iniature Devices Produce The Business of Body Shaping TAS 2017 Product Showcase THE Aesthetic Show 2017 Program Enclosed

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1 The Business of Body Shaping TAS 2017 Product Showcase iniature Devices Produce Huge Results page 3 THE Aesthetic Show 2017 Program Enclosed May/June 2017 Circulation 25,000

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3 Miniature Devices Produce Huge Results By Jeffrey Frentzen, Executive Editor As new aesthetic technologies enter the marketplace, trends in design, functionality and user ergonomics have yielded increasingly smaller, more portable devices that some say could potentially replace the need for larger, higher-priced systems. Moreover, there has been an overall positive response from physicians who appreciate that these more compact devices do not require the significant upfront investment or the same footprint as bigger systems, yet deliver exceptional power and results. Eclipse Aesthetics, LLC (Dallas, Texas) has three smaller-scale products that treat a wide-range of indications. The Eclipse MicroPen EVO 1, which is reportedly the only portable microneedling pen powered by radiofrequency (RF)-based energy entering the marketplace; Theradome LH80 PRO, a powerful portable helmet with the highest power density reported among homeuse laser solutions for hair loss; and the dep Patch mask, which works to treat the appearance of melasma, dark spots and skin imperfections. Tina Alster, M.D. Dermatologist Washington, DC Mark Taylor, M.D. Dermatologist and Cosmetic Surgeon Salt Lake City, UT As an upgrade to Eclipse s MicroPen Elite, the highly anticipated MicroPen EVO is a cordless dermal microneedling device that retains all the features of its predecessor, but will also offer new capabilities never before available in a portable microneedling pen. With the simple change of a cartridge, the user will have the option of selecting mechanical microneedling, RF-based microneedling or non-ablative bulk heating. Treatments yield an improved appearance of fine lines and wrinkles, and practitioners will be able to easily customize treatments. For Tina Alster, M.D., a dermatologist in Washington, D.C., the MicroPen line has been a mainstay in her practice. It fits a niche for anybody who s doing cosmetic work, even for those of us who have acquired high-powered lasers, whether they re ablative or non-ablative, she expressed. This is a very useful tool compared with some of my lasers, which cost me much more and are sitting collecting dust in the corner now that I have microneedling. The MicroPen does a good job of addressing the appearance of wrinkles around the mouth, Dr. Alster continued. Perioral wrinkles are notoriously difficult to treat. I no longer use my lasers for lip lines, and if you try to inject them, many times the substance will kind of move to either side where the fold is, which doesn t look so good. Also, fillers tend to not be permanent. In addition, with the MicroPen EVO, People will end up spending a lot less money and still observe good cosmetic outcomes, Dr. Alster added. My whole business has been changed by this. We re not talking about the old-fashioned roller-type. These are handheld and utilize motorized pins that have disposable tips, with needles that are literally used to till the land, she explained. There is no heat. Lasers produce heat in the tissue, which is responsible for the prolonged redness that people tend to have after treatments. David P. Deutsch, M.D. Cosmetic Surgeon and Hair Loss Specialist Beverly Hills, CA This is a very useful tool compared with some of my lasers, which cost me much more and are sitting collecting dust in the corner now that I have microneedling. MicroPen EVO Photo courtesy of Eclipse Aesthetics THE Aesthetic Guide May/June

4 May/June 2017 Volume 20 Number 3 Features 48 The Business of Body Shaping 78 THE Aesthetic Show 2017 Product Showcase 131 THE Aesthetic Show 2017 PROGRAM 48 Comparison Charts 116 Skin Rejuvenation 120 Hair Removal 122 Vascular Technologies 124 Acne Tx Devices Emerging Technologies 126 Dermal Fillers 127 Physician-Dispensed Topicals 128 Body Shaping Technologies 129 Fractional Technologies Directory Aesthetic Company Directory 4 THE Aesthetic Guide May/June

5 Advertisers Index Advanced Tactile Imaging 39 Advice Media 97 Aerolase 73 THE Aesthetic Academy , THE Aesthetic Show , 34 Aesthetic TV Allergan Alma Lasers ALPHAEON CREDIT 67 AQ Skin Solutions 37 Ascentium Capital 101 Bellus Medical 85 Biologica Technologies 63 Biopelle 89 BTL Industries 35 THE Certified Aesthetic Consultant Collagen P.I.N. 109 COSMED Dermaceuticals 99 Crystal Clear Digital Media 105 Cutera 51 DefenAge 87 DEKA 69 Eclipse Aesthetics 11 Envy Medical 2 Epionce 107 FotoFinder Systems Fotona 147 Galderma 13 Gateway Aesthetic Institute 103 IMCAS 29 InMode 95 LASERING USA 71 Lumenis 148 Med-Aesthetic Solutions 111 Newmedical Technology 113 NewSurg 65 NKP Medical Marketing 115 Oxygenetix Institute 43 Quanta Aesthetic Lasers 57 Rohrer Aesthetics 59 Sciton 15 Solta Medical, a division of Valeant 25 Pharmaceuticals North America Sovereign Laboratories 47 Suneva Medical 83 Thermi, an Almirall Company 17 Venus Concept 55 Viora 41 Viveve 81 Zarin Medical 45 Zimmer MedizinSystems 53 Insert: InMode Michael Moretti Editor-in-Chief / Group Publisher mmoretti@miinews.com Jeffrey Frentzen Executive Editor jeff@miinews.com Misti Barnes Contributing Editor William T. Kelley Senior Editor, International Editorial Staff Leah Morvant Publisher lmorvant@miinews.com Erin Velardo Senior Editor erin@miinews.com Anthony J. Varro Contributing Editor Kevin A. Wilson Contributing Editor Contact Information Medical Insight 36 Discovery, Suite 170 Irvine, CA Telephone: Facsimile: Subscriptions: info@miinews.com Advertising Inquiries: sales@miinews.com Correction of errors: Medical Insight assumes no liability for the information contained in this publication. Every effort has been taken to ensure the accuracy of this information by contacting sources believed to be reliable. Errors, when discovered, will be promptly corrected. Copyright: This publication is protected by U.S. Copyright Law; 2017 Medical Insight Unauthorized reproduction is strictly forbidden by law, the penalty for violation is $100,000 per occurance. THE Aesthetic Guide is a trademark of Medical Insight. THE Aesthetic Guide May/June

6 Mark Taylor, M.D., a dermatologist and cosmetic surgeon in Salt Lake City, Utah, concurred. MicroPen EVO applications can do the same thing as a much more expensive system, such as a laser or RF-based device, he said. I have a huge laser center and I do a lot of treatments. The MicroPen Elite is complementary to laser procedures. I use it, and where appropriate, I use the laser, and in some instances, I use both. Dr. Taylor is impressed with the MicroPen EVO s feature set and Before and after three MicroPen treatments Photos courtesy of Nancy Samolitis, M.D. capabilities. It is a powerful device. I like the rechargeable battery. You don t have a cord hooked on to it that you have to keep out of the treatment field. And it has a lot of settings, so you can adjust, he stated. According to Dr. Taylor, the MicroPen EVO produces a very controlled revitalization of the skin. Some products, including vitamin C and other nutrients, can be applied after a microneedling procedure, he stated. In addition, one can apply growth factors and serums designed to improve the look of the skin. Dr. Alster has employed the MicroPen for treating the appearance of atrophic scars, acne scars and other types of surgical scars, as well. In addition, she reported using microneedling to improve the look of stretch marks, even on large areas like the thighs and abdomen. I ve seen very nice results so microneedling alone really is a good treatment. You add other modalities to the equation like RF to achieve tighter looking skin, she said. Though in the past Dr. Alster defaulted to using one of her big box devices any time she just wanted skin tightening, she is, Excited knowing that this little handheld device is also going to deliver some of that tighter appearance that you need. What s better is that in order to achieve this you hardly have to pay anything, she said. I ve used those larger machines and they work. They also take a lot more time. I don t think the price is worth it for what you get, particularly. Even though she has over 20 aesthetic devices on wheels sitting in her office, When you have something that is so compact, affordable and capable, that works this well, you can turn out treatments much more quickly, she said. Patients are happy because the cost to them is lower and the results are good. I m still making money because even though each ticket is not as expensive my patients are so much happier. In addition, they re getting other procedures in conjunction with microneedling because they have more money to spend. I think it is a win-win. Stretch marks before and after MicroPen Tx Photos courtesy of Kenneth Sanders, M.D. Dr. Alster has been looking into selling some of her bigger aesthetic systems as, I no longer use them because I m so happy with the Eclipse pen. I have high hopes for the MicroPen EVO. 6 THE Aesthetic Guide May/June

7 Just as the MicroPen EVO promises to establish a new standard in microneedling, another new product is poised to do the same for hair restoration procedures. The new Theradome LH80 PRO portable helmet is worn on the head for laser hair restoration treatments and claims the highest power density among low-level laser-based home-use solutions for hair loss. This FDA cleared, cordless device uses an unprecedented 80 advanced diodes to deliver over 560 mw of low-level laser therapy, which penetrates deep into hair follicles without generating any heat, while yielding maximum scalp coverage for treating all areas affected by androgenetic alopecia. With the Theradome there is no need for large, outdated LED lamps that take up a lot of space. This compact helmet stimulates the scalp, increases blood flow to the area, thus reducing inflammation of the scalp and encouraging hair growth. According to David P. Deutsch, M.D., a cosmetic surgeon and hair loss specialist in Beverly Hills, Calif., The Theradome is a very nice addition to our practice. My primary hair transplantation procedure moves hair from the back of the head to the front and top. A very important part of that is hair protection and maintenance, he said. Ideally, someone losing their hair will want to do what it takes to keep the hair they have, to prevent further loss and add more hair along with the transplants. In general, achieving success in stimulating hair growth is a tough problem for clinics, noted Dr. Taylor. We have all tried a lot of different technologies to address this issue. Everyone is tired of doing Rogaine. The vitamin products don t do anything, either. There are many different products that claim hair regrowth and many of them don t work at all. Dr. Taylor has heard some good reports about the Theradome. There have been some publications that report it increases the hair, so that it looks thicker and fuller. This system offers good global coverage of the scalp, Dr. Taylor noted. There are little indentations in the cap s band that help to part the hair so that the laser energy can penetrate the scalp several millimeters deep into the dermis to reach the follicle. It has been demonstrated that there is adequate exposure and penetration of these waves around the follicles to be effective, he said. Theradome LH80 PRO is a portable helmet worn on the head for laser hair restoration treatments. Photo courtesy of Eclipse Aesthetics The Theradome s 80 advanced diodes deliver 560 mw of low-level laser therapy without generating any heat to treat areas affected by androgenetic alopecia. Photo courtesy of Eclipse Aesthetics The Theradome treatment can extend to 100 weeks and longer, according to Dr. Deutsch. Treated hair exhibits improved luster and fuller body by 24 weeks, with thicker, longer hair coinciding with a healthier scalp after 26 to 50 weeks of continued use of the helmet. After 52 weeks hair on the top of the head and the vertex may fill in, followed by more growth from 100 weeks and on. In a 2011 clinical study 2, 30 female subjects representing a wide variety of ages, races, skin types and severity of hair loss used the Theradome helmet for 12 weeks. Afterwards, researchers observed changes for each participant individually THE Aesthetic Guide May/June

8 and by location (frontal, vertex and temporal region). Overall, the entire group saw a 37.75% increase in new hair growth. In addition, the average percentage of gain in hair count and thickness for the three locations on the head was 37.75%, the study concluded. When discussing the best candidates for the Theradome, Dr. Deutsch noted, Some people come in that simply are not candidates for hair restoration or hair transplantation, whether it be because of age, lack of donor supply, grade of pattern or what have you. Therefore, the device is aimed at maintaining what hair already exists. dep Patch technology employs electrical stimulation to convey water soluble, ionic solutions to the skin by means of a microprocessor controlled electrical current. Ionic charges that are alike will repel one another while oppositely charged ions are attracted to one another. For instance, negative current is used when introducing negatively charged products to the skin. This unique delivery system has been validated by well-established science, noted Dr. Taylor, who helped develop the dep Patch to meet an unmet need. I had Notably, patient response has been overwhelmingly positive, Dr. Deutsch emphasized, noting that patients take the Theradome home, often as an adjunct to a more comprehensive hair restoration regimen. Patients are satisfied with the ease of use and the results, Dr. Deutsch expressed. You are not going to see the kind of dramatic results you would with hair transplantation, but for some patients just keeping what they have and regrowing some of their hair is a real winning situation for them. Younger patients are a promising new market for this therapy, reported Dr. Taylor. Theradome has a real place in the market, even in people who have had transplants. Another example of pushing the limit on new technology, but this time in the skincare realm, is the new dep Patch for skin revitalization via a powered, reusable mask and eye-patch kits. This advanced treatment uses micro-current technology that helps to deliver ionic solutions into the epidermis. The product can be used to replenish the skin and aid in addressing the appearance of pigmentary problems. dep Patch Full Face Mask Photo courtesy of Eclipse Aesthetics Before and after dep Patch Tx Photos courtesy of Mark Taylor, M.D. Before and after dep Patch Tx Photos courtesy of Mark Taylor, M.D. 8 THE Aesthetic Guide May/June

9 The dep Patch and the MicroPen EVO have huge potential ROI because they are low-cost for both the patient and the physician and are well accepted by the patient population. this idea of patients needing a big patch for some treatments, something that could fit over the whole face or certain body parts, he said. Compared with common topical applications, both the dep Patch Under Eye and Full Face Mask provide deeper delivery and concentration for improved results and no downtime. dep Patch Micro-Current Force is the non-invasive method of transporting nutrients and serums into the skin. Results have shown 300% greater penetration than topical applications alone. 3 Dr. Taylor believes the potential applications of dep Patch are numerous, including the appearance of various skin conditions: acne, abnormal pigmentation (such as post-inflammatory hyperpigmentation and melasma), as well other common skin conditions that are often poorly managed by other methods, he said. Before and after dep Patch Tx Photos courtesy of Mark Taylor, M.D. For instance, the dep Patch overcomes traditional problems of infusing the skin with vitamin C, Dr. Taylor noted. The interesting thing about delivering vitamin C is that it is hard to just apply topically to the skin because it oxidizes very quickly. However, if you put it on the skin and then cover it with the patch you prevent the oxidation. Dr. Taylor recently conducted a study with Brigham Young University, 3 in which researchers measured the amount of vitamin C being delivered into the skin using micro-current technology. The technique delivered an amazing amount of vitamin C to the skin, so it enhances effectiveness. Conversely, when just vitamin C is applied to the skin it pretty much oxidizes and is ineffective in the treatment of pigmentation, he said. Patients really like the patch, Dr. Taylor reported, as long as home-use instructions are clear and simple. We bring them into Before and after dep Patch Tx Photos courtesy of Mark Taylor, M.D. the office and train them on how to use the patch, and if they care for it correctly they can get multiple effective treatments out of it. For most of the patients that Dr. Taylor sees who are unhappy with the look of their melasma, he will recommend one or two cycles with the mask. They will then move on to a maintenance program to see if they can preserve the improved appearance they have achieved. All of these new Eclipse products can be used in a variety of ways and in a layered approach to achieve certain results, Dr. Taylor pointed out. And they offer a good return on investment (ROI). For instance, the dep Patch and the MicroPen EVO have huge potential ROI because they are low-cost for both the patient and the physician and are well accepted by the patient population, he expressed. In addition, you have no ongoing maintenance issues and, in the case of MicroPen EVO, a very small cost for the disposable needles that you use. References: 1. The Eclipse MicroPen EVO is not yet available and is pending FDA clearance. 2. Avci P, Gupta GK, Clark J, Wikonkal N, Hamblin MR. Low-level laser (light) therapy (LLLLT) for treatment of hair loss. Lasers Surg Med Feb;46(2): doi: /lsm Taylor, MB, Yanaki, JS, Draper, DO, Shurtz, JC, Coglianese, M. Gateway Aesthetic Institute, Salt Lake City, UT, ActivaTek Inc, Salt Lake City, UT, Department of Exercise Sciences, Brigham Young University, Provo, UT. Successful Short-Term and Long-Term Treatment of Melasma and Postinflammatory Hyperpigmentation Using Vitamin C With a Full-Face Iontophoresis Mask and a Mandelic/Malic Acid Skin Care Regimen. Journal of Drugs in Dermatology Jan;12(1): THE Aesthetic Guide May/June

10 SCIENTIFIC ADVISORY BOARD Maurice Adatto, M.D. Medical Director Skinpulse Dermatology & Laser Center Geneva, Switzerland Daniel Cassuto, M.D. Professor of Plastic Surgery University of Catania Catania, Italy Doris J. Day, M.D. Clinical Assistant Professor of Dermatology NYU Langone Medical Center Director Day Dermatology and Aesthetics New York, NY, USA Macrene Alexiades-Armenakas, M.D., Ph.D., F.A.A.D. Assistant Clinical Professor Yale University School of Medicine New Haven, CT, USA Director Dermatology and Laser Surgery New York, NY, USA Henry Chan, M.D., Ph.D., M.B.B.S., F.R.C.P., F.H.K.C.P., F.H.K.A.M. Dermatologist Honorary Professor Li Ka Shing Faculty of Medicine University of Hong Kong Hong Kong, China Koenraad De Boulle, M.D. Director Aalst Dermatology Group Aalst, Belgium Red M. Alinsod, M.D., F.A.C.O.G., A.C.G.E. Urogynecologist and Pelvic Reconstructive Surgeon Laguna Beach, CA, USA Gregory W. Chernoff, M.D., F.R.C.S. Plastic Surgeon Medical Director Chernoff Cosmetic Surgery Indianapolis, IN and Santa Rosa, CA, USA Jason B. Diamond, M.D., F.A.C.S. Diplomate American Board of Facial Plastic and Reconstructive Surgery Los Angeles, CA, USA Tina Alster, M.D. Washington Institute of Dermatologic Laser Surgery Washington, D.C., USA Suneel Chilukuri, M.D., F.A.A.D., F.A.C.M.S. Cosmetic and Dermatologic Surgeon Houston, TX, USA Barry DiBernardo, M.D., F.A.C.S. New Jersey Plastic Surgery Montclair, NJ, USA Benjamin Ascher, M.D. Plastic Surgeon Clinique IENA Lecturer and Clinical Assistant Paris Academy Paris, France Hong-Kyu Cho, M.D. Plastic Surgeon NB Plastic Surgery Clinic Seoul, Korea Christine Dierickx, M.D. Medical Director Skinperium Boom, Belgium Peter Bjerring, M.D., Ph.D. Professor of Dermatology Aarhus University Hospital Vejle, Denmark Joon-Yong Choi, M.D. Chief Plastic Surgeon Dream Plastic Surgery Group Seoul, Korea Jason Emer, M.D. Board Certified Dermatologist Spalding Drive Plastic Surgery Beverly Hills, CA, USA Kevin Brenner, M.D., F.A.C.S. Board Certified Plastic and Reconstructive Surgeon ROX Center Beverly Hills, CA, USA Steven R. Cohen, M.D., F.A.C.S. Medical Director FACES+ Plastic Surgery Skin and Laser Center Clinical Professor of Plastic Surgery University of California, San Diego La Jolla, CA, USA Sabrina Fabi, M.D. Board Certified Dermatologist Goldman, Butterwick, Fitzpatrick, Groff & Fabi Cosmetic Laser Dermatology San Diego, CA, USA Gregory Buford, M.D., F.A.C.S. Board Certified Plastic Surgeon Beauty by Buford Englewood, CO, USA Angelo Cuzalina, M.D., D.D.S. Past President American Academy of Cosmetic Surgery, 2011 Diplomate American Board of Cosmetic Surgery Tulsa, OK, USA Klaus Fritz, M.D. Director, Dermatology and Laser Centers Landau, Germany Associate Professor Carol Davila University of Medicine and Pharmacy Bucharest, Romania President, European Society of Laser Dermatology 10 THE Aesthetic Guide May/June

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12 SCIENTIFIC ADVISORY BOARD Takahiro Fujimoto, M.D., Ph.D. Medical Director Clinic F Laser and Skin Centre Tokyo, Japan Pearl E. Grimes, M.D. Director Vitiligo and Pigmentation Institute VPI Cosmetic Center Los Angeles, CA, USA Chang-Hun Huh, M.D., Ph.D. Clinical Assistant Professor Department of Dermatology Seoul National University Budang Hospital Gyeonggi, Korea Ma. Teresita G. Gabriel, M.D., F.P.D.S. Chair Department of Dermatology Research Institute for Tropical Medicine Alabang, Muntinlupa City, Philippines Sanjay Grover, M.D., F.A.C.S. Diplomate American Board of Plastic Surgery Newport Beach, CA, USA Christopher Inglefield, B.Sc., M.B.B.S., F.R.C.S.(Plast) Medical Director London Bridge Plastic Surgery & Aesthetic Clinic London, UK Dore J. Gilbert, M.D. Dermatologist Newport Dermatology & Laser Associates Newport Beach, CA, USA Ka-lam Hau, M.B.Ch.B., M.R.C.P., F.H.K.A.M., F.H.K.C.P., D.C.H. Dermatology Specialist Hong Kong SAR, China Garo Kassabian, M.D., F.A.C.S. Dual Board Certified Plastic and General Surgeon Founder and Medical Director Lift MD Aesthetics Beverly Hills, CA, USA Chee-Leok Goh, M.D., M.B.B.S., M.Med., M.R.C.P., F.R.C.P.E., F.A.M.S. Clinical Professor National University of Singapore Adj. Professor Duke-NUS Graduate School Sr. Consultant Dermatologist National Skin Centre, Singapore Per Hedén, M.D., Ph.D. Associate Professor of Plastic Surgery Karolinska Institutet Founder and Chairman Akademikliniken Private Hospital Group Stockholm, Sweden Bruce Katz, M.D. Clinical Professor of Dermatology Mount Sinai School of Medicine New York, NY, USA Michael H. Gold, M.D. Gold Skin Care Ctr. Tennessee Clinical Research Ctr. Clinical Assistant Professor Vanderbilt University School of Medicine Nashville, TN, USA Gangaram Hemandas, M.B.B.S., M.R.C.P., F.R.C.P., M.Med., F.A.A.M. Head and Consultant Dermatologist Department of Dermatology Prince Court Medical Center Consultant Dermatologist Tropicana Medical Center Petaling Jaya and Kuala Lampur, Malaysia Arielle Kauvar, M.D. Clinical Associate Professor of Dermatology New York University School of Medicine New York, NY, USA David J. Goldberg, M.D. Clinical Professor of Dermatology Mount Sinai School of Medicine New York, NY, USA Alberto Goldman, M.D. Board Certified Plastic Surgeon Clinica Goldman Porto Alegre, Brazil Chanyeong Heo, M.D., Ph.D. Assistant Professor Department of Plastic Surgery School of Medicine Seoul National University Chairman and Chief of the Department of Plastic Surgery Seoul National University Budang Hospital Seoul and Gyeonggi-do, Korea Sindy Hu, M.D. Department of Dermatology Chang Gung Memorial Hospital Taipei, Taiwan Suzanne Kilmer, M.D. The Skin Surgery Center of Northern California Sacramento, CA, USA Beom-Joon Kim, M.D., Ph.D. Dermatologist Head Professor and Chairman Department of Dermatology College of Medicine, Chung-Ang University Seoul, Korea Miles Graivier, M.D., F.A.C.S. Plastic and Reconstructive Surgeon North Atlanta Plastic and Reconstructive Surgery Roswell, GA, USA Peter Huang, M.D. Plastic and Cosmetic Surgeon Director Rebecca Cosmetic Institute Taipei, Taiwan Lorrie Klein, M.D. President Lorrie Klein, M.D. - Dermatology & Laser Center Euro Day Spa, Inc. Laguna Niguel, CA, USA 12 THE Aesthetic Guide May/June

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14 SCIENTIFIC ADVISORY BOARD Malavika Kohli, M.D., D.V.D., D.N.B. Consultant Dermatologist Aesthetic Dermatologist Jaslok Hospital and Research Centre Director Skin Secrets Mumbai, India Joyce Teng Ee Lim, M.B.B.S., F.R.C.P.I., F.A.M.S. Dermatologist Joyce Lim Skin and Laser Clinic Singapore Visiting Consultant National Skin Centre Singapore Rhoda S. Narins, M.D. Clinical Professor of Dermatology NYU Medical Center Medical Director Dermatology Surgery and Laser Center Manhattan and White Plains, NY, USA Taro Kono, M.D. Department of Plastic and Reconstructive Surgery Tokyo Women s Medical University Tokyo, Japan Corey S. Maas, M.D., F.A.C.S. The Maas Clinic for Aesthetic and Facial Plastic Surgery Associate Clinical Professor University of California, San Francisco San Francisco and Lake Tahoe, CA, USA Kei Negishi, M.D., Ph.D. Associate Professor and Chief of Aesthetic Dermatology Division Aoyama Institute of Women s Medicine Tokyo Women s Medical University Tokyo, Japan Marina Landau, M.D. Dermatology Wolfson Medical Center Holon, Israel Daniel Man, M.D. Plastic Surgeon Boca Raton, FL, USA Joseph Niamtu, III, D.M.D. Cosmetic Facial Surgeon Richmond, VA, USA Moshe Lapidoth, M.D., M.P.H. Head of the Laser Unit Rabin Medical Center Tel Aviv, Israel Woraphong Manuskiatti, M.D. Professor Department of Dermatology Siriraj Hospital, Mahidol University Siriraj Skin Laser Center Bangkok, Thailand Andrew P. Ordon, M.D., F.A.C.S. Plastic Surgeon Host CBS talk show The Doctors Beverly Hills and Rancho Mirage, CA, USA Geun-Soo Lee, M.D., Ph.D. Dermatologist Drs. Woo and Hann s Skin and Laser Center Seoul, Korea David Matlock, M.D., M.B.A., F.A.C.O.G. The Laser Vaginal Rejuvenation Institute of Los Angeles Los Angeles, CA, USA Hsien-Li Peter Peng, M.D. Director Dr. Peng s Dermatological Clinic & Cosmetic Laser Center (P-Skin Clinic) Taiwan, Republic of China Wendy W. Lee, M.D. Assistant Professor of Clinical Ophthalmology, Oculofacial Plastic and Reconstructive Surgery Bascom Palmer Eye Institute, University of Miami Miller School of Medicine Co-Director UM Cosmetic Medicine Miami, FL, USA Tess Mauricio, M.D., F.A.A.D. Founder Scripps Ranch Dermatology and Cosmetic Center San Diego, CA, USA Jorge A. Perez, M.D., F.A.C.S. Plastic and Reconstructive Surgeon Perez Plastic Surgery Ft. Lauderdale, FL, USA Hang Li, M.D. Associate Professor Chief of the Dermatologic Surgery Division Department of Dermatology Peking University First Hospital Beijing, China David McDaniel, M.D. Laser Center of Virginia Virginia Beach, VA, USA Miriam Emily Piansay-Soriano, M.D., F.P.D.S. Davao Doctors Hospital Davao City, Philippines Yuanhong Li, M.D., Ph.D. Associate Professor of Dermatology Vice Chairman No. 1 Hospital of China Medical University Shenyang, China Ronald L. Moy, M.D. Dermatologist and Facial Cosmetic Surgeon Moy, Fincher and Chipps Facial Plastic & Dermatology UCLA Medical School Beverly Hills, CA, USA Jason Pozner, M.D., F.A.C.S. Medical Director Sanctuary Medical Aesthetic Center and Sanctuary Plastic Surgery Boca Raton, FL, USA 14 THE Aesthetic Guide May/June

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16 SCIENTIFIC ADVISORY BOARD Nark-Kyoung Rho, M.D. Clinical Assistant Professor Department of Dermatology Samsung Medical Center Director Leaders Aesthetic Laser & Cosmetic Surgery Center Seoul, Korea Gordon H. Sasaki, M.D., F.A.C.S. Clinical Professor Department of Plastic Surgery Loma Linda Medical University Center Private Practice Pasadena, CA, USA Siak-Khim Tan, M.D., B.S. Medical Director The DRx Clinic Singapore Alexander Z. Rivkin, M.D. Facial Cosmetic Surgeon Founder Westside Aesthetics Los Angeles, CA, USA Gerhard Sattler, M.D. Founder and Medical Director Rosenpark Klinik Darmstadt, Germany Mark B. Taylor, M.D., F.A.A.D. Director Gateway Aesthetic Institute and Laser Center Salt Lake City, UT, USA Leif Rogers, M.D., F.A.C.S. Plastic and Reconstructive Surgeon Leif Rogers, M.D. Reconstructive and Cosmetic Plastic Surgery Beverly Hills, CA, USA Kyle Koo-Il Seo, M.D., Ph.D. Clinical Associate Professor BOTOX Clinic Department of Dermatology Seoul National University Hospital Director Modelo Clinic Seoul, Korea William Philip Werschler, M.D., F.A.A.D., F.A.A.C.S. Assistant Clinical Professor of Medicine/Dermatology University of Washington School of Medicine Seattle, WA, USA E. Victor Ross, M.D. Director Cosmetic and Laser Dermatology Unit Scripps Clinic San Diego, CA, USA Ava Shamban, M.D. Laser Institute for Dermatology Santa Monica, CA, USA Assistant Clinical Professor of Dermatology University of California, Los Angeles Los Angeles, CA, USA ChongHyun Won, M.D. Assistant Professor Department of Dermatology Ulsan University School of Medicine Seoul, Korea Mark G. Rubin, M.D. Assistant Clinical Professor of Dermatology University of California, San Diego Private Practice Beverly Hills, CA, USA W. Grant Stevens, M.D., F.A.C.S. Plastic Surgeon Marina Plastic Surgery Clinical Professor of Surgery University of Southern California Marina Del Rey, CA, USA Woffles Wu, M.B.B.S., F.R.C.S., F.A.M.S. Plastic Surgeon Woffles Wu Aesthetic Surgery & Laser Centre Singapore Neil Sadick, M.D. Clinical Professor of Dermatology Weill Cornell Medical College New York, NY, USA Insuck Suh, M.D., Ph.D. Professor Department of Plastic and Reconstructive Surgery College of Medicine, Hallym University Kangnam Sacred Heart Hospital Seoul, Korea Sabine Zenker, M.D. Dermatologist Dermatology Surgery Clinic Munich, Germany Claudine Santos-Roura, M.D., F.P.D.S. Dermatologist and Cosmetic Surgeon Contours Advanced Face and Body Sculpting Institute Manila, Philippines Nantapat Supapannachart, M.D. Dermatologist Clinical Professor Ramathibodi Hospital, Mahidol University Medical School Clinical Staff Bumrungrad Hospital Bangkok, Thailand Guoyu Zhou, M.D. Oral and Maxillofacial Surgeon Deputy Director Medical Laser Centre of Shanghai Jiaotong University Medical College, Ninth People s Hospital Shanghai, China Deborah S. Sarnoff, M.D., F.A.A.D., F.A.C.P. Clinical Professor of Dermatology NYU Langone Medical Center New York, NY, USA Atchima Suwanchinda, M.D., M.S. Consultant Laser and Dermatologic Surgery Unit Ramathibodi Hospital, Mahidol University Director Medisci Biointegrative and Anti-Aging Center Bangkok, Thailand Craig L. Ziering, D.O., F.A.O.C.D. CEO and Medical Director Ziering Medical Worldwide West Hollywood, CA, USA 16 THE Aesthetic Guide May/June

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24 Gentle Clear + Brilliant Perméa Refreshes Skin and Enhances Epidermal Permeability enhance the penetration and subsequent absorption of topical drugs into the skin, at a much higher concentration than would otherwise be possible. There is no wounding or bleeding. This has become our mainstay approach for melasma and treating PIH, especially in darker skin types because it is effective, yet gentle. By Kevin A. Wilson, Contributing Editor Roy G. Geronemus, M.D. Medical Director Laser & Skin Surgery of New York Clinical Professor of Dermatology New York University Medical Center New York, NY Clear + Brilliant from Solta Medical, a division of Valeant Pharmaceuticals North America, LLC (Hayward, Calif.) serves as an initiation into laser skin therapy. With its 1440 nm fractional diode laser wavelength it provides great results to those not yet ready for more powerful laser procedures, needing only light treatment, or those wishing to maintain outcomes from previous procedures. The most recent edition, Clear + Brilliant Perméa, harnesses the non-ablative 1927 nm wavelength, which has a higher absorption coefficient, creating a fractional pattern of shallow (170 µm fixed depth) lesions that do not pierce the Before 24 THE Aesthetic Guide May/June We re also using it in conjunction with topical creams to treat melasma. This is where we see what I believe to be a primary capability of Clear + Brilliant Perméa increasing skin permeability to enhance delivery of topical agents. stratum corneum, thus preserving barrier function but facilitating delivery of topicals. Moreover, since the 1927 nm wavelength is mainly absorbed by water, Clear + Brilliant Perméa is safe for all skin types. Dermatologist Roy G. Geronemus, M.D., medical director of Laser & Skin Surgery of New York, and clinical professor of dermatology at New York University Medical Center, says he uses Clear + Brilliant Perméa primarily for pigmentation, Especially post-inflammatory hyperpigmentation (PIH) and melasma. The beauty of this system is that it is safe for darker skin types. You can treat type V or VI skin. Previously we didn t have anything with such a positive safety profile for these patients. We re also using it in conjunction with topical creams to treat melasma, Dr. Geronemus added. This is where we see what I believe to be a primary capability of Clear + Brilliant Perméa increasing skin permeability to enhance delivery of topical agents. It creates a non-ablative fractional pattern of channels in the skin that are invisible to the naked eye, but and after Clear + Brilliant Perméa Tx Photos courtesy of Roy G. Geronemus, M.D. Often when you try a thermal treatment in patients with a darker phototype you have a much greater chance of exacerbating the condition, Dr. Geronemus explained. However, this is a very conservative approach with lower energy, non-ablative fractional laser therapy, which in my opinion is preferable to other non-ablative treatments because of those characteristics. While treatment of melasma or PIH usually involves topicals, it may be treated using the device alone, he added. Clear + Brilliant Perméa is also ideal for someone looking for light rejuvenation, Dr. Geronemus said. People who don t have a lot of sun damage yet may benefit, as would those looking to delay more aggressive treatment, with minimal redness or swelling that resolves quickly, so there s essentially no downtime. A typical course includes four to six 20 minute treatments. Topical anesthesia is virtually unnecessary. We find that we do not need it. We give basically three options to our patients, Dr. Geronemus described. The first is nothing, which is often enough. The second is forced air cooling, and the third is topical anesthetic, which may provide more of a psychological benefit, as most of our patients easily get by with either nothing or air cooling.

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28 SP Dynamis Pro Continues to Provide Unparalleled Laser Capability By Kevin A. Wilson, Contributing Editor Janine Hopkins, M.D. Medical Director Hopkins Dermatology Monroe, LA Fotona (based in the U.S. and Europe) has a well-earned reputation for maximizing its focus on laser science for the development of unique medical laser devices. No better example of this exists than the company s premier SP Dynamis Pro dualwavelength laser system, which harnesses the gold standard 1064 nm Nd:YAG and 2940 nm Er:YAG workhorse, in novel and synergistic ways. According to Janine Hopkins, M.D., medical director of Hopkins Dermatology in Monroe, La., SP Dynamis Pro stands apart from the competition not only in its unique capabilities, but in its versatility, made possible by Fotona s manipulation of pulse structure. With this one laser platform, employing two established wavelengths of light that we ve been using in medicine for years, Fotona s unique modulation of pulse structure has given us a completely new approach for anti-aging. With these tools we can treat laxity, as well as a multitude of other indications. Using non-ablative Er:YAG in SMOOTH mode, physicians can begin the tightening process with an intraoral treatment, which plumps and tightens tissue from within. This same gentle, yet powerful mode is what makes vaginal applications possible, because the vaginal wall and intraoral tissue are similar in many ways, she added. Unlike vaginal applications using ablative wavelengths, this does not disrupt barrier function so risk and downtime are negligible. I think this is revolutionary. In ultra-long pulse PIANO mode, the Nd:YAG can be utilized for bulk heating of the dermis, Dr. Hopkins continued. About five years ago studies demonstrated that using the 1064 nm Nd:YAG for bulk dermal heating (between 42 C and 47 C for three to four minutes) caused tightening of existing collagen bundles and the release of heat shock proteins, stimulating fibroblasts to make new collagen. You obtain more crosslinking between new collagen and existing collagen bundles if you do these treatments at intervals of three to four weeks. With the ultra-long pulse structure, we can achieve significant reductions in skin laxity of the face and abdomen/hips, even sensitive areas such as the neck, upper and lower eyelids, knees and similar areas we would previously avoid with lasers. The Fotona 4D protocol is extremely popular with Dr. Hopkins patients. We start with the intraoral SMOOTH mode treatment, followed by the FRAC3 mode, she explained. FRAC3 is a unique pulse structure for the Nd:YAG, which causes a non-ablative pseudo-fractional effect for superficial skin remodeling. We follow that with the PIANO mode for bulk heating, then finish off with SupErficial mode, which provides a sort of light peel. This is a home run because it gives us significant improvement in skin laxity and reduction of lines and wrinkles with no downtime. In Dr. Hopkins practice the second most popular use for SP Dynamis is general tightening of areas such as the neck, eyelids and knees. We can do small scale ablative resurfacing of different anatomical units of the face successfully because we can dial in the ablation depth very easily. SP Dynamis is incredibly versatile, she explained. In addition, SP Dynamis Pro excels in surgical applications, using its Nd:YAG in Quasi Continuous Wave (QCW) mode for endovenous laser ablation, lipolysis and other indications. 28 Fotona s unique modulation of pulse structure has given us a completely new approach for anti-aging. With these tools we can treat laxity, as well as a multitude of other indications. THE Aesthetic Guide May/June

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30 Body By BTL Plus ULTRA Femme 360 Provides Powerful Mommy Makeover By Kevin A. Wilson, Contributing Editor Suneel Chilukuri, M.D. Dermatologist and Cosmetic Surgeon Medical Director Refresh Dermatology Houston, TX Shelena Lalji, M.D. OB/GYN Medical Director Dr. Shel Wellness & Aesthetic Center Houston, TX In Dr. Shel s experience, the mommy makeover starts with a healthy lifestyle, which also means waiting until the right time to move forward with treatments. Most of these areas do bounce back well on their own and we want to work with the body rather than against it, she explained. So we want to wait at least six to eight weeks, if not a bit longer. Dr. Shel s holistic approach also includes hormone balancing, nutrition optimization, weight loss, healthy eating, improved hydration and exercise, because this balance improves overall health and wellness in so many ways we can t begin to count, and will certainly help patients get the most out of their treatments. The remarkable debulking with BTL Vanquish ME is probably the most eye-catching, if not the most profound, aspect of the makeover because users say it literally melts inches off the abdomen and flanks using the Core applicator, as well as the legs, which are treated with the Flex applicator. With no help from the operator other than proper initial setup, the device debulks and leaves behind the body s natural contours, which to me is remarkable, said Dr. Chilukuri. With other therapies, especially those for the legs, achievement of a natural-looking result requires much more finesse from the user. BTL Vanquish ME reportedly features the largest spot size for fat treatment in the industry. This With Body by BTL from BTL Aesthetics (Boston, Mass.), physicians have the prevailing non-invasive radiofrequency (RF)- based technologies on the market at their disposal. By adding the new ULTRA Femme 360 vaginal treatment to this suite of technologies, users can provide a complete head-to-toe Mommy Makeover. These treatment packages, which typically use a multimodality approach, can be more cost-effective due to the minimal consumables associated with BTL Aesthetics medical devices. In addition to top marks for safety and efficacy, the low consumables cost makes a Mommy Makeover attractive to both physicians and patients, according to dermatologist and cosmetic surgeon Suneel Chilukuri, M.D., medical director of Refresh Dermatology in Houston, Texas. Working with BTL has always been a natural fit for me because, like them, I am committed to safe, cost-effective non-invasive therapies that work, he said. I ve always been a huge proponent of taking a combination approach, so to me it s important that we can craft treatment packages such as a Mommy Makeover and set the prices to make them affordable. With a low consumables cost we can determine what the market will bear rather than be burdened with a potentially large base cost merely to cover the consumable aspect of the procedure, in addition to offering individually tailored treatment packages. While not every woman will have the same concerns, women in their post-partum period have specific issues they want to deal with, according to Shelena Lalji, M.D., an OB/GYN and medical director of the Dr. Shel Wellness & Aesthetic Center (Houston, Texas). Her integrative medical practice is dedicated to women s comprehensive health and wellness, which includes aesthetic treatments as part of a holistic, functional approach. New moms are very often concerned with unwanted fat and laxity in the abdomen, flanks and thighs. Along with significant vaginal changes, she explained. Before and after BTL Vanquish ME & Cellutone Tx Photos courtesy of Suneel Chilukuri, M.D. Before and one week after four weekly BTL Vanquish ME, BTL Exilis ULTRA and BTL Cellutone treatments Photos courtesy of Suneel Chilukuri, M.D. 30 THE Aesthetic Guide May/June

31 hands-free procedure takes 45 minutes to undergo, and is easy and comfortable, without anesthetic or downtime. BTL Cellutone is excellent in conjunction with BTL Vanquish ME because associated improvement in circulation and lymphatic drainage make a big difference, Dr. Chilukuri remarked. BTL Cellutone improves the appearance and overall smoothness of the result by causing neovascularization, he said. Patients also enjoy the more rapid and dramatic results they see. Simultaneous RF and ultrasound therapy with BTL Exilis ULTRA 360 not only tightens tissue anywhere on the body without pain or downtime; treatment is rapid and painless. This revolutionary combination provides mechanical and thermal effects, which promote rapid elevation of tissue temperature to therapeutic levels, while the RF does the work. Exilis ULTRA 360 is a key component of Mommy Makeovers as an answer for cellulite, tightening of the skin, and women s intimate health issues. In our practice, we find excellent results when treating the knee or upper arm as well, Dr. Chilukuri reported. Exilis ULTRA 360 is ideal for women with more laxity, according to Dr. Shel. Some women don t put on so much weight, but the laxity is an issue, so the tissue toning aspect of Exilis ULTRA 360 Before and after two BTL Exilis ULTRA and BTL Cellutone treatments for cellulite given two weeks apart Photos courtesy of Suneel Chilukuri, M.D. Before and four months after two BTL Exilis ULTRA treatments Photos courtesy of Suneel Chilukuri, M.D. is perfect for them and provides fantastic results. It non-invasively tightens skin, creates new collagen and elastin, 1 and repairs old collagen to get you closer to that pre-pregnancy look. For the complete post-baby body, Exilis ULTRA 360 may provide solutions for other areas of concern as well. Facial capabilities also allow for treatment of the eyelids, which, though not a typical component of Mommy Makeovers, may be sought by many women to refresh their post-baby facial appearance because they feel they look tired, Dr. Chilukuri pointed out. Approximately 15% of our patients come in with this complaint, he said. One of the great advantages of Exilis ULTRA 360 is that we can use it anywhere on the body. That, and its non-invasive nature, make it ideal to combine with other therapies such as neurotoxins and fillers. Part of this, especially in more mature moms, is reduced tissue quality, which limits its resiliency after an event such as pregnancy. On its own, the Exilis ULTRA 360 helps to improve tissue quality and smooth puffiness of the eyelid area for a brighter, more youthful look, but you can also synergistically use injectables to further enhance the global facial result. Owing to the energies used, or their more invasive approach, alternative device-based procedures increase risk and downtime for these patients. This is especially true for lasers and peels. We often avoid a lot of that in the delicate periocular region, so a safe, noninvasive device such as Exilis ULTRA 360 is truly ideal because for the first time we can go right up to the lower eyelid margin as well as just above the upper lid at the brow, with no downtime. We re seeing incredible results. Although not readily visible to the public, the truly remarkable results seen with ULTRA Femme 360 are the proverbial icing on the cake, and for many women, the most profound portion of the set of treatments that make up the total Mommy Makeover. This powerful vaginal and labial improvement is available for use with the ULTRA Femme 360. My patients have noticed an immediate result on the very day of treatment a session, which thanks to BTL, is only eight minutes long for the vaginal portion, Dr. Shel emphasized. The main advantage of ULTRA Femme 360 is the full-circumference emission of RF energy, which provides a complete, reliable and comprehensive treatment rapidly, she continued. This 360 Volumetric Heating, as it is known, also makes treatment easier and less technique-dependent because it takes accuracy out of the picture for internal application. Treatment is quick (8 minutes), easy and very comfortable. The only consumables cost involves the specialized RF tips, made disposable for the sake of sterility, which are specifically designed for vaginal use and come in two sizes because no two women are the same. There is no downtime and women can return to normal activity, including sex, that same day. ULTRA Femme 360 is truly a blessing for all women, but especially new moms. Editor s note: BTL Exilis ULTRA 360 is FDA cleared for wrinkles, rhytides, temporary reduction in the appearance of cellulite, relief of pain, muscle spasms and increase in local circulation. Reference: Before and after four ULTRA Femme 360 treatments Photos courtesy of Shelena Lalji, M.D. 1. McDaniel D, Weiss R, Weiss M, et al. Two treatment protocol for skin laxity using 90-Watt dynamic monopolar radiofrequency device with real time impedance intelligence monitoring. J Drugs Dermatol 2014;13(9): THE Aesthetic Guide May/June

32 ULTRA Femme 360 Wows Physicians and Patients Alike By Kevin A. Wilson, Contributing Editor that trusts and confides in us already, so ULTRA Femme 360 was a natural fit for our office. The level of candor in our practice is extraordinary, to the point where it s not about us getting the word out; patients are approaching us, asking about this type of therapy. So far our experience with ULTRA Femme 360 has been excellent and the patients are the real winners. Tracey Stokes, M.D. Partner esse Plastic Surgery Fort Lauderdale, FL Laura Sudarsky, M.D. Partner esse Plastic Surgery Fort Lauderdale, FL Preliminary Feasibility Study Results With the focus on women s health and wellness becoming more intense, awareness becomes a key goal for emerging therapies in the field of vulvovaginal improvement. Standout contender ULTRA Femme 360 from BTL Aesthetics (Boston, Mass.) features unique 360 Volumetric Heating capability that treats internal genitalia thoroughly, with unsurpassed patient comfort in an eight minute treatment session. This powerful therapy builds on the versatility of the company s Exilis ULTRA 360 platform, using inexpensive disposable RF tips that are specifically designed for the job and come in two sizes. RF heating has been shown to non-invasively induce neocollagenesis and neoelastinogenesis in tissue, resulting in improvements in tissue quality. 1 Treatment is simple and easy to perform, downtime is non-existent, and patients are undeniably enthusiastic about the outcomes. BTL Exilis ULTRA 360 is cleared for wrinkles, rhytides, a reduction in the appearance of cellulite, increased circulation and pain relief. Tracey Stokes, M.D. and Laura Sudarsky, M.D., are partners in esse Plastic Surgery (Fort Lauderdale, Fla.), a practice dedicated to women s health and wellness. With our two-woman practice we re definitely positioned for this kind of treatment. We have a reputation for our focus on women s health and wellness, with a patient base Dr. Stokes and Dr. Sudarsky chose ULTRA Femme 360 after careful research that included personal experience undergoing treatment with various offerings on the market. I received treatment with an ablative laser device that I found to be quite uncomfortable, said Dr. Sudarsky. I didn t want to do another session with the ablative laser device, and I didn t think my patients would, either. Compliance is always a big issue with any therapeutic option because it dramatically affects the success of the therapy and patient satisfaction, which in turn affect our reputation and bottom line as well. If patients do one session and don t come back for more, everyone loses. Treatment with ULTRA Femme 360 was a vastly more comfortable experience. The difference was night and day, Dr. Sudarsky noted. While undergoing treatment I could relax, talk on the phone, speak with staff, anything. It went by quickly and I hardly knew anything was being done. That level of comfort is what we re looking for in a therapy of this type. These things can be difficult enough for some women as it is, so whatever enhances the experience goes a long way toward our ultimate goal of improving feminine health and wellness. One key feature was the rapid treatment time, coming in at about eight minutes for an internal session. The thorough, 360 Histology shows an increase in elastin fibers from 10% before Tx (top) to 41% after three ULTRA Femme 360 treatments (bottom). A staining method was used to color the elastin and fiber calculations were examined in a defined area. Photos courtesy of BTL Aesthetics 32 THE Aesthetic Guide May/June We have a reputation for our focus on women s health and wellness, with a patient base that trusts and confides in us already, so ULTRA Femme 360 was a natural fit for our office. So far our experience with ULTRA Femme 360 has been excellent and the patients are the real winners.

33 Volumetric Heating also strongly influenced the physicians decision to adopt ULTRA Femme 360. This feature takes a lot of the guesswork out of the procedure because other devices require you to turn the emitter or laser repeatedly, which may not treat evenly, Dr. Sudarsky explained. This makes it very easy to use. Safety is always a high-level concern as well, added Dr. Stokes. With ULTRA Femme 360 we know we won t hurt patients, and as any physician will tell you, we have two questions right away regarding any modality we may adopt. Is it safe? and Does it work? Safety is a top priority. A related benefit separating ULTRA Femme 360 from some competitors is the lack of downtime. Having no downtime was a huge factor in our decision to adopt ULTRA Femme 360. With ablative laser treatment you need to wait a few days before sexual activity. With ULTRA Femme 360, women are eager to go home and try out their new vagina, Dr. Stokes emphasized, And because of the carefully tuned treatment parameters, as well as the non-invasive nature of RF in general, surface tissue is undamaged and not tender, so women can enjoy the results of treatment that very day. Patients in Dr. Stokes and Dr. Sudarsky s practice sign up for a course of three treatments, once a week for three weeks, and compliance is not an issue because satisfaction is stellar. We have patients come in right after menstruation, and we complete the course of therapy before the beginning of their next cycle. It allows us to quickly complete a course of ULTRA Femme 360 treatments. ULTRA Femme 360 boosts return on investment by virtue of this high compliance. Patients are excited to be treated, Before Tx After four ULTRA Femme 360 treatments Photos courtesy of Shelena Lalji, M.D. they eagerly pay for all three sessions, and tell their friends about it, even on social media, Dr. Stokes said. There are closed forums where people discuss these issues openly among themselves and they re powerful drivers of demand. We had a waiting list going as soon as we began offering ULTRA Femme 360 to our patients, who told their friends in these groups about their wonderful experience. Timing for the emergence of intimate treatments couldn t be better, Dr. Stokes continued. As a culture, we re beginning to come out of our shell about intimate feminine health, and women are much more willing to open up about these issues than they once were. And virtually any woman may be a candidate for therapy at one time or another. The results speak for themselves and generate demand. The market, as such, is limited only by how many women are willing to undergo and pay for a full Before Tx After two ULTRA Femme 360 treatments Photos courtesy of BTL Aesthetics course of treatment. This is another reason why the high compliance associated with ULTRA Femme 360 is so important. It used to be all about the breasts, now it s about the vagina, Dr. Sudarsky said. We ve added this as a component to our mommy makeover, yes, but often women come in with intimate health issues as their chief complaint. Being able to offer ULTRA Femme 360 keeps us ahead of the curve of what s available and in demand less invasive therapies that don t sacrifice results for safety. It s seems paradoxical because we re surgeons by trade, but we re moving more and more into non-surgical procedures. Although the demand for surgery itself is trending downward, aesthetic physicians are primed for this sort of therapy. We have the education and know-how, and are already comfortable with the feefor-service business model and changing mentality of patients along those lines. As a culture, we re beginning to come out of our shell about intimate feminine health, and women are much more willing to open up about these issues than they once were. And virtually any woman may be a candidate for therapy at one time or another. It s an exciting time to be in this field thanks to the safety, efficacy and speed of ULTRA Femme 360. This is how healthcare is evolving, and we re evolving with it, added Dr. Stokes. People are receiving these procedures and posting about it on social media while it s happening, it s not a dark secret anymore. It s an exciting time to be in this field thanks to the safety, efficacy and speed of ULTRA Femme 360. Reference: 1. McDaniel D, Weiss R, Weiss M, et al. Two treatment protocol for skin laxity using 90-Watt dynamic monopolar radiofrequency device with real time impedance intelligence monitoring. J Drugs Dermatol 2014;13(9): THE Aesthetic Guide May/June

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36 Growth Factors Prove Effective for Regeneration and Rejuvenation By Ahmed Al-Qahtani, Ph.D. In recent years, it has been a priority of researchers and physicians to improve their understanding of the biological mechanisms of cell signaling molecules, otherwise known as growth factors, in hopes of discovering enhanced woundhealing therapies. The complexity extends beyond the delivery method of these molecules, as specific growth factor families are liable for triggering several biological signaling pathways and thus must be highly selective and regulated. Growth factors are naturally produced by the body and are critical for Burn wound before and after 21 days of AQ Recovery Serum treatment Photos courtesy of AQ Skin Solutions Acne before and six weeks after microneedling Tx and daily application of AQ Recovery Serum Photos courtesy of AQ Skin Solutions the stimulation of growth in living cells. These cytokines, interleukins and small proteins, which are naturally excreted from various cells of the body, particularly fibroblasts, signal the proliferation and growth of cells. Present day, the topical application of growth factors to chronic wounds has been acknowledged as a specific therapy with major benefits. This new frontier has paved the way for many scientists and clinicians to explore the possibilities of advancing their practice and bettering their results via proper delivery of the correct concentration and combination of appropriate growth factors. Ahmed Al-Qahtani, Ph.D. Dr. Al-Qahtani is a National Institutes of Health (NIH) scientist and is accredited with numerous scientific publications as well as his patented growth factor technology (U.S. Pat. 8,518,879). He is a long-standing member of the American Association of Immunologists and is an assistant professor with the faculty of medicine at the United Arab Emirates University (Al-Ain, United Arab Emirates). While the discovery of growth factor technology was at the forefront of immunology, it proved to be an equal breakthrough for skin rejuvenation and hair restoration because of the benefits: high-speed recovery, reduced downtime and improved results. Their ability to easily penetrate bare skin and enhance the immune system response triggers secretion of other vital growth factors necessary to repair the skin. It is unsurprising that an application of serums or conditioned media containing growth factors would help accelerate the regenerative process when used as a supplement to conventional rejuvenating therapies such as lasers or microneedling. Application of topical growth factors assists in the subsequent activation and proliferation of fibroblasts, which serve to alert the senescent cells to their pseudo-wounded state, thus allowing the body s own healing potential to be unleashed and used for rejuvenation. Surely, this would account for the significant regeneration observed in individuals treated with topical growth factors for wrinkles, discoloration, roughness and other unsightly cosmetic concerns. As the body works synergistically and systematically, so too must an approach to rejuvenation that seeks to harness the innate power of its healing pathways, be engineered with similarly synergistic principles in mind. For this reason, a patented proprietary mixture of cytokines and human growth factors has proven exceptional in delivering this desired rejuvenation (U.S. Pat. 8,518,879). AQ Skin Solutions pharmaceutical grade serums contain patented growth factor technology that can stimulate a cooling sensation, minimize the risk of scarring and signal re-epithelialization for better results and a quicker recovery period. The AQ serums also help to produce collagen in connective tissue cells, which will result in better, long lasting benefits. Growth factors are very delicate peptides that can degrade if not formulated and delivered properly. Effective delivery methods of growth factors largely depend on the formulation combined with the fragility of growth factor conformation. AQ s clinical research on how to effectively increase the retention of growth factors for maximum penetration has proven to yield exponential results. 36 THE Aesthetic Guide May/June

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38 New Biomechanical Approach Characterizes Vaginal Conditions By Heather van Raalte, M.D. As more and more radiofrequency (RF), laser treatment technologies, plastic, aesthetic or cosmetic procedures are used for vaginal modification, clinicians have come to understand the importance of objective anatomical/biomechanical and functional measures for vaginal characterization. Subsequently, reliable tools and techniques are required to objectively assess vaginal conditions before and after treatments. Notably, biomechanical and functional evaluations of vaginal conditions not only facilitate outcome assessment, but also a tailored course of action, leading to improved patient satisfaction. Intended for use by physicians, surgeons and medically trained personnel, the Vaginal Tactile Imager (VTI) from Advanced Tactile Imaging (Trenton, N.J.), is a novel device that allows acquisition of the pressure patterns along the entire vagina to visualize tissue elasticity, muscle tone and strength at contraction. Comprising a vaginal probe equipped with 96 pressure (tactile) sensors positioned every 2.5 mm along both sides of the probe, an orientation sensor, and temperature sensors with micro-heaters, VTI software provides visualization, analysis, information and reporting tools. During a patient examination, data collected from the probe sensors are displayed on the VTI computer display in real time. The VTI probe allows compression of vaginal tissues in the orthogonal direction to the tissue surface during probe insertion (Figure 1); pelvic floor tissue displacement during the probe elevation (Figure 2); vaginal wall deformation and pressure pattern acquisition during the probe rotation (Figure 3); and acquisition of pressure patterns for pelvic muscle contraction along the entire vagina (Figure 4). Currently, the VTI Model 2S is FDA approved for characterization of vaginal conditions, and a new CPT Category III Code is pending for transvaginal, biomechanical mapping, with report. improved in 8 of 12 patients (75% to 480%), four patients had unchanged measurements; the pelvic floor muscle strength for voluntary muscle contractions increased in the majority of patients (seven) with increases ranging from 63% to 233%, involuntary contractions (cough) increased in 5 of 12 patients, ranging from 84% to 330%; and finally, vaginal and pelvic floor improvements of >50% were reported after a single laser procedure in six cases, after two treatments in four cases and after three applications in two cases. We concluded that vaginal laser treatment not only seems to hold promising results clinically in treating dyspareunia and dryness due to vaginal atrophy, but also seems to improve tissue elasticity, pelvic floor support and muscle strength upon assessment with tactile imaging. In addition to monitoring biomechanical transformation of tissues before and after laser treatment, the VTI may predict the effectiveness of therapy for individual patients. Author s note: Clinical results with the VTI have been reported in numerous peer-reviewed publications: Figure 1: Vaginal tissue elasticity Figure 2: Pelvic floor support conditions In a pilot clinical study of laser vaginal therapies, VTI measurements before and after treatment demonstrated the following: Vaginal tissue elasticity improved in 8 of 12 patients (50% to 1400%); pelvic floor support, as a measurement of elasticity of the underlying tissues surrounding the vagina at probe elevation, Heather van Raalte, M.D. Dr. van Raalte is chief medical director of Princeton Urogynecology and chairman of the Obstetrics & Gynecology Department, University Medical Center at Princeton (Princeton, N.J.). She is a board certified sub-specialist in female pelvic medicine and reconstructive surgery. Dr van Raalte is a pioneer in tactile imaging applications in urogynecology and laparoscopic surgery. Her clinical results with tactile imaging devices have been presented at 20+ scientific meetings and conferences. One of her recent publications is directly related to the clinical use of the Vaginal Tactile Imager: van Raalte H, Egorov V. Characterizing female pelvic floor conditions by tactile imaging. International Urogynecology Journal 2015; 26(4): Figure 3: Condition of vaginal walls Figure 4: Pelvic muscle strength at contraction Source: Advanced Tactile Imaging 38 THE Aesthetic Guide May/June

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40 V-FORM by Viora Presents a Total Body Solution for Fat and Loose Skin Anil Rajani, M.D. Board Certified Physician and Surgeon CEO RajaniMD Hood River, OR Body contouring and skin tightening are some of the most sought after aesthetic procedures, but these treatments have not been found together in one modality until Viora (New York, N.Y.) developed CORE/Multi-CORE technology. With new advancements in aesthetic devices and handpieces, Viora developed V-FORM to provide a total solution for fat reduction and smoother, firmer skin. V-FORM is a non-invasive, multipolar handpiece combining the use of radiofrequency (RF) energy and vacuum therapy to provide full body contouring, cellulite reduction, as well as skin therapy via fibroblast stimulation in all patients with a BMI up to 35. RF energy provides a mild heating of the skin s underlying network of collagen and elastin fibers, which can restore the flexibility of collagen and thicken the dermis, thereby enhancing the skin s firmness and elasticity. Multi-CORE can deliver energy specifically to fat cells, as well as the reticular and papillary dermis singularly or simultaneously. V-FORM works by reducing the fat cell volume and improving cell metabolism, in addition to increasing local blood circulation and lymphatic drainage with the gentle vacuum suction. Multi-CORE technology also enables RF energy to be delivered into the dermis to stimulate fibroblasts, elastin and collagen. Mode 1 penetrates at 0.8 MHz, which targets the hypodermis (fatty tissue), Mode 2 delivers 1.7 MHz that reaches the reticular layer of the dermis to stimulate collagen, elastin and fibroblasts, and Mode 3 penetrates at 2.45 MHz, to affect the papillary layer of the dermis, also stimulating collagen, elastin and fibroblasts. Mode 4 delivers one-third of each energy frequency simultaneously. While local fat accumulation and cellulite formation are two of the main symptoms patients want treated when considering body contouring, when the fat cells are suddenly smaller or permanently destroyed there will be loose, excess skin that needs to be addressed so they aren t left with sagging skin or a lumpy appearance. With Mode 4 Viora s multi-channel mode fat and loose skin are treated at the same time with a protocol called ReFit. The ReFit concept aims to treat excess skin after extreme weight loss, whether by diet, exercise, surgical intervention or Before and after ten ReFit treatments Photos courtesy of Viora Before and after five ReFit treatments Photos courtesy of Viora childbirth. ReFit utilizes the four modes of CORE technology to affect different tissue depths, accompanied by vacuum therapy to ensure deeper heat penetration. Treatment reduces fat cell volume, restores collagen flexibility and improves the skin s firmness and elasticity to achieve overall body contouring. Each mode targets a specific skin depth accurately with multipolar electrodes. Multipolar electrodes allow for a quicker, more homogenous heating that is safe and comfortable for the patient. Anil Rajani, M.D., a board certified physician and surgeon, and CEO of RajaniMD in Hood River, Ore. finds the V-FORM and ReFit technology very versatile and effective. It is a great way to create, build and maintain my practice with a wide-range of parameters and settings to suit all skin types and varied applications. From facial contouring to body tightening and sculpting, we couple it with fillers, collagen stimulators, neurotoxins and fat dissolving injections, he shared. With no consumables fees and this versatility we can remove ourselves from the commoditization within the market and cater to individual patient needs. Safe, easy to use settings and the ability for combination therapies makes our Viora device an invaluable tool in the practice. 40 THE Aesthetic Guide May/June

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42 Breathable Foundation Conceals and Heals During Post- Procedure Recovery By Jeffrey Frentzen, Executive Editor Alexander Z. Rivkin, M.D. Cosmetic Surgeon Los Angeles, CA Ava Shamban, M.D. Dermatologist Beverly Hills, CA Christine Ibrahim, M.D. Aesthetic Practitioner Beverly Hills, CA Social downtime is one reason prospective patients choose not to proceed with aesthetic services, but a popular post-procedure product could change their minds. Oxygenetix Oxygenating Foundation from Oxygenetix Institute, Inc. (Beverly Hills, Calif.), is a breathable protective makeup foundation that minimizes scarring, discomfort and downtime during recovery. This breathable, second-skin foundation and camouflage can both cover up and help heal multiple skin conditions, including acne, rosacea, injuries, bruises, wounds and rashes; as well as treatments involving energy-based systems, rhinoplasty, laser hair removal, scar revision, microneedling, skin resurfacing, injectables, eye surgery, dermabrasion and more. Some patients hesitate to undergo procedures like Fraxel, CO 2 or even chemical peels because of the downtime and redness, For the first time ever, here is makeup that is not going to clog pores, and is actually going to be beneficial and healing while it is on the face. This increases physician revenue as a result. expressed Alexander Z. Rivkin, M.D., a cosmetic surgeon in Los Angeles, Calif. Having a product that covers the redness so well, and can match any skin tone makes the downtime less scary. In addition, patients can return to their normal daily routine much sooner. Oxygenating Foundation and its companion products a moisturizer and foundation designed specifically for controlling acne all come with proprietary Ceravitae Complex, a formulation with an aloe gel base that includes a physical sunscreen (Titanium Dioxide); are hypoallergenic and non-comedogenic; and contain no oil or added water, parabens or fragrance. Women want to be able to apply some kind of cover up fairly quickly after their procedure, stated Ava Shamban, M.D., a dermatologist in Beverly Hills, Calif. Even though it is no longer an embarrassment to be seen with any kind of procedural stigma it can be scary to other people. By fulfilling this patient need the foundation allows us to provide superior patient care and customer service. According to Christine Ibrahim, M.D., an aesthetic practitioner in Beverly Hills, the product is not only good for all of her patients, but is also good for a practice s bottom line. It cuts down on social downtime and as a result converts more consultations into laser, peel, microneedling and dermabrasion procedures. For the first time ever, here is makeup that is not going to clog pores, and is actually going to be beneficial and healing while it is on the face. This increases physician revenue as a result, she said. Dr. Rivkin has been using Oxygenetix products for over five years on hundreds of patients. In all that time we ve never had a patient return a product, he said. Many of our patients go ahead and use the foundation on a daily basis, not only during post-procedure. Left: Patient after receiving CO 2 fractional laser Tx Right: Split face shows Oxygenetix Oxygenating Foundation applied immediately post-procedure Photos courtesy of Oxygenetix Institute In Dr. Ibrahim s opinion, Oxygenetix has differentiated my practice because people leave looking better than when they came in. No man or woman leaves my office without Oxygenetix on his or her face. I m not applying makeup to a man s face. I take a tiny bit of the Oxygenetix and blend it with a little moisturizer, because it is a physical block and has sunscreen. Instead of putting white, pasty sunscreen on someone s face, I m using something that is very close to his or her shade and color. It doesn t look like they have makeup on. 42 THE Aesthetic Guide May/June

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44 My Journey into Energy-Based Feminine Rejuvenation and Beyond By George K. Ibrahim, M.D. Lip lines before and after one Juliet (MCL31) treatment Photos courtesy of Zarin Medical, LLC We all have patients with challenging conditions. We try nearly everything, but nothing seems to work quite right. One particular patient in my practice suffered from chronic vaginal dryness, dyspareunia and incontinence. I placed her on maximum hormone therapy and other treatments, but these were unsuccessful. In addition, this patient did not want surgery (a growing trend I ve noted). Thus began my pursuit of a better option. I researched albeit skeptically and discovered that laser therapy might help. I found international physicians were abandoning other technologies in favor of the Juliet, a specific long-pulse/short-pulse Erbium:YAG laser available from Zarin Medical (Knoxville, Tenn.). I decided to try this device on my patient. Not only did we treat without anesthesia (not even topical), but the procedure took only ten minutes. Ever the cynic, I was astounded that the patient noticed significant improvement within a few days. She implored me to buy the system so she could receive another treatment to further enhance her results. Nonetheless, I performed my due diligence by asking American physicians about Juliet. The gynecologists I spoke with reported positive results for vaginal atrophy, vaginal relaxation, etc., and their personal experiences mirrored long-term George K. Ibrahim, M.D. Dr. Ibrahim is a board certified urologist and a member of the American Urological Association, American Academy of Anti- Aging and Regenerative Medicine, North American Society of Sexual Medicine and National Menopause Society. As a specialist in hormone replacement therapy in Asheville, N.C., he expanded his practice to incorporate laser therapy for his incontinence, atrophy and dyspareunia patients. results from European studies. With one to two treatments I have achieved similar outcomes with impressive durability. In addition, I was surprised to learn about improvements in urinary incontinence. Juliet fits perfectly in the continuum between medical therapies (anticholinergics, myrbetriq, etc.) and surgical procedures (slings, mesh, etc.). I use Juliet for young women who leak during exercise or sneezing and for patients near surgical intervention who want to forego or prolong surgery. I was also impressed by the fact that Juliet can treat various scars (C-section, episiotomy, etc.) and lichen sclerosus. Since lichen sclerosus is exacerbated by heat, I did not have a viable solution; however, with Juliet s unique cold setting, I can treat without heat build-up or anesthesia. Juliet s support team advised me to schedule patients with a variety of conditions: dryness, leakage, lentigines, scars, wrinkles, etc. I had been so focused on great vulvovaginal results, I hadn t even considered the system s versatility. I was somewhat amazed to learn that dermatologists and plastic surgeons have been using this device for decades to quickly remove lesions and treat wrinkles, either fractionally or fullfield. Juliet has far surpassed my intense pulsed light (IPL) and other technology. It is so precise, I treat a wide range of ages and conditions such as dark or suntanned skin, acne scars and even heavy rhytides. With the cold setting, I can combine Juliet with PRP or other topicals without concern for the heat generated by radiofrequency, CO 2 and other technologies. In summary, Juliet has been a wonderful addition to my practice and is building my reputation in providing cutting edge treatments for high-demand feminine indications. Transitioning to other aesthetic applications has been extremely easy, and the most pleasant surprise was how much revenue it generated by expanding the services I offer in my practice. I ve been overwhelmingly satisfied by this incredibly versatile device. 44 THE Aesthetic Guide May/June

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49 Inside the Business of Body Shaping Though By Jeffrey Frentzen, Executive Editor surgical options remain a gold standard in many aesthetic cases, the energy-based body shaping industry has experienced substantial growth in recent years. The latest generation of less invasive technologies and products has shown considerable improvement over past iterations, with improved patient safety, efficacious outcomes, reduced treatment and recovery time, as well as less pain. Minimally or non-invasive contouring treatments attract patients that are fearful of surgery, or have tried, but failed to remove unwanted localized fat. In addition, these procedures appeal to both core and non-core physicians. THE Aesthetic Guide May/June

50 Inside the Business of Body Shaping Gordon H. Sasaki, M.D., F.A.C.S. Plastic Surgeon and Researcher Pasadena, CA Diane Duncan, M.D., F.A.C.S. Plastic and Reconstructive Surgeon Fort Collins, CO Doohi Lee, M.D. Cosmetic Surgeon Plano, TX John E. Mallalieu, D.O. Cosmetic Surgeon Severna Park, MD John A. Millard, M.D., F.A.C.S. Plastic Surgeon Denver, CO J.D. McCoy, N.M.D. Aesthetic Practitioner Gilbert, AZ Jay A. Shorr, B.A., M.B.M.-C. Founder Shorr Solutions Fort Lauderdale, FL Suneel Chilukuri, M.D. Cosmetic and Dermatologic Surgeon Houston, TX Amber Bockneck, M.D. Aesthetic Physician Newmarket, Ontario, Canada Tahl N. Humes, D.O. Aesthetic Practitioner Denver, CO According to the recently published Global Aesthetic Market Study XV from Medical Insight, Inc. (Irvine, Calif.), the worldwide market for all body shaping, skin tightening and cellulite reduction equipment and procedures continues to rise. Through 2021 global sales of platforms, excluding disposables, will increase by 12.1% per year, on average and sales of disposables are expected to grow by a strong 19.5% per year as procedure volume expands. While the overall market is enjoying strong growth, the economics of adding and maintaining energy-based body shaping devices in practice can be a challenge for physicians. Many physicians find themselves overwhelmed by the necessity to first understand the technologies involved from lasers and radiofrequency (RF) to ultrasound-based solutions and radial shockwaves and then the business of adopting these systems into their practices, including making a quality purchase or lease, ease of transition to a new device, and other issues that are not taught in medical school. According to Gordon H. Sasaki, M.D., F.A.C.S., a plastic surgeon and researcher in Pasadena, Calif., quick fix elective non-surgical and minimally invasive procedures meet the needs of a very educated, active population. These patients frequently require procedures that are natural looking at an acceptable price with minimal downtime, he pointed out. Treatments have become more comfortable over time and most energy-based devices now have improved patient safety features, stated J.D. McCoy, N.M.D., an aesthetic practitioner in Gilbert, Ariz. More importantly, ease of use of these devices has improved. The reality is that most of these treatments should be delegated when possible. This means we want the procedures to be easily reproducible, so that when you transfer responsibility the operator and patient can expect consistent results. Like many surgeons looking to differentiate their practice with energybased body contouring, Diane Duncan, M.D., F.A.C.S., a plastic and reconstructive surgeon in Fort Collins, Colo., wanted to invest in something that could shrink soft tissue and skin non-surgically. In particular, a non-invasive system that actually works without burning a hole in the practice s wallet, she said. After much research she incorporated two systems into her practice. The first was BodyTite from Inmode (Richmond Hill, Ontario Canada), which utilizes patented radiofrequency (RF)-assisted liposuction (RFAL ) technology for body contouring and skin contraction. The second is the Thermi platform from Thermi, an Almirall Company (Irving, Texas), which delivers temperature controlled RF-based energy for both microsurgical and non-surgical aesthetic applications in soft tissue and nerves. With these two systems I can offer my patients really outstanding results, she noted. When first starting out in aesthetics, many physicians adopt systems that are designed primarily for facial work, Dr. McCoy noted, But then they quickly realize that patients not only want to treat their face, 50 THE Aesthetic Guide May/June

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52 Inside the Business of Body Shaping but almost every single person has something on their body that they d like to improve. And they demand relatively low discomfort so they can get back to their daily life and activities soon after they engage in treatment. Physicians would be wise to employ a checklist of concerns and questions when determining the best system for their practice, stated Jay A. Shorr, B.A., M.B.M.-C., founder of Shorr Solutions, a Florida-based medical practice consulting firm. Before Tx After one InMode BodyTite Perky Lift Tx to shape, tighten and lift the breasts Photos courtesy of Diane Duncan, M.D. For instance, decide whom on the staff can operate the device and what are the stated rules regarding levels of authority, Mr. Shorr elaborated. With a specific device, how long do the results last versus other modalities? What type of support will you get from the manufacturer, in terms of marketing support and warranty? Is there another upgrade right around the corner and is that included with a maintenance plan? Dr. Sasaki encourages physician buyers to adopt a business-centric methodology when integrating energy-based body contouring devices into their practice in order make a good buying decision. From a device standpoint I think the manufacturer should be willing to show a clinically proven experience level with clear safety profiles, reasonable comfort during treatment, acceptable downtime and of course high patient satisfaction, he explained. If possible, it should be a brand name backed by evidence-based research. Each of my current devices has to earn the title of working core system, Dr. Sasaki continued. They are not to be parked in the corner and they should be used on a daily basis either in combination with other modalities or alone to boost outcomes and meet patient expectations. 30 year old female before Tx The devil is in the details when it comes to a device s origin and technical sophistication, Mr. Shorr added. Is it FDA approved or is it manufactured internationally? What are the applications it can perform? Does it also treat other indications? If it is a multifunctional platform and one portion breaks down is the rest of the system inoperable? Can you purchase individual modalities or must you purchase them all? Do the product s consumables time out or can they be used on multiple treatments with the same patient? While single modality devices are still extant and worthwhile, turnkey multi-technology platforms and other devices that add value to body shaping procedures are becoming very important additions to aesthetic practices, Dr. Sasaki noted, adding that he employs the Z Wave from Zimmer MedizinSystems (Irvine, Calif.), as an adjunct to both surgical and non-surgical procedures. The Z Wave uses high energy, non-invasive radial pulse therapy to help enhance results of other contouring treatments, such as Cryolipolysis. Six months after four Zimmer MedizinSystems Z Wave treatments following Cryolipolysis fat reduction Tx Photos courtesy of Gordon H. Sasaki, M.D., F.A.C.S. With multifunctional systems you have to be able to use them as a standalone treatment or with other devices to obtain the best results, Dr. Sasaki reported. As always, patient selection is critical to success, but the device also has to first fit into your current patient demographic. 52 THE Aesthetic Guide May/June

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54 Inside the Business of Body Shaping Fotona (based in the U.S. and Europe), has recently introduced a multifunctional body shaping system called TightSculpting. This dual-wavelength, non-invasive laser treatment combines hyperthermic adipocyte destruction and collagen remodeling in a fast and effective alternative to laser lipolysis, with no consumables or downtime. Before Tx For Doohi Lee, M.D., a cosmetic surgeon in Plano, Texas, TightScupting represents a significant technology advancement. This phenomenal implementation of the physics of laser science delivers energy to tissues very effectively, and with good results. It utilizes Nd:YAG and Erbium energies in a non-ablative, non-surgical way to eliminate undesired areas of fat while tightening the skin, he reported. While choosing the right technology has its challenges, managing patient expectations when using those technologies is also a top priority. Some practitioners have adopted new approaches to help patients remember appointments and improve compliance issues. After Sciton ProLipo Tx Photos courtesy of Jared E. Mallalieu, D.O. If a client doesn t cooperate with their own treatment plan then it will not work. It is a waste of everyone s time and their money, stated Suneel Chilukuri, M.D., a cosmetic and dermatologic surgeon in Houston, Texas. So, we have changed our approach. I have my body shaping patients keep a diet and exercise log that we can track together on an app. In addition, according to Dr. Chilukuri, multi-modality procedures are, A home run for patients. The fact that we create combination protocols makes us unique. When our patients ask, can you do this or that treatment, we say yes, we do it all. We do not have just one, but rather six or seven devices that can contour and be utilized with supporting products to rein in post-procedure discomfort and other concerns that arise. When choosing these combinations, it is extremely important to consider what devices and modalities will work together synergistically. Before Tx After Solta-Valeant VASER 3D treatments to abdomen and chest Photos courtesy of John A. Millard, M.D., F.A.C.S. In recent years, the intelligent use of these types of combination therapies has increased the popularity of device-based body shaping procedures, Dr. Chilukuri added. People come through the door and ask for a treatment or device brand by name. They are that tuned in, he expressed. Generation X and Baby Boomers are approaching the stage where they notice skin laxity and fat on the top of the thigh or on the knee, so we are using RF or ultrasound contouring combined with acoustic wave devices, collagen stimulatory systems and normal saline to enhance results. Along with patient requests there are cost concerns as well. The purchase or lease of a new aesthetic system is a significant investment for any practitioner, emphasized Jared E. Mallalieu, D.O., a cosmetic surgeon in Severna Park, Md. When you start contemplating spending as much as $150,000 for a single device, it really comes down to the brand. It should have some name recognition online, for instance. I ve had patients tell me they searched online for the brand name to help identify the appropriate procedure for them. A product that also promotes my practice helps drive business. This is beneficial because six or seven years later, long after the device 54 THE Aesthetic Guide May/June

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56 Inside the Business of Body Shaping has been paid off, it can still generate the same amount of income for us. That scenario is really fantastic. Dr. Mallalieu offers the ProLipo PLUS from Sciton, Inc. (Palo Alto, Calif.). He based his product choice equally upon the firm s high touch approach and the system s technology. The ProLipo PLUS features 1064 nm and 1319 nm laser wavelengths in one system and delivers up to 40 Watts of power, for immediately visible body sculpting results and firmer skin. This was a fantastic buy a Cadillac type of product, he said. Prior to obtaining this system we did not really do any liposuction treatments at all. In the first 18 months of use we have done over 175 cases of laser lipo. In addition, the company does not nickel and dime me when it comes to disposables. That s another reason why I went with Sciton. Before Tx After Alma vshape Ultra Tx Photos courtesy of Alma Lasers Minimally and non-invasive body shaping procedures open up a lot of options for those that don t want surgery or in those cases when it is too early for surgery, stated Amber Bocknek, M.D., an aesthetic physician in Newmarket, Ontario, Canada. Throughout my career I ve used systems that gave me less than satisfactory results, so I started searching for something that was high performance and actually worked, she recounted. She settled on the vshape Ultra from Alma Lasers, Inc. (Buffalo Grove, Ill.), an advanced multiplatform device that integrates various technologies, including ultrasound, focused RF and ablative RF microneedling. In addition, it requires no disposables. vshape Ultra really helps me deliver on patient satisfaction, and because I don t have the consumables cost built into my price point, my overall course of treatment for patients is considerably less expensive than some other body contouring devices. Therefore my patients are not driven by cost factors. In the end, I just have happier patients, she said. Consumables can be expensive and their cost is important to your profit and loss statement, Dr. Sasaki noted. Manufacturers create an annuity income with such things as disposables, maintenance contracts and warranty fees because that is where they make their profit. Before Tx After one Cutera trusculpt Tx Photos courtesy of K. Azar, M.D. Along these lines, Dr. Duncan says a fair number of physicians have made device purchases based on more of a clinical view than an economic one. I have two laser-based systems that offer patients outstanding results, but may not have been the best investment, she shared. Consider the results achieved versus the cost of a yearly maintenance agreement for such devices, which may run you $14,000 per year. This is not affordable. Even when a new device has a solid background and works to differentiate a practice and open it up to potential patients, return on investment (ROI) can be difficult to assess, stated Dr. McCoy, who also employs the Z Wave. Z Wave helps to improve patient outcomes and supports other modalities. It definitely helps improve the comfort of multiple treatments that I offer, he said. With the value it adds I ve been able to charge more and sell more procedures. While there may not be a direct ROI from this treatment, it is something that differentiates me because not everybody is doing it. ROI can also come from the ability to differentiate yourself as a leader in the industry. 56 THE Aesthetic Guide May/June

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58 Inside the Business of Body Shaping Surprisingly, some physicians still approach energy-based systems as a money losing proposition. I heard one of the most knowledgeable plastic surgeons in the business give a talk on how device purchases are unwise, Dr. Duncan revealed. The belief is that by the time you have finished paying the system off you haven t made any money, the device is outdated, and you actually paid extra for the privilege of getting stuck with a dust gathering, space consuming piece of equipment. However, as Dr. McCoy conveyed, device manufacturers have done a good job of presenting potential buyers with quality purchase or lease deals. There were horror stories in the past, but this has actually improved a lot in recent years, he said. Companies have started to realize that medical aesthetics is a very small community and unethical vendors simply don t last. Before Tx After BTL Vanquish ME Tx Photos courtesy of Suneel Chilukuri, M.D. I investigated many new technologies and energy types, and decided to go with Vanquish ME from BTL Aesthetics (Boston, Mass.). It was paid off in less than five months and has been steadily profitable ever since. One of the most established brands in energy-based body shaping is the VASERlipo System from Solta Medical, a division of Valeant Pharmaceuticals North America, LLC (Hayward, Calif.), which uses minimally invasive ultrasound technology for precision body contouring. According to John A. Millard, M.D., F.A.C.S., a plastic surgeon in Denver, Colo., this system enables physicians to sculpt both the deep and superficial fatty layers. The VASER works very effectively in the superficial fatty layer, enabling three-dimensional shaping of this layer and substantial skin tightening, he noted. For example, using my techniques I was able to transform a female patient from a size 14 to a size 6. You can also remove around twice as much adipose tissue per cubic centimeter, and that fat is viable for grafting. Tahl N. Humes, D.O., an aesthetic practitioner in Denver, Colo., sought a body shaping device that would provide consistent, effective results and she chose trusculpt 3D from Cutera, Inc. (Brisbane, Calif.), which delivers controlled monopolar RF technology at 2 MHz to uniformly heat the subcutaneous adipose tissue. Our patients can tolerate heat really well and trusculpt 3D provides an incredibly comfortable treatment for multiple body areas that is quick and reproducible. Having an energy-based device that can address several body areas was a requirement for Dr. Chilukuri. I was on the hunt for a more efficient body shaping system that produced consistent results, he said. I investigated many new technologies and energy types, and decided to go with Vanquish ME from BTL Aesthetics (Boston, Mass.). It was paid off in less than five months and has been steadily profitable ever since. We are achieving some stellar results. I use it in combination with other modalities on the face and neck, as well as the body. It works well for debulking and is a great option to have for anyone with a larger BMI. Ultimately, patients have the last word on whether or not an energybased body shaping device has been successful, Dr. Sasaki noted. Patient satisfaction is usually very high with our body shaping devices, but they have to be complemented not only by other devices, but by physician-dispensed topicals and if need be, surgery. For plastic surgeons, like myself, that s our core. 58 THE Aesthetic Guide May/June

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60 THE Aesthetic Show Hosts Industry Networking Event During ASAPS 2017 On Saturday, April 29, 2017, THE Aesthetic Show and THE Aesthetic Guide hosted industry leaders and luminaries at a networking cocktail event during the American Society for Aesthetic Plastic Surgery s (ASAPS) annual meeting in San Diego, Calif. The chic and inviting atmosphere at Fifth & Rose, located in the Pendry San Diego, set the perfect stage for an entertaining and inspiring evening among colleagues Paula Scallan (right) and Pat Altavilla (center) from Suneva Medical took a break from their busy exhibit booth to join colleagues at THE Aesthetic Show s networking event. Amy Snyder, CEO of Unity Custom Care (left) and Monica Berlin (right) will both be featured presenters at THE Aesthetic Show Plastic surgeon Gary Alter, M.D., and guest. Adam (right) and Krystle DeGraide (center) of Crystal Clear Digital Marketing. 1 5 Michael Moretti, group publisher of THE Aesthetic Guide and chairman of THE Aesthetic Show (right), welcomes BTL s John Ferris, director of marketing (left). Top and bottom right: The Pendry San Diego is the city s hottest new hotel, featuring a stunning environment at the epicenter of San Diego s Gaslamp Quarter. The hotel strikes the perfect balance between contemporary and traditional style by pairing classic Southern California influence with modern luxury THE Aesthetic Guide May/June

61 SilkPeel Dermalinfusion Offers Versatile Next-Generation Exfoliating Rejuvenation Therapy Amy Forman Taub, M.D. Founder Advanced Dermatology and Skinfo Lincolnshire and Glencoe, IL Powerful, yet gentle, SilkPeel Dermalinfusion from Envy Medical, Inc. (Long Beach, Calif.) takes professional exfoliation to new heights by coupling a mechanically driven diamond abrasive tip with adjustable pneumatic infusion technology. The result is an instant, thorough, no-downtime clearing of the stratum corneum with deeper implantation of therapeutic serums, for healthier, youthful-looking skin without lasers, light, damaging crystals or potentially irritating chemicals. As a stand-alone procedure, or as part of a more ambitious combination regimen, the variety of treatment tips and serum choices can be used to treat a plethora of skin conditions. SilkPeel Dermalinfusion s exfoliating diamond treatment tip dislodges dry, dead cells from the top layer of skin while pneumatic suction thoroughly removes debris and dead skin cells. Proprietary topicals are simultaneously driven deep into the skin to the dermoepidermal junction, where it is needed most to nourish and hydrate skin. Adjustable suction enables protocols designed for efficient and optimal consumption of topical product. Rapid hydration plumps the epidermis by up to 70%. According to dermatologist Amy Forman Taub, M.D., founder of Advanced Dermatology and Skinfo (Lincolnshire, Ill. and Glencoe, Ill., respectively), the device is a mainstay in her practice. This is one of the most popular treatments in our office. There is no downtime and the patient leaves looking hydrated and glowing, she stated. We have three devices in two locations because they are used so frequently. We most often use it for acne, and it has become a critical part of our melasma regimen. The device features two handpiece options, the standard (which uses diamond tips), and pore clarifying (with patented disposable brush tips), each ergonomically designed so that no downward pressure is required. The Dermalinfusion technology provides a more even, effective, yet gentle exfoliation, for all skin types. Available in a variety of abrasion levels, the diamond tips can be disinfected post-procedure; the pore clarifying brush tips, used to treat breakouts and oily skin, are disposable to avoid cross-contamination. The pore clarifying brush tips are able to perform extraction of comedones and clear excess sebum quite effectively, which aids in the clearance of acne lesions, Dr. Taub stated. As Dr. Taub explained, the simultaneous action of SilkPeel Dermalinfusion means serum is infused during the abrasion, when tissue is most receptive. We choose Pore Clarifying Pro-Infusion Serum, which contains salicylic acid and bakuchiol, for our acne patients. Other Pro-Infusion products include Ultra-Hydrating, Vitamin C and Skin Brightening (with Lumixyl). Typically, a series of four to six treatments at an interval of about two weeks is recommended. For acne, Dr. Taub performs three bi-weekly treatments with monthly maintenance. Both teens and adults see benefits. Patients comment that they see more rapid clearance of lesions, which is always of high importance to them. This can be used in every situation and as an adjunct to any prescription or non-prescription products, although we don t typically use for isotretinoin patients. For melasma, Dr. Taub starts with skin brightening products and a full skincare regimen, plus SilkPeel Dermalinfusion every two weeks. Inflammatory acne before Tx After four Dermalinfusion treatments given once every two weeks with Pore Clarifying Pro-Infusion Serum Photos courtesy of Envy Medical Melasma before Tx After five Dermalinfusion treatments given once every two weeks with Skin Brightening Pro-Infusion Serum Photos courtesy of Elaine Cook, M.D. Solar lentigines before Tx After six Dermalinfusion treatments given once every two weeks with Skin Brightening Pro-Infusion Serum Photos courtesy of Envy Medical THE Aesthetic Guide May/June

62 Adipose-Derived Filler Ushers in New Era of Injectable Tissue Engineering Diane Duncan, M.D. Plastic Surgeon Fort Collins, CO Steven Cohen, M.D. Plastic Surgeon La Jolla, CA The progression of products that are being used, or have been used for aesthetic augmentation of the face and/or body, ranges from bovine collagen in 1981 to autologous fat, and various hyaluronic acid (HA)-based fillers, which were first approved by the FDA in This natural progression now continues with a first of its kind adiposederived filler called Allofill. Very recently, Biologica Technologies (Carlsbad, Calif.) decided to capitalize on their vast experience in advanced tissue processing by introducing Allofill, a ready to use, allograft-derived filler that retains the native extracellular matrix (ECM) components of allograft-derived adipose tissue. Allofill works with the body to provide an all-natural tissue scaffold that includes the native growth factors important in angiogenesis and adipogenesis. Over time Allofill is remodeled into a patient s own soft tissue. For Diane Duncan, M.D., a plastic surgeon in Fort Collins, Colo., Allofill has become her favorite filler for tissue shaping. When volume, plus a bit of definition is needed, I find Allofill is better than autologous fat, which tends to give a broad, soft fill. Like Dr. Duncan, many surgeons have found Allofill to be a nice complement to their practices and the filler options that they offer to patients. While it is still early on in the product s introduction phase, Steven Cohen, M.D., a plastic surgeon based in La Jolla, Calif., believes that Allofill is a very unique strategy in regenerative medicine. By decellularizing fat to obtain a matrix with biologically active components such as growth factors, we can now deliver an injectable tissue scaffold that is populated by our body s own cells. As we learn more about this new field of what I call, Injectable Tissue Engineering, we will be able to assist the body in repair and upkeep as these same tissues are lost, Dr. Cohen continued. This is just the beginning of a new era in biofilling and biocontouring. Currently the product is supplied as a 3 cc syringe, which is refrigerated prior to use and carries a two year shelf life. The company plans to introduce other syringe sizes in the future, which will further provide physicians a greater ability to customize various injections in the face and body where it is used for homologous purposes. By decellularizing fat to obtain a matrix with biologically active components such as growth factors, we can now deliver an injectable tissue scaffold that is populated by our body s own cells. 62 THE Aesthetic Guide May/June

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64 Affordable NewSurg KTP Laser Delivers High Efficacy and Ease of Use By Jeffrey Frentzen, Executive Editor frequently leaves patients discolored. I also use my KTP to address pigmented lesions like lentigines, age spots and other sun damage in skin types I-III. The NewSurg KTP platform delivers preset protocols for common vascular and pigmented lesions. In addition, the lightweight pen-like handpiece facilitates quick and easy treatments, Dr. El-Attar added. David J. Goldberg, M.D., J.D. Director Skin Laser & Surgery Specialists of New York and New Jersey New York, NY and Hackensack, NJ The NewSurg KTP Laser from NewSurg (Bucks County, Pa.) is a portable, reliable and compact system that safely and effectively treats vascular and pigmented lesions on all skin types. In addition, physicians reported the device yields high patient satisfaction and excellent return on investment (ROI). As stated by David J. Goldberg, M.D., J.D., director of Skin Laser & Surgery Specialists of New York and New Jersey, This 532 nm solid-state diode laser platform is a wonderful system for treating facial telangiectases and erythema, red scars and other vascular disorders. It features a wireless foot pedal, is very easy to use, can be effortlessly moved from room to room and delivers highly effective treatments at a reasonable cost. This system requires no disposables and virtually no service. My staff loves its simplicity and good results. For Richard M. Goldfarb, M.D., a cosmetic physician and owner of The Center for Smart Lipo in Langhorne, Pa., the NewSurg KTP has been a workhorse. I am always using my KTP, he said. I can precisely target a lesion with the desired energy dosage. In addition, it is extremely versatile. For example, I can effectively treat an 80 year-old woman with pigmented lesions and then quickly adjust to the exact settings required to safely eliminate a pediatric hemangioma. Richard M. Goldfarb, M.D. Cosmetic Physician Owner The Center for Smart Lipo Langhorne, PA Ayman El-Attar, M.D. Founder Derma Laser Centers of New Jersey Mercerville, NJ Very few laser-based devices are as dependable as the NewSurg KTP, stated Ayman El-Attar, M.D., founder of Derma Laser Centers of New Jersey (Mercerville, N.J.). It reliably targets melanin rich lesions on darker skin types, including benign moles and DPNs (dermatosis papulosa nigra), with very high specificity and virtually no post treatment hyper or hypopigmentation. This is in contrast to other modalities like electrodessication or freezing with cryotherapy, which This laser s treatment parameter management is comprehensive, yet very easy to use, making it safe and effective for both novice and experienced operators to achieve desired coagulation with minimal collateral heating. Patients see immediate changes to lesions, unlike other cosmetic treatments. In addition, the system is sensibly priced with an extended warranty period, Dr. El-Attar said. Dr. Goldfarb also noted the exceptional ROI for the NewSurg KTP. After just a few weeks, we were generating a profit. Not having disposables or high service fees has made this system an absolute winner by keeping the costs down for our patients and our practice. It increases our market by allowing us to treat patients that do not have the resources for treatments with more expensive lasers requiring higher maintenance costs. Our NewSurg KTP Laser System complements our intense pulsed light (IPL) system. Also, we no longer need our pulsed-dye laser (PDL). This laser s treatment parameter management is comprehensive, yet very easy to use, making it safe and effective for both novice and experienced operators. Before and after NewSurg KTP Tx Photos courtesy of Ayman El-Attar, M.D. 64 THE Aesthetic Guide May/June

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66 Patient Financing Creates More Options for Your Patients and Practice According to the American Society of Plastic Surgeons, aesthetic surgeries grew by almost 20% in 2016, and this trend of increased spending is expected to continue through Despite this growth, many aesthetic practices are experiencing lost business due to a patient s lack of available cash or higher interest rate lines of credit. However, emerging finance options for aesthetic practices may change these reluctances. No practice wants to see a patient decline treatment because of financial constraints. With the increase of minimally-invasive treatments available, along with new and improved technology, practices need to be better positioned to help patients with more robust financing choices. The best patient financing program will offer accountable options with higher approval rates, superior credit lines to allow for complete treatment plans, transparent rates and policies to protect patients, and seamless customer support for both practices and patients. ALPHAEON CREDIT has designed innovative financing options to provide your patients more flexibility to pay for procedures performed by board certified physicians. A recent physician-bank partnership now allows ALPHAEON CREDIT to offer patient financing in the aesthetic space, meeting all growth criteria for practices in 2017 more approvals, larger credit lines, and a simple, clear product for both patients and practices. Plastic surgeon Frank Agullo, M.D. (El Paso, Texas), has implemented ALPHAEON CREDIT patient financing in his practice. In his experience the program offers, Great approval rates and plans. My patients are very happy and I m very happy. Likewise, Philip L. Sonderman, M.D., a plastic surgeon in Milwaukee, Wis., feels ALPHAEON CREDIT provides, Fantastic financing options for all of our patients. It is easy to use and delivers very high approval amounts. Another key aspect of successful patient financing is the ability to receive immediate approval. Waiting time can deter a patient, versus an instant approval that can encourage scheduling treatment at once. ALPHAEON CREDIT provides an application status within seconds so that practices can offer a streamlined process, creating a greater patient experience. Finally, in today s digital world, patient financing must be userfriendly from application to transaction, and provide exceptional ongoing support. Practices don t have time to deal with cumbersome processes, nor skeptical patients with lengthy applications and non-transparent policies. The simplicity and clarity of your patient financing will have a large impact on consistent adoption and use of this powerful financial tool. To avoid patient hesitation or reluctance, it is essential that aesthetic practices offer a patient financing option like ALPHAEON CREDIT one that provides excellent approval rates, superior credit lines and transparent customer support and application policies. ALPHAEON CREDIT is a powerful financing program that will help your practice thrive in Source: ALPHAEON CREDIT Source: ALPHAEON CREDIT ALPHAEON CREDIT provides fantastic financing options for all of our patients. It is easy to use and delivers very high approval amounts. 66 THE Aesthetic Guide May/June

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68 Moveo Technology Overcomes Common Complications of Hair Removal Treatments Nicola Zerbinati, M.D. Professor Department of Dermatology University of Insubria Varese, Italy single-pulse method, enabling patients to be treated with greater safety. At the same time its operational effectiveness is comparable to that of the standard method, as shown by a series of major clinical and histological findings (Figure 1). Treatment with Moveo is both simple and safe to perform, enabling the practitioner to manage the procedure and outcomes in a more uniform way, and to minimize the risk of minor burns, especially among darker phototypes. The inmotion method also significantly reduces the duration of treatment for large areas (such as the trunk and lower limbs). Nicola Zerbinati, M.D., a professor in the department of dermatology at the University of Insubria (Varese, Italy) has been using the Alexandrite laser for years and considers it, The most effective device for hair removal, especially when I have to remove fine and blond hair, he shared. Since DEKA introduced the Moveo technology, I have found the perfect product, which satisfies my every need. It is a surprisingly simple method to learn and perform; there are no more problems treating darker skin types or light and fine hair, and no complaints or discomfort from patients thanks to a completely painless treatment, which has no side effects. In recent years we have seen a huge rise in the demand for hair removal treatments combined with reduced invasiveness. Patients have made it clear they desire increasingly effective procedures associated with minimal pain, a lower risk of side effects and decreased complications. The most frequent complications associated with energy-based hair removal include post-inflammatory hyperpigmentation (PIH), which is usually transient; permanent hypopigmentation, typically due to interference of the wavelength used with epidermal melanin (tanned skin or dark phototypes); and/or vesicular lesions caused by using excessive fluences, which are generally more frequent in dark skin types. In order to overcome these problems, expand safety margins and deal more easily with darker phototypes, the latest generation of Alexandrite and Nd:YAG lasers, manufactured by DEKA (Calenzano, Firenze, Italy) feature a special handpiece with integrated cooling, known as Moveo (not available in the U.S.). This handpiece enables continuous movement over a 10x10 cm treatment area by performing a multipass technique, which delivers an adequate therapeutic dose to the target area without overheating the skin. The handpiece is held in a vertical position, remaining in contact with the skin and applying slight pressure to ensure constant coupling between the two work surfaces. This multipass method uses pulses specifically developed for the Moveo handpiece, which makes treatment considerably less painful than the traditional Before and 45 days after one treatment with DEKA s Motus AX with Moveo technology (area near tattoo left untreated) Photos courtesy of P. Bonan, M.D. and M. Troiano, M.D. Left side five months after one session with Motus Ax with Moveo handpiece. Right side was left untreated to show initial patient condition without treatment. Photos courtesy of P. Bonan, M.D. and M. Troiano, M.D. Figure 1: Histological skin preparations stained with haematoxylin and eosin (H&E). (A): Positive control. Hair has a lamellar structure, the melanocytes and basal cells of hair bulb are normal as are their appended sebaceous glands. (B): Coagulative necrosis of hair can be observed, with partial detachment of the cuticle and part of the hair cortex following traditional, single-pass hair removal Tx with a DEKA 755 nm laser. (C): Coagulative necrosis of the whole hair (medulla, cortex and cuticle) observed following multipass treatment with the Moveo handpiece via a DEKA 755 nm laser. Image courtesy of DEKA 68 THE Aesthetic Guide May/June

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70 Lasering USA Introduces Novel Non-Ablative CO 2 Laser Vaginal Rejuvenation Device By Arturo Menchaca, M.D., F.A.C.S., F.A.C.O.G. Non-invasive vaginal rejuvenation is now a well-established and popular procedure to treat a variety of vulvovaginal disorders, improve sexual gratification and enhance the aesthetic appearance of the external female genitalia. This rejuvenation is accomplished via neocollagenesis, neovascularization and possibly neoneurogenesis. While other CO 2 laser devices on the market use ablative fractional resurfacing, LASERING USA (San Ramon, Calif.) recently launched a new, non-ablative/non-fractional CO 2 laserbased device for feminine rejuvenation called V-Lase, which uses their patented chopped CW technology. Gentle heat from the non-ablative laser beam creates mild thermal damage to the mucosal lining and underlying tissues of the vaginal canal and vulva. This will remodel (shrink and tighten) existing collagen and induce fibroblasts to undergo mitosis and replicate, thus creating new collagen, elastin, reticular fibers and glycosaminoglycans (GAGs) in the extracellular matrix. All of this activity will thicken, tighten and make the vaginal walls more elastic and pliable over time (reducing the vaginal canal diameter for better sensation during intercourse). It will also create new superficial blood vessels that not only provide better oxygenation and nutrition to the tissue, but also increases vaginal transudate, which helps restore vaginal moisture and ph balance. This will decrease vaginal itching and burning, reduce symptoms of painful intercourse, lower the risk of vaginal infections, strengthen the pelvic floor to improve symptoms of stress urinary incontinence (SUI) and increase neurogenesis, which improves G-spot nerve sensitivity to heighten sexual gratification. V-Lase offers many benefits over ablative modalities. Since it does not invade the surface tissue there is no risk of worsening or initiating an infection. There is no bruising and no production of discharge, therefore there is no downtime from sexual activity, exercise (including swimming), or the use of tampons if treatment is performed in proximity of a menstrual cycle. Arturo Menchaca, M.D., F.A.C.S., F.A.C.O.G. Dr. Menchaca is fellowship trained in female pelvic medicine and reconstructive surgery. He has been using the CO 2 laser for medical, surgical and cosmetic procedure since Dr. Menchaca has performed thousands of pelvic reconstructions with native tissue, graft and synthetic mesh and is the director of Female Pelvic Medicine & Reconstructive Surgery at Paris Community Hospital in Paris, Ill. Dr. Menchaca has lectured extensively on pelvic reconstruction and trained hundreds of surgeons on his techniques in the operating suite. Before and after three V-Lase treatments Photos courtesy of Otakar Tesar, M.D. DISORDER ~ AGE PATIENT # IMPROVEMENT X3 IMPROVEMENT X1 POP (Pelvic Order Prolapse) % % % % % % % % Dyspareunia % % Lichen Schlerosis % % Mixed UI OAB>SUI % % SUI (Stress Urinary Incont.) % Study demographics included a total of 15 patients ranging in age from 27 to 80 years old. Clinical symptomatic benefits ranged from 20% (after only one treatment) to as high as 100% (after three treatments). Source: Arturo Menchaca, M.D., F.A.C.S., F.A.C.O.G. Human papillomavirus (HPV) is the most common sexually transmitted infection in the U.S. There are over 100 types, some of which can lead to numerous forms of cancer. It is estimated that up to 80% of all females will contract HPV at some point during their life. When using an ablative CO 2 laser for vaginal rejuvenation on a patient who is currently infected with HPV there is an elevated risk of spreading or worsening the infection in that patient, as well as a risk of HPV contamination to the medical practitioner and/ or support staff assisting in the procedure. Furthermore, ablative CO 2 lasers create a smoke plume, which is a natural consequence of ablation. As a non-ablative system V-Lase does not require the use (or added expense) of a smoke evacuator. Other benefits of non-ablative vaginal rejuvenation include no need for topical anesthetic due to less patient discomfort during treatment, and the low intensity of non-ablative CO 2 laser light does not require shaving of the external genitalia when treating the vulva. Also, the V-Lase device has no consumables as the probe, insertion ring and external handpiece can be steam sterilized. 70 THE Aesthetic Guide May/June

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72 LightPod Neo Delivers Next Level Skin Rejuvenation My most profitable device at this time is the Aerolase LightPod Neo, said Michael Gold, M.D., a dermatologist in Nashville, Tenn. I highly recommend this system for patients who have been unsuccessful with medications and are seeking technology as an alternative. I have a large acne population and use this device all day to treat these patients painlessly and successfully. It can be used for a number of applications, but for us, acne is number one. Michael Gold, M.D. Dermatologist Nashville, TN David Goldberg, M.D., J.D. Dermatologist New York, NY Compared to other laser devices on the market, Dr. Gold s opinion is that the LightPod Neo solves a number of unmet needs in the aesthetic industry. This device is a workhorse that addresses a range of conditions that patients want treated and does so successfully in a highly tolerable procedure, he stated. Plus, the device is very affordable and operates without any per-treatment costs. It s compact and portable, which is great for small offices or multiple locations. It checks off all the boxes of what an aesthetic office needs to be successful and profitable. It may sound too good to be true, but the bottom line is that Aerolase has provided us with an amazing device that works. Jason Emer, M.D. Cosmetic Surgeon Beverly Hills, CA Cheryl Burgess, M.D. Dermatologist Washington, DC Aerolase (Tarrytown, N.Y.) is taking complete skin rejuvenation treatments to the next level with a laser platform based upon new 650 microsecond (µs) pulse technology. Using a multi-treatment approach with a single device and handpiece, the LightPod Neo delivers quick, consistent results for a number of indications including severe and cystic acne, neocollagenesis, veins, melasma, rosacea and more, all within a uniquely comfortable patient experience without cooling or anesthetic for all ages and skin types including tanned skin. Whether used to address a single patient concern or mulitple indications in just one treatment session, the LightPod Neo is quickly becoming a favorite device among patients and practitioners. According to David Goldberg, M.D., J.D., a dermatologist in New York, N.Y., The LightPod Neo system is a brand new, revolutionary laser. The 650 µs pulse allows us to bring the 1064 nm laser to new levels of safety and efficacy even on the face for all skin types. In our study for facial telangiectases, we observed great outcomes and absolutely no complications. What is really exciting about this laser is it is truly safe for any skin type. We can perform rejuvenation for the face, neck and décolletage on everyone, said Jason Emer, M.D., a cosmetic surgeon in Beverly Hills, Calif. This laser is attracted to hemoglobin, pigment and water, so we achieve a truly comprehensive rejuvenation treatment to clear skin, tighten and give it better overall quality. There is nothing else like it on the market. Cheryl Burgess, M.D., a dermatologist in Washington, D.C. agreed with Dr. Emer s findings. The LightPod Neo works amazingly for rejuvenating facial skin. I regularly use this laser in conjunction with chemical peels, neurotoxin and fillers in one session because of its gentle pulse. It also works remarkably for clearing melasma in my darker skinned patients. The LightPod Neo has quickly become our go-to aesthetic device. Cystic acne before and after five LightPod Neo treatments Photos courtesy of Kevin Pinski, M.D. Melasma before and after one LightPod Neo treatment combined with glycolic peel Photos courtesy of Cheryl Burgess, M.D. 72 THE Aesthetic Guide May/June

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78 TAS 2017 PRODUCT SHOWCASE 78 THE Aesthetic Guide May/June

79 largest and most influential multispecialty conference and commercial tradeshow dedicated to medical aesthetics, THE Aesthetic Show (TAS) continues to redefine our diverse and progressive industry. At this year s event attendees can immerse themselves in educational sessions dedicated to the hottest new topics and macro trends driving our $9 billion market, and experience Asthe practical applications of cutting edge technologies and products in the accompanying exhibit hall. THE Aesthetic Guide May/June

80 Galderma DefenAge Clinical Power Trio A comprehensive multicenter clinical study shows that DefenAge s core skincare regimen addresses visible signs of skin aging on a global scale (randomized, placebo/vehicle-controlled, double-blinded study; 44 participants). The wide-ranging visible improvement of aging skin was confirmed by multiple advanced methods of evaluation of skin conditions including histopathology and high-resolution ultrasound. The study was performed by Amy Forman Taub, M.D. (PI), Vivian Bucay, M.D. and Gregory Keller, M.D. DefenAge s exclusive ingredient, Age-Repair Defensins, works via a natural mechanism of action. The technology is patent-pending, can be combined with almost any skincare regimen and is exclusively available through DefenAge. DefenAge, Booth 321 Dating back to 1961, Galderma is present in 100 countries with an extensive product portfolio to treat a range of dermatological conditions. The company partners with health care professionals around the world to meet the skin health needs of people throughout their lifetime. Galderma is a leader in research and development of scientifically-defined and medicallyproven solutions for the skin, hair and nails. Strategic brands in the U.S. include Restylane Refyne, Restylane Defyne, Restylane, Restylane Silk, Restylane Lyft, Dysport and Sculptra Aesthetic. * The Dysport trademark is used under license. All trademarks are the property of their respective owners. USMP/DYS/0033/ /17 Galderma Laboratories, Booth 623 Mediscope Bodystation FotoFinder Systems will be offering demonstrations of its Mediscope Bodystation, the cutting edge imaging solution for consistent before and after photo documentation of virtually any aesthetic, medical or surgical procedure. This system features the unique Laser Liner for consistent patient positioning at baseline and follow-ups. Every photo is automatically labeled and stored in a patient database for effortless retrieval. Proposer will enhance your consultations with impressive procedure protocol and skincare product recommendations. The Universe ipad App provides image access at your fingertips in any consultation room. With a small foot print, no need for a floor mat, just one power cord and no loose cables, it is a truly mobile studio system. FotoFinder Systems, Booth 306, 308 THE Aesthetic Show 2017 Product Showcase SilkPeel Dermalinfusion Dermalinfusion is an advanced skin-resurfacing technology that combines exfoliation, extraction and infusion of condition-specific serums to improve skin health, function and appearance. This patented, non-invasive treatment is fully customizable and the perfect solution to address a wide variety of skin concerns and conditions from headto-toe, and is suitable for all Fitzpatrick skin types. This high degree of customization results in skin that shows immediate and noticeable improvement in volume, hydration, tone and texture. Dermalinfusion is ideal when used in conjunction with other nonor minimally invasive procedures to enhance outcomes. Envy Medical, Booth 417 Viveve System Viveve, Inc. is a women s health and wellness company committed to advancing women s overall health and well-being. The internationally patented Viveve System, that delivers the GENEVEVE treatment, incorporates clinically-proven CMRF energy-based technology to deliver volumetric heating while gently cooling surface tissue to generate neocollagenesis in one, 30-minute, in-office session. In the U.S., the Viveve System is cleared by the FDA for general surgical procedures for electrocoagulation and hemostasis. Consistent with many international approvals, Viveve is in the process of submitting an IDE to the FDA for a pivotal study on use of the device in the U.S. for improvement in sexual function. Viveve, Inc., Booth 323 V-Series Line Viora s advanced V-Series line of medical aesthetic platforms enable practitioners to capitalize on today s most in-demand, requested treatments and deliver the highest levels of efficacy with immediate, long lasting results that will make a real difference to your patients. V-Series achieves this by fusing powerful non-invasive RF, IPL and light technologies that work in synergy to ensure maximum treatment safety without sacrificing results while enabling you to perform a very wide-range of treatments and services. Viora, Booth THE Aesthetic Guide May/June

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82 THE Aesthetic Show 2017 Product Showcase Vaginal Tactile Imager Vaginal tissues have varying viscoelastic characteristics across physiological states and conditions. The Vaginal Tactile Imager obtains high resolution pressure patterns and allows transvaginal biomechanical mapping, with report. This device provides a large body of measurements to evaluate individual variations in vaginal defects as well as identify specific tissue markers and muscle function. It may be used to recognize and quantify an abnormal deviation in the vagina, to evaluate vaginal conditions before and after radiofrequency (RF) or laser treatment and/or aesthetic surgery. This FDA approved device is intended for use by physicians, surgeons and medically trained personnel. Advanced Tactile Imaging, Booth 719 Eclipse PRP Eclipse PRP is a proprietary autologous platelet-rich plasma (PRP) retrieval system based on blood separation according to density, using a proprietary separation gel. The PRP platform is available with an 11 ml PRP collection tube or 22 ml high-concentration collection tube. This system allows for the preparation of pure PRP with optimal platelet concentrations and cellular content. Virtually, all red blood cells (RBC) are eliminated from the PRP and the concentration of pro-inflammatory granulocytes (GRs) is highly reduced. The entire preparation process takes less than 20 minutes. FDA 510(k) number BK Eclipse Aesthetics, Booth 337 PRO Colostrum-LD SKIN INSIDE PRO Colostrum-LD SKIN INSIDE is a liposome-delivered, purified preparation of bovine colostrum containing a rich mixture of immune factors, cytokines, growth hormones, lactoferrin, vitamins and minerals. This product can be taken both orally and applied to the skin. The peptides in colostrum epidermal/epithelial growth factor (EGF), transforming growth factors (TGF-α and TGF-β), fibroblast growth factor (FGF) and insulin like growth factor (IGF-1) have been shown to be effective in stimulating skin cellular repair and regrowth, as well as aiding in wound healing. Colostrum-LD is unique in its ability to promote skin health and beauty both from within the body as an oral supplement, and topically. Sovereign Laboratories, Booth 734 Tensage Stem Cell Eye Cream Tensage Stem Cell Eye Cream is formulated with breakthrough CELLPRO technology, clinically proven to help replenish skin cells lost over time and improve skin s integrity, radiance and firmness. This rich, nourishing anti-aging cream also contains caffeine and brightening agents to help reduce puffiness and improve the appearance of dark circles. Paraben-free and ideal for night time use. Biopelle, Booth 309 Z Wave Catch the Z wave. The Zimmer Z Wave is the latest development in the treatment of cellulite. Utilizing soft pulse technology to enhance patient comfort, it delivers mild, consistent sound wave therapy to the target area over a series of treatment sessions. The Z Wave is FDA cleared for temporary reduction in the appearance of cellulite. Typical patient treatment time is 3-4 minutes per body zone. Visible results may be seen after only two to three sessions. May also be used as an adjunct in Cryolipolysis treatments to enhance the effects of body contouring. Zimmer MedizinSystems, Booth 529 Bellafill Bellafill is the only dermal filler FDA approved for the correction of nasolabial folds and moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years. This smooth, collagen-based filler is comprised of 80% bovine collagen gel and 20% polymethylmethacrylate (PMMA) microspheres. The collagen immediately volumizes smile lines or atrophic acne scars, lifting them to the level of surrounding skin. The PMMA microspheres form a matrix that supports production of endogenous collagen, which replaces the injected collagen over time. Suneva Medical, Booth 439, THE Aesthetic Guide May/June

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84 THE Aesthetic Show 2017 Product Showcase Venus Versa Venus Versa is a versatile multi-application system for today s most in-demand aesthetic treatments, including photorejuvenation, acne reduction, hair removal, skin resurfacing, wrinkle reduction and body shaping. This device combines up to three unique, highly effective technologies in one platform: IPL with SmartPulse, NanoFractional RF with SmartScan, and our proprietary (MP) 2 technology (Multipolar RF + PEMF). Venus Versa can be customized with up to ten different applicators, making it adaptable to the needs and growth of any aesthetic practice. With Venus Concept s unique business model, this device can help you generate the highest possible return on your investment. Venus Concept, Booth 603 Epionce Daily Shield Lotion The new Epionce Daily Shield Lotion Tinted SPF 50 sunscreen provides sheer, broad spectrum protection that evens out skin tone while imparting a natural-looking healthy glow. Perfect for all skin types even sensitive skin this very water resistant formula is enhanced with botanical ingredients for antioxidant benefits. Epionce Daily Shield Lotion SPF 50 is ideal for daily use alone or under makeup to provide optimum protection from UV exposure. It has been granted the Skin Cancer Foundation Seal of Approval. Epionce, Booth 338, 340 Silagen Don t let the fear of scars deter patients from scheduling cosmetic surgery procedures. Introduce the Silagen Scar Refinement System during your consults to relieve any scar anxiety and differentiate your practice in your local marketplace. Our comprehensive, physician-exclusive line of medical grade silicone scar therapies includes Silagen 100% Pure Gel, Silagen Gel + SPF 30 (zinc oxide), and a variety of sheets, strips and shapes. There is a Silagen product to meet the needs of all types of surgeries and all sizes of scars, both new and old. Silicone is recommended by multiple international guidelines in published articles for the prevention and first line treatment of scars. Newmedical Technology, Booth 402 ProGen PRP System The gold standard in platelet-rich plasma (PRP) has been set with the Bellus Medical ProGen PRP System, one of the most advanced PRP systems in the industry. Evaluated and proven to outperform leading PRP systems in the market, this superior product is cost-effective, scientifically validated, easy to use, and offers a flexible technology that can grow with your practice. Physicians are raving about the flexibility, single spin options and ease of use with ProGen PRP. Consistently delivering 2x and 5.1x PRP and validated 5x concentration of growth factors it is easy to see why physicians consider ProGen the new industry standard. Bellus Medical, Booth 705 Ascentium Capital Finance nearly anything for your practice with Ascentium Capital. You have access to affordable finance, lease and loan options up to $1.5 million. Our 100% financing program enables you to finance equipment plus costs such as shipping, tax and maintenance to avoid upfront expenses. Ascentium also extends a streamlined process with flexible terms up to 84 months, deferred payments and instant credit decisions. Ascentium Capital, Booth 332 UltraSpeed 88 Alma Lasers (Caesarea, Israel) continues to deliver innovations in face and body treatments. The UltraSpeed 88 handpiece is used in Europe and around the world to reduce patient circumference via thermoacoustic shattering of the adipocyte membrane with targeted ultrasound shear waves and Alma s proprietary In-Motion technology. In the U.S., the dual modality vshape Ultra is cleared for cellulite treatments using RF handpieces, and for pain indications using the UltraSpeed handpieces. Furthermore, a multi-center study is underway in the U.S. researching circumferential reduction. The large size of the UltraSpeed 88 handpiece allows practitioners to treat patients with great efficiency. Alma Lasers, Booth 331, THE Aesthetic Guide May/June

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86 THE Aesthetic Show 2017 Product Showcase ThermiRF ThermiRF is a unique temperature-regulated radiofrequency technology designed to safely produce aesthetic outcomes through the application of controlled heat. This platform technology, combines temperature control with advanced real-time temperature monitoring to enable a myriad of soft tissue applications, which include ThermiTight, ThermiSmooth Face, ThermiRase, and ThermiVa. ThermiRF is a multi-procedure platform using temperature as a clinical endpoint. Energy emission is user-controlled and application specific to regulate temperature range and maximum temperature during an application. Thermi, an Almirall Company, Booth 725 Juliet (MCL31) Get unparalleled vaginal restoration with surprising versatility. Juliet is a fast, painless, non-surgical Er:YAG treatment for vaginal dryness, urinary leakage, itching, loss of elasticity and tone, burning, painful intercourse and menopausal intimate issues. Juliet also offers surprising versatility beyond vaginal rejuvenation, including treatments of wrinkles, scars, age spots, skin tags, condyloma, dyschromia and more. The system s unique cold setting allows for treatments without anesthesia and low downtime even on difficult conditions such as lichen sclerosus or C-section scars. The system s proprietary integrated smoke evacuation includes HEPA filters for operator and patient safety. Juliet is now available in the U.S. from Zarin Medical. Zarin Medical, Booth 237, 239 ALPHAEON CREDIT ALPHAEON s patient financing programs can help you help more patients with strong approval rates, superior credit limits / loan amounts, and a wide array of payment plans to fit any patient s budget. In addition, with competitive rates, an easier to use program, and excellent customer service, you may find ALPHAEON offers a better experience for you as well. ALPHAEON CREDIT, Booth 822 Halo Halo, the innovative Hybrid Fractional Laser (HFL), is revolutionizing resurfacing. Halo delivers non-ablative and ablative wavelengths to the same microscopic treatment zone, giving patients results they love without the discomfort or downtime they expect. Halo s unique benefits include the ability to improve the appearance of wrinkles, pores and pigmentary issues. Halo owners love achieving maximum return on their investment while exceeding their patients expectations. Easy to use and virtually painless, Halo sets the standard for the future of laser resurfacing by providing a safe and powerful long-term hybrid solution. Sciton, Booth 423 Synchro REPLA:Y The Synchro REPLA:Y Family offers a fast (3 Hz) and powerful (125 W) Alexandrite laser coupled with the new unrivaled features of DEKA s Nd:YAG laser (180 W) and a large 24 mm spot size for stable, longterm hair reduction for all skin types including tanned skin. Combining a 755 nm Alexandrite, 1064 nm Nd:YAG and FT intense pulsed light makes the Synchro REPLA:Y a versatile platform that can also treat benign pigmented lesions and vascular lesions. DEKA / Quantum, Inc., Booth 336 Clear + Brilliant pélo Clear + Brilliant pélo is a new and innovative laser hair removal technology with a first-inclass mechanism of action which incorporates linear scanning technology to help maximize efficacy, speed and patient comfort, all with just one handpiece. This new device has the largest spot size and scan area within the class of diode hair removal lasers, allowing for full body treatments amongst all skin and hair types. Solta Medical, a division of Valeant Pharmaceuticals North America, Booth 229 LightPod Neo 650 µs Laser The LightPod Neo is the ideal device for complete skin rejuvenation, clearance of all types of acne including cystic acne, permanent hair reduction, a range of vascular conditions, and a number of other FDA cleared medical and aesthetic applications for Fitzpatrick skin types I-VI and tanned skin. LightPod Neo s 650 µs technology offers uniquely high-power, between 4 J/cm 2 to 255 J/cm 2, all within a short 650 µs pulse duration. This enables unmatched treatment efficacy, versatility, comfort and safety. In addition, LightPod Neo performs without any pertreatment consumables, allowing for the best return on investment. Aerolase, Booth THE Aesthetic Guide May/June

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88 THE Aesthetic Show 2017 Product Showcase Collagen P.I.N. Breakthrough to ageless skin with Collagen P.I.N., an advanced and powerful medical-grade, automated, percutaneous induction needling device. Utilizing single-use, proprietary sterile, surgical-grade needleheads in configurations of 12 and 36, treatment delivers controlled micro-wounding, resulting in enhanced collagen and elastin regeneration. This non-invasive technology is safe and effective for all Fitzpatrick skin types to treat photo-aging, acne, scarring, skin laxity and much more in as little as one treatment. Used cordless or corded, it delivers optimal output for consistent outcomes. Highly effective, Collagen P.I.N. delivers results comparable to more ablative procedures in a non-invasive manner and comes with a lifetime warranty. Collagen P.I.N. / Induction Therapies, Booth 404 MiXto Pro V-Lase MiXto Pro V-Lase utilizes a patented CO 2 laser chopped CW technology to deliver a safe and gentle non-ablative treatment for vaginal rejuvenation. V-Lase is a new 15 minute nodowntime medical procedure that is a pain free alternative to surgery and provides noticeable results after only one treatment. The MiXto Pro V-Lase system is a multiplatform CO 2 laser with accessories for skin resurfacing and surgical applications. LASERING USA, Booth 305 Oxygenetix Acne Control Oxygenetix premier breathable foundation covers and soothes multiple skin conditions, injuries, wounds, rashes, cracked dry skin, acne, rosacea and more. Post-procedure, patients are assured that their after care treatment conceals evidence of laser, peel or injection. Oxygenetix overcomes social downtime, which is a patient s most frequent objection when considering a facial procedure. Oxygenetix reduces patients concerns, converting more consults into procedures. The new Oxygenetix Acne Control foundation features all of the same benefits of our regular foundation plus a proprietary 2% time released salicylic acid. Visit our booth to learn more. Oxygenetix Institute, Booth 416, 418 NightLase In addition to numerous other aesthetic procedures, Fotona s SP Dynamis laser offers NightLase therapy as a non-invasive, patient-friendly treatment for snoring and increasing the quality of a patient s sleep. NightLase can decrease the amplitude of snoring by means of a gentle, laser-induced tightening effect caused by the contraction of collagen in the oral mucosa tissue. Fotona s patented Er:YAG laser modality optimizes the length of laser pulses, allowing for the safe penetration of heat into the oral mucosa tissue. It is gentle enough to be used on the sensitive tissue inside the mouth, but strong enough to provide clinically efficacious heating. Research has shown that NightLase reduces and attenuates snoring and provides an effective, noninvasive way to lessen the effects of sleep apnea. Fotona, Booth 522, 524 Discovery PICO Series The Discovery PICO Series of lasers deliver both picosecond and nanosecond pules with an industry-leading 1.8 GW of peak power. QuattroPulse technology offers four separate emission modes: picosecond, Q-switched, OptiPulse and photo-thermal pulse durations, giving you even more treatment options, efficacy and flexibility. The addition of the 694 nm true Ruby laser in the Plus model makes this a premier picosecond laser for skin treatments and tattoo removal. Discover the Quanta difference that is transforming aesthetics. Quanta Aesthetic Lasers, Booth 517 Allergan Allergan is committed to working with physicians, healthcare providers and patients to create a world-class aesthetic business with the most comprehensive, science-based product offerings available. This global portfolio consists of best-in-class facial aesthetics, body contouring, plastic surgery and regenerative medicine offerings, which includes products such as BOTOX Cosmetic, the CoolSculpting System, Natrelle, REVOLVE and more. Allergan, Booth THE Aesthetic Guide May/June

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90 THE Certified Aesthetic Consultant Program Join over 2,000 Successful CAC Graduates To sign up for a free trial of the new CAC online program or for promotional rates contact Anjail Mitchell or anjail@miinews.com

91 CAC has taken Rejuva Medical Aesthetics to a level of growth and excellence that we are incredibly proud of. The decision to have our entire staff participate in this exceptional program has fostered the development of a confident, productive and resourceful team. This program offers a wealth of knowledge that enables aesthetic practices to flourish. Sherry Leigh Practice Administrator Rejuva Medical Aesthetics Increase practice revenues and growth Master social media and internet marketing Acquire advanced staff management skills Learn how to run a more efficient and profitable practice Enhance your sales and marketing abilities Improve your patient assessment and consultation skills Learn how to deal with patient expectations Understand financial analysis and practice metrics

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94 Advanced Tactile Imaging, Inc Lower Ferry Rd. Trenton, NJ (609) telephone Advanced Tactile Imaging is a medical device developer and manufacturer of unique tactile imaging equipment. The clinically validated and FDA approved Vaginal Tactile Imager (VTI) allows transvaginal biomechanical mapping with report. Our global network of representatives is ready to assist with this innovative and patented technology for quantification of vaginal conditions. Advice Media 1389 Center Drive, Suite 230 Park City, UT (800) telephone (435) facsimile Advice Media is a leader in online digital marketing for medical practices. We offer beautiful websites and proven marketing through SEO, social media, review management and paid search so that we are the last company you will need. Aerolase 777 Old Saw Mill River Rd. Tarrytown, NY (914) telephone (914) facsimile Aerolase s dedication to the advancement of aesthetic medicine has helped healthcare professionals practice more efficiently, effectively and profitably, while greatly satisfying patients with unmatched results, comfort and safety. Aerolase medical aesthetic lasers, built on our patented LightPod system design, allow you to treat a broad range of patient conditions without a costly array of devices, handpieces, per-treatment costs, consumables, or service contracts. Our LightPod lasers deliver unmatched levels of clinical efficacy, versatility, safety, reliability and cost-effectiveness, which command high levels of profit and patient satisfaction. Elevate your business with Aerolase lasers. AestheticsPro Online 1420 Marvin Road NE, Suite C PMB 238 Lacey, WA (866) telephone (360) facsimile AestheticsPro provides cloud-based software precisely developed for the medical aesthetic industry. With electronic charting, powerful reporting tools, streamlined appointments, client and staff management, secure patient portal, fully integrated POS, centralized multi-locations and robust internal marketing, AestheticsPro has the solution for your medical aesthetic business. Allergan, Inc Dupont Drive Irvine, CA (714) telephone (714) facsimile Allergan Medical provides the most comprehensive, science-based, aesthetic product offerings, including BOTOX Cosmetic; hyaluronic acid and collagen-based dermal fillers; and LATISSE (bimatoprost ophthalmic solution) 0.03%. Allergan Medical also offers the industry s widest range of silicone gel-filled and saline-filled breast implant options for reconstructive and aesthetic breast surgery. Alma Lasers, Ltd. 485 Half Day Road, Suite 100 Buffalo Grove, IL (866) 414-ALMA (2562) telephone (224) facsimile Alma Lasers is a global innovator of laser, light-based, radiofrequency and ultrasound solutions for aesthetic and minimally invasive markets. We enable practitioners to offer safe, effective and profitable aesthetic and surgical procedures, while allowing patients to benefit from state-of-the-art, clinically proven technologies and treatments. Alma Lasers platforms provide solutions for a variety of applications globally including skin imperfections, loose skin, hair removal, the treatment of pigmented and vascular lesions, acne, tattoo removal, psoriasis, vitiligo, wrinkles, acne scars, vaginal tightening, SUI and more. ALPHAEON Von Karman Avenue, Suite 500 Irvine, CA (920) telephone (949) facsimile ALPHAEON s patient financing programs can help you help more patients with strong approval rates, superior credit limits / loan amounts, and a wide array of payment plans to fit any patient s budget. AQ Skin Solutions 390 Goddard Irvine, CA (949) telephone AQ Skin Solutions is a medical grade cosmetic company with patented, cutting edge methods of producing human growth factors (GFs). AQ has made major advancements in GF-technology and therapeutics by developing physician-dispensed serums that contain the ideal types and combinations of GF to produce maximum skin rejuvenation and hair restoration results. Ascentium Capital Highway 59 North Kingwood, TX (281) telephone (281) facsimile / Ascentium.Info/89a stepheninterlicchio@ascentiumcapital.com Ascentium Capital is a direct lender specializing in financing and leasing up to $1.5 million for healthcare professionals. Experience a streamlined process that makes financing fast and flexible: a simple, one-page application and instant credit decisions for up to $250,000. Use our 100% finance program to include expenses such as taxes, shipping and other items to avoid out of pocket costs. SBA loans and working capital solutions available. Ask about deferred payments to match cash flow. Contact us today for special finance promotions and a no obligation quote. Bellus Medical 4505 Excel Parkway, Suite 100 Addison, TX (888) telephone (972) facsimile Bellus Medical is a leader in microneedling technology and offers various solutions for medical aesthetic practices in strategic areas of growth. Focused on science, technology and customer service, Bellus continues to provide compelling, differentiated products that enhance the patient experience and represent a significant business opportunity for practice partners. Biologica Technologies 2800 Roosevelt Street Carlsbad, CA (800) telephone (858) facsimile Biologica Technologies is fully dedicated to improving patients lives and the health care providers experience through innovative biologic solutions. Our first aesthetic product, Allofill, is an adipose-based filler containing naturally occurring growth factors. Allofill can be used to fill soft-tissue defects as a non-invasive alternative to autologous fat grafting. Biopelle, Inc. 780 W. 8 Mile Rd. Ferndale, MI (866) telephone (248) facsimile Biopelle, Inc. provides a global spectrum of skincare with clinically-proven, evidence-based, patented technologies that address multiple metabolic pathways for complete skin rejuvenation and wellness through two main skincare lines: biopelle, featuring Tensage Stem Cell, Tensage Growth Factor and Retriderm; and PRESCRIBEDsolutions, a customizable skincare line with boosters. 94 THE Aesthetic Guide May/June

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96 BTL Industries, Inc. 47 Loring Drive Framingham, MA (866) telephone (888) facsimile Founded in 1993, BTL Industries is a privately owned developer and manufacturer of medical and aesthetic equipment. BTL currently has over 900 employees and direct offices in more than 51 countries. BTL Aesthetics, a division of BTL, has revolutionized non-invasive removal of adipose tissue, currently ranking second among the non-invasive body shaping and tightening manufacturers globally. BTL Aesthetics brands include BTL Vanquish ME, BTL Exilis and BTL Protégé. Collagen P.I.N. / Induction Therapies Eastpoint Park Blvd., Suite A Louisville, KY (877) telephone (855) facsimile / Collagen P.I.N.: More needles, more power, more depth, more collagen. Advanced collagen induction therapy introduces controlled injuries into the skin triggering natural growth factors and collagen. Microneedling causes less damage to the epidermis than other non-ablative / ablative treatments. Induction Therapies topicals (specifically designed for post needling) minimize complications and accelerate healing. COSMED Dermaceuticals 6342 Grand Hickory Dr., Suite 102 Braselton, GA (866) telephone COSMED Dermaceuticals is a family owned business specializing in cosmeceuticals. An exclusive distributor of Clinicians Complex, a medically oriented skin rejuvenation line sold through clinicians, medical spas and other skincare professionals. We utilize the latest developments in skincare technology. Clinicians Complex products contain the highest quality, antiaging ingredients backed by science. Crystal Clear Digital Marketing 5750 Major Blvd., Suite 500 Orlando, FL (888) telephone (866) facsimile Crystal Clear is an industry leader in providing innovative software, marketing and consulting solutions for the modern medial aesthetic practice. We offer the only true opportunity management software, 100% customized digital marketing services and expert consulting for maximum practice growth. From top-of-the-line pipeline management to mobileresponsive web design, Crystal Clear has all ground covered. Call today and learn how our all-inclusive system can help you find, serve and keep more patients profitably. Cutera 3240 Bayshore Blvd. Brisbane, CA (415) telephone (415) facsimile Cutera is a trusted authority in energy-based medical aesthetic technologies for face and body, that practitioners turn to for innovation, sophistication and performance. Cutera s premium portfolio of products include xeo, trusculpt 3D, excel V, excel HR and enlighten. DefenAge Skincare 5845 Avenida Encinas, Suite 130 Carlsbad, CA (888) telephone (760) facsimile A comprehensive multicenter clinical study shows that DefenAge s core skincare regimen, featuring the exclusive ingredient Age-Repair Defensins, addresses visible signs of skin aging on a global scale (randomized, placebo/ vehicle-controlled, double-blinded study; 44 participants; histology). The study was performed by Amy Forman Taub, M.D. (PI), Vivian Bucay, M.D. and Gregory Keller, M.D. DEKA M.E.L.A. s.r.l. Via Baldanzese, 17 Calenzano, Firenze Italy telephone facsimile DEKA designs, manufactures and markets medical lasers and pulsed light equipment for specialized medical requirements in over 83 countries worldwide. DEKA produces laser and light systems like the revolutionary MonaLisa Touch for gynecology; ear, nose and throat; surgery; aesthetic medicine; and dentistry. DEKA develops systems with innovative technologies such as, CO 2, Nd:YAG, Nd:YAP, Er:YAG, Er:Glass, Ho:YAG, Dye, KTP and Alexandrite lasers, Flash Lamp and CW IR lamp systems. Eclipse Aesthetics, LLC 5916 Stone Creek Dr., Suite 120 The Colony, TX (800) telephone (866) facsimile Eclipse provides superior solutions to the domestic and international medical and aesthetic communities. The company is known for its portfolio of innovative products including: Eclipse MicroPen, Skinfinity RF, NEWA, dep Patch mask and under eye patches, Eclipse PRP, and Eclipse Topical Analgesic, among others. Envy Medical, Inc E. Pacific Coast Highway, Suite 720 Long Beach, CA (888) telephone (818) facsimile Envy Medical develops, markets and sells highly effective non-invasive skin rejuvenation therapies for patients suffering from dermatologic or aesthetic conditions. Products include: SilkPeel Dermalinfusion, an advanced system combining precision exfoliation with condition-specific serum infusions for better patient outcomes; Lumixyl Topical Brightening System; and ClarityMD Acne Solution. Epionce W. Emerald Street Boise, ID (866) EPIONCE ( ) telephone (866) facsimile Epionce is a comprehensive and innovative set of products designed to optimize the appearance and health of the skin by working at the core of the skin s own protective and reparative systems. Developed by a clinical dermatologist, the unique approach delivers a blend of active botanical ingredients to deeply penetrate the skin. This helps to improve skin function, restore the natural protective barrier and reverse destructive skin inflammation. Fifteen independent clinical studies comparing the marketed products against leading prescription products have validated the technology of the Epionce line. FotoFinder Systems, Inc Columbia Gateway Drive, Suite 120 Columbia, MD (888) telephone (443) facsimile FotoFinder offers a variety of professional photo solutions for face and body, automatic mole mapping and dermoscopy. Our Mission is to bring the skin into the picture brilliantly and make medical photography high performance, time saving and intuitive. Fotona 1241 Puerta Del Sol San Clemente, CA (949) telephone (949) facsimile Fotona develops and manufacturers high performance, quality made laser systems. Our wide-range of laser systems purvey quality, reliability, safety and cutting edge innovation in treatment speed and efficiency. Our global network of representatives and reference medical centers guarantees exceptional customer support, as well as technical and clinical training. 96 THE Aesthetic Guide May/June

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98 Galderma Laboratories, L.P N. Freeway Fort Worth, TX (817) telephone Galderma is committed to delivering innovative medical solutions to meet the skin health needs of people throughout their lifetime while serving healthcare professionals around the world. Gateway Aesthetic Institute & Laser Center 440 West 200 South, Suite 250 Salt Lake City, UT (801) telephone (801) facsimile / The Gateway Aesthetic Institute & Laser Center is renowned as one of the world s top cosmetic dermatologic surgery and laser centers. Mark B. Taylor, M.D., has been a leader in the field of cosmetic laser surgery, pioneering and teaching many new laser and surgery techniques to over 4,000 doctors worldwide. InMode 100 Leek Crescent, #15 Richmond Hill, ON L4B 3E6 Canada (855) telephone (855) facsimile InMode is an Israeli-based medical device company that manufactures and markets aesthetic applications. InMode has revolutionary non-invasive options for fractional skin resurfacing and contraction (Fractora and Forma), ultra-fast diode hair removal (Diolaze), skin pigmentation and vascular lesions (Lumecca Photofacial) and cellulite / body contouring (BodyFX). InMode will continue to provide superior quality and innovative technology for the most in-demand procedures patients want. LASERING USA 220 Porter Drive, Suite 120 San Ramon, CA (866) telephone (925) facsimile info@laseringusa.com / / / LASERING USA is the exclusive U.S. and Canadian distributor for LASERING s.r.l based in Modena Italy. Founded in 1994, LASERING earned the reputation as a world-class manufacturer of surgical and aesthetic lasers. In 2006, LASERING introduced the first micro-fractional CO 2 laser for skin resurfacing. The MiXto SX and MiXto Pro have a revolutionary patented scanning technology utilizing chopped CW emission and a Z pattern algorithm. MiXto physicians have won the Best Non-Surgical Facial Rejuvenation Enhancement Award four times at THE Aesthetic Show. Lumenis 2033 Gateway Place, Suite 200 San Jose, CA (877) LUMENIS telephone (408) facsimile Lumenis is a global developer, manufacturer and distributor of laser and intense pulsed light (IPL) systems. Surpassing 265 registered patents, 260 FDA clearances, and a presence in over 100 countries, Lumenis products are recognized worldwide as an industry gold standard. Market leading products include UltraPulse and AcuPulse fractional CO 2 lasers; LightSheer Infinity, Desire and Duet hair removal systems; the M22 multi-technology platform with VascuPlus+ ; and the newly introduced FemTouch on Acupulse, a solution for vaginal health related conditions. Lumenis aesthetic systems deliver high standards of excellence, quality and reliability, with premium value and service. Med-Aesthetic Solutions, Inc. (The SaltFacial) 2033 San Elijo Ave., Suite 200 Cardiff-by-the-Sea, CA (877) telephone info@yourmas.com / The SaltFacial L avantage System from Med-Aesthetic Solutions is a natural, unique and clinically proven technological breakthrough for the treatment of a variety of non-invasive skin therapies. The SaltFacial Skin Renewal Therapy System is gentle, yet effective for all skin types. Restore, replenish, rejuvenate your skin...naturally. Merz Aesthetics 6501 Six Forks Road Raleigh, NC (888) telephone (336) facsimile Merz Global is a specialty healthcare company that develops and commercializes innovative treatment solutions in aesthetics, dermatology and neurology in more than 85 countries. Our ambition is to become a recognized leader in the treatment of movement disorders, as well as aesthetics and dermatology. Newmedical Technology, Inc. 310 Era Drive Northbrook, IL (866) telephone (847) facsimile / The Silagen Scar Refinement System is a comprehensive line of physicianexclusive, medical-grade silicone scar therapies. Silagen gel options include both 100% Pure Silicone Gel and Silicone Gel + SPF30 (free of chemical sunscreens). Silagen also offers a wide variety of silicone gel sheets, strips and shapes to fit any scar. NewSurg 1934 Hilltown Pike Hilltown, PA (215) telephone NewSurg develops and distributes the next generation of medical lasers and equipment for cosmetic practices. Generous trade-in credit for old Iridex, Laserscope and pulsed dye lasers towards the compact and affordable NS-532 system. This unit provides clinicians with the solution for pigmented and vascular lesions. NKP Medical Marketing 8939 S. Sepulveda Blvd., Suite 320 Los Angeles, CA (866) telephone (800) facsimile NKP Medical Marketing will handle all aspects of your internet marketing. We work with hundreds of clients worldwide. We are experts in SEO, custom website design, responsive and adaptive websites, pay-per-click, patient conversion and much more. Oxygenetix Institute, Inc Santa Monica Blvd., Suite 223 Beverly Hills, CA (888) telephone Oxygenetix is a breakthrough Breathable Foundation to cover, help heal and minimize even eliminate procedural scars. Designed for physi-cians, Breathable Foundation covers and soothes a wide variety of skin problems, including skin injuries, wounds, rashes, cracked, dry skin, acne scars, rosacea and other skin conditions. On post-surgical scars, patients are reassured and impressed that after care includes safely camouflaging any evidence of surgery. Quanta Aesthetic Lasers 611 Corporate Circle, Suite A Golden, CO (866) telephone Quanta Aesthetic Lasers is transforming aesthetics as the exclusive North American partner for Quanta System S.p.A., designer and manufacturer of Erbium, fractional CO 2, Nd:YAG, KTP, Diode and Alexandrite lasers, as well as IPL systems. Quanta offers world-class technology to help you succeed in laser tattoo removal and aesthetics. Rohrer Aesthetics, LLC 105 Citation Court Homewood, AL (205) telephone (205) facsimile Rohrer Aesthetics was founded by the former Sandstone Medical Technologies management team. The company is dedicated to providing high quality, affordable lasers, IPL and other aesthetic products that will serve the needs of any cosmetic practice and enhance the lives of their patients. Our Flagship product is the Spectrum, a multi-platform work station that provides four lasers (810 nm diode, Q-switched 1064 nm / 532 nm, Long Pulsed YAG and Er:YAG) and an IPL priced under $55,000. The Phoenix CO 2 laser is priced under $35,000 and features a large scan pattern (30 mm x 30 mm). The Phoenix can be used to remove uneven pigmentation and reduce fine lines and coarse wrinkles. All of our lasers include a two year warranty and our exclusive Buy-Back Guarantee. 98 THE Aesthetic Guide May/June

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100 Sciton, Inc. 925 Commercial Street Palo Alto, CA (888) telephone (650) facsimile Sciton is committed to providing best-in-class laser and light solutions for medical professionals who want superior durability, performance and value. Sciton offers superior medical devices for laser-assisted lipolysis, fractional and full-coverage skin resurfacing, hair removal, phototherapy, wrinkle reduction, treatment of vascular and pigmented lesions, scar reduction and acne, all on an expandable platform. The new Halo laser is the first hybrid fractional laser, combining ablative and non-ablative wavelengths for epidermal renewal and deep dermal rejuvenation with non-ablative downtime. Solta Medical, a division of Valeant Pharmaceuticals North America Industrial Boulevard Hayward, CA (877) telephone (510) facsimile Solta Medical, Inc., a division of Valeant Pharmaceuticals International, Inc., is a global leader in the aesthetic medical device industry, providing innovative and effective solutions that are designed to enhance and expand our partner physicians medical practices. With over a decade at the forefront of the aesthetic industry, Solta Medical offers a comprehensive line of aesthetic devices covering a broad spectrum of skincare and body treatment needs. Sovereign Laboratories 2020 Contractors Rd., Suite 5 Sedona, AZ (928) telephone (928) facsimile www. MySovLabs.com Sovereign Laboratories is dedicated to developing natural products that provide the most efficacious solutions for optimal health. Company founder Douglas Wyatt is a leading authority on colostrum, often referred to as the Modern Father of Colostrum, and is credited with establishing the gold standard in colostrum supplements. Suneva Medical, Inc Pacific Center Blvd. San Diego, CA (888) telephone (858) facsimile Suneva Medical, Inc. is a privately-held aesthetic company focused on developing, manufacturing and commercializing novel, differentiated products. The company markets Bellafill in the U.S., Canada, Hong Kong, Korea and Mexico; and Regenica skincare in the U.S., Canada, Hong Kong, Korea and Mexico. Syneron Candela 3 Goodyear, Unit A Irvine, CA (866) telephone (949) facsimile Syneron Candela is a global leader in the aesthetic medical device marketplace. We combine a superior level of expertise and customer understanding, offering customers one of the broadest product portfolios, an exceptional global service organization, and an expansive worldwide distribution network. Thermi, LLC 3131 West Royal Lane Irving, TX (866) telephone (214) facsimile Thermi, an Almirall company, is a leading global manufacturer of temperature controlled radiofrequency technology. The company s flagship product is ThermiRF, a platform technology that uses temperature as a clinical endpoint for various minimally and non-invasive applications (ThermiTight, ThermiRase, ThermiSmooth Face and ThermiVa ). Thermi also offers the Thermi250 device as the newest innovative RF for the body (ThermiSmooth Body) and is the distributor for Silhouette InstaLift (lifting to redefine mid-facial contours). Venus Concept 255 Consumers Road, Suite 110 Toronto, Ontario, M2J 1R4 Canada (888) telephone (855) facsimile Venus Concept is a global leader in the medical aesthetic device industry. We are present in 60 countries and offer cutting edge devices that address the most in-demand aesthetic needs. Together with innovative technology, Venus Concept operates with a unique business model that offers a subscription plan. Viora, Inc. 213 W. 35th St., Suite 500 New York, NY (888) telephone (201) facsimile As a market leader in the development of advanced medical aesthetic systems, Viora stands behind partners and practitioners worldwide and is committed to maximizing your abilities by providing cutting edge and tune-to-market technology. Viora s medical aesthetic systems deliver uncompromising quality and safety and offer practitioners a competitive revenue advantage. Viveve, Inc. 150 Commercial Street Sunnyvale, CA (408) telephone (408) facsimile Viveve, Inc. is committed to advancing solutions to improve women s overall well-being. Their flagship product, the Viveve System, is the only device in its class that is approved in nearly 50 countries to treat vaginal laxity in a single, 30-minute session and is backed by randomized, placebocontrolled data. In the U.S., the Viveve System is cleared for electrocoagulation and hemostasis in general surgery. Zarin Medical Municipal Center Drive, Suite Knoxville, TN (844) telephone With over 20 years in the aesthetic laser industry, Zarin Medical does the homework for you. We scan the globe for best-in-class technologies from top manufacturers. To maximize your investment, our short and long pulse laser for feminine rejuvenation also has cool settings to treat wrinkles, age spots, scars, etc., without anesthesia. Since Zarin Medical is not tied to one manufacturer, we offer multiple technologies with the highest specifications to provide the best solution for your practice. For example, for hair removal, we offer an extremely fast 810/755 nm diode laser platform and the 755/1064 nm Alexandrite/Nd:YAG platform. ZELTIQ Aesthetics, Inc Willow Road Pleasanton, CA (925) telephone (925) facsimile ZELTIQ is a medical technology company focused on developing and commercial-izing products utilizing its proprietary controlled-cooling technology platform. ZELTIQ s first commercial product, the CoolSculpting system, is designed to selectively reduce stubborn fat that may not respond to diet or exercise. Zimmer MedizinSystems 25 Mauchly, Suite 300 Irvine, CA (800) telephone (949) facsimile Zimmer MedizinSystems is a global leader in the aesthetic marketplace. Among other innovative products, Zimmer manufactures award-winning devices for conjunctive and stand-alone therapy. Zimmer s flagship products for aesthetics include Z Wave Radial Pulse Technology and the ZCryo line of cold air devices for epidermal protection and patient comfort at -30 C. Drawing inspiration from medical science and modern technologies, Zimmer MedizinSystems designs products to meet and exceed the expectations of the end-user. 100 THE Aesthetic Guide May/June

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102 PRODUCT PROFILES PRO Colostrum-LD SKIN INSIDE PRO Colostrum-LD SKIN INSIDE is a liposome-delivered, purified preparation of bovine colostrum containing a rich mixture of immune factors, cytokines, growth hormones, lactoferrin, vitamins and minerals. It can be taken orally and applied topically to the skin. The peptides in colostrum epidermal/ epithelial growth factor (EGF), transforming growth factors (TGF-α and TGF-β), fibroblast growth factor (FGF) and insulin like growth factor (IGF-1) have been shown to be effective in stimulating skin cellular repair and regrowth, as well as aiding in wound healing. Colostrum-LD is unique in its ability to promote skin health and beauty both from within the body and topically. Tensage Stem Cell Cream & Eye Cream Skincare s only stem cell activator, Tensage Stem Cell Cream and Eye Cream, feature CellPro Technology, a unique ingredient containing signaling proteins extracted from the eggs of the Cryptomphalus aspersa snail, in an exclusive, patented process. Clinically proven to assist the natural activity of stem cells, Tensage Stem Cell utilizes this new metabolic pathway to replenish skin cells, reinforce skin s integrity and restore radiance, firmness, smoothness and a more youthful appearance. Biopelle, Inc.: or visit Sovereign Laboratories: or visit Theradome Laser Hair Helmet Join the hair restoration revolution! Designed with advanced science and technology, the Theradome is a next-generation hair restoration device clinically proven to be safe and effective. It offers a high power density among home-use laser solutions available for hair loss. Developed by a former NASA scientist, it features 80 proprietary lasers at an optimized 678 nm wavelength. The laser hair helmet is wireless, battery operated, handsfree, fits all sizes and has a smart treatment tracker. Learn why hair-loss experts worldwide recommend Theradome. FDA 510(K) K Eclipse Aesthetics: or visit EclipseMed.com Juliet (MCL31) Juliet is a fast, painless, non-surgical Er:YAG treatment for vaginal dryness, urinary leakage, itching, loss of elasticity and tone, burning, painful intercourse and menopausal intimate issues. Juliet also offers surprising versatility beyond vaginal rejuvenation, including treatments of wrinkles, scars, age spots, skin tags, condyloma, dyschromia and more. The system s unique cold setting allows for treatments without anesthesia and low downtime even on difficult conditions such as lichen sclerosus or C-section scars. The proprietary integrated smoke evacuation includes HEPA filters for operator and patient safety. Juliet is now available in the U.S. from Zarin Medical. Zarin Medical: or visit Alma Harmony Alma Harmony combines a full spectrum of aesthetic indications, advanced technologies and excellent clinical results to create complete aesthetic harmony. This system is upgradable and expandable, allowing you to specialize in any aesthetic segment and expand your clinical offerings as your practice grows. Alma Harmony offers powerful treatment solutions for six major indications: skin remodeling, vascular and pigmented lesions, tone and texture, hair removal, acne scars and tattoo removal simultaneously. Harmony XL Pro users are able to serve more skin types in a superior and often virtually painless way. Alma Lasers: ALMA (2562) or visit trusculpt 3D trusculpt 3D is the latest non-invasive RF platform clinically proven to deliver targeted, repeatable, uniform heating to sculpt and contour virtually all areas of the body large and small with comfort and ease. Cutera: or visit THE Aesthetic Guide May/June

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104 PRODUCT PROFILES BTL Vanquish ME Further improving on its patented non-invasive Vanquish technology to reduce stubborn fat around the midsection, BTL Aesthetics introduces its newly engineered BTL Vanquish ME (Maximum Energy). This latest iteration takes body contouring to the next level with increased tuning performance, more concentrated thermal energy and less scatter to non-fatty tissue than previously possible. The result is a more homogeneous heating leading to higher overall temperature elevation. A large spot size is designed to treat the whole abdomen from flank to flank during one session. Bellafill Bellafill dermal filler is clinically proven and established as safe and effective for the correction of nasolabial folds and the correction of moderate to severe, atrophic, distensible facial acne scars on the cheeks in patients over the age of 21 years old. The smooth collagen-based injectable gel is comprised of 80% purified collagen-gel and 20% polymethylmethacrylate (PMMA) microspheres that offer highly effective results. BTL Industries: or visit Epionce Daily Shield Lotion Tinted SPF 50 The new Epionce Daily Shield Lotion Tinted SPF 50 sunscreen provides sheer broad spectrum protection that evens out skin tone while imparting a natural-looking healthy glow. Perfect for all skin types even sensitive skin this very water resistant formula is enhanced with botanical ingredients for antioxidant benefits. Epionce Daily Shield Lotion SPF 50 is ideal for daily use alone or under makeup to provide optimum protection from UV exposure. Suneva Medical: or visit Epionce: 866-EPIONCE ( ) or visit Clear + Brilliant pélo Clear + Brilliant pélo is a new and innovative laser hair removal technology with a first-in-class mechanism of action which incorporates linear scanning technology to help maximize efficacy, speed and patient comfort, all with just one handpiece. This new device has the largest spot size and scan area within the class of diode hair removal lasers, allowing for full body treatments amongst all skin and hair types. Solta Medical, a division of Valeant Pharmaceuticals North America LLC: or visit Venus Versa Venus Versa is a versatile multi-application system that provides nine of today s most in-demand aesthetic treatments. It offers up to three highly effective technologies in one platform: IPL with SmartPulse, NanoFractional RF with SmartScan and proprietary (MP) 2 technology. It can be customized with up to ten different applicators, making it adaptable to the needs and growth of your aesthetic practice. With Venus Concept s unique business model, this device can help you generate the highest possible ROI. Advice Media Advice Media is a leader in online digital marketing for medical practices. We offer beautiful websites and proven marketing through SEO, social media, review management and paid search so that we are the last company you will need. Venus Concept: or visit Advice Media: or visit THE Aesthetic Guide May/June

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106 PRODUCT PROFILES Crystal Clear Digital Marketing Crystal Clear Digital Marketing offers a complete digital marketing system: from search engine optimization, search engine marketing, social media engagement, websites, marketing, mobile and text marketing, patient relationship management and so much more. Crystal Clear does most of the work so local practices don t have to. Silagen Scar Refinement System Don t let the fear of scars deter patients from scheduling cosmetic surgery procedures. Recommend the Silagen Scar Refinement System for all of your post-op scars to relieve any scar anxiety and differentiate your practice from others. Our comprehensive, physician-exclusive line of medical grade silicone scar therapies includes Silagen 100% Pure Gel, Silagen Gel + SPF 30 (zinc oxide), and a variety of sheets, strips and shapes. There is a Silagen product to meet the needs of all types of surgeries and all sizes of scars, both new and old. Crystal Clear Digital Marketing: or visit Vaginal Tactile Imager The Vaginal Tactile Imager (VTI) allows a large body of measurements to evaluate individual variations in vaginal conditions (tissue elasticity, muscle tone and contractive strength) before and after an applied treatment. This clinically validated, FDA approved, one-of-a-kind device based on innovative and patented technology has been developed within the scope of a NIH grant. The VTI features a new biomechanical paradigm for characterization of the vagina. Newmedical Technology, Inc.: or visit Advanced Tactile Imaging: or visit Viora V30 Viora s V30 multi-technology platform is specifically designed to meet competitive demands of consumers and more. Viora specializes in providing you with the most advanced technologies within one platform, so you can expand your practice as you need and on your time. By combining multiple technologies, the V30 platform enables you to offer a range of applications to your patients such as vascular and pigmented lesions, hair removal, skin therapy and rejuvenation, body and facial contouring, as well as acne clearance. Each technology is accessible via a different handpiece, and can be acquired separately, so you control your treatment menu. Viora, Inc.: or visit ALPHAEON CREDIT ALPHAEON s patient financing programs can help you help more patients with strong approval rates, superior credit limits / loan amounts, and a wide array of payment plans to fit any patient s budget. In addition, with competitive rates, an easier to use program and excellent customer service, you may find ALPHAEON offers a better experience for you as well. Collagen P.I.N. Collagen P.I.N. is a new innovation in advanced collagen induction therapy that introduces a controlled wound into the skin triggering the release of natural growth factors, new collagen and elastin. Automated microneedling causes less damage to the epidermis than dermal rolling, laser or other ablative treatments. Utilizing Collagen P.I.N. with our Induction Therapies clean, clinical products (specifically designed for use post microneedling) minimizes complications and provides quicker healing and longer lasting results. More needles. More power. More depth. More collagen. ALPHAEON CREDIT: or visit Collagen P.I.N.: or visit / THE Aesthetic Guide May/June

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108 PRODUCT PROFILES LightPod Neo Aerolase 650 ms laser technology offers a new approach for highly effective, long lasting results for treating active acne including problematic conditions such as nodulocystic acne and acne conglobata. This new treatment option offers an efficacious solution for patients who have not been able to use or have not responded to traditional therapies. Aerolase laser technology allows immediate results, is uniquely gentle and sanitary, and offers maximum versatility for both adolescent acne and adult acne. Dermalinfusion Dermalinfusion is an advanced skin resurfacing technology that combines exfoliation, extraction and infusion of condition-specific serums to improve skin health, function and appearance. A patented, non-invasive treatment, Dermalinfusion is fully customizable and the perfect solution to address a wide variety of skin concerns and conditions from headto-toe and is suitable for all Fitzpatrick types. This high degree of customization results in skin that shows immediate and noticeable improvement in volume, hydration, tone and texture. Dermalinfusion is ideal when used in conjunction with other non and minimally invasive procedures to enhance results. Envy Medical: or visit or Aerolase: or visit InMode InMode has revolutionary non-invasive options for fractional skin resurfacing and contraction (Fractora and Forma), ultra-fast diode hair removal (Diolaze), skin pigmentation and vascular lesions (Lumecca Photofacial) and cellulite/body contouring (BodyFX). InMode will continue to provide superior quality and innovative technology for the most in-demand procedures patients want. InMode: or visit The Taylor Liberator The Taylor Liberator is considered the best instrument for performing acne scar subcision. This slightly blunted, 3-tip patent-pending device provides the greatest efficiency and safety when performing extensive acne scar subcision and undermining of facial skin. It was invented and perfected by Mark B. Taylor, M.D., after more than ten revisions over a period of eight years, and performing more than 700 rolling acne scar subcision treatments. Order online for $299 at GatewayLaserCenter.com/store.html. Gateway Aesthetic Institute & Laser Center: or visit Dynamis Pro This all-in-one, anti-aging laser platform allows fast, precise and efficient procedures with reduced recovery times. With fully customizable settings, the system achieves true third-generation Er:YAG resurfacing. The Nd:YAG wavelength is a gold standard in wrinkle reduction, acne, pigmented and vascular treatments. Nd:YAG and Er:YAG scanner compatibility further enhances treatment speed, safety and efficacy, especially for large treatment areas. The SP Dynamis combines popular aesthetic applications with additional minimally invasive surgical procedures (laser lipolysis, etc.). Fotona: or visit Oxygenetix Oxygenetix is a breathable foundation / camouflage designed to help heal and conceal a wide variety of skin conditions. Founded in Beverly Hills, Calif., Oxygenetix is used daily on and off the set by Hollywood s elite. This post-procedure cover-up reduces and eliminates social downtime following aesthetic procedures the main reason many patients choose not to proceed with laser, peel, needling or dermabrasion treatments thereby increasing your consultation to procedure conversion rate. Oxygenetix Institute, Inc.: or visit THE Aesthetic Guide May/June

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110 PRODUCT PROFILES Z Wave The Zimmer Z Wave constitutes the latest development in the treatment of cellulite. Utilizing soft pulse technology to enhance patient comfort, it delivers mild, consistent sound wave therapy to the target area over a series of treatment sessions. The Z Wave is FDA cleared for the temporary reduction of the appearance of cellulite. Typical patient treatment time is 3-4 minutes per body zone. AestheticsPro Online AestheticsPro Online sets the industry standard for medical aesthetic software, providing a cloudbased application that enables your business to track performance in real-time for the day, month or year from anywhere in the world, saving time while increasing profits and improving ROI. With an extensive E-Record library, secure patient portal, client and staff management, centralized multi-location functionality, integrated POS, robust marketing suite, and powerful reporting tools; AestheticsPro offers the right solution for a business of any size. Zimmer MedizinSystems: or visit ThermiRF ThermiRF is a platform technology that uses temperature as a clinical endpoint for various minimally and non-invasive aesthetic applications (ThermiTight, ThermiRase, ThermiSmooth Face and ThermiVa ). When combined with external infrared imaging, ThermiRF applications have been shown to be safe. AestheticsPro Online: or visit Thermi, LLC: or visit NS-532 Laser System The NS-532 Laser System is a compact, portable and affordable FDA cleared 532 nm laser system for the safe and effective treatment of pigmented and vascular lesions on all skin types. NewSurg offers honest value and generous trade-in credit for old Iridex, Laserscope and Pulsed Dye Lasers, towards the NS-532 Laser System. This system sets a new standard in the evolution of simple and efficient aesthetic laser treatments. NewSurg: or visit FotoFinder Proposer FotoFinder s Bodystation for consistent before and after images now includes the exciting Proposer module. FotoFinder Proposer improves client consultations using effective time-saving customization. Simply highlight treatment areas on your client s photos and select your recommended procedures and skincare products from your personalized product database. Present your proposal on a high-resolution report for a professional, exciting patient experience. Ascentium Capital Finance nearly anything for your practice with Ascentium Capital. You have access to affordable finance, lease and loan options up to $1.5 million. Our 100% financing program enables you to finance equipment plus costs such as shipping, tax and maintenance to avoid upfront expenses. Ascentium also extends a streamlined process with flexible terms up to 84 months, deferred payments and instant credit decisions. Ask for a no obligation quote today: StephenInterlicchio@AscentiumCapital.com or online at Ascentium.Info/89a. FotoFinder Systems, Inc.: or visit Ascentium Capital: or visit THE Aesthetic Guide May/June

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112 PRODUCT PROFILES ProGen PRP Many platelet-rich plasma (PRP) systems are available on the market today, but not all are created equal. The Bellus Medical ProGen PRP system is recognized as the most flexible, validated kit in the marketplace that can deliver 2x and 5.1x PRP and validated 5x concentration of growth factors. Its flexibility, combined with single spin options, a reduction in procedure time and consistently repeatable results, offers the best value in the PRP market. This adaptable system grows with your practice as your demands for validated concentration levels and need for larger quantities of PRP evolves. Learn how you can optimize your PRP business with the Bellus Medical ProGen PRP system. Restylane Refyne and Restylane Defyne Restylane Refyne and Restylane Defyne are approved for the treatment of nasolabial folds in patients over the age of 21. Restylane Refyne is approved for treatment of moderate to severe facial wrinkles and folds and Restylane Defyne is approved for treatment of moderate to severe, deep facial wrinkles and folds. These next-generation HA dermal fillers use XpresHAn Technology to help patients maintain natural expression in motion and are proven safe. Bellus Medical: or visit Discovery PICO Series The Discovery PICO Series lasers deliver both picosecond and nanosecond pules with an industry-leading 1.8 GW of peak power. QuattroPulse technology offers four separate emission modes: picosecond, Q-switched, OptiPulse and photo-thermal pulse durations, giving you even more treatment options, efficacy and flexibility. The addition of the 694 nm true Ruby laser in the Plus model makes this a premier picosecond laser for skin treatments and tattoo removal. Discover the Quanta difference that is transforming aesthetics. Galderma Laboratories, L.P.: or visit Quanta Aesthetic Lasers: or visit Spectrum The Spectrum is a multi-platform laser / IPL that features: 810 diode (hair removal), Erbium YAG (skin resurfacing), Q-switched Nd:YAG (tattoo removal), long pulsed YAG (vascular reduction) and IPL (hair removal, vascular and pigmented lesion reduction and acne reduction). The Spectrum can be purchased fully loaded for $54,995. Rohrer Aesthetics: or visit DefenAge Clinical Power Trio A comprehensive multicenter clinical study shows that DefenAge s core skincare regimen (exclusive ingredient Age-Repair Defensins ) addresses visible signs of skin aging on a global scale (randomized, placebo/vehicle-controlled, double-blinded study; 44 participants). This wideranging visible improvement of aging skin was confirmed by multiple advanced methods of evaluation of skin conditions including histopathology and high-resolution skin ultrasound. The study was performed by Amy Forman Taub, M.D. (PI), Vivian Bucay, M.D. and Gregory Keller, M.D. BOTOX Cosmetic BOTOX Cosmetic is FDA approved to temporarily improve the appearance of both moderate to severe frown lines between the brows and crow s feet lines in adults. BOTOX Cosmetic has a record of experience that aesthetic specialists know and trust. In addition, the safety and efficacy of BOTOX Cosmetic have been evaluated in both Allergan sponsored clinical trials as well as in 417 peer-reviewed articles in scientific and medical journals. DefenAge Skincare: or visit BOTOX Cosmetic: or visit THE Aesthetic Guide May/June

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114 PRODUCT PROFILES Synchro REPLA:Y The Synchro REPLA:Y family offers a fast (3 Hz) and powerful (125 W) Alexandrite laser coupled with the new, unrivaled features of the DEKA Nd:YAG laser (180 W) and a large 24 mm spot size for stable, long-term hair reduction for all skin types including tanned skin. Combining a 755 nm Alexandrite with a 1064 nm Nd:YAG and FT intense pulsed light makes the Synchro REPLA:Y a versatile platform that also treats benign pigmented lesions and vascular lesions. Halo Halo is the world s first Hybrid Fractional Laser that delivers a non-ablative and ablative wavelength to the same microscopic treatment zone. Combining these two wavelengths creates a strong synergistic effect, resulting in ablative results with non-ablative downtime. The non-ablative wavelength of 1470 nm is tunable from 200 to 700 microns, the optimal depth for treating the epidermis and papillary dermis. The 2940 nm Er:YAG laser provides pure ablation with no bulk heating, tunable from 20 to 100 microns. DEKA: or visit Allofill Allofill is an adipose-derived allograft filler that contains a wide array of native growth factors. Allofill is available in a ready to use, flowable format packaged in a 3 cc syringe. The product s proprietary processing allows for better preservation of native growth factors, providing a spectrum of available proteins, which result in improved remodeling characteristics during healing. Sciton: or visit Biologica Technologies: or visit Growth Factor Induced Therapy (GFIT) with AQ Recovery Serum The AQ Recovery Serum contains our highest concentration of natural growth factors, proteoglycans and glycosaminoglycans. Recovery Serum is designed to enhance the skin s natural process of regeneration by promoting collagen production, supporting healthy circulation and encouraging cellular renewal. The serum is ideal for post-operative care and post-spa procedures, as well as a wrinkle-reduction agent used in conjunction with modalities such as microneedling (AQ GFIT). AQ Skin Solutions: or CLINICIANS COMPLEX Microdermabrasion Cream CLINICIANS COMPLEX Microdermabrasion Cream is an amazing home care product designed to help improve the appearance and texture of the skin via extreme exfoliation. This superior medical formulation contains diamond shaped crystals to deliver a thorough manual exfoliation with an immediate feeling of silky, smooth and revitalized skin. It also helps smooth fine lines and wrinkles, clear up acne, and is a great skin prep to enhance the results of other topical treatments (barrier modification). Please contact us for free samples. Viveve System The Viveve System is a non-ablative device that remodels soft tissue in a single, 30-minute procedure. This system uses patented cryogen-cooled, monopolar radiofrequency (CMRF) technology to create a reverse thermal gradient that penetrates deep tissue while protecting surface layers. COSMED Dermaceuticals: or visit Viveve, Inc.: or visit THE Aesthetic Guide May/June

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116 Skin Rejuvenation Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories Aerolase LightPod Neo LightPod Era 650 ms Nd:YAG Er:YAG 1064 nm 2940 nm Up to 1272 J/cm 2 Up to 1400 mj 650 µs 1.5 ms 300 µs 30+ applications with single handpiece. No pain / no anesthetic needed, no consumables and no skin contact by handpiece. No routine maintenance. Portable (25 lbs.). All laser accessories, training and marketing package included. No per treatment consumables and no skin contact by handpiece. No service contracts. Portable (22 lbs.). All laser accessories, training and marketing package included. Alma Lasers, Ltd. Harmony XL Pro AFT Pulsed Light nm 30 J/cm 2 10, 12, 15 ms Contact cooled version or non-cooled module options. SINON PicoClear EXCIMER 308 Nd:YAG ClearLift Q-Switched / Nd:YAG Dye-VL AFT Pulsed Light Alexandrite Ruby Q-Switched Q-Switched Nd:YAG with Pico and Nano Modes EXCIMER Laser 1064 nm 1064 nm nm 755 nm 694 nm 1064 nm, 532 nm 308 nm J/cm 2 Up to 1200 J/cm 2 Up to 25 J/cm J/cm J/cm mj 1 J 50 6,000 mj/cm 2 10, 15, 45, 60 ms 20 ns 5, 10, 25 ms 3 ms 20 ns 600 ps 2 ns N/A 2 mm, 6 mm and 10 mm tips with contact cooling. 5 mm and 8 mm tips. Dual wavelength device featuring both pico and nano modes for tattoo removal, skin resurfacing, vascular and pigmented lesions. 2 mm 15 mm spot size. Coming soon: 4D nonablative skin resurfacing via a new refractive handpiece. Utilizes standard 110 V power and ready to treat in under two minutes. BTL Industries, Inc. BTL Protegé Elite BTL Exilis Elite Exilite Focused Monopolar RF Focused RF IPL N/A N/A nm Up to 50 W Up to 90 W Up to 40 J/cm 2 N/A N/A ms Impedance intelligence and square spectrum energy profiling handpiece prevents sparking or tissue burn. No consumables. Multi-application RF platform for treatment of most body areas; real time temperature monitoring; controlled cooling for patient comfort. Impedance intelligence and square spectrum energy profiling handpiece prevents sparking or tissue burn. No consumables. IPL handpiece with 11 x 40 mm sapphire light spot and five filters (480, 530, 560, 640, 690 nm.) Integrated contact cooling. Poly Peak Pulse (PP Pulse) technology and optimized presets. Cutera enlighten xeo excel V Laser Laser Laser 532 nm, 670 nm, 1064 nm 1064 nm 532 nm, 1064 nm N/A Up to 300 J/cm 2 Up to 300 J/cm ps + 2 ns Up to 300 ms Up to 60 ms $325,000 $92,000 $165,000 Optional IPL handpieces. DEKA Synchro REPLA:Y Excellium 3.4 SmartXide DOT Multi-Functional Platform Fractional CO2 with Scanner 755 nm Alexandrite / 1064 nm Nd:YAG / 500 nm, 520 nm, 550 nm, 600 nm, 650 nm 10,600 nm 63.5 J (max.) energy per pulse 125 W (max.) / 120 J (max.) energy per pulse 180 W (max.) 50 W max ms (single pulse); ms (double pulse) / ms (High Peak Mode); 2 50 ms (Standard Mode) 200 µs 80 ms Three light sources available. 180 W Nd:YAG laser. 125 W Alex laser. Operates at 3 Hz rep. rate with ability to emit two sub-pulses. Twelve laser handpieces (from 2.5 to 24 mm). Top-Hat spot size. Auto spot size recognition. FT pulsed light capability: five interchangeable snap-on filters. No disposables. Three scanning modes for optimal results (normal, interlaced, smarttrack). New Smartpulse pulsed emission technology. Five Smartstack levels. Hi-Scan computer pattern generator puts control in your hands. User selectable ablation and coagulation dwell time. Articulated arm and finger touch control Hi-Scan scanner. Eclipse Aesthetics, LLC Skinfinity RF Firma NEWA RF RF RF N/A N/A N/A W 65 W N/A N/A N/A N/A Ever Pulse Rollers and reusable stamp. Options: ifine, Fine, Small, Shape and Large. FDA cleared, in-home, handheld RF device. Fotona SP Dynamis XS Dynamis XP MAX QX MAX SP Spectro XP Spectro XP Dynamis Nd:YAG / Er:YAG Er:YAG Nd:YAG Nd:YAG Q-Switched / Long Pulse Nd:YAG / Er:YAG Nd:YAG / Long Pulse Nd:YAG / Long Pulse 1064 nm / 2940 nm 2940 nm 1064 nm Up to 600 J/cm nm, 532 nm, 585 nm, Up to 160 J/cm nm 1064 nm / 2940 nm Up to 600 J/cm nm 1064 nm Up to 600 J/cm 2 Up to 500 J/cm 2 Up to 600 J/cm 2 Up to 600 J/cm ms ms ms 5 20 ns / 250 µs N/A ms ms F-Runner, fractional Er:YAG scanner: 250 µm spot size, 168 mm 2 Tx area S-Runner, Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. S-11: Nd:YAG scanner: 42 cm 2 Tx area. Er:YAG handpieces: mm spot sizes; Nd:YAG handpieces: 2-20 mm spot sizes. F-Runner, fractional Er:YAG scanner: 250 µm spot size, 168 mm 2 Tx area S-Runner, Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. Er:YAG handpieces: mm spot sizes. S-11: Nd:YAG scanner: 42 cm 2 Tx area. Nd:YAG handpieces: 2-20 mm spot sizes. Handpieces: 2-8 mm spot sizes. F-Runner fractional Er:YAG scanner: 250 µm spot size, 168 mm 2 Tx area. S-Runner Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. S-11 Nd:YAG scanner: 42 cm 2 Tx area. Er:YAG handpieces: mm spot sizes; Nd:YAG handpieces: 2-20 mm spot sizes. S-11 Nd:YAG scanner: 42 cm 2 Tx area. Nd:YAG handpieces: 2-20 mm spot sizes. Same as above. InMode Lumecca Forma Fractora Spectrum Shifted IPL Bipolar RF Bipolar RF nm, nm N/A N/A J/cm 2 Up to 65 W Up to 62 mj / Pin 5 30 ms N/A Up to 2 pps Delivers 40% of total energy between nm. Provides a photofacial in one to three treatments. Powerful peak power: 3,000 W/cm 2. No comsumables. Non-invasive subdermal heating for collagen remodeling and contraction. RF current flows uniformly between the electrodes for a comfortable and safe Tx. ACE technology features built-in temperature controls to attain clinically proven optimal epidermal temperature, and exclusive capability for prolonged exposure at therapeutic temperatures. Variable pin tip configurations (20, 24 coated, 24, 60, 126) and Tx depths allow for a Designer Dermis approach to Tx. Safe on ethnic skin. No pulse counter limitations. Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. 116 THE Aesthetic Guide May/June

117 Skin Rejuvenation Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories LASERING USA SLIM E30 MiXto SX SLIM EVOLUTION II MiXto PRO Velure S5 MiXto VX Lumenis M22 M22 ResurFX M22 Q-Switched Nd:YAG Lumenis One UltraPulse (with ActiveFX, DeepFX, TotalFX and SCAAR FX) AcuPulse MultiMode Fotona QX Max (distributed by Lumenis) NewSurg NS-532 Laser System Quanta Aesthetic Lasers Forte Series YouLaser CO2 Rohrer Aesthetics, LLC Phoenix CO2 Laser Spectrum Sciton JOULE Halo ClearScan YAG Contour TRL ProFractional ThermaScan BBLs BBL CO2 CO2 LBO Diode Multi-Application, Multi- Technology Modular Platform 1565 nm Erbium Fiber Laser Q-Switched Nd:YAG Multi-Application, Multi- Technology Modular Platform Fractional and Full Ablative CO2 Fractional and Full Ablative CO2 Q-Switched Nanosecond / Accelera sub-millisecond Solid State Diode Pumped 532 nm Green Light Laser Multi-Application Platform Fractional and Full Ablative CO2 CO2 Er:YAG Nd:YAG / Er:YAG / BroadBand Light / Alexandrite Hybrid Fractional Laser (ablative and non-ablative) Nd:YAG Tunable Resurfacing Laser (TRL) Er:YAG Nd:YAG BroadBand Light BroadBand Light 10,600 nm 10,600 nm 532 nm IPL: nm / Nd:YAG: 1064 nm 1565 nm N/A IPL: nm / Nd:YAG: 1064 nm / LightSheer Diode: 800 nm 10,600 nm 10,600 nm 1064 nm, 532 nm, 585 nm, 650 nm / 1064 nm W W W J/cm 2 / J/cm mj per microbeam J/cm J/cm 2 / J/cm 2 / J/cm 2 Proprietary, unique UltraPulse technology: Up to 225 mj per single pulse (short pulse duration). Avg. power up to 60 W, peak power up to 240 W Average power up to 40 W, peak power up to 200 W 1600 mj, 600 mj, 340 mj, 220 mj / 5,000 mj ms ms 10 1,000 ms 4 20 ms / 2 20 ms Patented chopped CW fractional scanner system; 20 x 20 mm, 180 micron scanning handpiece; 300 micron scanning handpiece; full range of cutting handpieces, micromanipulator and GYN handpiece for vaginal rejuvenation. No disposables. Patented chopped CW fractional scanner system; 20 x 20 mm, 180 micron scanning handpiece; 300 micron scanning handpiece; full range of cutting handpieces, universal micromanipulator and GYN handpiece for vaginal rejuvenation. No disposables. MiXto VX Fractional scanner for non-ablative skin rejuvenation. Focusing handpieces with spot sizes of 0.3 mm, 0.5 mm, 1.0 mm, 1.5 mm. No disposables. Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. THE Aesthetic Guide May/June N/A 6 8 ns ms / 2 20 ms / ms Unique 225 mj in less than 2 ms SuperPulse pulses less than 0.3 ms N/A Universal IPL module treats 24 applications, Universal IPL handpiece has two light guides (15 x 35 mm and 8 x 15 mm), with six exchangable ExpertFilters: 515, 560, 590, 615, 640, 695 nm. Nd:YAG module treats five applications, MultiSpot Nd:YAG handpiece has 2 x 4 mm and 6 mm light guides. Optimal Pulse Technology (OPT) and Multiple-Sequential-Pulsing. Continuous contact cooling with SapphireCool light guides. Optimized presets. Single pass CoolScan scanner for non-sequential scanning, continuous contact cooling for increased patient comfort and protection of epidermis. No disposables; 600 combinations of shape, size and density. Homogenous Top-Hat beam profile. Multiple disposable and non-disposable tips, multiple spot sizes: 2, 2.5, 3.5, 5 and 6 mm Upgradable, expandable, seven IPL filters, OPT for multiple sequential pulsing, optimized presets and patient database, spot sizes: IPL: 15 x 35 mm and 8 x 15 mm, Nd:YAG: 2 x 4, 6 and 9 mm, LightSheer: 9 x 9 mm. Two scanners: CoolScan (CPG) delivers UltraPulse telecentric, collimated scanning with 1.3 mm spot size. DeepFX micro-scanner delivers energy with 0.12 mm spot size, up to 4 mm penetration depth. Collimated single spot energy delivery and focused incisional handpieces. SCAAR FX fractional mode delivers 150 mj per pulse, deep treatment up to 4 mm in a single pulse and optimal ablation/coagulation ratio. 34 FDA cleared aesthetic indications. Ten modes: FeatherTouch, SilkTouch, FineTouch, ToeTouch, Paint, Superficial, Deep, Combo, StretchTouch and Bleph. Two scanners: AcuScan120 for fractional resurfacing and SurgiTouch for full resurfacing. Three handpieces for use with SurgiTouch scanner and one incisional handpiece. 34 FDA cleared indications. Five laser sources in one system, high single-pulse energy for more efficiency. Advanced performance guarantees efficacy at larger spot sizes, uniform beam profiles with VCT, OPTOflex arm increases precision and accuracy. Wider range of treatments including FRAC3; wireless footswitch. 532 nm 3 or 5 W 0.5 2,000 ms Compact and portable. FDA cleared. Adjustable spot size through flexible fiber delivery. IPL: SR nm / Er:YAG: 2940 nm 10,600 nm 10,600 nm 2940 nm Various 1470 nm / 2940 nm 1064 nm 2940 nm 2940 nm 1319 nm nm nm Up to 25 J/cm 2 / up to 95 J/cm 2 Up to 30 W Adjustable up to 200 mj / point 1000 mj Up to 400 J/cm mj/mtz, 50 mj/mtz Up to 400 J/cm 2 Up to 40 W Up to 400 J/cm 2 Up to 30 J/cm 2 Up to 30 J/cm 2 Up to 30 J/cm ms / 1, 1.2, 1.5 ms ms Adjustable up to 20 ms 300 ms ms, 1 10 sec Up to 5 ms Up to 200 ms Up to 50 ms Variable Up to 200 ms Up to 200 ms Up to 200 ms $34,995 $54,995 (fully loaded) $29,995 (with single handpiece) Upgradeable with up to eight modules; five IPL handpieces, high-speed diode, Er:YAG and Nd:YAG. Advanced contact cooling with sapphire waveguide cools to 12 C. Adaptive Pulse Control (APC) adjusts pulse sequence and energy for safe and effective Tx of all skin types. Lightweight, ergonomic scanner has nine different fractional patterns varying in shape, size and density of spot. Industry leading metal RF excited tube provides greater stability and reliability over glass tubes. Incisional handpiece and ergonomic, microthermal zone scanner. Pixelated scanner features unique scanning technology to customize treatment for individual patients. 30 mm x 30 mm pattern size allows resurfacing of both hands in under 2 minutes. Can also be used to improve vaginal health. Multi-platform laser/ipl features: 810 diode, Er:YAG, Q-switched Nd:YAG, long pulsed YAG and IPL. Er:YAG features adjustable spot size from 1.5 mm to 6 mm and adjustable Hz rate from 1 to 5 pulses/sec allowing treatment of a full face in under 15 minutes. Safe to treat the neck and chest; removes fine lines, wrinkles and pigmentation (including melasma); and can safely be used on most skin types. Configurable up to ten modules. Delivery of ablative and non-ablative wavelengths in single pass. Dynamic Thermal Optimization (DTO) for precise energy delivery. Roller tip adaptors; optical navigation; integrated Zimmer cooling advanced mode for precise and independent control of depth and density. Pre-programmed modes and integrated smoke evacuation system. Computerized scanner; 30 x 30 mm Tx; integrated cooling. Computerized scanner, smart user interface, MicroLaserPeel, Tunable Resurfacing Laser. Expandable module / density 1.5% 26%. Computerized scanner; 30 x 30 mm Tx; integrated cooling. Table top system, SkinTyte II, 420, 515, , 640, 695 nm filters, 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling. SkinTyte II, 420, 515, 560, 590, 640, 695 nm filters. 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling.

118 Skin Rejuvenation Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories Solta Medical, a division of Valeant Pharmaceuticals North America Fraxel re:pair SST Fraxel DUAL 1550 / 1927 Fraxel 1550 Clear+Brilliant Clear+Brilliant Perméa Syneron Candela Profound PicoWay Resolve elōs Plus with SRA applicator elōs Plus with SRA Plus applicator elōs Plus with SRA mini applicator elōs Plus with SR applicator elōs Plus with SR Plus applicator CO2RE GentleMax Pro GentleYAG Pro U Alex TriVantage Vbeam Perfecta CO2 Laser 1550 nm Erbium Fiber / 1927 nm Thulium Fiber Laser 1550 nm Erbium Fiber Laser Diode Laser Fractional Diode Laser Bipolar RF 460, 5 khz Holographic Fractional Picosecond Module Multi-Application Platform: Optical Energy/RF (elōs), Electrical Energy, Pulsed Dye Multi-Application Platform: elōs, Electrical Energy, Pulsed Dye Multi-Application Platform: elōs, Electrical Energy, Pulsed Dye Multi-Application Platform: elōs, Electrical Energy, Pulsed Dye Multi-Application Platform: elōs, Electrical Energy, Pulsed Dye CO2 Resurfacing System Long Pulse, Dual Wavelength Alexandrite / Nd:YAG Long Pulse Nd:YAG Three wavelength Q-switched and Long Pulse Laser High Output Pulsed Dye Laser 10,600 nm 1550 nm / 1927 nm 1550 nm 1440 nm 1927 nm N/A 532 nm / 1064 nm nm nm nm nm nm 10,600 nm 755 nm / 1064 nm 1064 nm 755 nm Alexandrite / 1064 nm Nd:YAG / 532 nm KTP Nd:YAG 595 nm Up to 70 mj/mtz Up to 70 mj/mtz / up to 20 mj/mtz Up to 70 mj/mtz Up to 9 mj/mtz 5 mj Max. output voltage 84 VRMS Up to 1.5 mj/μbeam / up to 3.0 mj/μbeam Light Fluence: up to 45 J/cm 2 / RF Energy: up to 25 J/cm 3 Light Fluence: up to 35 J/cm 2 / RF Energy: up to 25 J/cm 3 Light Fluence: up to 35 J/cm 2 / RF Energy: up to 25 J/cm 3 Light Fluence: up to 45 J/cm 2 / RF Energy: up to 25 J/cm 3 Light Fluence: up to 35 J/cm 2 / RF Energy: up to 25 J/cm 3 Up to 396 J/cm 2 Up to 600 J/cm 2 / up to 600 J/cm 2 Up to 600 J/cm 2 Up to 18 J/cm 2 (QS Alexandrite), up to 70 J/cm 2 (microsecond 755 nm) / up to 10 J/cm 2 (QS Nd:YAG) / up to 5 J/cm 2 (QS KTP Nd:YAG) Up to 40 J/cm 2 N/A N/A N/A N/A N/A N/A 375 ps / 450 ps 1 Hz Up to 2 Hz Up to 1 Hz 1 Hz Up to 2 Hz 20 3,000 µs ms ms 50 ns ms Four plug-and-play handpieces with fractional and surgical applications. Built-in smokeless evacuation system. Intelligent Optical Tracking system (IOTS) with roller tip. Over 240 pre-programmed Tx settings for targeted indications. Two non-ablative lasers. IOTS adjusts to hand speed and ensures uniform Tx. Maximized lesion depth for chosen pulse energy. Variable optical spot size with telescope. Zimmer cooling integrated into handpiece. IOTS adjusts to hand speed and ensures uniform Tx. Variable optical spot size using telescope. Zimmer cooling integrated into handpiece. Precise dosimetry increases patient comfort for targeted indications. Desktop system with ergonomic handpiece and roller tip. IOTS adjusts to hand speed and ensures uniform Tx. Same as above. Single use, sterile treatment cartridge with either five (dermal) or seven (subq) independently controlled, bipolar microneedle pairs. Treats jawline, jowls and neck. 100 μbeams, 6 x 6 mm array per Tx area. Spot size: 12 x 25 mm; tip cooling temp: 5 C. Spot size: 35 x 14 mm; tip cooling temp: 5 C. Spot size: 15 x 14 mm; tip cooling temp: 5 C. Spot size: 25 x 12 mm; tip cooling temp: 5 C. Spot size: 35 x 14 mm; tip cooling temp: 5 C. Exclusive Fusion Tx mode treats superficial and deep skin layers simultaneously. Multi-use featherweight delivery system, multiple Tx spots, full length fractional, short fractional and tapered surgical handpieces, 10.4" high-resolution color LCD, touchscreen user interface, footswitch. Standard spot sizes from 6-18 mm; new, small spot delivery system handpiece provides 1.5, 3 and 3 x 10 mm Tx spots; finger and foot switch pulse control; unique, patented Dynamic Cooling Device (DCD) maximizing patient comfort and Tx efficacy; rejuvenation, wrinkle reduction, treats vascular and other dyschromia for all skin types. Same as above. Alexandrite system upgrade to GentleMax Pro available. 2, 3, 4 and 5 mm Tx spots. Six spot sizes up to 12 mm, including 3 x 10 elliptical and two pigmented lesion handpieces; unique, patented DCD, maximizing patient comfort and Tx efficacy. Venus Concept Venus Versa Venus Viva Venus Legacy Venus Freeze Plus Multi-Application Platform: IPL with SmartPulse / NanoFractional RF with SmartScan / (MP) 2 Technology (combined Multipolar RF and Pulsed Electro Magnetic Fields) Fractional RF (MP) 2 Technology with VariPulse (adjustable pulsed suction) (MP) 2 Technology SR IPL: nm, nm / HR IPL: nm, nm / AC Dual IPL: nm, nm N/A N/A N/A Up to 150 W / 5 25 J/cm 2 (IPL) 1 MHz, 460 khz; 160 pins with 62 mj/pin Up to 150 W Up to 150 W SR IPL: 5 20 ms / HR IPL: ms / AC Dual IPL: ms N/A N/A N/A Subscription plan Subscription plan Subscription plan Subscription plan Up to ten applicators; seven IPL applicators with SmartPulse (SR515 IPL, SR580 IPL, HR650 IPL, HR650 XL IPL, HR690 IPL, HR690 XL IPL and AC Dual IPL), NanoFractional RF with SmartScan, OctiPolar and DiamondPolar. Fully tunable coagulation and ablation. Two applicators; NanoFractional RF with SmartScan with multi-treatment, single-use tips, and DiamondPolar applicator (pending FDA clearance). Four applicators with Real-Time Thermal Feedback (4D Body with VariPulse, 4D Face with VariPulse, OctiPolar and DiamondPolar). Two applicators with Real-Time Thermal Feedback (OctiPolar and DiamondPolar) and Automatic Temperature Control (ATC). Viora V-IPL V-Nd:YAG V-Series Platform Line V-Series Platform Line 580 nm 1064 nm Up to 35 J/cm² Up to 450 J/cm ms ms Zarin Medical Juliet (MCL31) SmartXide DOT RF Microneedling Er:YAG (short / long pulse) CO2 Fractional RF 2940 nm 10,600 nm RF Up to 2.5 J 250 W peak, 50 W average 70W µs 150 µs 2000 ms Up to 950 ms Contact Zarin Contact Zarin Contact Zarin Multiple fractional and non-fractional handpieces that are FDA cleared for dermatology, plastic surgery, oral surgery, ENT, gynecology, general surgery, ophthalmology and podiatry. Integrated smoke evacuation with HEPA filtration. Variable pitch (density) and dwell (pulse duration). Fractional (200 micron; 2 mm spacing) scanner with adjustments on the handpiece for easy operation. Multiple incisional, excisional and ablative handpieces and accessories. Variety of needles according to application; mm depth. Coated and uncoated (for various skin depths and to deliver energy to various depths); 25 (5 x 5) and 36 (6 x 6). Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. 118 THE Aesthetic Guide May/June

119 PRODUCT PROFILES M22 ResurFX The ResurFX module of M22 is a true, one-pass, fractional non-ablative treatment technology. Unlike other fractional technologies, ResurFX needs only one pass to be effective, saving you time and protecting the patient s skin. ResurFX uses a 1565 nm fiber laser and a very advanced scanner, which enables you to choose from more than 600 combinations of shape, size and density for optimal treatment results. Even better, your practice wins as there are no consumables or recurring procedure fees. MiXto Pro V-Lase MiXto Pro V-Lase utilizes a patented CO 2 laser chopped CW technology to deliver a safe and gentle non-ablative treatment for vaginal rejuvenation. V-Lase is a new 15 minute no-downtime medical procedure that is a pain free alternative to surgery, providing noticeable results after only one treatment. The MiXto Pro V-Lase system is a multiplatform CO 2 laser with accessories for skin resurfacing and surgical applications. Lumenis: 877-LUMENIS ( ) or visit The SaltFacial L avantage The SaltFacial L avantage is a natural, unique and clinically proven technological breakthrough for the treatment of a variety of non-invasive skin therapies. The SaltFacial is gentle, yet effective for all skin types. The patented and unique delivery system is at the heart of The SaltFacial L avantage system, which begins with proprietary all natural, water soluble sea salt exfoliation; followed by advanced fusion treatment and finished with the multi-wavelength LED rejuvenation system for soft, supple, more beautiful skin. LASERING USA: or visit Med-Aesthetic Solutions, Inc. (The SaltFacial): or visit enlighten enlighten is a unique picosecond and nanosecond laser system with multiple wavelengths and industry leading specifications for tattoo removal and benign pigmented lesions, as well as Cutera s signature PICO Genesis procedure. Cutera: or visit Phoenix CO 2 The Phoenix CO 2 is priced under $35,000 and can be used to remove uneven pigmentation and reduce fine lines and coarse wrinkles. Depending on which handpiece is attached, the Phoenix-15 can cut, coagulate and vaporize soft tissue. The Phoenix CO 2 features one of the largest scan patterns in the industry and can resurface both hands in under two minutes. Eclipse PRP Eclipse PRP is a proprietary autologous platelet-rich plasma (PRP) retrieval system based on blood separation according to density, using a proprietary separation gel. The PRP platform is available with an 11 ml PRP collection tube or 22 ml high-concentration collection tube. This system allows for the preparation of pure PRP with optimal platelet concentrations and cellular content. Virtually, all red blood cells (RBC) are eliminated from the PRP and the concentration of pro-inflammatory granulocytes (GRs) is highly reduced. The entire preparation process takes less than 20 minutes. FDA 510(k) number BK Rohrer Aesthetics: or visit Eclipse Aesthetics: or visit EclipseMed.com THE Aesthetic Guide May/June

120 Hair Removal Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories Aerolase LightPod Neo 650 ms Nd:YAG 1064 nm Up to 1272 J/cm µs 1.5 ms 30+ applications with single handpiece. No pain / no anesthetic needed, no consumables and no skin contact by handpiece. No routine maintenance. Portable (25 lbs.). All laser accessories, training and marketing package included. Alma Lasers, Ltd. SopranoICE Harmony XL Pro ARION LEDA CW Diode In-Motion AFT Pulsed Light / Alexandrite / Nd:YAG Alexandrite Diode 810 nm, 755 nm nm / 755 nm / 1064 nm 755 nm 808 nm, 980 nm Up to 120 J/cm 2 Up to 120 J/cm 2 / 5 20 J/cm 2 / 1 32 J/cm 2 / J/cm 2 Up to 40 J/cm 2 60 J/cm ,350 ms 1, 3, 30 sec / 3 ms / 10, 15, 45, 60 ms ms 6 60 ms Dual Mode: pulse and In-Motion SHR for virtually painless hair removal. Facial tip for hard to reach areas. Contact cooled or non-cooled module options. Alexandrite: 5 mm and 8 mm tips. Nd:YAG: 2 mm, 6 mm and 10 mm tips with contact cooling. 6, 8, 10, 12, 14, 16 mm. Cutera xeo + prowave excel HR Laser / IPL Laser 1064 nm / nm 755 nm, 1064 nm 300 J/cm 2 / up to 35 J/cm 2 Up to 300 J/cm 2 Up to 300 ms / up to 90 ms Up to 300 ms $113, ,000 DEKA Synchro REPLA:Y Excellium 3.4 Multi-Functional Platform 755 nm Alexandrite / 1064 nm Nd:YAG / 500 nm, 520 nm, 550 nm, 600 nm, 650 nm 63.5 J (max.) energy per pulse 125 W (max.) / 120 J (max.) energy per pulse 180 W (max.) ms (single pulse); ms (double pulse) / ms (High Peak Mode); 2 50 ms (Standard Mode) Three light sources available. 180 W Nd:YAG laser. 125 W Alex laser. Operates at 3 Hz rep. rate with ability to emit two sub-pulses. Twelve laser handpieces (from 2.5 to 24 mm). Top-Hat spot size. Auto spot size recognition. FT pulsed light capability: five interchangeable snap-on filters. No disposables. Fotona SP Dynamis XP MAX QX MAX Nd:YAG / Er:YAG Nd:YAG Nd:YAG Q-Switched / Long Pulse 1064 nm 1064 nm 1064 nm, 532 nm, 585 nm, 650 nm Up to 600 J/cm 2 Up to 600 J/cm 2 Up to 160 J/cm ms ms 250 µs S-11: Nd:YAG scanner: 42 cm 2 Tx area. Nd:YAG handpieces: 2-20 mm spot sizes. S-11: Nd:YAG scanner: 42 cm 2 Tx area. Nd:YAG handpieces: 2-20 mm spot sizes. Handpieces: 2-8 mm spot sizes. Ilooda Co., Ltd. VIKINI Epilia RF Velux Diode Diode / RF Diode 808 nm 808 nm 755 nm Up to 120 J/cm 2 Up to 60 J/cm 2 5,000 W ms ms / ms ms Supports various range of pulses with 600 W. Powerful extra cooling handle; 12 x 11 spot sized sapphire tip contact cooling and new optional cooling adaptor. Safe and effective for most skin types; sapphire tip contact cooling. Supports various line scanning types for range of Tx areas. 50 x 15 mm (10 x 15 mm) spot sized sapphire tip contact cooling with powerful extra air cooling adapter. InMode Diolaze Diode 810 nm 40 J/cm 2 (short), 60 J/cm 2 (long) Single and 1 pps auto repeat Gold standard wavelength with ultra-fast speed / pulsing to tissue and large spot size (50 x 8 mm). No compromising power for pulsing. Virtually painless due to strong built-in cooling (3PC - Pre, Parallel, Post). No consumables. Lumenis LightSheer Duet LightSheer ET LightSheer Infinity LightSheer Desire M22 Lumenis One Diode Diode Diode Diode Multi-Application, Multi- Technology Modular Platform Multi-Application, Multi- Technology Modular Platform 800 nm 800 nm 805 nm / 1060 nm 805 nm IPL: nm / Nd:YAG: 1064 nm IPL: nm / Nd:YAG: 1064 nm / LightSheer Diode: 800 nm HS: J/cm 2 ET: J/cm J/cm 2 HS: J/cm 2, ET: J/cm 2, LR: 5 25 J/cm 2 HS: J/cm 2, ET: J/cm 2, XC: J/cm J/cm 2 / J/cm J/cm 2 / J/cm 2 / J/cm 2 HS: ms ET: ms ms HS: ms, ET: ms, LR: ms HS: ms, ET: ms, LR: ms 4 20 ms / 2 20 ms ms / 2 20 ms / ms Two spot sizes: 22 x 35 and 9 x 9 mm. Vacuum Assist technology. Advanced ChillTip handpiece. Intuitive touchscreen with recommended treatment settings. Advanced ChillTip handpiece. No consumables. Optional cart. Three spot sizes: 22 x 35, 9 x 27 and 9 x 9 mm. Vacuum Assist technology. Advanced ChillTip handpieces. Intuitive touchscreen with recommended treatment settings. Three spot sizes: 22 x 35, 12 x 12 and 9 x 9 mm. Vacuum Assist technology. Advanced ChillTip handpieces. Intuitive touchscreen with recommended treatment settings. Optional cart. Universal IPL Module treats 24 applications, Universal IPL handpiece has two light guides (15 x 35 mm and 8 x 15 mm), with six exchangable Expert Filters: 515, 560, 590, 615, 640, 695 nm. Nd:YAG Module treats five applications, MultiSpot Nd:YAG handpiece has 2 x 4 mm and 6 mm light guides. Optimal Pulse Technology (OPT) and Multiple- Sequential-Pulsing. Continuous contact cooling with SapphireCool light guides on both modules. Optimized presets. Upgradable, expandable, seven IPL filters, OPT for multiple sequential pulsing, optimized presets and patient database, spot sizes. IPL: 15 x 35 and 8 x 15 mm, Nd:YAG: 2 x 4, 6 and 9 mm, LightSheer 9 x 9 mm. Lutronic Clarity Advantage Long Pulsed Alexandrite / Nd:YAG Laser Diode 755 nm / 1064 nm 805 nm Up to 600 J/cm J/cm ms ms Nine spot sizes including 2, 3, 5, 8, 10, 12, 15, 18, 20 mm. ICD cryogen or air cooling available. Field replaceable handpieces with chilled compression tip: D1-800 (10 x 10 mm); D3-800 (10 x 30 mm). Cart. Perigee Medical Jeisys SmoothCool Asclepion MeDioStar IPL High Power Diode nm nm Up to 65 J/cm 2 Up to 210 J/cm µs 40 ms Up to 400 ms Contact Perigee Contact Perigee IPL with eight filters, smooth cooling technology controls skin temperature to 1 C. Up to 3,000 W peak power and cell toning pulse mode. Fiber bundle delivery for uniform and comfortable treatment from a high power hair removal laser. Up to 12 Hz operation. Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. 120 THE Aesthetic Guide May/June

121 Hair Removal Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories Quanta Aesthetic Lasers EVO Domino EVO Light Series EVO MDK Series Forte Series Dual Alexandrite (pulsed) / IPL (opt.) Alexandrite (pulsed) / Nd:YAG (pulsed) / KTP (pulsed) / IPL (opt.) Nd:YAG (Q-Switched) / Nd:YAG FD Q-Switched) / Nd:YAG (pulsed) / Alexandrite (pulsed) / KTP (pulsed) / IPL (opt.) Multi-Application Platform 755 nm / 650 nm, 625 nm, 590 nm, 570 nm, 550 nm; nm 755 nm / 1064 nm / 532 nm / 1320 nm / 650 nm, 625 nm, 590 nm, 570 nm, 550 nm; nm 1064 nm QS / 532 nm QS / 1064 nm / 755 nm / 532 nm / 1320 nm / 650 nm, 625 nm, 590 nm, 570 nm, 550 nm; nm Diode 808 nm / IPL HR , HR nm 198 J/cm 2 / up to 25 J/cm J/cm 2 / >300 J/cm 2 / 95 J/cm 2 / 35 J/cm 2 / up to 25 J/cm 2 45 J/cm 2 / 19 J/cm 2 / 300 J/cm 2 / 123 J/cm 2 / 95 J/cm 2 / 35 J/cm 2 / up to 25 J/cm 2 90 J/cm 2 / 5 25 J/ cm 2 / 5 25 J/cm ms / up to 40 ms ms / ms / 2 50 ms / 5 10 ms / up to 40 ms 6 ns / 6 ns / ms / ms / 2 50 ms / 5 10 ms / up to 40 ms ms / ms / ms Rohrer Aesthetics, LLC Spectrum Diode Laser 810 nm N/A Adjustable up to 400 ms $54,995 (fully loaded) $29,995 (with single handpiece) Sciton JOULE ClearScan YAG ClearScan ALX BBLs BBL Forever Bare BBL Laser and Light Platform Various Nd:YAG 1064 nm Alexandrite BroadBand Light BroadBand Light BroadBand Light 755 nm nm nm nm Up to 400 J/cm 2 Up to 400 J/cm 2 Up to 400 J/cm 2 Up to 30 J/cm 2 Up to 30 J/cm 2 Up to 30 J/cm ms, 1 10 sec Up to 200 ms Up to 200 ms Up to 200 ms Up to 200 ms Up to 200 ms Air or contact skin cooling systems for pulsed lasers and optional IPL. Alexandrite spot sizes: up to 20 mm. IPL spot sizes: 48x13 mm and 25x13 mm. Air or contact skin cooling systems for pulsed lasers and optional IPL. Alexandrite spot sizes: up to 20 mm, Nd:YAG spot sizes up to 16 mm. IPL spot sizes: 48x13 mm and 25 x 13 mm. Air cooling system for Q-switched lasers. Air or contact skin cooling systems for pulsed lasers and optional IPL. Q-switched spot sizes: up to 5x5 mm; Alexandrite spot sizes: up to 16 mm, Nd:YAG spot sizes: up to 16 mm, IPL spot sizes: 48 x 13 mm and 25 x 13 mm. Portable, upgradeable with up to eight modules; five IPL handpieces, high-speed diode, Er:YAG and Nd:YAG. Advanced contact cooling with Sapphire waveguide which cools to 12 C. Adaptive Pulse Control (APC) adjusts pulse sequence and energy for safe and effective Tx of all skin types. Multi-platform laser/ipl features: 810 diode, Er:YAG, Q-switched Nd:YAG, long pulsed YAG and IPL. 810 diode (hair removal) features adjustable pulse duration from 20 ms to 400 ms; safe for all skin types. Large 12 mm x 14 mm spot size combined with adjustable Hz rate from 1 to 10 pulses/sec, allows treatment of large areas (full back, chest or legs) in under 15 minutes. Handpiece includes built-in contact cooling and reduces (usually permanently) dark colored hair after three to five treatments. Configurable up to ten modules. Computerized scanner; 30 x 30 mm Tx; integrated cooling. Same as above. Table top system, SkinTyte II, 420, 515, 560, 590, 640, 695 nm filters, 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling. SkinTyte II, 420, 515, 560, 590, 640, 695 nm filters, 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling. FB BBL technology is in motion. SkinTyte II, 420, 515, 560, 590, 640, 695 nm filters, 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling. Solta Medical, a division of Valeant Pharmaceuticals North America Clear + Brilliant pélo Diode 808 nm Up to 750 J/cm ms $74,999 Linear scanning technology maximizes efficacy, speed and patient comfort. Large spot size and scan area. Integrated contact cooling. Syneron Candela GentleMax Pro GentleLase Pro-U GentleYAG Pro-U GentleTouch elōs Plus with Motif LHR Applicator elōs Plus with Motif HR Plus Applicator elōs Plus with Motif HR Applicator Venus Concept Venus Velocity Venus Versa Long Pulse, Dual Wavelength Alexandrite / Nd:YAG 755 nm / 1064 nm Long Pulse Alexandrite 755 nm Long Pulse Nd:YAG 1064 nm Alexandrite Plus RF 755 nm / RF Dual Energy Multi-Application 810 nm Platform: Optical Energy / RF (elōs), Electrical Energy, Pulsed Dye Multi-Application nm Platform: elōs, Electrical Energy, Pulsed Dye Multi-Application nm Platform: elōs, Electrical Energy, Pulsed Dye Diode Multi-Application Platform: IPL with SmartPulse, NanoFractional RF with SmartScan, (MP) 2 Technology (combined Multipolar RF and Pulsed Electro Magnetic Fields) 800 nm HR IPL: nm, nm Up to 600 J/cm 2 / up to 600 J/cm 2 Up to 600 J/cm 2 Up to 600 J/cm 2 Up to 46 J/cm 2 / up to 40 J/cm 3 Light Fluence: up to 50 J/cm 2 RF Energy: up to 50 J/cm 3 Light Fluence: up to 35 J/cm 2 RF Energy: up to 25 J/cm 3 Light Fluence: up to 45 J/cm 2 RF Energy: up to 25 J/cm W peak power ms ms ms Up to 100 ms 3 Hz Up to 3 Hz 1 Hz ms HR IPL: 5 20 J/cm 2 HR IPL: ms Subscription plan Subscription plan Viora V-IPL V-Series Platform Line 570 nm / 630 nm Up to 35 J/cm ms Zarin Medical Mediostar XL Pro Synchro REPLA:Y Excellium Diode Nd:YAG / Alexandrite / IPL Platform 810 nm (hair) / 755 nm (hair/pigment) / 940 nm (vascular) 1064 nm / 755 nm / various IPL filters 90 J/cm 2 / 35 J/cm 2 / 210 J/cm 2 Up to 400 ms 180 W, 120 J ( ms / J/cm 2 ) / 120 W, ms / 5 50 ms 120 J (2 600 J/cm 2 ) / 156 J (25 J/cm 2 ) Standard Tx spot sizes from 6-18 mm; new, large spot delivery system handpiece provides 20, 22 and 24 mm Tx spots; finger and foot switch pulse control; unique, patented Dynamic Cooling Device (DCD) maximizing patient comfort and Tx efficacy; gentle hair removal for all skin types. Same as above. Ideal for skin types I IV. Nd:YAG system upgrade to GentleMax Pro available. Same as above. Treats all skin types I VI. Alexandrite system upgrade to GentleMax Pro available. Small, Large and Zoom tips up to 18 mm with EverCool contact cooling. Spot size: 12 x 12 mm; tip cooling temp: 5 C. Spot size: 35 x 14 mm; tip cooling temp: 5 C. Spot size: 25 x 12 mm; tip cooling temp: 5 C. One applicator with three changeable spot sizes (7 cm 2, 3.5 cm 2 and 1.7 cm 2 ). Two modes of operation (SLIDE and PULSE), real-time cooling system. HR IPL specific to hair removal. Up to ten applicators, for hair removal there are four IPL applicators with SmartPulse (HR650 IPL, HR650 XL IPL, HR690 IPL and HR690 XL IPL). Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. Contact Zarin Contact Zarin XL handpiece with two interchangeable tips (9.1 cm 2 and 3.0 cm 2 ) for speed and versatility on skin types I-VI. VAS handpiece for vascular applications; ALEX handpiece for hair removal and pigment. Contact cooling and up to 12 Hz. Laser spot sizes: 2.5 mm 24 mm; IPL spot size: 6.2 cm 2. Finger or foot activation; integrated contact cooling; can attach Zimmer chilled air; up to 10 Hz. THE Aesthetic Guide May/June

122 Vascular Technology Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories Aerolase LightPod Neo LightPod V ms Nd:YAG 650 ms Nd:YAG 1064 nm 1064 nm Up to 1272 J/cm 2 Up to 1272 J/cm µs 1.5 ms 650 µs 1.5 ms 30+ applications with single handpiece. No pain / no anesthetic needed, no consumables and no skin contact by handpiece. No routine maintenance. Portable (25 lbs.). All laser accessories, training and marketing package included. No pain / no anesthetic needed, no consumables and no skin contact by handpiece. No service contracts. Portable (25 lbs.). All laser accessories, training and marketing package included. Alma Lasers, Ltd. Harmony XL Pro VascuLife AFT Pulsed Light / Nd:YAG / ClearLift Q-switched / Nd:YAG / Dye-VL AFT Pulsed Light / Alexandrite Diode nm / 1064 nm / 1064 nm / nm / 755 nm 1470 nm 30 J/cm 2 / J/cm 2 / up to 1200 J/cm 2 / up to 25 J/ cm 2 / 1 32 J/cm 2 Up to 15 W 10, 12, 15 ms / 10, 15, 45, 60 ms / 20 ns / 5, 10, 25 ms / 3 ms ms Contact cooled version or non-cooled module options. Nd:YAG: 2 mm, 6 mm and 10 mm tips with contact cool-ing. Alexandrite: 5 and 8 mm tips. Unique robotic pullback fiber system; 1470 nm radial emit-ting diode for complete and accurate treatment of great and small saphenous veins (GVS, SSV). BTL Industries, Inc. Exilite IPL nm Up to 40 J/cm ms IPL handpiece with 11 x 40 mm saphire light spot and five filters (480, 530, 560, 640, 690 nm); integrated contact cooling. Poly Peak Pulse (PP Pulse) technology and optimized presets. Cutera excel V xeo Laser Laser / Limelight 532 nm, 1064 nm Up to 300 J/cm 2 Up to 60 ms 1064 nm / nm 300 J/cm 2 / 30 J/cm 2 Up to 300 ms / Automatic $165,000 $113,000 DEKA Synchro REPLA:Y Excellium 3.4 Multi-Functional Platform 755 nm Alexandrite / 1064 nm Nd:YAG / 500 nm, 520 nm, 550 nm, 600 nm, 650 nm 63.5 J (max.) energy per pulse 125 W (max.) / 120 J (max.) energy per pulse 180 W (max.) ms (single pulse); ms (double pulse) / ms (High Peak Mode); 2 50 ms (Standard Mode) Three light sources available. 180 W Nd:YAG laser. 125 W Alex laser. Operates at 3 Hz rep. rate with ability to emit two sub-pulses. Twelve laser handpieces (from 2.5 to 24 mm). Top-Hat spot size. Auto spot size recognition. FT pulsed light capability: five interchangeable snap-on filters. No disposables. Fotona SP Dynamis XP-2 Focus XP MAX QX MAX SP Spectro XP Spectro XS Dynamis XP Focus Nd:YAG / Er:YAG Nd:YAG Nd:YAG Nd:YAG Q-Switched / Long Pulse Nd:YAG / Er:YAG Nd:YAG / Long Pulse Er:YAG Nd:YAG / Long Pulse 1064 nm / 2940 nm 1064 nm 1064 nm 1064 nm, 532 nm, 585 nm, 650 nm 1064 nm / 2940 nm 1064 nm 2940 nm 1064 nm Up to 600 J/cm 2 Up to 300 J/cm 2 Up to 600 J/cm 2 Up to 160 J/cm 2 Up to 600 J/cm 2 Up to 600 J/cm 2 Up to 500 J/cm 2 Up to 600 J/cm ms ms ms 5 20 ns, 250 µs N/A ms ms ms F-Runner, fractional Er:YAG scanner: 250 μm spot size, 168 mm 2 Tx area. S-Runner, Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. S-11: Nd:YAG scanner: 42 cm 2 Tx area. Er:YAG handpieces: mm spot sizes; Nd:YAG handpieces: 2-20 mm spot sizes. Nd:YAG handpieces: 2-10 mm spot sizes. S-11: Nd:YAG scanner: 42 cm 2 Tx area. Nd:YAG handpieces: 2-20 mm spot sizes. Handpieces: 2-8 mm spot sizes. F-Runner, fractional Er:YAG scanner: 250 μm spot size, 168 mm 2 Tx area. S-Runner, Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. S-11: Nd:YAG scanner: 42 cm 2 Tx area. Er:YAG handpieces: mm spot sizes; Nd:YAG handpieces: 2-20 mm spot sizes. S-11 Nd:YAG scanner: 42 cm 2 Tx area. Nd:YAG handpieces: 2-20 mm spot sizes. F-Runner, fractional Er:YAG scanner: 250 μm spot size, 168 mm 2 Tx area. S-Runner, Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. Er:YAG handpieces: mm spot sizes. Standard handpiece: R31/R32 with 2-8 mm spot sizes; Nd:YAG handpieces: 2-20 mm spot sizes. Ilooda Co., Ltd. Multiple IRIS Secret RF OPS Diode Laser RF Microneedle 532 nm (Fractional); 532 nm (Normal) N/A 70.7 J/cm 2 ; 832 J/cm 2 25 W 100 ms; 400 ms ms 532 nm Fractional, 532 nm Normal; available to treat vascular lesions in the epidermis. 25 pin sterilized RF bipolar tips (optional 64 insulated pin available); monopolar handpiece for small Tx areas, such as around the eyes; optional smart pen handpiece for acne and thread vein. LASERING USA Velure S5 MiXto VX Velure S5 LBO Diode LBO Diode 532 nm 532 nm W W 10 1,000 ms 10 1,000 ms MiXto VX fractional scanner for non-ablative skin rejuvenation. Focusing handpieces with spot sizes of 0.3 mm, 0.5 mm, 1.0 mm, 1.5 mm. No disposables. Focusing handpieces with spot sizes of 0.3 mm, 0.5 mm, 1.0 mm, 1.5 mm. No disposables. Lumenis M22 Lumenis One Multi-Application, Multi-Technology Modular Platform Multi-Application, Multi-Technology Modular Platform IPL: nm, Nd:YAG: 1064 nm IPL: nm, Nd:YAG: 1064 nm, LightSheer Diode: 800 nm J/cm 2, J/cm J/cm 2, J/cm 2, J/cm ms, 2 20 ms ms, 2 20 ms, ms Universal IPL module treats 24 applications, Universal IPL handpiece has two light guides (15 x 35 mm and 8 x 15 mm), with six exchangable ExpertFilters: 515, 560, 590, 615, 640, 695 nm. Nd:YAG module treats five applications, MultiSpot Nd:YAG handpiece has 2 x 4 mm and 6 mm light guides. Optimal Pulse Technology (OPT) and Multiple-Sequential-Pulsing. Continuous contact cooling with SapphireCool light guides. Optimized presets. Upgradable, expandable, seven IPL filters, OPT for multiple sequential pulsing, optimized presets and patient database, spot sizes. IPL: 15 x 35 mm and 8 x 15 mm, Nd:YAG: 2 x 4, 6 and 9 mm, LightSheer 9 x 9 mm. Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. 122 THE Aesthetic Guide May/June

123 Vascular Technology Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories NewSurg NS-532 Laser System Solid State Diode Pumped 532 nm Green Light Laser 532 nm 3 or 5 W 0.5 2,000 ms Compact and portable. FDA cleared. Adjustable spot size through flexible fiber delivery. Quanta Aesthetic Lasers EVO Light Series EVO MDK Series Forte Series Nd:YAG (pulsed) / KTP (pulsed) / IPL (opt.) Multi-Application Platform: Nd:YAG (Q-Switched) / Nd:YAG FD (Q-Switched) / Nd:YAG (pulsed) / Alexandrite (pulsed) / KTP (pulsed) / IPL (opt.) Multi-Application Platform 1064 nm / 532 nm / 650 nm, 625 nm, 590 nm, 570 nm, 550 nm; nm 1064 nm QS / 532 nm QS / 1064 nm / 755 nm / 532 nm / 1320 nm / 650 nm, 625 nm, 590 nm, 570 nm, 550 nm; nm IPL: VLPL nm 300 J/cm 2 / 95 J/cm 2 / up to 25 J/cm 2 45 J/cm 2 / 19 J/cm 2 / 300 J/cm 2 / 123 J/cm 2 / 95 J/cm 2 / 35 J/cm 2 / up to 25 J/cm J/cm ms / 2 50 ms / up to 40 ms 6 ns / 6 ns / ms / ms / 2 50 ms / 5 10 ms / up to 40 ms ms Air or contact skin cooling systems for pulsed lasers and optional IPL. Nd:YAG spot sizes: up to 16 mm. IPL spot sizes: 48 x 13 mm and 25 x 13 mm. Air cooling system for Q-switched lasers. Air or contact skin cooling systems for pulsed lasers and optional IPL. Q-switched spot sizes up to 5x5 mm, Alexandrite spot sizes: up to 16 mm, Nd:YAG spot sizes: up to 16 mm, IPL spot sizes: 48x13 mm and 25x13 mm. Portable, upgradeable with up to eight modules; five IPL handpieces, high-speed diode, Er:YAG and Nd:YAG. Advanced contact cooling with Sapphire waveguide which cools to 12 C. Adaptive Pulse Control (APC) adjusts pulse sequence and energy for safe and effective Tx of all skin types. Rohrer Aesthetics, LLC Spectrum YAG Laser 1064 nm 50 J/cm 2 Adjustable up to 10 ms $54,995 (fully loaded); $29,995 (with single handpiece) Multi-platform laser/ipl features: 810 diode, Er:YAG, Q-switched Nd:YAG, long pulsed YAG and IPL. Nd:YAG features adjustable spot size (1.5 mm and 3 mm); built-in contact cooling; safely removes facial and leg veins and small angiomas on the body without bruising. Sciton JOULE ClearScan YAG ClearScan ALX Pro-V BBLs BBL Laser and Light Platform Nd:YAG Alexandrite Nd:YAG BroadBand Light BroadBand Light Various 1064 nm 755 nm 1319 nm nm nm Up to 400 J/cm 2 Up to 400 J/cm 2 Up to 400 J/cm 2 Up to 50 Watts Up to 30 J/cm 2 Up to 30 J/cm ms, 1 10 sec Up to 200 ms Up to 200 ms N/A Up to 200 ms Up to 200 ms Configurable up to ten modules. Computerized scanner; 30 x 30 mm Tx; integrated cooling. Same as above. Endovenous and transcutaneous laser Tx of varicose and other veins. Uses non-proprietary fibers. Table top system, SkinTyte II, 420, 515, 560, 590, 640, 695 nm filters, 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling. SkinTyte II, 420, 515, 560, 590, 640, 695 nm filters, 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling. Syneron Candela elōs Plus / LV and LVA, SR Plus, SRA Plus and SRA Mini Applicators Vbeam Perfecta GentleMax Pro GentleLase Pro-U GentleYAG Pro-U Multi-Application Platform: elōs, LV/LVA: Diode/RF Electrical Energy, SR/ SRA: Optical Energy/ RF Electrical Energy, SRA Mini: Optical Energy/RF Electrical Energy High-Output Pulsed Dye Laser Long Pulse, Dual Wavelength Alexandrite / Nd:YAG Long Pulse Alexandrite Long Pulse Nd:YAG LV/LVA: 915 nm; SR/SRA Plus: nm (SR), nm (SRA); SRA Mini: nm 595 nm 755 nm / 1064 nm 755 nm 1064 nm Light Fluence: LV/LVA: up to 140 J/cm 2, J/cm 2 ; SR/SRA Plus: nm (SR), nm (SRA); SRA Mini: nm RF Energy: LV/LVA: up to 100 J/cm 3 ; SR/SRA Plus: up to 25 J/cm 3 ; SRA Mini: up to 25 J/cm 3 Up to 40 J/cm 2 Up to 600 J/cm 2 / up to 600 J/cm 2 Up to 600 J/cm 2 Up to 600 J/cm 2 N/A ms ms ms ms 8 x 5 mm spot size at 1 Hz pulse rep. rate (LV/LVA); 35 x 14 mm spot size at 3 Hz (SR/SRA Plus); and 15 x 14 mm at 1 Hz (SRA Mini) for treatment of smaller, more focused areas. Six spot sizes up to 12 mm, including 3 x 10 elliptical and two pigmented lesion handpieces; unique, patented Dynamic Cooling Device (DCD); maximizing patient comfort and Tx efficacy. Standard Tx spot sizes from 6-18 mm; new small spot delivery system handpiece provides 1.5, 3 and 3 x 10 mm Tx spots; finger and foot switch pulse control; unique, patented DCD maximizing patient comfort and Tx efficacy; excellent system for recalcitrant port-wine stains, telangiectases, spider veins and other vascular lesions. Standard Tx spot sizes from 6-18 mm; new small spot delivery system handpiece provides 1.5, 3 and 3 x 10 mm Tx spots; finger and foot switch pulse control; unique, patented DCD maximizing patient comfort and Tx efficacy; excellent system for recalcitrant port-wine stains. Nd:YAG system upgrade to GentleMax Pro available. Standard Tx spot sizes from 6-18 mm; new small spot delivery system handpiece provides 1.5, 3 and 3 x 10 mm Tx spots; finger and foot switch pulse control; unique, patented DCD maximizing patient comfort and Tx efficacy; excellent system for telangiectases, spider veins and other vascular lesions. Alexandrite system upgrade to GentleMax Pro available. Venus Concept Venus Versa Multi-Application Platform: IPL with SmartPulse, NanoFractional RF with SmartScan, (MP) 2 Technology (combined Multipolar RF and Pulsed Electro Magnetic Fields). SR IPL: nm SR IPL: 5 25 J/cm ms Subscription plan SR IPL is specific to vascular indications. Up to ten applicators, but for vascular indications, there are two IPL applicators with SmartPulse (SR515 IPL and SR580 IPL). Viora V-IPL V-Nd:YAG V-Series Platform Line V-Series Platform Line 530 nm 1064 nm Up to 35 J/cm 2 Up to 450 J/cm ms ms Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. THE Aesthetic Guide May/June

124 Acne Tx Device Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories Aerolase LightPod Neo 650 ms Nd:YAG 1064 nm Up to 1272 J/cm µs 1.5 ms 30+ applications with single handpiece. No pain / no anesthetic needed, no consumables and no skin contact by handpiece. No routine maintenance. Portable (25 lbs.). All laser accessories, training and marketing package included. Alma Lasers, Ltd. Harmony XL Pro Pixel CO2 vshape EXELO2 AFT Pusled Light / Fractional Er:YAG Pixel / Nd:YAG Fractional CO2 System Pixel RF Fractional CO2 System nm / 2940 nm / 1320 nm 10,600 nm RF, mhz 10,600 nm Up to 25 J/cm 2 / 300 2,500 mj/p / 5 40 J/cm 2 70 W Up to 80 W 3 40 W 30, 40, 50 ms / short, medium, long / 30, 40, 50 ms CW Superpulse N/A ms plus CW Pixel tips are 11 mm 2 with 1 x 7, 7 x 7 and 9 x 9 arrays. Er:YAG tips are 1 mm and 4 mm. Nd:YAG: 6 mm tip. Pixel tips are 11 mm 2 with 1 x 7, 7 x 7 and 9 x 9 arrays, surgical handpieces are 50 mm and 100 mm. 25 mm Roller Tip, 12 mm stationary tip. Cutera excel V Laser 532 nm / 1064 nm Up to 300 J/cm 2 Up to 60 ms $165,000 DEKA Synchro REPLA:Y Excellium 3.4 SmartXide DOT Multi-Functional Platform Fractional CO2 with Scanner 755 nm Alexandrite / 1064 nm Nd:YAG / 500 nm, 520 nm, 550 nm, 600 nm, 650 nm 10,600 nm 63.5 J (max.) energy per pulse 125 W (max.) / 120 J (max.) energy per pulse 180 W (max.) 50 W max ms (single pulse); ms (double pulse) / ms (High Peak Mode); 2 50 ms (Standard Mode) 200 µs 80 ms Three light sources available. 180 W Nd:YAG laser. 125 W Alex laser. Operates at 3 Hz rep. rate with ability to emit two sub-pulses. Twelve laser handpieces (from 2.5 to 24 mm). Top-Hat spot size. Auto spot size recognition. FT pulsed light capability: five interchangeable snap-on filters. No disposables. Three scanning modes for optimal results (normal, interlaced, Smarttrack). New Smartpulse pulsed emission technology. Five Smartstack levels. The Hi-Scan computer pattern generator puts control in your hands. User selectable ablation and coagulation dwell time. Articulated arm and finger touch control Hi-Scan scanner. Fotona SP Dynamis XS Dynamis QX MAX SP Spectro XP Spectro XP Dynamis Nd:YAG / Er:YAG Er:YAG Nd:YAG Q-Switched / Long Pulse Nd:YAG / Er:YAG 1064 nm / 2940 nm 2940 nm Nd:YAG / Long Pulse 1064 nm Nd:YAG / Long Pulse 1064 nm 1064 nm, 532 nm, 585 nm, 650 nm 1064 nm / 2940 nm Up to 600 J/cm 2 Up to 500 J/cm 2 Up to 160 J/cm 2 Up to 600 J/cm 2 Up to 600 J/cm 2 Up to 600 J/cm ms ms 5 20 ns, 250 µs Accelera Pulse N/A ms ms F-Runner, fractional Er:YAG scanner: 250 µm spot size, 168 mm 2 Tx area. S-Runner, Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. S-11: Nd:YAG scanner: 42 cm 2 Tx area. Er:YAG handpieces: mm spot sizes; Nd:YAG handpieces: 2-20 mm spot sizes. F-Runner, fractional Er:YAG scanner: 250 µm spot size, 168 mm 2 Tx area. S-Runner, Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. Er:YAG handpieces: mm spot sizes. Handpieces: 2-8 mm spot sizes. F-Runner fractional Er:YAG scanner: 250 µm spot size, 168 mm 2 Tx area. S-Runner Er:YAG scanner: 4 mm spot size, 16 cm 2 Tx area. S-11 Nd:YAG scanner: 42 cm 2 Tx area. Er:YAG handpieces: mm spot sizes; Nd:YAG handpieces: 2-20 mm spot sizes. S-11 Nd:YAG scanner: 42 cm 2 Tx area. Nd:YAG handpieces: 2-20 mm spot sizes. Same as above. Quanta Aesthetic Lasers Forte Series EVO Light Series Multi-Application Platform Nd:YAG (pulsed) / IPL (opt.) IPL: AC nm 1320 nm / nm 5 15 J/cm 2 35 J/cm 2 / up to 25 J/cm ms 5 10 ms / up to 40 ms Portable, upgradeable with up to eight modules; five IPL handpieces, high-speed diode, Er:YAG and Nd:YAG. Advanced contact cooling with Sapphire waveguide cools to 12 C. Adaptive Pulse Control (APC) adjusts pulse sequence and energy for safe and effective Tx of all skin types. Air or contact skin cooling systems for pulsed lasers and optional IPL. Nd:YAG spot sizes: up to 16 mm. IPL spot sizes: 48 x 13 mm and 25 x 13 mm. Sciton JOULE ThermaScan BBLs BBL Contour TRL Laser and Light Platform Nd:YAG BroadBand Light BroadBand Light Tunable Resurfacing Laser (TRL) Various 1319 nm nm nm 2940 nm Up to 400 J/cm 2 Up to 30 J/cm 2 Up to 30 J/cm 2 Up to 30 J/cm 2 Up to 40 W ms, 1 10 sec Up to 200 ms Up to 200 ms Up to 200 ms Up to 50 ms Configurable up to ten modules. Computerized scanner; 30 x 30 mm Tx; integrated cooling. Table top system. SkinTyte II, 420, 515, 560, 590, 640, 695 nm filters, 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling. SkinTyte II, 420, 515, 560, 590, 640, 695 nm filters, 15 x 45 mm and 15 x 15 mm spot sizes, integrated cooling. Computerized scanner, smart user interface, MicroLaserPeel, Tunable Resurfacing Laser. Solta Medical, a division of Valeant Pharmaceuticals North America Isolaz 2 Acne Therapy Photopneumatic: Vacuum and Broadband Light nm Up to 60 J/cm 2 Up to 25 ms Protective eyewear for patient and physician. Small and large tips available to access different areas with ease. 400 or 580 nm options based on skin type; safe for all skin types. Venus Concept Venus Versa Multi-Application Platform: IPL with SmartPulse, NanoFractional RF with SmartScan, (MP) 2 Technology (combined Multipolar RF and Pulsed Electro Magnetic Fields). AC Dual IPL: nm, nm AC Dual IPL: 5 25 J/cm2 AC Dual IPL: ms Subscription plan AC Dual IPL is specific to acne treatment. Up to ten applicators, for acne treatment there is AC Dual IPL with SmartPulse. Viora V-IPL V-Series Platform Line 415 nm Up to 10 J/cm ms Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. 124 THE Aesthetic Guide May/June

125 Emerging Aesthetic Technologies Comparison Chart Supplier Product Technology Applications Price Advanced Tactile Imaging, Inc. Vaginal Tactile Imager, Model 2S Biomechanical Mapping Transvaginal, with report. $39,000 Alma Lasers, Ltd. PicoClear FemiLift/Pixel CO 2 Dual Wavelength Q-Switched Nd:YAG with Pico and Nano Modes; 1064 nm, 532 nm Fractional CO 2; Thermal CO 2; Pixel CO 2 Roller Resurfacing of vascular and pigmented lesions and tattoo removal. Intravaginal labia majora, skin and body (various handpieces). Biologica Technologies Allofill Adipose-Derived Allograft Injectable Filler Filling soft tissue defects. BTL Industries ULTRA Femme FLEX Applicator RF; EFC Selective RF Feminine rejuvenation. Deep tissue heating of smaller body areas. Collagen P.I.N. Collagen P.I.N. Automated Microneedling; Single-Use 36/30 Gauge or Single-Use 12/32 Gauge Needle Cartridges; Corded or Cordless; Lifetime/ Forever Warranty Fine lines, wrinkles, acne scars, post surgery scars, skin tightening and retexturizing. Induction Therapies specific post-microneedling products minimize complications and maximize results. Cutera trusculpt 3D Monopolar RF Body sculpting. $150,000 Eclipse Aesthetics, LLC Edge Systems LLC Eclipse MicroPen Elite Skinfinity RF Firma NEWA dep Patch Crazy Cool HydraFacial Perk Microneedling Non-Ablative RF Non-Ablative RF Non-Ablative RF Microcurrent Self-Cooling Mask Hydradermabrasion Hybrid Exfoliation Envy Medical SilkPeel Dermalinfusion Non-Invasive Exfoliation: Topical Infusion; Vacuum Improved appearance of fine lines, scars and texture. Improved appearance of fine lines, scars and stretch marks. Improved appearance of wrinkles and rhytides. Home-use RF to improve appearance of fine lines and wrinkles. Reusable microcurrent patches and mask for in-office and at-home use. Innovative exothermic mask that aids in patient comfort by cooling and hydrating. Non-invasive skin rejuvenation through patented 4-in-1 Vortex Technology. Reduces the appearance of fine lines, wrinkles, blemishes and hyperpigmentation. Targets sensitive zones including the delicate eye and lip areas through liquid exfoliation. Treatment vial transforms into take-home product for extended benefits. Skin resurfacing, hydration and rejuvenation. $2,995 Fotona IntimaLase 2940 nm Er:YAG with SmoothMode Feminine rejuvenation tightening of internal vaginal tissues. Ilooda Co., Ltd. Gynolaser Handpiece CO 2 Fractional; 10,600 nm; 30 W; ms Vaginal tightening and urinary incontinence. LASERING USA V-Lase Non-Fractional, Non-Ablative CO 2 Vaginal tightening, restore vaginal moisture, improve symptoms of SUI. Lumenis FemTouch CO 2 Vaginal rejuvenation. Lutronic Infini High Intensity Focused RF Skin tightening through wrinkle reduction. Med-Aesthetic Solutions, Inc. The SaltFacial L avantage SaltFacial Skin Renewal Therapy; Salt Exfoliation; Fusion (3 MHz Ultrasound); Rejuvenation (Multi-Wavelength; Multi-Panel LED with 1756 High Intensity LED Lamps) PerfAction Technologies, Ltd. Perigee Medical, Inc. Quanta Aesthetic Lasers Enerjet, Enerjet2.0 and AirGent2.0 Jeisys IntraCel NeuViVa Discovery PICO Series Forte Series Jet Volumetric Remodeling (JVR) Fractional RF Microneedling (FRM) CO 2 Picosecond with QuattroPulse emission modes (Picosecond, Q-Switched, OptiPulse, PhotoThermal); 1064 nm, 532 nm, 694 nm Multi-Application Platform: Diode, IPL, Er:YAG, Nd:YAG Uneven skin tone, acne, fine lines, wrinkles, stretch marks, sun damage, enlarged pores, age spots, skin lightening, rosacea, collagen reformation. Kinetic lifting, skin regeneration, skin tightening, scar repair: acne scars, keloid and hypertrophic scars, stretch marks, neck lines, dermal thickening and décolleté wrinkle reduction. Combination FRM bipolar, monopolar, and superficial RF skin treatment. Feminine rejuvenation. Tattoo removal. Treatment of benign pigmented lesions, wrinkles, acne scars and mild to moderate inflammatory acne. Hair removal, pigmented and vascular lesions, inflammatory acne, skin resurfacing, pseudofolliculitis barbae (PFB). Sciton diva 1470 nm / 2940 nm Hybrid Fractional Laser (Ablative and Non-Ablative) Syneron Candela Thermi, an Almirall Company Picoway PicoWay Resolve Profound CO 2RE Intima GentleTouch ThermiRF ThermiVa Thermi nm, 532 nm, 785 nm 1064 nm, 532 nm RF Microneedling CO nm + RF Temperature Controlled RF Temperature Controlled RF Temperature Controlled RF Improvement of vaginal tissue. Independently configurable delivery of both ablation and coagulation. High Precision Automation (HPA) Technology allows configurable treatment parameters with automatic energy delivery. Strengthened Quartz Dilator (SQD) optimized energy delivery by dilating tissue and providing 360º of laser energy. Tattoo and pigment removal. Fractional anti-aging and acne scar Tx. Neck, jowls and jawline contouring. Women s intimate health. Hair removal. Offers a myriad of soft tissue applications. Heats tissue in the vulvovaginal area. Temporary reduction in the appearance of cellulite. Viora V30 RF, IPL, YAG Body and facial contouring, skin therapy, skin rejuvenation, vascular lesions, pigmented lesions, hair removal, acne clearance. Viveve, Inc. Viveve System Cryogen-Cooled Monopolar RF Non-ablative soft tissue remodeling. Zarin Medical Juliet (MCL31) PiQo4 Cool (Short Pulse) and Warm (Long Pulse) Er:YAG Laser Four Wavelength System with Four Pulse Durations (two Q-switch and two picosecond); Up to 15.5 mm spot and 2,000 mj Feminine rejuvenation, wrinkles, scars, age spots. Removal of tattoos and pigmented lesions, low downtime fractional resurfacing with two wavelengths (1064 nm and 532 nm). Contact Zarin. Contact Zarin. Zimmer MedizinSystems ZWave ZCryo Ballistic Radial Pulse Cold Air (up to -30º C) Temporary reduction in the appearance of cellulite. Skin cooling pre, intra and post laser treatments without interfering with the laser beam. Minimizes pain and thermal injury during laser and dermatological treatments. Temporary topical anesthetic relief for injections. Can be used for hair removal, tattoo removal and skin rejuvenation procedures. Note: Data subject to change; please refer to Company Directory for supplier contact information. THE Aesthetic Guide May/June

126 Dermal Filler Product Comparison Chart Manufacturer Product(s) Key Component Description Physician Price Regulatory Status Adoderm VARIODERM Fine Line VARIODERM Basic VARIODERM Plus VARIODERM Subdermal VARIODERM Lips and Medium VARIODERM Mesolift VARIOFILL Body Contour Hyabell Lips Hyabell Basic Hyabell Deep Hyabell Ultra Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid 6 mg/ml; for superficial wrinkles and lip augmentation. 12 mg/ml; for medium wrinkles and lip contour. 18 mg/ml; for deep wrinkles and volume. 27 mg/ml; for volume augmentation and facial contouring. 12 mg/ml; special formulation for lip augmentation and medium wrinkles mg/ml; effective smoothing of superficial wrinkles. 10 ml; for various indications on the body surface. 12 mg/ml; for lip augmentation and lip contour. 16 mg/ml; medium wrinkles and lip contour. 20 mg/ml; deep wrinkles, especially of the face. 24 mg/ml; very deep wrinkles, face contouring, volumizing. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. CE marked, marketed in Europe and other countries. Allergan CosmoDerm CosmoPlast HydraFill Softline HydraFill Softline Max Juvéderm ULTRA 2 Juvéderm ULTRA 3 Juvéderm ULTRA 4 Juvéderm VOLUMA Juvéderm HYDRATE Purified Human-based Collagen + Lidocaine Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid + Lidocaine Non-animal Hyaluronic Acid Non-animal Hyaluronic Acid Purified human-based collagen 35 mg/ml. Purified human-based collagen 35 mg/ml, cross-linked with glutaraldehyde. *All collagen products contain 0.3% lidocaine. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. Non-animal, cross-linked cohesive hyaluronic acid 24 mg/g. *All Juvéderm ULTRA products contain 0.3% lidocaine. Non-animal, cross-linked cohesive hyaluronic acid 20 mg/g mg/g plus mannitol 0.9%; 1 x 1 ml syringe. $205 $235 $200 $225 $200 $225 $200 $225 $200 $225 $245 Worldwide Worldwide CE marked. CE marked. CE marked. CE marked. CE marked. CE marked for facial volume restoration. CE marked. Biologica Technologies Allofill Allograft Adipose Tissue Allograft adipose-based filler containing naturally occuring growth factors. FDA regulated as a HCT/P. Galderma Restylane Restylane Lyft Restylane Silk Restylane Refyne Restylane Defyne Sculptra Aesthetic NASHA XpresHAn Technology Injectable Poly L-Lactic Acid (PLLA) NASHA gel a non-animal hyaluronic acid, stabilized with BDDE. The differentiation is in the size of the NASHA particles, to assure a tissue-tailored range of products. Flexible gels with a concentration of 20 mg/ml, varied cross-linking that allows for flexibility and support with consistant textures and smoothness. Volumizer. Restylane is approved worldwide with the exception of Japan. FDA approved in December Approved as Emervel Classic and Emervel Deep outside of U.S. FDA approved. Merz Aesthetics Belotero Balance 22.5 mg/ml Radiesse Radiesse (+) Hyaluronic Acid CaHA CaHA Non-animal double phase cross-linked hyaluronic acid via biofermentation with CPM (Cohesive Polydensified Matrix) technology. Radiesse injectable implant is a sterile non-pyrogenic, semi-solid, cohesive implant, whose principle component is synthetic calcium hydroxylapatite suspended in a gel carrier of sterile water for injection, glycerin and sodium carboxymethyl cellulose (1.5 cc, 0.8 cc). Radiesse (+) injectable implant is an opaque, sterile non-pyrogenic, semi-solid, cohesive implant, whose principle component is synthetic calcium hydroxylapatite suspended in a gel carrier of glycerin, sodium carboxymethyl cellulose 0.3% lidociane hydrochloride and sterile water for injection (1.5 cc, 0.8 cc). CE marked in Europe. FDA approved. CE marked in Europe. FDA approved. Suneva Medical Bellafill Purified Bovine Collagen and PMMA 80% purified bovine collagen and 20% polymethylmethacrylate (PMMA) microspheres and 0.3% lidocaine. FDA approved for the correction of nasolabial folds and moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years. Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. 126 THE Aesthetic Guide May/June

127 Physician-Dispensed Topicals Comparison Chart Manufacturer / Supplier Acne Tx Collagen Stimulation Exfoliation Firming Peel Post-Procedure Tx Scar Reduction Skin Lightening Sun Protection Wrinkle Reduction Website ALASTIN Skincare AQ Skin Solutions Biopelle, Inc. Collagen P.I.N. / Induction Therapies / COSMED Dermaceuticals DefenAge Skincare Eclipse Aesthetics Envy Medical Epionce Newmedical Technology, Inc. / Obagi Medical, a division of Valeant Pharmaceuticals North America Oxygenetix Regenica by Suneva Medical, Inc. Sesderma USA / SkinMedica, an Allergan Company Syneron Candela Note: Data subject to change; please refer to Company Directory for supplier contact information. THE Aesthetic Guide May/June

128 Body Shaping Technologies Comparison Chart Manufacturer Device Energy Source Mechanism of Action Regulatory Status (Europe and USA) Alma Lasers, Ltd. VShape Ultra Alma Ultra Soprano ICE ClearTite HarmonyXL ClearTite LipoLife XP-2 Focus XP Dynamis SP Spectro XP Spectro BodyFX Bipolar (with focused RF technology); UniPolar (with focused RF technology); UniForm; Pixel RF Ultra; Bipolar (with focused RF technology); UniPolar (with focused RF technology); UniForm; Pixel RF Near-Infrared Pulsed Near-Infrared 980 nm / 1470 nm Heat generated by tissue resistance (impedance) to radiofrequency induced current. Acoustic pressure selectively destroys the fat cells with a combination of focused RF technology. Heat-induced collagen shrinkage and micro-thermal injury. Same as above. Patented 360º lipolysis technology with simultaneous lasing and suction capabilities. CE cleared. FDA cleared. CE cleared. FDA pending. CE cleared. FDA cleared. CE cleared. FDA cleared. CE cleared. FDA cleared. Price BTL Industries, Inc. BTL Exilis Elite BTL Vanquish ME Exilis Ultra BTL Cellutone Focused Radiofrequency Selective Radiofrequency Focused RF and Ultrasound Mechanical Vibration Focused RF energy with variable surface cooling delivers precise volumetric heating of tissue for wrinkles, laxity, cellulite and body contouring. Exilis patented applicators deliver maximum thermal effect without costly consumables. Proprietary Selective Field RF with broad field applicator delivering uniform energy for circumferential reduction of the abdomen. Simultaneous delivery of Focused RF and Ultrasound energy with variable surface cooling delivers precise volumetric heating of tissue for wrinkles, laxity, cellulite and body contouring. Exilis patented applicators deliver maximum thermal effect without costly consumables. Transmits pulses of oscillating waves into the treatment area CE cleared. FDA cleared. CE cleared. FDA cleared. CE cleared. FDA cleared. CE cleared. FDA cleared. without any skin damage. Cutera trusculpt 3D Monopolar RF Selective, targeted heating of the subcutaneous tissue. CE cleared. FDA cleared. $150,000 Eclipse Aesthetics Firma Non-Ablative RF Concentrated radiofrequency. FDA cleared for the reduction Contact of wrinkles and rhytides. Eclipse ZWave Electromagnetic Ballistic Radial Pulse Mechanical impact. FDA Class 1 exempt. Contact Eclipse Fotona SP Dynamis Nd:YAG 1064 nm, Er:YAG 2940 nm Laser assisted lipolysis, treatment of wrinkles; Photothermal - CE cleared. FDA cleared. heat generated by laser light. Nd:YAG 1064 nm Same as above. CE cleared. FDA cleared. Nd:YAG 1064 nm Same as above. CE cleared. FDA cleared. Nd:YAG 1064 nm, Er:YAG 2940 nm Same as above. CE cleared. FDA cleared. Nd:YAG 1064 nm Same as above. CE cleared. FDA cleared. InMode RFAL Bipolar Radiofrequency, Negative Pressure, Mechanical Massage, Ace Technology Lutronic ACCUSCULPT Pulsed Nd:YAG: 1444 nm (12 W, 300 mj, 40 Hz) RF Targets fatty tissue for body and cellulite Tx. RF provides precise, optimal heating of skin for contraction and body shaping using A.C.E. (Acquire, Control, Extend) technology to optimize maximal energy. Vacuum massage with gentle pressure allows maximum depth. Tissue temperature and impedance monitoring achieves and maintains optimal Tx temperature endpoints for enhanced safety and reduced risk of thermal injury. No consumables. RF assisted lipolysis. Dual electrode configuration allows both internal coagulation (fat) and external skin contraction. ACE technology prevents overheating. The 600 µm optical fiber-delivered 1444 nm achieves interstitial lysis of target adipocytes through photothermal and photomechanical mechanisms. High duality of absorption of 1444 nm in fat and water ensures powerful photothermal destruction in target fat aided by tumescent approach, providing safety for overlying tissues through thermal confinement phenomenon. Extremely high peak powers and 100 µs pulse width create an explosive reaction in water at the fiber tip, causing cell membrane destruction through photomechanical stress. Ideal for laser-assisted facial contouring and fat deposits on the body. CE cleared. FDA cleared. CE cleared. FDA cleared. CE cleared. FDA cleared. KFDA cleared. Perigee Medical Current Beauty Futura Pro Ultrasound / Electrical Current Sonophoresis and Transtim electrical. 510(k). Contact Pergiee Sciton SkinTyte II ProLipo PLUS Deep dermal heating to stimulate new collagen production. Laser-assisted destruction of fat cells and collagen remodeling. CE cleared. FDA cleared. CE cleared. FDA cleared. Solta Medical, a division of Valeant Pharmaceuticals North America Syneron Candela CelluSmooth Thermage CPT Liposonix VASERlipo VASERshape PowerX VelaShape II VelaShape III UltraShape UltraShape Power Infrared Light 1319 nm Nd:YAG / 1064 nm Nd:YAG 1319 nm Monopolar RF coupled with Patented monopolar delivery enables RF energy to penetrate advanced Comfort Pulse Technology deep into the dermis and subcutaneous tissue to tighten existing collagen and stimulate new growth. High-Intensity Focused Ultrasound (HIFU) Ultrasound Non-Invasive Ultrasound and Massage Power-Assisted Liposuction Bipolar RF, Infrared Light and Mechanical Massage Bipolar RF, Infrared Light and Mechanical Massage Selective Pulsed Focused Ultrasound Selective Pulsed Focused Ultrasound Cutting fibrous septae, emulsifying fat and tightening the dermis CE cleared. FDA cleared. to improve the appearance of lumpy and dimpled skin. CE cleared. FDA cleared for non-invasive Tx of wrinkles and rhytides; incl. upper / lower eyelids; temporary improvement in appearance of cellulite (with vibration). Non-invasive fat reduction system utilizing state-of-the-art CE cleared. FDA cleared. U.S.: HIFU to permanently destroy subcutaneous adipose tissue Indicated for non-invasive waist and provide Custom Contouring capabilities. Intended use and circumference reduction (i.e., indications for use: The Liposonix system delivers HIFU energy abdomen and flanks). E.U.: that can disrupt subcutaneous adipose tissue (SAT) to provide a Indicated for trunk and lower non-invasive approach to body contouring to achieve a desired extremities excluding the lower aesthetic effect. leg (i.e., abdomen, flanks, hips, thighs and buttocks). Canada: Indicated for abdomen, flanks, hips, thighs and buttocks. CE cleared. FDA cleared. Ultrasonic energy selectively emulsifies fatty tissue through Acoustic Streaming, while preserving nerves, blood vessels, collagen and fat cell viability. Emulsified fat is removed via specially designed, atraumatic, suction cannulas. Small vacuum-assisted massage handpiece coupled with an ultrasound transducer directs a double beam of 1 MHz ultrasound energy to shape the body by temporarily reducing the appearance of cellulite. A powered handpiece on the VASERlipo system rotates the attached cannula based on predetermined angle and speed settings, allowing physicians to quickly debulk large areas of fat and reduce physician fatigue. CE cleared. FDA cleared. CE cleared. FDA cleared. Combined energies known as elōs precisely target and heat fatty tissue within treatment area. Vacuum and tissue manipulation evens out skin to reveal a smoother, tighter figure. CE cleared. FDA cleared. Combination of modalities: IR heats tissue up to 3 mm in depth, CE cleared. FDA cleared bipolar RF heats tissue up to 15 mm in depth and vacuum for temporary reduction in technology ensures precise delivery of energy, and causes deep circumference of the heating of the adipocytes, their surrounding connective fibrous septae and the underlying dermal collagen fibers. Efficient abdomen and thighs, and the appearance of cellulite. heating of the adipocytes is achieved by higher output of the RF. Mechanical, non-thermal ultrasound. Mechanical, non-thermal ultrasound. CE cleared. FDA cleared. CE cleared. FDA cleared. Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. 128 THE Aesthetic Guide May/June

129 Body Shaping Technologies Comparison Chart Manufacturer Device Energy Source Mechanism of Action Regulatory Status (Europe and USA) Thermi ThermiRF Temperature Controlled RF Temperature Controlled RF used in general surgical procedures FDA cleared. for electrocoagulation and hemostasis and to create lesions in nerve tissue. FDA cleared. Thermi250 Temperature Controlled RF Temperature Controlled RF to provide temporary reduction in the appearance of cellulite. Price Venus Concept Venus Versa Venus Legacy Multi-Technology, Multi-Application Platform: Multipolar RF and Pulsed Electro Magnetic Fields Multipolar RF and Pulsed Electro Magnetic Fields Proprietary (MP) 2 technology combines multipolar RF and pulsed electromagnetic fields with real-time thermal feedback technology for effective cellulite reduction, body contouring, skin tightening and wrinkle reduction. Proprietary (MP) 2 technology combines multipolar RF and pulsed electromagnetic fields with real-time thermal feedback technology and VariPulse, an adjustable pulsed suction feature, for effective cellulite reduction, body contouring, skin tightening and wrinkle reduction. Received FDA clearance, CE mark, Health Canada License. Received FDA clearance, CE mark, Health Canada License. Subscription plan Subscription plan Viora Reaction: V10, V20, V30, V-FORM, V-ST RF Lipolysis induced via multi-channel RF. CE cleared. FDA cleared. ZELTIQ CoolSculpting Cryolipolysis Non-invasively reduces fat through exclusively licensed Cryolipolysis-based technology. Cryolipolysis is based on the principle that fat cells are more vulnerable to energy extraction (cooling) than surrounding tissues. A non-invasive applicator is attached to the targeted procedure area to extract energy from the underlying fat tissue, while protecting the skin, nerves, muscles and other tissue. The cooled fat cells undergo apoptosis (controlled cell death) and are gradually eliminated (phagocytosis), reducing the thickness of the fat layer. CE cleared, Class IIA. FDA cleared. Zimmer MedizinSystems ZWave Electromagnetic Ballistic Radial Pulse Mechanical impact: radial pulse technology temporarily CE cleared. FDA cleared. reduces the appearance of cellulite. Electromagnetic generator creates ballistic force that is transferred to the applicator. Pulsed radial wave therapy is delivered to the treatment area for cellulite Tx and enhanced body shaping. Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. Fractional Technologies Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories Aerolase LightPod Era Er:YAG 2940 nm Up to 1400 mj 300 µs No per treatment consumables and no skin contact by handpiece. No service contracts. Portable (22 lbs.). All laser accessories, training and marketing package included. Alma Lasers, Ltd. Harmony XL Pro Platform Pixel CO2 VShape EXELO2 BURANE Pulsed UV Light / AFT Pulsed Light / IN-Motion AFT Pulsed Light / Pulsed NIR / Alexandrite / Q-Switched Nd:YAG with KTP / Nd:YAG / Pixel 2940 Er:YAG / ClearLift Q-Switched /Nd:YAG / Dye-SR AFT Pulsed Light / Dye-VL AFT Pulsed Light Fractional CO2 System Pixel RF Fractional CO2 System Er:YAG UVB / UVA, nm / nm, nm, nm / Near-Infrared / Near-Infrared / 755 nm / 532 nm, 1064 nm / 1064 nm, 1320 mm / 2940 nm / 1064 nm / nm / nm 10,600 nm RF, mhz 10,600 nm 2940 nm 2,000 5,000 mj/cm 2 / 30 J/cm 2, 30 J/cm2, 30 J/cm2 / 5 20 J/ cm 2, 1 7 J/cm 2 / 1 7 J/cm 2 / 1 32 J/cm 2 / mj/p / J/cm 2, 5 40 J/cm 2 / 300 2,500 mj/p / up to 1200 J/cm 2 / up to 15 J/cm 2 / up to 30 J/cm 2 Up to 70 W Up to 80 W 3 40 W Up to 2.5 J 30, 40, 50 ms / 10, 12, 15 ms, 10, 12, 15 ms, 10, 12, 15 ms / 30, 40, 50 ms, 1, 3, 30 sec / 10, 30, 90 sec / 3 ms / 20 ns / 10, 15, 45, 60 ms, 30, 40, 50 ms / Short, Medium, Long / 20 ns / 10, 12, 15 ms / 5, 10, 25 ms CW Superpulse N/A ms plus CW Up to 260 ms AFT Pulsed: contact cooled version or non-cooled module options. IN-Motion AFT: contact cooled version or non-cooled module options. Pulsed NIR: ST module with large 40 x 16 mm spot. Alexandrite: 5 mm and 8 mm tips. QS Nd:YAG: 3 mm and 5 mm tips. Nd:YAG: 2 mm, 6 mm and 10 mm tips with contact cooling; 1320 nm: 6 mm tip. Pixel 2940: Pixel tips are 11 mm 2 with 1 x 7, 7 x 7 and 9 x 9 arrays. Erbium tips are 1 mm and 4 mm. ClearLift QS: 5x5 tip. Pixel tips are 11 mm 2 with 1 x 7, 7 x 7 and 9 x 9 arrays, surgical handpieces are 50 mm and 100 mm. 25 mm Roller Tip, 12 mm stationary tip. Variable, 1-6 mm; 7 x 7 fractional handpiece. SINON Cutera xeo pearl xeo pearl fractional Ruby Q-Switched 694 nm 2 14 J/cm 2 20 ns YSGG YSGG 2940 nm 2940 nm Up to 3.5 J/cm 2 <400 mj 1000 µs 1000 µs $113,000 $113,000 DEKA SmartXide DOT Fractional CO2 with Scanner 10,600 nm 50 W max. 200 µs 80 ms Three different scanning modes for optimal results (normal, interlaced, Smarttrack). New Smartpulse pulsed emission technology. Five Smartstack levels. The Hi-Scan computer pattern generator puts control in your hands. User selectable ablation and coagulation dwell time. Articulated arm and finger touch control Hi-Scan scanner. Eclipse Aesthetics Eclipse Skinfinity RF Fractional Ablative N/A N/A W Ever Pulse Rollers and reusable stamp. Fotona SP Dynamis XS Dynamis Nd:YAG / Er:YAG Er:YAG 1064 nm / 2940 nm 2940 nm Up to 600 J/cm 2 Up to 500 J/cm ms ms F-Runner, fractional Er:YAG scanner: 250 µm spot size, 168 mm 2 Tx area. Er:YAG handpieces: mm spot sizes. Same as above. Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. THE Aesthetic Guide May/June

130 Fractional Technologies Comparison Chart Supplier Product Name Device Type Wavelength (nm) Energy Output (Joules) Pulse Length Price Accessories InMode Fractora Bipolar Fractional Radiofrequency RF Up to 62 mj/pin Up to 2 pps Variable pin configurations (20, 24 coated, 24, 60, 126) and Tx depths allow for a Designer Dermis approach to treatment. Safe on ethnic skin. No pulse counter limitations. LASERING USA SLIM E30 MiXto SX SLIM EVOLUTION II MiXto PRO CO2 CO2 10,600 nm 10,600 nm W W ms ms Patented chopped CW fractional scanner system; 20 x 20 mm, 180 and 300 micron scanning handpieces, full range of cutting handpieces, micromanipulator and GYN handpiece for vaginal rejuvenation. No disposables. Patented chopped CW fractional scanner system; 20 x 20 mm, 180 and 300 micron scanning handpieces, full range of cutting handpieces, universal micromanipulator and GYN handpiece for vaginal rejuvenation. No disposables. Lumenis UltraPulse (with ActiveFX, DeepFX, TotalFX and SCAAR FX) AcuPulse MultiMode M22 ResurFX Fractional and Full Ablative CO2 Fractional CO nm Erbium Fiber Laser 10,600 nm 10,600 nm 1565 nm Proprietary, unique UltraPulse technology: up to 225 mj per single pulse (short pulse duration). Avg. power up to 60 W, peak power up to 240 W Average power up to 40 W, peak power up to 200 W mj per micro-beam Unique 225 mj in less than 2 ms SuperPulse pulses less than 0.3 ms N/A Two scanners: CoolScan (CPG) delivers UltraPulse telecentric, collimated scanning with 1.3 mm spot size. DeepFX microscanner delivers energy with 0.12 mm spot size, up to 4 mm penetration depth. Collimated single spot energy delivery and focused incisional handpieces. SCAAR FX fractional mode delivers 150 mj per pulse, deep treatment up to 4 mm in a single pulse and optimal ablation/coagulation ratio. 34 FDA cleared aesthetic indications. Ten modes: FeatherTouch, SilkTouch, FineTouch, ToeTouch, Paint, Superficial, Deep, Combo, StretchTouch and Bleph. Two scanners: AcuScan120 for fractional resurfacing and SurgiTouch for full resurfacing. Three handpieces for use with SurgiTouch scanner and one incisional handpiece. 34 FDA cleared indications. Single pass CoolScan scanner for non-sequential scanning, continuous contact cooling for increased patient comfort and protection of epidermis. No disposables; 600 combinations of shape, size and density. Quanta Aesthetic Lasers YouLaser CO2 Fractional and Full Ablative CO2 10,600 nm Up to 30 W ms Advanced, lightweight scanner is ergonomically designed with the clinician in mind and has nine different fractional patterns that vary in shape, size and density of spot. Making it a device for use on the face with minimal patient downtime. Metal RF excited tube provides greater stability and reliability over glass tubes. Rohrer Aesthetics, LLC Phoenix CO2 Laser CO2 10,600 nm Adjustable up to 200 mj/point Adjustable up to 20 ms $34,995 Incisional handpiece and ergonomic, microthermal zone scanner. Pixelated scanner features unique scanning technology to customize treatment for individual patients. 30 mm x 30 mm pattern size allows resurfacing of both hands in under 2 minutes. Can also be used to improve vaginal health. Sciton ProFractional Halo diva Solta Medical, a division of Valeant Pharmaceuticals North America Fraxel DUAL 1550/1927 Laser System Fraxel re:pair Laser System Er:YAG Hybrid Fractional Laser (ablative and non-ablative) Hybrid Fractional Laser (ablative and non-ablative) Fractional Laser with Zimmer Cryo 6 Skin Cooling System CO2 Fractional Laser 2940 nm 1470 nm / 2940 nm 1470 nm / 2940 nm 1550 nm / 1927 nm 10,600 nm Up to 400 J/cm mj/mtz / 50 mj/mtz 150 mj/mtz, 200 mj/mtz Up to 70 mj /MTZ (1550 nm) / 20 mj / MTZ (1927 nm) Up to 70 mj/mtz Variable Up to 5 ms Up to 5 ms N/A N/A $129,000 $139,000 Expandable module/density 1.5% to 26%. Delivery of ablative and non-ablative wavelengths in single pass. Dynamic Thermal Optimization (DTO) for precise energy delivery. Roller tip adaptors; optical navigation; integrated Zimmer cooling advanced mode for precise and independent control of depth and density. Preprogrammed modes and integrated smoke evacuation system. Hybrid Fractional Laser Technology for the improvement of vaginal tissue. Independently configurable delivery of both ablation and coagulation. High Precision Automation (HPA) Technology allows configurable treatment parameters with automatic energy delivery. Strengthened Quartz Dilator (SQD) optimized energy delivery by dilating tissue and providing 360º of laser delivery. Intelligent Optical Tracking System (IOTS); single operator cooling. FMDA: 600 micron (superficial treatments); FDDA: 135 micron (deep treatments); 0.2 mm surgical incisional handpiece; 2.0 mm surgical ablative handpiece. Venus Concept Venus Versa Venus Viva Zarin Medical Juliet (MCL31) SmartXide DOT RF Microneedling Multi-Application Platform: IPL with SmartPulse, NanoFractional RF with SmartScan, (MP) 2 Technology (combined Multipolar RF and Pulsed Electro Magnetic Fields). Fractional RF Er:YAG (short / long pulse) CO2 Fractional RF N/A N/A 2940 nm 10,600 nm RF 1 MHz, 460 khz; 160 pins with 62 mj/pin RF 1 MHz, 460 khz; 160 pins with 62 mj/pin Up to 2.5 J 250 W peak, 50 W average 70 W N/A N/A µs 150 µs 2,000 ms Up to 950 ms Subscription plan Subscription plan Contact Zarin Contact Zarin Contact Zarin NanoFractional RF with SmartScan has fully tunable coagulation and ablation. Up to ten applicators, for fractional resurfacing there is the NanoFractional RF applicator with SmartScan with multitreatment, single-use tips. Fully tunable coagulation and ablation. Two applicators: NanoFractional RF with SmartScan with multi-treatment, single-use tips, and DiamondPolar (pending FDA clearance). Multiple fractional and non-fractional handpieces that are FDA cleared for dermatology, plastic surgery, oral surgery, ENT, gynecology, general surgery, ophthalmology and podiatry. Integrated smoke evacuation with HEPA filtration. Variable pitch (density) and dwell (pulse duration). Fractional (200 micron 2 mm spacing) and non-fractional scanner with adjustments on the handpiece for easier operation. Multiple incisional, excisional and ablative handpieces and accessories. Variety of needles according to application: mm depth; coated and uncoated (for various skin depths and to deliver energy to various depths); 25 (5x5) and 36 (6x6). Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated. 130 THE Aesthetic Guide May/June

131 THE Aesthetic Show 2017 Program Pre-Show Educational Session THURSDAY, JULY 6, 2017 View Main Program Regenerative Aesthetics Symposium 9:00 am 6:00 pm Meeting Room: Latour 5 NEW THE Aesthetic Show is adding a dynamic pre-show session focused on Regenerative Aesthetics, an emerging interdisciplinary field of research for developing evidence-based anti-aging applications. This symposium centers on the restoration, replacement and/or rejuvenation of tissues for antiaging purposes. Regenerative Aesthetics includes stem cell-based solutions, microfat grafting and volumization technologies, tissue re-engineering, DNA / RNA therapies, platelet-rich plasma (PRP), platelet-rich fibrin (PRF), stromal vascular fraction (SVF), growth factors and more. Moderators: Mark Berman, M.D. and Steven Cohen, M.D. Expert Faculty: Shino Bay Aguilera, D.O., Mark Berman, M.D., Sean Berman, Bülent Cihantimur, M.D., Steven Cohen, M.D., Jason Emer, M.D., Richard Goldfarb, M.D., Anil Rajani, M.D., Farhan Taghizadeh, M.D., George Taylor, M.D., Nikolay Turovets, Ph.D., Ryan Welter, M.D., Ph.D., Allan Yang Wu, M.D. Lecture topics include: The new panorama of microfat and SVF applications Stem cell therapy and PRP / PRF myth or reality? Using biologics in the treatment of androgenetic alopecia Micronized fat transfer technologies and techniques Fat grafting versus adipose-derived stem cells (ADCs) for rejuvenation Harnessing the power of growth factors for tissue rejuvenation How to successfully add regenerative aesthetic treatments to your practice *Program schedule and faculty subject to change. Injectables Course 101 NEW 9:00 am 1:00 pm Meeting Room: Chambertin 2 THE Aesthetic Show presents a new injectables training course for beginner injectors. This course will focus on the basic science of neurotoxins and dermal fillers, safe injection techniques, proper patient facial evaluation and anatomy, safety protocols, pre/post-procedure steps and more. The Injectables Course 101 is designed to build your confidence as an injector and enable you to safely and confidently inject patients once you return to your practice. Moderator: Nasir Mohammedi, M.D. Expert Faculty: Gregory Buford, M.D., Rich Castellano, M.D., Craig Mezrow, M.D., Nasir Mohammedi, M.D., Lori Robertson, M.S.N., F.N.P.-C., Edward Zimmerman, M.D. Lecture topics include: A discussion of the history, safety and preparation of neurotoxins and dermal fillers Official FDA indications for the most widely used neurotoxins and dermal fillers Categories and types of neurotoxin and dermal filler products Pertinent facial neuro vascular and muscular anatomy needed for appropriate treatments Facial analysis techniques Patient selection process Safe and proper injection techniques How to achieve safe and predictable outcomes Patient consultation techniques Practice safety pearls to avoid legal downfalls Growing your practice revenues with injectables *Program schedule and faculty subject to change. #TAS2017 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV 131

132 THE Aesthetic Show 2017 Program Pre-Show Educational Session THURSDAY, JULY 6, 2017 THE Art of Male Aesthetics Symposium* 9:00 am 6:00 pm THE Aesthetic Show presents THE Art of Male Aesthetics symposium featuring thought leaders who have advanced this rapidly emerging field. This full day course will cover all aspects of the dynamic and fast growing male aesthetics sector from patient consultation approaches to clinical treatment methods and options. Attendees will have the opportunity to learn the most progressive techniques and exclusive secrets to success from the top experts in this field. In addition, a portion of this course is devoted to live demonstrations of the latest technologies used in these emerging procedures. Meeting Room: Margaux 1 Moderators: Joseph Niamtu, III, D.M.D. and Angelo Cuzalina, M.D. Expert Faculty: Andre Berger, M.D., Angelo Cuzalina, M.D., Jason Emer, M.D., Richard Goldfarb, M.D., J.D. McCoy, N.M.D., Gregory Mueller, M.D., Joseph Niamtu, III, D.M.D., Paul Perito, M.D., Craig Ziering, M.D., Edward Zimmerman, M.D. Lecture topics include: The role of non-invasive body shaping as a priority gateway procedure for men Technical approaches to facial rejuvenation that avoid feminization Minimally and non-invasive energy-based skin rejuvenation treatments Optimizing success with non-surgical gynecomastia Penis enhancement without complications via injectables Emerging technologies and treatments that appeal to the male patient Understanding how to achieve desirable body contouring objectives Hair restoration for men Dealing with the expectations and clinical goals of transgender patients Growing your practice revenues via male-oriented procedures and marketing 8:30 am Registration and Breakfast 9:00 am 9:30 am The Male Aesthetic: What Men Want in :30 am 10:00 am Hair Restoration for Men 10:00 am 10:30 am Update on the Manshot 10:30 am 11:00 am Role of Hormonal Optimization in the Male Patient: The Synergy of Feeling Good and Looking Good 11:00 am 11:15 am Break 11:15 am 11:45 am Male Sexuality, Sexual Dysfunction and Aesthetics 11:45 am 12:15 pm Penile Prosthetics in Aesthetics 12:15 pm 12:45 pm Understanding the Male Facial Anatomy 12:45 pm 1:00 pm Q & A 1:00 pm 2:00 pm Lunch 2:00 pm 2:30 pm Delivering Aesthetic Treatments Men Want 2:30 pm 3:00 pm Live Demonstrations 3:00 pm 3:30 pm Treatment of Erectile Dysfunction in 100 Men Using Low Intensity Shock Wave Therapy, Platelet-Rich Fibrin Matrix and Amniocytes 3:30 pm 3:45 pm Q & A 3:45 pm 4:00 pm Break 4:00 pm 4:30 pm How to Market to the Male Patient 4:30 pm 5:00 pm Gynecomastia Surgery Made Simple 5:00 pm 6:00 pm Panel Debate *Program schedule and faculty subject to change. 132 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV #TAS2017

133 THE Aesthetic Show 2017 Program Pre-Show Educational Session THURSDAY, JULY 6, 2017 THE Art of Feminine Rejuvenation Symposium* 9:00 am 6:00 pm THE Aesthetic Show presents THE Art of Feminine Rejuvenation symposium featuring the thought leaders who developed this rapidly emerging field. This full day course will cover all aspects of non-invasive and minimally invasive vulvovaginal rejuvenation procedures using energy-based systems and other approaches. Attendees will have the opportunity to learn the latest, most advanced techniques and exclusive tips from experts. In addition, a portion of this course is devoted to live demonstrations of the latest technologies used in these emerging procedures. Meeting Room: Latour 3 Moderator: Oscar Aguirre, M.D. Expert Faculty: Oscar Aguirre, M.D., Red Alinsod, M.D., Russell Bartels, M.D., Bülent Cihantimur, M.D., Kimberly Evans, M.D., Evgenii Leshunov, M.D., Marco Pelosi, II, M.D., Marco Pelosi, III, M.D., Edward Tangchitnob, M.D., Sherry Thomas, M.D., Patricia Wallace, M.D., Cheryl Whitman, Edward Zimmerman, M.D. Lecture topics include: Laser vaginal rejuvenation and the concept of vulvovaginal beauty Minimally invasive energy-based treatments as an adjunct to surgical vaginal repair Treating stress urinary incontinence with energy-based devices Labia majora augmentation, including labial or clitoral hood issues The successful treatment of atrophic vaginitis Labia reduction and contouring for improved appearance or balance, including the use of fat injections The G-Spot Connection: Vaginal surgery and sexual satisfaction Non-surgical vulvovaginal rejuvenation using radiofrequencybased systems Controversies in aesthetic vulvovaginal surgery Managing patient expectations following cosmetic vulvar procedures Growing your practice revenues with feminine rejuvenation 8:30 am Registration and Breakfast 9:00 am 9:30 am Talking to Patients About Vaginal Rejuvenation 9:30 am 10:00 am Feminine Rejuvenation and Your Bottom Line 10:00 am 10:30 am Newest Revelations and Outcomes with ThermiVa RF 10:30 am 11:00 am Genital Beautification: A Concept That Offers More Than Reduction of the Labia Minora 11:00 am 11:15 am Break 11:15 am 11:45 am Clinical Pearls for Alma Lasers FemiLift: Why Alma is a Market Leader 11:45 am 12:15 pm Selecting the Right Technology for the Issue and the Tissue 12:15 pm 12:45 pm Patient Selection for Vaginal Rejuvenation: The Key to Success 12:45 pm 1:00 pm Q & A 1:00 pm 2:00 pm Lunch 2:00 pm 2:30 pm Alma Lasers FemiLift: My Secret Formula for Success 2:30 pm 3:15 pm Live Demonstrations 3:15 pm 3:45 pm Dermoelectroporation for Vulvar Lightening and Plumping 3:45 pm 4:00 pm Break 4:00 pm 4:30 pm Long-Term Durability of Feminine Rejuvenation 4:30 pm 5:00 pm How to Integrate Cosmetic Gynecology in an Aesthetic Practice 5:00 pm 5:30 pm In-Office Non-Invasive Mons Pubis and Labia Majora Rejuvenation Techniques 5:30 pm 6:00 pm New Advances and Techniques using RF and Laser for Feminine Rejuvenation *Program schedule and faculty subject to change. #TAS2017 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV 133

134 THE Aesthetic Show 2017 Program Pre-Show Educational Session THURSDAY, JULY 6, 2017 THE Certified Aesthetic Consultant Fast Track Certification Program Advanced Techniques for Practice Success Level XI* Meeting Room: Margaux 2 View Main Program THE Aesthetic Show presents THE Certified Aesthetic Consultant Certification Program Level XI. Designed as a highly-structured, interactive and intensive one-day platform with the most up-to-date information on legal requirements, regulations, technology, Google algorithms and business plans. Participants will have the opportunity to take an examination at the conclusion of the show to receive their level XI certification. Instructors will be drawn from THE Aesthetic Show faculty including experts in practice marketing, patient counseling and executive office management. This is the only current and continuously updated certification program in the aesthetic industry. Session Moderator: Jay Shorr Expert Faculty: Monica Berlin, Ron Hartley, Joseph Niamtu, III, D.M.D., Darren Seigel, Esq., Eva Sheie, Jay Shorr, Mara Shorr, Kelly Smith, Greg Washington, Sr. 8:30 am Registration and Breakfast 9:00 am 11:00 am Session I: Advanced Marketing Techniques Faculty: Darren Seigel, Esq., Eva Sheie, Greg Washington, Sr. At the conclusion of this session participants should be better able to: Examine their personalized brand and determine how to modify or build their reputation Advance the practice s positioning in the local market see how you compare to your competition and how to gain more visibility Improve the success of their internet and digital activities Create a more powerful social media marketing plan understanding the current platforms and how to achieve results Analyze the success of their invertizing and advertising activities to recruit and convert additional patients the right tools to determine your consult to conversion ratio Track and improve all aspects of patient conversion rates how to track conversions from existing patient base, website, telephone, social media and external marketing 11:00 am 11:15 am Break 11:15 am 1:00 pm Session II: Advanced Practice Metrics Faculty: Jay Shorr, Mara Shorr, Kelly Smith At the conclusion of this session participants should be better able to: Implement the best tactics to reduce taxes and improve efficiency in benefit planning Develop systems to identify return on investment (ROI) Apply ROI formulas to all aspects of practice profit and loss the truth behind fixed and variable costs Analyze pricing strategies to improve profit how to determine true profitability, from marketing to consult to conversion Minimize waste and excess cost in practice the power of obtaining the best wholesale prices for supplies and services Apply effective negotiation tactics to lower costs 1:00 pm 2:00 pm Lunch 2:00 pm 3:45 pm Session III: Advanced Counseling Skills Faculty: Monica Berlin, Joseph Niamtu, III, D.M.D. Through the use of role play and feedback, participants will learn to improve their customer service methods when dealing with the following types of patients: The new patient where did they come from The undecided patient how to close the sale The upset patient overcome objections and offer a solution The negotiator promote quality over low price The shopper show why your practice has more value The VIP patient not always your most profitable, but always your most loyal The red-flag patient learn what to avoid The easy / moderate / hard to upsell patient win them over with your smile 3:45 pm 4:00 pm Break 4:00 pm 6:00 pm Session IV: Management Skills Faculty: Ron Hartley, Jay Shorr, Mara Shorr At the conclusion of this session participants should be better able to: Deal with the most common performance-related problems Improve team performance starting from the top down Coach and counsel employees for higher levels of performance Conduct a performance review learn the proper format and timing Incentivize key staff create a program within state guidelines Understand the most common legal and risk management issues that confront aesthetic practices and how to avoid them know the laws and regulations in your state *Program schedule and faculty subject to change. 134 THE THE Aesthetic Show May July The Mirage Wynn Resort Las Vegas, Las Vegas, NV NV #TAS2017

135 THE Aesthetic Show 2017 Program Pre-Show Educational Session THURSDAY, JULY 6, 2017 View Entire CME Program 8 CME Credits Advanced Hands-On Injectable Training Courses Level X Participants will receive course materials and 4 CME credits upon completion of each course. THE Aesthetic Show presents two hands-on injectable training courses taught by experts. Each of these half-day courses will provide attendees with the opportunity to learn the latest, most advanced injection techniques and tips from experts, as well as the ability to practice these techniques under the guidance of skilled instructors. Course 1: Advanced Neurotoxin Techniques Level X* 9:00 am 1:00 pm Location: Latour 1, 4 Faculty: Lori Robertson, M.S.N., F.N.P.-C., Robert Troell, M.D., William Phillip Werschler, M.D., Edward Zimmerman, M.D. Lecture topics include: Principles and practices to achieve optimal results for facial shaping, wrinkle reduction and facial rejuvenation using neurotoxins How to treat difficult complications using neurotoxins Discovering the latest off-label techniques Overview of neurotoxins available and the next generation of neurotoxins pending approval Growing your practice revenues with injectables Building confidence as an injector and in assessing patient needs Post-lecture, participants will receive personal instruction and hands-on experience performing the demonstrated techniques and building confidence as an injector. Course 2: Advanced Dermal Filler Techniques Level X* 2:00 pm 6:00 pm Location: Latour 1, 4 Faculty: Shino Bay Aguilera, D.O., Deepak Dugar, M.D., Anil Rajani, M.D., William Phillip Werschler, M.D. Lecture topics include: Principles and practices to achieve optimal results for facial shaping, wrinkle reduction and facial rejuvenation using dermal fillers How to treat difficult complications using dermal fillers Discovering the latest off-label techniques Overview of dermal fillers available and the next generation of dermal fillers pending approval Growing your practice revenues with injectables Building confidence as an injector and in assessing patient needs Post-lecture, participants will receive personal instruction and hands-on experience performing the demonstrated techniques and building confidence as an injector. * All products and models are provided at no additional cost to attendees for both injection courses. ** Enrollment is limited. Participants must have previously completed a training course and have at least six months practical experience in order to enroll. Target Audience The educational design of this activity addresses the needs of physicians and ancillary health care professionals such as nurses, physician assistants, nurse practitioners and other medical professionals or office staff practicing aesthetic medicine involved in the care of aesthetic patients. Statement of Need/Program Overview Based on surveys of past meeting attendees, former meeting faculty members and our Scientific Advisory Board, we have found there is a continued lack of sufficient medical education and training (including hands-on procedural training) for physicians and professional medical staff who are currently practicing or are interested in practicing aesthetic medicine. THE Aesthetic Show brings the latest aesthetic knowledge, including plastic surgery and dermatologic procedures, products and technologies together in an intensive and interactive educational format. This meeting program is designed to provide an educational format to counteract where there is a deficiency of live and hands-on demonstration training programs where physicians can acquire the knowledge necessary for effective, safe and high levels of patient care. Educational Objectives Upon completing the training course the participant should be able to: Describe the aesthetic evaluation process, especially as it relates to assessing and restoring volume to the face and needs for facial rejuvenation. Compare botulinum toxin treatment and dermal filler treatment outcomes, safety, risks, complications, costs and benefits, among other factors that may be applicable to your practice. Choose an appropriate neurotoxin or dermal filler based on the area of desired correction. Select appropriate augmentation therapies based on patient characteristics, needs and goals. Demonstrate the advanced injection techniques required to obtain optimal results in the aging face. Distinguish how appropriate injection techniques and proper patient selection can minimize complications. Identify the latest and most current aesthetic techniques, trends and procedures. Understand where the aesthetic industry stands and where it is headed. Understand and apply new practice management ideas and services to their practice. Describe the latest uses of cosmeceuticals in an aesthetic medical practice. Explain how to clinically assess a patient, council a patient, and suggest a treatment to a patent. Review with existing guidelines for the treatment of atopic dermatitis, acne, pigmentation, scars, and other skin conditions. Physician Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Global Education Group (Global) and Medical Insight. Global is accredited by the ACCME to provide continuing medical education for physicians. Physician Credit Designation Global Education Group designates this live activity for the maximum of 22.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing Continuing Education Global Education Group is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center s COA. This educational activity for 22.0 contact hours is provided by Global Education Group. Nurses should claim only the credit commensurate with the extent of their participation in the activity. Disclosure of Conflicts of Interest Global Education Group (Global) requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by Global for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content and appropriateness of patient care recommendations. Americans with Disabilities Act Event staff will be glad to assist you with any special needs (i.e., physical, dietary, etc). Please contact THE Aesthetic Show prior to the live event at (949) Global Contact Information For information about the accreditation of this program, please contact Global at (303) or inquire@globaleducationgroup.com. #TAS THE Aesthetic Show 2013 May Mirage Resort THE Las Aesthetic Vegas, Show NV 2017 July 6 9 The Wynn Las Vegas, NV 135

136 THE Aesthetic Show 2017 Program Main Program* FRIDAY, JULY 7, 2017 Exhibit Hall Hours 8:00 am - 5:00 pm Lafite Ballroom 8:00 am Breakfast in Exhibit Hall Presentations and live demonstrations 9:00 am - 11:30 am General Session Welcome Address THE Aesthetic Visionaries Latour CME Credits Available Moderator: Michael Moretti Michael Moretti: New Mega Trends in Aesthetic Medicine Sheila Nazarian, M.D.: How to Capture and Manage Millennials Suneel Chilukuri, M.D.: Understanding the New Aesthetic Male Patient Shelena Lalji, M.D.: Embracing Women s Health with Technology Solutions Gregory Mueller, M.D.: Harnessing the Power of Patient Visualizers Kelcy Heringer: Your Patients Have Uber Expectations: What it Takes to Meet Them Edward Zimmerman, M.D.: Defining Regenerative Aesthetics 11:30 am - 1:00 pm Lunch in Exhibit Hall Presentations and live demonstrations THE Big Deal 1:00 pm - 3:15 pm Breakout Educational Workshops Session One: 1:00 pm 2:00 pm Session Two: 2:15 pm 3:15 pm 3:15 pm - 4:00 pm Break in Exhibit Hall Presentations and live demonstrations Shino Bay Aguilara, D.O.: Belotero Live Injection Technique 4:00 pm - 6:30 pm General Session I Advanced Body Shaping Technologies Latour 2 This session will provide a comprehensive review of the leading body shaping procedures and technologies. Moderator: Angelo Cuzalina, M.D. Jason Emer, M.D.: High Definition Liposuction and Non-Invasive Technologies Suneel Chilukuri, M.D.: Putting It All Together: Updates on Body Contouring Lori Robertson, M.S.N., F.N.P.-C.: Non-Invasive Fat Destruction: The Real Truth Corey Maas, M.D.: Combination Treatments Using Cellfina and Kybella Jaime Schwartz, M.D.: Lipo-Lift William Schweitzer, M.D.: Advancements in Non-Invasive Laser Sculpting The Verjú Laser Christopher Khorsandi, M.D.: Multimodality Body Shaping Devices that Provide Consistent Results Tahl Humes, D.O.: trusculpt 3D A New Dimension in Body Sculpting Amber Bocknek, M.D.: The Most Powerful Body Shaping Platform on the Market: Alma Lasers vshape Ultra with Breakthrough RF and Ultrasound Technology Lane Smith, M.D.: Latest Trends in Buttock Augmentation Angelo Cuzalina, M.D.: Buttock Augmentation to Match Ethnic Diversity for Best Results Panel Discussion: Practical Evaluation of the Newest Devices and Techniques General Session II Energy-Based Anti-Aging Skin Treatments Part One Latour 1, 4 This session will focus on energy-based skin treatments for resurfacing and anti-aging. Moderator: Christine Petti, M.D. Rebecca Gelber, M.D.: Combining All the Treatments in Your Toolbox for Amazing Results Elizabeth Houshmand, M.D.: The Use of RF and Combination Therapies in an Aesthetic Practice Nima Naghshineh, M.D.: Anything But a Face-Lift Craig Mezrow, M.D.: The Future of PicoSecond Technology: PicoWay for Tattoo Removal and Beyond 136 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV #TAS2017

137 Gregory Buford, M.D.: The Patient Journey Through the Thermi Secret Makeover Michael Gold, M.D.: Not All RF is Created Equal: Understanding the Difference Christine Petti, M.D.: Neck Rejuvenation Aesthetic Choices to Treat Text Neck and Beyond Panel Discussion: Critical Evaluation of New Technologies: How Do You Choose? General Session III Emerging Procedures and Technologies Part One Latour 3 This session will provide a comprehensive review of the emerging technologies and procedures being introduced in the aesthetic industry. Moderator: Richard Goldfarb, M.D. John Kahen, M.D.: PRP and the Benefits in Hair Growth With and Without Hair Transplant Surgery Steven Cohen, M.D.: New Directions in Fat Grafting: Nanofat and Stromal Vascular Fraction Gregory Chernoff, M.D.: Aesthetics of the Future: Subliminal Difference vs. the Full Monty Chad Deal, M.D.: Aesthetic Improvement Following Use of a Novel Injectable Allogeneic Adipose-Derived Filler Craig Ziering, D.O.: Hair Restoration Research What the Future Holds Yan Trokel, M.D.: Structural Volumizing: A Novel Approach to Full Facial Rejuvenation Deepak Dugar, M.D.: Scarless Rhinoplasty Anil Rajani, M.D.: The Evolution in the Latest CoolSculpting Technology: Shorter Downtimes and Happier Patients J.D. McCoy, N.M.D.: Technology and Techniques to Elevate the Art of Aesthetic Medicine Leif Rogers, M.D.: Post Treatment Healing Richard Goldfarb, M.D.: The Spydr Lift Minimally Invasive Buttock Lift Using Polypropylene Strands with Resorbable L-Lactide and Glycolide Cones Panel Discussion: Critical Evaluation of New Technologies: What is the Safety Limit? Advanced Injectable Applications and Techniques Course Margaux 1 This course will provide attendees with the opportunity to learn the latest, most advanced injection techniques and tips from experts. Advanced Techniques for Practice Success Course Margaux 2 This course is designed to assist practices with building, growing and marketing an aesthetic business. 6:30 pm - 9:30 pm BTL Aesthetics Club Room: Secrets of Celebrities Exposed Mouton 1 SATURDAY, JULY 8, 2017 Exhibit Hall Hours 8:00 am - 7:30 pm Lafite Ballroom 8:00 am Breakfast in Exhibit Hall Presentations and live demonstrations 9:00 am - 11:30 am General Session I Next-Generation Anti-Aging Skincare Latour CME Credits Available This session will provide insight into the many categories of available products and ingredients commonly used in skincare formulations and cosmeceuticals. Moderator: Farhan Taghizadeh, M.D. Carl Thornfeldt, M.D.: The Importance of Prioritizing the Health of the Skin Barrier for Overall Well-Being Bobby Awadalla, M.D.: The Role of Oral Supplements in Skin Protection, Repair and Beauty Elliott Milstein: Innovations in Skincare Pathways: A Look at What is Ahead Michael Gold, M.D.: The Future of Acne Therapy with Lasers Ahmed Al-Qahtani, Ph.D.: Growth Factors: Harnessing Healing Power from Restoration to Rejuvenation Shino Bay Aguilera, D.O.: HA Intensifier: Hydration With a Higher Purpose #TAS2017 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV 137

138 THE Aesthetic Show 2017 Program Main Program* Ted Lain, M.D.: Leveraging the Circadian Rhythm in Skincare Panel Discussion: Determining the Product Lines that Your Patients Need General Session II Energy-Based Anti-Aging Skin Treatments Part Two Latour 1, 4 This session will discuss combination energy-based treatments for skin resurfacing and tightening, as well as technologies for other applications and skin types. Moderator: Craig Mezrow, M.D. E. Victor Ross, M.D.: Technical Evaluation of New Generation Laser and RF Technologies Jason Emer, M.D.: Next-Generation Ultrasound-Based Devices for Improved Results Robert Troell, M.D.: Evaluating Facial Aesthetic Outcomes Comparing Multiple Skin Resurfacing Modalities Ben Tittle, M.D.: NanoFractional RF for Complete Facial Rejuvenation George Ibrahim, M.D.: Maximizing Versatility and Revenue Shelena Lalji, M.D.: A 360 Approach to Facial Aesthetics Suneel Chilukuri, M.D.: How Combination Energy Sources Work Synergistically Craig Mezrow, M.D.: The Device-Based Face-Lift: Is It Real? Panel Discussion: Devices that Really Deliver on Promises General Session III The Future of Plastic Surgery Latour 3 This session will provide a comprehensive review of the future of plastic surgery, as well as new techniques and procedures. Moderators: Andrew Ordon, M.D. and Ritu Chopra, M.D. Malcolm Lesavoy, M.D.: Demystifying Breast Augmentation Mark Berman, M.D.: How to Integrate Stem Cell Science into Optimal Surgical Results Samir Pancholi, D.O.: New Form Stable Breast Implants Harrison Lee, M.D.: The Current State of Affairs in Facial Feminization Surgery Jon Grazer, M.D.: Latest Advances in Nanofat Grafting Joseph Niamtu, III, D.M.D.: The Technical Use of Facial Implants Gary Motykie, M.D.: How to Help the Botched Patient Garo Kassabian, M.D.: Facial Contouring Before 50 Leif Rogers, M.D.: Advanced Breast Reconstruction Kevin Sadati, M.D.: High Definition Face-Lift Using Local Anesthesia and Twilight Sedation Review of 3,000 Cases Panel Discussion: Managing Patients with Extreme Expectations Advanced Injectable Applications and Techniques Course Margaux 1 This course will provide attendees with the opportunity to learn the latest, most advanced injection techniques and tips from experts. Advanced Techniques for Practice Success Course Margaux 2 This course is designed to assist practices with building, growing and marketing an aesthetic business. 11:30 am - 1:00 pm Lunch in Exhibit Hall Presentations and live demonstrations Monica Bonakdar, M.D.: Leverage the Latest CoolSculpting Technology and Treatment Area Craig Mezrow, M.D.: Women s Intimate Wellness Devices: Beyond Vaginal Health Legally Mine Luncheon: A Physician s Keys to Locking Out Lawsuits Latour 6 1:00 pm - 3:15 pm Breakout Educational Workshops Session One: 1:00 pm 2:00 pm Session Two: 2:15 pm 3:15 pm 3:15 pm - 4:00 pm Break in Exhibit Hall Presentations and live demonstrations 138 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV #TAS2017

139 4:00 pm - 6:00 pm General Session I Emerging Procedures and Technologies Part Two Latour 2 This session will continue with the comprehensive review of the emerging technologies being introduced in the aesthetic industry. Moderator: Sheila Nazarian, M.D. Sydney Coleman, M.D.: Update on the Coleman Technique of Fat Grafting and the Science Behind Fat Grafting, Including Catastrophic Complications Michael Gold, M.D.: Customized Vectoring Treatment Methods Using Microfocused Ultrasound Paula Di Marco Young, R.N.: The Use of PRP to Increase Revenue in Your Practice Elizabeth Houshmand, M.D.: Hands: A Complete Makeover Richard Goldfarb, M.D.: The Use of Platelet-Rich Fibrin Matrix Combined with Viviscal Showing Improved Results in the Treatment of Hair Loss in Males and Females Gregory Buford, M.D.: Contouring of the Neck and Jawline: What is Available and What Really Works? Bulent Cihantimur, M.D.: Spider Web Method Face-Lifting: A New Approach Sheila Nazarian, M.D.: The Non-Invasive Mommy Makeover Panel Discussion: Where Do New Technologies Fit in Your Practice? General Session II The Future of Aesthetic Dermatology Latour 1, 4 This session will cover the therapeutic aspects of dermatology and how to treat different skin conditions. Moderator: Wendy Roberts, M.D. Lori Robertson, M.S.N., F.N.P.-C.: Melasma: What You Need to Know William Philip Werschler, M.D.: The Emergence of Biologic Therapy in Aesthetic Medicine Carl Thornfeldt, M.D.: Acne: A New Therapeutic Perspective E. Victor Ross, M.D.: Combining Therapies in One Treatment Session Panel Discussion: What Treatments Do You Use for Challenging Skin Conditions? General Session III The Art of Feminine Rejuvenation Latour 3 This session will provide a comprehensive review of the new technologies and treatments being used for feminine rejuvenation. Moderator: Allan Yang Wu, M.D. Red Alinsod, M.D.: Gynecologic Photography for Dummies Oscar Aguirre, M.D.: The Aging Vulva Evaluation and Treatment Options Jaime Schwartz, M.D.: BOTOX for Vaginismus Russell Bartels, M.D.: The Power of Combination Therapy for the Ultimate Treatment Marco Pelosi, III, M.D.: Feminine Aesthetics for the Young Woman, Middle-Aged Woman and the Menopausal Woman Marco Pelosi, II, M.D.: Office Fat Transfer Techniques for Feminine Rejuvenation Indications Evgenii Leshunov, M.D.: Complete Rejuvenation: Beauty and Function Otto Placik, M.D.: Finesse in Labiaplasty Allan Yang Wu, M.D.: Intimate Rejuvenation Panel Discussion: Are New Technologies Safe and Effective? #TAS2017 Advanced Injectable Applications and Techniques Course Margaux 1 This course will provide attendees with the opportunity to learn the latest, most advanced injection techniques and tips from experts. Advanced Techniques for Practice Success Course Margaux 2 This course is designed to assist practices with building, growing and marketing an aesthetic business. THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV 139

140 THE Aesthetic Show 2017 Program Main Program* 6:00 pm - 7:30 pm THE Aesthetic Awards Lafite Ballroom Hosted by Andrew Ordon, M.D., F.A.C.S. HOSTED SUNDAY, BY LEIF JULY ROGERS, 9, 2017 M.D., F.A.C.S. Exhibit Hall Hours 8:30 am - 1:00 pm Lafite Ballroom 8:30 am Breakfast in Exhibit Hall Presentations and live demonstrations 9:00 am - 12:00 pm General Session I Practice Management and Marketing Latour 2 This session is intended to assist practices with building, growing and marketing an aesthetic business. Moderator: Cheryl Whitman Jonathan Kaplan, M.D.: How to Weed Out Price Shoppers and Tire Kickers Rich Castellano, M.D.: The Secrets to Live Video for Your Practice Monica Bonakdar, M.D.: Branding Your Practice for Success Jay Shorr: The Benefits of Proper Employee Selection: Training, Retaining and Motivating Your Most Valuable Employees Lisa Wark: Avoiding the Pitfalls of Building a Concierge Practice Paula Di Marco Young, R.N.: Should You Add a Live Chat Feature to Your Website? Mara Shorr: Why Your Practice Needs to Up Its Retail Game Tim Sawyer: Managing Your Aesthetic Practice in a Social World Sam Peek: 5 Common Reasons Content Marketing Isn t Working for You Dori Soukup: Don t Compete on Price Kelly Smith: Financial Benchmarking and Growth Strategies Cheryl Whitman: Turn Your Employees into Empowered Sales Agents Panel Discussion: Learning from Real World Success Examples General Session II Advanced Injectable Applications and Techniques Latour 1, 4 This session will provide advanced injectors with a methodology to analyze the face for volume deficits and demonstrate a variety of injection techniques for different areas of the face. Moderator: Edward Zimmerman, M.D. Garry Lee, M.D.: Prevention and Treatment of Injectable Filler Complications Robert Troell, M.D.: Silastic Implants, Fat Transfer and Dermal Fillers Lori Robertson, M.S.N., F.N.P.-C.: How to Fix Mistakes and When to Say No Gregory Chernoff, M.D.: Anatomical Understanding of Facial Volumizing Patrick Bitter, Jr., M.D.: Techniques for Eliminating Bothersome Lines with Fillers Rich Castellano, M.D.: The Polymethylmethacrylate-Collagen Filler 5000 Syringe Experience: Best Practices for Utilization and Avoiding / Managing Complications Edward Zimmerman, M.D.: The Science of Autologous Injections Panel Discussion: Off-Label Techniques You Need to Know 12:00 pm - 2:00 pm THE Certified Aesthetic Consultant Exam Chambertin 1 *Program schedule and faculty subject to change. 140 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV #TAS2017

141 THE Aesthetic Show 2017 Program Scientific Workshops* Friday, July 7, 2017 Session One: 1:00 pm 2:00 pm Advanced Laser Physics in Cosmetic Surgery Doohi Lee, M.D. Join us during this workshop and learn about the latest scientific advances in laser medicine and the new breakthroughs in laser interaction with different body tissues. The Business of CoolSculpting: Practice ROI and Marketing Success Sheila Nazarian, M.D. Join Dr. Nazarian as she discusses CoolAdvantage, the latest innovation in CoolSculpting technology featuring nearly 50% shorter treatment times and enhanced patient comfort, in addition to all of the areas that CoolSculpting can target. Learn how Dr. Nazarian successfully increased her practice ROI with CoolSculpting and how she used social media as the core of her marketing strategy. Full Spectrum of Tattoo Removal and Skin Revitalization with Enlighten *Live Demonstration Tahl Humes, D.O. and Jill Lezaic, D.O. Removing the full range of tattoos and pigmentary concerns requires the ideal combination of technologies the right wavelengths, the right pulse durations and the right energy levels. Join Dr. Humes and Dr. Lezaic as they discuss their experience with enlighten and perform a live demonstration with this industry-leading technology. GAIN Presents: Technology Meets Technique *Live Demonstration Shino Bay Aguilera, D.O. Introducing Restylane Refyne and Restylane Defyne. Learn about the latest next-generation hyaluronic acid dermal fillers from the Restylane Family. This symposium will include live assessments and injections and will discuss the science behind these new technologies and their ability to help maintain natural expression in motion. Maintaining the Millennial *Live Demonstration Suneel Chilukuri, M.D. Millennials are projected to outspend baby boomers in Dr. Chilukuri explores how to grow old with your patients, capitalize on this market opportunity and increase your bottom line. Learn the procedures Millennials want today and novel approaches to delivering superior outcomes via combination therapy. Methods to maximize patient value and retention, as well as clinical pearls for body shaping, skin tightening and vaginal rejuvenation procedures will be shared. A treatment demonstration and open forum for questions and answers will be conducted. RealSelf: 7 Things Your Patients Know that You Don t Eva Sheie Every month RealSelf reaches nearly 10 million people, helping them make smart decisions and connecting them with aesthetic treatment providers. Learn how today s online consumer shops for cosmetic procedures, discover the surprising truth about what really drives patients to write reviews and find out how freely sharing your expertise leads to better patient experiences. Join the RealSelf team for this workshop to gain the latest insight on technology, trends and data from the world s most trusted online destination for improving the body, face and smile. Session Two: 2:15 pm 3:15 pm Autologous Lipocyte Micronized Injection (ALMI) *Live Demonstration Tess Mauricio, M.D. and Edward Zimmerman, M.D. The rational, parameters, patient selection, follow-up and success of the ALMI procedure will be presented. A live harvest procedure, an overview on the use of ALMI biocellular grafts for facial rejuvenation / liquid face-lift, ALMI Hair and the ALMI ManShot will be presented and discussed. Defensis Regenerative Peptides in Conjunction with Intracel RF Microneedling for Dramatically Improved Skin Rejuvenation *Live Demonstration Gregory Keller, M.D. Dr. Keller will share his experience and demonstrate the INTRAcel RF Microneedle system. This no downtime, near painless treatment offers consistent results for acne scarring, wrinkles, various skin irregularities, and when used in conjunction with Defensis regenerative peptides, achieves dramatically improved outcomes. Differentiate and Grow Your Practice With Bellafill Anil Rajani, M.D. and Anne Stubbs, M.D. Consumer research shows that 82% of patients want a long-term filler and the vast majority of those patients would stay with your practice and seek additional aesthetic treatments if a long-term filler was available. Learn how to differentiate and grow your practice with Bellafill, the only dermal filler proven safe and effective through five years. Grow Your Practice with RADIESSE for Hands *Live Demonstration Jason Emer, M.D. While the face is the number one indicator of age, the hands are second. RADIESSE is the first and only filler deemed safe and effective by the FDA to correct lost volume in hands. Learn the proper injection technique and how RADIESSE for Hands can help you broaden your line of injectable services for an even more complete aesthetic regimen. #TAS2017 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV 141

142 THE Aesthetic Show 2017 Program Scientific Workshops* Friday, July 7, 2017 continued Session Two: 2:15 pm 3:15 pm - continued New Technologies for Laser Hair Removal: Synchro REPLA:Y Excellium 3.4 *Live Demonstration Christian Karavolas This workshop will cover all facets of laser hair removal and discuss the Synchro REPLA:Y Excellium 3.4 Alexandrite and Nd:YAG laser, including a comparison to all other laser-based modalities in the marketplace for hair removal. There will be a live demonstration showing the speed and efficacy of this laser. Spider Web Face-Lifting Bülent Cihantimur, M.D. Join us to learn more about Spider Web Aesthetics, a revolutionary non-surgical technique for skin tightening and rejuvenation developed by Doctor B. This technique is inspired by the spider web, the strongest and most elegant structure in nature. This newly developed technique is being used as a simple and safe alternative method to face-lift surgeries with effective results. This technique can be performed on the neck, arms, breast, buttocks and inner thighs. Polydioxanone sutures are placed in subcutaneous tissue via thin needles and knitted together under the skin. Tissue reaction occurs against these sutures, which are knitted like a spider web, resulting in collagen production with the help of fibroblasts and growth factors. Collagen surrounds the sutures and creates a natural web structure. Stem Cells The Next Frontier in Skincare *Free Gift Bag Ted Lain, M.D. Stem cell products represent an emerging technology to enhance skincare regimens and innovate the way we confront aging skin. Tensage Stem Cell represents a groundbreaking product in the revolution of skincare. Dr. Lain will explain how the skin s stem cells keep it healthy and youthful and how all the different topical stem cell technologies work. You will learn how to differentiate the various technologies that call themselves stem cells and choose the one that is right for you and your patients. You will leave with a full understanding of how this important new pathway of regeneration works and how to combine stem cell technology with the other pathways of skin rejuvenation particularly growth factors in a synergistic approach to providing a comprehensive, advanced regimen for your patients. In this workshop you will learn how Tensage Growth Factor plus Tensage Stem Cell, used together, help mature cells and stem cells with migration, proliferation, differentiation and generation for the purpose of reducing the effects of both photo-aging and chronological aging. Attendees of this workshop will receive a gift bag of Tensage products and a special deal on their first purchase of Tensage products. The Surprising Truth That Will Change How You Think About Marketing Your Aesthetic Practice Suneel Chilukuri, M.D. When it comes to marketing, aesthetic practices often limit their thinking to targeting new patients. However, many practices are now learning that marketing to existing patients is where the real revenue growth potential lives while traditional advertising and external marketing are often more effort and expense than they re worth. With the right approach and mindset, practices can effectively tap into the patient gold mine they already have. In this session, attendees will gain a clear understanding of the economics of the hidden opportunity in patient marketing, practical considerations of implementing a successful patient marketing effort, what makes effective patient marketing work and how to do it right. Learn from the real life experience of Dr. Chilukuri, an internationally recognized cosmetic and reconstructive surgery expert who has been rapidly growing his Houston-based private practice with patient marketing. Saturday, July 8, 2017 Session One: 1:00 pm 2:00 pm The Complete Mommy Makeover A Comprehensive Non-Invasive Head to Toe Approach Craig Mezrow, M.D. This workshop will cover treating your female patients from head to toe using high impact no-downtime technologies to address the aging face, skin rejuvenation, body contouring, including cellulite, along with intimate wellness. This program will also address the market for these procedures, outline future growth and provide you with tools to make the most informed treatment and technology investment decisions for your practice. GAIN Presents: Technology Meets Technique *Live Demonstration Anil Rajani, M.D. Introducing Restylane Refyne and Restylane Defyne. Learn about the latest next-generation hyaluronic acid dermal fillers from the Restylane Family. This symposium will include live assessments and injections and will discuss the science behind these new technologies and their ability to help maintain natural expression in motion. One Device for Feminine Rejuvenation, Face, Wrinkles, Scars and More George Ibrahim, M.D. and Evgenii Leshunov, M.D. As a follow-up to his TAS 2015 presentation, Dr. Leshunov provides an update on long-term results for leakage, atrophy, tightening, lichen sclerosis, etc. He will share pearls on laser combined with PRP, the O-shot and hormones. Dr. Ibrahim reports on Juliet s effectiveness on maximally tolerated medical therapy patients. Originally using the system for urology and gynecology, Dr. Ibrahim also explains how he now fully utilizes the system s versatility with easy-to-learn cosmetic procedures including wrinkles, age spots, scars, dyschromia and more, to dramatically increase his return on investment. The Real Drivers of Aging, Acne and Skin Disease Carl Thornfeldt, M.D. For years skincare professionals have been operating from a common understanding of the drivers of skin aging, acne and other diseases or conditions. However, research continually shows that the answers are more complicated than originally thought. Looking beyond ultraviolet radiation, environmental factors such as pollution, harsh climates and irritants also play a major role in driving what we ultimately see as skin aging, sensitive skin and other skin conditions as well. Additionally, research is also finding new causalities behind what is driving other skin concerns such as acne and hyperpigmentation. The goal of this workshop is to uncover how all of these factors affect the skin, how damage can be reversed, and provide tangible tools that a skincare professional can implement in-office to provide better results for their patients. Ultherapy Treatment: A Foundational Therapy for Every Aesthetic Practice *Live Demonstration William Philip Werschler, M.D. Come celebrate Ultherapy s one million treatment milestone with Merz and Dr. Werschler. This is a great opportunity to network and learn how Ultherapy is satisfying patient demand and growing profits. Dr. Werschler will share how customization and visualization lead to better treatment outcomes. We will also be presenting a live simulation demonstration so you can see for yourself how Ultherapy is making a beautiful difference for your patients and your practice. 142 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV #TAS2017

143 Venus Versa: Multiple In-Demand Applications in One Aesthetic System *Live Demonstration Christopher Khorsandi, M.D. Find out how you can effectively and profitably provide the most popular aesthetic treatments using just one versatile system. Dr. Khorsandi will share how he is successfully using Venus Versa in his practice to grow his business; followed by a live demonstration. Venus Versa offers up to ten applicators with three different, unique technologies to deliver non-surgical photorejuvenation, acne reduction, hair removal, skin resurfacing, body shaping and wrinkle reduction. What Women Want *Live Demonstration Shelena Lalji, M.D. Learn how to help women look and feel their best. Leading mommy makeover expert, Dr. Shel, discusses her holistic approach to facial rejuvenation, battling the bulge, cellulite and women s intimate health. Years of clinical and marketing pearls ranging from targeting, marketing, patient selection and consultations, treatment offerings and patient retention strategies will be divulged. A treatment demonstration and open forum for questions and answers will be conducted. Session Two: 2:15 pm 3:15 pm Acne and Facial Rejuvenation: Technology that Works *Live Demonstration Jason Emer, M.D., Michael Gold, M.D., Edward Zimmerman, M.D. In this interactive presentation, demonstration and discussion you will learn from industry experts how one device can transform your aesthetic practice and your patients lives. Learn how to clear the most problematic acne and completely rejuvenate the face with a single device and handpiece via new 650 µs laser technology. Dr. Gold says his Aerolase laser is the most profitable device in his practice with acne treatment as his most prominent use. Discover how this laser technology allows clearance of all types of acne, including cystic acne and acne that has not responded to topical or systemic medications. This treatment is ideal for the face and torso for all ages, skin types and tanned skin. Dr. Emer and Dr. Zimmerman are world recognized for their expertise in skin rejuvenation. Learn how both physicians routinely use 650 µs laser technology to completely rejuvenate their patients faces, necks and décolletage by addressing skin tone and texture, hemoglobin, pigment, acne and skin laxity all at once with the Aerolase LightPod Neo. Conquering the World of Digital Marketing Tim Sawyer Discover the industry s most effective digital strategies to grow your aesthetic practice, enhance your patient base, minimize your marketing expenses and increase your profitability. Growth Factors: From Essential Skincare to Post-Procedure Protocols *Free Gift Bag Ted Lain, M.D. Biopelle presents the innovative features of SCA technology in the fastest growing segment in cosmeceutical dispensing: growth factors. SCA technology is delivered through the exclusive skincare line, Tensage. Selecting the proper adjunctive skincare products to supplement your in-office procedures is critical to enhancing and maintaining the results you promise your patients. Tensage SCA Technology has been applied successfully in thousands of aesthetic practices around the world to supplement procedures such as microneedling, chemical peels, laser, RF and fractional treatments. In addition post-procedure care, Tensage products are an essential component to a daily skincare regimen to help maintain skin s health and beauty. In this workshop, you will learn about the science of topical growth factors and the various uses of the different types of growth factors including Tensage. We will provide detailed information about each Tensage product and how to sell them. We will also discuss various procedures and how Tensage is incorporated into them to enhance patient outcomes and increase office incomes. Attendees of this informative workshop will receive a gift bag of Tensage products and a special deal on their first purchase of Tensage products. How to Successfully Incorporate Hair Restoration into Your Practice: Combination Approaches Using PRP and Supplements *Live Demonstration **1 CME Credit Available Richard Goldfarb, M.D., Dhaval Patel, M.D., Aaron Shapiro, M.D. During this interactive CME workshop with industry professionals, you will learn how to successfully incorporate hair restoration into your practice using a variety of modalities including platelet-rich plasma and supplements to treat androgenetic alopecia. Androgenetic alopecia affects 50 million men and 30 million women in the U.S. and has adverse psychological effects such as low self-esteem and poor self-confidence in this population. Learn how to identify types of alopecia and the best treatment options for your patients through a live demonstration and panel discussion. Maximize Revenues and Results with ThreeForMe Laser Treatments Suneel Chilukuri, M.D. Skin revitalization continues to be among the most popular aesthetic procedures, but patients are now looking for an all-in-one treatment with minimal downtime. Icon s unique ThreeForMe Laser Treatment provides the dramatic results in tone and texture that patients are looking for; and treatments fit within their busy schedules. Join Dr. Chilukuri to learn how this treatment has increased his revenues and patient satisfaction. The Use of PDO Threads, Blunt Microcannulas and the PRF Technique for Optimal Facial Rejuvenation *Live Demonstration Anil Rajani, M.D. This live workshop will cover the use of PDO threads, blunt microcannulas and the platelet-rich fibrin (PRF) technique for optimal facial rejuvenation. Learn how to use the new PDO threads rejuvenation technique for skin tightening and repositioning, blunt microcannulas for dermal filler injections and the PRF rejuvenation technique. *Workshops subject to change. **Additional workshops will be added soon. #TAS2017 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV 143

144 THE Aesthetic Show 2017 Program Advanced Injectable Applications and Techniques Courses 6 CME Credits THE Aesthetic Show presents the Advanced Injectable Applications and Techniques courses. These courses will provide attendees with an opportunity to learn the latest, most advanced injection techniques and tips from experts. Participants will receive 2 CME credits upon completion of each course. Meeting Room: Margaux 1 Lecture topics include: How to treat difficult complications Discovering the latest off-label techniques Next-generation neurotoxins and dermal fillers pending approval Live demonstrations performed by experts Growing your practice revenues with injectables Building confidence as an injector and in assessing patient needs * Program schedule and faculty subject to change. ** Additional fee to attend. Friday, July 7, :00 pm 6:00 pm Moderator: Joseph Niamtu, III, D.M.D. Robert Troell, M.D.: Permanent Facial Volume Replacement: Facial Implants, Autologous Fat Transfer vs. Dermal Filler Injections Patrick Bitter, Jr., M.D.: Three Keys to Success with Fillers and Optimizing Patient Outcomes Joseph Niamtu, III, D.M.D.: Lip Fillers and Perioral Fillers Saturday, July 8, :00 am 11:00 am Moderator: William Philip Werschler, M.D. Garry Lee, M.D.: Pearls and Pitfalls of HA Fillers for the Glabella and Tear Trough Tahl Humes, M.D.: Combining Lasers and Injectables for Full Facial Enhancement Corey Maas, M.D.: Review of the Newest Lip Fillers Anil Rajani, M.D.: PDO Combinations: Combining Threads for Optimal Outcomes Ramtin Kassir, M.D.: Global Trends in Facial Injectable Styles William Philip Werschler, M.D.: Treating the Aging Neck Saturday, July 8, :00 pm 6:00 pm Moderator: Jason Emer, M.D. Monica Bonakdar, M.D.: Growing Your Practice Using Injectables Deepak Dugar, M.D.: Novel Uses of Neurotoxins and Fillers Nasrin Mani, M.D.: Complications and Treatment with Permanent Fillers Michael Gold, M.D.: What s in Your Future Next- Generation Injectables Jason Emer, M.D.: Male Facial Sculpting Advanced Techniques for Practice Success Courses The Advanced Techniques for Practice Success courses are designed to assist practices with building, growing and marketing an aesthetic business. Instructors will be drawn from THE Aesthetic Show faculty including experts in practice marketing, patient counseling and office management. Meeting Room: Margaux 2 Lecture topics include: Advanced marketing techniques Internet and digital marketing Harnessing the power of new media How to expand your practice and profitability Analysis of your business model Mastering patient consultations Improving staff management skills Real world success examples * Program schedule and faculty subject to change. ** Additional fee to attend. Friday, July 7, :00 pm 6:00 pm Moderator: Jay Shorr and Mara Shorr Jonathan Kaplan, M.D.: How SnapChat Transformed My Practice in Unexpected Ways Tim Sawyer: The Truths and Myths of Digital Marketing Paula Di Marco Young, R.N.: How to Run a Successful Revenue Generating Event Amy Snyder: Fixing the Perioperative Patient Experience Chad Erickson: Critical Insights from Google on How Patients Search for Doctors Online Today Jay Shorr and Mara Shorr: Keeping Your Cool: Dealing With a Difficult Client or Patient Saturday, July 8, :00 am 11:00 am Moderator: Jay Shorr and Mara Shorr Joseph Niamtu, III, D.M.D.: How to Make YouTube Videos and Have Them Work for You Suneel Chilukuri, M.D.: The Path Less Traveled: Creating a Unique Office Patti Owens, R.N.: Aesthetic State Rules, Regulations and Advisory Statements Through the Looking Glass Greg Washington, Sr.: Smart Management of Online Patient Reviews: A Gold Mine Marketing Opportunity Sam Peek: The Secret to Avoiding Price Wars Be Unique Dori Soukup: Are You Generating Revenue from Retail Sales? David Mandell, J.D.: Keep More of What You Make Jay Shorr and Mara Shorr: Lead Generation and the Conversion Cascade Do You Really Know Your Ratios and ROI? Saturday, July 8, :00 pm 6:00 pm Moderator: Jay Shorr and Mara Shorr Rich Castellano, M.D.: Non-Verbal Communication Skills Will Improve Your Teamwork, Sales and Profitability Cheryl Whitman: What You Should Know About Your Ideal Patient Lisa Wark: Changing the Culture of Your Practice to Success Ferdinand Mayer: Boost Conversions With Brilliant Photos Chad Erickson: Your Reputation is All That You Have: How to Grow and Protect Your Online Reviews Jay Shorr and Mara Shorr: Preparing for the Unexpected 144 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV #TAS2017

145 THE Aesthetic Show 2017 Program Exhibitor List Company Name Booth Number Company Name Booth Number Company Name Booth Number AccuVein, Inc. 711 AccuView Imaging 221 Advanced Tactile Imaging, Inc. 719 Advice Media 325 Aerolase 736 Aesthetics BioMedical 828 AGNES 636 Air-Tite Products Company, Inc. 528, 530 Allergan, Inc. 430 Alma Lasers, Inc. 331, 333 ALPHAEON CREDIT 822 American Express OPEN 328 American Institute of Aesthetic Medicine 223 Amnio Aesthetics / OMNI Bioceutical Innovations 537 ApexChat 523 AQ Skin Solutions 205 Ascentium Capital 332 Asclepion Laser Technologies 237, 239, 300 Beautiful Forever Consulting Firm 841 Bellus Medical 705 Beverly Hills Rejuvenation Center Franchise 302 Biologica Technologies 717 Bionyx Skin Care 735 Biopelle, Inc. 309 Bios S.r.l. 545 BirdEye 834 Blaine Labs, Inc. 810 blinc, inc. 437 Bovie Medical Corporation 830 BTL Industries, Inc. 310, 312 Canfield Scientific 322, 324 CareCredit 435 CAREstream America, Inc. 428 Catalyst 203 Celluma 241 Clarisonic 637 Clinical Resolution Lab, Inc. 516 Contours RX 818 CosmoFrance, Inc. 225 CryoConcepts 329 CryoProbe 425 Crystal Clear Digital Marketing 429, 431 Cutera, Inc. 217, 219 Cynosure, Inc. 638, 640 DefenAge Skincare 321 DEKA / Quantum, Inc. 336 DermaSweep, Inc. 419 Doctor B Active Cosmetics 244, 245, 344 Dr. Fuji / ACIGI Relaxation 729 Eclipse Aesthetics, LLC 337 EndyMed Medical, Ltd. 617 Envy Medical 417 envy Pillow Co. 303 Epionce 338, 340 Erchonia Corporation 629, 631 erelevance Corporation 316, 318 Expo Enterprise Expo Services Main Foyer Main Foyer Factor Medical Selphyl 531, 533 Ferndale Healthcare, Inc. 304 Forever Young 345 FotoFinder Systems, Inc. 306, 308 Fotona 522, 524 G & I Innovation 622 G.S. Innovations 231 Galderma Laboratories, L.P. 623 GLOBO-SA, Inc. 804 Glowbiotics 630 Greensky Credit Patient Solutions LLC 731 Hans Biomed USA, Inc. 633 Hawaiian Moon 628 Healeon Medical, Inc. 624 Hormone Therapy Centers of America 806 The HydraFacial Company 412 Incredible Marketing 317, 319 Induction Therapies, makers of COLLAGEN P.I.N. 404 InMode 539, 541 Innovative Optics Laser Eye Protection 442 InSPAration Management 422 International Skin Care 820 Jan Marini Skin Research, Inc. 535 LASERING USA 305 Lasso Live Chat 432 Legally Mine, LLC 701 LendingUSA 518, 520 LightStim 313 Lumenis 609 Lutronic, Inc. 634 Martinni Beauty, Inc. 433 MD-Ware Software 424 Mediplay 613 Meditime AMA 713 & 812 Merz North America, Inc. 445, 544, 546 Miramar Labs, Inc. 703 NeoStrata Company, Inc. 635 Newmedical Technology, Inc. 402 Nextech 732 NKP Medical Marketing 211, 213 Nurses Service Organization 707 Nutrafol 824 Oxygenetix Institute, Inc. 416, 418 P.R. ENTERPRISE 201 Pacific Northwest Aesthetics Academy 730 PatientPop 832 Pereg Milano Main Foyer Perigee Medical 712 Quanta Aesthetic Lasers 517 RealSelf 739 Refine USA 420 Restoration Robotics 207, 209 Rohrer Aesthetics, LLC 639, 641 Ronin Surgical Main Foyer Sciton, Inc. 423 Senté, Inc. 721 SkinCeuticals 330 SmartGraft by Vision Medical, Inc. 525 Solutionreach 334 Sovereign Laboratories 734 Stratpharma, Inc. 733 Suneva Medical, Inc. 439, 441 Synergy MedSales, Inc. 421 Syneron Candela 233, 235 The SaltFacial by Med-Aesthetic Solutions 800, 802 Thermi, an Almirall Company 725 TiZO by Fallene 709 Truffoire Las Vegas 728 Tulip Medical Products 808 UVO 320 Valeant Pharmaceuticals North America, LLC 229 Venus Concept 603 Viora 632 VISIONMED U.S.A., Inc. 532 Vivant Skin Care 645 Viveve, Inc. 323 Viviscal Professional 534 Web.com 536 Wells Johnson Company 816 Y Lift 538, 540 Yota Enterprise Main Foyer Zarin Medical 237, 239 ZELTIQ Aesthetics 738, 740 Zimmer MedizinSystems 529 #TAS2017 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV 145

146 THE Aesthetic Show 2017 Program STAGE Exhibit Hall Lafite Ballroom General Sessions and Workshops Exhibit Hall General Sessions Workshops 146 THE Aesthetic Show 2017 July 6 9 The Wynn Las Vegas, NV #TAS2017

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