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7 Ways to Improve YourLiposuction Results
Karen CronholmProduct ManagerApril 21, 2011
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What value does Smartlipo TriPlex add to my practice?
There are 7 Ways…….
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Reason #1
Smartlipo’s unique technology improves patient outcomes
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Reduced Pain, Less Downtime
Data courtesy of Gordon Sasaki, MD Presented ASPS October 2009
Patients back to work 50% faster and
experienced less pain compared to liposuction alone
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Laser Lipolysis by Smartlipo
• The first of it’s kind! Unique technology
• tighten tissue through coagulation
• rupture fat cells for easier aspiration of fat
• Over 9 years of experience in Europe, Asia,
Middle East and South America
• More than 45 Clinical Studies
• Proven to perform technology
• Offers patients a more appealing option
that just liposuction alone
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Smartlipo Clinical Indications
• Rupturing of adipocytes - localized fat
• Coagulation of small blood vessels
• Less bleeding, trauma, swelling, pain
and quicker recovery
• Promotes tissue coagulation resulting in
tissue tightening
• Ideal for areas of high flaccidity-neck, etc
• Useful tool for fibrous areas/corrections
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Smartlipo Procedure
• Performed under local anesthesia
• Adjunct to liposuction
• Tumescent solution is applied to the area
(Lactate Ringers, epinephrine, lidocaine)
• Very small incisions made
• Fiber is threaded through cannula 1-2 mm
• Adipocytes are ruptured with laser
• Subdermal Layer is treated
for tissue tightening - through coagulation
• Aspiration is required for best results
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Smartlipo Procedure
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Reason #2
Bring Patients in the Door
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Smartlipo Brand Name Recognition
Smartlipo voted #1
Best of All Aesthetic Procedures in
2010
for the third year in a row!*
*AmericanHealthandBeauty.com
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Proven to Drive Patients to Your Practice
• Smartlipo is the most sought after procedure in the aesthetic industry
• Voted #1 Body Contouring Brand*
• Smartlipo has featured on over 400 local news stations and many big media outlets
• E! Television
• New York Times
• People Magazine
• 94% patient satisfaction rating
*by AmericanHealthandBeauty.com based on patient requests
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Cynosure can help increase your referrals from the web
• Social Media
• Facebook and Twitter
initiatives
• Partnerships
• Liposuction.com
• The Patient’s Guide
• MD Connect
• Patient website
• Smartlipocynosure.com
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Reason #3
Tissue Tightening - Treat areas that are difficult with traditional Liposuction alone
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Results - Neck
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Results - Abdomen
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Results - Arms
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Does it Last? 1 year Result
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For Proven Tissue Tightening
• Blend 1064nm and 1320nm
• Produces a uniform thermal profile for proven tissue coagulation and tightening
• Tissue tightens 57% more than liposuction alone
• Evidence of new collagenproduction after Smartlipo treatments
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Does Smartlipo MPX really tighten skin (tisssue)?
• Yes!
• 10-20% improved skin
area shrinkage
• Up to 57% improved
elasticity or tightening
index
• 4 studies by Drs.
DiBernardo, Katz and
Sasaki
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4 Peer Review Studies to Prove It!
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Tissue Tightening Video
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Reason #4
Reduce complicationsLess touch ups
Less side effects
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• Complication Rates
• Complication Rate of 0.93%
• Botox is 0.1-1%*
• Touch up Rates
• Touch up rate of 3.5 %
• Compared to 12% for standard
liposuction
• Local Anesthesia for less risk
• Study by Bruce Katz, MD and Jason McBean, MD
Clinical Evidence of Efficacy and Safety
* http://www.agemanagementoptimalwellness.com/age-management/botox-cosmetic 5.10.10
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Reason #5
ThermaGuide Intelligent Delivery
Improved Patient Safety and More Control
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Intelligent Delivery Systems Improving Clinical Outcomes
• New technologies make Smartlipo
Easier to Use
• SmartSense
• ThermaGuide
• Groundbreaking Thermal Sensing Products:
• Provide more precise and controlled body contouring
• Achieve a higher level of safety
• Best possible skin tightening results*
• Available only from Cynosure
*through tissue coagulation
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Epidermal necrosis & collaginous change
0
1
20 30 40 50 60 70 80
Surface Temprature (oC)
Occu
ran
ce o
f n
ecro
sis
Epidermal necrosis &
collaginous change
ThermaGuide Technology Development
Clinical Temperature
Study-DiBenardoHandheld
Infrared
Thermometer
ThermaGuideSubdermal
Thermal Sensing
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Clinical Implications of Temperature
Journal of Cosmetic
and Laser Therapy Study
DiBenardo
• Groundbreaking study is the 1st to
correlate subdermal temperature rise
with tissue damage
• Exceed these temperatures and cause
epidermal and dermal injury:
• Skin surface - 47ºC
• Tissue at 5mm deep - 50-55ºC
• Collagen changes found in tissue
heated, but not damaged
• Temperature for best skin tightening
determined
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Epidermal necrosis & collaginous change
0
1
20 30 40 50 60 70 80
Surface Temprature (oC)
Occ
ura
nce
of
nec
rosi
s
Epidermal necrosis &
collaginous change
Surface Temperature
Yes
Necrosis
threshold
(47oC)
Surface temperature vs. Histological finding of
epidermal necrosis and collaginous change
No
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ThermaGuide
• ThermaGuide is a temperature sensing cannula
• Continuously monitors subdermal tissue temperature
• Interacts with the Smartlipo MPX workstation
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ThermaGuide
• ThermaGuide cannula contains a temperature sensor 1cm from the distal fiber tip
• Max cross section approximately 2 mm
Cannula
Heatshrink
Temp sensor
Kerf recess
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ThermaGuide
• Smartlipo displays
temperature on the screen
• Laser energy delivered to
reach target temperature
• Safer and more uniform
treatment
• Adjust temperature -
recommendations for each
treatment area or type
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ThermaGuide Case StudyDr. Stephen Mulholland
• Neck Treatment
• 50 yr. old woman
• Smartlipo Settings:
• 6W 1064nm/6W 1320nm
• ThermaGuide Settings:
• Low: 40ºC High: 45ºC
• ThermaGuide was used to determine endpoint
• Results:
• Consistent, safe subdermal and epidermal temperature of 40° C
• More precise and refined control of laser energy delivery achieved
while increasing patient safety
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Reason #6
Smartlipo – more than just liposuction
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Emerging Indications –Hyperhidrosis & Lipomoas
• Subdermal Nd-YAG Laser for Auxiliary
Hyperhydrosis
• Alberto Goldman M.D. and Uwe Wollina,
M.D.
• 17 Patients
• 88.% reported good-excellent results
• Treatment of Lipomas
• Eradication of fibrous lipomas, usually
excised
• Minimally invasive, no scarring, quick
recovery
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Smartlifting Application
• SmartLifting: A Technological Innovation for Facial Rejuvenation
• Richard Gentile M. D.
• 200 Patients
• Benefits-Speed, less bleeding, skin tightening, downtime
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New SmartLook Application
• Minimally invasive LaserFacialSculpting
• Tighten tissue (skin) subdermally
• Apply laser energy where it is more effective
• Reduce volume (only if needed)
• Accomplish with ThermaGuide – it’s safer and easier
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SmartLook Results
• Excellent results
• Less Bruising and
bleeding
• Less Downtime (1-2
days)
• Addresses the jowl
area very well
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SmartLook Results
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Reason #7
Only Cynosure offers the fastest and most versatile laser system
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Laser Lipolysis Redefined
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New Smartlipo Triplex Laser
• 1440, 1320, 1064 nm wavelengths
• Smartlipo delivery system
• New look, GUI and display
• Most effective laser lipolysis
• SmartSense™ enabled
• Improved ThermaGuide™
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New Smartlipo TriPlex
• Delivered by multiplex and intelligent delivery
• Smartlipo TriPlex now offers 3 wavelengths
• 1064nm
• 1320nm
• 1440nm
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Constantly Redefining Laser Body Sculpting
6W
TriPlex
10W 12W 18W 20W
SmartSense
300 m
fiber
600 m
fiber
Blue handpiece ThermaGuide
30W 46W
11/07 11/095/0711/06 5/08
1000 m
fiber
MultiPlexing
40W, 24W, 15W
1064nm, 1320nm, 1440nm
5/09 01/11
New ThermaGuide
New RFID
fiber
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Why add 1440nm?
• 1440nm has 40X greater
absorption in fatty tissue than
diode lasers (924nm and
980nm)
• Greater absorption =
50% faster treatments for
improved ROI
• Blend with 1064nm for
hemostasis
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980nm Diode CW Treatment
15W treatment in actual human fatty tissue
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Smartlipo TriPLex 1440 nm Treatment
15W treatment in actual human fatty tissue
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Smartlipo TriPlex Specifications
System Type Nd:YAG
Individual Wavelength Options
Wavelength 1064nm 1320nm 1440nm
Pulse Width (Max) 500µs 1000µs 1000µs
Power Output Options 40W 24W 15W
Max Rep Rate 40Hz 40Hz 25Hz
Multiplexing Options
Wavelength 1064nm and 1320nm 1064nm and 1440nm
Pulse Width (Max) 500µs and 1000µs 500µs and 1000µs
Power Output Options 32W 20W
Max Rep Rate 40Hz 40 Hz and 25Hz
Aiming Beam Red
Electrical
Requirements
230 VAC/16A
Size (HxWxD) 37.4” x 19.7” x 25.6”
(95cm x 50cm x 65cm)
Weight 220 lbs (100kg)
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Optimizing Your Treatments
• Recent clinical studies, demonstrates faster
treatment times and use of less energy
Data courtesy of Barry DiBernardo, MD
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More Fat is Disrupted Using Less Energy with 1440nm
Heated Area Disrupted
Area
Subcutaneous fatty tissue
1 week after 4W 1440nm Rx
Less Power Need for a larger
disrupted area
Subcutaneous fatty tissue
1 week after 20W 1320nm Rx
Larger heated area more ideal for
tissue tightening
Heated Area Disrupted
area
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Smartlipo - High Definition Results
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TriPlex Means High-Def Capability
• 1440nm allows for
easier subdermal
release
• Treatment is faster-
required for a lengthy
procedure
• Adds another patient
population
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Smartlipo Graphic User Interface
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“Smarter” GUI
Features
• New Look and Feel
• 2X Larger display and font
New Angle
• Tracks Fiber Life with
RFID logic
Benefits
• Simpler Navigation
• Effortlessly read critical
parameters
• For safe, precise and
accurate treatment
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New RFID Fiber Technology
• New Smartlipo TriPlex laser recognizes fiber
• How it works:
• RFID tag in fiber
• RFID reader inside laser
• 20 connects for enhanced safety, optimized energy delivery
• Sold Non-sterile 5 packs
• 600 and 1000 micron (orange, green)
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Smartlipo TriPlex:
• Offers the right combination of wavelength for optimum results in a wide variety of patients• More effective laser lipolysis
• Proven tissue coagulation resulting in tightening
• Faster treatment time
• Less Downtime
• High-definition sculpting capabilities
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• Continued Innovation
• Unmatched Delivery Systems
with ThermaGuide
• Added additional power and
wavelengths
• Larger Fibers
• Proven to Perform
• The most clinical studies
• 9 years of use Globally
• #1 Choice amongst patients
Cynosure has Continued to Define Future of Laser Body Sculpting
• Proven to be Profitable
• Brand Awareness
• Expanded Patient Base
• Treat New Applications
• Facial Treatments
• Corrections/Scar tissue
• Cellulite
• Elastosis/skin laxity
• Hyperhidrosis
![Page 57: 7 Ways to Improve Your Liposuction Results · Smartlipo Procedure • Performed under local anesthesia • Adjunct to liposuction • Tumescent solution is applied to the area (Lactate](https://reader036.vdocuments.us/reader036/viewer/2022090516/60436e7af00540673b6ba4e6/html5/thumbnails/57.jpg)
Summary
• Smartlipo’s popular brand name provides
customers with a huge revenue making
opportunity
• Smartlipo TriPlex has become the standard of
care for laser lipolysis around the world
• Treat all patients body contouring concerns
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