Thical Aesthetics 2019 Trend Report Talent & Techniques Practice Management Insights
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E thical Aesthetics
2019 Trend Report
Talent & Techniques
page 3
January/February 2019
Practice Management Insights www.aestheticchannel.com
Maintaining High Standards
in Aesthetics Challenging
but Achievable
By Jeffrey Frentzen, Contributing Editor
In
the medical world, the provider-patient relationship is one of
shared decision making based on the principles of mutual trust,
ethics and appropriate attention to needs. This guidance is of
especially high value in an aesthetic practice, where the patient electively
wants to achieve an enhanced appearance and improved quality of life
based on physician guidance. Tess Mauricio, M.D., F.A.A.D. Gordon Sasaki, M.D., F.A.C.S.
Dermatologist & Cosmetic Surgeon Plastic Surgeon
More than anyone else in the practice, the physician needs to display M Beauty Clinic by Dr. Tess Pasadena, CA
San Diego and Beverly Hills, CA
the highest standards very conspicuously, noted Tess Mauricio, M.D.,
F.A.A.D., a dermatologist and cosmetic surgeon with practices in San
Diego and Beverly Hills, Calif.
“It starts at the top,” she continued. “Anytime you are doing any kind
of rejuvenation or cosmetic improvement, ethics becomes very important.
Even if you don’t have a set of published guidelines, the common sense and
professional rule of thumb is to treat the patient with the upmost respect Deepak Dugar, M.D. Gregory W. Chernoff, M.D., F.R.C.S.
at all times.” Facial Plastic Surgeon Cosmetic and Reconstructive Surgeon
Beverly Hills, CA Santa Rosa, CA and Indianapolis, IN
An aesthetic practice can maintain high ethical standards with profes-
sional guidance. For physicians seeking relevant ethics instructions and
related documentation, a good place to start is with the major medical soci-
eties serving the aesthetic / cosmetic surgery / dermatology fields.
For instance, Gordon Sasaki, M.D., F.A.C.S., a plastic surgeon in
“I think that is something that
Pasadena, Calif., follows the code of ethics created by the American Society is getting lost on surgeons
of Plastic Surgeons (ASPS). as they enter practice. They
“In that guide, like others, the essence of the provider-patient relation- end up focused on trying to
ship is described as one of shared decision making based on the ethical
make money and they just
principles of mutual respect, courtesy, dignity, privacy and confidenti-
ality,” he said. want to become a business.
This can be developed with the patient during the process of informed
Under those circumstances,
consent, when the aesthetic procedure’s nature, indications, financial they may not be very
commitment, expected outcomes, side effects, probability and severity of comfortable with the surgery,
adverse events, and approval by relevant regulatory authorities, as well as
alternatives, are deliberated and understood. but they might still do it.”
For the practitioner, “It is vital to remember that an aesthetic procedure
involves patient care well beyond the improvement in appearance,” Dr.
Sasaki expressed. “For us, the most desirable qualities include professional
judgment, aesthetic judgement, ethical behavior and quality care during
multiple consultations and aftercare.”
The Aesthetic Guide January/February 2019 www.aestheticchannel.com 3
Januar y/Februar y 2019 • Volume 22 • Number 1
Features
29 AAD 2019 Product Showcase
42 2019 Trend Report
62 Events & Education
66 Talent & Techniques
29 Practice Management Insights
54 HIPAA Compliant Patient Photo Galleries
58 Practice Planning Guide
60 How to Avoid Profit-Killing Mistakes
Comparison Charts
72 Dermal Fillers
73 Physician-Dispensed Topicals
42 74 Fractional Technologies
76 Skin Rejuvenation
79 Acne Tx Devices
80 Hair Removal
82 Emerging Technologies
84 Vascular Technologies
86 Body Shaping Technologies
Directory
66 68 Aesthetic Company Directory
4 The Aesthetic Guide January/February 2019 www.aestheticchannel.com
CONTENT
CONTENT CHANNEL DIRECTOR
Heather Onorati | heather.onorati@ubm.com | 440.826.2868
SENIOR EDITOR
Erin Velardo | erin.velardo@ubm.com | 949.830.5409
CONTRIBUTING EDITORS
Jeffrey Frentzen
Advertiser Index Lisette Hilton
AAFPRS 53 John Jesitus
Advice Media 57 Kevin A. Wilson
SENIOR GRAPHIC DESIGNER
Aerolase 49
Guy Nelson
The Aesthetic Channel 28, 90
SALES & MARKETING
The Aesthetic Show 2019 18, 65
GROUP PUBLISHER, EYE AND SKINCARE
Aesthetics Biomedical 22-23 Leo Avila
Bellus Medical 51 PUBLISHER
Amy Ammon | amy.ammon@ubm.com | 845.521.6950
Canfield Scientific 91
NATIONAL SALES MANAGER
Certified Aesthetic Consultant 26-27
Don Berman | don.berman@ubm.com | 917.284.3140
Crystal Clear Digital Marketing 55 NATIONAL ACCOUNT MANAGER
Cutera 7 Alexis O’Connor | alexis.oconnor@ubm.com | 732.346.3004
PERMISSIONS
DefenAge 2
Jillyn Frommer | jillyn.frommer@ubm.com | 732.346.3007
Episciences 11
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Envy 13 bkolb@wrightsmedia.com | 877.652.5295 ext. 121, Outside US, 281.419.5725, ext. 121
FotoFinder 37 SUBCRIPTION INQUIRIES/CHANGES OF ADDRESS
877.922.2022 | 218.740.6477
Fotona 92
Lasering USA 41
UBM LIFE SCIENCES
EXECUTIVE VICE PRESIDENT, SENIOR MANAGING DIRECTOR
Ortho Dermatology 15-17
Thomas W. Ehardt
Oxygenetix 47
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The Aesthetic Guide January/February 2019 www.aestheticchannel.com 5
Essentially, the foundations of ethical “This is a big part of what is behind the “It is extremely important that we
behavior – honesty and respect for the ethics of what we do, because you want to perform thorough consultations in order
patient – are based in the Hippocratic make sure that the procedures are healthy to screen all patients and ensure that we
Oath, said Deepak Dugar, M.D., a facial for the patients. I have turned away many not treat those that may have BDD, and
plastic surgeon in Beverly Hills, Calif. patients that want me to blow up their lips instead refer them for psychological eval-
or overfill. In my personal view, doing uation,” stated Dr. Sasaki.
“Practitioners and especially surgeons that makes people look unnatural. So, I
have to be honest about what they’re good just say, no, I’m not the physician for you.” The instance of BDD has been increasing
at,” he expressed. “I think that is something rapidly, agreed Gregory W. Chernoff,
that is getting lost on surgeons as they enter Know when to say ‘No’ M.D. F.R.C.S., a cosmetic and recon-
practice. They end up focused on trying to Knowing when to say “no” to the structive surgeon in Santa Rosa, Calif. and
make money and they just want to become unreasonable, untenable, unyielding and / Indianapolis, Ind.
a business. Under those circumstances, they or unstable individual presenting with
“Every week, I meet patients and refer
may not be very comfortable with the sur- any number of neurotic mindsets, body
them to psychologists,” he shared. “I tell
gery, but they might still do it,” he said. dysmorphic disorder (BDD) or other
them to come back once they get the help
emotional problems is a prevalent chal-
they need. Later, they are grateful that we
Therefore, not everyone is ethical, Dr. lenge for any aesthetic practitioner. These didn’t take advantage of them and, even-
Dugar added. “Everyone thinks that phy- often signal deeper psychological difficul- tually, some may become good aesthetic
sicians are apropos, but that may not be ties that need addressing prior to doing patients,” he expressed.
how they actually practice.” any aesthetic procedure.
Categories of red-flag patients include
Currently, the idea of ethics in medical For instance, it is estimated that BDD the perfectionist, the litigious patient,
aesthetics is under assault from a few dif- affects between 1% to 3% of the general as well as the unrealistic, indecisive and
ferent fronts. One area is a kind of training population. In patients presenting for fawning patient.
that goes beyond just learning the best medical aesthetic treatments, studies
procedural techniques and having a good have consistently suggested that the rate “The biggest example is people that
“
understanding of anatomy. increases to between 5% and 15%. And come into my office bad mouthing their
the evidence indicates that treating these previous surgeon or injector. That’s a
“Any specialist that can be educated patients can lead to significant harm for huge red flag for me,” said Dr. Dugar.
can acquire good techniques, but for both the patient and the practitioner. “Another is the patient that had multiple
even the best-trained physicians, it is not
second nature to be aware of the psycho-
logical status of their patients,” stated
Dr. Mauricio.
“It is not instinctual,” she continued. “Every week, I meet patients and refer them
“Many times, physicians will understand to psychologists. I tell them to come back
the anatomy and be very technical, but
they also need to understand and delve
once they get the help they need. Later, they
into more of the psychological status of are grateful that we didn’t take advantage
people, as well as recognize the psycho- of them and, eventually, some may become
logical effect of what we do.”
good aesthetic patients.”
Practitioners should try to make sure
their patients have a healthy and well-
adjusted psychological status.
6 The Aesthetic Guide January/February 2019 www.aestheticchannel.com
“Then, I need to evaluate their emo-
tional and psychological maturity, and
also their decision-making capabilities,”
she maintained. “Have they thought
through and looked at the different
options? Is the child mature enough to
proceed and is not being dictated by their
guardian or parents? I only proceed when
I feel there is a good, healthy relationship
between the minor and the guardian.”
With some teens (and even adults), the
line between fantasy and reality is blurring
with the advent of social media platforms
and apps like Snapchat and Facetune.
“It is definitely getting more common,
with the way people use filters in their
procedures and they’re still unhappy. For ‘Snapchat’ dysmorphia selfies,” said Dr. Mauricio. “What hap-
instance, someone that had three or four One of the touchiest areas for aesthetic pens is the individual ends up distorting
nose jobs and is unsatisfied. I try to talk practices is coping with the increasing their image, which leads to a distorted
them out of doing anything on their face, number of teens turning to cosmetic perception of themselves. Others are
because they’re probably not going to be intervention to correct or even prevent looking at their photos on social media,
happy with the next result.” perceived age-related or cosmetic flaws. but when they meet them in person they
are disappointed or confused. That, in
It can be dangerous when patients “This is a trend fueled by selfies, social turn, puts extra pressure on that indi-
have a little bit of knowledge, Dr. Dugar media and increasing self-awareness and vidual to make their false perception real
noted. “If they try to guide the physi- desire to fit in,” said Dr. Sasaki. via aesthetic procedures.”
cian then it is a sign to turn them down.
I don’t mind arrogance or a know-it-all One example is the preventive or This leads to Snapchat dysmorphia in
attitude. But there’s a limit to their ability premature use of neurotoxins in young the pursuit of unachievable “perfection,”
to understand. They haven’t gone through patients to avoid the effects of aging. stated Dr. Sasaki.
15 years of training.”
As noted by Dr. Sasaki, “There is no “Medical experts believe that this
Staff can be trained to give the physi- evidence-based data that the practice is is a type of obsessive-compulsive dis-
cian a head’s up on a particular patient safe. Long-term effects have not been order characterized by an obsession with
prior to the consult. evaluated. Many experts state botulinum perceived defects in physical appear-
toxins should not be administered to indi- ance. Despite attempts to educate these
“Staff understands what I consider to viduals under the age of 18 nor should patients, patient demands for such proce-
be red flags,” said Dr. Sasaki. “They learn treatments be sold to children.” dures are increasing. In an annual survey
the triggers and recognize what’s good last year, plastic surgeons reported that
and not good. The biggest aspect to that While some treatments for children and 55% of their patients expressed their main
training is that they just have to be cog- teens are considered appropriate in some reason for surgery was to make themselves
nizant of what they hear from people, but cases, such as laser hair removal and oto- look better in selfies.”
not too verbal. The patients are there to plasty surgery to correct oversized ears,
see me and to learn from me. They don’t no matter what work is being performed, Police your practice
have surgical training and they want to minor patients require parental or guardian On a different front, ethics issues
hear the details of it from me.” consent, said Dr. Mauricio. have tended to shadow the persistent,
The Aesthetic Guide January/February 2019 www.aestheticchannel.com 7
decades-long influx of so-called non-core
physicians that enter the aesthetic field
from other medical specialties. These
“In my practice, there are four
include dentists, eye doctors, ENTs, ways someone can get fired. One
gynecologists, internists, and others that is to steal from me, two is to lie to
”
are not necessarily board certified in
plastic surgery, dermatology, cosmetic me, three is they say something
dermatology, etc. bad about another physician to
A lack of good training and board cer- the patient, and the fourth reason
tification are common reasons some in
this group remain incompetent at their
is to let any new patient in without
craft, noted Dr. Chernoff. a pretreatment photograph.”
“I’ve been at this for almost 30 years
now; this was a problem when I started,
results will show that authentic devices “We are very protective of our patient’s
and it is still a problem. It will only get
demonstrate safety, effectiveness, toler- privacy and we get special consents
worse as managed-care continues to bite
ability and financial practicality. for photos, etc.,” stated Dr. Mauricio.
into practices, and physicians that are
“Even during intake, patients are asked
strictly insurance-based look for ancillary Practice policy if they are willing to leave their images
ways to earn income,” he said.
As protection, practices need to estab- with us. We have questions specific to
In addition, criminal minds already lish ethical behavior, rules and policies internal or educational purposes, or
working within practices need to be iden- for all staff, with clear direction regarding whether it is for marketing purposes.
tified and removed, Dr. Chernoff added. employee termination. I always reassure every patient specifi-
“We have to police ourselves, because of cally about giving us consent, and that
things like theft and embezzlement, etc. “In my practice, there are four ways it is subject to HIPAA compliance.”
Another example would be an employee someone can get fired,” said Dr. Chernoff.
“One is to steal from me, two is to lie to On top of everything else, the federal gov-
that steals neurotoxin and fillers from my ernment continually changes the guidelines
office and then goes off to do basement me, three is they say something bad about
for practices surrounding HIPAA, privacy
injection clinics,” he added. another physician to the patient, and the
rules and other ethical considerations.
fourth reason is to let any new patient in
Nevertheless, nothing is worse than a without a pretreatment photograph. For instance, the Department of Health
medical director, practice owner or prac- and Human Services in 2018 released
titioner / physician who displays uneth- “That tells you the critical impor-
a number of points that will impact aes-
ical behavior. For instance, the use of tance of clinical photos,” Dr. Chernoff thetic patients, as well as practices’ services
counterfeit or grey market devices to treat emphasized. “Many of the results of the and procedures. Due to this, practices will
patients. As tempting as it might be to non-surgical procedures we perform are need to revise their Business Associate
save money, the possible harm or injury to settled over time. You absolutely need a Agreements and its Breach Notification
the patient caused by using an unproven baseline photograph so that your patient Policy. In addition, new patient privacy
or knock-off product, far unweighs any can see that improvement over time.” disclosures should replace the current ones.
other consideration.
The practice must also maintain a collec- “Unfortunately, given the significant
When contemplating the purchase of tion of patient consent forms covering all penalties associated with non-compli-
a new medical device or system, start by aspects of the treatments, including release ance, practices have no option but to
reviewing data from clinical studies and and/or consent for taking photos, videos fully comply with the new rules,” noted
by conversing with colleagues. Study and using those materials by permission. Dr. Sasaki.
8 The Aesthetic Guide January/February 2019 www.aestheticchannel.com
SCIENTIFIC ADVISORY BOARD
Sabrina Fabi, M.D. Joely Kaufman, M.D., F.A.A.D.
Goldman Butterwick Fitzpatrick Groff & Fabi, Cosmetic Skin Associates of South Florida
Laser Dermatology Skin Research Institute
Volunteer Assistant Clinical Professor Volunteer Associate Professor of Dermatology
DERMATOLOGY University of San Diego
San Diego, CA, USA
University of Miami, Miller School of Medicine
Coral Gables, FL, USA
Tina Alster, M.D. Klaus Fritz, M.D. Terrence Keaney, M.D., F.A.A.D.
Director Director Board Certified Dermatologist
Washington Institute of Dermatologic Laser Surgery Dermatology and Laser Centers Founder and Director
Clinical Professor of Dermatology Associate Professor SkinDC
Georgetown University President, German Academy of Dermatology Arlington, VA, USA
Washington, DC, USA Past President, European Society of Laser Dermatology
Landau, Germany
Eliot Battle, M.D. Dore J. Gilbert, M.D. Lorrie Klein, M.D.
Dermatologist Medical Director Dermatologist
CEO and Co-Founder Newport Dermatology and Laser Associates Medical Director
Cultura Dermatology & Laser Center Associate Professor of Dermatology OC Dermatology
Washington, DC, USA University of California, Irvine Laguna Niguel, CA, USA
Newport Beach, CA, USA
Suneel Chilukuri, M.D., F.A.A.D., Michael H. Gold, M.D. Tess Mauricio, M.D., F.A.A.D.
F.A.C.M.S. Gold Skin Care Ctr. Founder
Dermatologic and Cosmetic Surgeon Tennessee Clinical Research Ctr. M Beauty Clinic by Dr. Tess
Director of Cosmetic Surgery Clinical Assistant Professor San Diego, Chula Vista and Beverly Hills, CA, USA
Refresh Dermatology Vanderbilt University School of Medicine
Houston, TX, USA Nashville, TN, USA
Joel L. Cohen, M.D., F.A.A.D., F.A.C.M.S. David J. Goldberg, M.D. David McDaniel, M.D.
Director: AboutSkin Dermatology and DermSurgery Clinical Professor of Dermatology Director, Laser & Cosmetic Center and McDaniel Institute
Medical Director: AboutSkin Research Mount Sinai School of Medicine of Anti-Aging Research
Associate Clinical Professor of Dermatology New York, NY, USA Co-Director, Hampton University Skin of Color
University of Colorado Research Institute
Assistant Clinical Professor of Dermatology Adjunct Professor, School of Sciences Hampton University
University of California, Irvine Adjunct Assistant Professor, Biological Sciences
Greenwood Village and Lone Tree, CO, USA Old Dominion University
Virginia Beach, VA, USA
Doris Day, M.D., F.A.A.D., M.A. Kwun Cheung Hau, M.B.Ch.B., M.R.C.P., Kei Negishi, M.D., Ph.D.
Board Certified Dermatologist F.H.K.A.M., F.H.K.C.P., D.C.H. Associate Professor and Chief of Aesthetic Dermatology
Director Dermatology Specialist Institute of Geriatrics, Tokyo Women’s
Day Dermatology and Aesthetics Hong Kong SAR, China Medical University
Clinical Associate Professor of Dermatology Tokyo, Japan
NYU Langone Medical Center
New York, NY, USA
Koenraad De Boulle, M.D. Chang-Hun Huh, M.D., Ph.D. Hsien-Li Peter Peng, M.D.
Director Clinical Assistant Professor Dermatologist
Aalst Dermatology Group Department of Dermatology Founder and Director
Aalst, Belgium Seoul National University Budang Hospital P-Skin Professional Clinic
Gyeonggi, Korea Taiwan, Republic of China
Jason Emer, M.D., F.A.A.D. Bruce Katz, M.D. Miriam Emily Piansay-Soriano, M.D., F.P.D.S.
Board Certified Dermatologist Clinical Professor of Dermatology Founder and President
Beverly Hills, CA, USA Mount Sinai School of Medicine Philippine Academy of Dermatologic Surgery Foundation, Inc.
New York, NY, USA Associate Professor and Chief of Dermatology
Davao Medical School Foundation
Consultant in Dermatology and Dermsurgery
Davao Doctors Hospital
Davao City, Philippines
10 The Aesthetic Guide January/February 2019 www.aestheticchannel.comSCIENTIFIC ADVISORY BOARD
Wendy E. Roberts, M.D. Sabine Zenker, M.D. Deepak Dugar, M.D.
Board Certified Cosmetic Dermatologist Dermatologist Board Certified Facial Plastic Surgeon
Rancho Mirage, CA, USA Dermatology Surgery Clinic Scarless Nose Institute of Beverly Hills
Munich, Germany Beverly Hills, CA, USA
E. Victor Ross, M.D. Alberto Goldman, M.D.
Director Plastic Surgeon
Cosmetic and Laser Dermatology Unit Past President
Scripps Clinic Brazilian Society of Laser (South)
San Diego, CA, USA PLASTIC SURGERY Porto Alegre, RS, Brazil
Neil Sadick, M.D. Mark Berman, M.D., F.A.C.S. Miles Graivier, M.D., F.A.C.S.
Private Practice Board Certified Cosmetic Plastic Surgeon Plastic and Reconstructive Surgeon
Clinical Professor of Dermatology Beverly Hills, CA, USA North Atlanta Plastic and Reconstructive Surgery
Weill Cornell Medical College Roswell, GA, USA
New York, NY, USA
Deborah S. Sarnoff, M.D., F.A.A.D., F.A.C.P. Kevin Brenner, M.D., F.A.C.S. Sanjay Grover, M.D., F.A.C.S.
Clinical Professor of Dermatology Board Certified Plastic and Reconstructive Surgeon Diplomate
NYU Langone Medical Center Beverly Hills, CA, USA American Board of Plastic Surgery
New York, NY, USA Newport Beach, CA, USA
Joel Schlessinger, M.D. Gregory Buford, M.D., F.A.C.S. Chan Yeong Heo, M.D., Ph.D.
Board Certified Dermatologist Board Certified Plastic Surgeon Chairman
Skin Specialists PC Beauty by Buford Department of Plastic Surgery
Omaha, NE, USA Englewood, CO, USA Seoul National University Budang Hospital
Gyeonggi, Korea
Nantapat Supapannachart, M.D. Gregory W. Chernoff, M.D., F.R.C.S. Peter Huang, M.D.
Dermatologist Plastic Surgeon Plastic and Cosmetic Surgeon
Clinical Professor Medical Director Director
Ramathibodi Hospital, Mahidol Chernoff Cosmetic Surgery Rebecca Cosmetic Institute
University Medical School Indianapolis, IN and Santa Rosa, CA, USA Taipei, Taiwan
Clinical Staff
Bumrungrad Hospital
Bangkok, Thailand
Atchima Suwanchida, M.D., M.S. Urmen Desai, M.D., M.P.H., F.A.C.S., F.I.C.S. Kian Karimi, M.D.
Dermatologist and Dermatologic Surgeon Double Board Certified Plastic and Reconstructive Surgeon Double Board Certified Facial Plastic Surgeon
Director, Medisci Biointegrative and Anti-Aging Center Beverly Hills, CA Medical Director and Founder
Instructor of Dermatologic Surgery Rejuva Medical Aesthetics
School of Anti-Aging and Regenerative Medicine Los Angeles, CA, USA
Mae Fah Luang University
Bangkok, Thailand
Mark B. Taylor, M.D., F.A.A.D. Barry DiBernardo, M.D., F.A.C.S. Wendy W. Lee, M.D.
President and CEO New Jersey Plastic Surgery Oculofacial Plastic and Reconstructive Surgery, Orbit
Gateway Aesthetic Institute and Laser Center Montclair, NJ, USA and Oncology
Salt Lake City, UT, USA Bascom Palmer Eye Institute
Associate Professor of Clinical Ophthalmology
and Dermatology
University of Miami Miller School of Medicine
Miami, FL, USA
12 The Aesthetic Guide January/February 2019 www.aestheticchannel.comSCIENTIFIC ADVISORY BOARD
Daniel Man, M.D. Anil Rajani, M.D.
Plastic Surgeon Board Certified Physician and Surgeon
Boca Raton, FL, USA CEO
Rajani MD
Hood River, OR, USA UROGYNECOLOGY
Jorge A. Perez, M.D., F.A.C.S. Alexander Z. Rivkin, M.D. Red M. Alinsod, M.D., F.A.C.O.G., A.C.G.E.
Plastic and Reconstructive Surgeon Facial Cosmetic Surgeon Urogynecologist and Pelvic Reconstructive Surgeon
Perez Plastic Surgery Founder Laguna Beach, CA, USA
Ft. Lauderdale, FL, USA Westside Aesthetics
Los Angeles, CA, USA
Christine Petti, M.D., F.A.C.S. Edward M. Zimmerman, M.D.
Board Certified Plastic Surgeon Medical Director
Spa Medical Day Spa
Torrance, CA, USA
Las Vegas Laser & Lipo
Las Vegas, NV, USA PRACTICE
MANAGEMENT
Gordon H. Sasaki, M.D., F.A.C.S. Candace Crowe
Clinical Professor Founder and CEO
Department of Plastic Surgery
Loma Linda Medical University Center HAIR TRANSPLANT Candace Crowe Design
Orlando, FL, USA
Private Practice
Pasadena, CA, USA
SURGERY
Robert Troell, M.D., F.A.C.S. Craig L. Ziering, D.O., F.A.O.C.D. Tim Sawyer
Board Certified Facial Plastic and Cosmetic Surgeon CEO and Medical Director Founder
Laguna Beach, CA and Las Vegas, NV, USA Ziering Medical Worldwide Crystal Clear Digital Marketing
West Hollywood, CA, USA Orlando, FL, USA
Jay Shorr
Founder and Managing Partner
REGENERATIVE Shorr Solutions
Ft. Lauderdale, FL, USA
COSMETIC SURGERY
AESTHETICS
Angelo Cuzalina, M.D., D.D.S. Ryan Welter, M.D., Ph.D. Mara Shorr
Past President CEO and Medical Director Vice President of Marketing and Business Development
American Academy of Cosmetic Surgery, 2011 Regeneris Medical Shorr Solutions
American Board of Cosmetic Surgery, 2013 North Attleboro, MA, USA Winter Park, FL, USA
Tulsa, OK, USA
Joseph Niamtu, III, D.M.D.
Cosmetic Facial Surgeon
Richmond, VA, USA
14 The Aesthetic Guide January/February 2019 www.aestheticchannel.comPIH on the temple area and upper back.
How to Maximize Your Use Thus, using PICOCARE to accelerate
removal of PIH is a good option for those
of Picosecond Lasers who cannot tolerate the side effects of
bleaching cream.
For patients with melasma, I prefer
By Yi-Shan Tsai, M.D. to use PICOCARE treatment with
oral medications. Since the factors of
melasma vary between the different
Since the introduction of the picosecond Pigmented lesions skin layers and hormones, it should be
laser within the aesthetic and dermatologic integrally managed. In my experience,
Depending on the location of the pig-
markets, it has become widely recognized low energy should be used to avoid
mented lesion, the 532 nm or 1064 nm
as the safest and most effective solution hypopigmentation and/or deterioration
wavelength may be selected (532 nm for
for pigmented lesions and tattoo removal. of the lesion.
epidermal pigments and 1064 nm for
Now, the PICOCARE Nd:YAG laser, dermal pigments). However, to maxi-
developed and manufactured by Wontech, I use the Zoom handpiece to remove pig-
mize effects when removing blemishes mentation and the HEXA MLA (micro
Ltd., Co. (Daejeon, South Korea), has or brightening dull skin tone, I use both lens array) fractional handpiece to improve
expanded the scope of picosecond tech- wavelengths in one session. the dermal environment. Then, I prescribe
nology to treat various types of scars, skin
Transamine for improved outcomes.
rejuvenation and nail disorders via a variety PICOCARE can also treat PIH
of handpieces (595 nm and 660 nm dye stemming from laser treatment, surgery Tattoo removal
handpieces and HEXA MLA). or other causes. I have many patients
coming to my clinic to treat PIH Tattoo removal has been a major
In this editorial, I will share my experi- resulting from post-liposuction via the objective of the picosecond laser. The
ence with PICOCARE and why it is my popliteal fossa. PICOCARE’s 532 nm and 1064 nm
product of choice, as well as review the use wavelengths effectively treat various
of this technology to treat various cuta- I deliver three to five passes of Pico- tattoo colors. I have also found that using
neous conditions. toning to the target area with a slight PICOCARE to remove tattoos is less
increase of energy from 1.0 to 1.2 J/cm 2. painful, with fewer vesicles, bullae or
Picosecond lasers deliver good thera- Patients are quite pleased with the fast scars, and quicker results.
peutic results and fast outcomes with only results and minimal pain.
In addition, I use the 595 nm and 660 nm
one-half to one-third of the energy used
As another example, I achieved great dye handpieces due to their high absorp-
in a Q-switched laser. In addition, the
outcomes using these same parameters to tion coefficient in blue, green and purple
incidence of side effects that are common inks. See Figure 1.
treat a female patient with post-varicella
in Q-switched lasers, such as post-
inflammatory hyperpigmentation (PIH)
or scarring, is much lower.
This is most evident when removing Figure 1.
tattoos or treating pigmented lesions,
such as freckles, lentigines, age spots,
nevus of Ota, and other pigmentary disor-
ders. After treatment with PICOCARE,
patients with pigmented lesions are satis-
fied with the results and the gentle manner
of the procedure, which provides less
downtime and improved comfort via the
lower energy. In addition, PICOCARE
offers low fluence, enabling safe treatment Before and after one PICOCARE treatment for tattoo removal
of darker skin types. Photos courtesy of Yi-Shan Tsai, M.D.
20 The Aesthetic Guide January/February 2019 www.aestheticchannel.comFigure 2. lasers, such as carbon dioxide and Er:YAG,
procedural inconvenience and heat are
low, but results are excellent.
Using relatively low or moderate energy
levels provides a very short window of
downtime, from a few hours to a maximum
of one to two days. Patients have reported
outstanding improvements on periorbital
wrinkles, infraorbital fine lines, enlarged
pores, skin firmness, skin texture, as well
as skin tone. See Figure 2.
Before and four months after PICOCARE treatment for skin rejuvenation
Photos courtesy of Yi-Shan Tsai, M.D.
The addition of neurotoxin and/or filler
injections after the rejuvenation proce-
Figure 3. dure will further enhance the clinical
outcomes. Dorsal hand rejuvenation can
even be performed. Note that it is impor-
tant to evaluate skin thickness in order to
determine adequate fluence when treating
the dorsal hand.
PICOCARE is also being used to
Before and after one PICOCARE treatment for melanonychia treat melanonychia, a nevus in the nail
Photos courtesy of Yi-Shan Tsai, M.D. bed. While long-pulsed lasers are some-
times used, the high fluence involves
pain and deformation of the nail surface.
Other indications HEXA MLA. After one treatment with Conversely, treatment with PICOCARE
HEXA MLA patients with depressed is more comfortable and offers satisfactory
Interestingly, the PICOCARE’s 595 nm results. See Figure 3.
scars observed improvement. Another
dye handpiece can also treat erythemato-
surprising discovery was its remarkable Prior to treatment, a Potassium
telangiectatic rosacea and acne vulgaris.
effectiveness on hard-to-treat rolling scars hydroxide (KOH) test should be done to
Although the exact mechanism of action
and icepick scars. exclude possible mychomycosis.
is not known, it seems the wavelength’s
characteristics can be effectively applied For patients who have acne scars with As I have used PICOCARE to treat
for the treatment of vascular lesions Systemic Lupus Erythematosus (SLE), tel- this wide range of indications with highly
and acne. angiectasia or acne redness, I combine the satisfying results, the device has now
HEXA MLA treatment with the 595 nm become the most popular one in my clinic.
Furthermore, the fractional handpiece
dye handpiece procedure.
with a picosecond laser system emits a
unique energy, which generates laser- To maximize the therapeutic effects,
induced optical breakdown (LIOB). LIOB I deliver regenerating components,
damages the target via plasma generation such as EGF, FGF, Tranexamic acid,
and cavitation creation, without effecting Polydeoxyribonucleotide and y-polyglu-
the stratum corneum and basal membrane. tamic acid, to the treatment site where
This produces collagen remodeling, which microchannels have been created by the
helps in scar treatment, skin rejuvenation HEXA MLA procedure.
and many more indications. Yi-Shan Tsai, M.D.
The most popular general procedure Dr. Tsai is a dermatologist and clinic
One such indication is acne scar- with HEXA MLA is skin rejuvenation. director of the Yes Clinic in Taiwan.
ring, which is frequently treated with Compared to conventional fractional
The Aesthetic Guide January/February 2019 www.aestheticchannel.com 21Discovery Pico Family Expands
Discovery Pico Plus is the first system
adding a third wavelength, the ruby 694 nm,
which is ideal for targeting notoriously dif-
with New DERM Model ficult light blue and green tattoo ink. And,
the wavelengths are true laser wavelengths
rather than dye converter based.
“This gives you three wavelengths in one
laser, which cuts the cost of needing addi-
tional systems without sacrificing power,”
said dermatologist and cosmetic laser
surgeon Mark B. Taylor, M.D., founder
and medical director of Gateway Aesthetic
Institute and Laser Center (Salt Lake City,
Matteo Tretti Clementoni, M.D. Mark B. Taylor, M.D. Thomas E. Griffin, M.D. Utah). “In other systems, the integration of
Plastic Surgeon Founder and Medical Director Director a dye converter into the handpieces reduces
Milan, Italy Gateway Aesthetic Institute and Laser Center Cosmetic and Laser Surgery Center at fluence making lasers less effective.”
Salt Lake City, UT Dermatology Associates of Plymouth Meeting
Plymouth Meeting, PA
The power level, flexibility of pulse
emissions and the available accessories
Quanta System (Samarate, Varese, second-generation picosecond laser series and handpieces make the lasers in the
Italy) has expanded its Discovery Pico available. The patented Pico-Boost DP series extremely versatile, offering
(DP) Family of lasers with the addi- Technology delivers high energy and up outstanding results even when performing
tion of the new Discovery Pico DERM. to 1.8 GW of peak power (DP and DP fractionated treatments.
The company has announced that it will Plus), and thanks to multiple emission
introduce this new model at the upcoming modes, the Quattro Pulse function grants “What we have is a tremendous amount
AAD 2019 meeting. power and flexibility (DP and DP Plus). of flexibility with Discovery Pico,” Dr.
Taylor continued. “Due to the high peak
The Discovery Pico series of lasers is “I’m surprised by the fluence that can be power, you can work effectively within a
mainly dedicated mainly dedicated to frac- delivered with a very large spot size – the wide range of fluences and spot sizes, using
tionated skin treatments and benign pig- bigger the spot size, the deeper the pen- lower fluence to create traditional LIOBs
mented lesion removal, though the removal etration,” said Matteo Tretti Clementoni, or increasing the fluence to create clean,
of tattoos is still an ideal indication. M.D., a plastic surgeon in Milan, Italy. The ablative “holes” or channels within the skin.
Discovery Pico laser’s maximum 1.8 GW With higher fluence you tighten skin, revise
Discovery Pico DERM is a 532 nm / scars and can improve wrinkles, as well as
1064 nm Nd:YAG picosecond laser that (at 1064 nm) allows for large spot sizes with
the right fluence for treating deep pigment, the overall texture of the skin. Treatment
can also emit the 1064 nm energy in improves local circulation and stimulates
Photo-Thermal Mode (microseconds). such as a tattoo on a man’s back, quickly.
the healing response. You can treat more
Delivering up to 600 mJ at 450 ps (1064
With the 532 nm, 1064 nm and gently in multiple sessions, or you can be
nm) and 300 mJ at 400 ps (532 nm) with
Q-switched 694 nm wavelengths, Dr. very aggressive, using five to ten passes, still
a remarkable 1.33 GW of peak power, the
Clementoni can treat most classic tattoo seeing rapid healing and low downtime.”
system provides effective fractional skin
treatments for acne scars and wrinkles. colors (black, red, green and purple).
“Compared to Q-switched lasers, with Now with the introduction of DP
Together with Discovery Pico and the Pico Plus, we can reduce the total DERM, the DP Family is composed
DP Plus, this new model belongs to the number of sessions by at least 20%, and of versatile and specialized models that
Discovery Pico Family, which the com- I don’t have tattoo ghosting as in some perfectly fit the needs of all professionals
pany says is the widest and most versatile cases with Q-switched devices.” and practitioners.
“Overall the Discovery Pico system is
high powered, safe, effective, versatile
and reliable,” said Thomas E. Griffin,
“Compared to Q-switched lasers, with the Pico M.D., director of the Cosmetic and Laser
Surgery Center at Dermatology Associates
Plus, we can reduce the total number of sessions of Plymouth Meeting (Plymouth Meeting,
by at least 20%, and I don’t have tattoo ghosting Penn.). “With three true laser wavelengths,
four pulse emission modes and a unique
as in some cases with Q-switched devices.” fractional handpiece, the Discovery Pico is
a real technology evolution.”
24 The Aesthetic Guide January/February 2019 www.aestheticchannel.comJoin over 2,500 Successful
CAC Graduates
To sign up for a free trial of the new CAC online program or for promotional
rates contact Anjail Mitchell +1 (949) 830-5409 or anjail.mitchell@ubm.com
cac.aestheticshow.com“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 metricsAAD 2019 Product Showcase
As
the leading dermatology association, the American Academy of
Dermatology’s (AAD) annual Winter meeting is a must-attend event for
clinical and cosmetic dermatologists. The 2019 meeting, taking place
from March 1 – 5, in Washington, D.C., will be no exception. With
over 300 scientific symposia, a wide range of hands-on workshops and practical training
courses, this year’s dynamic scientific program will highlight all of the latest advancements
in clinical and aesthetic dermatology, including skincare developments, as well as cosmetic
and anti-aging procedures. Accompanying the robust educational agenda, is an expansive
exhibit hall featuring the newest products and most innovative technologies in our field.
The Aesthetic Guide January/February 2019 www.aestheticchannel.com 29NeoClear
NeoClear by Aerolase is a new laser-based acne therapy that uses unique 650
Microsecond Technology™ to gently deliver powerful energy for quick, side-effect-
free results. The laser energy destroys acne bacteria and reduces inflammation
to control current breakouts while inhibiting sebum and oil output to lessen the
likelihood of future breakouts. In addition, it helps to generate new collagen,
which diminishes any acne scars. NeoClear is safe, effective and tolerable for
patients of all ages and darker skin types.
Aerolase, Booth 1917
Epionce Purifying Wash and Purifying Spot Gel
Introducing the new, powerful acne-fighting duo from Epionce – Purifying
Wash and Purifying Spot Gel. Purifying Spot Gel was clinically proven
in a head-to-head study to clear acne blemishes faster than the leading
prescription clindamycin/benzoyl peroxide
product. Designed specifically for adult
acne, the unique Epionce approach
to clearing blemishes combines new
moieties of traditional acne-fighting
ingredients along with botanicals that
provide proven therapeutic benefit – all
without dryness, irritation or redness.
Clinical study on file at Episciences,
Inc. Visit our AAD booth for samples and
more information.
Epionce, Booth 1343
Discovery Pico DERM
Discovery Pico DERM is the new 532 nm/1064
DefenAge 3D Eye Radiance Cream nm picosecond laser designed specifically to be
This technology-loaded, innovative eye the perfect ally in dermatological procedures
cream is designed to improve the visible of acne scars and wrinkles through picosecond
health of the skin around the eyes and and Photo-Thermal pulses. Discovery Pico DERM
address challenging cosmetic concerns on a delivers extraordinarily high peak power in
global scale, including visible lifting, firming ultrashort pulses for fractional and full spot
and smoothing of the upper eyelids, fading treatments. The fractional picosecond pulses
of dark circles and puffiness, and diminishing increase treatment efficacy and patient safety,
the appearance of crow’s feet and fine taking advantage of collagen remodelling
lines. Scientific and clinical data show and skin ablation procedures with almost no
that the key ingredient, defensins, reverses downtime. Discovery Pico DERM also provides
aging by reprogramming skin to become great treatment versatility via the square and
younger every day. A patent-protected metal round handpieces for benign pigmented lesions
applicator with Cooling Tip Technology and tattoo removal. Thanks to its cutting-edge
fosters gentle “finger-free” application to help features, Discovery Pico DERM has become a
preserve the delicate skin around the eyes, fundamental partner in dermatology.
providing a soothing and cooling sensation
upon contact. Quanta System S.p.A., Booth 1311
DefenAge, Booth 508
Zimmer MedizinSystems
This year, Zimmer MedizinSystems (Irvine, Calif.), and its Germany-based parent company, celebrate
50 years of expertise in manufacturing high-quality medical devices. Originating as a manufacturer of
physiotherapy devices, Zimmer rapidly evolved as a global leader in the aesthetic industry. Zimmer’s
Cryo units have become the global standard for cryotherapy. Innovative products such as Zimmer’s
Radial Pulse Technology Z Wave line have made inroads in several markets with tremendous success.
Visit us at our booth to take part in the “50 Years Young” anniversary festivities, as we take a look back
at our company’s history and also look to our future medical device innovations.
Zimmer MedizinSystems, Booth 1409
30 The Aesthetic Guide January/February 2019 www.aestheticchannel.comBellus Medical
Bellus Medical is a premier medical aesthetics company
dedicated to helping leading plastic surgeons, dermatologists
and aesthetic physicians around the world, grow their businesses. We
do that by delivering dramatic results in rejuvenation and restoration. Our
non-invasive innovations – SkinPen®, the FDA-cleared microneedling device; the post-
microneedling protocol Skinfuse®; the light-activated cream Allumera®; and the platelet-rich
plasma systems ProGen™ and RegenLab® – act as gateway products that draw new consumers
to practices. Bellus sets industry standards for efficacy, safety and innovation. As a result, our customers
consistently deliver the best aesthetic care in the business.
Bellus Medical, Booth 3315
Spectrum Laser/IPL, Phoenix CO2, PiXel8-RF
Rohrer Aesthetics manufactures the Spectrum laser/IPL, the Phoenix
CO2 laser and the PiXel8-RF microneedling system. The Spectrum is
a a multi-platform system that includes four lasers, an IPL and is priced
under $57,500. The Phoenix CO2 laser is designed for cutting,
ablation, skin resurfacing and women’s wellness, and is priced
under $47,500. Coupled with the Arctic Chill Chiller, the PiXel8-RF
uses bipolar RF energy alongside microneedles (insulated and non-
insulated) to contour and tighten loose skin on the face, neck, hands
and body. The PiXel8-RF stimulates collagen and reduces fine lines
and wrinkles with little to no downtime and can be placed in your
office for $12,500.
Rohrer Aesthetics, Booth 609
Envy Medical
Envy Medical was born out of a demand for safer alternatives to
treating today’s greatest skin concerns. Dermalinfusion treatment
technology, and a concise range of daily at-home skincare
products, support the high standards of industry professionals
while maximizing patient satisfaction with visible results. Envy
Medical’s products are powered by ingredient discoveries
including Lumixyl® peptide, the tyrosinase-inhibitor researched
and developed by Stanford University that is clinically-proven to
safely address, control and prevent hyperpigmentation. Choose
Envy Medical for results that retain patients and build your
practice without compromising skin’s delicate balance.
Envy Medical, Booth 2943
E•Z removable Ink
E•Z removable Ink® is an ideal skin marker for marking non-surgical
aesthetic procedures like Botox ® or dermal fillers, and consultations.
The ink is easily removable, eliminating patients leaving the office with
ink marks on their face. Available in green, red and white ink colors.
“We use [them] for everything to interact with the patient … during the
consultations. It really makes it very easy to draw what you want to
do and let them see it in the mirror so they can understand before they
commit to it.” – Dr. C.M., actual Viscot customer.
Viscot, Booth 1105
32 The Aesthetic Guide January/February 2019 www.aestheticchannel.comGlycolic 10 Renew Overnight
Not all glycolic treatments are created equal. Free acid value refers to the true strength of a glycolic acid product,
which depends on two factors – acid concentration and pH. Glycolic 10 Renew Overnight is a nightly corrective
cream formulated at a true 10% glycolic acid concentration to dissolve cellular cohesions and promote turnover for
a 36% improvement in skin’s overall glow. It also features 2% phytic acid to promote clarity and brightness, and a
soothing complex to fortify the skin barrier. Proven tolerable for nightly use, Glycolic 10 Renew Overnight improves
the appearance of skin texture, tone and radiance for visibly brighter skin.
SkinCeuticals, Booth 3337
Crystal Clear Digital Marketing
Crystal Clear is an industry leader in providing world-class software, marketing and
consulting solutions for the modern medical/aesthetic practice. Named “Top Aesthetic
Service Provider 2016-2017” by Aesthetic Everything® and “Best Practice Marketing
Company 2016-2017” by THE Aesthetic Guide®, Crystal Clear strives to help practices
around the globe find, serve and keep more patients profitably through one fully-
integrated system. From patent-pending opportunity management software to customized digital marketing services, Crystal
Clear offers a solution to manage all aspects of your medical practice in today’s social world.
Crystal Clear Digital Marketing, Booth 2963
IntelliStudio
Canfield Scientific’s fully-automated
total body imaging system, the
IntelliStudio, uses a 50MP camera
and studio-quality lighting mounted
on a motorized, programmable lift
to accurately photograph a patient’s
skin surface. The IntelliStudio allows
users to capture high resolution 2D
images using both cross-polarized and non-polarized lighting, as well
as videos using LED lighting for playback and zoom capabilities. With
features including automatic facial recognition and automated body
mapping, the IntelliStudio is easy to use while maintaining the highest-
quality captures. This advanced system includes the DermaGraphix® The Vivace Experience
lesion mapping software, and is delivered as a comprehensive turn-key
The Vivace is the newest generation of microneedling
solution, complete with capture system, software applications, computer,
with radiofrequency and is FDA cleared for your
VISIOMED E50evo dermoscopy camera, installation and on-site training.
safety. This non-surgical treatment for contouring
Canfield Scientific, Booth 1923 and tightening the face, neck, hands and body
stimulates the natural production of collagen, and
reduces fine lines and wrinkles beginning with
just one office visit. The Vivace is designed for an
incomparable, comfortable patient experience. If
you are looking for optimal results, look no further
than The Vivace Experience.
Aesthetics Biomedical, Booth 4206
PICOCARE
PICOCARE® is a novel picosecond laser system with dual wavelengths (532 nm and 1064 nm).
With an ultra-short pulse duration and higher peak power, this system can treat various colors
of tattoos (red, orange, yellow with 532 nm; dark colors and black with 1064 nm), and benign
pigmented lesions, more effectively and at a faster rate than conventional Q-switched lasers.
HEXA MLA, an innovative fractional handpiece, allows treatment of various types of scars and
skin rejuvenation (fine lines, wrinkles, enlarged pores, uneven skin texture, dull skin tone, etc.),
based on the theory of Laser Induced Optical Breakdown (LIOB). Physicians can perform more
delicate procedures with optimal results via the variety of spot sizes available with HEXA MLA
(3 mm to 10 mm). Dye handpieces are also available; the 595 nm handpiece treats blue tattoo
inks, rosacea and acne vulgaris, and the 660 nm handpiece removes green tattoo inks and
epidermal pigments.
Wontech Co., Ltd., Booth 227
34 The Aesthetic Guide January/February 2019 www.aestheticchannel.comGlytone Enhance Brightening Serum
Glytone Enhance Brightening Serum is an advanced, elegant layering serum formulated with a unique
combination of ingredients to visibly improve the appearance of dark spots and photodamaged skin, and
reduce the appearance of fine lines and wrinkles, while enhancing skin tone and texture for a brighter, more
even skin tone. AzelaWhite (Azelaic Aid + β-White) visibly brightens for more vibrant and luminous skin and
improves the appearance of unwanted dark spots. Glycolic Acid increases skin cell renewal and optimizes
the penetration of other ingredients for better efficacy. Vitamin E helps protect against free radical damage.
Hyaluronic acid hydrates and plumps skin.
Pierre Fabre, Booth 2423
Dynamis Pro
The Dynamis Pro is an all-in-one,
anti-aging laser system powerhouse
allowing for quick, precise and efficient
protocols and procedures. Featuring
fully customizable settings, this system
achieves true third-generation Er:YAG
resurfacing, which pairs beautifully
with the Nd:YAG wavelength, the 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 larger treatment areas. The
Dynamis combines popular aesthetic-based applications with minimally
invasive surgical procedures such as laser lipolysis. To see the Dynamis in
action, visit our booth.
Fotona, Booth 2545
Mediscope Bodystation
FotoFinder Systems will be offering
demonstrations of its Mediscope
Bodystation, the cutting-edge imaging
solution for consistent before and after
excel V+
photo documentation of virtually any The new excel V+ is the latest generation laser
aesthetic, medical or surgical procedure. technology for vascular and pigmentation treatment.
The system features the unique Laser With design input from leading dermatologists, the
Liner for consistent patient positioning excel V+ features larger spot sizes of up to 16 mm with
at baseline and follow-ups. Every photo more power to deliver two times faster treatments*,
is automatically labeled and stored in a facilitating patient satisfaction and improving
patient database for effortless retrieval. practice ROI. excel V+ features both the 1064 nm
Proposer will enhance your consultations and 532 nm wavelengths to treat multiple common
with impressive procedure protocol and skin conditions (i.e. benign vascular lesions, acne
skincare product recommendations. The vulgaris and wrinkles) with proven results. Its
Universe iPad App provides image access new dual wavelength Laser Genesis handpiece
at your fingertips in any consultation room. is designed to provide safe and efficacious skin
With no need for a floor mat, a small foot revitalization outcomes in any consultation room.
print, just one power cord and no loose With no need for a floor mat, a small foot print, just
cables, it is a truly mobile studio system. one power cord and no loose cables, it is a truly
mobile studio system.
FotoFinder Systems, Booth 2719
© Copyright Cutera, Inc. AP2386 rA (01/19)
*Data on file.
Cutera, Booth 1501
36 The Aesthetic Guide January/February 2019 www.aestheticchannel.comYou can also read
