YOUR COMPREHENSIVE GUIDE TO

ENERGY-BASED DEVICES
To help you make informed decisions for your practice, we compiled information on devices from
the leading manufacturers in the US. Ahead is the information they furnished about their devices.
Look for additional information and updates online at PracticalDermatology.com.
Every effort has been made to provide up-to-date information. Be sure to verify information with any
manufacturer, and talk to colleagues with experience using any system you are considering.

CUTERA | excel V+ *Delegable if allowed by law. 532/1064

HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
• Coolview Benign vascular lesions, such • Featuring two clinically • Two clinically proven wavelengths
• Dermastat as, but not limited to, port wine proven wavelengths • 5 unique operating modes
• Genesis V stains, hemangiomas, warts, (532nm/1064nm) • Large spot sizes up to 16mm
telangiectasia, rosacea, venous • 5 unique operating • Higher energy
lake, leg veins, spider veins, modes • Unique handpieces for customizable
and poikiloderma of civatte, and • Large spot sizes up to and proprietary treatments
treatment of benign cutaneous 16mm • 5x higher absorption by oxyhemoglobin
lesions: warts, scars, striae, • Higher energy • 1.5x higher absorption by melanin vs 595nm
psoriasis, acne vulgaris, and • Ability to titrate cooling for maximum comfort, efficacy, and
benign pigmented lesions. efficiency (poikiloderma, photodamage)

LUTRONIC GLOBAL | Spectra platform 1064/532nm Nd:YAG short-pulse

nanosecond platform *Delegable if allowed by law.
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
Zoom Handpiece Lighten unwanted 5 nanosecond pulse width (fastest in industry), 5 Nanosecond capability, FDA melasma
3-8mm pigmentation, remove and has Spectra mode: 300 microsecond pulse. clearance, Hollywood Laser Peel
Optional unwanted tattoos, reduce Auto-calibration, ergonomic interface and capability, Spectra Mode at 300us—
Handpieces: 585nm the appearance of acne handpiece, wide range of parameters for broad enables HLP treatment, ergonomics,
and 650nm Dye scars and wrinkles, applications. Small footprint, incredible record of ease of use, clinical credibility and
Handpieces manage melasma reliability and durability. Rep rates up to 10Hz, 0.24 performance in a wide range of
GW of peak power for fast, effective treatments. aesthetic applications.
*Consumables: Carbon lotion for the proprietary Hollywood Laser Peel treatment; cost per treatment is $1-2.

AUGUST 2020 PRACTICAL DERMATOLOGY

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 ENERGY-BASED DEVICES ENERGY-BASED DEVICES
595/1064 CANDELA | Vbeam Prima LUTRONIC GLOBAL | Clarity platform - Clarity II 755nm and 1064nm long-pulsed
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS laser energy *Delegable if allowed by law.
20 + indications: Benign Dual wavelength platform: proprietary 595nm PDL and Dual wavelength platform: US FDA
cutaneous vascular lesions and 1064nm Nd:YAG; Dual cooling device platform: cryogen proprietary 595nm PDL and HANDPIECES KEY FEATURES KEY DIFFERENTIATORS
CLEARANCES
benign cutaneous lesions by based Dynamic Cooling Device (DCD) PLUS Evercool 1064nm Nd:YAG; Dual cooling
Universal Intelligent Laser hair removal Higher power and digital power supply that enables IntelliTrak technology for faster
photocoagulation: vascualr lesions, contact cooling - two types of cooling for maximum device platform: Dynamic
Handpiece with choice (reduction), removing larger spots with higher rep rates and higher available consistent coverage for large
facial and leg telangiectasia, versatility and epidermal protection. Large 15mm Spot Cooling Device (DCD) plus
of cryogen or air unwanted pigment, fluences for LHR up to 45% faster than other devices. area hair removal. Temperature
telangiectatic matting, leg size and zoom handpiece; 8 micropulse architecture; Evercool contact cooling.
cooling and vascualr lesions Smart multi-spot cartridge sizes from 2-24mm all with a Sensing (real-time) to better achieve
veins, rosacea, port wine stains, once daily calibration upon start up, smart dye life Large 15mm Spot size and
as well as reducing single fiber and autocalibration that makes set-up and efficacious treatments and inform Tx
hemangiomas, angiomas, spider management and remote diagnostics. zoom handpiece; 8 micropulse
wrinkles treatment times faster than any other system. Clarity endpoints for safer more complete
angiomas. Pigmented lesions: architecture. Proprietary
II can provide rep rates > 3.0Hz with 20mm spots at treatments - especially with 1064nm
poikiloderma of Civatte, solar 595nm wavelength is an
effective fluences . for light toning treatments.
lentigines, dyschromia, ephelides, industry gold standard in
cafe au lait, pigmented birthmarks. vascular treatments offering *Primary consumable consideration is cryogen, protective windows, and distance gauges, but these are nominal expenses usually less than 2-4% of the
Cutaneous lesions: warts, scars, optimal depth of penetration treatment charges.
striae, and psoriasis. Treatment and hemoglobin absorption.
of wrinkles, and the treatment of
inflammatory acne vulgaris.
CYNOSURE | Elite+ Aesthetics Platform *Delegable if allowed by law.

755/1064
CANDELA | GentleMax Pro HANDPIECES US FDA
CLEARANCES KEY FEATURES KEY DIFFERENTIATORS

HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS 8 Handpieces - The Cynosure Nd:YAG technology with 755nm • Deliver exceptional results across all skin types
Frax 1550 755nm: Hair reduction, treatment Dual configuration 755nm Alexandrite Dynamic Cooling Device (DCD) saves each handpiece Apogee Elite laser and 1064nm dual-wavelength • Easily switch between wavelengths for different
of benign pigmented lesions, and 1064nm Nd:YAG lasers. Trusted for all time, is operator independent and scales has a differnet is indicated for system that delivers reliable, treatments within a single session
treatment of wrinkles, treatment skin types. Comprehensive and versatile with fluence to provide consistent spot size permanent hair cost-effective treatments for hair • Air-cooling throughout treatments enhance patient
of vascualr lesions. 1064nm: treatment capabilities. Dynamic Cooling protection of the epidermis reduction and removal, vascular treatments, comfort and satisfaction
Hair reduction, vascular lesions, Device (DCD) operator independent cooling the treatment of epidermal pigment, and wrinkle • Longer pulse durations of up to 300ms precisely
warts, and onychomycosis, plus oor Air Cooling Compatible system. Broad vascular lesions, reduction. match the energy delivered in concert with thermal
benign pigmented lesions and range of spot sizes and specialty delivery pigmented lesions, relaxation time
wrinkles. system option for vascular and pigmented and wrinkles.
lesions and nail fungus.
*Treatment duration varies by treatment area
*Disposable: Cryogen

CUTERA | excel HR *Delegable if allowed by law.

HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
Built-in FDA cleared for permanent hair reduction, • Hair Removal • Dual wavelengths, optimized for hair: 755nm +
unwanted pigmentation, and vascular • Pigmented Lesions 1064nm
lesions • Vascular Lesions • Large spot sizes up to 18mm
• Laser Genesis • Proven performance – truPulse Nd:YAG
• Contact Cooling; Most comfortable hair removal

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
CYNOSURE | WarmSculpting with SculpSure SOLTA MEDICAL | Clear + Brilliant *Delegable if allowed by law. 1440/1927
1060
KEY HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
HANDPIECES US FDA CLEARANCES KEY FEATURES DIFFERENTIATORS •Clear + Brilliant Original Dermatological procedures • Fractional, low energy, low •Intelligent Optical Tracking System (IOTS): IOTS
Submental and body The Cynosure SculpSure is intended The 1060nm wavelength’s specific affinity for • Fast, 25-minute Handpiece (1440 nm) requiring the coagulation of density diode laser senses skin contact with the treatment tip
applications for non-invasive lipolysis of the adipose tissue, coupled with minimal absorption treatment per area • Clear + Brilliant Perméa soft tissue and general skin • Two handpieces (1440 nm rollers, and the motion of the tip relative to the
abdomen, flanks, back, and thighs in the dermis, allows SculpSure to efficiently treat • Versatile applicators Handpiece (1927 nm) resurfacing procedures. and 1927 nm) with a fixed skin surface to ensure uniform delivery of the
in individuals with a Body Mass areas of troublesome fat in just 25 minutes per to fit a variety of body spot size of 140 um/MTZ laser spots
Index (BMI) of 30 or less. In addition, treatment. Over time, the body naturally eliminates shapes and sizes Handpieces are the primary Important Safety Information • Fixed settings low, medium, • Clear + Brilliant Perméa handpiece can result
the device is intended for non- the disrupted fat cells with results seen as quickly • Dedicated support team option to activate treatment at www.clearandbrilliant.com/ and high for ease of use in enhanced absorption of skincare products
invasive lipolysis of the submental as 6 weeks and optimal results usually seen in as to ensure clinical and in the delivery of the laser. hcp. • Demonstrated safety profile • Clear + Brilliant can help minimize the
area in individuals with a BMI of few as 12 weeks. marketing success A treatment tip must be in variety of skin types appearance of pores
49 or less. The device is intended • Minimal absorption in the dermis leaves the skin’s • Direct-to-consumer securely attached to the
to affect the appearance of visible surface unharmed marketing to drive handpiece before use.
fat bulges in the abdomen, flanks, • Advanced Contact Cooling enhances patient awareness and leads
back, thighs and submental area. comfort
When using the petite mask for non- • Feathering of heat spread provides natural-looking
invasive lipolysis of the submental results
area, the device can also affect • Mild and transient side effects
the appearance of lax tissue in the
submental area.
*Consumables: PAC keys

AEROLASE | Neo Elite 650-microsecond 1064nm

CANDELA | Ydun Frax 1550 1550
1064
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
Frax 1550 Skin resurfacing, textural irregularities via laser skin resurfacing
650-microsecond 36 FDA indications for all • Delivers high energy in a • Establishes new profitable, recurring revenue streams from
Nd:YAG skin types and tanned short pulse duration for the unmet needs with the device-based approach to acne, melasma,
skin including but not most comfortable patient psoriasis, and aesthetic medical conditions for patients with skin
limited to: experience without skin of color.
•treatment of wrinkles cooling • Familiar mechanisms of action are accomplished by 650
• acne • Contactless treatment Microsecond Technology as an alternative or complement to
• psoriasis • Safe and effective on all topical or systemic therapies.
• melasma skin types • Every aspect is designed for your performance. Exceptionally
• spider veins
• rosacea
built to remove limits so you can do your greatest work - wherever
it takes you.
Contouring
• hair removal • One device capable of addressing 36 FDA indications is Market to Grow
• PFB remarkable enough. One handpiece to addresss them all. The global body contouring mar-
ket is expected to reach a value
of $9.1 Billion by 2024, according to
ResearchandMarkets.com.
North America is the leading mar-
ket for body contouring, followed

©istockphoto
by Europe, Asia Pacific, Latin America,
and Middle East and Africa.

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

ONLINE VERSION ONLINE VERSION
 ENERGY-BASED DEVICES CUTERA | Juliet Er:YAG 2940nm Laser *Delegable if allowed by law.
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
1550/1927 SOLTA MEDICAL | Fraxel • Sterispot
• Microspot
Coagulation, vaporization, ablation or cutting of soft
tissue (skin) in Dermatology, Plastic Surgery, Oral
• Skin Revitalization
• Wrinkles
• Gynecological: Er:YAG ablation
provides a gentle approach to
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS • Vario Surgery, ENT, Gynecology, General Surgery, Podiatry and • Scars resurfacing
Single The Fraxel re:store® Dual 1550 nm laser is indicated • Two wavelengths with • Intelligent Optical Tracking Ophthalmology (skin around the eyes) • Acne Scars • Facial Aesthetic Procedure
handpiece for use in dermatological procedures requiring demonstrated safety profiles in System (IOTS): IOTS senses skin • Pigmentation
with two the coagulation of soft tissue, as well as for skin variety of skin types to treat both contact with the treatment tip *Disposable Gynecological Handpiece
wavelengths resurfacing procedures. It also indicated for deep and superficial indications rollers, and the motion of the tip
(1550 nm and
1927 nm)
treatment of dyschromia and cutaneous lesions,
such as, but not limited to lentigos (age spots),
• The 1550nm laser coagulates the
epidermis and dermis up to 1.6mm
relative to the skin surface to
ensure uniform delivery of the
ALMA LASERS | FemiLift Pixel CO2 CO2
Handpiece is solar lentigos (sun spots), actinic keratosis, and depth of penetration laser spots HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
the primary melasma, and for treatment of periorbital wrinkles, • The 1927nm laser coagulates the • Non-ablative and ability to • Pixel 7x7 Intended for use in • Divides the beam into 49 pixels creating • This unique technology approach enables
option to acne scars and surgical scars. epidermis and dermis up to 0.3mm adjust settings based on patient • Pixel 9x9 surgical applications simultaneous microscopic columns of micro- the use of much higher energy levels via
activate The Fraxel re:store 1927 nm laser is indicated for depth of penetration concerns • Horizontal requiring the ablation, ablative damage. The energy is delivered in a longer pulse durations, creating a greater
treatment in use in dermatological procedures requiring the • Delivers integrated cooling from Pixel 9x9 vaporization, excision, square pattern with an 11x11mm spot size coagulation and thermal effect with
the delivery coagulation of soft tissue and the treatment of the Zimmer Chiller directly to skin • Focus 50mm incision, and coagulation • Divides the beam into 81 pixels creating minimal ablation and significantly less
of the laser. actinic keratosis. surface for focal cooling and patient • Focus 100mm of soft tissue in simultaneous microscopic columns of micro- patient downtime
A treatment comfort • Matrix Scanner medical specialties, ablative damage. The energy is delivered in a • In “cut” (ablation) mode, short pulses
tip must be Important Safety Information at www.fraxel.com/ including aesthetic square pattern with an 11x11mm spot size emit high peak power, causing immediate
securely hcp surgery (dermatology • Divides the beam into 81 pixels delivered ablation of tissue. In “coagulation”
attached to and plastic surgery), horizontally creating simultaneous microscopic (thermal) mode, a longer pulse emits
the handpiece podiatry, gynecology, columns of micro-ablative damage. The energy is low to modest power, generating heat,
before use. neurosurgery, delivered in a square pattern with an 11x11mm spot which causes blood vessels and tissue
orthopedics (soft tissue), size to shrink. This sequential-action pulse
arthroscopy (knee). • Ideal for surgical applications requiring cutting and allows physicians to achieve optimal
coagulation tissue incision or excision cutting with
• Ideal for surgical applications requiring cutting and minimal bleeding as well as reduced
coagulation patient downtime.
• Handheld microprocessor-controlled laser scanner • LiteScan optimizes treatment efficacy
for char-free ablative procedures that allows for by providing higher energy output
rapid coverage of large areas. It is designed for per pixel in shorter pulses for ablative
use in a variety of dermatological, cosmetic and procedures. The galvanometric scanning
AEROLASE | ERA Elite 300-microsecond Er:YAG 2940nm surgical applications. Multiple scanning options motor delivers energy more quickly
2940 are available including square or circle, in a spiral, per scanning area than the CO2 focus
HANDPIECES US FDA grid or circumferential pattern as well as straight applicators, for faster and more efficient
KEY FEATURES KEY DIFFERENTIATORS
CLEARANCES or curved lines. coverage of large surface areas.
1 Coagulation, Wrinkles and fine lines Predictable and replicable results for millennials choosing to
vaporization, ablation, acne Scars
or cutting of soft tissue Sun Damage
prevent signs of aging or for heavily damaged skin
• 300-microsecond technology enables precise ablation to
CANDELA | CO2RE
(skin) in Dermatology, superficially or completely renew the epidermis in a single
Plastic Surgery, treatment with less downtime than fractional technologies. HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
Oral Surgery, ENT, • The 300-microsecond pulse enables a more precise ablation
Gynecology, General of tissue allowing physicians to tailor their treatments to the • Aesthetic FDA-cleared for more than 100 CO2 laser; 10,600nm; 5 treatment One system with numerous individual laser
Surgery, Podiatry, patient’s individual needs. • The precise ablation also eliminates • Surgical indications in more than 10 modes; Fast pulse repetition rate treatment applications.
Ophthalmology demarcation lines, allowing physicians to treat facial areas of medical specialties, including delivered at 16,000 pulses/sec High reliability
concern without needing to treat the entire face. • CO2RE Intima has External, dermatology, plastic surgery, reduce thermal spread or injury
Internal, & Surgical and gynecology.
Handpieces
PRACTICAL DERMATOLOGY AUGUST 2020 *Single-use disposables for Internal and External CO2RE Intima Handpieces AUGUST 2020 PRACTICAL DERMATOLOGY
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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
CUTERA | Fraxis PRO 10600nm Fractional CO2 LUTRONIC GLOBAL | eCO2 Plus CO2 Laser *Delegable if allowed by law.

HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS

• Fractional CO₂ Intended for use in dermatologic and general • Skin resurfacing, Laser Semi-insulated and non- • 120nm Scanner • The eCO2 Plus Laser System is indicated • Intelligent Precision with Smart Safety: eCO2 from Lutronic is the
• 10600nm surgical procedures for electro-coagulation micro peel, Fine lines insulated tips deliver • 300nm Scanner for use in dermatological procedures Users can easily and intuitively balance smart choice for providing
• RF Microneedling and hemostasis, ablation, coagulation and • Wrinkles energy where it is needed within • Single Spot “Zoom” requiring ablation (removal), resurfacing results and safety by delivering ablative fast, full-spectrum CO2
• 2MHz skin resurfacing. • Photoaging/Photo Damage various Handpiece and coagulation of soft tissue. Additionally, energy at the desired density and depth treatments with improved
• Fractional CO₂ with • Acne Scars adjustable depths of skin from • physicians’ extensive the 120 micron and 300 micron spot sizes are • Unique, proprietary features, such pain management and
stacking pulse format and • Scarring 0.5-3.5mm needs with a highly used in the treatment of wrinkles, rhytides, as Patented Controlled Chaos unparalleled outcomes.
cutting handpiece • Striae reliable, powerful furrows, fine lines, textural irregularities, Technology (CCT™): generates random Your busy practice
resurfacing solution. pigmented lesions and vascular dyschromia energy delivery patterns to minimize will appreciate eCO2’s
RF Microneedling • Surgical applications requiring the complications from bulk heating and industry-leading reliability
• 25 non-insulated tip ablation, vaporization, excision, incision, maximize patient comfort & ease-of-use.
• 25 semi-insulated tip and coagulation of soft tissue in medical • Dependability: With an extremely low
• 64 semi-insulated tip specialities, including dermatology, plastic rate of failure and years of proven
surgery, podiatry, neurosurgery, gynecology, performance in the field
otorhinolaryngology (ENT), arthroscopy
(knee), and open endoscopic general surgery

NEAUVIA | Zaffiro Infrared

CYNOSURE | MonaLisa Touch *Delegable if allowed by law. INFRARED
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS * Peak energy Zaffiro works to enhance the Zaffiro brings together years of Adjustable Pressure: Precise control of
reaches 1020nm appearance of skin by supporting experience in scientific research and waterpeeling pressure enables treating
• The SmartXide Touch Laser (MonaLisa • MonaLisa Touch® is an innovative The MonaLisa Touch procedure uses Maximum healthy functions. Water peeling development, aesthetic medicine and multiple areas. Control over pressure enables
Touch Therapy) is indicated laser, designed and produced by fractional CO2 laser technology and has depth 4mm 2: and exfoliation encourage a engineering. The Zaffiro device has treatment to cleanse, exfoliate and infuse
for incision, excision, ablation, DEKA (Italy), that delivers fractional proprietary stacking software, which Thermo-lifting brightened complexion and skin been sold worldwide since 2015 and treatment formulas
vaporization and coagulation of body CO2 laser energy to soft tissues. The allows repetitive firing of the laser with handpiece and cell proliferation. Thermo-lift has been carefully optimized to provide Hydration: Thorough hydration of the skin
soft tissues in medical specialties procedure is performed in an office more concentrated energy, and enables Hydro-exfoliating technology encourages improved impressive results while maintaining improves moisture and prepares the skin for
including aesthetic (dermatology environment typically without the deeper penetration of energy into soft handpiece collagen health and long-term high quality and safety standards. optimized Thermo-lifting results.
and plastic surgery), podiatry, need for anesthesia. tissues neocollagenesis providing Smart Glass: Sapphire glass does not absorb
otolaryngology (ENT), gynecology, • The MonaLisa Touch laser is widely firming and tightening to the energy, ensuring full energy is delivered,
neurosurgery, orthopedics, general used and has been embraced by appearance of the skin. ensures consistent results and reduces risk
thoracic surgery (including open and hundreds of experts in female Class 1 Registration of burns.
endoscopic), dental and oral surgery pelvic health. It’s a well-tolerated Smart CoolinG: Controls skin temperature
and genitourinary surgery. Use with procedure performed in office and during treatments allowing for higher
the scanning unit is indicated for typically does not need anesthesia. energy delivery while maintaining patient
ablative skin resurfacing. comfort and safety. Cooling improves
*Disposable Gynecological Handpiece capillary elasticity and reduces redness and
erythema.
Treatment Gel: Designed to allow for higher
energy delivery while maintaining patient
comfort and safety.

PRACTICAL DERMATOLOGY AUGUST 2020 Disposables: 5 Hydro-exfoliation formulas. HA Skin Health, Acne Formula, Hair Nourishment, Soothing Skin Formula,AUGUST 2020 PRACTICAL DERMATOLOGY
Skin Brightening.
ONLINE VERSION ONLINE VERSION
 ENERGY-BASED DEVICES ENERGY-BASED DEVICES
CANDELA | VelaShape III Bi-Polar RF, IR, Mechanical tissue manipulation with massage (rollers) and
ALMA | Harmony XL PRO Laser & IPL pulsed vacuum
MULTI
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS

• ClearLift Plus Tips • Skin Resurfacing • Fractional Non-ablative Depth control tips for customized • VSmooth • No Specific Clearance for •Electrode design 3 size covers enable optimal treatment for a range of
• Dye VL • Vascular & Pigmented Lesions Q-Switched 1064nm treatments • VContour handpieces. •More cover sizes for body shapes.
• iPixel Er:Yag • Skin Resurfacing • Narrow band IPL 500-600nm • VContour Small Cover • VelaShape III: Temporary Vcontour Disposable covers provide a more hygienic treatment
• Fractional Ablative Resurfacing • VContour Medium circumference reduction •On-Applicator display Ergonomic design enables operator to sit or stand during
Cover of theabdomen and forease-of-use treatment.
• VContour Large Cover thighs, as well as •Controlenergy level VelaShape III: Can deliver up to 150 watts of
temporary reduction in •View real time radiofrequency power, producing heat faster than
Laser Procedures Remain Popular Consider Technology to the appearance ofcellulite. temperature feedback previous models, thereby reducing treatment time.
It is also indicated for the Closed-loop bipolar radiofrequency system allows for
Down slightly from 2018, the number of surgical and non-
surgical procedures in the US in 2019 remains significant, as Boost Your Practice relief of minor aches and consistent delivery of energy across a broad surface
reported by The Aesthetic Society. Laser procedures con- If you’re looking to invest in your practice, consider adding musclespasms, as well area. Approved for use in all skin types; Successful
tinue to rank in the top five non-surgical procedures: technology to meet your patients’ needs. For example, two as for the improvement of results over more than 15 years and 3.5 million
of the most commonly treated conditions in a dermatology
office are acne and rosacea. Are you using the most up-to-
blood circulation. treatments; Can be used as an adjunct to many body
date technology to treat your patient? If you do not cur- shaping and fat reduction procedures, including
rently have the best devices to complement your pharma- ultrasound, cryolipolysis, and liposuction
ceutical treatment of acne, consider adding a device, such as
*Disposable covers with Contour.
the Aerolase Neo Elite, which rapidly improves active acne,
post-inflammatory dyschromia, and mild acne scars in all
skin types. At Refresh Dermatology, we offer this procedure
to patients two weeks after starting their topical or oral acne
regimen. In addition to quickly gaining the patient’s trust CANDELA | Nordlys Ellipse IPL, Frax 1550nm, Nd:YAG 1064nm
with rapid improvement of acne in days rather than weeks,
the patient becomes more compliant with your skincare
recommendations. In addition to a satisfied patient, your HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
bottom line improves when you choose a reliable device
that has no consumable and can also be used to treat other • 8 Ellipse IPL • Skin rejuvenation, Telangiactasias, • Narrowband wavelength, Dual • Ellipse IPL™ technology with narrowband
common dermatologic conditions, such as rosacea, psoriasis,
Handpieces Rosacea, Benign epidermal filtration, Sub-millisecond wavelengths, delivers targeted,
telangectasias, lentigines, and hirsutism.
Don’t forget to invest in educating your team. Does • Frax 1550 pigmented lesions (lentigo solaris), pulses controlled, filtered light - eliminating
your medical assistant know how to properly explain your • Nd:YAG 1064nm Benign pigmented lesions (mottled • Delivers fractional non- potentially harmful wavelengths above
protocol for treating eczema, psoriasis, and acne? Is your pigmentation, ephilides), Benign ablative 1550nm laser for skin 950nm. For treatment with less fluence,
aesthetician up to date on the latest topical formulations vascular lesions (diffuse redness), resurfacing and improvement no active cooling required and fewer
and your skincare recommendations? If you expand his or Poikiloderma of Civatte, Port wine stains, of textural irregularities, with treatments compared to broadband IPL
her knowledge, you will be able to exit the room with confi-
Hair removal, Inflammatory acne vulgaris patented SoftCool™ air cooling devices.
dence to see your next patient. Does your team understand
the breadth of skincare and procedures you offer to enhance • Skin resurfacing, Textural irregularities for patient comfort. • No expensive consumables.
a patient’s skin? Let your medical assistant be an active par- via laser skin resurfacing • Integrated SoftCool technology. • Patented, integrated SoftCool technology
ticipant in your patient’s journey. • Benign vascular lesions (diffuse Software-controlled zoom. enables treatment without the
—Suneel Chilukuri, MD, and Kimberly Campbell redness), port wine stains, venous lakes, Three tips. constriction of underlying vessels.
leg veins, benign cutaneous lesions, such Software-controlled zoom enables easy
as warts change in spot sizes from 1.5-5.0mm for
• Podiatry; matrixectomy, periungual, treatment flexibility.
subungual, and plantar warts, clear nail

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
CUTERA | xeo multiapplication platform | IPL, 1064nm, 2790nm *Delegable if allowed by law. CYNOSURE | Smartlipo Triplex 1064nm, 1320nm and 1440nm *Delegable if allowed by law.
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS US FDA
HANDPIECES KEY FEATURES KEY DIFFERENTIATORS
• Nd: YAG Ablation, coagulation on skin A multi-modality platform Contains 20+ treatment applications in CLEARANCES
• LimeLight resurfacing, Benign vascular Includes: High power Nd:YAG laser, one system so providers have multiple
• ProWave LX and pigmented lesions warts, multiwavelength IPL and YSGG treatment options with the ability to expand Flexible system Can be used to treat love handles, flabby upper arms, excess SmartSense™ Delivery System
• Pearl scars, striae, and psoriasis. fractional laser and upgrade their technologies offers 1064nm, neck or facial fat, or fat on the lower torso. By customizing the distributes precise energy by
• Pearl Fractional 1320nm, and 1440nm wavelengths based on the treatment and patient type, Smartlipo measuring motion and delivery
• Titan wavelengths. Triplex offers: of laser power.
• AcuTip • Tissue retraction through soft tissue coagulation ThermaGuide Temperature
• Reliable, controlled energy delivery sensing cannula provides
CYNOSURE | Icon Aesthetic Platform 2940nm, 1540nm, 1440nm, 1064nm
• Reduced liposuction procedure time and patient downtime
• Less bleeding and bruising than traditional liposuction
temperature feedback to deliver
the appropriate level of laser
*Delegable if allowed by law. • Intended for the surgical incision, excision, vaporization, energy.
ablation, and coagulation of soft tissue
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS * Consumables: 300 & 600 micron and 1mm fibers
Seven • 2940 Ablative Laser Handpiece: intended for use in • The Icon system offers • Skintel® is industry’s only melanin
handpieces
available
surgical applications requiring the excision, incision,
ablation, vaporization, and coagulation of soft
industry-leading IPL and
laser therapies, as well as
reader. It is integrated with the Icon
system, providing confidence and
SCITON | JOULE and BBLs *Delegable if allowed by law.
tissue. Soft tissue includes skin, cutaneous tissue, Skintel(tm), the industry’s safety for less-experienced users.
subcutaneous tissue, striated and smooth tissue, only live melanin reader. It talks to the Icon device, providing HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
muscle, cartilage meniscus, calculi or fragments, Developed with safety treatment setting recommendations
mucous membrane, lymph vessels and nodes, and efficacy in mind, based on the melanin reading and Halo 1470nm Indications for Use: • Wrinkles The world’s only Hybrid Fractional Laser
organs, and glands in the following indications: these features provide the the handpiece. Cynosure is the only • The JOULE 1470nm Multi-Platform Systems and delivery • Scar Revision that delivers a non-ablative and an ablative
skin resurfacing, treatment of wrinkles, epidermal confidence you need and company that has this. accessories are intended for delivery of laser light to (including acne wavelength to the same microscopic
nevi, telangiectasia, spider veins, actinic chelitis, the results patients want • Advanced Contact Cooling – soft tissue for use in incision, excision, vaporization, scars) treatment zone.
keloids, verrucae, skin tags, anal tags, keratoses, for: maintains constant 5° temperature ablation, hemostasis or coagulation of soft tissue. • Skin Resurfacing
scar revision (including acne scars), debulking • Facial vessel clearance and during treatments. SmoothPulse™ • The JOULE 1470nm Multi-Platform Systems with its • Signs of Aging INTEGRATED HANDPIECE: Integrated air
benign tumors, debulking cysts, and superficial skin pigment reduction technology avoids energy spikes handpiece and delivery system is intended for use in • Sun Damage cooling and smoke evacuation.
lesions. • Surgical and acne scar often used by competing systems to dermatological procedures requiring skin resurfacing • The appearance of
• 2940 Fractional Ablative Laser Handpiece: intended treatment deliver treatment – patient skin stays and coagulation of soft tissue. enlarged pores DTO TECHNOLOGY: Dynamic Thermal
for use in dermatological procedures requiring • Stretch mark treatment cooler and more comfortable without 2940nm Indications for Use: • Discoloration Optimization (DTO) is built into HALO to
coagulation, resurfacing, and ablation of soft tissue. • Wrinkle reduction sacrificing efficacy. • The JOULE 2940nm Multi-Platform Systems with • Dyschromia’s automatically adjust the power of each
Procedures include skin resurfacing and treatment • Leg vein clearance • Only IPL clinically proven to deliver delivery accessories are designed for use in surgical • Pigmented Lesions individual 1470nm pulse based on the
of wrinkles, rhytides, furrows, fine lines, textural • Permanent hair reduction vessel clearance equal to PDL. Only applications requiring the excision, incision, ablation, temperature of the patient’s skin.
irregularities, pigmented lesions, and vascular • Fractional skin resurfacing non-ablative fractional laser FDA vaporization, and coagulation of soft tissue, and for
dyschromia. cleared for stretch mark treatment. skin resurfacing and treatment of wrinkles. OPTICAL NAVIGATION: Captures the motion
• The 1540 Fractional Non-ablative Laser Handpiece • ThreeForMe treatment - Combines the • The JOULE 2940nm Multi-Platform Systems with its of the hand piece hundreds of times every
is intended for use in the coagulation of soft tissue, MaxG and 1540 handpieces to provide handpiece and delivery system is intended for use in second to track the speed with extreme
skin resurfacing procedures as well as treatment of patients’ with atreatment that target dermatological procedures requiring skin resurfacing, precision.
melasma, striae, acne scars and surgical scars. 3 of their main concerns (wrinkles, and ablation and coagulation of soft tissue.
• 1440 Fractional Non-ablative Laser Handpiece: sun damage, and facial veins) all in ABP (ADJUSTABLE BEAM PLACEMENT):
intended for use in dermatological procedures one treatment. Provides the ability to change both the size
requiring coagulation of soft tissue and skin and position of the delivery beam.
resurfacing procedures. * Consumables: HALO Tip

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
VENUS CONCEPT | Venus Versa IPL, NanoFractional RF, and (MP)² *Delegable if allowed by VENUS CONCEPT | Venus Legacy (MP)² - Multi-Polar Radio Frequency and
law. Pulsed Electro Magnetic Fields, and VariPulse adjustable pulsed
suction *Delegable if allowed by law.
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
US FDA
HANDPIECES KEY FEATURES KEY DIFFERENTIATORS
SR515 • Treatment of benign • SmartPulse technology • SmartPulse techonology delivers consistent energy CLEARANCES
SR580 pigmented epidermal and • Real-Time Cooling throughout the duration of the pulse for greater efficacy DiamondPolar Wrinkle reduction in (MP)² technology, combining Multi-Polar (MP)² technology is a unique combination of
cutaneous lesions and better treatment outcomes. females, skin types Radio Frequency and Pulsed Electro Multi-Polar Radio Frequency and Pulsed Electro
• Treatment of benign • Real-Time Cooling provides patients with incomparable I-IV Magnetic Fields Designed for the face Magnetic Fields
cutaneous vascular lesions comfort during treatments. • No downtime
HR650 The HR650, HR690, HR650XL • SmartPulse technology • SmartPulse techonology delivers consistent energy • Comfortable treatments
HR650 XL and HR690XL IPL applicators • Real-Time Cooling throughout the duration of the pulse for greater efficacy • Technology is safe for all skin types
HR690 are indicated for the removal and better treatment outcomes. OctiPolar Wrinkle reduction in (MP)² technology, combining Multi-Polar (MP)² technology is a unique combination of
HR690 XL of unwanted hair and to • Real-Time Cooling provides patients with incomparable females, skin types Radio Frequency and Pulsed Electro Multi-Polar Radio Frequency and Pulsed Electro
effect stable long-term or comfort during treatments. I-IV Magnetic Fields Designed for the body Magnetic Fields
permanent hair reduction for • The wavelengths are ideal for absorption of the light by • No downtime
Skin Types I-IV. the melanin in the hair follicle. • Comfortable treatments
AC Dual The ACDUAL applicator is • SmartPulse technology • SmartPulse techonology delivers consistent energy • Technology is safe for all skin types
intended to be used for the • Real-Time Cooling throughout the duration of the pulse for greater efficacy 4D Face Temporary (MP)² technology, combining Multi-Polar VariPulse improves lymphatic drainage and
treatment of acne vulgaris. and better treatment outcomes. improvement in Radio Frequency and Pulsed Electro increase the depth of penetration of the (MP)²
• Real-Time Cooling provides patients with incomparable the appearance of Magnetic Fields Designed for smaller body technology
comfort during treatments. cellulite areas and the face Includes VariPulse, • No downtime
• The two wavelengths target inflammation in the skin and adjustable pulsed suction for depper energy • Comfortable treatments
C. acnes bacteria. penetration and lymphatic drainage” • Technology is safe for all skin types
DiamondPolar Wrinkle reduction in females, (MP)² technology, (MP)² technology is a unique combination of Multi-Polar 4D Body Temporary (MP)² technology, combining Multi-Polar (MP)² technology is a unique combination of
skin types I-IV combining Multi-Polar Radio Frequency and Pulsed Electro Magnetic Fields improvement in Radio Frequency and Pulsed Electro Multi-Polar Radio Frequency and Pulsed Electro
Radio Frequency and Pulsed • No downtime the appearance of Magnetic Fields Designed for the body Magnetic Fields VariPulse improves lymphatic
Electro Magnetic Fields • Comfortable treatments cellulite Includes VariPulse, adjustable pulsed drainage and increase the depth of penetration of
Designed for the face • Technology is safe for all skin types suction for depper energy penetration and the (MP)² technology
OctiPolar Wrinkle reduction in females, (MP)² technology, (MP)² technology is a unique combination of Multi-Polar lymphatic drainage • No downtime
skin types I-IV combining Multi-Polar Radio Frequency and Pulsed Electro Magnetic Fields • Comfortable treatments
Radio Frequency and Pulsed • No downtime • Technology is safe for all skin types
Electro Magnetic Fields • Comfortable treatments * Consumables: Glide coupling gel
Designed for the body • Technology is safe for all skin types
NanoFractional RF Intended for dermatological NanoFractional RF The most customizable skin resurfacing technology in the
procedures requiring ablation technology with SmartScan industry, with adjustable ablation/coagulation ratio
and resurfacing of the skin
*Numbing cream optional before NanoFractional RF treatment.

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
CANDELA | PicoWay PICO/
MORE SYSTEMS TO ASSESS HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
PICO+
Resolve 532nm Wrinkles, Benign Pigmented High peak power and shortest pulse Primarily photoacoustic, rather than
eTWO SYSTEM COMBINED INFRARED (IR) LIGHT AND BI-POLAR RF ENERGIES Lesions durations for a photoacoustic effect. Low photothermal impact. Treats a broad
• Cleared for non-invasive wrinkle treatment, ablation & skin resurfacing, and facial wrinkles. to no downtime treatment. range of skin types, including skin of
• Includes disposables. color.
• Sublime and Sublative treatments for low downtime treatment of skin resurfacing and wrinkles.
Resolve 1064nm Acne scars, Wrinkles, Benign High peak power and shortest pulse
Pigmented Lesions durations for a photoacoustic effect. Low
MERZ ULTHERAPY ULTRASOUND TREATMENT to no downtime treatment.
• Lift skin on the neck, on the eyebrow, and under the chin as well as to improve lines and wrinkles on the décolletage
Zoom 532nm/1064nm Benign Pigmented Lesions, High peak power and shortest pulse Clears more colors, fewer treatment
Tattoo Removal durations for a photoacoustic effect. sessions and with less risk of hypo
or hyperpigmentation relative to
ALLERGAN COOLSCULPTING CRYOLYPOLISIS nanosecond lasers.
• CoolAdvantage Petite for Upper arms • CoolMini for Small areas, including submentum 785nm Tattoo Removal (blues/greens) High peak power and shortest pulse Treatment of difficult to remove blue and
• CoolAdvantage for Abdomen, flanks, inner thighs • CoolSmooth PRO for Pinchable fat durations for a photoacoustic effect. green tattoo ink.
• CoolAdvantage Plus for Debulking larger areas

CYNOSURE NITRONOX CUTERA | enlighten Picosecond + Nanosecond Laser, 1064nm, 532nm, 685nm
Treatment for safely and effectively managing patient pain and anxiety. The Nitronox system delivers a fixed 50%
N2O and 50% O2 directly to patients on an as needed basis – providing control and a distraction to the patient
wavelengths *Delegable if allowed by law.
HANDPIECES US
through self-administration. The Nitronox system includes the demand flow system and a 2-Cylinder Cart which has FDA
a small footprint and extra storage for accessories. System offers the option to administer via mask or a mouthpiece. KEY FEATURES KEY DIFFERENTIATORS
CLEARANCES
MLA fractional Treatment of • Multi wavelength platform 1064, 532, 685nm • Versatile, multiwavelength
handpiece tattoos and benign • Dual pulse durations: Nano and Pico Multi-Color Tattoo Removal customizable treatments
pigmented lesions • Benign Pigmented Lesions with propriatery 685nm wavemlength • Wavelengths accessible via
ALSO CONSIDER* *INFORMATION ON THESE
SYSTEMS WAS NOT SUBMITTED
on patients with
all skin types, acne
• PICO Genesis Skin Revitalization (pigment, tone) single handpiece
• Easy to use
LUMENIS scars • The 532nm wavelength of the enlighten III laser system is indicated •Includes fractional
• LightSheer QUATTRO (805/1060nm) • Legend Pro (Tripollar Radiofrequency) for: treatments
• PiQo4 (532/1064nm) • SPLENDOR X (755/1064nm) • Treatment of benign pigmented lesions on patients with Fitzpatrick
• M22 (IPL/Nd:YAG) • UltraPulse CO2 skin types I-IV
• NuEra Tight (Radiofrequency) • AcuPulse CO2 • Tattoo removal for lighter colored tattoo inks, including red and
yellow inks, on patients with Fitzpatrick skin types I-III

• The 670nm wavelength of the enlighten III laser system is indicated

for:
THERMI ARVATI PLATFORM • Treatment of benign pigmented lesions on patients with Fitzpatrick
• ThermiTight skin types I-III
• ThermiRase • Tattoo removal for lighter colored tattoo inks, including green and
• ThermiSmooth blue inks, on patients with Fitzpatrick skin types II-IV
• ThermiVa
Pico Genesis FX Acne scarring
*Disposable MLA

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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
CYNOSURE | PicoSure *Delegable if allowed by law. NEAUVIA | Plasma IQ
PLASMA
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS

Cynosure’s PicoSure • The PicoSure workstation • PicoSure makes tattoo removal even • Optimally targets melanin to treat a Plasma IQ is FDA cleared to be used in the Plasma IQ delivers focused and Plasma IQ is a lightweight,
laser treats at is indicated for tattoo and easier. The 755nm wavelength is able to range of pigmentary conditions removal and destruction of skin lesions and the controlled energy for an effective, ergonomic device that delivers
three wavelengths: benign pigmented lesions target black, blue, and green tattoo inks, • Incurs minimal thermal damage due coagulation of tissue. The most common side non-surgical solution for dermal focused, controlled energy to
532nm, 755nm, and removal. The PicoSure while the optional 532nm wavelength to picosecond pulse duration effects are swelling, tenderness, scabbing, and rejuvenation of the face and body and safely and effectively create
1064nm, making it workstation using the Focus™ offers effective treatment of “sunset • Customizable treatments with 2-6mm, redness. Plasma IQ is Rx only and should only can safely be used on High and Low microinjuries on the skin to
ideal for treatment of lens array is indicated for the colors”—red, yellow, and orange—which 8mm, and 10mm spot sizes be used by medically licensed and certified energy settings for operator precision produce renewed and restored
pigmentary conditions. treatment of acne scars and are typically hard to correct. • Proven clinical validation, with 26 practitioners. For full product and safety and control. skin.
With the addition wrinkles in Skin Types I-IV • Cynosure’s Focus Lens Array creates publications and 59 abstracts to date information, visit plasmaiqtreatment.com/IFU. Rechargeable and Cordless for ease of
of the Focus™ Lens • The PicoSure 532nm delivery microscopic, photomechanical reactions • Tailor treatments using variable spot use and easy cleaning.
Array, you’ll be able system is indicated for tattoo in the epidermis that communicate with sizes Numbing cream recommended. Electrode disposables
to treat stubborn skin removal in Skin Types I-III. the dermis, leading to increased collagen • Use boost mode to better treat
conditions in addition • The PicoSure 1064nm and elastin in the skin. This breakthrough recalcitrant tattoos with shortened
to removing tattoos. delivery system is indicated enables skin revitalization with virtually pulse width
for tattoo and benign no downtime—only with our PicoSure • Treat black ink in darker skin type
pigmented lesions removal.
* Consumables: Focus Lens Array
laser. patients using the 1064nm delivery
BTL | Emtone Radiofrequency and Targeted Pressure Energy *Delegable if allowed by law.

RF/RF+
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
LUTRONIC GLOBAL | PicoPlus 1064/532nm dual wavelength system picosecond
platform *Delegable if allowed by law. EMTONE Emtone™ is intended to provide heating for the purpose Simultaenous emtion of Treats the major factors of
of elevating tissue temperature for selected medical radiofrequency and targeted cellulite, thermal and mechanical
conditions such as temporary relief of pain, muscle pressure energy, realtime energy, treats all body types with
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS spasms, and increase in local circulation. Emtone temperature monitoring, no BMI or skin color restrictions as
massage device is intended to provide a temporary impedance intelligence, well as soft and hard cellulite, not
Zoom Handpiece FDA cleared to treat Highest Peak Power: 1.8 GW; Shortest Short pulsewdith of only 450ps for minimal reduction in the appearance of cellulite. intuitive touch display limited to a dimple count
2-6mm and unwanted pigmentation pulse width 450ps Highest energy at thermal impact and less post treatment erythema • RF Lotion, Neutral Electrode,Exchangeable cartridge
Collimated 6-10mm including tattoo ink 800mJ. Ability to treat with low fluences and patient downtime as a result. Better efficacy
Handpiece for and large spots so that challenging with tattoo and unwanted pigment in fewer
larger spots pigment can be gently and effectively treatments due to its peak power advantage. Its
treated. Ergonomic design for ease of use usability is preferred compared to older systems
and rapid parameter changes without that are bulkier to operate and less intuitive for BTL | BTL Vanquish ME Selective RF *Delegable if allowed by law.
long waits for calibration. Also provides users. PicoPlus has been demonstrated to be
a nanosecond mode that can be used in faster at breaking up tattoo ink, and also more HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
addition to picosecond mode. Adjustable effective at lightening and brightening skin
arm makes the handpiece feel weightless, complexion for patients. Core Applicator For temporary reduction in the Non-contact, largest spot size, Not limited to BMI < 30, full flank to flank tx, no
and the handpieces are convenienetly circumference of the abdomen shortest tx time downtime, no conumables
stored within easy reach. Rep Rates up to Flex Applicator For temporary reduction in the Non-contact, target inner and outer Not limited to BMI < 30, simultenously treat
10Hz for fast treatments. circumference of the thighs thigh simultaneously, shortest tx inner and outer thigh, no downtime, no
time conumables

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
BTL | BTL Exilis Ultra Monopolar RF and Ultrasound *Delegable if allowed by law. Pandemic Impact: Cosmetic Procedures in Demand
RealSelf expedited the launch of a virtual consultation so within six months. Another nine percent say they plan to
feature (realself.com/find) that helps doctors connect with move forward with procedures in six months or more, and
consumers through video-based appointments in response 27 percent say they are unsure about timing.
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS to the pandemic. The company also reached out to com-
munity members to offer support and stayed in close Consumers and Doctors Will Benefit from
contact with them to better understand how COVID-19 is Flexible Work Policies.
Body Non-invasive dermatologic and general surgical procedures Synchronized energy Synchronized energy impacting their future plans for cosmetic procedures. In a RealSelf community member survey sent on March
for non-invasive treatment of wrinkles and rhytids, to provide emission of monoplar RF emission of monoplar RF 18, 2020, a small percentage of respondents (three percent)
a temporary reduction in the appearance of cellulite, and to and ultrasound energies, and ultrasound energies, Consumers Feel Financial Impacts, But Plan to Proceed said they were actually more likely to have a procedure due
provide heating for the purpose of elevating tissue temperature controlled cooling, realtime controlled cooling, realtime with Procedures to COVID-19 changes. Of that small subset, more than a
for selected medical conditions such as temporary relief of pain temperature monitoring, temperature monitoring, With widespread unemployment, it probably comes as little third (36 percent) said they were more likely to have a pro-
and increase in local circulation. multiple applicators multiple applicators surprise that consumers considering aesthetic services feel cedure because they were no longer working or were work-
the financial impact of COVID-19. According to the results of ing from home and therefore had more time to recover,
Face Non-invasive dermatologic and general surgical procedures Synchronized energy Synchronized energy our survey completed in late April, four in 10 respondents (40 while 22 percent said it was because they were no longer
for non-invasive treatment of wrinkles and rhytids, to provide emission of monoplar RF emission of monoplar percent) have already been financially impacted by COVID-19, working or were working from home and had a more flex-
a temporary reduction in the appearance of cellulite, and to and ultrasound energies, RF and ultrasound and an additional nine percent expect to be impacted at some ible schedule. Other reasons respondents gave for why they
provide heating for the purpose of elevating tissue temperature controlled cooling, realtime energies, controlled coo point in the future. About a quarter of respondents (24 per- were more likely to move forward were hopes for better
cent) said they haven’t been impacted but are unsure whether appointment availability (27 percent) and having more time
for selected medical conditions such as temporary relief of pain temperature monitoring, ling, realtime temperature they will be in the future, and another 27 percent of respon- to research a procedure (11 percent).
and increase in local circulation. multiple applicators monitoring, multiple dents said they haven’t been impacted and don’t expect to be. The notable takeaway—that work flexibility makes it easier
applicators Even with nearly half (49 percent) of those surveyed say- to move forward with a treatment—remains relevant. As many
ing they have or expect to be financially impacted, the large companies plan to extend their work from home policies into
majority still plan to move forward with their procedures. In later 2020, this new flexibility will likely result in an uptick in
fact, when asked how soon they plan to move forward after appointments that doctors may otherwise not have seen.

CANDELA | elos Plus their provider’s office reopens, 61 percent said they will do —Tom Seery, Founder RealSelf

HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS Selfies Drive Treatment Desires The Power of the Selfies and Prejuvenation
Selfie-awareness continues to influence consumer behavior at
10 Benign vascular lesions Multi-technology platform Sublime and Sublative treatments Aesthetic procedures increased six percent last year, a rapidly growing pace, according to the American Academy
• Pigmented lesions with diode laser, optical for low downtime treatment of compared to 2018, according to the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS). In 2019,
• Lentigines (IPL), and combined optical/ skin resurfacing and wrinkles of Facial Plastic and Reconstructive Surgery (AAFPRS) 2019 a full 72 percent of AAFPRS members report seeing patients
• Freckles bi-polar RF energy. Treats all survey results. seeking cosmetic procedures to look better for their selfies—
• Telangiectasia skin types. The average number of non-surgical procedures is up 13 up 15 percent from 2018!
• Rosacea percent compared to 2018. In fact, 85 percent of the total People still care about their profile pics, too. AAFPRS
number of procedures performed by AAFPRS members is members report that in 2019 more patients were seeking
• Poikiloderma now minimally invasive non-surgical procedures with skin cosmetic procedures due to dissatisfaction with their profile
• Sun spots treatments (up 39 percent), fillers (up 13 percent), and images—a full 11 percent increase compared to 2018.
• Age spots Neurotoxins/Botox (up 12 percent) topping the list. The “Our annual statistics continue to show significant
• Skin laxity Botox/Neurotoxins category has seen the largest growth of increases in the social media category,” says Nashville-based
• Non invasive wrinkle treatment all procedures with a 50 percent jump compared to 2013, facial plastic surgeon Mary Lynn Moran, MD, president
• Ablation & skin resurfacing the survey showed. of the AAFPRS, in a news release.
The most common surgical pro- AAFPRS members note that there is more empha-
• Facial wrinkles cedures performed by AAFPRS sis on early care or “prejuvenation,” a term coined by
• Hair removal (elos diode) members in 2019 were rhinoplasty, the AAFPRS in 2016. Year after year more patients
• Hair removal (elos ipl) facelifts (including partial face- are having minimally invasive procedures as preven-
• Acne vulgaris lifts), and blepharoplasty). The tive measures, to maintain a youthful appearance
number of facelifts performed in and slow the aging process before it starts. In fact,
2019 increased by three percent last 73 percent of AAFPRS members believe there will
year while forehead lifts increased six be a greater emphasis on earlier maintenance for
©istockphoto

percent in 2019 (from 13 percent in patients starting in their 20s-30s, to forestall bigger
2018 to 19 percent in 2019). procedures and surgery for longer.

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
CANDELA | Profound *Delegable if allowed by law. CYNOSURE | TempSure Firm *Delegable if allowed by law.

HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS

• SubQ • SubQ: Cellulite • Real-time temperature controlled RF Only FDA-cleared long-pulse, temperature- Three handpiece The 25mm, 30mm, and 60mm The body handpieces • The TempSure Firm handpieces are ideal for driving continuous,
•Dermal •Dermal: Facial Wrinkles microneedling; 84 WRMS; 5W/channel; controlled, RFcmicroneedling device. Clinically- sizes ranging handpieces provide heating allow you to provide non-invasive monopolar RF energy to areas such as the
• SubQ: 7 pairs of 32 gauge needles with proven to create all 3 skin fundamentals - up to 5x from 25mm to for the purpose of elevating your patients with the abdomen, arms, buttocks, and thighs.*Unique Therapeutic
thermistor in each pair the elastin, up to 2x the collagen and hyalyuronic 60mm tissue temperature for treatments they desire at a Logic Control (TLC) activates a timer when tissue has reached
• Dermal: 7 pairs of 32 gauge needles with acid in a single nonsurgical treatment. selected medical conditions faster rate. therapeutic temperature, delivering effective and consistent RF
thermistor in each pair such as temporary relief of • Even heating treatments, every time.
pain, muscle spasms, and • Quick treatment times • Best-in-class temperature sensing with up to 100x faster
* Consumables: Disposable cartridges. increase in local circulation. • Gentle and comfortable response time than the competition.
The massage device is treatments for you and • Safe, consistent and reliable treatments in any practitioner’s
intended to provide a your patients hands.
CUTERA | Secret RF *Delegable if allowed by law. temporary reduction in the
appearance of cellulite
• Treatments for any skin
type, any time of the year
• Powerful 300W generator with 4MHz RF delivery supports future
applications.
• No downtime • Three handpieces sizes ranging from 25mm to 60mm for
customizable treatments.
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
• Soothing spa tones delivered during treatment for enhanced
patient satisfaction.
• 25 non-insulated tip Intended for use in dermatologic • Fine lines Semi-insulated and non-insulated tips deliver * Each handpiece has 25 hours life.
• 25 semi-insulated tip and general surgical procedures • Wrinkles energy where it is needed within various
• 64 semi-insulated tip for electro-coagulation and
hemostasis.
• Photoaging/Photo Damage
• Acne Scars
adjustable depths of skin from 0.5-3.5mm
CYNOSURE | TempSure Envi *Delegable if allowed by law.
• Scarring
• Striae
• Consumables: 3 distinct tips
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS

Three handpiece The 10mm, 15mm, and 20mm Cynosure’s TempSure Envi 300W Therapeutic Logic Control (TLC) activates a timer when
CUTERA | truSculpt iD - Body Sculpting 2 MH Monopolar Radio Frequency *Delegable if
sizes ranging from handpieces are indicated
10mm to 20mm for non-ablative treatment
monopolar radiofrequency
platform heats deep into the skin to
tissue has reached therapeutic temperature, allowing
for proper delivery of RF every time. Treatments are
allowed by law. of mild to moderate facial regenerate collagen and reduce the safe for all skin types, and 96% of patients described
wrinkles and rhytids. appearance of forehead wrinkles, TempSure as comfortable.
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS frown lines, crow’s feet, and smile • Best-in-class temperature sensing with up to 100x
lines. Other indications include hair faster response time than the competition
• (6) 40 cm2 hands-free “Non-invasive lipolysis, deep tissue • Personalized solution • First and Only RF Device Cleared for
epilation, telangiectasia, and milia. • Safe, consistent and reliable RF skin tightening*
applicator heating, circumferential reduction, • 15-minute treatment Lipolysis.
2 hand-held treatments in any practitioner’s hands
• 40 cm and temporary reduction of cellulite protocols • Largest area coverage; 300 cm2 in 15 minute
• Powerful 300W generator with 4MHz RF delivery
applicator •Hands-free and hand-held session
supports future applications.
• 16 cm2 hand-held applicator flexibility • No placement limitations
• Three handpiece sizes ranging from 10mm to 20mm
• 24% fat reduction • Multiple body areas treated simultaneously
for customizable treatments
• Hands-free & hand-held flexibility
• Soothing spa tones delivered during treatment for
•Comfortable; no downtime
enhanced patient satisfaction”
* Disposables
* Each handpiece has 25 hours life.

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
CYNOSURE | TempSure Vitalia *Delegable if allowed by law. VENUS CONCEPT | Venus Freeze Plus and Venus Freeze *Delegable if allowed by law.
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS

18mm The 18mm handpiece The only true temperature-controlled • Revolutionary time & temperature monitoring: The DiamondPolar Wrinkle reduction in (MP)² technology, combining Multi-Polar Radio (MP)² technology is a unique combination of Multi-
provide heating for the radiofrequency probe for women’s wellness. treatment timer will only activate when the target females, skin types I-IV Frequency and Pulsed Electro Magnetic Fields Polar Radio Frequency and Pulsed Electro Magnetic
purpose of elevating The TempSure Vitalia probe is specifically tissue is at a therapeutic temperature, delivering Designed for the face Fields
tissue temperature designed for your patient’s smaller, hard- repeatable results every time •No downtime
for selected medical to-reach areas. Now you can provide your • Dual temperature sensing: Built-in temperature • Comfortable treatments
conditions such as patients with easy treatments to maintain sensing for ease of use; Two thermistors coupled • Technology is safe for all skin types”
temporary relief of their wellness without hormones, invasive with impedance monitoring to prevent arching OctiPolar Wrinkle reduction in (MP)² technology, combining Multi-Polar Radio (MP)² technology is a unique combination of Multi-
pain, muscle spasms, procedures, or downtime. females, skin types I-IV Frequency and Pulsed Electro Magnetic Fields Polar Radio Frequency and Pulsed Electro Magnetic
and increase in local Designed for the body Fields
circulation. •No downtime
* Probes are 1-time use for sanitary purposes. • Comfortable treatments
• Technology is safe for all skin types”
CYNOSURE | TempSure Surgical RF *Delegable if allowed by law. * Consumables: Glide coupling gel.

HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS

Surgical Coagulation/Hemostasis: Using the

surgical handpieces and accessories,
TempSure Surgical RF technology enables
surgical precision with aesthetic results. The
• Precise incisions in very thin, delicate
tissues (e.g. eyelid skin, earlobe, labia,
VENUS CONCEPT | Venus Viva *Delegable if allowed by law.
general surgical procedures device’s etc.)
including urologic, thoracic, plastic, 4 MHz frequency creates less heat when • E xcellent cosmetic results with HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
reconstructive, and gynecological cutting and coagulating tissue compared to minimal scar tissue
procedures where electrosurgical competitive devices, resulting in minimal • Faster recovery and decreased post-
coagulation of tissue is performed lateral thermal damage to surrounding operative pain NanoFractional RF Intended for dermatological procedures NanoFractional RF technology The most customizable skin resurfacing
tissues, and leading to a better aesthetic •Ability to cut and coagulate tissue at requiring ablation and resurfacing of with SmartScan technology in the industry, with adjustable
outcome. the same time the skin ablation/coagulation ratio
* Consumables: Tips * Consumables: NanoFractional RF™ applicator tips

LUTRONIC | Genius, Radiofrequnecy

US FDA
HANDPIECES KEY FEATURES KEY DIFFERENTIATORS
CLEARANCES
GeniusSkin Electrocoagulation • Delivers bipolar fractional • Specially designed, high torque motor and proprietary needle design
and hemostasis RF energy into the skin via assures smooth insertion and delivery of energy to desired depth
49 microneedles in a 1 x 1cm • Impedance monitoring with feedback for precise energy delivery with
stamp. every pulse
• Easy-to-use touch-screen
display
* Single patient use G49D tip.
PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY
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ENERGY-BASED DEVICES ENERGY-BASED DEVICES
SOLTA MEDICAL | Thermage FLX SENSUS HEALTHCARE | SRT-100 Vision KiloVoltage X-Ray
KEY HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
HANDPIECES US FDA CLEARANCES KEY FEATURES DIFFERENTIATORS N/A Superficial radiotherapy treatments of primary malignant epithelial Energy Levels: Selectable filters
neoplasms of the skin and keloids. Applications include: (a) basal • 20 kV
TH-6 series handpiece The radiofrequency-energy only delivery components • AccuREP technology: The Only noninvasive skin cell carcinoma; (b) squamous cell carcinoma; • 30 kV
The handpiece is the of the Thermage FLX System are indicated for use in: Thermage FLX system integrates tightening device (c) metatypic carcinoma; (d) cutaneous appendage carcinoma; (e) • 50 kV
primary option to activate • Dermatologic and general surgical procedures for tuning pulses into each individual indicated to treat Kaposi’s Sarcoma; and • 60 kV
treatment in the delivery electrocoagulation and hemostasis; REP. These tuning pulses periorbital wrinkles and (f) the treatment of keloids. Keloids are benign fibrous growths • 70 kV
of radiofrequency energy • Non-invasive treatment of periorbital wrinkles and automatically measure local rhytids including upper that arise from proliferation of dermal tissue typically arising • 80 kV
for selective coagulation of rhytids including upper and lower eyelids; impedance values and adjust and lower eyelids from injuries to skin tissue. A red-diode laser is employed for the • 90 kV
tissue while conductively • Non-invasive treatment of wrinkles and rhytids. energy output parameters to assisting with cone applicator placement. • 100 kV
cooling the epidermis. The simultaneous application of radio frequency deliver consistent energy from • Onboard
A treatment tip must be energy and skin vibration by the Thermage FLX one treatment site to the next. Ultrasound
securely attached to the System is indicated for use in: • Integrated cooling, pulsed • Electronic Medical
handpiece before use. • Dermatologic and general surgical procedures for radiofrequency, and vibration to Records
electrocoagulation and hemostasis; aid in patient comfort
• Non-invasive treatment of periorbital wrinkles and • Single Handpiece: Versatile
rhytids; system with one handpiece that LUTRONIC GLOBAL | LaseMD 1927nm Thulium Laser *Delegable if allowed by law.
• Non-invasive treatment of wrinkles and rhytids; can treat the eyes, face, and body. THULIUM
• Temporary improvement in the appearance of HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
cellulite;
• Relief of minor muscle aches and pains; 10x4mm Dermatological procedures • Gentle, effective skin treatment for all skin Dramatically different from traditional
• Relief of muscle spasms; Scanning requiring the coagulation of types resurfacing lasers, LaseMD rebuilds
• Temporary improvement of local circulation (i.e., Handpiece soft tissue, treatment of actinic • Quick treatment, customizable from 6 to 20 glowing, healthy skin through gentle
blood circulation). keratosis, and treatment of benign minutes but effective non-ablative non-ablative
pigmented lesions such as, but • Comfortable with low downtime, anesthesia fractionated treatments. LaseMD offers
Important Safety Information at not limited to lentigos (age spots), not required customized outcomes with minimal
www.thermage.com/hcp. solar lentigos (sun spots), and • Minimal cost of ownership, easy to delegate downtime for all patients.
ephiledes (freckles). and no shot limit per procedure
* Consumables : Single use rollers ($22/patient), proprietary masks and serums
SENSUS HEALTHCARE | SRT-100 KiloVoltage X-Ray
SRT
HANDPIECES US FDA CLEARANCES KEY FEATURES KEY DIFFERENTIATORS
SOFWAVE | *Delegable if allowed by law.
ULTRA-
US FDA SOUND
N/A For superficial radiotherapy and surface electronic brachytherapy • 50 kV Selectable filters HANDPIECES KEY FEATURES KEY DIFFERENTIATORS
CLEARANCES
treatment of primary malignant epithelial neoplasms of the skin • 70 kV
Applicator with solid FDA cleared to treat • Comfortably delivers Intense Ultrasound Results seen in as little as single
and keloids. Typical applications include treatment for Basal Cell • 100 kV
state energizer model facial lines and Beam™ (IUB) proprietary technology treatment
Carcinoma, Squamous Cell Carcinoma, Metatypic Carcinoma,
Large area covered wrinkles • Coagulates more tissue area rapidly at the No disposables
Cutaneous Appendage Carcinoma, Karposi’s Sarcoma, Merkel Cell
Lightweight ideal depth of 1.5 mm (mid-dermis) No downtime
Carcinoma, Lentigo Maligna, Lentigo Maligna Melanoma, Cutaneous
• Restores smoother skin Each transducer has integrated cooling
Lymphomas (B and T cell), and Keloids.
• Safe for all skin types with online feedback mechanism

PRACTICAL DERMATOLOGY AUGUST 2020 AUGUST 2020 PRACTICAL DERMATOLOGY

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