www.aesthetictrends.com
volume 7, issue 2
|
march-april 2008
2007 Annual Laser & Light Technology
Anti-Aging & WELLNESS
™ Choice A wards Categories & Nominees
Gene Expression as a Predictive Tool for Breast Cancer Treatment
DERMATOLOGY
Dietary Supplements
laser & light technology
Candela Serenity Pro Enhancing Patient Comfort without Compromising Results
legal case OF the Month
medical spas
Top Five Strategies for HR Success
Ethics and the Practice of Aesthetic Medicine
plastic surgery
Sciton PROFractional Changing the Lives of Acne Patients pRACTICE MANAGEMENT
Laser Safety in the Cosmetic Practice the leading physician journal for aesthetics and wellness
*
800 •668•2691 candelalaser.com
* Skin rejuvenation by reduction of diffuse redness and pigmentation © 2007 Candela Corporation. Candela is a registered trademark of Candela Corporation. 0920 -13 - 0064 Revision 01
Long after the shorts and tank tops have been packed away, people continue to head to Agape Medical Spa. 460 hair removal and skin rejuvenation treatments every month. See how they got there. CandelaGetThere.com
editorial advisory panel advisor y directors Michael H. Gold, M.D.
Mitchel P. Goldman, M.D.
Gold Skin Care Center Nashville, TN
La Jolla Spa MD, La Jolla, CA
editorial advisors Diane Berson, M.D.
David J. Goldberg, M.D., J.D.
George M. Martin, M.D.
Allan E. Sosin, M.D.
New York, NY
Mt. Sinai School of Medicine New York, NY
Dermatology & Laser Center Maui, HI
Institute for Progressive Medicine Irvine, CA
Timothy M. Greco, M.D., F.A.C.S.
Steven Ross Mobley, M.D.
Jeffrey Weinberg, M.D.
Eastern Cosmetic Surgery Institute, Bala Cynwyd, PA
Salt Lake City, UT
St. Luke’s Roosevelt Dermatology Assoc., New York, NY
Brian Biesman, M.D. Nashville, TN
Valéria B. Campos, M.D. São Paulo, Brasil
Ranella J. Hirsch, M.D.
Patrick Clark, CMLSO
Skincare Doctors Cambridge, MA
Institute for Aesthetic Medicine Highland Village, TX
Nick Morrison, M.D., F.A.C.S. Morrison Vain Institute Tempe and Scottsdale, AZ
Arielle N.B. Kauvar, M.D.
Leslie Pollard, BSMT, CMLSO
Robert A. Weiss, M.D. Dermatology Associates Hunt Valley, MD
Cheryl Whitman
New York, NY
Southwest Innovative Solutions Richardson, TX
Laserium Tijuana, Mexico
Frederick N. Lukash, M.D., F.A.C.S.
Neil Sadick, M.D., F.A.C.P., F.A.C.S.
Carlos L. Wolf, M.D., F.A.C.S.
New York, NY
Miami Plastic Surgery, Miami, FL
Christine C. Dierickx, M.D.
Corey S. Maas, M.D., F.A.C.S.
Sadick Aesthetic Surgery & Dermatology, New York, NY
Antonio Cueva, M.D.
Boom, Belgium
The Maas Clinic, San Francisco, CA
Dore J. Gilbert, M.D.
Stuart Maddin, M.D., F.R.C.P.C.
Newport Dermatology & Laser Associates, Newport Beach, CA
University of British Columbia Vancouver, B.C.
Joel Schlessinger, M.D. Skin Specialists, P.C., Omaha, NE
Stacey L. Silvers, M.D. New York, NY
Beautiful Forever, New Jersey
Cecil Yeung, M.D., F.A.C.S. Yeung Institute, Houston, TX
Steven E. Zimmet, M.D. Zimmet Vein & Dermatology Austin, TX
featured advisor
Bruce E. Katz, M.D. New York, NY
Dr. Bruce Katz is Clinical Professor of Dermatology at The Mount Sinai School of Medicine, Director of the Cosmetic Surgery & Laser Clinic at Mount Sinai Medical Center, and Director of the Juva Skin & Laser Center in New York. Dr. Katz, who has repeatedly been named by New York Magazine as one of the best doctors in New York, received his medical training at McGill University Faculty of Medicine in Montreal, Canada. He completed his post-graduate training at Columbia-Presbyterian Medical Center, where he was Chief Resident in Dermatology. A frequent guest on national and international news shows including The View, 20/20, Good Morning America, and CNN, Dr. Katz is a leading innovator of advanced laser technology, smart and power liposuction, and skin rejuvenation techniques. He has published extensively in leading medical and scientific journals and lectures regularly at medical symposia in the United States and abroad. A national spokesman for the Skin Cancer Foundation, Dr. Katz holds leadership positions in many local, state, and national professional organizations. He is a Fellow in the American Academy of Dermatology, the American Society for Dermatologic Surgery, and the American Society for Laser Medicine & Surgery. He is Past President of the Dermatologic Society of Greater New York.
We are pleased to have the above-mentioned physicians as our editorial advisors. Our thanks go out to these individuals for their time and support in providing our readership with valuable information for their practices.
march-april 2008 | www.aesthetictrends.com
—1
Letterfrom the
W
Editor
Technology: Lasers in Medicine
“Technology is a gift of God. After the gift of life, it is perhaps the greatest of God’s gifts. It is the mother of civilizations, of arts, and of sciences.” – Freeman Dyson Physicist, Educator & Author 1923 -
We have specially designed this issue to encompass a variety of topics related to laser medicine. We introduce you to several key aspects of operating a laser practice. Many of you have reshaped your practices to integrate medical spa procedures. Lasers are the cornerstone of a large percentage of these facilities. Patient awareness continues to grow as consumers are given information from a myriad of sources on how to look younger and keeping skin healthy. ATnT is here to help you grow your practice. The annual Laser & Light Technology Choice Awards™ are here. Technology continues to evolve, and our industry relies heavily on clinical advances from several new devices and procedures. Lasers continue to shape the future of what we know as Laser Medicine. See the nominees for each treatment category in the Choice Awards line-up for 2007 where Aesthetic Trends provides awards to key companies displaying “Business Excellence” within the operations of the manufacturing of medical devices in our industry. Also featured in the Laser & Light Technology department this issue is the Candela Serenity Analytical Report by Patrick Clark, editorial advisor and contributing editor. Learn how the evolution of technology has incorporated solutions to further patient comfort without inhibiting results. Megan Packard delivers a wealth of knowledge to the practitioner in this issue’s Legal Case of the Month department where she explains the necessity of understanding your insurance policy and having the appropriate insurance coverage to meet the needs of your individual practice. Cheryl Whitman shares with our readers the Top 5 Strategies for Human Resource Success. Learn what it takes to have a well staffed practice and the useful tools in order to implement a successful group of team players and successful leaders. The PROFractional laser is being used to change the lives of acne patients left with undesirable and, many times, life restricting scars. Dr. Gregory Wiener has been using the PROFractional device in his practice for a wide range of indications. Dr. Wiener shares with our readers how he uses this extremely versatile device to selectively target areas on the face to smooth and correct scarring caused by acne. In this issue contributing editor and advisory board member Leslie Pollard reports on the specific requirements of Laser Safety in a medical practice. Based on the ANSI standards for our industry, this may be a recap for some but a reliable and valuable resource to keep the practitioner in compliance with these important guidelines for laser use. We have the ability to create one of the most thriving markets with technology. We thank the efforts of the manufacturers for delivering these devices to the marketplace, and we thank the physicians for delivering these procedures to their patients in a safe manner. Together these groups help to evolve the world of aesthetics which lead us to the next generation and advancement of technology.
Cindy Vandruff Editor in Chief Aesthetic Trends & Technologies, Inc.
2—
march-april 2008 | www.aesthetictrends.com
m arc h-ap ril
2 0 0 8
departments
7
7
anti-aging & wellness
13
dermatology
21
laser & light technology
49
legal case of the month
55
medical spas
71
plastic surgery
77
practice management
21 13 7
Anti-Aging & Wellness Gene Expression as a Predictive Tool
13
Dermatology Dietary Supplements
17
Product Listings Dermal Fillers & Injectables
21
Laser & Light Technology Analytical Report: Serenity Pro™ by Candela
27
Choice Awards Nominees for 2007
31
Corporate Review Institute for Aesthetic Medicine
33
Product Listings Evolving Technologies/Laser & Light Technology
49
Legal Case of the Month Ethics and the Practice of Aesthetic Medicine
march-april 2008 | www.aesthetictrends.com
49
—3
volume 7 issue 2 | march-april 2008
i n e v e r y i s s u e 55 2
letter from the editor
17
dermal fillers & injectables product listings
33
laser & light technology product listings
63
microdermabrasion product listings
79
press corner
82
meetings & events calendar
71 59 FEATURED MEDICAL SPA–Juva Skin & Laser Center and MediSpa New York City 55
Medical Spas Top Five Strategies for HR Success
59
Featured Medical Spa Juva Skin & Laser Center and MediSpa
63
Product Listings Microdermabrasion
71
Plastic Surgery Changing the Lives of Acne Patients
75
Aesthetic Trends & Technologies Subscribe!
76
Net Visibilities
77
4—
Practice Management Laser Safety in the Cosmetic Practice
79
Press Corner
82
Meetings & Events Calendar
march-april 2008 | www.aesthetictrends.com
77
advertiser index
edit o r in chief Cindy Vandruff cindy.vandruff@aesthetictrends.com
ASLMS (www.aslms.org). . . . . . . . . . . . . . . . . . . . . . . . . . 12
t rends edit o r
Beautiful Forever (www.medicalspasuccess.com). . . . . 54
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publis her
Candela (www.candelalaser.com) . . . . . . . . . . . . . . 20, C2
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co nt ribut ing edit o rs Valerie J. Ablaza, M.D. Elda Argenti Jennifer Barnes Leslie S. Baumann, M.D. Charles Becker Adina Carrel, D.M.D. David Cauger Mitchell Chasin, M.D. Jacqueline Clark Patrick Clark, CMLSO Joanna Cosgrove Sam Dhatt, M.S. Richard Ellenbogen,M.D.,F.A.C.S. Mark G. Erlander, Ph.D. Stuart Frolic
Michael H. Gold, M.D. David J. Goldberg, M.D. Mark Greenberg Lou Haggerty, PUMC Nicanor G. Isse, M.D. Bruce E. Katz, M.D. Benjamin Kessler Dawn Larsen Elizabeth I. McBurney, M.D. Kathy Miller-Kramer Greg S. Morganroth, M.D. Nick Morrison, M.D., F.A.C.S. Megan K. Packard Lisa Panzica Dr. Cheryl Perlis
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at t
Gene Expression as a Predictive Tool for Breast Cancer Treatment
anti-aging n & wellness
anti-aging & wellness
O
By Mark G. Erlander, Ph.D.
Of all the matters of wellness for a
particular patient, and assessing risk
purpose. Tamoxifen blocks the estrogen
woman, breast health is near the very
of cancer recurrence are all daunting
receptors of breast cancer cells, thereby
top—and with good reason. Breast
treatment challenges.
inhibiting estrogen stimulated tumor
cancer, despite significant treatment
growth.
improvements in recent years, remains
cancer, 70 to 75% are
a real risk. Nearly 180,000 U.S. women
estrogen receptor-
were diagnosed with invasive breast
positive, or ER+.
cancer in 2007, according to American
This designation
Cancer Society figures.
means that estrogen
stimulates the
Statistics show that one in eight
Of the various types of breast
The advent of gene-expression tests has given doctors a powerful new means of both predicting a tumor’s responsiveness to treatment and assessing its intrinsic aggressiveness.
American women will develop breast
growth of cancerous
cancer sometime during their lifetime.
tumors by activating
Compounding the problem is the fact
estrogen receptors of the cancer cells.
that breast cancer develops from a
Tamoxifen remains the most common
cancers have not spread to the lymph
broad array of causes, both genetic
form of adjuvant (post-surgical)
nodes (node-negative), have a good
and lifestyle-related, and presents itself
endocrine treatment to reduce the risk
overall survival prognosis when surgery
in many different forms. Correctly
of subsequent recurrence in pre- and
is followed by adjuvant endocrine
diagnosing the cancer type, selecting
post-menopausal, ER+ tumors, and is
therapy, typically tamoxifen. Tamoxifen
the most appropriate therapy for the
the world’s largest selling drug for that
has been a standard of care therapy for
march-april 2008 | www.aesthetictrends.com
ER+ patients, especially those whose
—7
anti-aging & wellness
women with ER+ breast cancer for over
thirty years. In addition to tamoxifen,
diagnostic, prognostic, and therapeutic
normal breast tissue but is expressed in
which works in both pre- and post-
information to the clinician, new
some pre-invasive and invasive breast
menopausal women, a new class of
gene expression tests have been
cancers. The IL17BR gene is located in
drugs known as aromatase inhibitors
developed that identify the molecular
a chromosomal region that is frequently
is also available for post-menopausal
characteristics of each patient’s tumor.
lost in cancer and is positively regulated
patients. This new class of therapy
With a better understanding of the
by estrogen.
actually blocks the body’s ability to
underlying molecular pathways that
synthesize estrogen, thereby reducing
drive breast cancer development and
IL17BR, oncologists are able to predict
its availability to fuel tumor growth.
growth, a more individualized and
both treatment benefit and recurrence
The clinical utility of these therapies
In order to provide optimal
HOXB13 is rarely expressed in
By measuring the ratio of HOXB13/
improved treatment plan can often be
risk for ER+, node-negative patients
is well established, yet roughly 40%
devised.
receiving endocrine therapy with a high
of ER+ breast cancers either fail to
degree of confidence. For example,
respond, or develop resistance to them.
wide surveys have been conducted
those patients with a high ratio of
It is currently difficult to determine
to isolate biomarkers consistent with
HOXB13 to IL17BR are less likely to
which ER+ patients after surgical
positive or negative clinical outcomes.
benefit from adjuvant tamoxifen, while
removal of the breast cancer carry the
Patients who have undergone adjuvant
a lower ratio indicates a favorable
risk of developing a subsequent distant
tamoxifen therapy and yet experienced
response.3
metastasis (i.e., cancer recurrence).
To develop these tests, genome-
recurrence, for example, have been
Clinical studies reveal that an ER+,
compared to patients for whom a
patients, in six clinical studies from
node-negative patient’s risk of
tamoxifen regimen has proved effective.
Harvard Medical School, Mayo Clinic,
developing a distant metastasis ranges
Through the retrospective analysis of
as well as two European medical
By analyzing the ratio of HOXB13/IL17BR, oncologists are able to predict treatment outcomes for ER+, node-negative patients receiving endocrine therapy with a high degree of confidence.
institutions, have
have gleaned insights into
validated H/I as
the molecular basis of breast
both a biomarker for
cancer that were hardly
assessing recurrence
imaginable 15 years ago.
risk as well as a predicting benefit
TWO-GENE SIGNATURE
to tamoxifen
therapy.1,3-7
AviaraDx, in
from 10% within five years, to nearly
collaboration with researchers at
20% within 10 years.
Harvard Medical School, discovered two
BETTER TREATMENT DECISIONS
that can be examined together as a
gene expression ratio to predict patient
Clinicians have historically been
To date, analysis in over 2,700
these studies, researchers
genes known as HOXB13 and IL17BR,
8—
limited largely to analysis of tumor
outcome to endocrine therapy.1 The
size, grade and nodal status when
expression of both HOXB13 and IL17BR
making adjuvant treatment decisions.
is controlled by estrogen via opposing
The advent of gene-expression tests,
mechanisms, and the measurement of
however, has given doctors a powerful
the HOXB13:IL17BR expression ratio
new means of both predicting a tumor’s
provides important information about
responsiveness to treatment and
the functionality of estrogen-stimulated
assessing its intrinsic aggressiveness.
signaling in ER+ breast cancers.2
march-april 2008 | www.aesthetictrends.com
The HOXB13/IL17BR test, known
assessment of recurrence risk by current gene expression tests.8-11 AviaraDx,
is a reliable indicator of long-term
in partnership with a research team at
recurrence risk. Higher expression
Harvard Medical School, developed
of HOXB13, lower expression of
and clinically validated a five-gene
IL17BR, and a higher HOXB13/IL17BR
tumor grade signature known as MGI
index have all been associated with a
(Molecular Grade Index) that replicates
high risk of relapse. In a 2006 study
tumor grades 1 and 3 and eliminates
published in the Journal of Clinical
the intermediate grade by stratifying
Oncology4, the H/I test has been shown
Grade 2 tumors as “Grade 1-like”
to assess recurrence risk irrespective
and Grade 3-like”.7 By stratifying
of subsequent adjuvant therapy.
Grade 2s, MGI eliminates the middle
Researchers in that study reported that
ground of “intermediate” and thereby
an ER-positive, node-negative patient
provides important treatment insights for
with a low two-gene index of -2.0 has
oncologists in more than 50% of breast
a 21% absolute difference in five-year
cancers. For example, a high MGI not
recurrence risk compared to a patient
only correlates with a higher risk of
with a high H/I index of +2.0.4
distant metastasis, but also serves as a
anti-aging & wellness
as H/ISM (pronounced “H over I”),
marker for chemotherapeutic sensitivity
IMPROVED TUMOR GRADING
be Grade 2 (”intermediate tumor
and potential treatment response. A
Gene-expression testing has also
grade”), a grade that makes treatment
low MGI indicates that a tumor is not
been shown to improve one of the
decisions more difficult for the treating
proliferating rapidly and will probably
most commonly used measurements of
oncologist. It is well established that
not receive any incremental benefit from
assessing risk of cancer recurrence, that
patients with Grade 3 tumors benefit
chemotherapy.
is, tumor grade. Every breast cancer is
from chemotherapy,
assessed by a pathologist to determine
whereas patients
the aggressiveness or grade of the
with Grade 1 tumors
tumor. Tumor grade ranges from Grade
do not. It is within
1 (well-differentiated, least aggressive)
the intermediate,
to Grade 3 (poorly differentiated, highly
grade 2 tumors
aggressive), and is determined by visual
that the benefits
inspection of a histologically-stained
of chemotherapy
tumor using standard light microscopy.
treatment are more
The modified Scarff-Bloom-Richardson
difficult to measure
grading system is the most commonly
and the toxicities of such therapy harder
used method for establishing tumor
to justify without a known clinical benefit. collaborators at Harvard Medical School
grade in invasive breast cancers.
analysis of the tumor has been shown
measuring both H/I and MGI to assess
tumors can help predict the risk of
to be clinically useful. In a series of
recurrence risk in ER+, node-negative
recurrence, assessment is subjective
studies, Sotiriou and colleagues have
patients. Because H/I and MGI measure
due to significant variability between
demonstrated that measurement of
distinct but inter-related tumor biology
pathologists. Furthermore, over 50%
tumor grade-related gene expression
as it relates to tumor aggressiveness, it
of breast tumors are determined to
is the common denominator for the
was hypothesized that assessing both
While histological analysis of
A high molecular grade index not only correlates with a higher risk of distant metastasis, but also serves as a marker for chemotherapeutic sensitivity and potential treatment response. A low MGI indicates that a tumor is not proliferating rapidly and will probably not receive any incremental benefit from chemotherapy.
Here again, gene expression
march-april 2008 | www.aesthetictrends.com
Recently, AviaraDx and their
have examined the clinical utility of
9—
anti-aging & wellness
H/I and MGI status will be superior
the most common form of cancer
future and see where therapeutic paths
for assessing overall recurrence risk.
in U.S. women, it is difficult to
will lead, perhaps even foregoing
Indeed, the combination of H/I and
overemphasize the importance of
adjuvant therapies in many cases. What
MGI is synergistic and superior to either
continued investigation into the
is more, analysis of gene signatures
biomarker alone in risk assessment.
disease. Fortunately, the advent of
allow clinicians to counsel their patients
A large clinical validation study of the
genomic research has opened a broad
with increasing degrees of confidence
combination of these two biomarkers
new field of inquiry not only into the
regarding their risk of recurrence and
is ongoing, with results expected to be
causes of the disease, but also into more
the most appropriate treatment path for
published by the end of 2008.
individualized and efficacious treatment
their individual situation. Through tests
options.
like H/I and MGI, the mysteries of one
MYSTERIES REVEALED
of the greatest threats to women’s health
before, it is possible to look into the
Given that breast cancer remains
With greater accuracy than ever
Mark Erlander,
REFERENCES
Ph.D. serves as
1 . Ma, et al. A Two-Gene Expression Ratio Predicts Clinical Outcome in Breast Cancer Patients Treated with Tamoxifen. Cancer Cell 5:607-16, 2004. 2. Wang et al. The Prognostic Biomarkers, HOXB13, IL17BR and CHDH are Regulated by Estrogen in Breast Cancer. Clin Cancer Res., 13(21):6327-6334, 2007. 3. Jerevall, et al. Exploring the Two-Gene Ratio in Breast Cancer—Independent Roles for HOXB13 and IL17BR in Prediction of Clinical Outcome. Breast Cancer Research Treatment 102, April 2007 4. Ma, et al. The HOXB13:IL17BR Expression Index is a Prognostic Factor in Early-Stage Breast Cancer. Journal of Clinical Oncology, 24(28):4611-19, 2006. 5. Goetz, et al. A Two-Gene Expression of Homeobox 13 and Interleukin-17B Receptor for Prediction of Recurrence and Survival in Women Receiving Adjuvant Tamoxifen. Clinical Cancer Research 12(7): 2080-87, 2006.
Chief Scientific Officer of AviaraDx. Dr. Erlander has over 18 years of experience in directing research and development for gene discovery as it relates to drug discovery and molecular diagnostics. Prior to joining AviaraDx, Dr. Erlander was Group Leader and subsequently Research Fellow at the R.W. Johnson Pharmaceutical Research
6. Jansen, et al. Retrospective Study of the HOXB13-to-IL17BR Expression Ratio Related to Tumor Aggressiveness and Response to Tamoxifen in Recurrent Breast Cancer. Journal of Clinical Oncology 25(6):662-668, 2007.
Institute (Johnson & Johnson). Prior
7. Ma X-J, Salunga, R., Dahiya, S., et al. A Five-Gene Molecular Grade Index and HOXB13:IL17BR are Prognostic Factors in Early Stage Breast Cancer. Clin Cancer Res. (in press)
and postdoctoral fellow at The Scripps
8. Sotiriou, C., Wirapati, P., Loi, S., et al. Gene expression profiling in breast cancer: understanding the molecular basis of histologic grade to improve prognosis, J Natl Cancer Inst 98:262-72, 2006
a B.S. degree in Biochemistry from the
9. Desmedt, C., Sotiriou, Proliferation. The Most Prominent Predictor of Clinical Outcome in Breast Cancer, Cell Cycle 5:2198-202, 2006
University, and received his Ph.D. in
10. Loi, S., Haibe-Kains, B., Desmedt, C., et al. Definition of Clinically Distinct Molecular Subtypes in Estrogen Receptor–Positive Breast Carcinomas Through Genomic Grade, J of Clin Oncology 25: 1239-46, 2007
California, Los Angeles. Dr. Erlander is an
11. Sotiriou, C., Piccart, M.J., Taking gene-expression profiling to the clinic: when will molecular signatures become relevant to patient care? Nat Rev Cancer 7:545-53, 2007
10 —
are beginning to be revealed.
march-april 2008 | www.aesthetictrends.com
to his time at Johnson & Johnson, Dr. Erlander was an Assistant Member Research Institute in the Department of Molecular Biology. He graduated with University of California, Davis, an M.S. degree in Biochemistry from Iowa State Neuroscience from the University of inventor of 32 issued U.S. patents, 34 U.S. patent applications, and has authored 55 scientific papers. For more information visit www.aviaradx.com
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dermatology
By Allan E. Sosin, M.D.
at t
N
ARE THEY SAFE? DO THEY WORK?
Nutrition is an important part of
STATISTICS ON HEALTHCARE
year and more than 2,000,000 serious
healthy skin. Due to our busy lives,
adverse reactions.
it is sometimes difficult for one to
observing our current healthcare
reach daily nutritional requirements
situation, would probably think we
would have no supplements. If we did
from food alone. Supplements help
were crazy. The United States spends
have them, no one would risk taking
to provide the nutrition our bodies
2.1 trillion dollars on healthcare, more
them.
and skin need. But, are they safe?
than $7,000 for every man, woman and
The Food and Drug Administration
child, or one out of every seven dollars
TREATING ILLNESS WITH DRUGS
is enforcing regulations to ensure the
A visitor from another planet,
If this were true of supplements, we
we earn.
safety of nutritional supplements.
paradigm treats illness with drugs and
Within the next 1-2 years, supplement
pharmaceutical therapies. Despite this
prevents illness with drugs. Children
manufacturers will need to satisfy
incredible expense, the United States
are recommended to have more than
these requirements or go out of
ranks no higher
business. The cost of buying these
than fifteenth in the
supplements will substantially
world in healthcare
increase.
outcomes.
If vitamins were as
What has caused this change? Are
More than $200 billion a year go for
dermatology n
Dietary Supplements
The conventional medical
More than $200 billion a year go for pharmaceutical therapies. Despite this incredible expense, the United States ranks no higher than fifteenth in the world in healthcare outcomes.
vitamins and minerals dangerous?
dangerous as drugs,
Are people at risk of illness or death
there would be no
from taking supplements? Should
argument about
supplements be regulated as if they
the need for intensive regulation. Of
20 vaccinations, sometimes 4 or 5 at
were drugs because they are used like
course, they are not as dangerous.
the same time, beginning at the age of
drugs, as has been suggested by an
The use of prescription and over-the-
one day. Vaccinations are implicated
editor of the New England Journal of
counter medications is responsible
as a cause of neurological disease,
Medicine?
for more than 100,000 deaths every
including autism; yet in some states
march-april 2008 | www.aesthetictrends.com
13—
dermatology
it is illegal to send children to school
Last month a related diabetic drug,
of patients, while the true incidence
without them. Parents have told me
Avandia, was withdrawn after
was closer to 20%. The statin drugs,
they were turned away from pediatric
excessive cardiac failure and death
considered a panacea par excellence
practices when they refused to have
were identified. Vioxx, a non-steroidal
for heart disease, are claimed to cause
their children vaccinated.
pain reliever, was interred in the drug
muscle pain and weakness in a very
Non-steroidal anti-inflammatory
cemetery because it caused heart
small percent of patients. I have seen
drugs are taken by millions of people
attacks and death, after it had been
this complication in many patients,
for the relief of pain and inflammation.
prescribed to millions for years.
however; and it has often been
They are effective, but also cause
unrecognized or disregarded by their
gastrointestinal ulcers and bleeding,
FEDERAL DRUG ADMINISTRATION
primary physicians. Some patients
fluid retention, edema, high blood
Drugs are approved for use by
have been told to continue taking the
pressure and heart failure, liver and
the FDA after only brief studies have
drug no matter how bad they felt, or
kidney disease.
demonstrated statistical benefit. There
else die of heart disease. Statin drugs
are NEVER any long-term studies
provide little or no benefit for people
of hospitalization for congestive heart
performed prior to drug approval,
without pre-existing heart disease, yet
failure and are considered responsible
because costs are prohibitive. Thus
they are prescribed promiscuously,
for about 10,000 deaths a year. Most
many drug complications are
even for eighty-year-old women
of them are available over the counter.
discovered long after the drug is
with cholesterol levels only 10 points
So much for the safety of non-
released for patient consumption.
above normal. This type of practice is
prescription drugs.
It is only years later, after many
preposterous, and it is dangerous.
patients have suffered unanticipated
They are one of the major causes
Every year 4 or 5 well known drugs
complications, or died, that
Every year 4 or 5 well known drugs are withdrawn by pharmaceutical company decisions or after FDA recommendations, when previously unrecognized toxicity is discovered.
14—
termination.
olds to be taking five and six drugs
at the same time. A couple of weeks
Sometimes
medications are approved
ago I encountered a patient taking 13
because they benefit a
prescriptions at once. I quickly helped
clinical marker, with no
him get off seven of them, and he felt
proof that they prevent or
much better. As is often the case,
cure disease. After several years of
company decisions or after FDA
proliferating prescriptions and billions
recommendations, when previously
in profits, a cholesterol-lowering
unrecognized toxicity is discovered.
drug was found to actually increase
Rezulin, the first of a new class of
arterial degeneration. Apparently the
antidiabetic drugs, was withdrawn
sponsoring pharmaceutical company
several years ago, after about
withheld the damaging results of
40 people died of liver failure.
research for two years, until forced to
Remarkably, this drug was approved
release them by congressional pressure.
for use in the United States even
after it had been removed in England
under-reported and deliberately or
because of excessive liver toxicity.
unintentionally underestimated. One
type of anti-hypertensive drug was said
Are livers any different in England
It is common for 60- and 70-year-
adverse drug effects lead to
are withdrawn by pharmaceutical
than they are in the United States?
PRESCRIPTION OVERKILL
The adverse effects of drugs are
to cause an irritating cough in 1-2%
march-april 2008 | www.aesthetictrends.com
several of his drugs were prescribed to
a conflict between conventional and
Several companies do not follow
drugs. A vicious cycle of effect/counter-
alternative medicine? How much do
good manufacturing practices. The
effect develops, with the patient the
they interfere, and how much do they
ingredients in their preparations are
unknowing recipient of multiple
help?
lower than stated on the container,
complications.
or of poor quality, or contain
most supplements are safe. There
contaminants. Some large companies
problems several years ago, with
is vast latitude in the doses that
sell supplements at prices so low as
cramps, diarrhea, and bloating. After
may be taken without concern for
to defy any possibility of value. It is
going to several medical institutions
complications. About the worst that
unlikely that a quality product will be
and an array of physicians, she was
can come from vitamin C is diarrhea,
produced at extremely low cost.
prescribed a drug that made her drowsy
except in cases of kidney disease,
and resulted in an accident when she
or a rare enzyme deficiency. Most
colorings, additives, and preservatives
dozed off while driving on the freeway.
B vitamins have no toxicity at any
that should be avoided. Read the
I told her to stop the drug and initiated
dose, although folic acid should only
labels.
a combination of nutritional therapies
be taken when vitamin B12
that she continues to take. To this day,
has been repleted. Vitamin
she has no symptoms.
D has been maligned as a
It is usual for many physicians
dangerous item, yet it turns
to repudiate the value of nutritional
out that most Americans are
supplements, or to claim they are
deficient in vitamin D and
dangerous and counteract the benefits
should take supplements
of conventional drug therapies. I have
to prevent osteoporosis,
many patients who decline to tell their
diabetes, and multiple
other physicians that they are taking
sclerosis.
supplements, afraid that they will be
bioavailable. Tablets may not dissolve.
ridiculed or turned out of the practice.
supplements along with lifestyle
High heat and pressure used in
This is especially true in the realm of
changes for many years in the
making tablets may destroy certain
cancer therapy, where oncologists and
treatment and prevention of disease.
ingredients, such as B vitamins and
radiation therapists assert that vitamin
Diabetes mellitus is preventable or
vitamin C.
and mineral supplements will impair
reversible in 70-90% of patients,
the effectiveness of their treatments.
without medications. So, often, are
hypertension, hyperlipidemia, and
My mother developed intestinal
I have many patients who silently
It is important to know that
dermatology
handle the side effects caused by other
Some preparations contain
It is usual for many physicians to repudiate the value of nutritional supplements, or to claim they are dangerous and counteract the benefits of conventional drug therapies.
I have prescribed nutritional
take recommended supplements, and
osteoporosis. Patients come who want
experience remarkable recoveries from
to get off medications, or be treated
cancer, with minimal side effects from
without medications, and without
their therapies.
surgery. They have already suffered
Some products may not be
complications of these therapies,
NUTRITIONAL SUPPLEMENTS
or have seen their family members
suffer.
Into this scenario enters an array
of vitamins, minerals, herbs, and amino acids. What is the truth about
PRECAUTIONS
them? What precautions should be
taken? Are they innocent pawns in
followed in choosing supplements.
Certain precautions should be
march-april 2008 | www.aesthetictrends.com
15—
dermatology
Some formulations are better
than others. Minerals are better absorbed when offered as chelates. For instance, calcium and magnesium chelates are better absorbed than carbonate or oxide formulations.
Therefore, choose products
WEIGHT LOSS PRODUCTS
produced by reputable companies. If
you are unsure about which products
as a consequence of consumers
measured in blood. In patients with
are preferable, ask another healthcare
taking excessive doses of weight loss
gastrointestinal conditions, stool
practitioner who has experience in
preparations containing ephedra,
studies can be performed to evaluate
dealing with these products. It is
a relative of epinephrine. I do not
the need for beneficial bacteria and
not generally useful to inquire of a
recommend using any formulation
gastrointestinal nutrients such as
conventional physician, since he is not
containing ephedra, mainly because
likely to be trained in this area.
Supplements should be labeled
Several deaths occurred recently
glutamine or zinc. most reputable nutrient companies, the Some medications are interfered ones whose products can be trusted, with by certain nutrients. In general
with an expiration date and stored
no longer offer ephedrine-containing
it is better to separate nutritional
properly. Beyond this date, they begin
preparations.
supplements from drugs. Thyroid
to lose potency and may spoil. This is
hormone, in particular, should be taken
particularly true of fish oils containing
it is unwise to assume that they are.
omega 3 fatty acids and other oil-
Two dollars spent on a cheaper fish oil
based nutrients, which may become
supplement may be two dollars spent
rancid. Storage in light or high
for nothing. Sometimes, unfortunately,
Allan E. Sosin,
temperatures should also be avoided,
individuals working in health food
M.D., is a
and some supplements must be kept in
stores may not be knowledgeable
Volunteer Faculty
the refrigerator.
about their products. Spend some time
All supplements are not equal, and
talking, studying, and looking around,
HERBS
the way you would when looking for a
new car or a new home.
Care should be exercised in
choosing herbs, as certain herbs are
16—
fatty acids, and amino acids can be
by itself.
Member of the University of California, Irvine, CA, and is a Staff Physician at the IrvineRegionalHospital, Irvine, CA. In addition, he is Founder
known to be toxic. Aristolochia, for
NEW FORMULATIONS AND DISCOVERIES
instance, has caused renal failure
and urologic malignancies, primarily
supplementation is diverse and
in Asia. Comfrey has caused liver
complicated. New discoveries and
disease. In general, such herbs are
new formulations are frequent. If you
not available in health food stores
are not an expert yourself, it is best to
in the United States. There are also
Board of Chelation Therapy. Address
be in communication with an expert
correspondence to Allan E. Sosin, M.D.,
reports of herbs imported from the
who can help guide you make the best
Institute for Progressive Medicine,
Orient containing toxic heavy metals
choices for your particular situation.
4 Hughes, #175, Irvine, CA 92618.
such as lead and mercury. Certain
All patients are not the same, and
Dr. Sosin can be reached at
companies are highly reputed for their
nutrients should be chosen with proper
949.600.5100 or visit his website at:
herbal formulations, and their products
attention to individual requirements.
www.iprogressivemed.com.
should be chosen preferentially.
Nutrient levels of vitamins, minerals,
The field of nutritional
march-april 2008 | www.aesthetictrends.com
and Medical Director of the Institute for Progressive Medicine, Irvine, CA. Dr. Sosin is a Diplomate, American Board of Internal Medicine; Diplomate, Nephrology; and Diplomate, American
product listings
Dermal Fillers & Injectables
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Nasolabial folds before (Left). After treatment with 2.5 Perlane® 1 mL syringes (Right). Individual results may vary.
no animal proteins. This limits any risk of animal-based disease
body’s hyaluronic acid.
Studies have shown that Restylane lasts for about six
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transmission or allergic reactions. No allergy testing is required before use. (Restylane and Perlane contain trace amounts of
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Restylane and Perlane have well defined safety
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17—
Allergan www.allergan.com 2525 Dupont Drive Irvine, CA 92612 714.246.4500 p
18 —
Product Source
Dispensed Shelf Life Price Measurement
Botox® Cosmetic Juvéderm 24 HV Juvéderm 30 HV Juvéderm 30 Zyderm® 1 & 2 Zyplast® CosmoDerm™1 Cosmoplast™
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
ArteFill
PMMA
BioForm Medical Inc. www.bioformmedica.com 1870 Grant Ave., Suite 10 San Mateo, CA 94402 650.286.4000 p
Radiesse (formerly Radience FN)
CaHa with gel carrier
No
No
1.3 & 0.3cc
Fascia Biosystems www.fascian.com 11040 Santa Monica Blvd.,Ste 340 Los Angeles, CA 90025 888.332.7242 p
Fascian
Cadaver Tissue
Yes
No
Medicis Aesthetics www.restylaneusa.com 8125 North Hayden Road Scottsdale, AZ 85258-2463 800.550.5115 p
Restylane® Perlane®
NASHA gel
No
Sanofi-Aventis (Dermik Laboratories) www.sculptra.com 55 Corporate Drive Bridgewater, NJ 08807 800.981.2491 p
Sculptra (New -Fill)
Polylactic acid (PLA) hydrogel
Yes
Yes Yes Yes Yes No No No No
100 units/freeze-dried 100 units/freeze-dried 100 units/freeze-dried 100 units/freeze-dried .5, 1.0, & 1.5cc .5 & 1.0cc 1 cc syringe 1 cc syringe
24 months from date of manufacture
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
Regulatory Information
$417 /vial $200-$225 $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
No
Cleared for Vocal Fold, Tissue Marketing, Oral/Maxillofacial Defects
Multiple sizes,standard 5 years & custom.Pre-filled with 80 mg of particles; comes in six sizes from 0.01 to 2.0 ml
$85 /syringe
No
FDA registered
No
1.0 ml syringes
18 months
$275 per cc
No
FDA Cleared in US & Canada Pending FDA Clearance
No
2 vials that are reconstituted into 3 x 1 cc syringes
N/A
$480/vial
No
FDA cleared for restoration and/or correction of the signs of facial fat loss (lipoatrophy)
Yes Yes Yes Yes Yes Yes Yes Yes
3 years 3 years 2 years 2 years
Yes
march-april 2008 | www.aesthetictrends.com
2 years
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
No
No
2 x 1.0 ml syringes
No
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
No
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
No
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
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
No
No
Various sizes of sheet goods 1mm in thickness
2 years in U.S. 5 years in E.U.
Varies according in size
No
FDA Cleared
march-april 2008 | www.aesthetictrends.com
CE Mark Not FDA Cleared
19—
™ ™*
PRO
Increasing Practice Success by Enhancing Patient Comfort
With Serenity Pro your patients will experience • More comfort • Fewer side effects such as erythema • No need for topical anesthetic creams • Improved treatment outcomes
Beautiful doesn’t need to be painful
For more information, or to arrange an in-office demonstration call 800-821-2013 or visit www.candelalaser.com © 2008 Candela Corporation Serenity Pro and PSF are trademarks and Candela is a registered trademark of Candela Corporation. 0920-13-0072 Revision 01
Analytical Report Candela Corporation
C
at t
Serenity™ Pro Pneumatic Skin Flattening Device
laser n & light technology
laser & light technology
By Patrick J. Clark, CMLSO, Editorial Advisor
Candela Corporation (Wayland,
obsolescence, had been discussed.
Massachusetts) has added
The second two might be a small
Serenity™ Pro to their product
surprise.
offering. This second generation
Physicians reported concerns
solution has been in the works since about patient injury/complication Candela’s acquisition of Inolase in
and the concern about pain (politely
March of 2007.
Enhancing Patient Comfort without Compromising Results
What is Serenity Pro,
is it needed, and does
it work? Those are the key questions we will
attempt to answer in this Analytical Report.
Physicians reported concern about patient injury/complication and the concern about pain (politely described as discomfort) during procedures.
In a recent survey
of physicians considering the
described as discomfort) during
purchase of a laser or pulsed light
procedures.
device, there were four prevalent concerns. The first two, cost and
march-april 2008 | www.aesthetictrends.com
Clearly no one wants to have complications, especially the
21—
laser & light technology
Handpiece and Pneumatic Adapter Options Handpiece Options
Single hand operation
Two hands operation
•
Standard Handpiece (SHP) Integrated Handpiece (IHP)
Laser or IPL Pneumatic Adapters
Most laser or IPL systems
• •
Integrated handpiece.
Adaptable to
Select Candela laser models Most laser or IPL systems
•
Most Q-switched laser systems
physician adding aesthetics into
completing their treatment series
common source of discomfort is the
their practice for the first time.
simply due to pain.
targeting of a second unwanted
Most experienced practitioners
chromophore, or target, on the way
appreciate procedures/treatments
PNEUMATIC SKIN FLATTENING (PSF)
to a selected epidermal or dermal
that can be well tolerated by their
lesion.
patients. Discomfort associated
device that relies on the “Gate
with treatments has been observed
Control” theory, a natural way to
written about the difficulty of
as a barrier to future referrals.
prevent discomfort during laser/
successfully segregating melanin
Likewise, treated patients may
light treatments. It has been
from hemoglobin as one tries
never obtain their desired results
clinically proven to reduce pain
to treat skin. The Candela
due to lack of compliance in
perception by up to 80-90%. A
device uses a 26 x 52 millimeter
Serenity Pro is a unique
There are many clinical papers
Specifications
22 —
Standard window sizes
29 x 57 mm and 29 x 29 mm
Laser/IPL wavelengths
400–1800 nm
Operating modes
automatic; hand activated
Cable length
2.2 meters
Console dimensions
43W x 32L x 22H cm (16”W x 12”L x 8”H)
Weight
handpiece: 110 grams (3.8 oz.) console: 9 kg (19 lbs)
Electrical
110/220V; 60/50 Hz, 1 amp
march-april 2008 | www.aesthetictrends.com
38 J/cm2
Regular
PSF
42 J/cm2
42 J/cm2
Without PSF (Left). With PSF (Right). 20 min post, Diode Laser (30ms)
Pneumatic Skin Flattening renders the skin more transparent.
translucent sapphire window,
3. The suctioning of the skin
larger than even most pulsed
issues a light sensory trigger
significant challenge has been
light crystal dimensions, atop a
to the skin’s nerve endings
transmitting light to the follicle
chamber 7 millimeters in depth.
allowing for a surge into the
and bulge at a depth of up to 5
Once the periphery of the chamber
neural pathway to the brain
millimeters or more. Even the
is in contact with skin, a vacuum
that will reduce the sensation
deepest Nd:YAG and pulsed light
is automatically activated and
of the following light pulse on
wavelengths find penetrating 5 to
the skin is suctioned against the
a selected target within the
6 millimeters without significant
vacuum chamber.
window.
scatter a true task. The vacuum
laser & light technology
38 J/cm2
In treating hair with light, a
That slight vacuum,
(approximately -400-500 mbar) is reported in clinical articles (Lask 1, et al) to create some amazing and repeatable changes in the skin. 1.Competing Chromophores are expelled away from the target area because the light vacuum is greater than the pressure within the capillaries and smaller vessels. 2. The window does not chill the skin but in the absence of blood in the treatment area, competing chromophores are significantly reduced. As a result skin heating and resulting erythema are avoided.
The Gate Theory of Operation.
march-april 2008 | www.aesthetictrends.com
23—
laser & light technology
applied by the Serenity Pro pulls those targets closer, as much as
Clinical Study
50%, and dispels blood to the outer edges of the vacuum chamber,
A controlled, peer reviewed hair removal study, which compared
allowing for better penetration and
PSF to non-PSF treatments has been conducted with two lasers, an
less scattering.
Alexandrite, Diode and an IPL.
This concept has been applied
as far back as the original ruby
Results:
hair reduction lasers, but was
·
accomplished through compression of the handpiece and not through
and the elevation of hair follicles closer to the skin’s surface.
the Serenity’s novel application of
·
vacuum. Compression often was uneven when compared across a
Remarkable reduction of pain by pneumatic flattening of the skin even at high energy densities.
number of adjacent sites creating a
·
varied change in tissue and varied results.
Higher efficacy in many cases was due to a more transparent skin
Considerably less post-treatment erythema. Treatment energy could be increased by 30%without erythema.
Not so in the clinical reviews
·
of the Serenity Pro device. In the treatment of superficial pigmented
Pneumatic flattening of the skin enhances discrimination between unwanted skin pigments and competing chromophores.
lesions the challenge has been the underlying but adjacent vascular component. The suctioning effect by the Serenity Pro significantly clears this competing target.
practitioners protected the
hypopigmentation, and blistering
epidermis from heat damage
THERMAL STABILIZATION
or Nikolsky effect (in essence a
when using lasers or other optical
fluidless blister).
Clinical research has shown
radiation to treat targets below
high efficiency of sapphire as both
the skin surface by cooling
by pre-cooling through cryogen
an optical coupler between air and
the epidermis before or during
applied directly to skin or onto
SerenityPro takes on a whole new approach by attempting thermal stability at normal body temperature by expressing away any unused energy sent to or released from the target.
24 —
Cooling has been accomplished
treatment. Cooling
a transparent plate in contact
lowers the epidermis
with skin, through cold compress
temperature below
immediately before treatment,
normal prior to the
cooled rollers, plates chilled with
laser pulse so that the
methods other than cryogen, or
epidermis does not reach
forced chilled air. Concurrent
a temperature that would
cooling has been accomplished
cause damage when
through transparent plates
skin, and the unused heat energy
heated by the laser. The paper thin
(cooled or not), and forced air.
from the laser is conducted away
epidermis and its interface with the
And, post-pulse cooling has been
from the epidermis by a translucent
dermis, the E/D junction, are the
accomplished with many of the same
sapphire window.
vicinity of the three most common
tools as pre-cooling.
complications, hyperpigmentation,
Since at least the 1980s,
march-april 2008 | www.aesthetictrends.com
The final analysis is not primarily
In fact, Dr. Auer reports that
higher, more effective energies can be applied comfortably. The result is both happier patients and the selection of treatment in additional areas, resulting in higher revenues per patient. Also patient referrals from procedures performed with his GentleYAG and Serenity Pro
laser & light technology
PATIENT SATISFACTION
have increased reportedly due in large part to the reduced pain. One of the most interesting aspects of the Serenity Pro is the ability to work across a full spectrum of laser and light devices with apparent ease.
Reports from the short
nanosecond pulse of a Q-switched tattoo laser to the long and often repeated millisecond pulses from a pulsed light device show application of equal or increased energies to the patient with the need to cool, but moreover
but thorough stimulation of nerves
reduced trauma and discomfort.
the need to thermally stabilize the
within the treatment area acts to
The practitioner, to the delight
non-target for the purposes of both
reduce or eliminate
protection and comfort. Serenity
the need of topical
takes on a whole new approach
anesthesia prior to
by attempting thermal stability
treatment. We have
at normal body temperature by
seen this in a trip to
expressing away any unused energy
the dentist where he
sent to or released from the target.
will pinch and shake
The non-target may virtually ignore transient thermal shift.
One of the most interesting aspects of the Serenity Pro is the ability to work across a full spectrum of laser and light devices with apparent ease.
the cheek prior to and during an
of the patient, must learn new,
oral injection to trick the neural
less traumatic endpoints for
pathways with signals before the
procedures.
CHANGE IN PATIENT TRENDS
pain begins.
M.D.2 of Houston, Texas, report that
patients who previously stopped him
GENTLEYAG COUPLED WITH THE SERENITY PRO
the need for topical cooling, before or
and declined continued treatment
after light application, is significantly
due to pain now find the same
that the results and patient comfort
reduced or eliminated with the
treatment at the same energies to be
levels from his GentleYAG (1,064
application of Serenity. The subtle
very tolerable.
nm) and the accessory device, the
Physicians like David E. Auer,
Dr. Auer reports that some male
march-april 2008 | www.aesthetictrends.com
At application Dr. Auer reports
25—
laser & light technology
is not compromised (reported to be improved), additional energy is not required to compensate for cooling of the device, and pain, measured on a modified McGill Pain Questionnaire, drops as much as 1 to 2 points on a 5 point scale when compared to sites treated with other cooling/protection methods.
Serenity Pro are quite a change.
and chests. The full range of
The Candela GentleYAG is the
pulse widths allows for successful
laser of choice for a broad base
treatment of fine hair where many
of patients including the darkest
other devices fail, according to Dr.
skin types according to Dr. Elliot
Suzanne Kilmer.
Battle. Spot sizes for hair including
a 12mm, 15mm, and 18 mm spot
in the office is less due to the
size allow for rapid treatment in
elimination of topical anesthetics
even large applications like backs
and their activation times. He also
Patrick J. Clark, CMLSO has been active in
Dr. Auer finds that the time
clinical light applications since 1988. Pat moved
finds that the reduction in sensation encourages
Pain, measured on a modified McGill Pain Questionnaire, drops as much as 1 to 2 points on a 5 point scale when compared to sites treated with other cooling/protection methods.
patients to have treatments performed in additional areas than originally planned. Reports
1,3
show efficacy
from his first administrative and clinical exposure of laser use and control at the University of North Carolina Memorial Hospitals in Chapel Hill, North Carolina, to being a member of the team to first accomplish and teach routine laser laparoscopic cholecystectomy in several Northeast states. In 1992 he was selected as the founding director of the laser program
references
at the University of Texas Southwestern
1. J ournal of Cosmetic and Laser Therapy, Volume 8, Number 2, June 2006, pp. 76- 81(6)
26 —
Medical Center at Dallas and the allied hospitals. In that position he refined a
Pneumatic skin flattening (PSF): A novel technology for marked
teaching and administrative process
pain reduction in hair removal with high energy density lasers
that included the control of some 117
and IPLs: Lask, Gary; Friedman, David; Elman, Monica;
laser and light sources in a myriad of
Fournier, Nathalie; Shavit, Raphi; Slatkine, Michael
applications and a recurring education
2. D avid E. Auer, M.D., 12121 Richmond Ave, Houston, Texas
process for physicians, residents, nurses,
3. J Cutan Laser Ther. 2000 Sep;2(3):125-30. Hair removal with
and paramedicals. Mr. Clark has given
an Athos Nd:YAG 3.5 s pulse laser: a 3-month clinical study.
over 400 clinical and lay lectures in the
Fournier N, Aghajan-Nouri N, Barneon G, Mordon S.
last 20 years.
march-april 2008 | www.aesthetictrends.com
Awards Nominees
Aesthetic Trends & Technologies Laser & Light Choice Awards™ 2007 The ATnT Laser & Light Technology Choice Awards™ were developed to recognize cosmetic devices that are outstanding in their treatment categories. Our new format provides a system where each product that received a minimum amount of votes is placed in nomination. In addition, the Awards Committee may vote to include nominees in any category based upon superior specifications. In this manner, smaller companies that have produced outstanding technology may also be recognized. For each category a maximum of 5 products are allowed. Products not cleared by the FDA in 2007 are not qualified with the exception of the category: Most Promising New Aesthetic Technology. Some categories have been changed or have been added due to technological changes in the industry. The Awards will be presented this spring at the ASLMS annual meeting in Orlando, Florida. The objective of these awards is to both recognize excellence as well as to provide an avenue of understanding of what devices are available and suggested by your peers. Aesthetic Trends & Technologies is not responsible for the outcome of any individual or entity, whether positive or negative, if they choose to purchase one of the lasers receiving in these awards.
The Nominees are presented in alphabetical order by manufacturer.
at t
2007 Choice
laser n & light technology
laser & light technology
MOST DIVERSE HAIR REMOVAL LASER FOR ALL SKIN TYPES Candela - GentleMAX Cutera - Xeo w/1064nm Nd:YAG, OPS600 & ProWave 770 Cynosure Inc. - Apogee Elite Lumenis - LightSheer Pacific Quantum Instruments Inc. - MultiWave XR BEST HAIR REMOVAL LASER FOR DARK SKIN TYPES Candela - GentleYAG Cutera - CoolGlide Excel Cynosure - Acclaim 7000 Pacific Quantum Instruments - OmniYAG XR BEST HAIR REMOVAL LASER (LIGHT SKIN TYPES) Candela - GentleLase Family Cynosure - Apogee 5500 Light Age - Epi Care LPX Lumenis - LightSheer Pacific Quantum Instruments - OmniAlex BEST LASER FOR SUPERFICIAL LEG VEINS Candela - GentleYAG Cutera - CoolGlide XL Cynosure - Acclaim 7000 or Cynergy Pacific Quantum Instruments - OmniYAG XR Sciton - Profile-S ClearScan BEST LASER FOR FACIAL TELANGECTASIAS Asclepion - MeDioStar XT Candela - V-Beam Aesthetica Cynosure - Cynergy Fotona - Dualis VP Iridex - Aura i
march-april 2008 | www.aesthetictrends.com
27—
laser & light technology
2007 Choice Awards Nominees BEST LASER FOR VASCULAR MALFORMATIONS Candela - V-Beam Platinum Cynosure - Cynergy
BEST LASER REFURFACING CO2 Lumenis - UltraPulse Encore Nidek - UniPulse Reliant - Fraxel re:pair
BEST IPL FOR PHOTO FACIAL TREATMENTS Cutera - Solera Opus Cynosure - Cynergy PL Lumenis - One Novalis - Clareon SR Palomar - StarLux
BEST IPL TECHNOLOGY FOR HAIR REMOVAL Cutera - Solera Opus Lumenis - One Novalis - Clareon HR Palomar - StarLux Syneron - Aurora DS/DSR
BEST LASER FOR ACNE Candela - SmoothBeam CoolTouch - CoolTouch CT3 Sciton - Profile MP
MOST AFFORDABLE IPL DEVICE Aesthera - Isolaz Cutera - LimeLight Focus Medical - NaturaLight Novalis - Solarus Radiancy - SPR
BEST NON-LASER DEVICE FOR ACNE CureLight - MultiClear PhotoTherapeutics - OmniLux DUSA Pharmaceuticals - BLU-U w/Levulan BEST NON-ABLATIVE LASER FOR COLLAGEN REMODELING Candela - SmoothBeam Cutera - Vantage Cynosure - Acclaim 7000 Focus Medical - NaturaLase LP Sciton - Profile MP
Best Tattoo Removal Laser Candela - TriVantage Focus Medical - NaturaLase 2J Fotona - Fotona QX Hoya ConBio - RevLite Light Age - Q- Clear
BEST DEVICE FOR SKIN LAXITY Alma - Accent Cutera - Titan Lumenis - Aluma Syneron - ReFirm ST Thermage - ThermaCool
MOST DIVERSE AESTHETIC DEVICE Alma - Harmony Cutera - XEO w/Option Package E Lumenis - One Palomar - StarLux – Configured with Lux Rs, Y, G, Nd:YAG and 1540nm Fractional Handpieces Sciton - Profile MP
Best FractionaTED Technology - Ablative Lumenis - ActiveFX Reliant - Fraxel re:pair Sciton - PROFractional
BEST BODY CONTOURING DEVICE Cynosure - SmartLipo/TriActive Syneron - VelaSmooth Eleme Medical - SmoothShapes LPG - Endermologie
Best FractionaTED Technology - NON-Ablative Cynosure - Affirm Palomar - StarLux w/1540 Fractional BEST LASER RESURFACING: ER:YAG Focus Medical - NaturaLase Erbium Fotona - Dualis XS FriendlyLight - Erbium XL Quantel - ARAMIS Sciton - Contour MOST PROMISING NEW AESTHETIC TECHNOLOGY Aesthera - Isolaz (Photopneumatic Technology) UltraShape - Contour I (UltraSonic Fat Reduction / Investigational Device) TheraLight - VersaClear STS (Patented Fluorescent PDT/ FDA Cleared) LipoSonix - LipoSonix (UltraSound Fat Reduction/ Investigational Device)
28 —
Best Customer Service/ Support Candela Cynosure Cutera Lumenis Syneron BEST STAND ALONE EPIDERMAL COOLING DEVICE Cryo-6 by Zimmer Elektromedizin ThermoTek - Artek Air
march-april 2008 | www.aesthetictrends.com
Limitless Potential
Limited Profits
Our family of Smartlipo products removes a lot of things — including the growth ceiling for your business.
Smartlipo
TM
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SM
Strong consumer demand for LaserBodySculpting has led to the development of a full line of Smartlipo workstations — the 6W, 12W, and the 18W. All are highly effective at removing unwanted fat and reshaping bodies, with the higher power levels allowing you to decrease treatment time and increase patient throughput. Since the 6W and 12W systems can be easily upgraded, you can also purchase the system that fits your needs today and still have the opportunity to easily adapt the technology as your business evolves tomorrow. To learn more, visit www.cynosure.com.
Cynosure Corporate Headquarters - 5 Carlisle Road, Westford, MA 01886 800-886-2966 www.cynosure.com
Institute for Aesthetic Medicine Get educated. What a bright idea. I AM Educated. I AM Certified. I AM Prepared.
CME Courses Available
National Certification
Combining Clinical Training Protocols & Results Oriented Skin Care.
www.IAmEducated.com Toll-free 800.436.9311 30 —
march-april 2008 | www.aesthetictrends.com
Insurance Coverage During Hands-On Training
Institute for Aesthetic Medicine, Inc.
Business Foundation Institute for Aesthetic Medicine is a Florida corporation founded in 2007. We provide reliable, cost-effective, superior quality training services that are dedicated to aesthetic medical professionals. The company’s management team has spent significant time and effort researching the product education, safety, and training aspects of the industry, developing its business model and products and creating strategic alliances with business partners and affiliates. The research conducted by the IAM team has helped to identify a significantly underserved market. IAM’s physician network facilities concept is uniquely positioned to serve this segment of the market because of its unyielding commitment to excellence in education and training in all major geographical areas, allowing for easy access to our training centers no matter where the physician is located.
MISSION The Institute for Aesthetic Medicine provides reliable, cost-effective, superior quality training services dedicated to professionals within the medical aesthetic industry. IAM delivers an unbiased laser training environment for practitioners and manufacturer’s customers for the highest level of education in laser use and safety available. Our mission is to uphold stringent policies and procedures and continually maintain forward thinking measures in delivering world-class technology and clinical training to advance practitioners in delivering safe and effective treatments to their patients. Our educators use the highest standard
of protocols and training guidelines in accordance with ANSI Standards, CME requirements, State and Federal regulations, and the standards of the American Medical Association. IAM is committed to bringing this standard to the entire medical aesthetic community.
SERVICES • Dedicated clinical laser training facilities with future locations throughout the U.S. • CME credits for laser training, BOTOX® and fillers, and business management courses. • On-site training in your practice with your staff. • Scheduled courses throughout the country with physician affiliates. • Malpractice coverage during training for each individual, no matter what state of origin. • Dedicated training for your specific equipment. • National Certification for a higher level of education provides our trainees with a test that allows the trainee to receive certification on the laser system trained and the opportunity to then receive a free-ofcharge review of the practitioner’s policy for accuracy in the practice where they provide aesthetic procedures to their patients. • Individual trainee guaranteed hands-on hours with the equipment you own. • Skin care education and use of skin care products based on clinical protocols that are part of our training programs. • Laser training classes for practitioners to support physician’s practices. The CME-based classes are designed for users of all skill levels—both physician and staff, new or veteran. The instruction takes the attendee from basic concepts of light and clinical application through a clear path to the most current thinking on how, why, and when aesthetic procedures are performed.
march-april 2008 | www.aesthetictrends.com
Participants now have a single laser training resource dedicated to improving patient safety and minimizing professional liability. The Institute for Aesthetic Medicine (IAM) has a nationwide laser-training physician and nurse network for physicians and staffs with aesthetic practices. Aesthetic laser practitioners unable to attend one of IAM’s clinical, hands-on certification classes can now have personalized clinical training in a single visit.
laser & light technology
CORPORATE REVIEW 800.436.9311 www.IAMeducated.com
CLINICAL DIRECTORS Michael H. Gold, M.D. Chief Medical Officer & Co-Founder Michael H. Gold, M.D., 49, is Chief Medical Officer and Co-Founder of Institute for Aesthetic Medicine. Dr. Gold is the founder of Gold Skin Care Center and Advanced Aesthetics Medi Spa located in Nashville, Tennessee. Patrick J. Clark Vice President, Director of Clinical Education Mr. Clark has been active in clinical light applications since 1988 and is currently VP, Director of Clinical Education for IAM. Often called upon by laser manufacturers and having given over 400 clinical and lay lectures in the last 20 years, Mr. Clark can bring a world of experience to your select needs.
31—
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product listings
Evolving Aesthetic Technology Laser & Light Technology
Aesthetic Trends & Technologies Product Listings are shown on the following pages for your buying power. Conveniently listed, you may refer to these products. If at any time you do not see a product listed here, please contact us by e-mailing the staff at product.listings@aesthetictrends.com. We will update the listings to include the products in which you are most interested.
spotlight Sciton
ProFractional ProFractional quickly and effectively
Excess heat from the debris is trapped
treats wrinkles, acne scars, skin tone
in skin, causing unnecessary pain and
and texture, and pigment in a single
discomfort. ProFractional instantly ablates
pass treatment with no consumable
the hot debris from tissue, reducing pain
items. ProFractional reduces
and irritation, and speeding recovery.
unwanted collateral damage by
Clean micro-channels have the same total
instantly removing necrotic tissue and
thermal zone as non-ablative treatments
unneccesssary heat, providing patients
without the sloughing, irritation, or pain.
with a more comfortable treatment
experience.
pulse form that maintains precise control
ProFractional uses a unique
of micro-channel diameter at depths
• Fast • Comfortable
from 20 µm to 1500 µm. The clean micro-channels close and
• Variable density and depth
heal rapidly for faster recovery than non-ablative fractional
• One or two treatments
treatments.
• Single pass • No consumable costs
ProFractional utilizes a laser at a wavelength of 2940nm
for an ablative single-pass procedure that removes microcolumns of damaged tissue, resulting in a deep thermal
Sciton
response. Non-ablative fractional treatments leave thousands
888.646.6999
of micro-columns of hot necrotic debris in treated skin.
www.sciton.com
march-april 2008 | www.aesthetictrends.com
33—
evolving aesthetic technologies Product Listings Source
Aesthera www.aesthera.com 6111F Southfront Road Livermore, CA 94550 877.275.4779 p Ageless Aesthetics www.agelessaesthetics.com 6500 S Quebec St. #270 Denver, CO 80122 877.721.7975 p
Product
Aesthera Photopneumatic (PPx) System
Technology
Photopneumatic Technology
Specifications / Treatments
Price
400-1200 nm, 33-10 j/cm2, 2ms
$29,000
Additional Information: 1 yr. warranty. 25% Vitamin C lipid soluble serum.
Ultra
Micro current, Ultrasound, Light Therapy ,
Exfoliation, wrinkle treatments, product penetration and non-surgical facelifts
Cont. Mfr.
Quantum
Micro current
Non-surgical Facelifts
Cont. Mfr.
Additional Information: Equipment includes training and specialty products. Units are touch-screen operated and contain multiple pre-programmed treatments.
Alma Lasers www.orionlasers.com 6555 NW 9th Avenue Suite 303 Fort Lauderdale, FL 33309 954.229.2240 p 954.229.8310 f
Sonata
Diode
Harmony
AFT, Long Pulse
Harmony / Pixel
Nd:YAG. Q-Switched Nd:YAG, Pulsed UVB 2940 nm Er:YAG
Repetition rate up to 3 Hz, spot 10 x 12 mm, Fluence 5-100j/cm2, pulse width 10-400 msec, contact cooling, electrical 110, weight of unit 44 lbs., cart 92 lbs. Dimensions WxDxH unit 8”x12”x18” cart 15”x25”x28”. For hair removal treatments. Uses light from wavelengths 250 up to 950. Electrical 110, wt unit 88lbs cart 88 lbs.Size of unit WxDxH 26”x18”x16”cart 22”x22”x30”. For skin rejuvenation, vascular and pigmented lesions, tattoo removal, hypopigmentation, leg veins, hair removal, skin resurfacing treatments. Fractional ablative skin resurfacing.
$67,000 $109,700
Contact Mfr.
Additional Information: Harmony - Advanced Fluorescence Technology and Lasers in one unit. *Unit is $39,700.You build your own unit.Each handpiece is priced so you can pick and choose by application: Acne 420nm $5,000,Vas and Pig 540nm $5,000, SR 570nm $5,000, HR 650nm $5,000, UVB $15000, Long Pulse Yag $15,000, Q-Pulsed Yag $20,000, Erbium $18,000.Now available – the ST handpiece. IR handpiece for Skin Tightening.New tip for the Q-Switched Yag handpiece for more treatments.New home care acne treatment available. Aesthetic Technologies www.parisianpeel.com Aesthetic Technologies, Inc. 2150 West 6th Ave., Ste. J Broomfield, CO 80020 800.262.4412 p CoolTouch, Inc. www.cooltouch.com 9085 Foothills Blvd. Roseville, CA 95747 800.378.7222p
Cutera www.cutera.com 3240 Bayshore Blvd. Brisbane, CA 94005 888.4CUTERA p
34 —
Elite
Ultrasound
1 & 3 MHz. 2.2 watts/cm2 Modified CW & Pulse Modes. For skin rejuvenation treatments.
$5,900
Laser-Assisted Lipolysis and Skin Tightening
$99,950
Additional Information: 1 yr. warranty. 25% Vitamin C lipid soluble serum.
CoolLipo
1320nm Nd:YAG
Additional Information:Now FDA cleared! CoolLipo™ photo-acoustically disrupts fat cells, simplifying aspiration of adipose tissue while promoting skin tightening from the“inside-out” through the collagen enhancing effects of 1320nm wavelength.The CoolLipo™ 1320nm laser is an ideal adjunct to conventional liposuction.
Pearl
2790 nm YSGG
Skin Rejuvenation
Titan
Tailored Infrared Light
Skin Rejuvenation
Additional Information: Pearl Laser skin renewal.Treats wrinkles, uneven texture, discoloration and mild acne scarring.
march-april 2008 | www.aesthetictrends.com
$45,000$90,000 $40,000$85,900
evolving aesthetic technologies Product Listings Source
Product
Technology
Specifications / Treatments
Price
Cynosure, Inc. www.cynosure.com 5 Carlisle Road Westford, MA 01824 800.886.2966 p 978.256.6556 f
Smartlipo
Dermawave Mesotherapy Systems LLC www.dermawaveusa.com 15693 83rd Lane North Loxahatachee, FL 33470 866.769.3011
No-Needle Mesotherapy™ System
Electroporation technology. Dual wavelength diode laser cluster with three sequences of electrical waveforms. May be used, at physician discretion, in combination with specially formulated gels and topicals.
For treatment of congested areas of tissue characterized as cellulite. Facial and deep fat applications.
$45,000
Edge Systems www.edgesystem.net 2277 Redondo Avenue Signal Hill, CA 90755 800.603.0102 p 562.597.0148 f
HydraFacial™ HydraFacial™ Wave
Serum-based skin resurfacing. Other options: crystal & crystal-free microdermabrasion, LED light therapy, lymphatic and cellulite massage therapy.
Non-irritating, hydrating skin resurfacing with active serums –for all skin types and ethnicities. Exfoliates and extracts painlessly while simultaneously bathing the skin with active serums which thoroughly cleanse, exfoliate, hydrate & provide residual antioxidant protection.
$24,500 $16,875
UltraCam™Color UV Camera
UV and Natural Light Photography for Skin Analysis
Uncovers patient’s unique skin conditions and instantly documents them with a Polaroid color or UV picture.
$3,495
1064 nm Nd:YAG
Laser Body Sculpting
Contact Mfr.
Additional Information: Affirm is the first microrejuvenation which uses the exclusive mid-infrared Combined Apex Pulse™ (CAP) technology.This technology stimulates collagen production throughout the entire treatment area.Through precise thermal manipulation of the epidermal and dermal tissue, it remodels collagen through the papillary dermis to promote collagen production and skin tightening.
Additional Information: HydraFacial™ produces results equivalent of some laser treatments. Marketing package, trade-out, free-disposables and financing available. Edge provides essential medical spa equipment and full service; assistance with equipment needs, financing, training and full marketing & customer support.
Flip 4 www.flip4.ca 2142 Leonard de Vinci Suite 80 Saint-Julie, Quebec, Canada 450.649.4244 p
Max7
Hoya ConBio www.conbio.com 47733 Fremont Blvd. Fremont, CA 94538 800.532.1064 p 510.445.4550 f
RevLite™
LED
For skin rejuvenation and acne treatments.
$19,950
Additional Information: Patent pending. Also for oily, dry, combination and aging skin.
EO Q-Switched Nd:YAG with PhotoAcoustic Technology Pulse™ (PTP)
Featuring PhotoAcoustic Technology Pulse™ (PTP) Contact Mfr. designed to produce peak energy output for all skin types. With four wavelengths (1064nm, 532nm, 585nm, 650nm) for the treatment of skin rejuvenation, wrinkle reduction, tattoo removal, epidermal & pigmented lesion removal, vascular lesion removal, hair removal, and acne scar removal.
Additional Information: Available accessories for the RevLite are the PurpuraLite™ exclusive chromophore-clearing compression tool; MultiLite™ handpieces for 585nm and 650nm converted wavelengths; MultiSpot handpiece offering four spot sizes from 2-8nm.
march-april 2008 | www.aesthetictrends.com
35—
evolving aesthetic technologies Product Listings Source
Innovative Med Inc. www.imibeauty.com 4 Autry, Suite B Irvine, CA 92618 877.779.9492 p 949.458.7416 f
Product
Technology
Infinity Teeth Whitening Systems
Teeth whitening with LED Light Available in a single mouthpiece or a dual model with two mouthpieces for treating two patients at once
Hand Light Therapy System
LED Red and Infrared Pulsed Light
Specifications / Treatments
Price
405+/-2nm>=80/cm2.Works to whiten teeth in only one Contact Mfr. appointment of three 7minute treatments,by combining our exclusively formulated whitening gel containing a proprietary catalyst that boosts the whitening power when the LED light is applied. Red 625+/-5nm>=60/cm2,Infrared 840+/-10nm>=40/cm2 Contact Mfr. Combines the two wavelengths in a specifically programmed pulsed sequence for skin rejuvenation of the hands.
Additional Information: Each system comes complete with 50 boxes each containing 3 treatment procedure packs with Whitening Gel and applicator, chap stick protector, and maintenance spray to help maintain the whitened teeth. Small spacesaving tabletop teeth whitening systems.
36 —
Lumenis www.lumenis.com 2400 Condensa Street Santa Clara, CA 95051 408.764.3000 p
Aluma® Skin Renewal
Myotonology, Inc. www.myoinc.com 1187 Coast Village Rd, Ste.247 Santa Barbara, CA 93018 877.969.2811 p
Microcurrent Facial Toning System
Palomar www.palomarmedical.com 82 Cambridge Street Burlington, MA 01803 800.725.6627 p
LuxIR Fractional™ Infrared Handpiece
Fractional deep heating
Deep heating for pain relief and smoother, tighter skin (not yet cleared by FDA).
$45,000
Revitalight www.revitalight.com 119 W. Hubbard, Suite 300 Chicago, IL 60610 312.527.0131 p
Revitalight
LED
For skin rejuvenation and acne treatments.
Starting at $5,995
RF FACES Technology
For wrinkle reduction and skin tightening.
$69,900
Faradic, alternating microcurrent tones muscles and skin. Galvanic current used for Iontophoresis skin treatment.
$8,995
Additional Information: Utilizes vacuum to conform skin to allow heating of dermis.
160Ua-960Ua and 3Hz-100Hz
Additional Information: Myotonology® is a patented microcurrent facial toning process with proven clinical efficacy that can be combined with numerous other cosmetic procedures such as IPL, Microdermabrasion, Chemical Peels, and more.
Additional Information: Helps diminish fine lines, wrinkles, age spots on the face, neck and hands by promoting collagen firmness.
Silhouet – Tone www.silhouettone.com 7 Champlain Commons St. Albans, VT 05478 800.552.0418 p
Soli-Tone
LED, Micronized HF polarized currents
Acne,redness,pigmentation,photoaging and lifting.
Contact Mfr.
SoundSkin www.soundskin.com 429 South Main Street Oswego, IL 60543 888.596.5277 p
SmartSound
Ultrasound / E-Stim
2.2 mhz. 2 watts/cm2 Modulated CW & Pulsed modes. For facial treatments.
$14,500
Additional Information: Combination system. SmartGel ultrasonic gel.
march-april 2008 | www.aesthetictrends.com
evolving aesthetic technologies Product Listings Source
Sound Surgical www.vaser.com 357 S. McCaslin Blvd., Ste. 100 Louisville, CO 80227 888.471.4777 p
Sybaritic, Inc. www.sybaritic.com 9220 James Avenue South Minneapolis, MN 55431 800.445.8418 p 952.888.8887 f
Synergie™ by Dynatronics www.dynatronics.com/aesthetic 7030 Park Centre Drive Salt Lake City, UT 84121 800.874.6251 p 801.568.7711 f
Syneron www.syneron.com 100 W. Beaver Creek Rd. #6 Richmond Hill, Ontario, Canada 561.357.5827 p
Product
LipoSelectionSM only by VASSER®
Technology
VASSER® UltraSound
Specifications / Treatments
Price
Body sculpting of delicate to fibrous areas.
Fee-Per Procedure
Additional Information: Assisted Lipoplasty.
Dermosonic LaserPeel Soft-MET
Ultrasound/Suction Massage Modified Erbium:YAG
For temporary reduction in the appearance of cellulite. For skin resurfacing and skin rejuvenation.
$20,000 $39,995
Synergie AMS (Aesthetic Massage System)
Vacuum massage for body and face
FDA Cleared for cellulite, skin tightening and toning and body contouring treatments.
$14,995
ReFirme ST
Bi-polar Radiofrequency and Infrared Light elos combination of Bi-Polar radiofrequency (RF), infrared light energies, plus negative pressure and tissue manipulation. elos -RF / infrared / suction
For skin tightening via wrinkle reduction.
Cont. Mfr.
FDA cleared for circumferential reduction and cellulite reduction.
Cont. Mfr.
For the treatment of cellulite.
$64,900
Solid-Tip Sapphire Handheld Anesthetic Device
Contact skin cooling for laser treatments.Works with wavelengths between 532 and 850nm.
$995
Clear point technology
For mild to moderate inflammatory acne treatment.
$225 MSRP
VelaShape
VelaSmooth
Additional Information: Patented ELOS technology.
Telsar Laboratories Inc. www.telsar.com #1 Environway, Suite 100 Wood River, IL 62095 800.255.9938 p
Tyrel, Inc. www.myzeno.com 515 W. Greens Road, Ste. 725 Houston,TX 77067 281.880.6541 p
DermaChiller4
Additional Information: FDA Cleared.
Zeno
march-april 2008 | www.aesthetictrends.com
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LASER & LIGHT technologY Product Listings
Source Product Technology
Aerolase www.aerolase.com 777 Old Saw Mill River Rd. Tarrytown, NY 10591 914-345-8300 p 914-345-8303 f
LightPod Era XL LightPod Neo XL LightPod Neo XT
X X X
X X
X X X
X X
X X
X 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
X
X
X
X
Novalight FPL
X
X
X
X
BioCell www.medidermlaser.com 105 Freeman Rd Charleton, MA 01507 512.326.1025 p
MediDerm LRS
biolitec www.biolitec.com 515 Shaker Road E. Longmeadow, MA 01028 800.934.2377 x 246 p
Ceralas D
X
Ceralas D 15/810 Ceralas G5 LRS
Xenon Flash Lamp w/ Fluorescent Filters Diode
400-1200
Up to 90
Up to 1.5
$79,000
400-1200
Up to 55
1.5-50
$49,000
Additional Information: Cleared for the treatment of pigmented lesions, tattoo removal and permanent hair reduction. Up to 1Hz, multi-functional: leg vein, skin rejuvenation, hair removal handpieces, and external cooling system. X
X
Er:YAG
2940
Up to 1
3,6 & 9 Hz
$34,999
Diode
980
0.01 -15
$35,000
X
Diode
810
0.01 -25
X
Diode
532
0.01 -50
0.01-99.9 sec & CW 0.01 to 99.9 sec & CW 0.1-CW
Additional Information: Low-powered, virtually painless Erbium YAG with no downtime
$35,000 $37,500
Additional Information: Fiber Optic Delivery Systems & Introducer Kit for ELVeS System; protective eyewear. Several other accessory packages available. Handpieces, fiber optic delivery systems, and protective eyewear.
Candela www.candelalaser.com 530 Boston Post Road Wayland, MA 01778 800.821.2013 p
AlexTriVantage™ GentleLASE Family GentleMAX GentleYAG Family Light Station Smoothbeam SmoothPeel Vbeam Aesthetica Vbeam Perfecta Vbeam Platinum
X X X X X
X
X X X X X X X X X
X X X X X X X X
X X X X X X X X
Q-switched Alexandrite Alexandrite Alexandrite + Nd:YAG Nd:YAG Fluorescent Pulsed Light Diode Erbium YAG laser
755 ,532, 1064 755 755, 1064 1064 417-1200 1450 2940
Pulsed Dye Pulsed Dye Pulsed Dye
595 595 595
3-12 J/cm2 10-100 Up to 600 Up to 600 Up to 60 Up to 25 Max en.750 Max fl. 4 Up to 20 Up to 40 Up to 40
50ns, 140 1.5-100 0.250-300 0.250-300 10-500 ms 250 2,4,6Hz
$84,500/ up $69,900-$98,500 $129,000/ up $69,900-$109,900 $49,900 $59,900 $39,900
.45-40 .45-40 .45-40
$69,900 $96,500 $86,500
Additional Information: Patented Integrated Dynamic Cooling Device (DCD) included with most units protecting the skin and ensuring patient comfort. Standard minimum 1 yr. warranty up to 5 years depending on the model. Full range of spot sizes from 1x5mm and 3x 10mm up to 18mm. Candela lasers and light-based systems offer the choice of a complete range of innovative technologies for optimal treatment. The flexibility to meet your specific needs today, then easily upgrade as you expand your practice. The value that comes from cost-effectively growing your business – step-by-step, with the leader in aesthetic laser and light-based technology for over 37 years.
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march-april 2008 | www.aesthetictrends.com
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LASER & LIGHT technologY Product Listings
Source Product Technology
CoolTouch, Inc. www.cooltouch.com 9085 Foothills Blvd. Roseville, CA 95747 877.858.2665 p
CoolTouch CT3 CoolTouch CTEV Varia
X
X
X X X
X
Nd:YAG Nd:YAG Nd:YAG
Wavelength (nm)
1320 1320 1064
Energy Output (J/cm2)
Up to 24 Up to 500
Pulse (ms)
50 NA .3-500
Price
$54,995 $45,000 $59,950
Additional Information:VARIA - Varizoom handpiece w/ 3-10mm adjustable spot size. Pulsed cryogen cooling with pre- & post-cooling. CT3 -10mm spot size, pulsed cryogen cooling with pre-, mid- & post-cooling. CTEV - Energy output is 10W max. Automated fiber pull-back device, 600μm reusable & single-use fiber, accessory packs. CureLight, Ltd. www.curelight.com 240 Main Street, Suite C Gladstone, NJ 07934 908.470.4005 p
Clear100XL
X
Multiclear
X
X
X
Intense Blue and Near Infrared Light
405-420 850-900
60
CW
$26,950
Proprietary High Intensity Plasma Light
296-315 UVB; 360-370 UVA1; 296-315/360-370 blend; 405-420 blue
.05-2.4 .1-150 1-40
.5-20
$47,000
Additional Information: Clear100XL - Reduce wrinkles, acne, wound & post-surgical healing, pore reduction/skin rejuvenation and skin radiancy. Dual Head Full Coverage. No accessories needed. Multiclear - Delivers safe, effective, phototherapy for multiple common aesthetic and medical skin disorders such as Stretch Marks, Psoriasis,Vitiligo, Acne, Keloids, PDT, Morphea and Actinic Keratosis.
Cutera (formerly Altus Medical) www.cutera.com 3240 Bayshore Blvd. Brisbane, CA 94005 888.4CUTERA p
CoolGlide CV CoolGlide Excel Solera Solera Titan
X X
Xeo
X
X X X
X X X
X
X X
Nd:YAG Nd:YAG Pulsed Light Infrared light
1064 1064 560-1200 1100-1800
10-100 5-300 6-40 5-70
X
Nd:YAG & Pulsed Light
1064 & 600-850
Up to 300
10-100 1-300 Automatic Closed Loop Photometric 1-300
$70,000 $95,000 $75,900 $75,900 $100,000-$135,000
Additional Information: All Cutera products are upgradeable to the next innovation, protecting your initial investment.The Xeo features Navigation software to allow the user to set the ideal parameters for each individual patient’s needs ensuring the optimal clinical benefits and patient safety. Cutera now offers Pearl, a 2790 nm wavelength device for skin resurfacing that maximizes patient outcome with minimal downtime. Cynosure, Inc. www.cynosure.com 5 Carlisle Road Westford, MA 01886 800.886.2966 p 978.256.6556 f
Acclaim™ Affirm™ Apogee® Elite™ Cynergy™ Cynergy III™ Cynosure PL™ PhotoSilk Plus™ TriActive™
X X X
X X
X
X X X X
X X X
X X X
X X X
X X
X X
X X
X X
X
Nd:YAG Nd:YAG/Xenon Pulsed Light Alexandrite Alexandrite & Nd:YAG Pulsed Dye & Nd:YAG Pulsed Dye, Nd:YAG & Intense Pulsed Light Intense Pulsed Light Intense Pulsed Light Semi-Conductor
1064 1140/560-950 755 755 /1064 585/1064 585/1064/560-950
300 8/20 50 300 300 300
.04-300 3/5-35 0.5-300 0.4-300 0.5-300 0.3-300
Contact Mfr. Contact Mfr. Contact Mfr. Contact Mfr. Contact Mfr. Contact Mfr.
560-950 500-950 808
30 30
5-50 5-50
Contact Mfr. Contact Mfr. Contact Mfr.
Additional Information: Treat all skin types including tanned skin. Upgrade to add more applications.
40 —
march-april 2008 | www.aesthetictrends.com
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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 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
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. BLU-U w/Levulan
Fluorescent Lamp
417
N/A
CW
$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
X
X
X
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
X
X
X
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 X X X
X X
Er:YAG, Fractionated Erbium and Traditional Erbium Traditiona Er Long Pulse Nd:YAG Q-Switched Nd:YAG Pulse Light System (IPL)
Additional Information: NaturaLase QS comes with 1000mJ or 2000 mJ of 1064nm light.The doubled wavelength of 532 is 500 mJ or 900 mJ and the other wavelengths are 585 with 360mJ and 200 mJ or 650nm with 560 mJ or 310 mJ.The NaturaLase Er is upgradeable to the Fract Er by adding a new handpiece. The NaturaLase LP has 60 watts of output power.The NaturaLight has 40X10 mm Spot size and all handpiece wavelengths are included.
march-april 2008 | www.aesthetictrends.com
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LASER & LIGHT technologY Product Listings
Source Product Technology
Fotona www.fotona.eu www.fotonamedicallasers.com www.saratogadiagnostics.com 1415 1st Street South Suite 5 Willmar, MN 56201 Toll free 888-555-4113
Fotona XP Max Dualis XP Plus Dualis XP Fidelis XP Dualis SP Fotona SP+ (Combination Er/Nd:YAG) Dualis XS Fidelis XS Fotona QX
X X
X X X X X X
X X
Dualis VP
X X X X X X X X X
X
X X X X X X
X
X
Energy Output (J/cm2)
Pulse (ms)
Price
X X X X X X
Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Nd:YAG Long Pulse Er:YAG
1064 1064 1064 1064 1064 2940
Up to 600 Up to 600 Up to 400 Up to 300 Up to 400 Up to 3 J
0.1-300 5-200 5-200 5-50 5-200 0.1-1.5
$104,500 $84,500 $71,500 $51,500 $99,500 $128,000
X X
Long Pulse Er:YAG Long Pulse Er:YAG Q-switched Nd:YAG KTP Nd:YAG Long Pulse Nd:YAG KTP Nd:YAG
2940 2940 1064 532 1064 532
Up to 3 J Up to 1 J Up to 12.7 Up to 6.3 Up to 400 Up to 30
0.1-1.5 0.1-1.0 4-6ns 4-6ns 5-200 1-150
$79,500 $69,500 $89,500
X X
Wavelength (nm)
X
$98,500
Additional Information: No disposable costs. Multiple handpieces available suited for specific applications and optimized for maximum efficiency. All systems include VSP technology, Electronic Feedback Control for added safety, efficacy, ease-of-use and peace-of-mind. All systems calibrate automatically - no manual or periodical calibration necesarry. Fotona XP MAX, DualisXP Plus, DualisXP scanner supported with 65x65 mm Tx area, multiple scanner spotsizes. DualisSP scanner supported with 35x35 mm Tx area. Spotsizes: Fotona XP MAX 2-20 mm, DualisSP 0.45 - 12 mm (Er:YAG), 2 - 8 mm (Nd:YAG), DualisXP Plus 2 - 10 mm, DualisXP 2 - 8 mm, FidelisXP 2 - 8 mm, DualisXS 0.45 - 12 mm, FidelisXS 0.45 - 10 mm, Fotona QX 2 - 8 mm, DualisVP 2 - 7 mm (Nd:YAG), 2 - 6 mm (KTP).
Genesis Biosystems www.dermagenesis.com 1500 Eagle Court Lewisville,Texas 75057 888.577.PEEL (7335) P
Chromolite Regenlite Regenstation
X X X
X X
X X X
X X X
X X
Intense Pulsed Light Pulsed Dye Laser Pulsed Dye Laser + IPL
535 - 1200 585 535 - 1200
25 9 25
5 350-450 350-450 , 5 msec
$44,300 $89,900 $119,900
Additional Information: All systems offered with a Customized looping waiting room DVD & flat panel TV/DVD player.
Hoya ConBio MedLite Lasers www.conbio.com 47733 Fremont Blvd. Fremont, CA 94538 800.532.1064 p
Medlite ®C3 Medlite® C6
X
X
X
X
X
X
X
X
EO Q-Switched Nd:YAG
1064, 532
Up to 12
5-7 ns
Cont. Mfr.
EO Q-Switched Nd:YAG
1064, 532, 585, 650
Up to 12
5-20 ns
Cont. Mfr.
Additional Information: Available accessories for the MedLite C6 are the PurpuraLite™ exclusive chromophore-clearing compression tool; MultiLite™ handpieces for 585nm and 650nm converted wavelengths; MultiSpot handpiece offering four spot sizes from 2-8mm.
42 —
march-april 2008 | www.aesthetictrends.com
acn e hai r re mo va ski n re l juv en tat too ation rem vas ova cul l ar wri nkl e re duc tio n
LASER & LIGHT technologY Product Listings
Source Product Technology
Innovative Med Inc. www.imibeauty.com 4 Autry, Suite B Irvine, CA 92618 877.779.9492 p 949.458.7416 f
Multi-Wave Light Therapy - Super Red - Royal Blue - Pure Green - Infrared Ultra Rev Light - Red - Blue
Wavelength (nm)
0-22 mw/cm2
Pulsed Diode LED X
X
X
X
X X
Pulse (ms)
0-500
Price
$13,000
630 440 525 880
X X X
X
Energy Output (J/cm2)
LED-Red + Ultrasound LED-Blue + Ultrasound
$195 $195
3 mhz/2 watts 3 mhz/2 watts
Additional Information: Our Multi-Wave light therapy unit has three colors + infrared in each of its three pads.With this unit you are able to select pre-programmed or custom combinations of lights (red, green, blue, infrared) and pulses allowing you to treat multiple symptoms at once or just one specific problem at a time.Touch screen option available for an additional cost.The Ultra Rev Lights are small hand-held LED wands with Ultrasonic. Iridex/Laserscope www.iridex.com 1212 Terra Bella Avenue Mountain View, CA 94043 650.962.8100 p
Aura i Gemini
X X
Lyra i VariLite
X
X X
Venus i
X X
X X
X X
X X
X
X
KTP Nd:YAG KTP
X
Nd:YAG Diode-Pumped KTP Direct Diode Er:YAG
532 1064 532 1064 532/940
1-240 Up to 990 Up to 100 5-900 950
1-50 10-100, 1-100 20-100 5-100
$72,500 Contact Mfr.
2940
200-2000 mj
300 mcs
$67,000
$72,500 $56,500
Additional Information: Aura i - includes 1-5 mm continuously. Adjustable VersaStat i. Lyra i - Includes 1-5 mm continuously. Adjustable and 10 mm fixed VeraStat i. Venus i - Includes Smartscan Plus: 1 mm to 25 mm, Lens cell handpiece: 1,3,5. Gemini - Includes 1-5 mm continuously. Adjustable and 10 mm fixed VersaStat i. Lasering USA www.laseringusa.com 2246 Camino Ramon San Ramon, CA 94583 866.471.0469 p
SLIM E30 MiXto SX Velure S5 MiXto VX Velure S5 Velure S8/15 Velure S8/30 Velure S800
X
X X X
X X X X X X
X X
CO2 Diode Diode Diode Diode Diode
10.6 532 532 808 808 808
0-30 0.1-5 0.1-5 10-450 10-450 10-600
10-1000 10-1000 10-9990 10-9990 10-1000
$73,500 $45,800 $30,400 $20,000 $22,100 $54,400
755 755 1064/532 755
Up to 40 Up to 40 2-12 2-12
3-300 var. 3-300 var. 10ns 60ns
$69,000 $89,000 $35,500 $79,000
Additional Information: Patent Pending MiXto SX and MiXto VX technology.
Light Age www.lightage.com 500 Apgar Drive Somerset, NJ 08873 800.719.6818 p
Light BioScience, LLC www.lightbioscience.com 933 First Colonial Rd, #204 Virginia Beach,VA 23454 888.647.6219 p
EpiCare™ LP EpiCare™ LPX Q Clear™ Ta2 Eraser™
X X X
X
X X
X
Alexandrite Alexandrite Nd:YAG/KTP Alexandrite
Additional Information: EpiCare™ - Smartscreen™ user interface, protective eyewear, on-site training, on-board diagnostic, long life flashlamps, low maintenance cost and choice of 7, 9, 12, 15 mm handpieces. Q-Clear™ Compact and weighs less than 35 lbs.Ta2 Eraser™ handpieces: 2, 3, 4, 5 mm, upgrade capabilities and for“difficult” colors.
GentleWaves Pro GentleWaves SelectHandheld Model
X X
LED LED
march-april 2008 | www.aesthetictrends.com
590 590
4.0mW/cm2 4.0mW/cm2
Variable from cont. to 1 msec pulses
$32,500 $19,500
43—
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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
X
Diode IPL Nd:YAG Diode Diode Diode Intense Pulsed Light Nd:YAG Intense Pulsed Light Nd:YAG UV UV
X X X X X X X X
Bclear ReLume
X X
X
Wavelength (nm)
800 515-1200 1064 800 800 800 560-1200 1064 515-1200 1064
Energy Output (J/cm2)
10-100 10-40 10-225 10-100 10-40 10-100 15-45 90-150 3-90 90-150
Pulse (ms)
5-400 3-100 2-20 5-400 5-100 5-400 6-26 5-38 1-75 5-38
Price
$149,900 Varies Varies $79,900 $64,900 $124,900 $84,900 $70,900 $129,900 $70,900 $59,900 $69,900
Additional Information:Lumenis One-Lightsheer – Spot 9x9,integ.cooling,multiple applications.Lumenis One-IPL – Spot 35x15 mm & 15x8 mm, integ. cooling. Lumenis One-Multispot –Spot 3,8 ,9 mm,integ.cooling,addt’l heads. LightSheer ETTM – ChillTip hand-piece.LightSheer STTM – ChillTip handpiece. LightSheer XCTM – ChillTip handpiece,12x12mm spot size IPLTM Quantum SR – Spot:34 x 8 mm.Upgradeable,simple,optimized pre-sets, spot size:6 mm with Integrated RealTime Cooling,touch screen.VascuLight Elite – Multi-application, optimized pre-sets,spot;ITL – 45x10mm, Nd:YAG:6mm.Bclear – For psoriasis/vitiligo treatments.ReLume – For repigmentation treatments. Med-Aesthetic Solutions www.medaestheticsolutions.com 2033 San Elijo Ave, Suite 200 Cardiff by the Sea, CA 90249 760.942.8815 p 505.341.2575 f
iPulseTM i200+ iPulseTM i400 MAStique Light
MedSurge Advances, Inc. www.medsurgeadvances.com 14850 Quorum Drive, Ste. 120 Dallas,TX 75254 972.720.0425 p
Asclepion MeDioStar XT Asclepion MCL 30 Dermablate Asclepion TattooStar R Quantel Medical Aramis II Quantel Medical Prolite II Quantel Medical Virdis Derma
X X X
X X
X X X
X X
Intense Pulsed Light Intense Pulsed Light LED (4 wavelengths, Micro Current and High Frequency in one )
530-1200 530-1200 Blue-470 , 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
X X X
Diode Laser Er:YAG Laser Q-switched Ruby Laser Er: Glass Laser Intense Pulsed Light DiodePumped KTP Laser
808 2940 694 1540 530 - 1200 532
Up to 90 1 - 100 Up to 23 Up to 126 15 - 44 Up to 110
Up to 500 400 40 3.3 20 - 72 15 - 150
Contact Mfr. Contact Mfr. Contact Mfr. Contact Mfr. Contact Mfr. Contact Mfr.
Additional Information:MeDioStar XT - Step Pulse technology,12 mm spot size (standard);6,10,and 14 mm tips available;automatic spot size detection,integrated skin cooling. MCL 30 Dermablate - built-in smoke evacuation and filter system.VarioSpot handpiece:1-6mm spot size adjustable handpiece,tips can be sterilized. TattooStar R - Ergonomic design;Homogeneous hexagonal spot through microlens array;Auto spot size detection;Tattoo and pigmented lesion removal.Aramis II - Cooling System:virtually painless treatment. Prolite II - Operator selectable filters in one handpiece (530/550/580/610/615) - spot size 10 x 20 mm. Virdis Derma - Small and portable,optional scanner. Norseld www.norseld.com 9 Claxton St., S. Australia 5000 618.8231.9000 p Norseld USA Medical Laser Engineering 2284 Main St. Concord, MA 01742 978.318.9996 p
44 —
Dual Yellow Ylite
X X
X X
X X
X X
Copper Bromide Copper Bromide
578 & 511 578
300 75
FEM Micropulsed $68,000 FEM Micropulsed $58,250
Additional Information: Contact scanner with 6 & 10mm spot, contact and non-contact handpieces, 0.6-1.0mm spot.DualYellow comes complete with scanner and the Ylite comes complete with fully functioning applicator.The optimum wavelength and pulse duration provide ideal and mostly single treatments for most vascular, pigmented and seborrheic keratoses lesions.By stimulating new collagen formation in the upper papillary dermis by non-ablative resurfacing, scars, warts and stretch-marks can all be treated or improved with the Dual Yellow laser.The complete skin enhancement solution for sun and age damage, wrinkles, skin blemishes, stretch-marks and acne.
march-april 2008 | www.aesthetictrends.com
acn e hai r re mo va ski n re l juv en tat too ation rem vas ova cul l ar wri nkl e re duc tio n
LASER & LIGHT technologY Product Listings
Source Product Technology
Novalis www.novalismedical.com 1719 W. Kennedy Blvd. Tampa, FL 33606 866.627.4475 p
Clareon™ Clareon SR Clareon HR Clareon AR Clareon VR Solarus™ Solarus SR Solarus HR Solarus AR
X X
X
X X
X
X
X
X X
X
X X X
X
X
Wavelength (nm)
Energy Output (J/cm2)
Pulse (ms)
Price
Pulsed Light Pulsed Light Pulsed Light Pulsed Light
550-1200 630-1200 420-1200 500-61/740-1200
Up to 45 Up to 45 Up to 45 Up to 35
30/50/70 30/50/70 30/50/70 30/50/70
$44,900 and up incl. handpiece
Pulsed Light Pulsed Light Pulsed Light
530-1200 630-1200 420-1200
10-20 15-35 Up to 35
20/40/60 20/40/60 20/40/60
$34,900 and up incl. handpiece
515-1100
Up to 65
Up to 25
$49,500
10-40 150 mW/cm2 - 4.5 J/cm2 R: 150 mW/cm2-4.5J/cm2 B: 90 mW/cm2-48J/cm2 R: 150 mW/cm2-4.5J/cm2 B: 90 mW/cm2-65J/cm2
10-100 Pulsed CW or Pulsed
$74,500 Contact Mfr. $37,500-39,500
CW or Pulsed
Contact Mfr.
Additional Information: Clareon – Patented Kr/Xe Flashlamp technology. Up to 1 Hz.
OptoGenesis www.optogenesis.com 5912 Northwest Place Austin,TX 78731 512.451.3333 p
EpiCool™ Platinum/HR SR
OPUSMED www.opusmed.com 306-3333 Graham Blvd. Montreal(Quebec) H3R 3L5 Canada 866.678.7633 p
F1 Diode Laser™ LumiPhase-R™ LumiPhase-R/B
X
X
X
X
Intense Pulsed Light
Additional Information: PhotoFace™ Rejuvenation. Hair Removal for all skin types. Superior sapphire cooling.
X X X
LumiPhase-R/IR
X X
X X
Diode LED LED
810 660 630/405
X
X
LED
630/850
Additional Information: LumiPhase products: Laminar air flow for comfort, optical positioning functionality for maximum beam uniformity.
Palomar www.palomarmedical.com 82 Cambridge Street Burlington, MA 01803 800.725.6627 p
StarLux™ System MediLux™ System EsteLux™ System Q-Yag 5
X X X
X X X
X X X X
X
X X X
X
Pulsed Light & Nd:YAG Pulsed Light Pulsed Light Q-switched YAG laser
500-1200, 1064 500-1200 500-1200 1064/532
Up to 700 Up to 45 Up to 40 Up to 12.5
LED LED LED LED
415 nm 633 nm (for PDT) 830 nm 633 nm
48 J/cm2 96 J/cm2 66 J/cm2 126 J/cm2
0.5-500 10-100 10-100 3 +/- 1 ns
$89,900 $52,900 $42,900 $50,000
Additional Information:Wavelengths vary by handpiece. PhotoTherapeutics, Inc. www.phototherapeutics.com 2720 Loker Ave.West, Suite C Carlsbad, CA 92010 800.743.8150 p 760.607.0288 f
OmniLux Blue™ OmniLux PDT™ OmniLux Plus™ OmniLux Revive™
X X
X X
X X
$24,950$34,950
Additional Information: 2 yr. warranty, Platform Technology (interchangeable heads), Loyalty Counts Plan, Key to Success Plan,Wound Healing, Pain Relief and PDT for non-melanoma skin cancers Tx.
march-april 2008 | www.aesthetictrends.com
45—
acn e hai r re mo va ski n re l juv en tat too ation re vas mova cul l ar wri nkl e re duc tio n
LASER & LIGHT technologY Product Listings
Source Product Technology
Radiancy www.radiancy.com 40 Ramland Road South Suite 10 Orangeburg, NY 10962 845.398.1647 p
Mistral SkinStation Duet WhisperNG SPR SpaTouch Pro
X X
X X X
X X X X X
X X X
X X X X
LHE (Light Heat Energy) LHE (Light Heat Energy) LHE (Light Heat Energy) Er:YAG, Extended Ablation LHE (Light Heat Energy) LHE (Light Heat Energy)
Wavelength Wavelength Energy Energy Output Output Pulse Pulse 2 (nm) (nm) (J/cm(J/cm ) 2) (ms)(ms)
Price
400-1200 nm 400-1200 nm 400-1200 nm 2940 nm 400-1200 nm 400-1200 nm
$45,000 $32,990 $24,990 $39,990 $19,900 $19,900
4-15 J/cm2 3-10 J/cm2 3-10 J/cm2 8.5 J/cm2 3-10 J/cm2 3-10 J/cm2
Up to 80 ms 10-35 ms 10-35 ms 300 ms 10 ms 10-35 ms
Additional Information: Skin Station - 3 yr. warranty and assorted Light Unit Assemblies.WhisperNG - Patented Extended Ablation handpiece and fractional handpiece. Reliant Technologies, Inc. www.fraxel.com 464 Ellis Street Mountain View, CA 94043 888-4FRAXEL (437-2935)
Fraxel re:store™laser Fraxel re:fine™ laser Fraxel re:pair™ laser
Rhytec info@rhytec.com 130 Turner Street, Bldg. 2 Waltham, MA 02453 888.4rhytec p 781.419.9401f
Portrait PSR3
Sciton www.sciton.com 845 Commercial Street Palo Alto, CA 94303 650.493.9155 p
Profile™-MP Contour™ ClearScan™ ThermaScan™ BBL™ Profile-S ClearScan™ Profile-S ThermaScan™ Profile-S Contour™ Profile-S BBL™ Profile-D ClearScan™
X
X
X
X
X
X
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
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 X X
X
X
X X
X
X
Modified Erbium Laser Intense Pulsed Light System Q-Switched Nd:YAG Laser Intense Pulsed Light System
2940 410 - 1400 532 & 1064 410-1400
Up to 127 Up to 50 Up to 19 Up to 40
300 ns 1-30 10 ns 5-30
$39,995 $42,995 $29,995 $34,995
3J-6J 500mW-1000mW 6J/ 5 cm2 1000mW 6J/ 5 cm2 1000mW 8J/8”X10” 7500mW 6J/ 5 cm2 500mW
Yes No Yes
$3,995 $3,195 $4,495 $1,995 $1,595
Additional Information: Six filters available. Requires only one handpiece. Active contact cooling. X X X X
X X X X X
X X X X X
All product are Bio Stimulatory Light with Super Luminous Diodes
660-880 660-880 660-880 880 405-880
Additional Information: 2 yr.Warranty. LT1 delivers 6 joules in 30 seconds. Interchangeable red/ near-infrared and blue probes available. LT2& Elite LT deliver 6 joules in 30 seconds. Interchangeable red/ near infrared probes, pads, and blue probes available. Elite LT comes with internal tutorial and treatment protocol guide. Equipment manufactured in an FDA scrutinized facility.
46 —
march-april 2008 | www.aesthetictrends.com
acn e hai r re mo va ski n re l juv en tat too ation rem vas ova cul l ar wri nkl e re duc tio n
LASER & LIGHT technologY Product Listings
Source Product Technology
Syneron Medical www.syneron.com 100 W. Beaver Creek Rd. #6 Richmond Hill, Ontario Canada 561.357.5827 p
Aurora AC Aurora DS/DSR Aurora SR Polaris DS Polaris Vascular Polaris WR Galaxy
X
X X
X
X X
X
Diode/RF Optical Energy Combined with Bipolar RF electrical energy Diode/RF Diode/RF Diode/RF elos-Diode
X X
X X
X X
Comet
Wavelength (nm)
400-980 580-980 580-980 800 900 900 580-980
elos-Diode/RF
Energy Output (J/cm2)
6-18 L, 5-20 RF Optical plus 5-20 RF 5-20 RF Up to 25 & 20 Up to 140 & 100 Up to 140 light Up to 200 RF 50/50 J/cm2 RF
Pulse (ms)
Up to 200 Up to 100 Up to 100 Short N/A N/A Up to 200 Up to 2 Hz
Price
$89,900 $84,900 $79,900 $69,900 $69,900 $79,900 $84,900 $104,900$155,900 $89,900
Additional Information: Aurora AC – 3 yr. warranty. No disp. costs. Aurora DS/DSR – Both applicator heads included for treatment of hair removal and vasc/pigm. lesions. Aurora SR – 3 yr. warranty. Applicator heads incl. Polaris DS – 3 yr. warranty. Spot 8 x 12 mm, cooling. Polaris Vascular – 3 yr. warranty. No disposable costs. Polaris WR – 3 yr. warranty. No disposable costs. Galaxy – 3 yr. warranty. No disp. cost. 5 application heads avail. Comet – 3 yr. warranty. Spot 12 x 15 mm. Telsar Laboratories www.telsar.com #1 Environway, Suite 100 Wood River, IL 62095 800.255.9938 p
Softlight
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
X
X
X
Nd:YAG
1064
3
12
$55,00
200
N/A
$39,950
Additional Information: Refurbished systems only. Only laser licensed to use patented carbon lotion.
X
X
Radio Frequency
N/A
Additional Information: Non-Ablative.Tips are interchangeable by application. For the non-invasive treatment of facial wrinkles rhytids. Single-use sterile treatment tip that delivers RF energy to the deep layers of the dermis while protecting the epidermis with cryogen cooling spray.
Axiom
X
X
X
X
Intense Pulsed Light
390 – 1200nm
>40 J/cm2 @ 25x50 mmspot
25-75 msec single pulse programmable multi pulse mode
$54,900
Additional Information: Comes with all 4 applications as interchangeable lamps w/ONE handpiece; cooling gels not necessary due to TLC technology; largest spot size 25x50 mm (12.5cm2); 3 multi-size reduction windows; intuitive menu-driven touch screen; 1 yr. full-service warranty/2-day loaner; training DVD; 40 Lbs.; client brochures included; 5 languages available; repetition rate of 1.5 seconds; ask about our Viora Support Program (VSP). ARION MYDON BURANE BURANE XL SINON TALOS
X X
X X X X
Alexandrite Long Pulse Nd:YAG Long Pulse Er:YAG Long Pulse Er:YAG Q-switched Ruby Excimer
755 1064 2940 2940 694 -
5-40 10-450 0.1-113 0.1-141 Up to 14 -
5-40 .05-90 350 350 20 -
$69,500 $72,800 $37,000 $68,750 $82,000 $125,000
Additional Information: Large area scanner (90 x 65mm). Skin Cooling (air). Handpieces 1.5, 3, 5, 10mm hair and vascular with contact or air cooling. Up to 250ms thermal. Pigmented skin; Spots: 3, 4, 5mm long pulse. For psoriasis, vitiligo and atopic dermatitis.
march-april 2008 | www.aesthetictrends.com
47—
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
Clarifying the Insurance Requirements for Your Individual Practice
By Megan K. Packard, Professional Liability Solutions, LLC
at t
E
Ethics and the Practice of Aesthetic Medicine
Everywhere you turn, it seems there is
according to International Medical
does not help that we are in a time
an opportunity to have a non-invasive
Spa Association. As the rate of patient
of great flux of rules and regulations
aesthetic procedure done. Besides a
demand continues to grow, we can
regarding aesthetic procedures–who
visit to the newest medical spa in your
expect more healthcare providers (and
can perform which procedure; what
local shopping center, you may be
non-healthcare providers) to offer
constitutes proper training; what, if
able to get a shot of BOTOX™ while
these aesthetic services. The ways in
any, supervision is necessary; and so
you have your hair done, or perhaps
which the services are delivered will
forth. With so much variation, about
a chemical peel while you visit your
continue to expand.
the only thing that is guaranteed is the
primary care physician for your yearly
check-up. Don’t forget that lipodissolve
of offering such
procedure from your OB/GYN.
lucrative medical
services without
According to the American
legal n case of the month
legal case of the month
The attraction
The number of medical spas in the United States has soared from 45 to approximately 2,500 in just five years, according to International Medical Spa Association.
Society of Plastic Surgeons, there
the hassle of
were over 9.1 million minimally
reimbursement
invasive procedures performed in
draws many
2006. Topping the list of most popular
physicians (and other providers) to
opportunity for a patient to find a way
procedures were BOTOX™ injections,
transition into the entrepreneurial
to enhance his/her looks on almost
chemical peels and laser hair removal.
practice of delivering aesthetic
every corner.
The number of medical spas in the
services. This draw can be so strong
United States has soared from 45 to
that proper training and supervision
standpoint, issues can abound. Issues
approximately 2,500 in just five years,
are not given a second thought. It
may involve the corporate practice of
march-april 2008 | www.aesthetictrends.com
From a regulatory and insurance
49—
legal case of the month
medicine by lay owners of medical
providers, such as the state department
business corporation via the employed
spas, healthcare professionals not
of health, other boards (nursing
physician. In some states, the practice
properly trained, or not working
boards, cosmetology profession, etc.)
of lay corporations receiving profits
within the scope of their licensure.
or other types of committee.
from the provisions of a physician’s
Such issues may lead to devastating
Almost every state has a medical
professional services is referred to
results. Ultimately, the healthcare
corporation act, professional service
as fee splitting and constitutes the
provider who performs the procedure
corporation act, nursing and advanced
unlicensed practice of medicine.
is responsible for the outcome; and in
practice nursing act, physician
This could subject the physician to
most cases, the supervising physician
assistant practice act, barber,
penalties and fines within many states
is responsible as well.
cosmetology, esthetics, and nail
and could result in the loss of the
technology act. While all of these help
physician’s license or a probationary
STAYING ABOVE BOARD
clarify what is allowable regarding
period.
aesthetic procedures, there are many
is not, allowable for both regulatory
areas left undefined.
It seems there is a continual effort
and liability purposes, there are some
to clarify what is acceptable to
basics to follow to enable healthcare
practice of medicine (as defined by
each state’s medical board. No
providers to “stay above board.” Think
the medical practice act in your state),
matter which state you work in, it is
of it in terms of “How do I defend
then laws regarding the practice of
important to know whether you are in
Despite confusion on what is, or
If the procedure constitutes the
Just because your insurance is in place does not mean you are in compliance with the state rules and regulations.
medicine come
compliance with state laws. Too often
into play, as do the
healthcare providers feel that as long
rules regarding who
as they have malpractice insurance
can perform which
in place, they are acting above board
procedure and
within their practice setting. Just
whether physician
because your insurance is in place
myself and the choices I have made?”
supervision is required. For example,
does not mean you are in compliance
One day you may have to defend
in some states, the lay business
with the state rules and regulations.
yourself—whether it is a court of law
corporation cannot hire the physician
because there’s a malpractice claim
and render treatment through the lay
against you, or you are called before the state’s medical board to defend what or how you are practicing.
KEEP UPDATED ON REGULATIONS
Each of the 50 states, the District of
Columbia, and the U.S. territories has a medical practice act that defines the practice of medicine and delegates the authority to enforce the law to a state medical board. There are currently 70 state medical boards authorized to regulate allopathic and osteopathic physicians. There are also other state agencies that regulate other healthcare
50 —
Rules and regulations do change.
march-april 2008 | www.aesthetictrends.com
established by cosmetic physicians in the industry. This sets a bar to which others can be compared. If it has been deduced from previous professional standards, for example, that contour thread lifts are only performed in a medical setting, it would be unprofessional to perform that procedure in a day spa or hair salon.
legal case of the month
law and from professional standards
TRAINING
At this point, there is no universally
accepted standardized program that enables a provider to become an aesthetic “specialist.” While there are no set specifications for appropriate training, many of the national professional organizations
Because each state has its own
injection may indeed be in violation of
applicable laws and regulations, you
the scope of his/her licensure.
must seek legal counsel that is familiar
with your particular state’s rules and
physician providers are allowed to
regulations and the health law issues
do as permitted by the appropriate
you face in practicing retail aesthetic
professional board. For example,
medicine. Seeking out advice
many states are now regulating who
and proper guidance from various
may use lasers or intense pulsed light
associations and specialty boards
devices. All states allow physicians
that are emerging within the industry
to use them.
would also provide further knowledge.
Beyond that,
It is important to know what non-
each state
PRACTICE WITHIN THE SCOPE OF LICENSURE AND SETTING
varies. Some
only PAs,
Staying above board also means
states allow
related to aesthetics, such as the American Academy of Dermatology, American College of Surgeons, American Society for Dermatologic Surgery, and the State Medical Boards have offered recommendations. Current guidelines on training are not detailed or comprehensive, but many of these groups propose similar
Regardless of who performs the procedure, there are standards of care that have been deduced from law and from professional standards established by cosmetic physicians in the industry.
practicing within the scope of your
NPs, and
licensure. While some states allow
RNs to use the equipment, while
physicians to delegate tasks to licensed
other states allow the aestheticians to
and other personnel (unlicensed), who
operate these devices so long as the
may perform what treatments is often
penetration is not beyond the stratum
based on the state’s medical practice
corneum layer of skin.
act and its interpretations by the
applicable boards. This means that
procedure, there are standards of
the aesthetician giving a BOTOX™
care that have been deduced from
Regardless of who performs the
march-april 2008 | www.aesthetictrends.com
recommendations. I would refer you to each group for any of their suggestions as a starting point.
No matter what the recommendation,
it is essential to have the appropriate level of training to ensure competency of the provider. Look for accredited programs that provide the didactic
51—
legal case of the month
training (physics, safety, and technique) as well as some hand-on training. Training of non-physician providers should be comprehensive and include theoretical and practical training, including an understanding of patient selection, adverse events, and an appreciation of the limits of the training.
There are many choices for
defined by the individual state’s
training institutes, groups, or facilities.
medical board. For example, the
Finding out the details of training
North Carolina Medical Board writes
(the who, what, where, and how) is
that “supervising” encompasses
essential to knowing the value you will
overseeing the activities of, and
professional to perform the procedure.
receive and if it will serve to provide
accepting responsibility for, the
For many of the medical spas, the
appropriate training for the procedures
medical services rendered by non-
direct (or on-site) supervision poses
you will perform. Many of the training
physician healthcare providers (as
a problem as some medical spas are
groups have the ability to offer CMEs/
stated in the definition of supervising
structured so that the physician may
CEUs, making them more attractive
physician for a physician assistant).
only be on-site a couple hours a week,
when it can add to your continuing
Regardless of who performs the
with the majority of the procedures
education. Once initial training is
treatment, the physician, in most
being performed by non-physician
received, continuing education for
states, is ultimately responsible for the
providers.
In addition, some states are looking into the possibility that the physicians would be required to personally examine each patient before treatment begins and monitor the quality of services on a weekly basis.
52 —
safety of the patient.
into the possibility that the physicians
Many state medical
In addition, some states are looking
boards allow certain
would be required to personally
procedures to be
examine each patient before treatment
delegated to non-
begins and monitor the quality of
physician certified
services on a weekly basis. To these
or licensed office
states, the ideal way to deal with
personnel (e.g., CMA,
patient treatment, even if an allied
the aesthetic procedures is critical
LPN, NP, PA, RN). The key, though,
healthcare provider is performing
to ensure adequate performance–no
is the supervision. Certain medical
the procedure, is for the physician to
matter whether you are the physician
boards may allow this delegation,
perform the good faith exam.
or non-physician healthcare provider.
so long as the physician remains
on-site physically so that he/she can
tighten physician oversight at medical
SUPERVISION
respond quickly to the questions or
spas. It is not alone; Arizona and
problems that arise. Other states have
California are considering similar
physician supervision needed for
developed a distance rule requiring
laws. Florida and Utah have already
non-physician healthcare providers?
the physician to be within a certain
strengthened medical supervision in
What exactly does “supervision” mean
“drive time” in case problems arise.
recent years. Washington has also
and what type is required (general vs.
For example, the physician must be
made some very definitive remarks
direct vs. personal)?
within a 30-minute drive if they have
regarding who can use lasers and
delegated for an allied healthcare
how a practice can implement risk
What is the appropriate level of
Supervision by physicians is often
march-april 2008 | www.aesthetictrends.com
Colorado is looking at laws to
standardized protocols and providing
can go a long way to protect you and
what is acceptable under the board of
consent forms goes a long way to help
your practice. It will help keep you
medicine.
protect yourself and your practice.
practicing “above board.”
If your state has defined what
It is important to disclose
While the ideas touched on in
supervision is required, I would
information and fully communicate
this article are to help you stay out
suggest it is a wise move to follow. If
with your patients about what to
of trouble, it is impossible to cover
your state has not set parameters yet, it
expect, what side effects and/or
all the relevant issues in a short
again pays to think of the perspective–
possible outcomes can occur. Full
article. This article is not a substitute
“How do I defend myself should I be
disclosure is the best approach, and
for professional legal advice, and I
called before the board or in the event
this can be accomplished through
encourage all healthcare professionals
of a malpractice lawsuit?”
the informed consent form. From
involved in aesthetic medicine to
a liability standpoint this can help
discuss their pertinent situation with
UTILIZE PROTOCOLS/PROCEDURES AND CONSENT FORMS
protect you in the event of an adverse
legal counsel in their own state.
practicing good risk management.
You cannot meet everyone’s
legal case of the month
management rules to better define
outcome. It is simply a matter of Megan K.
expectations, especially within the
aesthetic field. Keeping your patients
for standardized procedures and
informed of all the possible outcomes
protocols that address things such as:
Executive Vice
and side effects helps to protect
patient selection, patient education,
President for
against potential claims. Following
instruction, and informed consent;
Professional
procedures to be followed in the
Liability
It is helpful to institute guidelines
event of possible complications or
Packard is the
Solutions,
side effects from the treatment; and
LLC, an independent agency that
procedures for emergency and urgent
specializes in providing personalized,
care situations. Call this a “quality
comprehensive insurance and risk-
assurance program” if you want.
management solutions for healthcare
These protocols and procedures
professionals. With offices in both
help direct how decisions are made,
Charlotte and Chicago, Professional
quality of treatments are monitored,
Liability Solutions has been helping
troublesome situations are dealt with,
healthcare professionals protect their
and they provide the basics to enable
practices and assets for over 15 years.
the healthcare providers to make
Megan works from the Charlotte
better decisions regarding patient care.
office, where she focuses her business
on the medical spa, aesthetic, anti-
Performing aesthetic procedures is
not without risks. Better to know how
aging and wellness segments of the
to take smart, informed risks rather
healthcare industry. Megan received
than those that are made in haste and without knowledge. Regardless of the fact that all parameters for the appropriate practice of medical aesthetics are not set, following some of the basics covered in this article
her degree from the University of Virginia. You may reach Ms. Packard by calling 800.372.3268, emailing mpackard@pls-medmal.com or at www.professionalliabilitysolutions.net.
and utilizing some common sense
march-april 2008 | www.aesthetictrends.com
53—
Enter T07 code ATN a e to receiv $200 . discount
Medical Spa Success System Are you thinking about entering this lucrative market of the future? Would you like to have all the information needed to make a good decision at your fingertips? In the past, you might have spent lots of time doing research in order to gain the information needed to enter this business. This 400+ page manual walks you through every step of the process to create a profitable medical spa. Not only does it provide you with all the information you need; you also receive a customizable CD-ROM that contains an employee handbook, a sample and business plan, sample treatment protocols, sample medical spa procedures manual, a start-up project timeline, and much more! These items purchased separately would cost more than $10,000. Find out how you can receive all this information for a fraction of the cost and successfully integrate medi-spa service into your practice!
877.SPA.MEDI www.medicalspasuccess.com www.medicalspaconsultant.com
medical spas
Top Five Strategies for HR Success
By Cheryl Whitman, Founder and CEO of Beautiful Forever
at t
Y
There is a reason reason they call it Human Resources
You have been successfully running
major investment, your efforts will
a medical practice, so expanding to
require close attention to the process.
staffing steps you need to know
1
include a medical spa should be easy
Know the difference between a medical practice and a medical spa practice.
considering you already have a great
Demographic Metrics
staff in place, right? Not exactly!
The secret behind every successful
asset is your staff; and the better your
Your medical practice is specifically
medical spa practice is “culture-
staff, the more value your company
geared to treat individuals who
specific” planning.
will have,” shares Aimee Kaye,
are in need of treatment for health
President and founding partner of
reasons, but the medical spa is
the unique culture of a medical spa;
the human resources firm Sageview
driven by clients who use disposable
you do this by creating a strategic
Consulting. “By choosing the right
income to purchase elective services
framework within which you will
employees and following through
to improve their appearance. So
work. On one end, you need to focus
on some very important steps, you
your success with expansion rides
on the retail nature of the medical
are tailoring every aspect of your
on your strength of focus on the
spa business, including choosing the
expanded practice to be better
retail nature of the cosmetic side
right location. On the other end, you
equipped to meet the challenges of
of your practice, including stellar
need to concentrate your efforts on
today and allow your company and
customer service. There are several
the people you will choose to help
your employees to reach greater
things to consider:
you run your practice. As with any
goals going forward.”
You must take the time to plan for
medical n spas
“Your company’s most valuable
march-april 2008 | www.aesthetictrends.com
a. The retail market – According
55—
medical spas
to recent research by Datamonitor,
research statistics so you can shape
you offer. Be sure to assign one
a business information company,
your retail marketing strategy to
or two employees with extensive
68% of those surveyed believe
attract your target market. Your
knowledge of these services and
that “spending time on personal
current medical practice patients
products (and not associated with
appearance is an important aspect
may very well be your first medical
inventory control) to oversee this
of achieving a state of wellness/
spa clients, so keep them at the top
area. Offer brand-name products,
well being.” Capitalize on these
of your list. Start by marketing with
your own Private Label line, or both.
reasons that your clients visit
an internal focus, but budget for
(Developing a Private Label line will
medical spas, as well as the
external marketing to grow your
increase revenue, as well as your
qualifications you possess to meet
client list.
personal and practice brand and
Your medical practice is specifically geared to treat individuals who are in need of treatment for health reasons, but the medical spa is driven by clients who use disposable income to purchase elective services to improve their appearance.
56 —
b. Retail display and
image recognition.) Also, provide
inventory control –
testers so clients can get a hands-on
Create a “retail zone”
feel for your products. Consistently
near your reception desk
market and promote your services
with at-home skin care
and products in connection with
products and informative
your brand. Don’t be afraid to
materials that cover
turn to an expert to help display
the benefits of the
your product in an eye-catching
services and products
way since half the “sell” is in the
their expectations. Study consumer
“seeing.”
research information for consumer
preferences, purchasing criteria,
must be correctly managed. That
retail interests, and other useful
means you need to keep track of
march-april 2008 | www.aesthetictrends.com
Be aware that your inventory
exactly where it goes, because after
costs, employee performance
retirement plans and a day off for
all, it is money on your shelves.
reviews, compensation programs,
their birthdays.”
Monitor incoming receipts, outgoing
bonus programs, etc. Be aware
shipments, and sales. Track
of the ratio of total compensation
employee commissions or bonus
costs to total budget as you work
programs. You want to see when a
on your pro forma. Developing
product is low, determine your best
your working budget, recruiting
sellers, identify slow movers, and
competitively, putting plans in
As you create your winning
keep a watch on shrinkage. Monthly
place for retaining employees –
team, look for “fit” when hiring,
reports of sales percentages, along
these are some of the things that
utilize continuous training and
with your service numbers, will also
help keep your practice marketable
development to keep your team
help you to set goals and design
and competitive. Don’t forget
on point, and most importantly,
incentive programs to increase
to include a policy manual and
concentrate on exemplary
your revenue. Also, take a physical
an employee handbook in your
leadership and supervision
inventory once or twice a year to
process, such as those available at
practices.
verify accuracy.
www.medicalspasuccess.com.
that medical spa practice employees
2
Have clear expectations.
When developing your pro
3
Hire the right staff.
“It is important to bear in mind
forma, keep in mind that how
require a flare for customer service,
you compensate your medical spa
a strong knowledge base, and a
staff should be reflective of the
salesman’s attitude,” says Dr. Kelly
emphasis you expect them to place
Cobb, Medical Director in Lafayette,
To be marketable and competitive
on selling services and products.
LA. “So, in addition to the sick
in the medical spa industry, your
Underestimating
team must work seamlessly to
the importance
exemplify your mission and realize
of appropriate
your vision. Simply put, they need
compensation will cost
to know what you expect them
your practice more than
to do, how you want it done, and
it could ever save. Offer
what they will get in return for
a benefits package that
doing it well. (It doesn’t hurt if they
includes a variety of sought-after
patients directed to you by their
actually enjoy what they do and
incentives, such as insurance,
insurance companies, you will also
where they are doing it.) Create a
401k, vacation and sick time, and
be seeing cash clients who choose
clear, complete job description for
bonuses. When hiring your team
to see you for your cosmetic services
each position you wish to fill, with
players, make sure your office
and expect a higher level of service
employees’ initial and expected/
manager explains how much your
for their money.”
future contribution. Design your
benefits package is worth in real
dream staff on paper before you
dollars – and time.
performer, you are looking at
make the move to hire. Develop a
approximately four weeks of lost
pro forma that covers the expenses
Consulting points out, “Your
productivity and revenue while
you expect to encounter, including
employees judge your workplace
you work to bring a new hire up
an allocation of resources (money
in part by the benefits you offer –
to speed. That should be enough
and human resources), technology
everything from health insurance
of an incentive to hire right in
purchases, hiring and retention
and disability coverage to
the first place. By relying on the
Keep in mind that how you compensate your medical spa staff should be reflective of the emphasis you expect them to place on selling services and products.
As Ann Ortolano of Sageview
march-april 2008 | www.aesthetictrends.com
Every time you replace a subpar
57—
medical spas
job descriptions you have already crafted, you know who you are looking for, so don’t settle. Including background checks can also help assure you are taking the right person into service. If you are not hiring directly, be sure your medical spa manager or director knows what you need – and how to identify real talent. As part of their contracted responsibilities, managers will help you find the best fits between employee talents and practice needs and be your guides for the kinds of employee development each side requires.
While we’re talking about
for either endeavor frees you from
managers, please note that your
spending hours a day on HR concerns.
practice manager may not be the
Further, everyone will know who to
It may be time to hire a medical spa manager who knows how to deal with retail services and products, cash purchases, inventory control (including product orders), aesthetic consultations, hiring, and training that will increase revenue.
shadowing and/or assisting prior to
turn to for day-to-day
any solo duties. Keep track of the
issues.
results to see how much your staff
A final note on
learns and how it changes their
staffing comes from
work performance, then adjust
Medical Spa Director
accordingly. Utilizing professional
Melissa Briscoe:
mystery shoppers is just one of
“When choosing new
the ways you can spot-check for
hires and evaluating
proficiency and mastery.
their attributes, the
Your entire staff should be fully
person you want heading up your
formula to follow is: Attention to
trained to educate patients about
medical spa division. Your practice
detail + willingness to learn + genuine
the right products for their needs,
requires attention to insurance issues,
goodwill toward others = Success.”
as well as the proper application
as well as the hiring, training, and
and the best regimen to follow.
firing of personnel who are suited
Training each staff member to
to the medical field and caring for
explain the benefits of each product
ill or injured individuals or booking surgeries. It may be time to hire a
4
Training.
and close the sale are essential elements of your retail success
medical spa manager who knows
Building up your spa talent is a
and client retention. Continued
how to deal with retail services and
priority so make sure to provide
emphasis on consultations is also
products, cash purchases, inventory
targeted, on-site training on a regular
essential. Be sure that your medical
control (including product orders),
and ongoing basis. One aspect
spa manager is taking note of
aesthetic consultations, hiring, and
of this effort will be a dedicated
who the high performers are and
training that will increase revenue.
“new employee” training program
who might benefit from additional
As a rule, your manager or director
that might require two weeks of
attention and training. Also, create a (Continued on page 60)
58 —
march-april 2008 | www.aesthetictrends.com
T
featured medical spa
Juva Skin & Laser Center and MediSpa
The Juva Skin & Laser Center and Medispa became the world’s first center to combine spa related services with state of the art medical and laser procedures nearly 10 years ago, thus starting the medical spa revolution. Its founder, Dr. Bruce Katz, coined and trademarked the term “medispa” after recognizing the growing patient demand for more integrated services and a lack of lasting effects from traditional spa treatments. In this 5,000 square-foot facility located in Midtown Manhattan, patients and spa clients receive the perfect blend of aesthetics and science for all of their skin care needs. The center offers a unique contrast to the traditional sterile medical office from the first encounter. A warm and inviting environment welcomes the patient as he or she enters from the elevator. At the front desk, the patient receives an informational brochure that details the services offered by the center. In order to fully serve their patients, patients complete a detailed demographic and medical history form in the reception area. The reception area is equipped with two television monitors and wireless headphones that patients may use to learn about the procedures offered at Juva. Patients can be pampered with New York’s first physician-formulated spa treatments which confer long-lasting
medical spas
New York City By Cindy Vandruff, Editor in Chief aesthetic and medical benefits. In addition, four dermatologists, a plastic surgeon, and physician assistants are always on site to assist with every aspect of patient care. Another entirely unique feature of the practice is that any aesthetic goal a patient may have can be addressed with the availability of 42 lasers on site 7 days a week. This advantage of having all aesthetic options on site is unlike most practices. For example, if a patient is being treated for an abnormal mole, yet also has an interest in facial rejuvenation, both services can be completed on the same day, rather than rescheduling for a day that the laser may be available. Some of the most popular procedures patients are currently requesting include 1) SmartLipo (manufactured by Deka and distributed by Cynosure Inc., Westford, MA) – a revolutionary new procedure that melts unwanted fat and tightens skin with minimal recovery period. 2) Affirm Multiplex (Cynosure Inc., Westford, MA) - a nonablative fractional device for facial rejuvenation, and treatment of wrinkles or acne scarring. 3) Accent laser (Alma Lasers US, Buffalo Grove, IL) - the latest cellulite treatment which for the first time combines unipolar and bipolar radiofrequencies to improve troublesome areas such as the outer thighs, inner thighs, and buttocks. SmartLipo and the Affirm lasers
march-april 2008 | www.aesthetictrends.com
were pioneered at Juva. Because of Dr. Bruce Katz’s research and his lectures at many national and international conferences, patients and spa clients can take advantage of the latest cutting-edge technology; and they are continually updated with Juva newsletters and brochures, wine and cheese evening seminars - “Juva chats” and online webinars. Juva Skin & Laser Center truly is a complete aesthetic experience. Juva Skin & Laser Center 60 East 56th Street Suite 2 New York, NY 10022 Telephone: 212.688.5882 www.juvaskin.com
Dr. Bruce Katz is Clinical Professor of Dermatology at The Mount Sinai School of Medicine, Director of the Cosmetic Surgery & Laser Clinic at Mount Sinai Medical Center, and Director of the Juva Skin & Laser Center in New York.
59—
medical spas
(Continued from page 58)
tracking system that utilizes weekly
extended.” Don’t jeopardize your
in HR not only helps protect your
or monthly employee reviews, to
license or put yourself at risk for
assets and minimize liability, but
include observable applications of
incurring fees – keep up with all of
also helps develop a team that is
the skills for which you are training
the state and federal laws and issues
focused on improving customer
your staff.
regarding compliance, especially
service, outdoing the competition,
with the introduction of new
and boosting your bottom line,
technologies. Also, carefully review
something that benefits the entire
your staff’s training schedule and
staff.”
your practice coverage yearly so that
you do not violate any of the laws
unique culture and a commitment to
Have the proper coverage for the
that regulate the industry. Proper
human resource management, your
medical procedures you offer at
licensing, permitting, supervision,
move to expand into the exciting
your medical spa and ensure that
and delegation of the appropriate
medical spa industry should be a
your staff is properly trained to
medical or paraprofessionals, as well
smooth one.
participate in their performance.
as maintaining HIPAA and other
According to a recent article featured
confidentiality laws is your goal. One
on the International Association for
last note on compliance: Be prepared
Cheryl
Physicians in Aesthetic Medicine
for tougher laws on the horizon.
Whitman is
5
Stay compliant.
With a clear understanding of this
recognized
Website, many insurers require practices of this type to “document
USING THE EXPERTISE OF A CONSULTANT
internationally
clinical and/or accredited training
as a pioneer
on all non-ablative modalities
hit these points on target is to
in the field
before a policy of coverage will be
work with an industry consultant
of medical
or utilize specialized resources,
spa business
One way to help ensure you
such as the Medical Spa Success
consulting. She is a published author,
System (available through Beautiful
a popular speaker, and has been a
Forever Medical Spa Consulting).
beauty-industry consultant for more
This system provides the latest
than 20 years. As founder and CEO of
and most comprehensive industry
Beautiful Forever, Cheryl spearheads
information and is the first and only
a successful team of medical spa
do-it-yourself guide to building
consultants and business professionals.
a profitable medical spa. With
In addition, Cheryl developed the
downloadable items such as an
Medical Spa Success System, a
employee handbook and spa staff
revolutionary program that provides
job descriptions, you will be ahead
a turnkey educational success system
of the game in no time.
and consulting services package to help clients jumpstart brilliantly
TOOLS AND STRATEGIES
successful medical spa businesses.
For more information, please call
“Making effective use of human
resources tools and strategies can
1.877.SPA.MEDI or go to
help you increase the productivity
www.medicalspaconsultant.com or
of your staff,” adds Kaye. “We
www.medicalspasuccess.com.
find that following best practices
60 —
march-april 2008 | www.aesthetictrends.com
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product listings
Microdermabrasion
Aesthetic Trends & Technologies Product Listings are shown on the following pages for your buying power. Conveniently listed, you may refer to these products. If at any time you do not see a product listed here, please contact us by e-mailing the staff at product.listings@aesthetictrends.com. We will update the listings to include the products in which you are most interested.
spotlight
The DermaSweep® Family of Products It is all about the bristle! The new DermaSweep®
breaking, amped-up micro-resurfacing technology
Multi-Level Resurfacing Products are literally taking
which includes the Skin Specific Epi-Infusions™,
traditional microdermabrasion to the next level.
delivering topical solutions deeper throughout
the upper layers of skin for acne, dehydration,
Three unique DermaSweep systems utilize
a revolutionary bristle technology for uniquely
hyperpigmentation, and antioxidant benefits. The
efficacious skin revitalization. These next generation
DermaSweep MD also provides the power for
bristle exfoliation products offer a particle-free
physicians to upgrade to a completely closed, hydroassisted, vacuum sealed Dermabrasion.
treatment where the full efficacy of the vacuum can be safely optimized by the airflow created throughout the bristle.
Again, setting itself completely apart, the DermaSweep Bristle
to the market as the first completely portable, particle free skin
Tip design prevents the build-up of skin cells over the wand tip,
revitalizing system utilizing the unique, patented DermaSweep
which can be problematic with other particle-free systems.
Bristle Tips. The DermaSweep Mini is simply vacuum-assisted
microdermabrasion, perfected. All three products are helping to
The DermaSweep products employ adjustable vacuum
The smallest member of the DermaSweep family comes
pressure as well as multiple treatment bristle tips for fully
redefine micro-resurfacing expectations. With the DermaSweep
customized skin health treatments for both the most fragile
technology you can expect more, deliver more, and succeed
skin types as well as the most resilient skin types. Designed to
more…It is all about the bristle!
deliver both a stand-alone treatment and adjunct therapy for other treatment modalities such as pre-IPL and pre-PDT, the DermaSweep treatments are rising to meet the needs of patients or clients who deal with photodamage, fine lines and wrinkles, hyperpigmentation, acne, surgical scars, and uneven skin texture. Each distinctive DermaSweep system offers the efficacy and
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The DermaSweep MD raises the bar with its ground-
march-april 2008 | www.aesthetictrends.com
63—
MICRODERMABRASION Product Listings Source
Product
Aesthetic Solutions www.dermaglow.com 651 Canyon Road Novato, CA 94947 888.345.4569 p
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece
DermGlow II DermGlow II MD
Dual Dual
DermGlow EST
Yes
Yes/32 Yes/32 Wheels Yes/12
Glass, Aluminum Disposable Tips
Aesthetician Unit Price
M.D. Unit Price
On-site full training, technical and mktg support
$8,750 N/A $4,750
N/A $10,500 N/A
One day on-site advanced training
N/A
$16,900
N/A
$12,900
$6,900
$8,900
Disposables
Training
Aluminum Oxide or Sodium Bicarbonate $2-$4
Warranty & Accessories: Lifetime warranty with 24-hour loaner. HEPA filtration.Trade-in program.
Aesthetic Technologies www.parisianpeel.com 14828 W. 6th Avenue, Unit B-9 Golden, CO 80401 800.262.4412 p
Prestige Esprit
Dual Vacuum/ Compres.
Yes/80 Yes/46
Proprietary ergonomic design w/ sterilizable immersible cartridge tips
$3.50
Warranty & Accessories: 1 yr. warranty
Ageless Aesthetics www.agelessaesthetics.com 5889 Greenwood Plaza Blvd. Suite 400 Greenwood VIllage, CO 80111 877.721.7975 p
ClairDerm (models 1, 2, & 3)
Via Control Knob
Yes/15
Aluminum, plastic Tips & Crystals w/ cellulite roller / light therpay combo
Warranty & Accessories: 3 yr. warranty. Low cost per treatment at under $1.15. Client brochures, specialty products, and consent forms available. ClairDerm3 now available with combined cellulite roller & light therapy handpiece.
Altair Instruments www.diamondtome.com 321 Aviador St., Suite 113 Camarillo, CA 93010 805.388.8503 p
DiamondTome
Variable
Yes/27
Diamond tipped wands
$0.50
Video On-site Training
$10,250
$10,400
Warranty & Accessories: 1 yr. warranty, HEPA filters, filter pads, and assorted wands. Four grit sizes.
Bella Products www.bellaproducts.com 27136 Burbank Foothill Ranch, CA 92610 877.550.5655 p
BD II BD II-ASM BD II-ASP BD M II BD M II-MAX Bella Micro
Yes Yes Yes Yes Yes Yes
Yes/24 Yes/26 Yes/27 Yes/36 Yes/41 Yes/16
Aluminum Poly carb caps; Direct particle abrasion
Warranty & Accessories: 1 yr. warranty.
64 —
march-april 2008 | www.aesthetictrends.com
$3-$3.50
Video on-site
$11,950 $13,950 $15,950 $19,950 $21,950 $4,950
MICRODERMABRASION Product Listings Source Product
DermaMed USA www.megapeel.com P.O. Box 198 Lenni, PA 19052 888.789.6342 p
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training
MegaPeel Platinum
Yes
Yes/32
MegaPeel Gold
Yes
Yes/25
MegaPeel Silver
Yes
Yes/25
Autoclavable; detachable; condition specific tips
Aesthetician Unit Price
M.D. Unit Price
$2.50 per treatment $3.50 per treatment $3.00 per treatment
Intensive on-site;Video; Workshops; Seminars; Mfr. Corp. office
N/A
$19,500
N/A
$15,000
$12,500
N/A
$.50- $5.00
On-site
N/A
$13,900 - $14,500
$.50- $5.00
On-site
$12,900
N/A
$0.50
Yes
$4,999
$4,999
$5,900
N/A
Starts at $13,900
Starts at $13,900
$11,450
$11,800
$7,500
$7,850
N/A
$22,465
N/A
$8,500
Warranty & Accessories: 1 yr. warranty, includes accessories and skin care products.
DermaSweep® www.dermasweep.com 7251 Galilee Road Suite 160 Roseville, CA 95678 916.772.9134p
DermaSweep MD
Variable
Yes/26
DermaSweep Pro
Variable
Yes/26
DermaSweep Mini
Variable
Yes/8
Particle Free, Autoclavable Stainless Steel 7 Different treatment tips
Warranty & Accessories:1 yr. warranty, extended warranty options. 7 different treatment tips, 7 different Skin Specific Solutions ™
Edge Systems www.edgesystem.net 2277 Redondo Avenue Signal Hill, CA 90755 800.603.4996 p 562.597.0148 f
Delphia
Dual
Yes/24
Delphia™ Del Sol Plus
Dual
Yes/30
Delphia IIe Plus
Dual
Yes/30
Diamond Delphia
Dual
Yes/24
Crystal, Lymphatic masssage optional LED lights and crystal micro, Lymphatic and Crystal-free Optional Lymphatic massage & LED lights optionalCrystal-free
$.55 - $3.00
Full certification On-site, local courses & video
Warranty & Accessories: 1 yr. warranty, overnight loan program. 4 lbs. crystal and 10 tips included.
emed www.silkpeel.com 31340 Via Colinas, Suite 101 Westlake Village, CA 91362 888.848.3633 p
Focus Medical, LLC www.focusmedical.com 23 Francis J Clarke Circle Bethel, CT 06801 866.633.5273 p
SilkPeel Dermalinfusion System
Dual
Yes/30
Diamond-tipped handpiece; autoclavable; crystal-free
$9.95 tips only
On-site certification
Warranty & Accessories: 1 yr. warranty, extended warranty options. 11 combinations of grit sizes.Three choices of topical solutions.
NaturaBrador
Yes
Yes/30
Reusable, Plastic, Disposable
$1.00-$1.50
Video & on-site
Warranty & Accessories: Massage therapy attachment.
march-april 2008 | www.aesthetictrends.com
65—
MICRODERMABRASION Product Listings Source
Product
Genesis Biosystems www.dermagenesis.com 1500 Eagle Court Lewisville,TX 75057 888.577.PEEL (7335) p
AccelaFuze AccelaGen M2 - Turbo M2 M1 Infusion Peel
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece
Programmed Programmed Yes Yes Yes Yes
Yes/39 Yes/34 Yes/19 Yes
Disposables
Dual-Mode Dual-Mode Ergonomic Dual-Mode Handpiece with DualLumen, Color-Coded Tubing Set
Bio-Barrier Tips $.50-$3.00
Training
Hands On Onsite and Online
Aesthetician Unit Price
N/A $13,995 N/A N/A $8,495 $12,995
M.D. Unit Price
$17,995 $16,995 $15,995 $12,995 N/A $12,995
Warranty & Accessories: 3 yr. warranty. Plug-N-Peel Closed Canisters, Handpiece, Crystal and Crystal-Free Disposable Tips, CoolBreeze™ LED Lights, Blue, Red,Yellow
ImageDerm www.imagederm.com 3032 Dolores Street Los Angeles, CA 90065 818.500.9034 p
ImageDerm
Dual
Yes/30
Reusable Delrin Tip
Warranty & Accessories: Full 5 yr. warranty. M.D. unit has 3-feature function.
Innovative Med Inc. www.innovativemedinc.com 4 Autry , Suite B Irvine, CA 92618 877.779.9492 p 949.458.7416 f
PortaPeel 1050 PortaPeel Pro 4150 Silver PortaPeel Pro 4150 Gold Setereh 1150 Setereh 2150 MD
Yes Yes Yes Yes Yes
Yes/14 Yes/16 Yes/18 Yes/35 Yes/37
$3.00
Full Training with Manual
$8,500
$10,700
$2-$4.00
Comprehensive manual, technical support & marketing support
$4,500 $4,800 $6,800 $9,500 N/A
N/A N/A N/A N/A $12,000
$14,500 N/A
N/A $18,995
Ergonomic, patented handpieces; disposable, reusable, metal & crystal free avail., disposable tips for face & body
Warranty & Accessories: Setereh systems: 5 yr. warranty. Portapeel systems: Lifetime Warranty. All of our systems can be used for crystal free microdermabrasion as well.We accept trade-ins, loaners available.
Lumenis www.lumenis.com 2400 Condensa Street Santa Clara, CA 95051 408.764.3000 p
SkinScape SkinScape Plus
Single Dual
Yes/22 Yes/30
Autoclavable small & large handpieces Aluminum/ disposable tips
Warranty & Accessories: 1 yr. warranty. Education and marketing materials.
66 —
march-april 2008 | www.aesthetictrends.com
$2.80 $2.80
Intensive On-site training
MICRODERMABRASION Product Listings Source Product
Mattioli Engineering www.matteng.com 4200 Wilson Blvd., Suite 750 Arlington,VA 22203 877.628.8364 p
Aesthipeel™ Ultrapeel® Pepita Ultrapeel® Crystal
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training
3 Pre-set Positions Dual/Count Variable
Yes/17
Plastic/Glass
$3.00-$9.00
No/39 No/44
Glass Pyrex/reusable Glass Pyrex/reusable
$3.00-$9.00
1 day on-site
Aesthetician Unit Price
M.D. Unit Price
$3,675
N/A
$10,710 N/A
N/A $13,860
$13,900
$16,500
Warranty & Accessories: Carrying case, 2 yr. warranty, next day loaner program, external comp. delivery kit, sealed plastic corundum containers, safety filter, vacuum and compression mode.
Med-Aesthetic Solutions www.medaestheticsolutions.com 2033 San Elijo Ave, Suite 200 Cardiff by the Sea, CA 90249 760.942.8815 p 505.341.2575 f
Salt-APeel™ MacroDermabrasion Therapy
No
50 lbs
Proprietary aluminum design, with no mess auto control
$3/treatment
Warranty & Accessories: Proprietary crystal delivery system uses water-soluble, non-toxic salt. Pre-packaged salt containers and disposable 0.1 micron ULPA Filter waste containers. Positive and negative pressure system with little to no redness. Natural salt for superior results. Patented DermaMask and MacroTouch® 3 MHZ Ultrasound module for Physician model. Marketing support program.Three year warranty parts and labor.
Raja Medical www.rajamedical.com 6542 Hypoluxo Rd, #171 Lake Worth, FL 33467 561.868.4600 p
Sapphire Abrastim
No
Yes/15
Stainless steel, Sapphire heads
$5.00
1 day
N/A
$14,500
On-site, manual, PP presentation
$10,900
$10,900
$13,500
$13,500
Warranty & Accessories: 2 yr. warranty.
Science Innovative Aesthetics www.scienceaesthetics.com 30 Montgomery Street Suite 660 Jersey City, NJ 07302 201.332.4100 p
Aurora
Yes
Yes/46
Stainless steel, 9 different tips, autoclavable
$.40 per filter, one filter per treatment
Gemini
Dual, pin point crystal flow control
Yes/55
Crystal - flexible, w/disposable plastic caps. Crystal Free stainless steel w/9 different tips
$1.50 for alum. ox. crystals, varies per treatment
Warranty & Accessories: 2 yr. warranty with next day loaner, 100 filters plus ultrasonic cleaner included with purchase, marketing material, tech-support, additional filter inside machines, quietest machines on the market (ask about our trade-in program). Gemini includes 2 (4 lbs.) bottles of crystals, closed loop system.
march-april 2008 | www.aesthetictrends.com
67—
MICRODERMABRASION Product Listings Source
Product
Sciton www.sciton.com 845 Commercial Street Palo Alto, CA 94303 650.493.9155 p
MicroLaserPeel™
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece
N/A
Yes/wheels
Disposables
Training
Aesthetician Unit Price
M.D. Unit Price
Large area scanner
None
In-office
N/A
$19,500 module
Stainless steel disposable tips
$3.00
Video on-site training
$9,950
$11,950
$10,995
$10,995
Warranty & Accessories: 10 to 40 microns in 5-micron steps.
Silhouet-Tone USA www.silhouettone.com 7 Champlain Commons St. Albans,VT 05478 800.552.0418 p
S.T. Peel
Yes
Yes/65
Warranty & Accessories: 3 yr. warranty. Disposable tips. Manual included, complete marketing tools. Rotational projection handpiece.
Sybaritic www.sybaritic.com 9920 James Avenue South Minneapolis, MN 55431 800.445.8418 p 952.888.8887 f
SkinBella
N/A
Yes/ 22 lbs Cart 32 lbs
Ultrasonic Applicator
$2.50
On-Site Advanced Training
Warranty & Accessories: 1 yr. warranty included with extended warranty available. Professional and retail skin care products, marketing kit and cart included.
SoundSkin Corporation www.soundskin.com 429 South Main Street Oswego, IL 60543 888.596.5277 p
SmartPeel - Esthetician
16 settings + lymphatic
SmartPeel-M.D.
Yes/18
Acetyl copolymer with full range of accessories
Yes/23
$1.50
On-site by specialist
$10,500
N/A
N/A
$13,500
32 settings
Warranty & Accessories: 1 yr. warranty, parts & labor with dual probe lymphatic drain module, dual SmartFilter viral barrier system to 0.1 microns.
68 —
march-april 2008 | www.aesthetictrends.com
MICRODERMABRASION Product Listings Source Product
Syneron Medical www.syneron.com 100 W. Beaver Creek Rd. #6 Richmond Hill, Ontario, Canada 800.445.8418 p
Libra
Vacuum Mobile/ Flow Control Weight (lbs) Handpiece Disposables Training
Variable
Yes/34
Custom disposable tips $.50-$1.00
Aesthetician Unit Price
M.D. Unit Price
Video on-site training
N/A
$9,995
Warranty & Accessories: 1 yr. warranty. Education and marketing materials.
Vibraderm, Inc. www.vibraderm.com 2100 N. Hwy 360 Suite 1502 Grand Prairie,TX 75050 800.494.7181 p
Vibraderm
None
Yes/21
High-Tech Aluminum Alloy
None
On-site training included
$18,100
$18,100
Ergonomic stainless steel design; 10-13tips depending on model; auto-clavable
$.30/filter
Manufacturer support Manufacturer support
$10,900
$11,900
$15.900
$16,900
Warranty & Accessories: 1 yr. warranty.
Viora, Inc. www.vioramed.com 30 Montgomery Street Suite 660 Jersey City, NJ 07302 877.384.8032 p 201.332.4200 f
Pristine - Dimond System
Single
Yes/28
Marquis - Dimond and crystal System
Dual
Yes/35
$.30/filter
Warranty and Accessories: Pristine - 2 yr. warranty with next day loaner. Esthetician unit sold with 10 DPeel tips; M.D. unit sold with 13 DPeel tips; 100 disposable filters, 25 client brochures, 1 poster, ultrasonic cleaner; system manual. Marquis - 2 yr. warranty with next day loaner. Esthetician unit sold with 10 DPeel tips; M.D. unit sold with 13 DPeel tips. Diamond Peel-100 disposable filters, 25 client brochures, 1 poster, ultrasonic cleaner. Crystal Peel -10 plastic caps.
Vita Medical Technologies www.vitamedtech.com 1286 University Avenue, #264 San Diego, CA 92103 619.795.7953 p
Beauty Skin
Dual
Yes/20
45 degree angle Teflon handpiece; reusable or disposable tips
$1.50
On-site by representative
$7,900
$7,900 Dual Motor
Warranty & Accessories: 2 yr. warranty, parts & labor. 2 handpieces; abrading and peeling.Variety of tip sizes available.
march-april 2008 | www.aesthetictrends.com
69—
0ATIENT STRESSED ABOUT PAIN
plastic surgery
Changing the Lives of Acne Patients
with ProFractional™ Laser Treatments By Gregory Alan Wiener, M.D., F.A.C.S.
at t
It is an exciting time to be part of
laser separately—instead Sciton
laser microbeam to the tissue with
the cosmetic surgery field. It seems
offers a simple upgrade to the
pinpoint accuracy. The microbeam
that every month new procedures
existing MicroLaserPeel technology.)
creates very small diameter micro
are discovered and old procedures
The PROFractional is a Class IV laser,
wounds without uncontrolled heating
are improved. The release of the
and it has the ability to penetrate a
of the tissues, and this stimulates
PROFractional™ laser is part of this
depth of 25-1000 µm and a width of
fibroblasts to produce new collagen
boom, and people across the world
6 x 6 mm to 20 x 20 mm.
are now realizing that cosmetic
With this technology,
surgery procedures can be safe,
the PROFractional
simple, and smooth.
laser can improve skin texture and tone,
MicroLaserPeel
dramatically improving
the appearance wrinkles,
The Sciton PROFractional laser is
an upgrade of the Contour 2940
scars, and sun damage
Er:YAG laser which is used to
with one pass of the laser.
plastic n surgery
I
The depth of penetration (up to 1.5 millimeters) is far greater than traditional resurfacing procedures, yet the downtime is minimal because the epidermis is left largely intact.
perform the MicroLaserPeel.
within each micro-zone of treatment. The laser is named for its ability to
(Physicians who currently use the
PINPOINT ACCURACY
improve skin tone, texture, and color
Contour 2940 Er:YAG laser do not
by removing only a fraction of the
have to purchase the PROFractional
ablative procedure which delivers a
The PROFractional laser is a semi-
march-april 2008 | www.aesthetictrends.com
actual skin surface. The depth of
71—
plastic surgery
penetration (up to 1.5 millimeters)
is far greater than traditional
pick or depressed acne scars,
little more downtime, as they might
resurfacing procedures, yet the
the PROFractional laser can be
experience pinkness or sensitivity of
downtime is minimal because the
combined with the MicroLaserPeel
the skin for several days. Although
epidermis is left largely intact. The
for deep skin resurfacing. After the
it is possible for patients to return
new tissue is healthy in texture and
PROFractional targets the damaged
to their daily routine following
pigment which leads to a marked
skin tissue, the MicroLaserPeel can
treatment, most patients who receive
difference in the appearance of the
be used to smooth the skin’s total
the PROFractional treatment do
The PROFractional laser has revolutionized the treatment of acne scars since it comes closer to the total removal of damaged tissue than any other procedure.
For patients who have ice-
these patients should plan for a
appearance. Depending
experience a light red or pink tinge to
on the patient’s needs, the
the skin, which is similar to sunburn.
MicroLaserPeel can be
minimal to a full removal
normally fade within 24-48 hours; and
of the upper layer of
patients are able to recommence their
skin. By combining
usual skin routine, such as applying
these two incredible skin
cosmetics. However, ultraviolet
resurfacing procedures,
light can be harmful to skin during
patients can discover the
these sensitive hours following the
These effects to the treatment area
patient’s skin. Some patients need
beautiful, healthy skin underneath
procedure, so patients must avoid
only one treatment, while patients
their acne scars.
direct sunlight. Of course, SPF is a
with more serious skin damage might need two or three treatments.
ACNE SCARS
The PROFractional laser has
revolutionized the treatment of acne scars since it comes closer to the total removal of damaged tissue than any other procedure. I first began using the Sciton PROFractional laser in the fall of 2007, and patients of all ages have come to me seeking the removal of their acne scars. For many people, acne scars are not only unpleasant to look at, they also serve as
Before (Left) and After Acne Treatment (Right). Photos Courtesy Gregory Wiener, M.D.
reminders of high-school bullying or other sad adolescent memories.
72 —
Acne scars from adult-onset acne
DOWNTIME AND POST CARE
must for all patients seeking healthier
can be equally troubling, since
skin, regardless of the procedure they
these individuals feel as though
upon the depth of the PROFractional
seek.
their acne separates them from their
laser. Acne scars require deep
peers who have not experienced
ablation, generally at around 750
laser and the MicroLaserPeel
acne for decades.
to 1000 microns. This means that
treatments are combined, patients
Patient downtime is dependent
march-april 2008 | www.aesthetictrends.com
In cases where the PROFractional
should expect a more significant
procedure on numerous clients, and
and isolated.
downtime, including redness and
I have seen firsthand how patient-
perhaps peeling.
friendly this technique is—and also
I hope to rid myself of the constant
how important this procedure can
reminder of how hard my adolescence
be in patients’ lives.
was for me.”
RESULTS
These initial results might
“By getting rid of the acne scars,
The patient’s acne scars were
intimidate patients who look in the
PATIENT STORY
atrophic boxcar scars that were
mirror following the procedure—the
contained to her T-zone area—her
tiny droplets of blood which rise
suffering from acne scars for 12
One patient came to me after
nose, forehead, and sprinkled across her cheeks. She also had ice-pick acne scars on her upper back that she wanted to treat. I decided that the best mode of treatment would be the PROFractional combined with the MicroLaserPeel technology for her face and the PROFractional laser for her upper back.
The patient came in for her
first appointment in November. I performed the MicroLaserPeel first, as research suggests that performing the MicroLaserPeel before the PROFractional leads to optimal and long-lasting results. I
Before (Left) and After Acne Treatment (Right). Photos Courtesy Gregory Wiener, M.D.
then treated her boxcar scars with the PROFractional at 800 microns. to the surface can be frightening
years. As a teenager, she was
After two days she reported a visible
for those who are squeamish,
on medication which caused her
difference in her skin, and she noted
but within a week the healing
hormones to fluctuate. As a result,
minimal discomfort, though her face
process should leave the patients
she suffered from very bad acne. My
was tinged with a slight sunburn-like
very pleased with the procedure.
patient recalled her high school
Moreover, not only does the
memories to me stating, “It
accuracy of the PROFractional
was the worst time of my life.
prevent unnecessary damage to
So many things were going
the patient’s healthy dermis, it
wrong. My medication affected
also helps to decrease discomfort.
my weight and my skin—I
Indeed, there is almost no pain
thought I was the ugliest thing
involved, although some patients
to ever walk the planet. Shortly
do report a tingling sensation
thereafter, my parents got divorced
appearance and some sloughing of
which can be alleviated by topical
and my world was ripped apart. When
the skin. In December, she came in for
anesthesia.
I look in the mirror now and see my
her next appointment, and I treated
acne scars, I go right back to that time
the facial scars with 800 microns
in my life when I was so miserable
and her back with 700 microns.
In the past six months, I have
performed the PROFractional laser
march-april 2008 | www.aesthetictrends.com
Within two days of treatment, makeup can be applied again, and patients can resume their normal exercise activities.
73—
plastic surgery
The scarring on her back was
after the treatment (since
significantly less severe and deep.
her skin was redder than
usual), but she soon
After the third appointment, her
facial and back acne scars were
found that it was not
almost invisible to the naked eye.
very noticeable.
She was very pleased with her results and reported that she felt
PATIENT INSTRUCTIONS
more confident after the treatments.
As she said, “I am now able to go
treatment, I
out of the house without makeup
recommend that my
on—something I have not done since
patients avoid the
I was 12 years old. I am very happy
direct sunlight for 2
I underwent the procedure. I feel
weeks. Aquaphor is used for two to
more confident in myself, and I am
three days after surgery along with
glad to leave the painful memories
a non-comedogenic cleanser and
of adolescence behind me! I am
sun block with SPF 30 or higher.
ready to take on the world!”
If peeling of the skin occurs, they
should never pick it! Moisturizers
With all of the treatments, I
After each
administered a numbing cream to
(such as Aquaphor mentioned
the area of the skin to be treated
above) can help with the peeling of
prior to the procedure. She noted
the skin, and if itchiness occurs oral
minimal pain and said the pain
Benadryl usually suffices.
she did feel was similar to a light
stinging or tingling sensation. (For
makeup can be applied again,
patients who do note more severe
and patients can resume their
pain, administering an analgesic
normal exercise activities. We also
is recommended, though most
administer anti-viral medications
Within two days of treatment,
to our patients to help prevent infections from
With almost no downtime, little patient discomfort, and quick, simple treatments, the PROFractional laser technology stands at the forefront of recent cosmetic surgery developments.
occurring. (Like all medical procedures, there is a slight risk involved with the PROFractional, and infections can
74 —
patients do not need more than
occur from the laser. Of course,
Tylenol.) After each procedure, this
this is very uncommon, especially
patient cooled her face with a wet
if the patient takes the anti-
towel and followed with the healing
viral medications every day as
moisturizing lotion, Aquaphor. She
prescribed.)
did note that she felt slightly self-
conscious venturing back to work
little patient discomfort, and
With almost no downtime,
march-april 2008 | www.aesthetictrends.com
quick, simple treatments, the PROFractional laser technology stands at the forefront of recent cosmetic surgery developments. As the plastic surgery field continues to develop and improve, patientfriendly procedures and painless treatments will continue to remain the priority of physicians and researchers.
Dr. Gregory A. Wiener is an American Board of Plastic Surgery certified surgeon, with a successful 10-year-old practice. Dr. Wiener’s skill and dedication to the needs of his patients earned him a spot in the Guide to America’s Top Surgeons and appearances in media outlets like Fox News, Healthy and Fit Magazine, Forbes, and E! News Live. Dr. Wiener is a fellow of the American College of Surgeons and currently serves on staff at Resurrection Medical Center in Chicago. For more information, visit www.theartofplasticsurgery.com.
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pipeline CMS
practice management
Laser Safety in the Cosmetic Practice By Leslie Pollard, CMLSO & Contributing Editor
As the science and technology of
aesthetic light based devices continue
requires awareness of multi-level
safety program development
to refine and develop the science of
influences that may have an impact
information with each medical director
photonic interaction with skin, the
on the requirements of a cosmetic
and other office staff who may be
concern over the safety of both patients
office laser safety program. In
impacted with any changes in the
and staff becomes a serious issue
the physician office setting, it is
program.
not only for the responsible medical
important to assign the duties of the
practice director, but all laser and light
office Medical Laser Safety Officer.
STATE REGULATIONS AND STANDARDS
based device operators, state and local
The role of this individual is most
regulatory agencies, and even medical
important in the initial establishment
the office laser safety program may be
malpractice insurance carriers. It can
of the Office Laser Safety Program as
influenced by the federal government,
be a challenge to continue to be on
well as the continued maintenance
state government, and the involved
the forefront of the most efficient and
and development
effective technological knowledge
of the program.
curve. Having access to independent
Occasionally, this
information sources based on the
role is accepted by
science of light and tissue reaction is
a Medical Director
crucial. However, establishing a safe
and then delegated
environment to provide these services
to a member of the
should be a reproducible and straight
office staff who works with the lasers
state medical boards. The parent
forward process that all providers of
on a routine basis. It is important that
documents for understanding the
office based laser services should be
the MLSO maintains contact with
responsibilities associated with any
aware of.
advances in laser safety knowledge
Laser Safety Program in a healthcare
and continues to share office laser
at t
Providing a laser safe environment
practice n management
A
The MLSO should be aware that
Providing a laser safe environment requires awareness of multi-level influences that may have an impact on the requirements of a cosmetic office laser safety program.
march-april 2008 | www.aesthetictrends.com
77—
practice management
setting are the documents ANSI Z136.1
and ANSI Z136.3 (American National
laser safety program implementation,
Standard for Safety Use of Lasers and
the MLSO representative should
Safety Use of Lasers in Healthcare
determine if the resident state has
Facilities). These documents provide
state laser safety regulations. This
guidelines, explanations, and specific
information may be obtained from
documentation examples for all
a variety of consultative services,
facilities utilizing laser technology. A
or may also be researched on state
copy of the ANSI Z136.3 document
government internet sites. Although
is the accepted information core and
these regulations will be based on
for non-physician healthcare
reference manual for all medical/
the Federal Guidelines (both ANSI
boards to offer independent
surgical laser safety programs. Other
Z136.1 and Z136.3), a copy should
opinions on their specific
federal government agencies, such as
be obtained to determine other
perspectives regarding
OSHA, will also provide regulations to
requirements outside of the ANSI
support of their licensure
help establish safe environments for
guidelines. Should your state have
during the operation of
staff members working around these
laser safety regulations on the state
medical lasers. Be sure to
laser systems. It is helpful to know that
level, you may also be required to
check any specific board
these regulations are based on the
register your laser equipment and
that may be involved in
ANSI Z136.3 guidelines.
MLSO with that state agency.
your practice (nursing
boards, cosmetology
All laser safety programs begin
with the trained MLSO determining
During the initial stages of your
The third regulatory entity that
should be consulted is the state or
boards, etc.).
local medical board. The medical
The key component to all office laser safety programs is documentation.
board may provide information
EDUCATION
that will provide direction to the
medical director about delegation
educational guidelines for
of authority for laser operation,
cosmetic laser operators,
level of supervision required, and
both physician and
Many states will provide
the classification of each laser system.
educational and training requirements
non-physician. This
The required laser safety policies
of physician and non-physician
will often depend on the
and procedures to be put in place
operators. Some medical boards
level of supervision and
are dependent on the Class of laser
require specific involvement from the
the level of licensure of
associated with potential for injury
supervising physician.
each individual. Since
for those working with or near this
these guidelines and regulations may
equipment. Once the equipment is
in their views on these issues. Many
be in a development process in many
classified, the policies and procedures
are in the process of major changes.
states, it would be wise to become
are developed for that risk level.
The subject is taken quite seriously
familiar with the current standings
Lasers are classified as Class 1, 2,
by a number of states. Again, this
of your state regarding laser safety
3a, 3b, and 4, Class 4 being the most
information may be obtained by
issues as well as your state medical
potentially dangerous. Most lasers
consultative services or with specific
board position, and continue to follow
found in the cosmetic office practice
web searches on the state specific
any legislative process or task force
are Class 3b or Class 4 requiring the
medical board sites. The investigative
involved in this area. It is always
most stringent of laser safety protocols
MLSO and Medical Director should
recommended that each cosmetic
and oversight.
also be aware that it is not uncommon
physician office educational program
Currently, states are quite variable
(Continued on page 85)
78 —
march-april 2008 | www.aesthetictrends.com
PRESS CORNER PRESS CORNER
Facelifts Fuel Rise in Cosmetic Operations
facial rejuvenation.”
The most popular operation among
men was rhinoplasty, or nose job, with A record number of women
more than 700 men taking this option,
having facelifts fuelled a 12% rise
a rise of more than a third. Liposuction
in cosmetic operations in Britain last
was the next most popular, with 582
year, figures show. A total of 32,453
procedures (up 18%), then eyelid
surgical procedures were carried out,
surgery, ear correction and neck or
compared with 28,921 in 2006, the
facelifts (230 - up 21%).
British Association of Aesthetic Plastic
Surgeons said.
on men, up 27% on the 177 in 2006,
and 10 times the 22 operations carried
and the development of new wrinkles
research carefully when choosing
out in 2002. The biggest rise was in
and crow’s feet.
a provider,” commented Douglas
“tummy tucks” as 98 men underwent
McGeorge, British Association of
the procedure, up from 61 in 2006 - a
ingredients is Euk-134, which is
Aesthetic Plastic Surgeons.
rise of 61%.
a powerful antioxidant with anti-
Source: BBC News
inflammatory properties that mimic
“It is crucial that people do their
Some 91% of patients were
There were 224 breast reductions
the activity of natural skin enzymes to
women, but “tummy tucks” and breast reductions on men also increased to record levels. Association members reported a 37% rise in face or necklifts on women to 4,238. The annual audit
One of Alphasomes most unique
protect skin tissue against free radicals
Doctor D. Schwab Alphasomes™ RC Rejuvenate and Correct
and the damaging effects of the sun.
CA BOTANA is a leading
manufacturer of personal care products with worldwide distribution. With over
covers only members of the association,
likely to be higher.
rejuvenating and stimulating anti-aging
BOTANA has studied the effects of sea
line for mature skin manufactured by
extracts, plants, herbs, and vitamins
women remained breast enlargement
San Diego based CA BOTANA, has
and has integrated it with the latest
surgery, with 6,847 cases.This was
introduced its most luxurious product,
skin care technology to satisfy today’s
followed by eyelid surgery (5,148 - up
Alphasomes™ RC Rejuvenate and
consumers.
13%), face or neck lifts, liposuction
Correct to combat the signs of aging.
(3,990 - up 15%), and breast reduction
(3,178).
its kind on the market today which
800.872.2332
contains a proprietary blend of
www.ca-botana.com
The most popular operation for
The association says it is the rise of
Doctor D. Schwab, a unique
40 years of in-house research, CA
so the true number of procedures is
Alphasomes is the only product of
CA BOTANA International, Inc.
non-surgical versions, involving fillers
vegetable ingredients and transformers
and BOTOX™, that is responsible for
which act as an alternative to
the increase in facelifts. Rajiv Grover,
BOTOX™. The cream’s re-densifying
the association’s secretary, said: “Ten
action helps to fill wrinkles and smooth
years ago there may not have been
out expression lines. Additionally,
much choice between a face cream
Alphasomes prevents the breakdown
and a facelift, but more recently non-
of the skin’s elastin, promotes collagen
surgical procedures have introduced
production, corrects loss of skin tone
CLZR) announced that Robert LaRoche
a large number of patients to gradual
and firmness, and prevents dehydration
has joined the company as Vice
march-april 2008 | www.aesthetictrends.com
Candela Names Robert LaRoche Vice President of Global Marketing Candela Corporation (NASDAQ:
79—
PRESS CORNER and services its products in over 70
acknowledge healthcare professionals
countries from offices and distributors
for their significant contributions to
in the United States, Europe, Japan,
patients and medical care.
President of Global Marketing. Mr.
China, and other Asian locations.
LaRoche will lead Candela’s worldwide
Candela established the aesthetic laser
have received throughout the
marketing efforts of current products
market 18 years ago and currently has
years are a true testament to the
and pipeline product opportunities.
an installed base of an estimated 12,000
immense dedication that healthcare
lasers worldwide.
professionals display on a daily
“With over 25 years of medical
basis,” said Michael Singer, President
device marketing and sales experience, Bob is a proven leader in the medical
Candela Corporation
and CEO of Cherokee Uniforms.
device marketplace. We are confident
800.733.8550
“We are proud to recognize those
that he will apply his unique skill set
www.candelalaser.com
individuals who have made the healthcare industry what it is today
and insight to drive sales revenues and
by providing care and compassion to
increase global awareness of Candela’s products,” said Jay Caplan, Chief Operating Officer. Most recently, Mr. LaRoche served
Cherokee Inspired Comfort Awards Program Call for Nominations
their patients at times when they need it the most.”
To nominate a healthcare
professional, visit www.
as Vice President of Marketing and Sales at InfraReDx, Inc., a Burlington,
Massachusetts-based medical device
Cherokee Uniforms first began
a nomination form from a Cherokee
start-up, where he led the marketing
recognizing healthcare professionals
Uniforms retailer. Candidates may
and sales development process for
through its Inspired Comfort Awards
be nominated in two of the following
the company’s first commercialized
program. Since that time, the leading
categories but can only win in one:
product. Prior to that, he was Founder
Six years have passed since
designer and manufacturer of
Registered Nurses (RNs); Advanced
CherokeeUniforms.com or pick up
and President of Octant Marketing
Practice Nurses (APNs); Licensed
Inc., a consultancy serving the medical
Practical Nurses/Licensed Vocational
products industry, and has also
Nurses (LPNs/LVNs); Students
held various managerial marketing
enrolled in schools of nursing; and
positions.
other Non-Physician Healthcare healthcare apparel has awarded nearly
Professionals.
degree in Marine Fisheries Biology
60 healthcare professionals from
from the University of Massachusetts
across the country for their exceptional
a donation for every healthcare
Amherst.
service, sacrifice, and innovation.
professional who is nominated for
Although winners have had diverse
the award through May 31, 2008,
and distributes innovative clinical
backgrounds, all of them have one
to Nurses House, a national fund
solutions that enable physicians,
thing in common—a sincere passion
that provides short-term financial
surgeons, and personal care
for bettering the lives of others.
assistance to registered nurses facing
practitioners to treat selected cosmetic
serious hardship.
and medical conditions using lasers,
March 1 – May 31, 2008 for this
aesthetic laser systems, and other
year’s awards program. The program
Cherokee Uniforms
advanced technologies. Founded near
provides a meaningful way for
818.671.2100
Boston in 1970, the company markets
peers, friends, and colleagues to
www.CherokeeUniforms.com
Mr. LaRoche earned a Bachelor’s
Candela Corporation manufactures
80 —
“The nominations that we
Nominations are being accepted
march-april 2008 | www.aesthetictrends.com
Cherokee Uniforms will make
PRESS CORNER workstations.”
Cynosure Announces Three New Aesthetic Products
Recently FDA cleared,
SmartSense is a proprietary intelligent handpiece delivery
Cynosure, Inc. (Nasdaq: CYNO), a
system for Smartlipo, Cynosure’s
GLS’ New Thermoplastic Elastomer Offers PhthalateFree / Plasticizer-Free Formulations
leading developer and manufacturer
ground-breaking, minimally invasive
of a broad array of light-based
system that liquefies and removes
aesthetic treatment systems,
localized deposits of fat and results
(NYSE: POL), and global leader in the
announced the introduction of three
in tissue tightening through tissue
manufacture of high-performance,
aesthetic products for fast-growing
coagulation.
custom-formulated thermoplastic
elastomers (TPEs), announced the
Accolade is a high powered
GLS Corp., a PolyOne company
755 nm, Q-switched Alexandrite
introduction of a new phthalate-free
laser for the removal of pigmented
TPE in its specialty VERSAFLEXTM
lesions. The unique combination
TPE product line. The new product,
of various spot sizes and the
called VERSAFLEX CL E95 TPE,
laser’s high repetition rates allow
addresses recent regulations limiting
applications including laser lipolysis,
for rapid treatment. “Given the
phthalate-based plasticizers and
the removal of pigmented lesions and
market potential for this technology,
recent market demands for low
ablative skin resurfacing. Cynosure
particularly in the Asia Pacific
extractable TPEs. This new phthalate-
will showcase its new products,
region, we are excited about the
free, plasticizer-free TPE offers water
SmartSense™ for Smartlipo™,
prospects for Accolade,” Davin said.
clarity, sterilization capability, and
Accolade™ and Affirm Er, at the
“As a flagship product, Accolade is
low extractables. It is well suited for a
American Academy of Dermatology
expected to generate a minimum of
variety of extruded tubing and films as
(AAD) 2008 Annual Meeting, in San
$10 million in revenue in its first full
well as blow-molded bags, containers,
Antonio, Texas.
year on the market.”
toys, and other infant care items.
According to Joseph Kutka, GLS
“Cynosure’s strategic vision
Cynosure’s new Affirm Er is a
is centered on the continuous
2940 nm wavelength, Erbium:YAG
Technology Launch Manager, “We
improvement of aesthetic procedures
laser for ablative skin resurfacing
developed VERSAFLEX CL E95
through technology innovations that
applications, such as the treatment
to provide
benefit patients and practitioners,”
of deep lines and wrinkles. The
our medical
said Michael Davin, Cynosure’s
Affirm Er handpiece is designed
customers with
President and Chief Executive
as a complementary fourth
an extrudable
Officer. “Each of the products we are
wavelength for the Affirm Anti-
and water
launching today fulfills that mission.
Aging workstation, Cynosure’s
clear product
Accolade, the sixth flagship product
award-winning platform for
that complies
we have introduced in the past four
anti-aging applications such as
years, creates exciting new revenue
skin rejuvenation, wrinkles, skin
demands of autoclave sterilization.
opportunities for us, particularly
discoloration, and tissue tightening.
We view our new plasticizer-free
with the
technology, combined with our entire
in markets throughout Asia, while SmartSense and Affirm Er enhance
Cynosure, Inc.
phthalate-free TPE product line, as
the benefits and performance of
800.886.2966
the technology platform to support our
our two most recently introduced
www.cynosure.com
customers requiring no phthalates. (Continued on page 84)
march-april 2008 | www.aesthetictrends.com
81—
meetings &
January 2008
The American Academy of Cosmetic Surgery – AACS 24th Annual Scientific Meeting January 17 - 20, 2008 Rosen Shingle Creek Resort Orlando, FL Contact: Moira Murphy 312.981.6762 p www.cosmeticsurgery.org The Orlando Dermatology & Aesthetic Conference – ODAC January 18 – 21, 2008 Buena Vista Palace Orlando, FL Contact: Beth-Ellen Keyes 646.453.5709 www.orlandoderm.org American Academy of Facial Plastic & Reconstructive Surgery – AAFPRS 14th Annual Winter Symposium on the Latest Advances in Facial Plastic Surgery January 18 - 22, 2008 Vail Marriott Mountain Resort and Spa Vail, CO Contact: Ollie Edwards 703. 299.9291, ext 237 p oedwards@aafprs.org www.aafprs.org
February 2008
American Academy of Dermatology – AAD 66th Annual Meeting February 1 - 5, 2008 San Antonio,TX Contact: Robin Downey 866.503.SKIN (7546) www.aad.org Advances in Cosmetic Medical Dermatology – ACMD MauiDerm 08 Advances in Cosmetic Medical Dermatology February 25 - March1 , 2008 Grand Wailea Resort Maui, Hawaii Contact: ACMD Administrative Office www.acmd-derm-hawaii.coml
82 —
March 2008
Medical Spa Expo March 23 - 25, 2008 Los Angeles Convention Center Los Angeles, CA Contact: Reed Exhibitions 800.363.3631 p www.spaandresortexpo.com
American College of Obstetricians And Gynecologists – ACOG 56th Annual Clinical Meeting May 3 - 7, 2008 Ernest N. Morial Convention Center New Orleans, LA Contact: acm@acog.org 202. 638.5577 www.acog.org/acm
Dermatology Nurses’ Association – DNA 26th Annual Convention March 25 - 28, 2008 Las Vegas Hilton Las Vegas, NV Contact: DNA@ajj.com 800.454.4DNA (4362) p www.dna.inurse.com
China Beauty Expo May 20 - 22, 2008 Shanghai New International Expo Center Shanghai, China Contact:Vanessa Kuhlmann +49 711 490 890 0 beauty@businessmediachina.com
June 2008 April 2008
American Society for Laser Medicine & Surgery – ASLMS 28th Annual Meeting April 2 - 6, 2008 Gaylord Palms Resort Kissimmee, FL Contact: Dianne Dalsky 715.845.9283 p dianne@aslms.org www.aslms.org American Academy for Anti-Aging Medicine–A4M 16th Annual International Congress April 25 - 27, 2008 Gaylord Palms Resort & Convention Center Orlando, FL Contact: Aaron Smith 800.558.1267 p www.worldhealth.net
May 2008
American Society for Aesthetic Plastic Surgery – ASAPS/ASERF Annual Meeting May 1 - 6, 2008 San Diego Convention Center San Diego, CA Contact: Linda Stanton 800.364.2147 p www.surgery.org march-april 2008 | www.aesthetictrends.com
Cosmetic Boot Camp 4th Annual Meeting June 12 - 15, 2008 Broadmoor Resort Colorado Springs, CO 888.355.3675 p www.cosmeticbootcamp.com International Esthetics, Cosmetics and Spa Conference – IECSC June 28 - 30, 2008 Las Vegas Convention Center Las Vegas, NV Contact: John Clarke 800.624.3248 info@iecsc.com www.iecsc.com
July 2008
American Academy for Anti-Aging Medicine – A4M July 17 - 19, 2008 Washington, DC Contact: Aaron Smith 800.558.1267 p www.worldhealth.net American Academy of Dermatology–AAD Academy ’08 Summer Meeting July 30 - August 3, 2008 Chicago, IL Contact: Robin Downey 847.330.0230 p www.aad.org
events 2008 August 2008
Face & Body–Spa & Healthy Aging Annual Conference & Exhibition 15th Annual Meeting August 16 - 18, 2008 Moscone North San Francisco, CA Contact: Faceandbody@allured.com 630.653.2155 p www.faceandbody.com
September 2008
Medical Spa Expo September 8 - 10, 2008 Jacob Javits Convention Center New York, NY Contact: Reed Exhibitions 877.271.6789 American Academy of Family Physicians –AAFP Annual Scientific Assembly September 17 - 21, 2008 San Diego, CA Contact: Sondra Biggs 800.874.2237 x 5360 p www.aafp.org American Academy of Facial Plastic & Reconstructive Surgery–AAFPRS Annual Fall Meeting September 18 - 20, 2008 Promer House Hilton Chicago, IL Contact: Ollie Edwards 703. 299.929 p oedwards@aafprs.org www.aafprs.org American Academy of Otolaryngology Head and Neck Surgery–AAOHNS 2008 Annual Meeting & OTO EXPO September 21 - 24, 2008 McCormick Place Convention Center Chicago, IL Contact: Irma Chavez 703.519.1557 p www.entnet.org
International Society of Cosmetic and Laser Surgeons–ISCLS 17th Annual Meeting Date and Location to be Determined Contact: info@thesentergroup.com 312.981.6799 p www.iscls.org
October 2008
International Esthetics, Cosmetics & Spa Conference–IECSC October 4 - 6, 2008 Orlando/OC Convention Center Orlando, FL Contact: John Clarke 800.624.3248 p info@iecsc.com www.iecsc.com China International Beauty Week Date Pending Beijing Exhibition Center, Beijing, China Contact:Vanessa Kuhlmann +49 711 490 890 0 p www.beautyweek-china.com American Society of Plastic Surgeons– ASPS 77th Annual Scientific Meeting October 31 - November 5, 2008 McCormick Place West Chicago, IL Contact:ASPS/PSEF Registration 800.766.4955 p www.plasticsurgery.org
American College of Phlebology–ACP 22nd Annual Congress November 6 - 9, 2008 Marco Island Marriott Resort Golf Club & Spa Marco Island, FL Contact: Dana DePonzi 510.834.6500 p www.phlebology.org American Academy of Ophthalmology–AAO joined with European Society of Ophthalmology -SOE Annual Meeting November 8 - 11, 2008 Georgia World Congress Center Atlanta, GA Contact: Meetings Department 415.561.8500 x320 p www.aao.org International Spa Association–ISPA 18th Annual ISPA Conf. & Expo November 10 - 13, 2008 Las Vegas, NV Contact: Jennifer Spencer 888.651.4772 p www.experienceispa.com American Society of Cosmetic Dermatology and Aesthetic Surgery – ASCDAS 7th Annual Meeting and Exhibition December 4-7, 2008 The Wynn Las Vegas Resort Las Vegas, Nevada Contact: Larry Bodkin 850.531.8330 p lbodkin@ascdas.org
December 2008 November 2008
American Society for Dermatologic Surgery–ASDS 35th Annual Scientific Meeting November 6 - 9, 2008 J.W. Marriott Orlando, FL 847.956.0900 p www.asds.net march-april 2008 | www.aesthetictrends.com
American Academy of Anti-Aging Medicine–A4M 16th Annual World Congress on Anti-Aging Medicine and Regenerative Biomedical Technologies December 11-14, 2008 Venetian Hotel Las Vegas, NV Contact: Aaron Smith 800.558.1267 p www.worldhealth.net
83—
PRESS CORNER
(Continued from page 81)
By choosing this technology, customers requiring a single nonphthalate-containing global product can manufacture and market their
Institute for Aesthetic Medicine Announces New Laser Training Physician and Nurse Networks
products globally.”
California recently passed a bill
“Receiving aesthetic hands-
on laser training in a hotel setting is not conducive to a real-world environment and is potentially risky,” said Michael Gold, M.D., Chief
The Institute for Aesthetic
Medical Officer and co-founder of
(California AB 1108) that will restrict
Medicine (IAM) announced the
The Institute for Aesthetic Medicine.
six forms of phthalates used in any
creation of a nationwide laser-
“Only training in a well-defined
toy or childcare article beginning Jan.
training physician and nurse network
clinical setting can deliver the most
1, 2009. Other states are considering
for plastic surgery and dermatology
professional, efficacious skills.”
similar legislation, and the European
professionals. Laser practitioners
Parliament voted in 2005 to restrict
unable to attend one of IAM’s
in Charlotte, NC, Feb 23-24 (Sciton-
the same six forms of phthalates in
clinical, hands-on certification
sponsored); Maui, HI, Feb 26-28
toys and child care items as well (EU
classes can now have personalized
(George M. Martin, M.D. - IAM
Directive 2005/84/EC). Finally, there is
clinical training in a single visit. “The
Physician Network Office), and
Certification classes will be held
a growing trend in the marketplace to
physician
Baltimore, MD, Mar 1-2. Participants
reduce the use of phthalates in global
and nurse
receive up to 24 CME contact hours
products.
networks
depending on course selection. For
are
some training venues, IAM offers a
free GLS VERSAFLEX™ CL E95
unique as
third day of training and certification
thermoplastic elastomer in medical
they bring
for Medical Laser Safety Officers
devices such as this face mask can
office-
(MLSOs). Personalized, in-office
help manufacturers comply with
side laser
physician and nurse network training
existing and future regulations
training
is arranged by directly contacting
restricting phthalate use. The GLS
to busy
IAM.
The use of clear, phthalate-
material offers high performance
aesthetic laser practitioners,” said
in extruded and blow-molded
Amy Pope, director of the IAM Nurse
organized in 2007. Co-founders
applications.VERSAFLEX CL E95 TPE
Network. “Think of it as ‘concierge’
Cindy L. Vandruff and Michael H.
offers a unique balance of superior
laser training at your door.”
Gold, M.D. are leading experts in the
clarity, low hardness, and excellent
aesthetic medical industry. The main
flexibility at low temperatures as
designed for users of all skill levels—
focus of the company is education,
compared to competitive products. The
both physician and staff, new or
hands-on training and safety through
new grade is stable under gamma and
veteran. The instruction takes the
an extensive network of partners
autoclave sterilization. Leveraging its
attendee from basic concepts of light
and affiliates. For more information
well-known customization capabilities,
and clinical application through
about IAM or CME training classes
GLS can tailor this technology suite
a clear path to the most current
contact Gregg Wright, President and
into a variety of different hardnesses,
thinking on how, why, and when
General Manager, gregg.wright@
custom colors, and flow properties.
aesthetic procedures are performed.
iameducated.com.
The CME-based classes are
IAM is a Miami-based corporation
Participants now have a single GLS Corp.
laser training resource dedicated
Institute for Aesthetic Medicine, Inc.
815.385.8500
to improving patient safety and
800.436.9311
www.glscorp.com
minimizing professional liability.
www.IAMeducated.com (Continued on page 87)
84 —
march-april 2008 | www.aesthetictrends.com
follow the state trend or future
laser safety policy should be
offerings. Consents and other
legislative practices. If a specific state
developed to provide guidance
administrative documentation
does not offer such information as yet,
for the safe use of all office laser
may need to be presented to your
systems.
physician malpractice insurance
general training guidelines for the laser operator and support staff may be
• Operator’s Manual: Specific
found in the ANSI Z136.3 Guidelines.
operator’s manual should be
Educational practices and training
available for all lasers.
are a key component to providing
provider. • Patient Documentation: Patient documentation should be provided
• Standard Operating Procedures:
to show the laser and parameters
documentation for a reputable laser
Standard Operating Procedures or
used, date, laser operator, delivery
safety compliant office program. It
SOPs should be developed for each
system, or any other information
is always recommended to keep
device to offer a step-
documentation of each educational
by-step process of
process taken by laser operators and
Turn On, Operational
the MLSO.
Process and Clinical Parameters, and Turn
DOCUMENTATION
Off procedures for
each device.
The key component to all
office laser safety programs is
The safety of patients and staff should be paramount in all laser and IPL practices.
• Standing Orders: Depending on
that may be pertinent to that
documentation. Although many
the state and the level of delegation
offices may feel they are going
and licensure required of the
through all of the proper procedural
operator, standing orders may be
can be most helpful to incorporate
processes to establish a laser safety
required to meet state medical
a process to document the use of
program, documentation of these
board requirements. This Standing
each device on a daily basis. This
processes is crucial and is often
Order may include the specific
document should be kept with the
the missing component. Here are
device SOP.
equipment and show how often
a few suggestions for program
practice management
(Continued from page 78)
• Patient Consents: Patient consents
patient’s treatment • Equipment Use Documentation: It
the equipment is used and any
documentation:
are developed on the needs of
maintenance or service issues that
• Training and Education: Once you
each specific office and procedural
may arise.
have determined what your internal requirements will be for physician and non-physician laser operators based on federal guidelines, state regulations, and state medical boards, develop a document that will list those requirements and ensure that each of your physicians and operators meet those requirements. Show documentation of proof whenever possible. All office support staff should show documentation of basic annual laser safety training as well (per OSHA). • Laser Safety Policy: A general
march-april 2008 | www.aesthetictrends.com
85—
practice management
• Office Laser Safety Audit:
Repair: Very important in the
manufacturers or
Annually, your MLSO should
documentation process of the office
continuing with
conduct an audit process
laser safety program is the proper
undocumented laser
to determine the degree of
maintenance and repair of the
safety practices
compliance of your office laser
laser equipment. It is required
should be in the past.
and IPL safety program, based
that all laser equipment used on
The safety of patients
on your existing policies and
patients is properly maintained
and staff should be
procedures. Many states are now
according to the manufacturer’s
paramount in all laser
suggesting or requiring an office
recommendations. Each laser
and IPL practices.
quality assurance program to be
should have a dedicated file
Unsafe practices
documented as well. The Office
showing such proof of routine
and undocumented
Laser Safety Audit program can
maintenance. Any repair that
programs are risks
be developed internally and may
takes place should also show
that no cosmetic
be most useful when developed as
proper documentation. Any laser
practice should be
a working document to show how
equipment that is rented is also
willing to take.
quality is assessed and improved
required to show documentation,
throughout the year.
on the premises, that the equipment
• Incident Report Documentation:
is properly maintained.
Issues arising from unexpected
Leslie Pollard
outcomes can be very helpful to
INTENSE PULSED LIGHT
was recruited to
track on an internally developed
Although Intense Pulsed Light
start a surgical
incident report form. This type of
devices are not lasers, many specific
laser program
documentation can provide very
state regulations regarding laser
valuable quality improvement
safety and state medical boards
data, and when used properly, can
providing guidance as to educational
also consider a quality assurance
requirements and delegation of laser
program.
operation have incorporated the IPL
• Laser Safety Committee: When more than two laser operators
devices into their laser safety programs and policies.
provide services in the physician
center facility in Asheville, NC where she established the first laser program in WNC to the growth of 21 multi-disciplinary laser systems, as well started and supervised the Minimally Invasive Surgical Team for
office, the federal government
KNOW ANSI STANDARDS
the Health System, providing multiple
suggests the formation of a formal
The office Medical Laser Safety Officer
technologies for clinical application and
office committee to document the
should not only be knowledgeable
teaching and training of physicians,
sharing of information pertaining
about basic laser physics, biophysics,
residents, nursing, and surgical
to the development of a laser safety
and safety, but also should have a
technologists in the many facets of laser
program or issues encountered over
knowledge base that provides the
the course of day-to-day operations.
information and skill sets available to
The laser safety committee is not
utilize the Federal ANSI Standards
mandatory; but if it is a part of
and any applicable state standards to
the office process, the discussions
the specific office practice. Specific
and outcomes of the committee
MLSO training programs may be most
discussions should be documented.
helpful.
• Preventative Maintenance and
86 —
at a medical
The days of relying on the device
march-april 2008 | www.aesthetictrends.com
technology. In 2002, she established her own business, Southwest Innovative Technologies, Inc. to dedicate herself to the education of those in healthcare to new medical technologies and lasers. She provides services to hospital environments as well as medical spas utilizing medical laser technology.
PRESS CORNER
(Continued from page 84)
device for women was developed by
Palomar together with Gillette. It is
Sadick, Weill Medical College of Cornell
the first light-based aesthetic device
University Department of Dermatology,
to receive a 510(k) over-the-counter
New York, demonstrated a significant
(OTC) clearance from the United States
reduction in periorbital wrinkles and
(Nasdaq: PMTI), a leading researcher
Food and Drug Administration (FDA).
improvements in skin tone, clarity,
and developer of light-based systems
OTC clearance allows the product
smoothness and elasticity.
for cosmetic treatments, announced
to be marketed and sold directly to
that it has entered into a non-exclusive
consumers without a prescription.
of the company and its development
License Agreement with The Procter
Designed specifically for use in the
of light-based technologies. We are
& Gamble Company (NYSE: PG) to
home and based on over a decade
extremely proud of our medical heritage.
exploit home-use light-based hair
of research, this consumer device
We believe in producing light therapy
removal devices for women. This new
represents a major breakthrough in the
devices that deliver optimized treatment
aesthetic device industry.
parameters that have been rigorously
tested and clinically proven, and our
Palomar and P&G Enter New License Agreement
Palomar Medical Technologies, Inc.
In order to achieve FDA clearance,
The clinical study conducted by Neil
“This is a pivotal point in the history
numerous clinical studies with over 600
latest technological achievement is
subjects and thousands of treatments were
no different,” said Sue D’Arcy, CEO
agreement replaces the Development
conducted. These studies demonstrated
of Photo Therapeutics, Inc. “We are
and License Agreement entered into
that, when used as directed, the
excited that we can now offer Omnilux
by Palomar and The Gillette Company,
light-based device created under this
technology directly to the consumer
(a wholly owned subsidiary of P&G) on
agreement delivers comfortable, effective,
marketplace without a prescription.”
February 14, 2003, as Amended and
skin-safe hair removal.
Restated on February 14, 2007, and as
Photo Therapeutics, Inc. was
established in 1998 with the right to
further amended thereafter.
Palomar Medical Technologies, Inc.
the patented photodynamic therapy
781.993.2411
technology, the Paterson Lamp.
www.palomarmedical.com
Originating from the University of
Under this new agreement, P&G
retains a non-exclusive license to Palomar’s broad patent portfolio as
Manchester Institute of Science and
well as a non-exclusive license to the extensive technology developed by Palomar before and during the five-
Technology (UMIST) and years of
Omnilux New-U™ Hand-held Device Receives FDA Approval
year term of the prior agreement. Prior
cumulative research, the technology was launched commercially in 1998 as Omnilux.
to launching a commercial product,
P&G will pay Palomar $1.25 million per
announce it has received FDA approval
Photo Therapeutics, Inc. is pleased to
Light Therapy system offers single
calendar quarter. Following commercial
on its new over-the-counter light
platform technology with the versatility
launch P&G will pay Palomar per
therapy device, Omnilux New-U, for the
of multiple treatment heads for the
product sales under a confidential
treatment of periorbital wrinkles.
treatment of acne, wrinkle reduction,
financial arrangement which addresses
skin rejuvenation, wound healing,
both the patents and technology which
proven to reduce periorbital wrinkles
are licensed.
and to treat the visible signs of aging,
Omnilux New-U has been clinically
The now widely recognized Omnilux
psoriasis, and photodynamic therapy.
using a combination of alternate
Omnilux
Development and License Agreement,
treatments of Infrared and red light
760.607.0488
a home-use, light-based hair removal
twice a week for four weeks.
www.phototherapeutics.com
During the term of the prior
march-april 2008 | www.aesthetictrends.com
87—
PRESS CORNER Syneron™ Previews Matrix RF™ Ablative Fractional Device and Laser-Assisted Lipolysis System at American Academy of Dermatology Annual Meeting
Syneron™ Medical Ltd.
lipolysis. According to the American
The procedure noticeably reduces
Society of Aesthetic Plastic Surgery,
the appearance of cellulite after just a
the number of liposuction procedures
single treatment. The treatment tip and
has increased 128 percent from 1997 to
procedure are the result of 21 months of
2006. Syneron’s device is a minimally
clinical and technological development
invasive alternative or complement to
and use the FDA cleared ThermaCool®
the liposuction fat removing procedure,
system for the temporary improvement
designed to provide patients lasting
in the appearance of cellulite.
(NASDAQ: ELOS), an innovator in
results and little downtime. The system
the development, marketing, and
will feature disposable fiber optics.
sales of elo¯s™ combined-energy
medical aesthetic devices, announced
being previewed at the AAD, Syneron
the company will preview two new
will also be featuring its VelaShape™
technologies at the annual meeting of
device, the first FDA-cleared Class
the American Academy of Dermatology
II device for the temporary reduction
ThermaTip CL treatment tip on
(AAD) in San Antonio, Texas, on
of the appearance of cellulite, as
track and within the timeframe we
February 2-4: the Matrix RF™ and a
well as the only FDA-cleared device
expected,” said Stephen J. Fanning,
laser assisted lipolysis system.
for the temporary reduction of thigh
Chairman of the Board, President and
circumference. VelaShape, the newest
Chief Executive Officer at Thermage.
Syneron’s patented Bi-Polar Radio
addition to Syneron’s Vela™ platform of
“Cellulite offers a new market
Frequency technology to provide
non-invasive devices for body treatment
opportunity for our Company, and we
effective and comfortable skin
was launched in Aug. 2007. Since its
expect the new tip to provide a solid
rejuvenation. The tunable applicator,
launch, the VelaShape has achieved
contribution to our revenue in 2008.”
which may be used on Syneron’s
high levels of physician, media and
eLight™, eLaser™ and eMax™
consumer accolades for the results
procedure by Thermage incorporate
platforms, allows for the adjustment
seen by this non-invasive cellulite and
the Company’s patented monopolar
of ablation and coagulation settings to
circumferential reduction treatment.
capacitive radiofrequency technology.
The Matrix RF applicator utilizes
In addition to the two new devices
The ThermaTip CL and cellulite
The advanced deep heating ThermaTip
vary treatment depth and the proportion of skin treated in each session. The
Syneron Medical Ltd.
CL rebuilds collagen connective tissues
Matrix RF will also feature a single-use
866.259.6661
and improves blood flow to the tissue,
disposable. The Matrix RF is the second
www.syneron.com
helping to smooth the appearance of the skin’s surface.
product in Syneron’s series of elo¯s
fractional treatments, which currently includes the Matrix IR™ device. Like all of Syneron’s specialized applicators, the Matrix RF will be sold as an upgrade to
Thermage, Inc. Announces Initial Shipments of Cellulite Product
Thermage’s innovative technology
provides a unique non-invasive procedure designed to tighten and contour skin, significantly expanding the non-invasive aesthetic applications
the elo¯s platforms, to be used along with
88 —
“We began shipments of our
other Syneron applicators to expand the
range of aesthetic treatments physicians
leader in non-invasive tissue tightening
can offer from each eSeries platform.
in the aesthetic industry, announced
it has begun initial shipments of its
Thermage
shaping applications, will also unveil the
ThermaTip™ CL treatment tips for use
510.259.7117
company’s first device for laser-assisted
in the Company’s cellulite procedure.
www.thermage.com
Syneron, the market leader in body
Thermage, Inc. (Nasdaq: THRM), a
march-april 2008 | www.aesthetictrends.com
physicians can offer to the rapidly growing “anti-aging” market.
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 In Our FielD
George M. Martin, M.D. Dermatology Laser Center of Maui Maui, HI
David J. Goldberg, M.D. Skin Laser & Surgery Specialists New York, NY Miami, FL
Michael H. Gold, M.D. Chief Medical Officer & Co-Founder
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
You can unleash the power of xanthones with just two to three daily ounces of sensational XanGo Juice. To learn more, visit us at www.impacthealth.net/aesthetictrends/ or call 800.541.5842 to receive a free
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Waterford Business Park • 5201 Blue Lagoon Drive, Suite 800 • Miami, FL 33126 USA
march-april 2008 | www.aesthetictrends.com
All Physicians Are Board Certified
91—
2010 U.S. Laser Anti-Aging Market
Current U.S. Laser Anti-Aging Market
$54M*
$239M*
In the anti-aging market, it appears making money will never get old. Affirm Anti-Aging Workstation TM
Consumer demand for laser anti-aging treatments is expected to drive the U.S. market value to nearly $240 million by 2010.* At Cynosure, we offer the industry’s premier fractional laser with MultiPlex and TM
CAP technology. The Affirm treats everything from wrinkles and scars, to redness and pigmentation, to SM
coagulation resulting in deep tissue tightening. Its superior technology also enables you to provide more treatments to more patients, in less time. With Cynosure, you’ll be able to energize your practice as easily as you rejuvenate your patients’ skin. Visit www.cynosure.com to learn more today.
*Source: Millennium Research Group, “U.S. Markets for Aesthetic Lasers 2006,” May 2006 Cynosure Corporate Headquarters - 5 Carlisle Road, Westford, MA 01886 800-886-2966 www.cynosure.com