2008 | www.aesthetictrends.com

65—

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

$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)

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

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. Video On-site Training Diamond tipped wands

$10,250

$0.50

$10,400

Warranty & Accessories: 1 yr. warranty, HEPA filters, filter pads, and assorted wands. Four grit sizes. ATI-Parisian Peel www.parisianpeel.com 14828 W. 6th Avenue, Unit B-9 Golden, CO 80401 800.262.4412 p

Prestige

Dual

Yes/80

Esprit

Vacuum/ Compres. Single

Yes/46

EntrĂŠe

Yes/35

Proprietary ergonomic design w/ sterilizable immersible cartridge tips

Warranty & Accessories: 1 yr. warranty

66 â&#x20AC;&#x201D;

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One day on-site advanced training $3.50

N/A

$21,000

N/A

$12,900

N/A

$8,900

MICRODERMABRASION Product Listings Source Product

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

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

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

Glass handpiece included

Video on-site

Aesthetician Unit Price

M.D. Unit Price

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

Warranty & Accessories: 1 yr. warranty.

Bio-Therapeutic www.bio-therapeutic.com 4822 California Avenue, SW Seattle,WA 98116 800.976.2544 p

Bio-Cellupeel

Variable

Yes/27

One day on-site training

$9,995

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

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

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

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

N/A

$19,500

N/A

$15,000

$12,500

N/A

$.50- $5.00

On-site

N/A

$13,900 - $14,500

$.50- $5.00

On-site

$12,900

N/A

$0.50

Yes

$4,999

$5,900

N/A

Starts at $13,900

$11,450

$11,800

$7,500

$7,850

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

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

DermaSweep MD

Variable

Yes/26

DermaSweep Pro

Variable

Yes/26

DermaSweep Mini

Variable

Yes/8

Particle Free, Autoclavable Stainless Steel 7 Different treatment tips

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

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

Delphia

Dual

Yes/24

Delphia™ Del Sol Plus

Dual

Yes/30

Delphia IIe Plus

Dual

Yes/30

Diamond Delphia

Dual

Yes/24

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

$.55 - $3.00

Full certification On-site, local courses & video

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

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

67—

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

MicroLiftâ&#x201E;˘

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

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.

68 â&#x20AC;&#x201D;

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$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

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

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

Yes/15

Warranty & Accessories: 2 yr. warranty.

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

69—

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

$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

MicroLaserPeelâ&#x201E;˘

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

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

$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.

70 â&#x20AC;&#x201D;

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MICRODERMABRASION Product Listings Source Product

Synergieâ&#x201E;˘ 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

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

$.30/filter

Manufacturer support Manufacturer support

$10,900

$11,900

$15.900

$16,900

Warranty & Accessories: 1 yr. warranty.

None

Warranty & Accessories: 1 yr. warranty.

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

Pristine - Dimond System

Single

Yes/28

Marquis - Dimond and crystal System

Dual

Yes/35

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

Beauty Skin

$.30/filter

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

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plastic surgery

The Use of Harmonic Technology in Abdominoplasty ®

be highly desirable for surgeon and

electrocautery or time-consuming

one of the most commonly performed

patient alike.

suture ligatures.

plastic surgery procedures. According

to the American Society of Plastic

in abdominoplasty flap dissection.

Endo-Surgery, Inc., Cincinnati, OH,

Surgery (ASPS), abdominoplasty was

Electrocautery is the most frequently

was first developed for minimally

among the top five cosmetic surgical

used instrument, but it produces

invasive surgical procedures such

procedures conducted in 2006.

substantial heat with lateral thermal

as laparoscopic surgery. Harmonic

Nearly 150,000 abdominoplasties

tissue and nerve damage with the

technology has become a standard

were done in 2006, representing an

potential

increase of 133% since 2000.

for delayed

wound

While most abdominoplasties

Different tools have been utilized

at t

Abdominoplasty, or “tummy tuck,” is

plastic n surgery

By: Al S. Aly, M.D., F.A.C.S.

Harmonic® technology, Ethicon

One of the advantages of Harmonic technology compared to electrocautery is that no electricity passes to or through patients. As a result, there is no unwanted neuromuscular stimulation, and the need for a grounding pad is eliminated.

achieve positive results without

healing and

complications, there can be post-

increased

surgical local complications, such

post-operative

as hematomas, seromas, tissue

pain. Scalpel

necrosis, and healing problems.

dissection

Application of techniques that can

is another

reduce post-surgical complications,

method utilized; but it can result

of care for many advanced surgical

speed recovery time, and improve

in excessive bleeding, resulting

procedures, having been used in more

the overall patient experience would

in the need for either extensive

than six and a half million procedures

january-february 2008 | www.aesthetictrends.com

73—

plastic surgery

worldwide, including general surgery, gynecology, urology, and vessel harvesting procedures. While its use in aesthetic procedures has been limited to date, growing experience in abdominoplasty and lower body lift suggests that Harmonic flap elevation reduces wound drainage and post-operative pain, and speeds drain removal, facilitating patient

compared to electrocautery is that no electricity passes to or through

recovery.

advantages of Harmonic technology

Harmonic dissection is very different from the more traditional approaches, electrocautery, laser or steel

patients. As a result, there is no unwanted neuromuscular stimulation, and the need for a grounding pad is

prompted initiation of the first

eliminated.

multinational, prospective,

randomized controlled trial of flap

In a pilot study of twenty patients

undergoing lower body lifts following

dissection utilizing Harmonic energy.

massive weight reduction, Dr. Dirk

At the recent Plastic Surgery 2007

Richter, Wessling, Germany, studied

conference of ASPS in October, I

scalpels.

contralateral Harmonic Curved

presented data from this multinational

Harmonic

Blade (HF105) and electrosurgery

study utilizing Harmonic technology.

technology converts electrical energy into ultrasonic vibration creating the mechanical energy for cutting. Specifically, the

flap dissections. He found promising results with Harmonic energy in terms of reduced drainage and pain which

Findings were consistent with Dr. Richterâ&#x20AC;&#x2122;s pilot results. Harmonic and electrocautery technologies were compared in 65 patients undergoing abdominoplasty. Study results demonstrated a 33% reduction in

ultrasonic Harmonic blade

total cumulative drainage volume,

vibrates longitudinally at 55,500

less drainage in days 1 and 2, and on

times per second. One of the

average 1.4 fewer days required for drain use compared to electrocautery, all reaching statistical significance in favor of Harmonic technology. Harmonic technology dissection extended time

Based on the results of these studies, flap dissection with Harmonic technology shows promise in body contouring procedures as an alternative to electrosurgery, particularly as it relates to faster and more comfortable patient recovery.

for flap elevation by approximately 14 minutes overall and by 5-6 minutes for flaps less than 1 kg.

74 â&#x20AC;&#x201D;

january-february 2008 | www.aesthetictrends.com

F.A.C.S. is a leading world authority in the field of body contour surgery

plastic surgery

Al S. Aly, M.D.,

after massive weight loss. His career began with expertise in facial aesthetic (cosmetic) surgery and has expanded to the exciting field of body contour. Currently his practice is one of the largest body contouring practices in the world. He has taught and put together multitudes of conferences Figure 2. PP Population Post-OP Pain Management.

and courses for other plastic surgeons on the subject. Currently Dr. Aly is writing the definitive textbook on “Plastic Surgery of the Massive Weight

an alternative to electrosurgery,

Loss Patient.”

particularly as it relates to faster and

procedures received comparable

more comfortable patient recovery.

American Board of Plastic Surgery

analgesia, they reported less pain

Certainly the potential for Harmonic

and The American Board of

in the first two post-operative

technology flap elevation to reduce

Otolaryngology Head & Neck Surgery.

days. Based on self-reporting of

the incidence of seroma requires

pain scores using a Likert scale

further study. Also, further study

vice-president of the Iowa Society of

of 1-10, with 10 being the highest

and experience will determine

Plastic Surgeons / American Society

pain point, Harmonic patients

whether dissection time with

of Plastic Surgery task force on Post-

reported average scores of 2.0 and

Harmonic technology can be reduced,

Massive Weight Loss Plastic Surgery

1.7 in the first and second day post-

particularly in larger flaps.

and is a member of the following

Additionally, we observed that

while patients undergoing Harmonic

Dr. Aly is certified by the

Currently, Dr. Aly serves as the

operatively compared to 3.4 and 2.6

professional organizations:

in the electrocautery group, again,

• American Society of Plastic Surgery

a statistically significant reduction. Overall, the incidence of post-surgical complications was low and similar between Harmonic and electrocautery study groups. Four seromas were aspirated in each study group.

Based on the results of these

studies, flap dissection with Harmonic technology shows promise

REFERENCES Stoff,A., Reichenberger, M.A., Richter, D.F. Comparing the ultrasonically activated scalpel (Harmonic) with high-frequency electrocautery for postoperative serous drainage in massive weight loss surgery. Plast Reconstr Surg. 120(4):1092-3, 2007 Sep 15. Reconstr Surg. 120(4):1092-3, 2007 Sep 15.

(ASPS) • American Society for Aesthetic Plastic Surgery (ASAPS) • American College of Surgeons (ACS) • American Medical Association (AMA) • Iowa Society of Plastic Surgeons

in body contouring procedures as

january-february 2008 | www.aesthetictrends.com

75—

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

Use the form on page 87

IN EVERY ISSUE

Anti-Aging & Wellness Dermatology Laser & Light Technology Legal Case of the Month Medical Spas Plastic Surgery Practice Management

800.277.1391 Fax 858.605.0469

76 —

the leading physician journal for aesthetics and wellness

january-february 2008 | www.aesthetictrends.com

practice management

Win Patients With a Winning Website

By Joseph Sameh, CEO - NeedMyDoctor

a certain aesthetic procedure. As

aesthetic providers have to do

microdermabrasion, breast

prospective patients talk with family

more than simply list the practice’s

augmentation or any other aesthetic

or friends, the idea can grow from a

services. First off, the physician’s

procedure is certainly not as easy

simple thought to an actual possibility.

website needs to provide educational

as buying a new car, party dress, or

information in an effort to help

sound system. Consumers realize that

a procedure, consumers need to

consumers make informed decisions.

they have to actually live through the

know more. As a result, they do their

And, just as importantly, the

experience—and then live with the

research. And, they’re not scouring

site needs to provide an online

results.

through textbooks or medical

communications option that enables

journals at the local

The decision is becoming even

But, before going through with

more complicated as the economy’s

library. Instead

recent woes are forcing consumers to

they are surfing the

think twice about spending money

Internet to find as

on cosmetic procedures, according

much information

to a recent article in The Wall Street

from as many sources

Journal.

as possible.

The upshot? The decision to have

As a result,

at t

Deciding to have liposuction,

practice n management

Aesthetic practices can improve patient acquisition and customer service via Websites that offer informative materials and online communications

The physician’s website needs to provide educational information in an effort to help consumers make informed decisions. And, just as importantly, the site needs to provide an online communications option that enables consumers to establish and maintain relationships with aesthetic health providers.

an aesthetic medical procedure is one

aesthetic healthcare

that often is made with considerable

providers now,

contemplation. Consumers might get

perhaps more than ever before,

consumers to establish and maintain

curious after learning that a celebrity

need to have an Internet presence.

relationships with aesthetic health

or a personal acquaintance has had

To make their websites effective,

providers.

january-february 2008 | www.aesthetictrends.com

77—

practice management

INFORMATION ON THE INTERNET The Internet has become a main

authorities. When making the

source of healthcare information

then consumers are likely

for consumers—and to get a share

to perceive the aesthetic

of prospective patients’ surfing

practice as a trustworthy

experiences, aesthetic providers

health partner.

decision to have a procedure,

In addition, quality

need to provide informative, credible

The following facts illustrate how consumers are leaning on the Internet for health information: • 80% of U.S. adults have Web access—and about three-quarters

content.

content—educational

of them have used the Internet to

Because so many consumers

information that attracts

research health issues, according to

are turning to the Internet as they

readers and keeps them

a HarrisInteractive poll

make healthcare decisions, aesthetic

coming back—is the key to successful search

According to the HarrisInteractive poll 80% of American adults with web access would like to communicate with their physicians via email.

engine marketing.

surf the Web use it to select doctors

And relevant links

or hospitals and 41% of Americans

to informative

use the Internet to determine

content can help

whether or not they would seek

practices grow their

medical help, according to a study

businesses through

conducted by the Pew Internet &

practices should make sure that

top organic (free) listings in

their sites provide consumers

major search engines.

with what they are looking for:

• Nearly a third of the people who

objective, educational information.

ONLINE COMMUNICATIONS

Breaking health care news, detailed

explanations of procedures, capsules of

materials is only part of the

relevant health care studies and other

winning website equation,

information can help position aesthetic

though. Consumers don’t just

providers as respected medical

want to get information from

Providing educational

healthcare provider websites, they also want to be able to communicate—and perhaps even establish ongoing relationships—with their healthcare providers online.

American Life Project • Baby boomers are more likely to visit healthcare sites (66%) than financial information sites (50%), according to the Pew study • In 2002, more than 100 million Americans gathered health related information from the Internet—and 70% of them reported that what

they find influences their treatment decisions, according to a study from the California Healthcare Foundation

Therein lies the rub: While

consumers want to electronically communicate with healthcare providers, physicians still have not jumped on the bandwagon.

According to the HarrisInteractive

poll 80% of American adults with web access would like to communicate with their physicians via email. However,

78 —

january-february 2008 | www.aesthetictrends.com

(Continued on page 81)

PRESS CORNER PRESS CORNER

BOTOX® procedure. A single

has long been the Polla family’s

treatment with the GFX treatment

favorite charitable cause. Dr. Luigi

can last for up to two years and

Polla, the co-creator of Alchimie

costs the patient about $2,000 per

Forever, participated in the mid

is always a little room for

treatment. GFX allows for fewer

1980s in the development of the

improvement. Now, with the FDA

maintenance visits and an overall

pulsed dye laser, the gold standard

clearance of the GFX Procedure, a

more effective result. Not only does

for the treatment of port wine stains.

long-lasting and effective alternative

GFX allow patients less time in the

He then was the first to introduce

doctor’s office, it completely forgoes

that technology to Europe in 1986,

the use of potentially harmful

when he opened his dermatology

toxins for the desired result. The

practice. For the first 10 years in

procedure was FDA cleared in June

practice, he focused on treating

of 2007 for cosmetic purposes. GFX

children who suffered from Port

achieves its amazing results through

Wine Stains.

Introducing Next Generation BOTOX®: the GFX Procedure

Like all good ideas, there

radiofrequency waves which emit

To raise money for their efforts,

heat and damages motor nerves.

the Sturge-Weber Foundation

to BOTOX , the cosmetic industry

This process can be done under

organizes an annual evening of

has a new way to bring anti-aging

local anesthesia and yields no

dancing and entertainment during

to the next level. Dr. Cameron

visible scarring.

which a renowned dermatologist

Rokhsar, a leading cosmetic

is honored and roasted. For the

dermatologist in New York City, is

Advanced Cosmetic Intervention,

past two years, and again at this

the first physician in the Northeast

Inc. (ACI)

year’s dinner, Alchimie Forever is

to adopt the GFX Procedure in

303.799.1988

pleased to be a gold sponsor of the

his practice. He has recognized

www.acisurgery.com

event. Ada Polla, Alchimie Forever’s

the incredible improvement GFX

president, has the following to

has made over BOTOX . “Where

say about the company’s latest

BOTOX has made the anti-aging

involvement: “Our goal is to help

market turn on its heels, GFX can make it obsolete,” said Dr. Rokhsar. The GFX Procedure expands on the initial principal of BOTOX® by weakening the motor nerves that

Alchimie Forever Announces Continued Support of Sturge-Weber Foundation

cause “frown lines” but instead of blocking the signals sent from

nerves to the muscles, GFX uses

affected by Sturge-Weber

methods available to us. On an

radiofrequency energy to effectively

syndrome, Alchimie Forever is

individual level my father began his

weaken motor nerves. This in turn

pleased to be a gold sponsor of this

practice through the treatment of

damages the nerves, which causes a

year’s annual Sturge-Weber gala

those with port wine stains and now

relaxation of the muscle and creates

at the 2008 American Academy

we are able to help the foundation

a smoothing effect on frown lines.

of Dermatology meeting in San

in a more direct way. Our greatest

Antonio, TX.

hope is to help find a cure for the

GFX presents several improvements upon the original

To continue helping those

The Sturge-Weber Foundation

january-february 2008 | www.aesthetictrends.com

the foundation with whatever

people whose lives are affected

79—

PRESS CORNER by Sturge-Weber. We could not be

greater understanding of how lasers

resources and drive technical

more pleased to be a part of this

are continually improving patient

initiatives related to new product

year’s benefit.”

care and represent an unlimited

development.

source of future scientific potential. Alchimie Forever

Scientists who are discovering

877.920.SKIN (7546)

new laser applications in the lab

www.alchimie-forever.com

and clinicians who are enhancing their patient care therapies will be presenting their findings – many for

The 28th Annual Conference of ASLMS

“Lew brings over 15 years

the first time – in the various courses

of engineering and new product

and educational sessions.”

development experience within the

Hot Topics include: Promising

medical device industry to Candela.

Light-Based Diagnostics, The Skinny

The addition of new leadership to

on Fat Reduction, Breakthrough

our engineering division will further

Find out how lasers and light-based

Clinical Applications, and Trends in

our ability to effectively deliver

technologies are redefining the field

Cosmetic Laser Treatments.

innovative laser solutions to the

of medicine. Mark your calendars for

This year’s keynote speaker

dynamic aesthetic industry,” said

this premier educational conference

is laser pioneer R. Rox Anderson,

of the world’s leading laser experts.

M.D., professor at Harvard Medical

The scientific conference of the

School, adjunct professor at MIT,

served as Vice President of Research

and director of the Wellman Center

and Development at Datascope

for Photomedicine at Massachusetts

Corporation, a Montvale, New

General Hospital in Boston.

Jersey-based medical device

Jay Caplan, Chief Operating Officer. Most recently, Mr. Levine

company, where he led efforts to

American Society for Laser Medicine and Surgery (ASLMS) will be held

American Society for Laser

improve product development

Medicine & Surgery (ASLMS)

methods within the Patient

LASER08

Monitoring Division. Prior to this

715.845.9283

role, he directed the development of

www.aslms.org

a unique technology platform for a

Wednesday, April 2 to Sunday, April

medical device start-up which was

6, at the Gaylord Palms Resort™ in

later acquired by GE Healthcare.

Kissimmee, Fla.

Additionally, he is named on eight

This is your opportunity to learn firsthand how cutting-edge research in laser technology is leading to improved diagnostics and clinical

issued and pending patents.

Candela Names Lewis J. Levine Vice President of Engineering

treatments in disciplines as diverse

Mr. Levine earned a Bachelor’s degree from Rensselaer Polytechnic Institute and a Master of Business Administration degree from

as dermatology, ophthalmology,

urology, cardiology, pediatrics and

CLZR) announced that Lewis

Candela Corporation (NASDAQ:

more. ASLMS Program Chair Emil

Levine has joined the company as

Candela Corporation

Tanghetti, M.D., promises attendees

Vice President of Engineering. Mr.

800.668.2691

“will leave this conference with a

Levine will oversee all engineering

www.candelalaser.co

Northeastern University.

(Continued on page 83)

80 —

january-february 2008 | www.aesthetictrends.com

place, for example, patients can easily email their healthcare providers with health related questions and concerns. As such, providers can help patients by providing the most up-to-date information and advice.

In addition, an online system makes

it possible to offer increased levels of customer service. Many patients find it

practice management

(Continued from page 78)

easier to use email to contact a practice regarding billing, scheduling or other make a decision or at least is ready

administrative concerns.

to see a physician for a consult, but

your site does not offer an online

a three-physician practice located

communications option. Reluctant to

in College Station, is finding that

pick up the phone, the prospective

offering web-based communication

patient continues to procrastinate.

via NeedMyDoctor, an online patient-

With an online communications

doctor communications system, is

option, however, the consumer is more

helping to enhance relationships with

a report from the Center for Studying

likely to request information or an

patients.

Health Systems Change indicates

appointment.

that fewer than 35% of physicians

much more communication friendly,”

nationwide are communicating with

medical practice recently re-hauled

says Ron Kuppersmith, M.D. “Every

patients electronically.

its online strategy and assembled

patient has different needs in terms

a robust, informative website with

of how they want to interact with the

therefore, should realize that

the option to contact practitioners

practice—whether it is by phone or

providing patients with an online

online, the practice started to acquire

online. We want to be able to fill those

communications option could help

a considerable number of patients

needs for each individual patient.

improve patient acquisition and

as a direct result of its online

customer service.

presence.

Aesthetic practice leaders,

To start, an online communications

Certainly, when a Chicago-based

As a matter of fact, excluding

option can significantly boost

direct physician referrals, which

recruitment efforts by providing

still account for the majority of

patients with an easy way to initiate

the practice’s new patients, the

relationships with the practice.

website now accounts for 64%

of new patients while hospital

Consider the following scenario:

Indeed, Texas ENT & Allergy,

“The service makes our practice

NeedMyDoctor is an online communications system that enables healthcare providers to establish safe and secure online relationships with new and existing patients.

A prospective patient has thought

referrals bring in only 19% of new

NeedMyDoctor helps us do that by

about having an aesthetic procedure

patients and newspaper advertising

providing a good online, around-the-

for a long time. After talking with

only brings in 16%.

clock communications option.”

friends and family and researching the

procedure, the patient finally winds up

system can also help providers build

to the patient relations benefits, the

on your website.

long-lasting relationships with their

systems also could result in improved

patients. With an online system in

office operations.

The potential patient is ready to

An online communications

january-february 2008 | www.aesthetictrends.com

As an added bonus, in addition

81—

practice management

“Instead of having to juggle

option, they did not want to have to

message was received, the action that

phones for non-urgent requests, we

take time every day to personally

is being taken, and the time frame in

can batch them and take care of

answer questions that might not be

which they will receive a response.

them in a more systematic fashion,

related to clinical care. In addition,

on our own time, instead of having to

clinicians do not want to be burdened

messages, including urgent clinical

interrupt the workflow of the practice,”

with administrative questions related to

queries, are handled according to pre-

Kuppersmith says.

billing, scheduling, or insurance.

established protocols, just as if they

had been phoned into the answering

Response times. Physicians often

OVERCOMING OBJECTIONS

worry that patients might use email

With such marketing and customer

With this system in place, all

service.

to communicate about urgent clinical

As a result, healthcare providers

service benefits easily achievable,

matters. They worry that the messages

can provide an email option without

why are so many physician practices

might sit in their in-box for hours or

compromising security, workflow

shying away from online patient-

worse yet days—and the patients might

or response times. And, by doing

doctor communication systems? Many

not get the immediate attention that

so, aesthetic practices can give

healthcare providers are reluctant to

they need. What’s more, physicians

patients what they want—online

use email because of the following

typically want patients to get a rapid

communications—and, at the same

concerns:

response to non-urgent messages as

time, reap a bevy of marketing and

well.

operational benefits.

Confidentiality and security. With

HIPAA regulations coming into play,

healthcare providers do not want to let

systems, however, are designed to

Some online communications overcome these obstacles.

Healthcare providers can provide an email option without compromising security, workflow or response times. And, by doing so, aesthetic practices can give patients what they want.

NeedMyDoctor, for example,

Joseph Sameh

is an online communications

is the CEO and

system that enables health

President of

care providers to establish safe and secure online relationships with new and existing patients.

a Chicago-based company that has developed first-of-its-

sensitive personal information fall into

the wrong hands.

Patients or perspective patients simply

that enables patients to initiate safe

“We know that we might be passing

Here’s how the service works:

kind software

go to a healthcare provider’s website

online communications with their

sensitive information over the Internet.

and click on an online communication

healthcare providers. Sameh is a

We have a lot of concerns about

link. An encrypted, secure, formatted

successful entrepreneur and strategic

where the information might land,”

email is then sent over the Internet and

planner with more than 30 years of

Kuppersmith says.

received by an operator at the practice’s

experience in computer, telephone,

answering service.

and communications systems, primarily

physicians and other healthcare

in the healthcare environment. He

clinicians do not want to be required

center then routes the message to

to constantly monitor their email

physicians via pager, phone, fax, or

accounts—and then respond to a

email, depending on the nature of the

plethora of patient queries. Although

message and office-approved protocols.

they want to provide patients with a

The patients receive an immediate

convenient online communications

electronic response, telling them their

82 —

NeedMyDoctor,

Workflow interruption. Many

The answering service call

january-february 2008 | www.aesthetictrends.com

is also a recognized industry leader, author, frequent speaker at professional conferences, and specialist in applying creative solutions to human interface and process improvement challenges.

(Continued from page 80)

The Latest in Digital Imaging - VECTRA 3D

Medical researchers and

New Institute for Aesthetic Medicine Launched Along with First CME Laser Training Course

PRESS CORNER is a much sought-after speaker throughout the world. He also owns and operates one of the largest laser clinics in the U.S. located in Nashville, Tenn. “It means

surgeons are meticulous. In Two renowned industry experts,

physicians and other practitioners

order to get results that could

better the health of the human

Cindy L. Vandruff and Michael

have a single, affordable source for

race, they use the most advanced

H. Gold, M.D., announced the

all their training needs,” notes Gold.

tools in the industry. One tool

launch of the Institute for Aesthetic

“We provide a simpler solution that

that is enabling some of the most

Medicine (IAM), a comprehensive

minimizes training time and costs

renowned doctors in the world is

aesthetic laser training resource for

while maximizing skills.”

the VECTRA 3D from Canfield

the dermatology and plastic surgery

IAM is a Miami-based

industry. IAM also announces

corporation organized in 2007. The

its first Continuing Medical

founders are some of the leading

virtually infinite number of

Education (CME) laser

experts in the aesthetic medical

patient views, all captured

training course in

industry. The main

simultaneously with streamlined

Philadelphia, PA.

focus of the company

Imaging Systems. The VECTRA 3D offers a

patient photography using one-

is education, hands-on

The Institute for

shot/multi-capture and continuous,

Aesthetic Medicine is

training and safety through

rotatable views. It uses these

unique because of its

an extensive network of

images to easily compare and

in-depth relationships

partners and affiliates who

measure changes in the surface,

with leading industry

are industry leaders.

volume, and distance of the body.

experts, hands-on clinical training, full

Institute for Aesthetic

class-time insurance, and the offering

Medicine, Inc. (IAM)

of several key CME courses in a

800.436.9311

single training venue.

www.IAMeducated.com

“We bring the most comprehensive aesthetic laser training program available to The VECTRA 3D can track

the industry; more experts, more

Institute for Aesthetic Medicine Acquires Medical Laser Dynamics for New Laser Training Solutions

surgical and treatment outcomes

knowledge and more courses,”

from large to small, including face

says Cindy L. Vandruff, chief

and neck lifts, breast augmentation

executive officer and co-founder of

and reconstruction, even dermal

IAM. Vandruff currently oversees

fillers. Hard-to-capture subjects,

Aesthetic Trends & Technologies

such as infants, are imaged with

physician’s journal, one of the

ease.

foremost sources of information in

Medicine (IAM) announced the

the medical aesthetics industry.

acquisition of Medical Laser

Canfield Scientific, Inc.

Michael H. Gold, M.D., IAM’s

The Institute for Aesthetic

Dynamics (MLD). The acquisition

800.815.4330

chief medical officer and co-founder,

delivers a new, full-spectrum laser

www.canfield.com

is well-known in the industry and

training program for plastic surgery (Continued on page 86)

january-february 2008 | www.aesthetictrends.com

83—

meetings &

January 2008

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

February 2008

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

84 —

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 january-february 2008 | 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 january-february 2008 | 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

85—

PRESS CORNER

(Continued from page 83)

and dermatology professionals.

Feb 22-24; and Maui, HI, Feb 27-29.

than 1,000 employees worldwide.

Participants now have a single

Participants receive 12 or more CME

The company invests heavily in R&D

laser training resource dedicated

contact hours, depending on course

and holds a leading position in the

to improving patient safety and

selection.

markets in which it serves. Lumenis

minimizing professional liability. “Our purpose is to fill a

has over 250 patents worldwide, over 75 FDA clearances, worldwide

Institute for Aesthetic Medicine,

training gap that exists between

Inc. (IAM)

laser manufacturers and laser

800.436.9311

practitioners,” says Gregg Wright,

www.IAMeducated.com

presence in over 100 countries, and an installed base of over 70,000

systems. About one year ago, a group

president and general manager

led by a private equity consortium,

of IAM, “a gap that unnecessarily

LM Partners LP and Ofer Hi-Tech

exposes both patient and

Group, invested approximately $150

professional.”

million in the company.

The new laser training curriculum is a 2 or 3-day

Lumenis Ltd. Announces COO Will Leave the Company

Lumenis Inc.

certification class taught by IAM’s

408.764.3000

VP, Director of Clinical Education,

www.lumenis.com

Patrick J. Clark, an established expert in clinical light applications since 1988. For some training

venues, IAM will offer a third day of training and certification for Medical

Lumenis Ltd., a global developer,

Laser Safety Officers (MLSOs).

manufacturer and seller of laser,

The CME-based classes are

light-based, and radiofrequency

Lutronic USA Launches MOSAIC Fractional Laser System

designed for users of all skill levels–

devices for surgical, aesthetic, and

both physician and staff, new or

ophthalmic applications, announced

Lutronic USA LLC announces a

veteran. The instruction takes the

that its chief operating officer, Zivi

breakthrough laser device, the

attendee from basic concepts of light

Nedivi, will leave Lumenis to take

MOSAIC fractional laser system, for

and clinical application through

up position as CEO of a company in

treating aesthetic and dermatological

a clear path to the most current

a different industry, but will remain

procedures. MOSAIC is an

thinking on how, why, and when

with Lumenis as long as needed to

advanced laser medical device that

aesthetic procedures are performed.

ensure a smooth handover of his

uses the latest in micro fractional

responsibilities. “Zivi’s contribution

technology, offering physicians

on hands-on, advanced laser

to the design and implementation

an unprecedented combination of

training while MLD delivered a

of our turnaround has been

flexibility, precision and control for

broad foundation of aesthetic laser

significant; and on behalf of the

indications including scarring, sun-

concepts. Now, a comprehensive

entire management team, I wish him

damaged skin, and melasma.

curriculum can be found within a

well as he pursues the next chapter

single laser training resource, IAM.

of his career,” said Dov Ofer, CEO of

invaluable solution to physicians in

Lumenis.

markets throughout the world, and

Historically, IAM focused

The certification classes will be held in Philadelphia, PA, Feb 8-10 (Sciton-sponsored); Nashville, TN,

Lumenis is Israel’s largest medical device company with more

“MOSAIC has proven to be an

we are extremely pleased to have received clearance to market this (Continued on page 88)

86 —

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Specialty m Dermatologist

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ATnTJANFEB08

PRESS CORNER

(Continued from page 86)

breakthrough system in the United

rapidly re-epithelialized as the skin

will provide physicians with a wide

States,” said Bill Eldridge, Director

heals.

variety of treatment modalities

of Sales and Marketing for Lutronic

to better meet the needs of their

USA. “This represents an important

Lutronic USA LLC

customers for a superior aesthetic

milestone in the continued growth

888.588.7644

treatment. Palomar and Q-MED

and evolution of Lutronic USA,

www.lutronicusa.com

also recognize that the potential

and we look forward to continued

synergistic effects which may be

growth in this market as we strive to

achieved using the current products

deliver a full range of premier quality

of both companies may provide

technologies and solutions to the clinical community.” MOSAIC employs Lutronic’s patented Controlled Chaos

improved treatment options to

Palomar and Q-MED AB Enter Into International Distribution Agreement

Technology (CCT), which delivers multiple arrays of randomized

and Q-MED will collaborate on marketing campaigns, as well as arranging clinical symposiums,

Palomar Medical Technologies,

consensus meetings and advisory

microscopic laser beams to the

Inc. (Nasdaq: PMTI), a leading

skin. MOSAIC’s unique “spray

researcher and developer of

paint” approach eliminates the need

light-based systems for cosmetic

Q-MED will be an exclusive

for multiple linear passes and the

treatments, announced the

distributor in a major portion

clinical disadvantages of unavoidable

execution of an international

of Europe by the end of 2008

overlap.

distribution agreement with the

and a large portion of the rest

Swedish company Q-MED AB (OMX

of the world (excluding North

Nordic Exchange, Stockholm Mid

America) by the end of 2009. The

Cap: QMED), a leading biotech/

transition from Palomar’s existing

medical device company based

distributors to Q-MED shall be

in Uppsala, Sweden. Q-MED will

on a country-by-country basis as

eventually be responsible for the

the companies agree on the terms

boards. The companies intend that

marketing, advertising, promotion,

of each transition. Palomar and

ensures that micro necrotic columns

sale, and distribution of Palomar’s

Q- MED plan to work with each

(MNCs) are randomly delivered and

professional products for aesthetic

of Palomar’s current distributors

sufficiently spaced apart to achieve

treatments outside North America.

to determine how each distributor

a more natural, uniform treatment

Q-MED AB is the producer of

might successfully work together

and prevent unnecessary bulk

Restylane, one of the most popular

with Q-MED during and after each

thermal damages often caused by

and widely distributed dermal

country is transitioned.

conventional linear delivery methods.

fillers in the world, with over 9

Affecting only a small portion of the

million treatments provided so far.

total skin surface at each session,

Q-MED AB sells Restylane globally

the MNCs stimulate a natural healing

through a network of fully owned

process to initiate long-term collagen

sales companies, partners, and

remodeling and elastin regeneration.

distributors.

MOSAIC’s patented CCT

Excess necrotic pigment and coagulated cellular debris are then

88 —

customers. In addition, Palomar

The single source availability of Palomar and Q-MED products

january-february 2008 | www.aesthetictrends.com

Palomar Medical Technologies, Inc. 800.725.6627 www.palomarmedical.com

These Doctors Are Among

Michael H. Gold, M.D. Gold Skin Care Center Nashville, TN

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

The Top

Physicians

George M. Martin, M.D. Dermatology Laser Center of Maui Maui, HI

In Our FielD

David J. Goldberg, M.D. Skin Laser & Surgery Specialists New York, NY Miami, FL

Michael H. Gold, M.D. CMO & Co-Founder

A. Jay Burns, M.D. Dallas Plastic Surgery Institute Dallas, TX

CME Training for the Medical Aesthetic Professional We’re Growing! And so can you– train in one of the offices of these leading physicians within our network.

Each physician is an active Physician Network Office of the Institute for Aesthetic Medicine

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www.IAMeducated.com Toll-free 800.436.9311 Waterford Business Park • 5201 Blue Lagoon Drive, Suite 800 • Miami, FL 33126 USA

Juice. To learn more, visit us at www.impacthealth.net/aesthetictrends/ or call 800.541.5842 to receive a free sample of XanGo today! All Physicians Are Board Certified