www.aesthetictrends.com volume 7, issue 2 | march-april 2008 the leading physician journal for aesthetics and wellness MEDICAL SPAS Top Five Strategies for HR Success PLASTIC SURGERY Sciton PROFractional Changing the Lives of Acne Patients PRACTICE MANAGEMENT Laser Safety in the Cosmetic Practice 2007 Annual Laser & Light Technology C hoice A wards ™ Categories & Nominees ANTI-AGING & WELLNESS 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 Ethics and the Practice of Aesthetic Medicine
Transcript
www.aesthetictrends.com v o l u m e 7 , i s s u e 2 | m a r c h - a p r i l 2 0 0 8
the leading physician journal for aesthetics and wellness
medical spasTop Five Strategies for HR Success
plastic surgerySciton PROFractional
Changing the Lives of Acne Patients
practicemaNagemeNt
Laser Safety in the Cosmetic Practice
2007 Annual Laser & Light Technology
Choice Awards™ Categories & Nominees
aNti-agiNg &WellNess Gene Expression as a Predictive Tool for Breast Cancer Treatment
dermatOlOgy Dietary Supplements
laser & lighttechNOlOgy Candela Serenity Pro Enhancing Patient Comfort without Compromising Results
legal case OF the mONth Ethics and the Practice of Aesthetic Medicine
Candela Laser
091107CANJOB01
0920-13-0064 Rev.01
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Neil Sadick, M.D., F.A .C.P., F.A .C.S.Sadick Aesthetic Surgery &Dermatology, New York, NY
Joel Schlessinger, M.D.Skin Specialists, P.C., Omaha, NE
Stacey L . Silvers, M.D.New York, NY
Allan E. Sosin, M.D.Institute for Progressive MedicineIrvine, CA
Jeffrey Weinberg, M.D.St. Luke’s Roosevelt Dermatology Assoc., New York, NY
Robert A . Weiss, M.D.Dermatology AssociatesHunt Valley, MD
Cheryl WhitmanBeautiful Forever, New Jersey
Carlos L . Wolf, M.D., F.A .C.S.Miami Plastic Surgery, Miami, FL
Cecil Yeung, M.D., F.A .C.S.Yeung Institute, Houston, TX
Steven E. Zimmet, M.D.Zimmet Vein & DermatologyAustin, TX
e d i t o r i a l a d v i s o r s
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.
f e a t u r e d a d v i s o r
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.
editoriala d v i s o r y p a n e l
march-april 2008 | www.aesthetictrends.com 1—
Bruce E. Katz, M.D. New York, NY
march-april 2008 | www.aesthetictrends.com2—
WWe 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.
“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,
c o n t r i b u t i n g e d i t o r sValerie J. Ablaza, M.D.Elda ArgentiJennifer Barnes Leslie S. Baumann, M.D.Charles BeckerAdina Carrel, D.M.D.David CaugerMitchell Chasin, M.D.Jacqueline ClarkPatrick Clark, CMLSOJoanna CosgroveSam 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 GreenbergLou Haggerty, PUMCNicanor G. Isse, M.D.Bruce E. Katz, M.D. Benjamin KesslerDawn LarsenElizabeth I. McBurney, M.D.Kathy Miller-KramerGreg S. Morganroth, M.D.Nick Morrison, M.D., F.A.C.S.Megan K. PackardLisa PanzicaDr. Cheryl Perlis
Leslie Pollard, CMLSODebra Price, M.D.Robert PrinceDr. Zakia RahmanMatthew Schulman, M.D.Asad Shahsavari, N.M.D.Steven D. Shapiro, M.D.Allan E. Sosin, M.D. Rada K. TierneyKen Washenik, M.D., Ph.D.Greg WashingtonSara Wasserbauer, M.D.Cheryl WhitmanGregory Wiener, M.D., F.A.C.S.Steven E. Zimmet, M.D.
a r t d i r e c t o r David Meyer p r o d u c t i o n m a n a g e r Melissa Poliseno c r e a t i v e d i r e c t o r Danielle Hudson p r o d u c t i o n d i r e c t o r Kerry Shaughnessey p r o d u c t i o n c o o r d i n a t o r B. Gunstenson
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Published by Aesthetic Trends & Technologies, Inc. Please address all correspondence to 201 South Biscayne Blvd., Suite 2800, Miami, FL 33131 USA. Aesthetic Trends & Technologies, Inc. makes all attempts to publish accurate information. However, this publication may contain technical inaccuracies or typographical errors. The reader assumes all risks concerning the suitability and accuracy of the information within this publication. Aesthetic Trends & Technologies, Inc. and its contributing editors assume no responsibility for and disclaims all liability for such inaccuracies, errors or omissions in this publication and in other documents referred to within or affiliated with this publication. Aesthetic Trends & Technologies™, the leading physcian journal for aesthetics and wellness, is a trademark of Aesthetic Trends & Technologies, Inc. Reproduction in whole or in part without permission is strictly prohibited.
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march-april 2008 | www.aesthetictrends.com 7—
OOf all the matters of wellness for a
woman, breast health is near the very
top—and with good reason. Breast
cancer, despite significant treatment
improvements in recent years, remains
a real risk. Nearly 180,000 U.S. women
were diagnosed with invasive breast
cancer in 2007, according to American
Cancer Society figures.
Statistics show that one in eight
American women will develop breast
cancer sometime during their lifetime.
Compounding the problem is the fact
that breast cancer develops from a
broad array of causes, both genetic
and lifestyle-related, and presents itself
in many different forms. Correctly
diagnosing the cancer type, selecting
the most appropriate therapy for the
particular patient, and assessing risk
of cancer recurrence are all daunting
treatment challenges.
Of the various types of breast
cancer, 70 to 75% are
estrogen receptor-
positive, or ER+.
This designation
means that estrogen
stimulates the
growth of cancerous
tumors by activating
estrogen receptors of the cancer cells.
Tamoxifen remains the most common
form of adjuvant (post-surgical)
endocrine treatment to reduce the risk
of subsequent recurrence in pre- and
post-menopausal, ER+ tumors, and is
the world’s largest selling drug for that
purpose. Tamoxifen blocks the estrogen
receptors of breast cancer cells, thereby
inhibiting estrogen stimulated tumor
growth.
ER+ patients, especially those whose
cancers have not spread to the lymph
nodes (node-negative), have a good
overall survival prognosis when surgery
is followed by adjuvant endocrine
therapy, typically tamoxifen. Tamoxifen
has been a standard of care therapy for
anti-aging & wellness
Gene Expression as a Predictive Tool for Breast Cancer Treatment By Mark G. Erlander, Ph.D.
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.
atn tanti-
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march-april 2008 | www.aesthetictrends.com8—
women with ER+ breast cancer for over
thirty years. In addition to tamoxifen,
which works in both pre- and post-
menopausal women, a new class of
drugs known as aromatase inhibitors
is also available for post-menopausal
patients. This new class of therapy
actually blocks the body’s ability to
synthesize estrogen, thereby reducing
its availability to fuel tumor growth.
The clinical utility of these therapies
is well established, yet roughly 40%
of ER+ breast cancers either fail to
respond, or develop resistance to them.
It is currently difficult to determine
which ER+ patients after surgical
removal of the breast cancer carry the
risk of developing a subsequent distant
metastasis (i.e., cancer recurrence).
Clinical studies reveal that an ER+,
node-negative patient’s risk of
developing a distant metastasis ranges
from 10% within five years, to nearly
20% within 10 years.
BETTER TREATMENT DECISIONS Clinicians have historically been
limited largely to analysis of tumor
size, grade and nodal status when
making adjuvant treatment decisions.
The advent of gene-expression tests,
however, has given doctors a powerful
new means of both predicting a tumor’s
responsiveness to treatment and
assessing its intrinsic aggressiveness.
In order to provide optimal
diagnostic, prognostic, and therapeutic
information to the clinician, new
gene expression tests have been
developed that identify the molecular
characteristics of each patient’s tumor.
With a better understanding of the
underlying molecular pathways that
drive breast cancer development and
growth, a more individualized and
improved treatment plan can often be
devised.
To develop these tests, genome-
wide surveys have been conducted
to isolate biomarkers consistent with
positive or negative clinical outcomes.
Patients who have undergone adjuvant
tamoxifen therapy and yet experienced
recurrence, for example, have been
compared to patients for whom a
tamoxifen regimen has proved effective.
Through the retrospective analysis of
these studies, researchers
have gleaned insights into
the molecular basis of breast
cancer that were hardly
imaginable 15 years ago.
TWO-GENE SIGNATURE AviaraDx, in
collaboration with researchers at
Harvard Medical School, discovered two
genes known as HOXB13 and IL17BR,
that can be examined together as a
gene expression ratio to predict patient
outcome to endocrine therapy.1 The
expression of both HOXB13 and IL17BR
is controlled by estrogen via opposing
mechanisms, and the measurement of
the HOXB13:IL17BR expression ratio
provides important information about
the functionality of estrogen-stimulated
signaling in ER+ breast cancers.2
HOXB13 is rarely expressed in
normal breast tissue but is expressed in
some pre-invasive and invasive breast
cancers. The IL17BR gene is located in
a chromosomal region that is frequently
lost in cancer and is positively regulated
by estrogen.
By measuring the ratio of HOXB13/
IL17BR, oncologists are able to predict
both treatment benefit and recurrence
risk for ER+, node-negative patients
receiving endocrine therapy with a high
degree of confidence. For example,
those patients with a high ratio of
HOXB13 to IL17BR are less likely to
benefit from adjuvant tamoxifen, while
a lower ratio indicates a favorable
response.3
To date, analysis in over 2,700
patients, in six clinical studies from
Harvard Medical School, Mayo Clinic,
as well as two European medical
institutions, have
validated H/I as
both a biomarker for
assessing recurrence
risk as well as a
predicting benefit
to tamoxifen
therapy.1,3-7
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.
march-april 2008 | www.aesthetictrends.com
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march-april 2008 | www.aesthetictrends.com 9—
The HOXB13/IL17BR test, known
as H/ISM (pronounced “H over I”),
is a reliable indicator of long-term
recurrence risk. Higher expression
of HOXB13, lower expression of
IL17BR, and a higher HOXB13/IL17BR
index have all been associated with a
high risk of relapse. In a 2006 study
published in the Journal of Clinical
Oncology4, the H/I test has been shown
to assess recurrence risk irrespective
of subsequent adjuvant therapy.
Researchers in that study reported that
an ER-positive, node-negative patient
with a low two-gene index of -2.0 has
a 21% absolute difference in five-year
recurrence risk compared to a patient
with a high H/I index of +2.0.4
IMPROVED TUMOR GRADING Gene-expression testing has also
been shown to improve one of the
most commonly used measurements of
assessing risk of cancer recurrence, that
is, tumor grade. Every breast cancer is
assessed by a pathologist to determine
the aggressiveness or grade of the
tumor. Tumor grade ranges from Grade
1 (well-differentiated, least aggressive)
to Grade 3 (poorly differentiated, highly
aggressive), and is determined by visual
inspection of a histologically-stained
tumor using standard light microscopy.
The modified Scarff-Bloom-Richardson
grading system is the most commonly
used method for establishing tumor
grade in invasive breast cancers.
While histological analysis of
tumors can help predict the risk of
recurrence, assessment is subjective
due to significant variability between
pathologists. Furthermore, over 50%
of breast tumors are determined to
be Grade 2 (”intermediate tumor
grade”), a grade that makes treatment
decisions more difficult for the treating
oncologist. It is well established that
patients with Grade 3 tumors benefit
from chemotherapy,
whereas patients
with Grade 1 tumors
do not. It is within
the intermediate,
grade 2 tumors
that the benefits
of chemotherapy
treatment are more
difficult to measure
and the toxicities of such therapy harder
to justify without a known clinical benefit.
Here again, gene expression
analysis of the tumor has been shown
to be clinically useful. In a series of
studies, Sotiriou and colleagues have
demonstrated that measurement of
tumor grade-related gene expression
is the common denominator for the
assessment of recurrence risk by current
gene expression tests.8-11 AviaraDx,
in partnership with a research team at
Harvard Medical School, developed
and clinically validated a five-gene
tumor grade signature known as MGI
(Molecular Grade Index) that replicates
tumor grades 1 and 3 and eliminates
the intermediate grade by stratifying
Grade 2 tumors as “Grade 1-like”
and Grade 3-like”.7 By stratifying
Grade 2s, MGI eliminates the middle
ground of “intermediate” and thereby
provides important treatment insights for
oncologists in more than 50% of breast
cancers. For example, a high MGI 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.
Recently, AviaraDx and their
collaborators at Harvard Medical School
have examined the clinical utility of
measuring both H/I and MGI to assess
recurrence risk in ER+, node-negative
patients. Because H/I and MGI measure
distinct but inter-related tumor biology
as it relates to tumor aggressiveness, it
was hypothesized that assessing both
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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.
march-april 2008 | www.aesthetictrends.com10—
H/I and MGI status will be superior
for assessing overall recurrence risk.
Indeed, the combination of H/I and
MGI is synergistic and superior to either
biomarker alone in risk assessment.
A large clinical validation study of the
combination of these two biomarkers
is ongoing, with results expected to be
published by the end of 2008.
MYSTERIES REVEALED Given that breast cancer remains
the most common form of cancer
in U.S. women, it is difficult to
overemphasize the importance of
continued investigation into the
disease. Fortunately, the advent of
genomic research has opened a broad
new field of inquiry not only into the
causes of the disease, but also into more
individualized and efficacious treatment
options.
With greater accuracy than ever
before, it is possible to look into the
Mark Erlander,
Ph.D. serves as
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
Institute (Johnson & Johnson). Prior
to his time at Johnson & Johnson, Dr.
Erlander was an Assistant Member
and postdoctoral fellow at The Scripps
Research Institute in the Department of
Molecular Biology. He graduated with
a B.S. degree in Biochemistry from the
University of California, Davis, an M.S.
degree in Biochemistry from Iowa State
University, and received his Ph.D. in
Neuroscience from the University of
California, Los Angeles. Dr. Erlander is an
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
anti-
aging
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llness
&
future and see where therapeutic paths
will lead, perhaps even foregoing
adjuvant therapies in many cases. What
is more, analysis of gene signatures
allow clinicians to counsel their patients
with increasing degrees of confidence
regarding their risk of recurrence and
the most appropriate treatment path for
their individual situation. Through tests
like H/I and MGI, the mysteries of one
of the greatest threats to women’s health
are beginning to be revealed.
REFERENCES
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.
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.
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)
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
9. Desmedt, C., Sotiriou, Proliferation. The Most Prominent Predictor of Clinical Outcome in
Breast Cancer, Cell Cycle 5:2198-202, 2006
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
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
w w w . a e s t h e t i c t r e n d s . c o m
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march-april 2008 | www.aesthetictrends.com 13—
NNutrition is an important part of
healthy skin. Due to our busy lives,
it is sometimes difficult for one to
reach daily nutritional requirements
from food alone. Supplements help
to provide the nutrition our bodies
and skin need. But, are they safe?
The Food and Drug Administration
is enforcing regulations to ensure the
safety of nutritional supplements.
Within the next 1-2 years, supplement
manufacturers will need to satisfy
these requirements or go out of
business. The cost of buying these
supplements will substantially
increase.
What has caused this change? Are
vitamins and minerals dangerous?
Are people at risk of illness or death
from taking supplements? Should
supplements be regulated as if they
were drugs because they are used like
drugs, as has been suggested by an
editor of the New England Journal of
Medicine?
STATISTICS ON HEALTHCARE A visitor from another planet,
observing our current healthcare
situation, would probably think we
were crazy. The United States spends
2.1 trillion dollars on healthcare, more
than $7,000 for every man, woman and
child, or one out of every seven dollars
we earn.
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.
If vitamins were as
dangerous as drugs,
there would be no
argument about
the need for intensive regulation. Of
course, they are not as dangerous.
The use of prescription and over-the-
counter medications is responsible
for more than 100,000 deaths every
year and more than 2,000,000 serious
adverse reactions.
If this were true of supplements, we
would have no supplements. If we did
have them, no one would risk taking
them.
TREATING ILLNESS WITH DRUGS The conventional medical
paradigm treats illness with drugs and
prevents illness with drugs. Children
are recommended to have more than
20 vaccinations, sometimes 4 or 5 at
the same time, beginning at the age of
one day. Vaccinations are implicated
as a cause of neurological disease,
including autism; yet in some states
dermatology
Dietary Supplements ARE THEY SAFE? DO THEY WORK?
By Allan E. Sosin, M.D.
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.
atn tderm
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14—
it is illegal to send children to school
without them. Parents have told me
they were turned away from pediatric
practices when they refused to have
their children vaccinated.
Non-steroidal anti-inflammatory
drugs are taken by millions of people
for the relief of pain and inflammation.
They are effective, but also cause
gastrointestinal ulcers and bleeding,
fluid retention, edema, high blood
pressure and heart failure, liver and
kidney disease.
They are one of the major causes
of hospitalization for congestive heart
failure and are considered responsible
for about 10,000 deaths a year. Most
of them are available over the counter.
So much for the safety of non-
prescription drugs.
Every year 4 or 5 well known drugs
are withdrawn by pharmaceutical
company decisions or after FDA
recommendations, when previously
unrecognized toxicity is discovered.
Rezulin, the first of a new class of
antidiabetic drugs, was withdrawn
several years ago, after about
40 people died of liver failure.
Remarkably, this drug was approved
for use in the United States even
after it had been removed in England
because of excessive liver toxicity.
Are livers any different in England
than they are in the United States?
Last month a related diabetic drug,
Avandia, was withdrawn after
excessive cardiac failure and death
were identified. Vioxx, a non-steroidal
pain reliever, was interred in the drug
cemetery because it caused heart
attacks and death, after it had been
prescribed to millions for years.
FEDERAL DRUG ADMINISTRATION Drugs are approved for use by
the FDA after only brief studies have
demonstrated statistical benefit. There
are NEVER any long-term studies
performed prior to drug approval,
because costs are prohibitive. Thus
many drug complications are
discovered long after the drug is
released for patient consumption.
It is only years later, after many
patients have suffered unanticipated
complications, or died, that
adverse drug effects lead to
termination.
Sometimes
medications are approved
because they benefit a
clinical marker, with no
proof that they prevent or
cure disease. After several years of
proliferating prescriptions and billions
in profits, a cholesterol-lowering
drug was found to actually increase
arterial degeneration. Apparently the
sponsoring pharmaceutical company
withheld the damaging results of
research for two years, until forced to
release them by congressional pressure.
The adverse effects of drugs are
under-reported and deliberately or
unintentionally underestimated. One
type of anti-hypertensive drug was said
to cause an irritating cough in 1-2%
of patients, while the true incidence
was closer to 20%. The statin drugs,
considered a panacea par excellence
for heart disease, are claimed to cause
muscle pain and weakness in a very
small percent of patients. I have seen
this complication in many patients,
however; and it has often been
unrecognized or disregarded by their
primary physicians. Some patients
have been told to continue taking the
drug no matter how bad they felt, or
else die of heart disease. Statin drugs
provide little or no benefit for people
without pre-existing heart disease, yet
they are prescribed promiscuously,
even for eighty-year-old women
with cholesterol levels only 10 points
above normal. This type of practice is
preposterous, and it is dangerous.
PRESCRIPTION OVERKILL It is common for 60- and 70-year-
olds to be taking five and six drugs
at the same time. A couple of weeks
ago I encountered a patient taking 13
prescriptions at once. I quickly helped
him get off seven of them, and he felt
much better. As is often the case,
several of his drugs were prescribed to
Every year 4 or 5 well known drugs are withdrawn by pharmaceutical company decisions or after FDA recommendations, when previously unrecognized toxicity is discovered.
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march-april 2008 | www.aesthetictrends.com
march-april 2008 | www.aesthetictrends.com 15—
handle the side effects caused by other
drugs. A vicious cycle of effect/counter-
effect develops, with the patient the
unknowing recipient of multiple
complications.
My mother developed intestinal
problems several years ago, with
cramps, diarrhea, and bloating. After
going to several medical institutions
and an array of physicians, she was
prescribed a drug that made her drowsy
and resulted in an accident when she
dozed off while driving on the freeway.
I told her to stop the drug and initiated
a combination of nutritional therapies
that she continues to take. To this day,
she has no symptoms.
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
many patients who decline to tell their
other physicians that they are taking
supplements, afraid that they will be
ridiculed or turned out of the practice.
This is especially true in the realm of
cancer therapy, where oncologists and
radiation therapists assert that vitamin
and mineral supplements will impair
the effectiveness of their treatments.
I have many patients who silently
take recommended supplements, and
experience remarkable recoveries from
cancer, with minimal side effects from
their therapies.
NUTRITIONAL SUPPLEMENTS Into this scenario enters an array
of vitamins, minerals, herbs, and
amino acids. What is the truth about
them? What precautions should be
taken? Are they innocent pawns in
a conflict between conventional and
alternative medicine? How much do
they interfere, and how much do they
help?
It is important to know that
most supplements are safe. There
is vast latitude in the doses that
may be taken without concern for
complications. About the worst that
can come from vitamin C is diarrhea,
except in cases of kidney disease,
or a rare enzyme deficiency. Most
B vitamins have no toxicity at any
dose, although folic acid should only
be taken when vitamin B12
has been repleted. Vitamin
D has been maligned as a
dangerous item, yet it turns
out that most Americans are
deficient in vitamin D and
should take supplements
to prevent osteoporosis,
diabetes, and multiple
sclerosis.
I have prescribed nutritional
supplements along with lifestyle
changes for many years in the
treatment and prevention of disease.
Diabetes mellitus is preventable or
reversible in 70-90% of patients,
without medications. So, often, are
hypertension, hyperlipidemia, and
osteoporosis. Patients come who want
to get off medications, or be treated
without medications, and without
surgery. They have already suffered
complications of these therapies,
or have seen their family members
suffer.
PRECAUTIONS Certain precautions should be
followed in choosing supplements.
Several companies do not follow
good manufacturing practices. The
ingredients in their preparations are
lower than stated on the container,
or of poor quality, or contain
contaminants. Some large companies
sell supplements at prices so low as
to defy any possibility of value. It is
unlikely that a quality product will be
produced at extremely low cost.
Some preparations contain
colorings, additives, and preservatives
that should be avoided. Read the
labels.
Some products may not be
bioavailable. Tablets may not dissolve.
High heat and pressure used in
making tablets may destroy certain
ingredients, such as B vitamins and
vitamin C.
march-april 2008 | www.aesthetictrends.com 15—
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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.
march-april 2008 | www.aesthetictrends.com16—
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
produced by reputable companies. If
you are unsure about which products
are preferable, ask another healthcare
practitioner who has experience in
dealing with these products. It is
not generally useful to inquire of a
conventional physician, since he is not
likely to be trained in this area.
Supplements should be labeled
with an expiration date and stored
properly. Beyond this date, they begin
to lose potency and may spoil. This is
particularly true of fish oils containing
omega 3 fatty acids and other oil-
based nutrients, which may become
rancid. Storage in light or high
temperatures should also be avoided,
and some supplements must be kept in
the refrigerator.
HERBS Care should be exercised in
choosing herbs, as certain herbs are
known to be toxic. Aristolochia, for
instance, has caused renal failure
and urologic malignancies, primarily
in Asia. Comfrey has caused liver
disease. In general, such herbs are
not available in health food stores
in the United States. There are also
reports of herbs imported from the
Orient containing toxic heavy metals
such as lead and mercury. Certain
companies are highly reputed for their
herbal formulations, and their products
should be chosen preferentially.
WEIGHT LOSS PRODUCTS Several deaths occurred recently
as a consequence of consumers
taking excessive doses of weight loss
preparations containing ephedra,
a relative of epinephrine. I do not
recommend using any formulation
containing ephedra, mainly because
most reputable nutrient companies, the
ones whose products can be trusted,
no longer offer ephedrine-containing
preparations.
All supplements are not equal, and
it is unwise to assume that they are.
Two dollars spent on a cheaper fish oil
supplement may be two dollars spent
for nothing. Sometimes, unfortunately,
individuals working in health food
stores may not be knowledgeable
about their products. Spend some time
talking, studying, and looking around,
the way you would when looking for a
new car or a new home.
NEW FORMULATIONS AND DISCOVERIES The field of nutritional
supplementation is diverse and
complicated. New discoveries and
new formulations are frequent. If you
are not an expert yourself, it is best to
be in communication with an expert
who can help guide you make the best
choices for your particular situation.
All patients are not the same, and
nutrients should be chosen with proper
attention to individual requirements.
Nutrient levels of vitamins, minerals,
Allan E. Sosin,
M.D., is a
Volunteer Faculty
Member of the
University of
California, Irvine,
CA, and is a Staff
Physician at the IrvineRegionalHospital,
Irvine, CA. In addition, he is Founder
and Medical Director of the Institute
for Progressive Medicine, Irvine, CA.
Dr. Sosin is a Diplomate, American
Board of Internal Medicine; Diplomate,
Nephrology; and Diplomate, American
Board of Chelation Therapy. Address
correspondence to Allan E. Sosin, M.D.,
Institute for Progressive Medicine,
4 Hughes, #175, Irvine, CA 92618.
Dr. Sosin can be reached at
949.600.5100 or visit his website at:
www.iprogressivemed.com.
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fatty acids, and amino acids can be
measured in blood. In patients with
gastrointestinal conditions, stool
studies can be performed to evaluate
the need for beneficial bacteria and
gastrointestinal nutrients such as
glutamine or zinc.
Some medications are interfered
with by certain nutrients. In general
it is better to separate nutritional
supplements from drugs. Thyroid
hormone, in particular, should be taken
by itself.
march-april 2008 | www.aesthetictrends.com 17—
product listings
Dermal Fillers & Injectables
Restylane® and Perlane® are made of
hyaluronic acid. In the human body,
natural hyaluronic acid provides volume
and fullness to the skin. The hyaluronic
acid in Restylane and Perlane has been
modified slightly to last longer than the
body’s hyaluronic acid.
Studies have shown that Restylane lasts for about six
months. Perlane lasts at least six months, in a majority of
patients.* The patented
stabilization technology
helps maintain the
cosmetic effects for
those time periods.
Restylane and Perlane have well defined safety
profiles. Clinical studies have shown no significant differences
in the safety of Restylane and Perlane. Restylane is the most
used, most studied cosmetic dermal
filler and has been used in over
70 countries and in more than 1.4
million treatments in the U.S.
Restylane and Perlane contain
no animal proteins. This limits
any risk of animal-based disease
transmission or allergic reactions. No allergy testing is required
before use. (Restylane and Perlane contain trace amounts of
gram-positive bacterial proteins and are contraindicated for
patients with a history of allergies to such material.)
*In 2 clinical studies, the number of patients maintaining
≥ one unit improvement at six months was 63% and 71%
respectively.
Medicis Aesthetics
866.222.1480
www.medicis.com
spotlightMEDiCiS
Restylane® and Perlane®
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 [email protected]. We will update the listings to include
the products in which you are most interested.
Nasolabial folds before (Left). After treatment with 2.5 Perlane® 1 mL syringes (Right). Individual results may vary.
march-april 2008 | www.aesthetictrends.com18—
ABR Developmentwww.atlean.comParc d’activité AftalionRue François Perroux34670 Baillargues France (+33) 4 67 10 94 81 p (+33) 4 99 62 05 73 f
Without PSF (Left). With PSF (Right). 20 min post, Diode Laser (30ms)Pneumatic Skin Flattening renders the skin more transparent.
The Gate Theory of Operation.
38 J/cm2
Regular
42 J/cm2
38 J/cm2
PSF
42 J/cm2
march-april 2008 | www.aesthetictrends.com24—
applied by the Serenity Pro pulls
those targets closer, as much as
50%, and dispels blood to the outer
edges of the vacuum chamber,
allowing for better penetration and
less scattering.
This concept has been applied
as far back as the original ruby
hair reduction lasers, but was
accomplished through compression
of the handpiece and not through
the Serenity’s novel application of
vacuum. Compression often was
uneven when compared across a
number of adjacent sites creating a
varied change in tissue and varied
results.
Not so in the clinical reviews
of the Serenity Pro device. In the
treatment of superficial pigmented
lesions the challenge has been the
underlying but adjacent vascular
component. The suctioning effect by
the Serenity Pro significantly clears
this competing target.
THERMAL STABILIZATION Clinical research has shown
high efficiency of sapphire as both
an optical coupler between air and
skin, and the unused heat energy
from the laser is conducted away
from the epidermis by a translucent
sapphire window.
Since at least the 1980s,
practitioners protected the
epidermis from heat damage
when using lasers or other optical
radiation to treat targets below
the skin surface by cooling
the epidermis before or during
treatment. Cooling
lowers the epidermis
temperature below
normal prior to the
laser pulse so that the
epidermis does not reach
a temperature that would
cause damage when
heated by the laser. The paper thin
epidermis and its interface with the
dermis, the E/D junction, are the
vicinity of the three most common
complications, hyperpigmentation,
hypopigmentation, and blistering
or Nikolsky effect (in essence a
fluidless blister).
Cooling has been accomplished
by pre-cooling through cryogen
applied directly to skin or onto
a transparent plate in contact
with skin, through cold compress
immediately before treatment,
cooled rollers, plates chilled with
methods other than cryogen, or
forced chilled air. Concurrent
cooling has been accomplished
through transparent plates
(cooled or not), and forced air.
And, post-pulse cooling has been
accomplished with many of the same
tools as pre-cooling.
The final analysis is not primarily
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.
Clinical Study
A controlled, peer reviewed hair removal study, which compared
PSF to non-PSF treatments has been conducted with two lasers, an
Alexandrite, Diode and an IPL.
RESuLtS:
· Higher efficacy in many cases was due to a more transparent skin
and the elevation of hair follicles closer to the skin’s surface.
· Remarkable reduction of pain by pneumatic flattening of the skin
even at high energy densities.
· Considerably less post-treatment erythema. Treatment energy
could be increased by 30%without erythema.
· Pneumatic flattening of the skin enhances discrimination between
unwanted skin pigments and competing chromophores.
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the need to cool, but moreover
the need to thermally stabilize the
non-target for the purposes of both
protection and comfort. Serenity
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.
The non-target may virtually
ignore transient thermal shift.
CHANGE IN PATIENT TRENDS Physicians like David E. Auer,
M.D.2 of Houston, Texas, report that
the need for topical cooling, before or
after light application, is significantly
reduced or eliminated with the
application of Serenity. The subtle
PATIENT SATISFACTION 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
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
reduced trauma and discomfort.
The practitioner, to the delight
of the patient, must learn new,
less traumatic endpoints for
procedures.
GENTLEYAG COUPLED WITH THE SERENITY PRO At application Dr. Auer reports
that the results and patient comfort
levels from his GentleYAG (1,064
nm) and the accessory device, the
but thorough stimulation of nerves
within the treatment area acts to
reduce or eliminate
the need of topical
anesthesia prior to
treatment. We have
seen this in a trip to
the dentist where he
will pinch and shake
the cheek prior to and during an
oral injection to trick the neural
pathways with signals before the
pain begins.
Dr. Auer reports that some male
patients who previously stopped him
and declined continued treatment
due to pain now find the same
treatment at the same energies to be
very tolerable.
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.
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march-april 2008 | www.aesthetictrends.com26—
and chests. The full range of
pulse widths allows for successful
treatment of fine hair where many
other devices fail, according to Dr.
Suzanne Kilmer.
Dr. Auer finds that the time
in the office is less due to the
elimination of topical anesthetics
and their activation times. He also
finds that the reduction
in sensation encourages
patients to have
treatments performed
in additional areas than
originally planned.
Reports 1,3 show efficacy
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.
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.
Patrick J. Clark,
CMLSO has
been active in
clinical light
applications
since 1988.
Pat moved
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
at the University of Texas Southwestern
Medical Center at Dallas and the allied
hospitals. In that position he refined a
teaching and administrative process
that included the control of some 117
laser and light sources in a myriad of
applications and a recurring education
process for physicians, residents, nurses,
and paramedicals. Mr. Clark has given
over 400 clinical and lay lectures in the
last 20 years.
Serenity Pro are quite a change.
The Candela GentleYAG is the
laser of choice for a broad base
of patients including the darkest
skin types according to Dr. Elliot
Battle. Spot sizes for hair including
a 12mm, 15mm, and 18 mm spot
size allow for rapid treatment in
even large applications like backs
REFERENCES1. Journal of Cosmetic and Laser therapy, Volume 8, Number 2,
June 2006, pp. 76- 81(6)
Pneumatic skin flattening (PSF): A novel technology for marked
pain reduction in hair removal with high energy density lasers
and IPLs: Lask, Gary; Friedman, David; Elman, Monica;
Fournier, Nathalie; Shavit, Raphi; Slatkine, Michael
2. David E. Auer, M.D., 12121 Richmond Ave, Houston, Texas
3. J Cutan Laser ther. 2000 Sep;2(3):125-30. Hair removal with
an Athos Nd:YAG 3.5 s pulse laser: a 3-month clinical study.
Fournier N, Aghajan-Nouri N, Barneon G, Mordon S.
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march-april 2008 | www.aesthetictrends.com 27—
laser & light technology
atn tlaser
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The Nominees are presented in alphabetical order by manufacturer.
MOST DIVERSE HAIR REMOVAL LASER FOR ALL SKIN TYPESCandela - GentleMAX Cutera - Xeo w/1064nm Nd:YAG, OPS600 & ProWave 770Cynosure Inc. - Apogee Elite Lumenis - LightSheerPacific Quantum Instruments Inc. - MultiWave XR
BEST HAIR REMOVAL LASER FOR DARK SKIN TYPES Candela - GentleYAGCutera - CoolGlide ExcelCynosure - Acclaim 7000Pacific Quantum Instruments - OmniYAG XR
BEST HAIR REMOVAL LASER (LIGHT SKIN TYPES) Candela - GentleLase FamilyCynosure - Apogee 5500Light Age - Epi Care LPXLumenis - LightSheerPacific Quantum Instruments - OmniAlex
BEST LASER FOR SUPERFICIAL LEG VEINS Candela - GentleYAGCutera - CoolGlide XLCynosure - Acclaim 7000 or CynergyPacific Quantum Instruments - OmniYAG XRSciton - Profile-S ClearScan
BEST LASER FOR FACIAL TELANGECTASIAS Asclepion - MeDioStar XT Candela - V-Beam AestheticaCynosure - CynergyFotona - Dualis VPIridex - Aura i
Aesthetic Trends & TechnologiesLaser & Light Choice Awards™ 2007The 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.
2007 Choice Awards Nominees
march-april 2008 | www.aesthetictrends.com28—
&las
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Candela - V-Beam PlatinumCynosure - Cynergy
BEST IPL FOR PHOTO FACIAL TREATMENTSCutera - Solera OpusCynosure - Cynergy PLLumenis - OneNovalis - Clareon SRPalomar - StarLux
BEST LASER FOR ACNE Candela - SmoothBeamCoolTouch - CoolTouch CT3 Sciton - Profile MP
BEST NON-LASER DEVICE FOR ACNE CureLight - MultiClearPhotoTherapeutics - OmniLuxDUSA Pharmaceuticals - BLU-U w/Levulan
BEST NON-ABLATIVE LASER FOR COLLAGEN REMODELING Candela - SmoothBeamCutera - VantageCynosure - Acclaim 7000Focus Medical - NaturaLase LPSciton - Profile MP
BEST DEVICE FOR SKIN LAXITYAlma - Accent Cutera - TitanLumenis - AlumaSyneron - ReFirm STThermage - ThermaCool
BEST LASER RESURFACING: ER:YAG Focus Medical - NaturaLase ErbiumFotona - Dualis XSFriendlyLight - Erbium XLQuantel - ARAMISSciton - 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)
BEST LASER REFURFACING CO2
Lumenis - UltraPulse Encore Nidek - UniPulseReliant - Fraxel re:pair
BEST IPL TECHNOLOGY FOR HAIR REMOVAL Cutera - Solera OpusLumenis - OneNovalis - Clareon HRPalomar - StarLuxSyneron - Aurora DS/DSR
MOST AFFORDABLE IPL DEVICE Aesthera - IsolazCutera - LimeLightFocus Medical - NaturaLight Novalis - Solarus Radiancy - SPR
BEST TATTOO REMOVAL LASERCandela - TriVantageFocus Medical - NaturaLase 2JFotona - Fotona QX Hoya ConBio - RevLite Light Age - Q- Clear
MOST DIVERSE AESTHETIC DEVICE Alma - Harmony Cutera - XEO w/Option Package ELumenis - One Palomar - StarLux – Configured with Lux Rs, Y, G, Nd:YAG and 1540nm
Fractional HandpiecesSciton - Profile MP
BEST BODY CONTOURING DEVICECynosure - SmartLipo/TriActiveSyneron - VelaSmoothEleme Medical - SmoothShapesLPG - Endermologie
BEST CUSTOMER SERVICE/ SUPPORT CandelaCynosureCuteraLumenisSyneron
BEST STAND ALONE EPIDERMAL COOLING DEVICE Cryo-6 by Zimmer Elektromedizin ThermoTek - Artek Air
2007 Choice Awards Nominees
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
CO R P O R AT E R E V I E Winstitute for Aesthetic Medicine, inc.
BUSINESS FOUNDATIONInstitute 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-of-charge 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.
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. ClarkVice 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.
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.
800.436.9311www.IAMeducated.com
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product listings
Evolving Aesthetic Technology
Laser & Light Technology
ProFractional quickly and effectively
treats wrinkles, acne scars, skin tone
and texture, and pigment in a single
pass treatment with no consumable
items. ProFractional reduces
unwanted collateral damage by
instantly removing necrotic tissue and
unneccesssary heat, providing patients
with a more comfortable treatment
experience.
• Fast
• Comfortable
• Variable density and depth
• One or two treatments
• Single pass
• No consumable costs
ProFractional utilizes a laser at a wavelength of 2940nm
for an ablative single-pass procedure that removes micro-
columns of damaged tissue, resulting in a deep thermal
of micro-columns of hot necrotic debris in treated skin.
Excess heat from the debris is trapped
in skin, causing unnecessary pain and
discomfort. ProFractional instantly ablates
the hot debris from tissue, reducing pain
and irritation, and speeding recovery.
Clean micro-channels have the same total
thermal zone as non-ablative treatments
without the sloughing, irritation, or pain.
ProFractional uses a unique
pulse form that maintains precise control
of micro-channel diameter at depths
from 20 µm to 1500 µm. The clean micro-channels close and
heal rapidly for faster recovery than non-ablative fractional
treatments.
Sciton
888.646.6999
www.sciton.com
spotlight
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 [email protected]. We will update the listings to include
the products in which you are most interested.
SCiTON ProFractional
march-april 2008 | www.aesthetictrends.com34—
Cynosure, Inc.www.cynosure.com5 Carlisle RoadWestford, MA 01824800.886.2966 p978.256.6556 f
Smartlipo 1064 nm Nd:YAG Laser Body Sculpting Contact Mfr.
Additional Information: Affirm is the first microrejuvenation which uses the exclusive mid-infrared Combined Apex Pulse™ (CAP) technology. This technology stimulates collagen production throughout the entire treatment area. Through precise thermal manipulation of the epidermal and dermal tissue, it remodels collagen through the papillary dermis to promote collagen production and skin tightening.
Dermawave Mesotherapy Systems LLCwww.dermawaveusa.com15693 83rd Lane NorthLoxahatachee, FL 33470866.769.3011
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 Systemswww.edgesystem.net 2277 Redondo Avenue Signal Hill, CA 90755 800.603.0102 p 562.597.0148 f
HydraFacial™ HydraFacial™ Wave
UltraCam™Color UV Camera
Serum-based skin resurfacing. Other options: crystal & crystal-free microdermabrasion, LED light therapy, lymphatic and cellulite massage therapy.
UV and Natural Light Photography for Skin Analysis
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.
Uncovers patient’s unique skin conditions and instantly documents them with a Polaroid color or UV picture.
$24,500$16,875
$3,495
Additional Information: HydraFacial™ produces results equivalent of some laser treatments. Marketing package, trade-out, free-disposables and financing available. Edge provides essential medical spa equipment and full service; assistance with equipment needs, financing, training and full marketing & customer support.
Flip 4www.flip4.ca2142 Leonard de VinciSuite 80Saint-Julie, Quebec, Canada450.649.4244 p
Max7 LED For skin rejuvenation and acne treatments. $19,950
Additional Information: Patent pending. Also for oily, dry, combination and aging skin.
Hoya ConBiowww.conbio.com 47733 Fremont Blvd. Fremont, CA 94538 800.532.1064 p 510.445.4550 f
RevLite™ EO Q-Switched Nd:YAG withPhotoAcoustic Technology Pulse™ (PTP)
Featuring PhotoAcoustic Technology Pulse™ (PTP) 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.
Contact Mfr.
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.
Aestherawww.aesthera.com6111F Southfront RoadLivermore, CA 94550877.275.4779 p
Ageless Aestheticswww.agelessaesthetics.com6500 S Quebec St. #270 Denver, CO 80122877.721.7975 p
Ultra
Quantum
Micro current, Ultrasound, Light Therapy ,
Micro current
Exfoliation, wrinkle treatments, product penetration and non-surgical facelifts
Non-surgical Facelifts
Cont. Mfr.
Cont. Mfr.
Additional Information: Equipment includes training and specialty products. Units are touch-screen operated and contain multiple pre-programmed treatments.
Alma Laserswww.orionlasers.com6555 NW 9th AvenueSuite 303Fort Lauderdale, FL 33309954.229.2240 p954.229.8310 f
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 Technologieswww.parisianpeel.comAesthetic Technologies, Inc.2150 West 6th Ave., Ste. JBroomfield, CO 80020800.262.4412 p
CoolTouch, Inc.www.cooltouch.com9085 Foothills Blvd.Roseville, CA 95747800.378.7222p
CoolLipo 1320nm Nd:YAG Laser-Assisted Lipolysis and Skin Tightening $99,950
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.
Cuterawww.cutera.com3240 Bayshore Blvd.Brisbane, CA 94005888.4CUTERA p
Pearl
Titan
2790 nm YSGG
Tailored Infrared Light
Skin Rejuvenation
Skin Rejuvenation
$45,000-$90,000 $40,000-$85,900
Additional Information: Pearl Laser skin renewal. Treats wrinkles, uneven texture, discoloration and mild acne scarring.
Cynosure, Inc.www.cynosure.com5 Carlisle RoadWestford, MA 01824800.886.2966 p978.256.6556 f
Smartlipo 1064 nm Nd:YAG Laser Body Sculpting Contact Mfr.
Additional Information: Affirm is the first microrejuvenation which uses the exclusive mid-infrared Combined Apex Pulse™ (CAP) technology. This technology stimulates collagen production throughout the entire treatment area. Through precise thermal manipulation of the epidermal and dermal tissue, it remodels collagen through the papillary dermis to promote collagen production and skin tightening.
Dermawave Mesotherapy Systems LLCwww.dermawaveusa.com15693 83rd Lane NorthLoxahatachee, FL 33470866.769.3011
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 Systemswww.edgesystem.net 2277 Redondo Avenue Signal Hill, CA 90755 800.603.0102 p 562.597.0148 f
HydraFacial™ HydraFacial™ Wave
UltraCam™Color UV Camera
Serum-based skin resurfacing. Other options: crystal & crystal-free microdermabrasion, LED light therapy, lymphatic and cellulite massage therapy.
UV and Natural Light Photography for Skin Analysis
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.
Uncovers patient’s unique skin conditions and instantly documents them with a Polaroid color or UV picture.
$24,500$16,875
$3,495
Additional Information: HydraFacial™ produces results equivalent of some laser treatments. Marketing package, trade-out, free-disposables and financing available. Edge provides essential medical spa equipment and full service; assistance with equipment needs, financing, training and full marketing & customer support.
Flip 4www.flip4.ca2142 Leonard de VinciSuite 80Saint-Julie, Quebec, Canada450.649.4244 p
Max7 LED For skin rejuvenation and acne treatments. $19,950
Additional Information: Patent pending. Also for oily, dry, combination and aging skin.
Hoya ConBiowww.conbio.com 47733 Fremont Blvd. Fremont, CA 94538 800.532.1064 p 510.445.4550 f
RevLite™ EO Q-Switched Nd:YAG withPhotoAcoustic Technology Pulse™ (PTP)
Featuring PhotoAcoustic Technology Pulse™ (PTP) 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.
Contact Mfr.
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.
Ageless Aestheticswww.agelessaesthetics.com6500 S Quebec St. #270 Denver, CO 80122877.721.7975 p
Ultra
Quantum
Micro current, Ultrasound, Light Therapy ,
Micro current
Exfoliation, wrinkle treatments, product penetration and non-surgical facelifts
Non-surgical Facelifts
Cont. Mfr.
Cont. Mfr.
Additional Information: Equipment includes training and specialty products. Units are touch-screen operated and contain multiple pre-programmed treatments.
Alma Laserswww.orionlasers.com6555 NW 9th AvenueSuite 303Fort Lauderdale, FL 33309954.229.2240 p954.229.8310 f
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 Technologieswww.parisianpeel.comAesthetic Technologies, Inc.2150 West 6th Ave., Ste. JBroomfield, CO 80020800.262.4412 p
CoolTouch, Inc.www.cooltouch.com9085 Foothills Blvd.Roseville, CA 95747800.378.7222p
CoolLipo 1320nm Nd:YAG Laser-Assisted Lipolysis and Skin Tightening $99,950
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.
Cuterawww.cutera.com3240 Bayshore Blvd.Brisbane, CA 94005888.4CUTERA p
Pearl
Titan
2790 nm YSGG
Tailored Infrared Light
Skin Rejuvenation
Skin Rejuvenation
$45,000-$90,000 $40,000-$85,900
Additional Information: Pearl Laser skin renewal. Treats wrinkles, uneven texture, discoloration and mild acne scarring.
march-april 2008 | www.aesthetictrends.com36—
Sound Surgicalwww.vaser.com357 S. McCaslin Blvd., Ste. 100Louisville, CO 80227888.471.4777 p
LipoSelectionSM only by VASSER® VASSER® UltraSound Body sculpting of delicate to fibrous areas. Fee-PerProcedure
Additional Information: Assisted Lipoplasty.
Sybaritic, Inc.www.sybaritic.com9220 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f
DermosonicLaserPeel Soft-MET
Ultrasound/Suction MassageModified Erbium:YAG
For temporary reduction in the appearance of cellulite.For skin resurfacing and skin rejuvenation.
$20,000$39,995
Synergie™ by Dynatronicswww.dynatronics.com/aesthetic7030 Park Centre DriveSalt Lake City, UT 84121800.874.6251 p801.568.7711 f
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
Syneronwww.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, Ontario, Canada561.357.5827 p
ReFirme ST
VelaShape
VelaSmooth
Bi-polar Radiofrequency and Infrared Lightelos combination of Bi-Polar radiof-requency (RF), infrared light energies, plus negative pressure and tissue manipulation.elos -RF / infrared / suction
For skin tightening via wrinkle reduction.
FDA cleared for circumferential reduction and cellulite reduction.
For the treatment of cellulite.
Cont. Mfr.
Cont. Mfr.
$64,900
Additional Information: Patented ELOS technology.
Telsar Laboratories Inc.www.telsar.com#1 Environway, Suite 100Wood River, IL 62095800.255.9938 p
Contact skin cooling for laser treatments. Works with wavelengths between 532 and 850nm.
$995
Additional Information: FDA Cleared.
Tyrel, Inc.www.myzeno.com515 W. Greens Road, Ste. 725Houston, TX 77067281.880.6541 p
Zeno Clear point technology For mild to moderate inflammatory acne treatment. $225 MSRP
Innovative Med Inc.www.imibeauty.com4 Autry, Suite BIrvine, CA 92618877.779.9492 p949.458.7416 f
Infinity Teeth Whitening Systems
Hand Light Therapy System
Teeth whitening with LED LightAvailable in a single mouthpiece or a dual model with two mouthpieces for treating two patients at onceLED Red and Infrared Pulsed Light
405+/-2nm>=80/cm2. Works to whiten teeth in only one appointment of three 7minute treatments,by combining our ex-clusively 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/cm2Combines the two wavelengths in a specifically programmed pulsed sequence for skin rejuvenation of the hands.
Contact Mfr.
Contact Mfr.
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.
Lumeniswww.lumenis.com2400 Condensa StreetSanta Clara, CA 95051408.764.3000 p
Aluma® Skin Renewal RF FACES Technology For wrinkle reduction and skin tightening. $69,900
Additional Information: Utilizes vacuum to conform skin to allow heating of dermis.
Myotonology, Inc.www.myoinc.com1187 Coast Village Rd, Ste.247Santa Barbara, CA 93018877.969.2811 p
Microcurrent Facial Toning System
160Ua-960Ua and 3Hz-100Hz Faradic, alternating microcurrent tones muscles and skin. Galvanic current used for Iontophoresis skin treatment.
$8,995
Additional Information: Myotonology® is a patented microcurrent facial toning process with proven clinical efficacy that can be combined with numerous other cosmetic procedures such as IPL, Microdermabrasion, Chemical Peels, and more.
Palomar www.palomarmedical.com82 Cambridge StreetBurlington, MA 01803800.725.6627 p
LuxIR Fractional™Infrared Handpiece
Fractional deep heating Deep heating for pain relief and smoother, tighter skin (not yet cleared by FDA).
$45,000
Revitalightwww.revitalight.com119 W. Hubbard, Suite 300Chicago, IL 60610 312.527.0131 p
Revitalight
LED For skin rejuvenation and acne treatments. Starting at$5,995
Additional Information: Helps diminish fine lines, wrinkles, age spots on the face, neck and hands by promoting collagen firmness.
Silhouet – Tonewww.silhouettone.com 7 Champlain CommonsSt. Albans, VT 05478800.552.0418 p
Soli-Tone LED, Micronized HFpolarized currents
Acne,redness,pigmentation,photoaging and lifting. Contact Mfr.
SoundSkinwww.soundskin.com 429 South Main StreetOswego, IL 60543888.596.5277 p
Innovative Med Inc.www.imibeauty.com4 Autry, Suite BIrvine, CA 92618877.779.9492 p949.458.7416 f
Infinity Teeth Whitening Systems
Hand Light Therapy System
Teeth whitening with LED LightAvailable in a single mouthpiece or a dual model with two mouthpieces for treating two patients at onceLED Red and Infrared Pulsed Light
405+/-2nm>=80/cm2. Works to whiten teeth in only one appointment of three 7minute treatments,by combining our ex-clusively 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/cm2Combines the two wavelengths in a specifically programmed pulsed sequence for skin rejuvenation of the hands.
Contact Mfr.
Contact Mfr.
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.
Lumeniswww.lumenis.com2400 Condensa StreetSanta Clara, CA 95051408.764.3000 p
Aluma® Skin Renewal RF FACES Technology For wrinkle reduction and skin tightening. $69,900
Additional Information: Utilizes vacuum to conform skin to allow heating of dermis.
Myotonology, Inc.www.myoinc.com1187 Coast Village Rd, Ste.247Santa Barbara, CA 93018877.969.2811 p
Microcurrent Facial Toning System
160Ua-960Ua and 3Hz-100Hz Faradic, alternating microcurrent tones muscles and skin. Galvanic current used for Iontophoresis skin treatment.
$8,995
Additional Information: Myotonology® is a patented microcurrent facial toning process with proven clinical efficacy that can be combined with numerous other cosmetic procedures such as IPL, Microdermabrasion, Chemical Peels, and more.
Palomar www.palomarmedical.com82 Cambridge StreetBurlington, MA 01803800.725.6627 p
LuxIR Fractional™Infrared Handpiece
Fractional deep heating Deep heating for pain relief and smoother, tighter skin (not yet cleared by FDA).
$45,000
Revitalightwww.revitalight.com119 W. Hubbard, Suite 300Chicago, IL 60610 312.527.0131 p
Revitalight
LED For skin rejuvenation and acne treatments. Starting at$5,995
Additional Information: Helps diminish fine lines, wrinkles, age spots on the face, neck and hands by promoting collagen firmness.
Silhouet – Tonewww.silhouettone.com 7 Champlain CommonsSt. Albans, VT 05478800.552.0418 p
Soli-Tone LED, Micronized HFpolarized currents
Acne,redness,pigmentation,photoaging and lifting. Contact Mfr.
SoundSkinwww.soundskin.com 429 South Main StreetOswego, IL 60543888.596.5277 p
Aerolasewww.aerolase.com777 Old Saw Mill River Rd.Tarrytown, NY 10591914-345-8300 p914-345-8303 f
LightPod Era XLLightPod Neo XLLightPod Neo XT
XXX
XX
XXX
X X
XX
XXX
Er:YAGNd:YAGNd:YAG
294010641064
Up to 38Up to 255Up to 318
0.300.650.65-1.5
$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 Carewww.medicalbiocare.com1201 Dove Street, Suite 520Newport Beach, CA 92660949.477.5795 p
OmniLight FPL
Novalight FPL
X
X
X
X
X
X
X
X
Xenon Flash Lampw/ Fluorescent FiltersDiode
400-1200
400-1200
Up to 90
Up to 55
Up to 1.5
1.5-50
$79,000
$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.
BioCellwww.medidermlaser.com105 Freeman Rd Charleton, MA 01507512.326.1025 p
MediDerm LRS X X Er:YAG 2940 Up to 1 3,6 & 9 Hz $34,999
Additional Information: Low-powered, virtually painless Erbium YAG with no downtime
biolitecwww.biolitec.com515 Shaker RoadE. Longmeadow, MA 01028800.934.2377 x 246 p
Ceralas D
Ceralas D 15/810
Ceralas G5 LRS
X
X
X
Diode
Diode
Diode
980
810
532
0.01 -15
0.01 -25
0.01 -50
0.01-99.9sec & CW0.01 to 99.9sec & CW0.1-CW
$35,000
$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.
Candelawww.candelalaser.com530 Boston Post RoadWayland, MA 01778800.821.2013 p
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.
Aerolasewww.aerolase.com777 Old Saw Mill River Rd.Tarrytown, NY 10591914-345-8300 p914-345-8303 f
LightPod Era XLLightPod Neo XLLightPod Neo XT
XXX
XX
XXX
X X
XX
XXX
Er:YAGNd:YAGNd:YAG
294010641064
Up to 38Up to 255Up to 318
0.300.650.65-1.5
$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 Carewww.medicalbiocare.com1201 Dove Street, Suite 520Newport Beach, CA 92660949.477.5795 p
OmniLight FPL
Novalight FPL
X
X
X
X
X
X
X
X
Xenon Flash Lampw/ Fluorescent FiltersDiode
400-1200
400-1200
Up to 90
Up to 55
Up to 1.5
1.5-50
$79,000
$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.
BioCellwww.medidermlaser.com105 Freeman Rd Charleton, MA 01507512.326.1025 p
MediDerm LRS X X Er:YAG 2940 Up to 1 3,6 & 9 Hz $34,999
Additional Information: Low-powered, virtually painless Erbium YAG with no downtime
biolitecwww.biolitec.com515 Shaker RoadE. Longmeadow, MA 01028800.934.2377 x 246 p
Ceralas D
Ceralas D 15/810
Ceralas G5 LRS
X
X
X
Diode
Diode
Diode
980
810
532
0.01 -15
0.01 -25
0.01 -50
0.01-99.9sec & CW0.01 to 99.9sec & CW0.1-CW
$35,000
$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.
Candelawww.candelalaser.com530 Boston Post RoadWayland, MA 01778800.821.2013 p
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.
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.
DermaVistawww.dermavista.com800.333.5773 p West800.767.6765 p East
The Cold LightVascuTouch
LEDRadio 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.
Dusa Pharmaceuticalswww.dusapharma.com25 Upton DriveWilmington, MA 01887877.533.3872 p
Additional Information: The Cold Light – For rejuvenation (photo facial) stimulates tissue growth, collagen reprod, and rosacea. VascuTouch – For the treatment of vascular lesions.
Edge Systemswww.edgesystem.net2277 Redondo AvenueSignal Hill, CA 90755800.603.0102 p562.597.0148 f
Del Sol™ Handheld LED Light Therapy System
X X X LED - Red/InfraredLED - Blue
800-1000nm420nm
N/A CWCW
$1,500$1,500
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.
Europrowww.europroequipment.com3952 Camino Ranchero Rd.,Building #2Camarillo, CA 93010866.633.5273 p
Phytoscan X X X HFD Cold Laser 430-750 0.3-0.5 N/A $9,000 to$18,900
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.
LASER & LigHT TECHNOLOgYPRODuCT LiSTiNgS
CoolTouch, Inc.www.cooltouch.com9085 Foothills Blvd.Roseville, CA 95747877.858.2665 p
CoolTouch CT3CoolTouch CTEVVaria
X
X
X XX
X Nd:YAGNd:YAGNd:YAG
132013201064
Up to 24
Up to 500
50NA.3-500
$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.com240 Main Street, Suite C Gladstone, NJ 07934908.470.4005 p
Clear100XL
Multiclear
X
X
X X Intense Blue andNear Infrared Light
Proprietary HighIntensity Plasma Light
405-420850-900
296-315 UVB;360-370 UVA1;296-315/360-370blend;405-420 blue
60
.05-2.4
.1-1501-40
CW
.5-20
$26,950
$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.com3240 Bayshore Blvd.Brisbane, CA 94005888.4CUTERA p
CoolGlide CVCoolGlide ExcelSolera Solera Titan
Xeo
XX
X
X
XX
X
XX
X
XX
X
Nd:YAGNd:YAGPulsed LightInfrared light
Nd:YAG & Pulsed Light
10641064560-12001100-1800
1064 & 600-850
10-1005-3006-405-70
Up to 300
10-1001-300AutomaticClosed LoopPhotometric1-300
$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.com5 Carlisle RoadWestford, MA 01886800.886.2966 p978.256.6556 f
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.
DermaVistawww.dermavista.com800.333.5773 p West800.767.6765 p East
The Cold LightVascuTouch
LEDRadio 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.
Dusa Pharmaceuticalswww.dusapharma.com25 Upton DriveWilmington, MA 01887877.533.3872 p
Additional Information: The Cold Light – For rejuvenation (photo facial) stimulates tissue growth, collagen reprod, and rosacea. VascuTouch – For the treatment of vascular lesions.
Edge Systemswww.edgesystem.net2277 Redondo AvenueSignal Hill, CA 90755800.603.0102 p562.597.0148 f
Del Sol™ Handheld LED Light Therapy System
X X X LED - Red/InfraredLED - Blue
800-1000nm420nm
N/A CWCW
$1,500$1,500
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.
Europrowww.europroequipment.com3952 Camino Ranchero Rd.,Building #2Camarillo, CA 93010866.633.5273 p
Phytoscan X X X HFD Cold Laser 430-750 0.3-0.5 N/A $9,000 to$18,900
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.
CoolTouch, Inc.www.cooltouch.com9085 Foothills Blvd.Roseville, CA 95747877.858.2665 p
CoolTouch CT3CoolTouch CTEVVaria
X
X
X XX
X Nd:YAGNd:YAGNd:YAG
132013201064
Up to 24
Up to 500
50NA.3-500
$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.com240 Main Street, Suite C Gladstone, NJ 07934908.470.4005 p
Clear100XL
Multiclear
X
X
X X Intense Blue andNear Infrared Light
Proprietary HighIntensity Plasma Light
405-420850-900
296-315 UVB;360-370 UVA1;296-315/360-370blend;405-420 blue
60
.05-2.4
.1-1501-40
CW
.5-20
$26,950
$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.com3240 Bayshore Blvd.Brisbane, CA 94005888.4CUTERA p
CoolGlide CVCoolGlide ExcelSolera Solera Titan
Xeo
XX
X
X
XX
X
XX
X
XX
X
Nd:YAGNd:YAGPulsed LightInfrared light
Nd:YAG & Pulsed Light
10641064560-12001100-1800
1064 & 600-850
10-1005-3006-405-70
Up to 300
10-1001-300AutomaticClosed LoopPhotometric1-300
$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.com5 Carlisle RoadWestford, MA 01886800.886.2966 p978.256.6556 f
Long Pulse Er:YAGLong Pulse Er:YAGQ-switched Nd:YAGKTP Nd:YAGLong Pulse Nd:YAGKTP Nd:YAG
1064 1064 1064 1064 1064 2940
2940294010645321064532
Up to 600Up to 600Up to 400Up to 300Up to 400Up to 3 J
Up to 3 JUp to 1 JUp to 12.7Up to 6.3Up to 400Up to 30
0.1-3005-2005-2005-505-2000.1-1.5
0.1-1.50.1-1.04-6ns4-6ns5-2001-150
$104,500$84,500$71,500$51,500$99,500$128,000
$79,500$69,500$89,500
$98,500
Additional Information: No disposable costs. Multiple handpieces available suited for specific applications and optimized for maximum efficiency. All systems include VSP technology, Electronic Feedback Control for added safety, efficacy, ease-of-use and peace-of-mind. All systems calibrate automatically - no manual or periodical calibration necesarry. Fotona XP MAX, DualisXP Plus, DualisXP scanner supported with 65x65 mm Tx area, multiple scanner spotsizes. DualisSP scanner supported with 35x35 mm Tx area. Spotsizes: Fotona XP MAX 2-20 mm, DualisSP 0.45 - 12 mm (Er:YAG), 2 - 8 mm (Nd:YAG), DualisXP Plus 2 - 10 mm, DualisXP 2 - 8 mm, FidelisXP 2 - 8 mm, DualisXS 0.45 - 12 mm, FidelisXS 0.45 - 10 mm, Fotona QX 2 - 8 mm, DualisVP 2 - 7 mm (Nd:YAG), 2 - 6 mm (KTP).
Genesis Biosystemswww.dermagenesis.com1500 Eagle CourtLewisville, Texas 75057888.577.PEEL (7335) P
Additional Information: All systems offered with a Customized looping waiting room DVD & flat panel TV/DVD player.
Hoya ConBioMedLite Laserswww.conbio.com47733 Fremont Blvd. Fremont, CA 94538800.532.1064 p
Medlite ®C3
Medlite® C6 X X X
X
X
X
X X
EO Q-Switched Nd:YAG EO Q-Switched Nd:YAG
1064, 532
1064, 532, 585, 650
Up to 12
Up to 12
5-7 ns
5-20 ns
Cont. Mfr.
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.
Innovative Med Inc.www.imibeauty.com4 Autry, Suite BIrvine, CA 92618877.779.9492 p949.458.7416 f
Multi-Wave Light Therapy- Super Red- Royal Blue- Pure Green- InfraredUltra Rev Light- Red- Blue
X
X
X
X
X XX
X
XX
Pulsed Diode LED
LED-Red + UltrasoundLED-Blue + Ultrasound
630440525880
0-22 mw/cm2
3 mhz/2 watts 3 mhz/2 watts
0-500 $13,000
$195$195
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/Laserscopewww.iridex.com1212 Terra Bella AvenueMountain View, CA 94043650.962.8100 p
Aura iGemini
Lyra iVariLite
Venus i
X X
X
X
X
XX
XX
X
X X
XX
X
X
KTPNd:YAG KTP
Nd:YAGDiode-Pumped KTP Direct DiodeEr:YAG
53210645321064532/940
2940
1-240Up to 990Up to 1005-900950
200-2000 mj
1-5010-100,1-10020-1005-100
300 mcs
$72,500Contact Mfr.
$72,500$56,500
$67,000
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 USAwww.laseringusa.com 2246 Camino Ramon San Ramon, CA 94583 866.471.0469 p
Additional Information: Patent Pending MiXto SX and MiXto VX technology.
Light Agewww.lightage.com500 Apgar DriveSomerset, NJ 08873800.719.6818 p
EpiCare™ LPEpiCare™ LPXQ Clear™Ta2 Eraser™
XXX X
XX
X
Alexandrite Alexandrite Nd:YAG/KTPAlexandrite
7557551064/532755
Up to 40Up to 402-122-12
3-300 var.3-300 var.10ns60ns
$69,000$89,000$35,500$79,000
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.
Light BioScience, LLCwww.lightbioscience.com933 First Colonial Rd, #204Virginia Beach, VA 23454888.647.6219 p
Long Pulse Er:YAGLong Pulse Er:YAGQ-switched Nd:YAGKTP Nd:YAGLong Pulse Nd:YAGKTP Nd:YAG
1064 1064 1064 1064 1064 2940
2940294010645321064532
Up to 600Up to 600Up to 400Up to 300Up to 400Up to 3 J
Up to 3 JUp to 1 JUp to 12.7Up to 6.3Up to 400Up to 30
0.1-3005-2005-2005-505-2000.1-1.5
0.1-1.50.1-1.04-6ns4-6ns5-2001-150
$104,500$84,500$71,500$51,500$99,500$128,000
$79,500$69,500$89,500
$98,500
Additional Information: No disposable costs. Multiple handpieces available suited for specific applications and optimized for maximum efficiency. All systems include VSP technology, Electronic Feedback Control for added safety, efficacy, ease-of-use and peace-of-mind. All systems calibrate automatically - no manual or periodical calibration necesarry. Fotona XP MAX, DualisXP Plus, DualisXP scanner supported with 65x65 mm Tx area, multiple scanner spotsizes. DualisSP scanner supported with 35x35 mm Tx area. Spotsizes: Fotona XP MAX 2-20 mm, DualisSP 0.45 - 12 mm (Er:YAG), 2 - 8 mm (Nd:YAG), DualisXP Plus 2 - 10 mm, DualisXP 2 - 8 mm, FidelisXP 2 - 8 mm, DualisXS 0.45 - 12 mm, FidelisXS 0.45 - 10 mm, Fotona QX 2 - 8 mm, DualisVP 2 - 7 mm (Nd:YAG), 2 - 6 mm (KTP).
Genesis Biosystemswww.dermagenesis.com1500 Eagle CourtLewisville, Texas 75057888.577.PEEL (7335) P
Additional Information: All systems offered with a Customized looping waiting room DVD & flat panel TV/DVD player.
Hoya ConBioMedLite Laserswww.conbio.com47733 Fremont Blvd. Fremont, CA 94538800.532.1064 p
Medlite ®C3
Medlite® C6 X X X
X
X
X
X X
EO Q-Switched Nd:YAG EO Q-Switched Nd:YAG
1064, 532
1064, 532, 585, 650
Up to 12
Up to 12
5-7 ns
5-20 ns
Cont. Mfr.
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.
Innovative Med Inc.www.imibeauty.com4 Autry, Suite BIrvine, CA 92618877.779.9492 p949.458.7416 f
Multi-Wave Light Therapy- Super Red- Royal Blue- Pure Green- InfraredUltra Rev Light- Red- Blue
X
X
X
X
X XX
X
XX
Pulsed Diode LED
LED-Red + UltrasoundLED-Blue + Ultrasound
630440525880
0-22 mw/cm2
3 mhz/2 watts 3 mhz/2 watts
0-500 $13,000
$195$195
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/Laserscopewww.iridex.com1212 Terra Bella AvenueMountain View, CA 94043650.962.8100 p
Aura iGemini
Lyra iVariLite
Venus i
X X
X
X
X
XX
XX
X
X X
XX
X
X
KTPNd:YAG KTP
Nd:YAGDiode-Pumped KTP Direct DiodeEr:YAG
53210645321064532/940
2940
1-240Up to 990Up to 1005-900950
200-2000 mj
1-5010-100,1-10020-1005-100
300 mcs
$72,500Contact Mfr.
$72,500$56,500
$67,000
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 USAwww.laseringusa.com 2246 Camino Ramon San Ramon, CA 94583 866.471.0469 p
Additional Information: Patent Pending MiXto SX and MiXto VX technology.
Light Agewww.lightage.com500 Apgar DriveSomerset, NJ 08873800.719.6818 p
EpiCare™ LPEpiCare™ LPXQ Clear™Ta2 Eraser™
XXX X
XX
X
Alexandrite Alexandrite Nd:YAG/KTPAlexandrite
7557551064/532755
Up to 40Up to 402-122-12
3-300 var.3-300 var.10ns60ns
$69,000$89,000$35,500$79,000
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.
Light BioScience, LLCwww.lightbioscience.com933 First Colonial Rd, #204Virginia Beach, VA 23454888.647.6219 p
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.
MedSurge Advances, Inc.www.medsurgeadvances.com14850 Quorum Drive, Ste. 120Dallas, TX 75254972.720.0425 p
Asclepion MeDioStar XTAsclepion MCL 30 DermablateAsclepion TattooStar RQuantel Medical Aramis IIQuantel Medical Prolite IIQuantel Medical Virdis Derma
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 andfilter 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.com9 Claxton St., S. Australia 5000618.8231.9000 pNorseld USAMedical Laser Engineering2284 Main St.Concord, MA 01742978.318.9996 p
Dual YellowYlite
XX
XX
XX
XX
Copper BromideCopper Bromide
578 & 511578
30075
FEM MicropulsedFEM Micropulsed
$68,000$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.
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.
MedSurge Advances, Inc.www.medsurgeadvances.com14850 Quorum Drive, Ste. 120Dallas, TX 75254972.720.0425 p
Asclepion MeDioStar XTAsclepion MCL 30 DermablateAsclepion TattooStar RQuantel Medical Aramis IIQuantel Medical Prolite IIQuantel Medical Virdis Derma
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 andfilter 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.com9 Claxton St., S. Australia 5000618.8231.9000 pNorseld USAMedical Laser Engineering2284 Main St.Concord, MA 01742978.318.9996 p
Dual YellowYlite
XX
XX
XX
XX
Copper BromideCopper Bromide
578 & 511578
30075
FEM MicropulsedFEM Micropulsed
$68,000$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.
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 Laboratorieswww.telsar.com#1 Environway, Suite 100Wood River, IL 62095800.255.9938 p
Softlight X X
X Nd: YAG 1064 3 12 $55,00
Additional Information: Refurbished systems only. Only laser licensed to use patented carbon lotion.
Thermagewww.thermage.com4058 Point Eden WayHayward, CA 94545510.782.2286 p
ThermaCool X X Radio Frequency N/A 200 N/A $39,950
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.
Viora, Inc.www.vioramed.com 30 Montgomery StreetSuite 660 Jersey City, NJ 07302 877.384.8032 p 201.332.4200 f
Axiom X X X X Intense Pulsed Light 390 – 1200nm >40 J/cm2 @ 25x50 mmspot
25-75 msec single pulse program-mable 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).
WaveLight www.wavelight-laser.comAm Wolfsmantel 591058 Erlangen, Germany+49/91 31/61 86-140 p
ARION MYDONBURANEBURANE XLSINON TALOS
XX
XXX
XAlexandrite Long Pulse Nd:YAGLong Pulse Er:YAGLong Pulse Er:YAG Q-switched RubyExcimer
755106429402940694-
5-4010-4500.1-1130.1-141Up to 14-
5-40.05-9035035020-
$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.
Erbium-Fiber LaserSingle Mode Fiber LaserFractional CO
2 laser
1550141010600
4 - 70 mj/ MTZ5-20 mj/ MTZ5-70 mJ/MTZ
0.5 - 30.5 - 30.1 - 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 resurfacingand vascular dyschromia.
[email protected] Turner Street, Bldg. 2Waltham, MA 02453888.4rhytec p781.419.9401f
Portrait PSR3 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.
Sciton www.sciton.com845 Commercial StreetPalo Alto, CA 94303650.493.9155 p
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.com9220 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f
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.
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 Laboratorieswww.telsar.com#1 Environway, Suite 100Wood River, IL 62095800.255.9938 p
Softlight X X
X Nd: YAG 1064 3 12 $55,00
Additional Information: Refurbished systems only. Only laser licensed to use patented carbon lotion.
Thermagewww.thermage.com4058 Point Eden WayHayward, CA 94545510.782.2286 p
ThermaCool X X Radio Frequency N/A 200 N/A $39,950
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.
Viora, Inc.www.vioramed.com 30 Montgomery StreetSuite 660 Jersey City, NJ 07302 877.384.8032 p 201.332.4200 f
Axiom X X X X Intense Pulsed Light 390 – 1200nm >40 J/cm2 @ 25x50 mmspot
25-75 msec single pulse program-mable 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).
WaveLight www.wavelight-laser.comAm Wolfsmantel 591058 Erlangen, Germany+49/91 31/61 86-140 p
ARION MYDONBURANEBURANE XLSINON TALOS
XX
XXX
XAlexandrite Long Pulse Nd:YAGLong Pulse Er:YAGLong Pulse Er:YAG Q-switched RubyExcimer
755106429402940694-
5-4010-4500.1-1130.1-141Up to 14-
5-40.05-9035035020-
$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.
Radiancy www.radiancy.com40 Ramland Road SouthSuite 10Orangeburg, NY 10962845.398.1647 p
Erbium-Fiber LaserSingle Mode Fiber LaserFractional CO
2 laser
1550141010600
4 - 70 mj/ MTZ5-20 mj/ MTZ5-70 mJ/MTZ
0.5 - 30.5 - 30.1 - 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 resurfacingand vascular dyschromia.
[email protected] Turner Street, Bldg. 2Waltham, MA 02453888.4rhytec p781.419.9401f
Portrait PSR3 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.
Sciton www.sciton.com845 Commercial StreetPalo Alto, CA 94303650.493.9155 p
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.com9220 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f
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.
In today’s environment, effective medical malpractice insurance is a must for anyone involved in providing health care.
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to the potential threat of litigation. Take the steps necessary to minimize your risks and protect your livelihood.
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march-april 2008 | www.aesthetictrends.com 49—
EEverywhere you turn, it seems there is
an opportunity to have a non-invasive
aesthetic procedure done. Besides a
visit to the newest medical spa in your
local shopping center, you may be
able to get a shot of BOTOX™ while
you have your hair done, or perhaps
a chemical peel while you visit your
primary care physician for your yearly
check-up. Don’t forget that lipodissolve
procedure from your OB/GYN.
According to the American
Society of Plastic Surgeons, there
were over 9.1 million minimally
invasive procedures performed in
2006. Topping the list of most popular
procedures were BOTOX™ injections,
chemical peels and laser hair removal.
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. As the rate of patient
demand continues to grow, we can
expect more healthcare providers (and
non-healthcare providers) to offer
these aesthetic services. The ways in
which the services are delivered will
continue to expand.
The attraction
of offering such
lucrative medical
services without
the hassle of
reimbursement
draws many
physicians (and other providers) to
transition into the entrepreneurial
practice of delivering aesthetic
services. This draw can be so strong
that proper training and supervision
are not given a second thought. It
does not help that we are in a time
of great flux of rules and regulations
regarding aesthetic procedures–who
can perform which procedure; what
constitutes proper training; what, if
any, supervision is necessary; and so
forth. With so much variation, about
the only thing that is guaranteed is the
opportunity for a patient to find a way
to enhance his/her looks on almost
every corner.
From a regulatory and insurance
standpoint, issues can abound. Issues
may involve the corporate practice of
legal case of the month
Ethics and the Practice of Aesthetic Medicine CLARiFYiNg THE iNSuRANCE REquiREMENTS FOR YOuR iNDiViDuAL PRACTiCE
By Megan K. Packard, Professional Liability Solutions, LLC
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.
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medicine by lay owners of medical
spas, healthcare professionals not
properly trained, or not working
within the scope of their licensure.
Such issues may lead to devastating
results. Ultimately, the healthcare
provider who performs the procedure
is responsible for the outcome; and in
most cases, the supervising physician
is responsible as well.
STAYING ABOVE BOARD Despite confusion on what is, or
is not, allowable for both regulatory
and liability purposes, there are some
basics to follow to enable healthcare
providers to “stay above board.” Think
of it in terms of “How do I defend
myself and the choices I have made?”
One day you may have to defend
yourself—whether it is a court of law
because there’s a malpractice claim
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
providers, such as the state department
of health, other boards (nursing
boards, cosmetology profession, etc.)
or other types of committee.
Almost every state has a medical
corporation act, professional service
corporation act, nursing and advanced
practice nursing act, physician
assistant practice act, barber,
cosmetology, esthetics, and nail
technology act. While all of these help
clarify what is allowable regarding
aesthetic procedures, there are many
areas left undefined.
If the procedure constitutes the
practice of medicine (as defined by
the medical practice act in your state),
then laws regarding the practice of
medicine come
into play, as do the
rules regarding who
can perform which
procedure and
whether physician
supervision is required. For example,
in some states, the lay business
corporation cannot hire the physician
and render treatment through the lay
business corporation via the employed
physician. In some states, the practice
of lay corporations receiving profits
from the provisions of a physician’s
professional services is referred to
as fee splitting and constitutes the
unlicensed practice of medicine.
This could subject the physician to
penalties and fines within many states
and could result in the loss of the
physician’s license or a probationary
period.
Rules and regulations do change.
It seems there is a continual effort
to clarify what is acceptable to
each state’s medical board. No
matter which state you work in, it is
important to know whether you are in
compliance with state laws. Too often
healthcare providers feel that as long
as they have malpractice insurance
in place, they are acting above board
within their practice setting. Just
because your insurance is in place
does not mean you are in compliance
with the state rules and regulations.
Just because your insurance is in place does not mean you are in compliance with the state rules and regulations.
march-april 2008 | www.aesthetictrends.com 51—
Because each state has its own
applicable laws and regulations, you
must seek legal counsel that is familiar
with your particular state’s rules and
regulations and the health law issues
you face in practicing retail aesthetic
medicine. Seeking out advice
and proper guidance from various
associations and specialty boards
that are emerging within the industry
would also provide further knowledge.
PRACTICE WITHIN THE SCOPE OF LICENSURE AND SETTING
Staying above board also means
practicing within the scope of your
licensure. While some states allow
physicians to delegate tasks to licensed
and other personnel (unlicensed), who
may perform what treatments is often
based on the state’s medical practice
act and its interpretations by the
applicable boards. This means that
the aesthetician giving a BOTOX™
injection may indeed be in violation of
the scope of his/her licensure.
It is important to know what non-
physician providers are allowed to
do as permitted by the appropriate
professional board. For example,
many states are now regulating who
may use lasers or intense pulsed light
devices. All states allow physicians
to use them.
Beyond that,
each state
varies. Some
states allow
only PAs,
NPs, and
RNs to use the equipment, while
other states allow the aestheticians to
operate these devices so long as the
penetration is not beyond the stratum
corneum layer of skin.
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. 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.
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
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
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
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.
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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
training institutes, groups, or facilities.
Finding out the details of training
(the who, what, where, and how) is
essential to knowing the value you will
receive and if it will serve to provide
appropriate training for the procedures
you will perform. Many of the training
groups have the ability to offer CMEs/
CEUs, making them more attractive
when it can add to your continuing
education. Once initial training is
received, continuing education for
the aesthetic procedures is critical
to ensure adequate performance–no
matter whether you are the physician
or non-physician healthcare provider.
SUPERVISION What is the appropriate level of
physician supervision needed for
non-physician healthcare providers?
What exactly does “supervision” mean
and what type is required (general vs.
direct vs. personal)?
Supervision by physicians is often
defined by the individual state’s
medical board. For example, the
North Carolina Medical Board writes
that “supervising” encompasses
overseeing the activities of, and
accepting responsibility for, the
medical services rendered by non-
physician healthcare providers (as
stated in the definition of supervising
physician for a physician assistant).
Regardless of who performs the
treatment, the physician, in most
states, is ultimately responsible for the
safety of the patient.
Many state medical
boards allow certain
procedures to be
delegated to non-
physician certified
or licensed office
personnel (e.g., CMA,
LPN, NP, PA, RN). The key, though,
is the supervision. Certain medical
boards may allow this delegation,
so long as the physician remains
on-site physically so that he/she can
respond quickly to the questions or
problems that arise. Other states have
developed a distance rule requiring
the physician to be within a certain
“drive time” in case problems arise.
For example, the physician must be
within a 30-minute drive if they have
delegated for an allied healthcare
professional to perform the procedure.
For many of the medical spas, the
direct (or on-site) supervision poses
a problem as some medical spas are
structured so that the physician may
only be on-site a couple hours a week,
with the majority of the procedures
being performed by non-physician
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. To these
states, the ideal way to deal with
patient treatment, even if an allied
healthcare provider is performing
the procedure, is for the physician to
perform the good faith exam.
Colorado is looking at laws to
tighten physician oversight at medical
spas. It is not alone; Arizona and
California are considering similar
laws. Florida and Utah have already
strengthened medical supervision in
recent years. Washington has also
made some very definitive remarks
regarding who can use lasers and
how a practice can implement risk
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.
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can go a long way to protect you and
your practice. It will help keep you
practicing “above board.”
While the ideas touched on in
this article are to help you stay out
of trouble, it is impossible to cover
all the relevant issues in a short
article. This article is not a substitute
for professional legal advice, and I
encourage all healthcare professionals
involved in aesthetic medicine to
discuss their pertinent situation with
legal counsel in their own state.
standardized protocols and providing
consent forms goes a long way to help
protect yourself and your practice.
It is important to disclose
information and fully communicate
with your patients about what to
expect, what side effects and/or
possible outcomes can occur. Full
disclosure is the best approach, and
this can be accomplished through
the informed consent form. From
a liability standpoint this can help
protect you in the event of an adverse
outcome. It is simply a matter of
practicing good risk management.
It is helpful to institute guidelines
for standardized procedures and
protocols that address things such as:
patient selection, patient education,
instruction, and informed consent;
procedures to be followed in the
event of possible complications or
side effects from the treatment; and
procedures for emergency and urgent
care situations. Call this a “quality
assurance program” if you want.
These protocols and procedures
help direct how decisions are made,
quality of treatments are monitored,
troublesome situations are dealt with,
and they provide the basics to enable
the healthcare providers to make
better decisions regarding patient care.
Performing aesthetic procedures is
not without risks. Better to know how
to take smart, informed risks rather
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
and utilizing some common sense
management rules to better define
what is acceptable under the board of
medicine.
If your state has defined what
supervision is required, I would
suggest it is a wise move to follow. If
your state has not set parameters yet, it
again pays to think of the perspective–
“How do I defend myself should I be
called before the board or in the event
of a malpractice lawsuit?”
UTILIZE PROTOCOLS/PROCEDURES AND CONSENT FORMS You cannot meet everyone’s
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march-april 2008 | www.aesthetictrends.com 55—
YYou have been successfully running
a medical practice, so expanding to
include a medical spa should be easy
considering you already have a great
staff in place, right? Not exactly!
The secret behind every successful
medical spa practice is “culture-
specific” planning.
You must take the time to plan for
the unique culture of a medical spa;
you do this by creating a strategic
framework within which you will
work. On one end, you need to focus
on the retail nature of the medical
spa business, including choosing the
right location. On the other end, you
need to concentrate your efforts on
the people you will choose to help
you run your practice. As with any
major investment, your efforts will
require close attention to the process.
DEMOGRAPHIC METRICS “Your company’s most valuable
asset is your staff; and the better your
staff, the more value your company
will have,” shares Aimee Kaye,
President and founding partner of
the human resources firm Sageview
Consulting. “By choosing the right
employees and following through
on some very important steps, you
are tailoring every aspect of your
expanded practice to be better
equipped to meet the challenges of
today and allow your company and
your employees to reach greater
goals going forward.”
STAFFING STEPS YOU NEED TO KNOW
Know the difference between a medical practice and a medical spa practice.
1
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. So
your success with expansion rides
on your strength of focus on the
retail nature of the cosmetic side
of your practice, including stellar
customer service. There are several
things to consider:
a. the retail market – According
medical spas
Top Five Strategies for HR Success THERE iS A REASON REASON THEY CALL iT Human ResouRces
By Cheryl Whitman, Founder and CEO of Beautiful Forever
atn tme
dical
spas
march-april 2008 | www.aesthetictrends.com56—
medic
al sp
as to recent research by Datamonitor,
a business information company,
68% of those surveyed believe
that “spending time on personal
appearance is an important aspect
of achieving a state of wellness/
well being.” Capitalize on these
reasons that your clients visit
medical spas, as well as the
qualifications you possess to meet
their expectations. Study consumer
research information for consumer
preferences, purchasing criteria,
retail interests, and other useful
research statistics so you can shape
your retail marketing strategy to
attract your target market. Your
current medical practice patients
may very well be your first medical
spa clients, so keep them at the top
of your list. Start by marketing with
an internal focus, but budget for
external marketing to grow your
client list.
b. Retail display and
inventory control –
Create a “retail zone”
near your reception desk
with at-home skin care
products and informative
materials that cover
the benefits of the
services and products
you offer. Be sure to assign one
or two employees with extensive
knowledge of these services and
products (and not associated with
inventory control) to oversee this
area. Offer brand-name products,
your own Private Label line, or both.
(Developing a Private Label line will
increase revenue, as well as your
personal and practice brand and
image recognition.) Also, provide
testers so clients can get a hands-on
feel for your products. Consistently
market and promote your services
and products in connection with
your brand. Don’t be afraid to
turn to an expert to help display
your product in an eye-catching
way since half the “sell” is in the
“seeing.”
Be aware that your inventory
must be correctly managed. That
means you need to keep track of
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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.
march-april 2008 | www.aesthetictrends.com 57—
exactly where it goes, because after
all, it is money on your shelves.
Monitor incoming receipts, outgoing
shipments, and sales. Track
employee commissions or bonus
programs. You want to see when a
product is low, determine your best
sellers, identify slow movers, and
keep a watch on shrinkage. Monthly
reports of sales percentages, along
with your service numbers, will also
help you to set goals and design
incentive programs to increase
your revenue. Also, take a physical
inventory once or twice a year to
verify accuracy.
Have clear expectations.2To be marketable and competitive
in the medical spa industry, your
team must work seamlessly to
exemplify your mission and realize
your vision. Simply put, they need
to know what you expect them
to do, how you want it done, and
what they will get in return for
doing it well. (It doesn’t hurt if they
actually enjoy what they do and
where they are doing it.) Create a
clear, complete job description for
each position you wish to fill, with
employees’ initial and expected/
future contribution. Design your
dream staff on paper before you
make the move to hire. Develop a
pro forma that covers the expenses
you expect to encounter, including
an allocation of resources (money
and human resources), technology
purchases, hiring and retention
costs, employee performance
reviews, compensation programs,
bonus programs, etc. Be aware
of the ratio of total compensation
costs to total budget as you work
on your pro forma. Developing
your working budget, recruiting
competitively, putting plans in
place for retaining employees –
these are some of the things that
help keep your practice marketable
and competitive. Don’t forget
to include a policy manual and
an employee handbook in your
process, such as those available at
www.medicalspasuccess.com.
When developing your pro
forma, 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.
Underestimating
the importance
of appropriate
compensation will cost
your practice more than
it could ever save. Offer
a benefits package that
includes a variety of sought-after
incentives, such as insurance,
401k, vacation and sick time, and
bonuses. When hiring your team
players, make sure your office
manager explains how much your
benefits package is worth in real
dollars – and time.
As Ann Ortolano of Sageview
Consulting points out, “Your
employees judge your workplace
in part by the benefits you offer –
everything from health insurance
and disability coverage to
retirement plans and a day off for
their birthdays.”
Hire the right staff.3As you create your winning
team, look for “fit” when hiring,
utilize continuous training and
development to keep your team
on point, and most importantly,
concentrate on exemplary
leadership and supervision
practices.
“It is important to bear in mind
that medical spa practice employees
require a flare for customer service,
a strong knowledge base, and a
salesman’s attitude,” says Dr. Kelly
Cobb, Medical Director in Lafayette,
LA. “So, in addition to the sick
patients directed to you by their
insurance companies, you will also
be seeing cash clients who choose
to see you for your cosmetic services
and expect a higher level of service
for their money.”
Every time you replace a subpar
performer, you are looking at
approximately four weeks of lost
productivity and revenue while
you work to bring a new hire up
to speed. That should be enough
of an incentive to hire right in
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.
march-april 2008 | www.aesthetictrends.com58—
medic
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as 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
managers, please note that your
practice manager may not be the
person you want heading up your
medical spa division. Your practice
requires attention to insurance issues,
as well as the hiring, training, and
firing of personnel who are suited
to the medical field and caring for
ill or injured individuals or booking
surgeries. 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.
As a rule, your manager or director
for either endeavor frees you from
spending hours a day on HR concerns.
Further, everyone will know who to
turn to for day-to-day
issues.
A final note on
staffing comes from
Medical Spa Director
Melissa Briscoe:
“When choosing new
hires and evaluating
their attributes, the
formula to follow is: Attention to
detail + willingness to learn + genuine
goodwill toward others = Success.”
Training.4Building up your spa talent is a
priority so make sure to provide
targeted, on-site training on a regular
and ongoing basis. One aspect
of this effort will be a dedicated
“new employee” training program
that might require two weeks of
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
any solo duties. Keep track of the
results to see how much your staff
learns and how it changes their
work performance, then adjust
accordingly. Utilizing professional
mystery shoppers is just one of
the ways you can spot-check for
proficiency and mastery.
Your entire staff should be fully
trained to educate patients about
the right products for their needs,
as well as the proper application
and the best regimen to follow.
Training each staff member to
explain the benefits of each product
and close the sale are essential
elements of your retail success
and client retention. Continued
emphasis on consultations is also
essential. Be sure that your medical
spa manager is taking note of
who the high performers are and
who might benefit from additional
attention and training. Also, create a
(Continued on page 60)
march-april 2008 | www.aesthetictrends.com 59—
medic
al sp
as
FEATuRED MEDiCAL SPA
Juva Skin & Laser Center and MediSpa New York City
By Cindy Vandruff, Editor in Chief
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.
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 radio-
frequencies to improve troublesome areas
such as the outer thighs, inner thighs, and
buttocks. SmartLipo and the Affirm lasers
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
tThe 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
60—
medic
al sp
as
60—
in HR not only helps protect your
assets and minimize liability, but
also helps develop a team that is
focused on improving customer
service, outdoing the competition,
and boosting your bottom line,
something that benefits the entire
staff.”
With a clear understanding of this
unique culture and a commitment to
human resource management, your
move to expand into the exciting
medical spa industry should be a
smooth one.
Cheryl
Whitman is
recognized
internationally
as a pioneer
in the field
of medical
spa business
consulting. She is a published author,
a popular speaker, and has been a
beauty-industry consultant for more
than 20 years. As founder and CEO of
Beautiful Forever, Cheryl spearheads
a successful team of medical spa
consultants and business professionals.
In addition, Cheryl developed the
Medical Spa Success System, a
revolutionary program that provides
a turnkey educational success system
and consulting services package
to help clients jumpstart brilliantly
successful medical spa businesses.
For more information, please call
1.877.SPA.MEDI or go to
www.medicalspaconsultant.com or
www.medicalspasuccess.com.
tracking system that utilizes weekly
or monthly employee reviews, to
include observable applications of
the skills for which you are training
your staff.
Stay compliant.5Have the proper coverage for the
medical procedures you offer at
your medical spa and ensure that
your staff is properly trained to
participate in their performance.
According to a recent article featured
on the International Association for
Physicians in Aesthetic Medicine
Website, many insurers require
practices of this type to “document
clinical and/or accredited training
on all non-ablative modalities
before a policy of coverage will be
extended.” Don’t jeopardize your
license or put yourself at risk for
incurring fees – keep up with all of
the state and federal laws and issues
regarding compliance, especially
with the introduction of new
technologies. Also, carefully review
your staff’s training schedule and
your practice coverage yearly so that
you do not violate any of the laws
that regulate the industry. Proper
licensing, permitting, supervision,
and delegation of the appropriate
medical or paraprofessionals, as well
as maintaining HIPAA and other
confidentiality laws is your goal. One
last note on compliance: Be prepared
for tougher laws on the horizon.
USING THE EXPERTISE OF A CONSULTANT One way to help ensure you
hit these points on target is to
work with an industry consultant
or utilize specialized resources,
such as the Medical Spa Success
System (available through Beautiful
Forever Medical Spa Consulting).
This system provides the latest
and most comprehensive industry
information and is the first and only
do-it-yourself guide to building
a profitable medical spa. With
downloadable items such as an
employee handbook and spa staff
job descriptions, you will be ahead
of the game in no time.
TOOLS AND STRATEGIES “Making effective use of human
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 Instrumentswww.diamondtome.com321 Aviador St., Suite 113Camarillo, CA 93010805.388.8503 p
DiamondTome Variable Yes/27 Diamond tippedwands
$0.50 Video On-siteTraining
$10,250 $10,400
Warranty & Accessories: 1 yr. warranty, HEPA filters, filter pads, and assorted wands. Four grit sizes.
Bella Productswww.bellaproducts.com27136 BurbankFoothill Ranch, CA 92610877.550.5655 p
BD IIBD II-ASMBD II-ASPBD M IIBD M II-MAXBella Micro
YesYesYesYesYesYes
Yes/24Yes/26Yes/27Yes/36Yes/41Yes/16
Aluminum Poly carb caps;Direct particle abrasion
$3-$3.50 Video on-site$11,950$13,950$15,950
$19,950$21,950$4,950
Warranty & Accessories: 1 yr. warranty.
Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price
march-april 2008 | www.aesthetictrends.com 65—65—
MiCRODERMABRASiONPRODuCT LiSTiNgS
Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price
DermaMed USAwww.megapeel.comP.O. Box 198Lenni, PA 19052888.789.6342 p
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 Instrumentswww.diamondtome.com321 Aviador St., Suite 113Camarillo, CA 93010805.388.8503 p
DiamondTome Variable Yes/27 Diamond tippedwands
$0.50 Video On-siteTraining
$10,250 $10,400
Warranty & Accessories: 1 yr. warranty, HEPA filters, filter pads, and assorted wands. Four grit sizes.
Bella Productswww.bellaproducts.com27136 BurbankFoothill Ranch, CA 92610877.550.5655 p
BD IIBD II-ASMBD II-ASPBD M IIBD M II-MAXBella Micro
YesYesYesYesYesYes
Yes/24Yes/26Yes/27Yes/36Yes/41Yes/16
Aluminum Poly carb caps;Direct particle abrasion
$3-$3.50 Video on-site$11,950$13,950$15,950
$19,950$21,950$4,950
Warranty & Accessories: 1 yr. warranty.
march-april 2008 | www.aesthetictrends.com66—66—
MiCRODERMABRASiONPRODuCT LiSTiNgS
Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price
Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price
Genesis Biosystems www.dermagenesis.com1500 Eagle CourtLewisville, TX 75057888.577.PEEL (7335) p
AccelaFuzeAccelaGen M2 - TurboM2M1Infusion Peel
Programmed Programmed YesYesYesYes
Yes/39Yes/34Yes/19Yes
Dual-ModeDual-ModeErgonomic Dual-Mode Handpiece with Dual-Lumen, Color-Coded Tubing Set
ImageDermwww.imagederm.com3032 Dolores StreetLos Angeles, CA 90065818.500.9034 p
ImageDerm Dual Yes/30 ReusableDelrin Tip
$3.00 Full Trainingwith Manual
$8,500 $10,700
Warranty & Accessories: Full 5 yr. warranty. M.D. unit has 3-feature function.
Innovative Med Inc.www.innovativemedinc.com4 Autry , Suite BIrvine, CA 92618877.779.9492 p949.458.7416 f
PortaPeel 1050 PortaPeel Pro 4150 Silver PortaPeel Pro 4150 GoldSetereh 1150Setereh 2150 MD
YesYesYesYesYes
Yes/14Yes/16Yes/18Yes/35Yes/37
Ergonomic, patentedhandpieces;disposable, reusable,metal & crystal freeavail., disposable tipsfor face & body
$2-$4.00 Comprehensivemanual, technicalsupport &marketing support
$4,500$4,800$6,800$9,500N/A
N/AN/AN/AN/A$12,000
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.
Lumeniswww.lumenis.com2400 Condensa StreetSanta Clara, CA 95051408.764.3000 p
SkinScapeSkinScape Plus
SingleDual
Yes/22Yes/30
Autoclavable small & large handpiecesAluminum/disposable tips
$2.80$2.80
Intensive On-site training
$14,500N/A
N/A$18,995
Warranty & Accessories: 1 yr. warranty. Education and marketing materials.
Mattioli Engineeringwww.matteng.com4200 Wilson Blvd., Suite 750Arlington, VA 22203877.628.8364 p
Aesthipeel™
Ultrapeel® PepitaUltrapeel® Crystal
3 Pre-setPositionsDual/CountVariable
Yes/17
No/39No/44
Plastic/Glass
Glass Pyrex/reusableGlass Pyrex/reusable
$3.00-$9.00
$3.00-$9.00
1 day on-site $3,675
$10,710N/A
N/A
N/A$13,860
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 $13,900 $16,500
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 Medicalwww.rajamedical.com6542 Hypoluxo Rd, #171Lake Worth, FL 33467561.868.4600 p
Sapphire Abrastim No Yes/15 Stainless steel, Sapphire heads
$5.00 1 day N/A $14,500
Warranty & Accessories: 2 yr. warranty.
Science InnovativeAesthetics www.scienceaesthetics.com30 Montgomery StreetSuite 660Jersey City, NJ 07302201.332.4100 p
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.
Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price
march-april 2008 | www.aesthetictrends.com 67—67—
MiCRODERMABRASiONPRODuCT LiSTiNgS
Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price
Genesis Biosystems www.dermagenesis.com1500 Eagle CourtLewisville, TX 75057888.577.PEEL (7335) p
AccelaFuzeAccelaGen M2 - TurboM2M1Infusion Peel
Programmed Programmed YesYesYesYes
Yes/39Yes/34Yes/19Yes
Dual-ModeDual-ModeErgonomic Dual-Mode Handpiece with Dual-Lumen, Color-Coded Tubing Set
ImageDermwww.imagederm.com3032 Dolores StreetLos Angeles, CA 90065818.500.9034 p
ImageDerm Dual Yes/30 ReusableDelrin Tip
$3.00 Full Trainingwith Manual
$8,500 $10,700
Warranty & Accessories: Full 5 yr. warranty. M.D. unit has 3-feature function.
Innovative Med Inc.www.innovativemedinc.com4 Autry , Suite BIrvine, CA 92618877.779.9492 p949.458.7416 f
PortaPeel 1050 PortaPeel Pro 4150 Silver PortaPeel Pro 4150 GoldSetereh 1150Setereh 2150 MD
YesYesYesYesYes
Yes/14Yes/16Yes/18Yes/35Yes/37
Ergonomic, patentedhandpieces;disposable, reusable,metal & crystal freeavail., disposable tipsfor face & body
$2-$4.00 Comprehensivemanual, technicalsupport &marketing support
$4,500$4,800$6,800$9,500N/A
N/AN/AN/AN/A$12,000
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.
Lumeniswww.lumenis.com2400 Condensa StreetSanta Clara, CA 95051408.764.3000 p
SkinScapeSkinScape Plus
SingleDual
Yes/22Yes/30
Autoclavable small & large handpiecesAluminum/disposable tips
$2.80$2.80
Intensive On-site training
$14,500N/A
N/A$18,995
Warranty & Accessories: 1 yr. warranty. Education and marketing materials.
Mattioli Engineeringwww.matteng.com4200 Wilson Blvd., Suite 750Arlington, VA 22203877.628.8364 p
Aesthipeel™
Ultrapeel® PepitaUltrapeel® Crystal
3 Pre-setPositionsDual/CountVariable
Yes/17
No/39No/44
Plastic/Glass
Glass Pyrex/reusableGlass Pyrex/reusable
$3.00-$9.00
$3.00-$9.00
1 day on-site $3,675
$10,710N/A
N/A
N/A$13,860
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 $13,900 $16,500
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 Medicalwww.rajamedical.com6542 Hypoluxo Rd, #171Lake Worth, FL 33467561.868.4600 p
Sapphire Abrastim No Yes/15 Stainless steel, Sapphire heads
$5.00 1 day N/A $14,500
Warranty & Accessories: 2 yr. warranty.
Science InnovativeAesthetics www.scienceaesthetics.com30 Montgomery StreetSuite 660Jersey City, NJ 07302201.332.4100 p
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.com68—68—
MiCRODERMABRASiONPRODuCT LiSTiNgS
Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price
Vacuum Mobile/ Aesthetician M.D. UnitSource Product Flow Control Weight (lbs) Handpiece Disposables Training Unit Price Price
Sciton www.sciton.com845 Commercial StreetPalo Alto, CA 94303650.493.9155 p
MicroLaserPeel™ N/A Yes/wheels Large area scanner None In-office N/A $19,500module
Warranty & Accessories: 10 to 40 microns in 5-micron steps.
Silhouet-Tone USAwww.silhouettone.com7 Champlain CommonsSt. Albans, VT 05478800.552.0418 p
Sybariticwww.sybaritic.com9920 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f
SkinBella
N/A Yes/ 22 lbs Cart 32 lbs
Ultrasonic Applicator $2.50 On-Site Advanced Training
$10,995 $10,995
Warranty & Accessories: 1 yr. warranty included with extended warranty available. Professional and retail skin care products, marketing kit and cart included.
SoundSkin Corporationwww.soundskin.com429 South Main StreetOswego, IL 60543888.596.5277 p
SmartPeel - Esthetician
SmartPeel-M.D.
16 settings+ lym-phatic
32 settings
Yes/18
Yes/23
Acetyl copolymerwith full range of accessories
$1.50 On-site byspecialist
$10,500
N/A
N/A
$13,500
Warranty & Accessories: 1 yr. warranty, parts & labor with dual probe lymphatic drain module, dual SmartFilter viral barrier system to 0.1 microns.
Syneron Medicalwww.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, Ontario, Canada800.445.8418 p
Libra Variable Yes/34 Custom disposable tips $.50-$1.00 Video on-site training
N/A $9,995
Warranty & Accessories: 1 yr. warranty. Education and marketing materials.
Vibraderm, Inc.www.vibraderm.com2100 N. Hwy 360 Suite 1502Grand Prairie, TX 75050800.494.7181 p
Vibraderm None Yes/21 High-TechAluminum Alloy
None On-site trainingincluded
$18,100 $18,100
Warranty & Accessories: 1 yr. warranty.
Viora, Inc.www.vioramed.com30 Montgomery StreetSuite 660Jersey City, NJ 07302877.384.8032 p201.332.4200 f
Pristine - Dimond System
Marquis - Dimond and crystal System
Single
Dual
Yes/28
Yes/35
Ergonomic stainless steel design; 10-13tips depending on model; auto-clavable
$.30/filter
$.30/filter
Manufacturer supportManufacturer support
$10,900
$15.900
$11,900
$16,900
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 Technologieswww.vitamedtech.com1286 University Avenue, #264San Diego, CA 92103619.795.7953 p
Sybariticwww.sybaritic.com9920 James Avenue SouthMinneapolis, MN 55431800.445.8418 p952.888.8887 f
SkinBella
N/A Yes/ 22 lbs Cart 32 lbs
Ultrasonic Applicator $2.50 On-Site Advanced Training
$10,995 $10,995
Warranty & Accessories: 1 yr. warranty included with extended warranty available. Professional and retail skin care products, marketing kit and cart included.
SoundSkin Corporationwww.soundskin.com429 South Main StreetOswego, IL 60543888.596.5277 p
SmartPeel - Esthetician
SmartPeel-M.D.
16 settings+ lym-phatic
32 settings
Yes/18
Yes/23
Acetyl copolymerwith full range of accessories
$1.50 On-site byspecialist
$10,500
N/A
N/A
$13,500
Warranty & Accessories: 1 yr. warranty, parts & labor with dual probe lymphatic drain module, dual SmartFilter viral barrier system to 0.1 microns.
Syneron Medicalwww.syneron.com100 W. Beaver Creek Rd. #6Richmond Hill, Ontario, Canada800.445.8418 p
Libra Variable Yes/34 Custom disposable tips $.50-$1.00 Video on-site training
N/A $9,995
Warranty & Accessories: 1 yr. warranty. Education and marketing materials.
Vibraderm, Inc.www.vibraderm.com2100 N. Hwy 360 Suite 1502Grand Prairie, TX 75050800.494.7181 p
Vibraderm None Yes/21 High-TechAluminum Alloy
None On-site trainingincluded
$18,100 $18,100
Warranty & Accessories: 1 yr. warranty.
Viora, Inc.www.vioramed.com30 Montgomery StreetSuite 660Jersey City, NJ 07302877.384.8032 p201.332.4200 f
Pristine - Dimond System
Marquis - Dimond and crystal System
Single
Dual
Yes/28
Yes/35
Ergonomic stainless steel design; 10-13tips depending on model; auto-clavable
$.30/filter
$.30/filter
Manufacturer supportManufacturer support
$10,900
$15.900
$11,900
$16,900
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 Technologieswww.vitamedtech.com1286 University Avenue, #264San Diego, CA 92103619.795.7953 p
Warranty & Accessories: 2 yr. warranty, parts & labor. 2 handpieces; abrading and peeling. Variety of tip sizes available.
march-april 2008 | www.aesthetictrends.com 71—
IIt is an exciting time to be part of
the cosmetic surgery field. It seems
that every month new procedures
are discovered and old procedures
are improved. The release of the
PROFractional™ laser is part of this
boom, and people across the world
are now realizing that cosmetic
surgery procedures can be safe,
simple, and smooth.
MICROLASERPEEL The Sciton PROFractional laser is
an upgrade of the Contour 2940
Er:YAG laser which is used to
perform the MicroLaserPeel.
(Physicians who currently use the
Contour 2940 Er:YAG laser do not
have to purchase the PROFractional
laser separately—instead Sciton
offers a simple upgrade to the
existing MicroLaserPeel technology.)
The PROFractional is a Class IV laser,
and it has the ability to penetrate a
depth of 25-1000 µm and a width of
6 x 6 mm to 20 x 20 mm.
With this technology,
the PROFractional
laser can improve
skin texture and tone,
dramatically improving
the appearance wrinkles,
scars, and sun damage
with one pass of the laser.
PINPOINT ACCURACY The PROFractional laser is a semi-
ablative procedure which delivers a
laser microbeam to the tissue with
pinpoint accuracy. The microbeam
creates very small diameter micro
wounds without uncontrolled heating
of the tissues, and this stimulates
fibroblasts to produce new collagen
within each micro-zone of treatment.
The laser is named for its ability to
improve skin tone, texture, and color
by removing only a fraction of the
actual skin surface. The depth of
plastic surgery
Changing the Lives of Acne Patients WiTH PROFRACTiONAL™ LASER TREATMENTS
By Gregory Alan Wiener, M.D., F.A.C.S.
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.
atn tpla
stic s
urgery
march-april 2008 | www.aesthetictrends.com72—
plasti
c surg
ery 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. The
new tissue is healthy in texture and
pigment which leads to a marked
difference in the appearance of the
patient’s skin. Some patients need
only one treatment, while patients
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
reminders of high-school bullying
or other sad adolescent memories.
Acne scars from adult-onset acne
can be equally troubling, since
these individuals feel as though
their acne separates them from their
peers who have not experienced
acne for decades.
For patients who have ice-
pick or depressed acne scars,
the PROFractional laser can be
combined with the MicroLaserPeel
for deep skin resurfacing. After the
PROFractional targets the damaged
skin tissue, the MicroLaserPeel can
be used to smooth the skin’s total
appearance. Depending
on the patient’s needs, the
MicroLaserPeel can be
minimal to a full removal
of the upper layer of
skin. By combining
these two incredible skin
resurfacing procedures,
patients can discover the
beautiful, healthy skin underneath
their acne scars.
DOWNTIME AND POST CARE Patient downtime is dependent
upon the depth of the PROFractional
laser. Acne scars require deep
ablation, generally at around 750
to 1000 microns. This means that
these patients should plan for a
little more downtime, as they might
experience pinkness or sensitivity of
the skin for several days. Although
it is possible for patients to return
to their daily routine following
treatment, most patients who receive
the PROFractional treatment do
experience a light red or pink tinge to
the skin, which is similar to sunburn.
These effects to the treatment area
normally fade within 24-48 hours; and
patients are able to recommence their
usual skin routine, such as applying
cosmetics. However, ultraviolet
light can be harmful to skin during
these sensitive hours following the
procedure, so patients must avoid
direct sunlight. Of course, SPF is a
must for all patients seeking healthier
skin, regardless of the procedure they
seek.
In cases where the PROFractional
laser and the MicroLaserPeel
treatments are combined, patients
72—
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.
Before (Left) and After Acne Treatment (Right). Photos Courtesy Gregory Wiener, M.D.
march-april 2008 | www.aesthetictrends.com 73—
should expect a more significant
downtime, including redness and
perhaps peeling.
RESULTS These initial results might
intimidate patients who look in the
mirror following the procedure—the
tiny droplets of blood which rise
to the surface can be frightening
for those who are squeamish,
but within a week the healing
process should leave the patients
very pleased with the procedure.
Moreover, not only does the
accuracy of the PROFractional
prevent unnecessary damage to
the patient’s healthy dermis, it
also helps to decrease discomfort.
Indeed, there is almost no pain
involved, although some patients
do report a tingling sensation
which can be alleviated by topical
anesthesia.
In the past six months, I have
performed the PROFractional laser
procedure on numerous clients, and
I have seen firsthand how patient-
friendly this technique is—and also
how important this procedure can
be in patients’ lives.
PATIENT STORY One patient came to me after
suffering from acne scars for 12
years. As a teenager, she was
on medication which caused her
hormones to fluctuate. As a result,
she suffered from very bad acne. My
patient recalled her high school
memories to me stating, “It
was the worst time of my life.
So many things were going
wrong. My medication affected
my weight and my skin—I
thought I was the ugliest thing
to ever walk the planet. Shortly
thereafter, my parents got divorced
and my world was ripped apart. When
I look in the mirror now and see my
acne scars, I go right back to that time
in my life when I was so miserable
and isolated.
“By getting rid of the acne scars,
I hope to rid myself of the constant
reminder of how hard my adolescence
was for me.”
The patient’s acne scars were
atrophic boxcar scars that were
contained to her T-zone area—her
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
then treated her boxcar scars with
the PROFractional at 800 microns.
After two days she reported a visible
difference in her skin, and she noted
minimal discomfort, though her face
was tinged with a slight sunburn-like
appearance and some sloughing of
the skin. In December, she came in for
her next appointment, and I treated
the facial scars with 800 microns
and her back with 700 microns.
Within two days of treatment, makeup can be applied again, and patients can resume their normal exercise activities.
Before (Left) and After Acne Treatment (Right). Photos Courtesy Gregory Wiener, M.D.
march-april 2008 | www.aesthetictrends.com74—
plasti
c surg
ery
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, patient-
friendly procedures and painless
treatments will continue to remain
the priority of physicians and
researchers.
The scarring on her back was
significantly less severe and deep.
After the third appointment, her
facial and back acne scars were
almost invisible to the naked eye.
She was very pleased with her
results and reported that she felt
more confident after the treatments.
As she said, “I am now able to go
out of the house without makeup
on—something I have not done since
I was 12 years old. I am very happy
I underwent the procedure. I feel
more confident in myself, and I am
glad to leave the painful memories
of adolescence behind me! I am
ready to take on the world!”
With all of the treatments, I
administered a numbing cream to
the area of the skin to be treated
prior to the procedure. She noted
minimal pain and said the pain
she did feel was similar to a light
stinging or tingling sensation. (For
patients who do note more severe
pain, administering an analgesic
is recommended, though most
patients do not need more than
Tylenol.) After each procedure, this
patient cooled her face with a wet
towel and followed with the healing
moisturizing lotion, Aquaphor. She
did note that she felt slightly self-
conscious venturing back to work
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.
after the treatment (since
her skin was redder than
usual), but she soon
found that it was not
very noticeable.
PATIENT INSTRUCTIONS After each
treatment, I
recommend that my
patients avoid the
direct sunlight for 2
weeks. Aquaphor is used for two to
three days after surgery along with
a non-comedogenic cleanser and
sun block with SPF 30 or higher.
If peeling of the skin occurs, they
should never pick it! Moisturizers
(such as Aquaphor mentioned
above) can help with the peeling of
the skin, and if itchiness occurs oral
Benadryl usually suffices.
Within two days of treatment,
makeup can be applied again,
and patients can resume their
normal exercise activities. We also
administer anti-viral medications
to our patients
to help prevent
infections from
occurring. (Like all
medical procedures,
there is a slight
risk involved with
the PROFractional,
and infections can
occur from the laser. Of course,
this is very uncommon, especially
if the patient takes the anti-
viral medications every day as
prescribed.)
With almost no downtime,
little patient discomfort, and
With almost no downtime, little patient discomfort, and quick, simple treatments, the PROFractional laser technology stands at the forefront of recent cosmetic surgery developments.
A N N U A L S U B S C R I P T I O N
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march-april 2008 | www.aesthetictrends.com 77—
AAs the science and technology of
aesthetic light based devices continue
to refine and develop the science of
photonic interaction with skin, the
concern over the safety of both patients
and staff becomes a serious issue
not only for the responsible medical
practice director, but all laser and light
based device operators, state and local
regulatory agencies, and even medical
malpractice insurance carriers. It can
be a challenge to continue to be on
the forefront of the most efficient and
effective technological knowledge
curve. Having access to independent
information sources based on the
science of light and tissue reaction is
crucial. However, establishing a safe
environment to provide these services
should be a reproducible and straight
forward process that all providers of
office based laser services should be
aware of.
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. In
the physician office setting, it is
important to assign the duties of the
office Medical Laser Safety Officer.
The role of this individual is most
important in the initial establishment
of the Office Laser Safety Program as
well as the continued maintenance
and development
of the program.
Occasionally, this
role is accepted by
a Medical Director
and then delegated
to a member of the
office staff who works with the lasers
on a routine basis. It is important that
the MLSO maintains contact with
advances in laser safety knowledge
and continues to share office laser
safety program development
information with each medical director
and other office staff who may be
impacted with any changes in the
program.
STATE REGULATIONS AND STANDARDS The MLSO should be aware that
the office laser safety program may be
influenced by the federal government,
state government, and the involved
state medical boards. The parent
documents for understanding the
responsibilities associated with any
Laser Safety Program in a healthcare
practice management
Laser Safety in the Cosmetic Practice By Leslie Pollard, CMLSO & Contributing Editor
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.
atn tpra
ctice
mana
geme
nt
march-april 2008 | www.aesthetictrends.com78—
practi
ce ma
nage
ment setting are the documents ANSI Z136.1
and ANSI Z136.3 (American National
Standard for Safety Use of Lasers and
Safety Use of Lasers in Healthcare
Facilities). These documents provide
guidelines, explanations, and specific
documentation examples for all
facilities utilizing laser technology. A
copy of the ANSI Z136.3 document
is the accepted information core and
reference manual for all medical/
surgical laser safety programs. Other
federal government agencies, such as
OSHA, will also provide regulations to
help establish safe environments for
staff members working around these
laser systems. It is helpful to know that
these regulations are based on the
ANSI Z136.3 guidelines.
All laser safety programs begin
with the trained MLSO determining
the classification of each laser system.
The required laser safety policies
and procedures to be put in place
are dependent on the Class of laser
associated with potential for injury
for those working with or near this
equipment. Once the equipment is
classified, the policies and procedures
are developed for that risk level.
Lasers are classified as Class 1, 2,
3a, 3b, and 4, Class 4 being the most
potentially dangerous. Most lasers
found in the cosmetic office practice
are Class 3b or Class 4 requiring the
most stringent of laser safety protocols
and oversight.
During the initial stages of your
laser safety program implementation,
the MLSO representative should
determine if the resident state has
state laser safety regulations. This
information may be obtained from
a variety of consultative services,
or may also be researched on state
government internet sites. Although
these regulations will be based on
the Federal Guidelines (both ANSI
Z136.1 and Z136.3), a copy should
be obtained to determine other
requirements outside of the ANSI
guidelines. Should your state have
laser safety regulations on the state
level, you may also be required to
register your laser equipment and
MLSO with that state agency.
The third regulatory entity that
should be consulted is the state or
local medical board. The medical
board may provide information
that will provide direction to the
medical director about delegation
of authority for laser operation,
level of supervision required, and
educational and training requirements
of physician and non-physician
operators. Some medical boards
require specific involvement from the
supervising physician.
Currently, states are quite variable
in their views on these issues. Many
are in the process of major changes.
The subject is taken quite seriously
by a number of states. Again, this
information may be obtained by
consultative services or with specific
web searches on the state specific
medical board sites. The investigative
MLSO and Medical Director should
also be aware that it is not uncommon
The key component to all office laser safety programs is documentation.
for non-physician healthcare
boards to offer independent
opinions on their specific
perspectives regarding
support of their licensure
during the operation of
medical lasers. Be sure to
check any specific board
that may be involved in
your practice (nursing
boards, cosmetology
boards, etc.).
EDUCATION Many states will provide
educational guidelines for
cosmetic laser operators,
both physician and
non-physician. This
will often depend on the
level of supervision and
the level of licensure of
each individual. Since
these guidelines and regulations may
be in a development process in many
states, it would be wise to become
familiar with the current standings
of your state regarding laser safety
issues as well as your state medical
board position, and continue to follow
any legislative process or task force
involved in this area. It is always
recommended that each cosmetic
physician office educational program
(Continued on page 85)
march-april 2008 | www.aesthetictrends.com 79—
PRESS CORNERPRESS CORNER
Facelifts Fuel Rise in Cosmetic Operations
A record number of women
having facelifts fuelled a 12% rise
in cosmetic operations in Britain last
year, figures show. A total of 32,453
surgical procedures were carried out,
compared with 28,921 in 2006, the
British Association of Aesthetic Plastic
Surgeons said.
“It is crucial that people do their
research carefully when choosing
a provider,” commented Douglas
McGeorge, British Association of
Aesthetic Plastic Surgeons.
Some 91% of patients were
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
covers only members of the association,
so the true number of procedures is
likely to be higher.
The most popular operation for
women remained breast enlargement
surgery, with 6,847 cases.This was
followed by eyelid surgery (5,148 - up
13%), face or neck lifts, liposuction
(3,990 - up 15%), and breast reduction
(3,178).
The association says it is the rise of
non-surgical versions, involving fillers
and BOTOX™, that is responsible for
the increase in facelifts. Rajiv Grover,
the association’s secretary, said: “Ten
years ago there may not have been
much choice between a face cream
and a facelift, but more recently non-
surgical procedures have introduced
a large number of patients to gradual
facial rejuvenation.”
The most popular operation among
men was rhinoplasty, or nose job, with
more than 700 men taking this option,
a rise of more than a third. Liposuction
was the next most popular, with 582
procedures (up 18%), then eyelid
surgery, ear correction and neck or
facelifts (230 - up 21%).
There were 224 breast reductions
on men, up 27% on the 177 in 2006,
and 10 times the 22 operations carried
out in 2002. The biggest rise was in
“tummy tucks” as 98 men underwent
the procedure, up from 61 in 2006 - a
rise of 61%.
Source: BBC News
Doctor D. Schwab Alphasomes™ RC Rejuvenate and Correct
Doctor D. Schwab, a unique
rejuvenating and stimulating anti-aging
line for mature skin manufactured by
San Diego based CA BOTANA, has
introduced its most luxurious product,
Alphasomes™ RC Rejuvenate and
Correct to combat the signs of aging.
Alphasomes is the only product of
its kind on the market today which
contains a proprietary blend of
vegetable ingredients and transformers
which act as an alternative to
BOTOX™. The cream’s re-densifying
action helps to fill wrinkles and smooth
out expression lines. Additionally,
Alphasomes prevents the breakdown
of the skin’s elastin, promotes collagen
production, corrects loss of skin tone
and firmness, and prevents dehydration
and the development of new wrinkles
and crow’s feet.
One of Alphasomes most unique
ingredients is Euk-134, which is
a powerful antioxidant with anti-
inflammatory properties that mimic
the activity of natural skin enzymes to
protect skin tissue against free radicals
and the damaging effects of the sun.
CA BOTANA is a leading
manufacturer of personal care products
with worldwide distribution. With over
40 years of in-house research, CA
BOTANA has studied the effects of sea
extracts, plants, herbs, and vitamins
and has integrated it with the latest
skin care technology to satisfy today’s
consumers.
CA BOtANA International, Inc.
800.872.2332
www.ca-botana.com
Candela Names Robert LaRoche Vice President of global Marketing
Candela Corporation (NASDAQ:
CLZR) announced that Robert LaRoche
has joined the company as Vice
march-april 2008 | www.aesthetictrends.com80—
PRESS CORNERPRESS CORNER
President of Global Marketing. Mr.
LaRoche will lead Candela’s worldwide
marketing efforts of current products
and pipeline product opportunities.
“With over 25 years of medical
device marketing and sales experience,
Bob is a proven leader in the medical
device marketplace. We are confident
that he will apply his unique skill set
and insight to drive sales revenues and
increase global awareness of Candela’s
products,” said Jay Caplan, Chief
Operating Officer.
Most recently, Mr. LaRoche served
as Vice President of Marketing and
Sales at InfraReDx, Inc., a Burlington,
Massachusetts-based medical device
start-up, where he led the marketing
and sales development process for
the company’s first commercialized
product. Prior to that, he was Founder
and President of Octant Marketing
Inc., a consultancy serving the medical
products industry, and has also
held various managerial marketing
positions.
Mr. LaRoche earned a Bachelor’s
degree in Marine Fisheries Biology
from the University of Massachusetts
Amherst.
Candela Corporation manufactures
and distributes innovative clinical
solutions that enable physicians,
surgeons, and personal care
practitioners to treat selected cosmetic
and medical conditions using lasers,
aesthetic laser systems, and other
advanced technologies. Founded near
Boston in 1970, the company markets
and services its products in over 70
countries from offices and distributors
in the United States, Europe, Japan,
China, and other Asian locations.
Candela established the aesthetic laser
market 18 years ago and currently has
an installed base of an estimated 12,000
lasers worldwide.
Candela Corporation
800.733.8550
www.candelalaser.com
Cherokee inspired Comfort Awards Program Call for Nominations
Six years have passed since
Cherokee Uniforms first began
recognizing healthcare professionals
through its Inspired Comfort Awards
program. Since that time, the leading
designer and manufacturer of
healthcare apparel has awarded nearly
60 healthcare professionals from
across the country for their exceptional
service, sacrifice, and innovation.
Although winners have had diverse
backgrounds, all of them have one
thing in common—a sincere passion
for bettering the lives of others.
Nominations are being accepted
March 1 – May 31, 2008 for this
year’s awards program. The program
provides a meaningful way for
peers, friends, and colleagues to
acknowledge healthcare professionals
for their significant contributions to
patients and medical care.
“The nominations that we
have received throughout the
years are a true testament to the
immense dedication that healthcare
professionals display on a daily
basis,” said Michael Singer, President
and CEO of Cherokee Uniforms.
“We are proud to recognize those
individuals who have made the
healthcare industry what it is today
by providing care and compassion to
their patients at times when they need
it the most.”
To nominate a healthcare
professional, visit www.
CherokeeUniforms.com or pick up
a nomination form from a Cherokee
Uniforms retailer. Candidates may
be nominated in two of the following
categories but can only win in one:
Registered Nurses (RNs); Advanced
Practice Nurses (APNs); Licensed
Practical Nurses/Licensed Vocational
Nurses (LPNs/LVNs); Students
enrolled in schools of nursing; and
other Non-Physician Healthcare
Professionals.
Cherokee Uniforms will make
a donation for every healthcare
professional who is nominated for
the award through May 31, 2008,
to Nurses House, a national fund
that provides short-term financial
assistance to registered nurses facing
serious hardship.
Cherokee uniforms
818.671.2100
www.Cherokeeuniforms.com
march-april 2008 | www.aesthetictrends.com 81—
PRESS CORNERPRESS CORNER
Cynosure Announces Three New Aesthetic Products
Cynosure, Inc. (Nasdaq: CYNO), a
leading developer and manufacturer
of a broad array of light-based
aesthetic treatment systems,
announced the introduction of three
aesthetic products for fast-growing
applications including laser lipolysis,
the removal of pigmented lesions and
ablative skin resurfacing. Cynosure
will showcase its new products,
SmartSense™ for Smartlipo™,
Accolade™ and Affirm Er, at the
American Academy of Dermatology
(AAD) 2008 Annual Meeting, in San
Antonio, Texas.
“Cynosure’s strategic vision
is centered on the continuous
improvement of aesthetic procedures
through technology innovations that
benefit patients and practitioners,”
said Michael Davin, Cynosure’s
President and Chief Executive
Officer. “Each of the products we are
launching today fulfills that mission.
Accolade, the sixth flagship product
we have introduced in the past four
years, creates exciting new revenue
opportunities for us, particularly
in markets throughout Asia, while
SmartSense and Affirm Er enhance
the benefits and performance of
our two most recently introduced
workstations.”
Recently FDA cleared,
SmartSense is a proprietary
intelligent handpiece delivery
system for Smartlipo, Cynosure’s
ground-breaking, minimally invasive
system that liquefies and removes
localized deposits of fat and results
in tissue tightening through tissue
coagulation.
Accolade is a high powered
755 nm, Q-switched Alexandrite
laser for the removal of pigmented
lesions. The unique combination
of various spot sizes and the
laser’s high repetition rates allow
for rapid treatment. “Given the
market potential for this technology,
particularly in the Asia Pacific
region, we are excited about the
prospects for Accolade,” Davin said.
“As a flagship product, Accolade is
expected to generate a minimum of
$10 million in revenue in its first full
year on the market.”
Cynosure’s new Affirm Er is a
2940 nm wavelength, Erbium:YAG
laser for ablative skin resurfacing
applications, such as the treatment
of deep lines and wrinkles. The
Affirm Er handpiece is designed
as a complementary fourth
wavelength for the Affirm Anti-
Aging workstation, Cynosure’s
award-winning platform for
anti-aging applications such as
skin rejuvenation, wrinkles, skin
discoloration, and tissue tightening.
Cynosure, Inc.
800.886.2966
www.cynosure.com
gLS’ New Thermoplastic Elastomer Offers Phthalate-Free / Plasticizer-Free Formulations
GLS Corp., a PolyOne company
(NYSE: POL), and global leader in the
manufacture of high-performance,
custom-formulated thermoplastic
elastomers (TPEs), announced the
introduction of a new phthalate-free
TPE in its specialty VERSAFLEXTM
TPE product line. The new product,
called VERSAFLEX CL E95 TPE,
addresses recent regulations limiting
phthalate-based plasticizers and
recent market demands for low
extractable TPEs. This new phthalate-
free, plasticizer-free TPE offers water
clarity, sterilization capability, and
low extractables. It is well suited for a
variety of extruded tubing and films as
well as blow-molded bags, containers,
toys, and other infant care items.
According to Joseph Kutka, GLS
Technology Launch Manager, “We
developed VERSAFLEX CL E95
to provide
our medical
customers with
an extrudable
and water
clear product
that complies
with the
demands of autoclave sterilization.
We view our new plasticizer-free
technology, combined with our entire
phthalate-free TPE product line, as
the technology platform to support our
customers requiring no phthalates.
(Continued on page 84)
American College of ObstetriciansAnd Gynecologists – ACOG56th Annual Clinical MeetingMay 3 - 7, 2008Ernest N. Morial Convention CenterNew Orleans, LAContact: [email protected]. 638.5577www.acog.org/acm
China Beauty ExpoMay 20 - 22, 2008Shanghai New International Expo CenterShanghai, ChinaContact: Vanessa Kuhlmann+49 711 490 890 [email protected]
JUNE 2008Cosmetic Boot Camp4th Annual MeetingJune 12 - 15, 2008Broadmoor ResortColorado Springs, CO888.355.3675 pwww.cosmeticbootcamp.com
International Esthetics, Cosmetics and Spa Conference – IECSCJune 28 - 30, 2008Las Vegas Convention CenterLas Vegas, NVContact: John [email protected]
JULY 2008American Academy for Anti-Aging Medicine – A4MJuly 17 - 19, 2008 Washington, DCContact: Aaron Smith800.558.1267 pwww.worldhealth.net
American Academy of Dermatology–AADAcademy ’08 Summer MeetingJuly 30 - August 3, 2008Chicago, ILContact: Robin Downey847.330.0230 pwww.aad.org
MARCH 2008Medical Spa ExpoMarch 23 - 25, 2008Los Angeles Convention CenterLos Angeles, CAContact: Reed Exhibitions800.363.3631 pwww.spaandresortexpo.com
APRIL 2008American Society for Laser Medicine & Surgery – ASLMS28th Annual MeetingApril 2 - 6, 2008Gaylord Palms ResortKissimmee, FLContact: Dianne Dalsky715.845.9283 [email protected]
American Academy for Anti-Aging Medicine–A4M16th Annual International CongressApril 25 - 27, 2008Gaylord Palms Resort & Convention CenterOrlando, FLContact: Aaron Smith800.558.1267 pwww.worldhealth.net
MAY 2008American Society for AestheticPlastic Surgery – ASAPS/ASERFAnnual MeetingMay 1 - 6, 2008San Diego Convention Center San Diego, CAContact: Linda Stanton800.364.2147 pwww.surgery.org
JANUARY 2008The American Academy of Cosmetic Surgery – AACS24th Annual Scientific MeetingJanuary 17 - 20, 2008Rosen Shingle Creek ResortOrlando, FLContact: Moira Murphy312.981.6762 pwww.cosmeticsurgery.org
The Orlando Dermatology & Aesthetic Conference – ODACJanuary 18 – 21, 2008Buena Vista PalaceOrlando, FLContact: Beth-Ellen Keyes646.453.5709www.orlandoderm.org
American Academy of Facial Plastic & Reconstructive Surgery – AAFPRS14th Annual Winter Symposium on the Latest Advances in Facial Plastic SurgeryJanuary 18 - 22, 2008Vail Marriott Mountain Resort and SpaVail, COContact: Ollie Edwards703. 299.9291, ext 237 [email protected]
FEBRUARY 2008American Academy of Dermatology – AAD66th Annual MeetingFebruary 1 - 5, 2008San Antonio, TXContact: Robin Downey866.503.SKIN (7546)www.aad.org
Advances in Cosmetic Medical Dermatology – ACMDMauiDerm 08 Advances in Cosmetic Medical Dermatology February 25 - March1 , 2008Grand Wailea Resort Maui, Hawaii Contact: ACMD Administrative Office www.acmd-derm-hawaii.coml
SEPTEMBER 2008Medical Spa ExpoSeptember 8 - 10, 2008Jacob Javits Convention CenterNew York, NYContact: Reed Exhibitions877.271.6789
American Academy of Family Physicians–AAFPAnnual Scientific AssemblySeptember 17 - 21, 2008San Diego, CAContact: Sondra Biggs800.874.2237 x 5360 pwww.aafp.org
American Academy of Facial Plastic &Reconstructive Surgery–AAFPRSAnnual Fall MeetingSeptember 18 - 20, 2008Promer House Hilton Chicago, ILContact: Ollie Edwards703. 299.929 [email protected]
American Academy of Otolaryngology Headand Neck Surgery–AAOHNS2008 Annual Meeting & OTO EXPOSeptember 21 - 24, 2008McCormick Place Convention Center Chicago, ILContact: Irma Chavez703.519.1557 pwww.entnet.org
International Society of Cosmetic and Laser Surgeons–ISCLS 17th Annual Meeting Date and Location to be Determined Contact: [email protected] 312.981.6799 p www.iscls.org
OCTOBER 2008International Esthetics, Cosmetics & SpaConference–IECSCOctober 4 - 6, 2008Orlando/OC Convention CenterOrlando, FLContact: John Clarke800.624.3248 [email protected]
China International Beauty WeekDate PendingBeijing Exhibition Center, Beijing, ChinaContact: Vanessa Kuhlmann+49 711 490 890 0 pwww.beautyweek-china.com
American Society of Plastic Surgeons– ASPS77th Annual Scientific MeetingOctober 31 - November 5, 2008 McCormick Place WestChicago, ILContact:ASPS/PSEF Registration800.766.4955 pwww.plasticsurgery.org
NOVEMBER 2008American Society for Dermatologic Surgery–ASDS 35th Annual Scientific Meeting November 6 - 9, 2008 J.W. MarriottOrlando, FL 847.956.0900 pwww.asds.net
American College of Phlebology–ACP22nd Annual CongressNovember 6 - 9, 2008Marco Island Marriott Resort Golf Club & Spa Marco Island, FLContact: Dana DePonzi510.834.6500 pwww.phlebology.org
American Academy of Ophthalmology–AAO joined with European Society of Ophthalmology -SOEAnnual MeetingNovember 8 - 11, 2008Georgia World Congress CenterAtlanta, GA Contact: Meetings Department415.561.8500 x320 pwww.aao.org
International Spa Association–ISPA18th Annual ISPA Conf. & ExpoNovember 10 - 13, 2008Las Vegas, NVContact: Jennifer Spencer888.651.4772 pwww.experienceispa.com
American Society of Cosmetic Dermatology and Aesthetic Surgery – ASCDAS7th Annual Meeting and ExhibitionDecember 4-7, 2008The Wynn Las Vegas ResortLas Vegas, NevadaContact: Larry Bodkin850.531.8330 [email protected]
DECEMBER 2008American Academy of Anti-Aging Medicine–A4M16th Annual World Congress on Anti-Aging Medicine and Regenerative Biomedical TechnologiesDecember 11-14, 2008Venetian HotelLas Vegas, NVContact: Aaron Smith800.558.1267 pwww.worldhealth.net
events 2008
march-april 2008 | www.aesthetictrends.com 83—
march-april 2008 | www.aesthetictrends.com84—
PRESS CORNER
By choosing this technology,
customers requiring a single non-
phthalate-containing global product
can manufacture and market their
products globally.”
California recently passed a bill
(California AB 1108) that will restrict
six forms of phthalates used in any
toy or childcare article beginning Jan.
1, 2009. Other states are considering
similar legislation, and the European
Parliament voted in 2005 to restrict
the same six forms of phthalates in
toys and child care items as well (EU
Directive 2005/84/EC). Finally, there is
a growing trend in the marketplace to
reduce the use of phthalates in global
products.
The use of clear, phthalate-
free GLS VERSAFLEX™ CL E95
thermoplastic elastomer in medical
devices such as this face mask can
help manufacturers comply with
existing and future regulations
restricting phthalate use. The GLS
material offers high performance
in extruded and blow-molded
applications.VERSAFLEX CL E95 TPE
offers a unique balance of superior
clarity, low hardness, and excellent
flexibility at low temperatures as
compared to competitive products. The
new grade is stable under gamma and
autoclave sterilization. Leveraging its
well-known customization capabilities,
GLS can tailor this technology suite
into a variety of different hardnesses,
custom colors, and flow properties.
GLS Corp.
815.385.8500
www.glscorp.com
institute for Aesthetic Medicine Announces New Laser Training Physician and Nurse Networks
The Institute for Aesthetic
Medicine (IAM) announced the
creation of a nationwide laser-
training physician and nurse network
for plastic surgery and dermatology
professionals. Laser practitioners
unable to attend one of IAM’s
clinical, hands-on certification
classes can now have personalized
clinical training in a single visit. “The
physician
and nurse
networks
are
unique as
they bring
office-
side laser
training
to busy
aesthetic laser practitioners,” said
Amy Pope, director of the IAM Nurse
Network. “Think of it as ‘concierge’
laser training at your door.”
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.
Participants now have a single
laser training resource dedicated
to improving patient safety and
minimizing professional liability.
“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
Medical Officer and co-founder of
The Institute for Aesthetic Medicine.
“Only training in a well-defined
clinical setting can deliver the most
professional, efficacious skills.”
Certification classes will be held
in Charlotte, NC, Feb 23-24 (Sciton-
sponsored); Maui, HI, Feb 26-28
(George M. Martin, M.D. - IAM
Physician Network Office), and
Baltimore, MD, Mar 1-2. Participants
receive up to 24 CME contact hours
depending on course selection. For
some training venues, IAM offers a
third day of training and certification
for Medical Laser Safety Officers
(MLSOs). Personalized, in-office
physician and nurse network training
is arranged by directly contacting
IAM.
IAM is a Miami-based corporation
organized in 2007. Co-founders
Cindy L. Vandruff and Michael H.
Gold, M.D. are leading experts in the
aesthetic medical industry. The main
focus of the company is education,
hands-on training and safety through
an extensive network of partners
and affiliates. For more information
about IAM or CME training classes
contact Gregg Wright, President and
General Manager, gregg.wright@
iameducated.com.
Institute for Aesthetic Medicine, Inc.
800.436.9311
www.IAMeducated.com
(Continued from page 81)
(Continued on page 87)
march-april 2008 | www.aesthetictrends.com 85—
practi
ce ma
nage
mentfollow the state trend or future
legislative practices. If a specific state
does not offer such information as yet,
general training guidelines for the
laser operator and support staff may be
found in the ANSI Z136.3 Guidelines.
Educational practices and training
are a key component to providing
documentation for a reputable laser
safety compliant office program. It
is always recommended to keep
documentation of each educational
process taken by laser operators and
the MLSO.
DOCUMENTATION The key component to all
office laser safety programs is
documentation. Although many
offices may feel they are going
through all of the proper procedural
processes to establish a laser safety
program, documentation of these
processes is crucial and is often
the missing component. Here are
a few suggestions for program
documentation:
• TrainingandEducation: Once you
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).
• LaserSafetyPolicy: A general
laser safety policy should be
developed to provide guidance
for the safe use of all office laser
systems.
• Operator’sManual:Specific
operator’s manual should be
available for all lasers.
• StandardOperatingProcedures:
Standard Operating Procedures or
SOPs should be developed for each
device to offer a step-
by-step process of
Turn On, Operational
Process and Clinical
Parameters, and Turn
Off procedures for
each device.
• StandingOrders:Depending on
the state and the level of delegation
and licensure required of the
operator, standing orders may be
required to meet state medical
board requirements. This Standing
Order may include the specific
device SOP.
• PatientConsents: Patient consents
are developed on the needs of
each specific office and procedural
offerings. Consents and other
administrative documentation
may need to be presented to your
physician malpractice insurance
provider.
• PatientDocumentation:Patient
documentation should be provided
to show the laser and parameters
used, date, laser operator, delivery
system, or any other information
that may be pertinent to that
patient’s treatment
• EquipmentUseDocumentation: It
can be most helpful to incorporate
a process to document the use of
each device on a daily basis. This
document should be kept with the
equipment and show how often
the equipment is used and any
maintenance or service issues that
may arise.
The safety of patients and staff should be paramount in all laser and IPL practices.
(Continued from page 78)
march-april 2008 | www.aesthetictrends.com86—
practi
ce ma
nage
ment • OfficeLaserSafetyAudit:
Annually, your MLSO should
conduct an audit process
to determine the degree of
compliance of your office laser
and IPL safety program, based
on your existing policies and
procedures. Many states are now
suggesting or requiring an office
quality assurance program to be
documented as well. The Office
Laser Safety Audit program can
be developed internally and may
be most useful when developed as
a working document to show how
quality is assessed and improved
throughout the year.
• IncidentReportDocumentation:
Issues arising from unexpected
outcomes can be very helpful to
track on an internally developed
incident report form. This type of
documentation can provide very
valuable quality improvement
data, and when used properly, can
also consider a quality assurance
program.
• LaserSafetyCommittee: When
more than two laser operators
provide services in the physician
office, the federal government
suggests the formation of a formal
office committee to document the
sharing of information pertaining
to the development of a laser safety
program or issues encountered over
the course of day-to-day operations.
The laser safety committee is not
mandatory; but if it is a part of
the office process, the discussions
and outcomes of the committee
discussions should be documented.
• PreventativeMaintenanceand
Repair: Very important in the
documentation process of the office
laser safety program is the proper
maintenance and repair of the
laser equipment. It is required
that all laser equipment used on
patients is properly maintained
according to the manufacturer’s
recommendations. Each laser
should have a dedicated file
showing such proof of routine
maintenance. Any repair that
takes place should also show
proper documentation. Any laser
equipment that is rented is also
required to show documentation,
on the premises, that the equipment
is properly maintained.
INTENSE PULSED LIGHTAlthough Intense Pulsed Light
devices are not lasers, many specific
state regulations regarding laser
safety and state medical boards
providing guidance as to educational
requirements and delegation of laser
operation have incorporated the IPL
devices into their laser safety programs
and policies.
KNOW ANSI STANDARDSThe office Medical Laser Safety Officer
should not only be knowledgeable
about basic laser physics, biophysics,
and safety, but also should have a
knowledge base that provides the
information and skill sets available to
utilize the Federal ANSI Standards
and any applicable state standards to
the specific office practice. Specific
MLSO training programs may be most
helpful.
The days of relying on the device
manufacturers or
continuing with
undocumented laser
safety practices
should be in the past.
The safety of patients
and staff should be
paramount in all laser
and IPL practices.
Unsafe practices
and undocumented
programs are risks
that no cosmetic
practice should be
willing to take.
Leslie Pollard
was recruited to
start a surgical
laser program
at a medical
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
the Health System, providing multiple
technologies for clinical application and
teaching and training of physicians,
residents, nursing, and surgical
technologists in the many facets of laser
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.
march-april 2008 | www.aesthetictrends.com 87—
Palomar and P&g Enter New License Agreement
Palomar Medical Technologies, Inc.
(Nasdaq: PMTI), a leading researcher
and developer of light-based systems
for cosmetic treatments, announced
that it has entered into a non-exclusive
License Agreement with The Procter
& Gamble Company (NYSE: PG) to
exploit home-use light-based hair
removal devices for women. This new
agreement replaces the Development
and License Agreement entered into
by Palomar and The Gillette Company,
(a wholly owned subsidiary of P&G) on
February 14, 2003, as Amended and
Restated on February 14, 2007, and as
further amended thereafter.
Under this new agreement, P&G
retains a non-exclusive license to
Palomar’s broad patent portfolio as
well as a non-exclusive license to the
extensive technology developed by
Palomar before and during the five-
year term of the prior agreement. Prior
to launching a commercial product,
P&G will pay Palomar $1.25 million per
calendar quarter. Following commercial
launch P&G will pay Palomar per
product sales under a confidential
financial arrangement which addresses
both the patents and technology which
are licensed.
During the term of the prior
Development and License Agreement,
a home-use, light-based hair removal
device for women was developed by
Palomar together with Gillette. It is
the first light-based aesthetic device
to receive a 510(k) over-the-counter
(OTC) clearance from the United States
Food and Drug Administration (FDA).
OTC clearance allows the product
to be marketed and sold directly to
consumers without a prescription.
Designed specifically for use in the
home and based on over a decade
of research, this consumer device
represents a major breakthrough in the
aesthetic device industry.
In order to achieve FDA clearance,
numerous clinical studies with over 600
subjects and thousands of treatments were
conducted. These studies demonstrated
that, when used as directed, the
light-based device created under this
agreement delivers comfortable, effective,
skin-safe hair removal.
Palomar Medical technologies, Inc.
781.993.2411
www.palomarmedical.com
Omnilux New-u™ Hand-held Device Receives FDA Approval
Photo Therapeutics, Inc. is pleased to
announce it has received FDA approval
on its new over-the-counter light
therapy device, Omnilux New-U, for the
treatment of periorbital wrinkles.
Omnilux New-U has been clinically
proven to reduce periorbital wrinkles
and to treat the visible signs of aging,
using a combination of alternate
treatments of Infrared and red light
twice a week for four weeks.
The clinical study conducted by Neil
Sadick, Weill Medical College of Cornell
University Department of Dermatology,
New York, demonstrated a significant
reduction in periorbital wrinkles and
improvements in skin tone, clarity,
smoothness and elasticity.
“This is a pivotal point in the history
of the company and its development
of light-based technologies. We are
extremely proud of our medical heritage.
We believe in producing light therapy
devices that deliver optimized treatment
parameters that have been rigorously
tested and clinically proven, and our
latest technological achievement is
no different,” said Sue D’Arcy, CEO
of Photo Therapeutics, Inc. “We are
excited that we can now offer Omnilux
technology directly to the consumer
marketplace without a prescription.”
Photo Therapeutics, Inc. was
established in 1998 with the right to
the patented photodynamic therapy
technology, the Paterson Lamp.
Originating from the University of
Manchester Institute of Science and
Technology (UMIST) and years of
cumulative research, the technology
was launched commercially in 1998 as
Omnilux.
The now widely recognized Omnilux
Light Therapy system offers single
platform technology with the versatility
of multiple treatment heads for the
treatment of acne, wrinkle reduction,
skin rejuvenation, wound healing,
psoriasis, and photodynamic therapy.
Omnilux
760.607.0488
www.phototherapeutics.com
PRESS CORNER(Continued from page 84)
march-april 2008 | www.aesthetictrends.com88—
PRESS CORNER
Syneron™ Previews Matrix RF™ Ablative Fractional Device and Laser-Assisted Lipolysis System at American Academy of Dermatology Annual Meeting
Syneron™ Medical Ltd.
(NASDAQ: ELOS), an innovator in
the development, marketing, and
sales of elos™ combined-energy
medical aesthetic devices, announced
the company will preview two new
technologies at the annual meeting of
the American Academy of Dermatology
(AAD) in San Antonio, Texas, on
February 2-4: the Matrix RF™ and a
laser assisted lipolysis system.
The Matrix RF applicator utilizes
Syneron’s patented Bi-Polar Radio
Frequency technology to provide
effective and comfortable skin
rejuvenation. The tunable applicator,
which may be used on Syneron’s
eLight™, eLaser™ and eMax™
platforms, allows for the adjustment
of ablation and coagulation settings to
vary treatment depth and the proportion
of skin treated in each session. The
Matrix RF will also feature a single-use
disposable. The Matrix RF is the second
product in Syneron’s series of elos
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
the elos platforms, to be used along with
other Syneron applicators to expand the
range of aesthetic treatments physicians
can offer from each eSeries platform.
Syneron, the market leader in body
shaping applications, will also unveil the
company’s first device for laser-assisted
lipolysis. According to the American
Society of Aesthetic Plastic Surgery,
the number of liposuction procedures
has increased 128 percent from 1997 to
2006. Syneron’s device is a minimally
invasive alternative or complement to
the liposuction fat removing procedure,
designed to provide patients lasting
results and little downtime. The system
will feature disposable fiber optics.
In addition to the two new devices
being previewed at the AAD, Syneron
will also be featuring its VelaShape™
device, the first FDA-cleared Class
II device for the temporary reduction
of the appearance of cellulite, as
well as the only FDA-cleared device
for the temporary reduction of thigh
circumference. VelaShape, the newest
addition to Syneron’s Vela™ platform of
non-invasive devices for body treatment
was launched in Aug. 2007. Since its
launch, the VelaShape has achieved
high levels of physician, media and
consumer accolades for the results
seen by this non-invasive cellulite and
circumferential reduction treatment.
Syneron Medical Ltd.
866.259.6661
www.syneron.com
Thermage, inc. Announces initial Shipments of Cellulite Product
Thermage, Inc. (Nasdaq: THRM), a
leader in non-invasive tissue tightening
in the aesthetic industry, announced
it has begun initial shipments of its
ThermaTip™ CL treatment tips for use
in the Company’s cellulite procedure.
The procedure noticeably reduces
the appearance of cellulite after just a
single treatment. The treatment tip and
procedure are the result of 21 months of
clinical and technological development
and use the FDA cleared ThermaCool®
system for the temporary improvement
in the appearance of cellulite.
“We began shipments of our
ThermaTip CL treatment tip on
track and within the timeframe we
expected,” said Stephen J. Fanning,
Chairman of the Board, President and
Chief Executive Officer at Thermage.
“Cellulite offers a new market
opportunity for our Company, and we
expect the new tip to provide a solid
contribution to our revenue in 2008.”
The ThermaTip CL and cellulite
procedure by Thermage incorporate
the Company’s patented monopolar
capacitive radiofrequency technology.
The advanced deep heating ThermaTip
CL rebuilds collagen connective tissues
and improves blood flow to the tissue,
helping to smooth the appearance of
the skin’s surface.
Thermage’s innovative technology
provides a unique non-invasive
procedure designed to tighten and
contour skin, significantly expanding
the non-invasive aesthetic applications
physicians can offer to the rapidly
growing “anti-aging” market.
thermage
510.259.7117
www.thermage.com
march-april 2008 | www.aesthetictrends.com 91—
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These DocTors Are Among
The Top physiciAns
in our FielD
Michael H. Gold, M.D.Gold Skin Care CenterNashville, TN
Mitchel P. Goldman, M.D.Spa MDLa Jolla, CA
George M. Martin, M.D.Dermatology Laser Center of MauiMaui, HI
David J. Goldberg, M.D.Skin Laser & Surgery SpecialistsNew York, NYMiami, FL
CME Training for the Medical Aesthetic ProfessionalWe’re Growing! And so can you– train in one of the offices of these leading physicians within our network.
Each physician is an activePhysician Network Office of theInstitute for Aesthetic Medicine
www.IAMeducated.comToll-free 800.436.9311Waterford Business Park • 5201 Blue Lagoon Drive, Suite 800 • Miami, FL 33126 USA
All Physicians Are Board Certified
Michael H. Gold, M.D. Chief Medical Officer & Co-Founder
In theanti-agingmarket, it appearsmakingmoneywill never get old.
*Source: Millennium Research Group, “U.S. Markets for Aesthetic Lasers 2006,” May 2006
