Mistral: Skin Tightening

Singapore, 16th January 2013

Q: From Dr. K: I am a doctor using your ST (Skin Tightening). I would like to know what energy levels would be appropriate?
A: Dear Dr.K, The protocol for neck treatment is the same that for the face.
I would like to refer to page 195 of the Mistral training materials in <clickhere>
You should see some reddening of the neck skin, which disappear within a very short time (no more than a few minutes). Use the 1st pulse energy levels as a guide. Always ask your customer for feedback. You may stop even in mid-pulse by taking your foot off the pedal or the your thumb off the handpiece trigger if your customer tells you of their discomfort. Reduce the power level by 5-10 and pulse in other areas before returning to the same spot. -Dr.Daniele

Pollogen Tripollar Tightener

SKIN TIGHTENING FOR THE FACE

This unique eletro-radiofrequency device heats up the dermis of the skin, triggering collagen renewal. "You see an immediate tightening, and then results get better over three months," says Chipps. “这种独特的ELETRO射频装置加热皮肤，造成皮肤真皮层胶原蛋白的重建。“你看你的皮肤立即收紧，然后超过三个月得到更好的结果。”
Best for: Patients in their 30s, 40s, and 50s who have a bit of looseness but not severe wrinkles. 最适合：患者30多岁，40岁和50岁左右的有一点点松动，但并不严重，皱纹。
Pain level: Warm, but not painful. 温馨的感觉
Time: 10 to 20 minutes per treatment; six treatments suggested. 建议至少六个处理10至20分钟
Cost: about $400 per treatment

 

Tripollar in Singapore & Malaysia is available in through Lifvation & Mediquest.

Omnilux

Singapore, 21 December 2012.

The Omnilux is a biomodulation / bioresonance technology. The Omnilux, a gentle light therapy system that promotes healing. in 1996, while using photodynamic light to activate photosensitive drugs on skin cancers, British cancer researcher Dr Colin Whitehurst discovered that the skin surrounding the lesion was rejuvenated and that was how the Omnilux was born. The Omnilux lamp features a matrix of light emitting diodes (LEDs) that deliver narrowband light at a specific wavelength. Different pure colours deliver different results and can be used in combination to target specific issues. Omnilux Blue treats acne by killing bacteria; Omnilux Revive boosts collagen and elastin production; and Omnilux Plus uses a longer wavelength to help rebuild and heal.

How Omnilux works

The Omnilux emits an intense dose of the wavelengths that stimulate a healing response in the skin by increasing the blood flow, moisture and stimulates the skin’s fibroblast. The fibroblast is the connective tissue cell which in turns enable collagen production. Unlike such treatments as intense pulsed light (IPL) therapy, Fraxel and skin needling, whose results depend on inflicting micro-trauma that destroys skin tissue in order to trigger that healing response, Omnilux causes no injury or residual skin damage. Crucially, it incorporates no harmful UVA or UVB rays. And skin will continue to improve for up to three months after treatment.

Omnilux also works on:

• Plumps fine lines and wrinkles

• Smoothens skin texture

• Stimulates collagen and elastin production and firms skin

• Help heal sun damage, psoriasis, dermatitis and eczema

• Improves pigmentation and evens skin tone

• Calms rosacea

• Relieves headaches and minor muscle and joint pain

• Accelerates wound healing

• Reduces scarring

Is Omnilux safe?

Not only is the Omnilux US FDA approved, the Omnilux is the only LED machine on the Australian Register of Therapeutic Goods (ARTG), one of the strictest regulatory bodies in the world. There are more than 20000 Omnilux sold worldwide per annum. Closer to our country, there are about 400 Omnilux machines throughout Australia, 85 of which are used by leading plastic surgeons in conjunction with other more specialised treatments and to help expedite healing and reduce scarring after surgery. There are a lot of LED lights on the market but unfortunately some of them are the equivalent of standing under a fluorescent light or going out in the sunlight.

What is Omnilux like?

As you wear small protective goggles over your eyes, the lamp is lowered to a few centimetres above your face. It makes a whirring white noise when it’s switched on and, as the therapist counts you down from three as one, a fairly bright light is superseded by an intense mega-burst of neon-yellow.

The Omnilux lamp makes your face feel slightly warm, but that’s it. You may not notice much difference to your skin after the first couple of treatments, but by the fourth you’ll not only be used to the bright light, you’ll start seeing a fresh, healthy glow to your skin like the one you get after a good, brisk run. And the next morning you’ll run your fingers over your cheeks and marvel at how baby-soft your skin suddenly feels.

 

The Omnilux Difference for your patients
• Effective - long-term results
• Non-Invasive - no side effects, pain, redness or irritation
• For all skin types - including tanned skin
• Fast - 20 minute, lunch-time treatments
The Omnilux Difference for your practice
• Creates new revenue opportunities
• Maximizes return on investment
• Increases range and type of treatments
• Hands-free treatments

Cosmoprof Hong Kong 2012

 

Hong Kong,17th November 2012.

Radiancy’ put up a very nice booth on the Hall 3e in Cosmoprof Hong Kong. It’s regular flow of visitors proved it’s strong customer and fan base. Lifvation brought well known customers from Singapore and Malaysia to the Radiancy booth where the FTD, STE, Mistral and Omnilux were showcased. Lifvation personnel and partners also got a chance to meet strong partners from the Philippines, Japan, Australia, Hong Kong and China.

NEWEST ANTI-AGING treatment! with RADIANCY

 

Radiancy’s non-invasive US-FDA approved LHE (Light Heat Energy) treatments are far is the most popular anti-aging treatment offered worldwide! LHE addresses addresses aging through it’s unique approach of selective photothermolysis. After LHE treatments, the skin becomes visibly firmer, smoother and luminous. When done in a series sun spots and wrinkles are greatly diminished and your skin has a more youthful glow. The results are long lasting. Non-invasive Facial Sculpting is main staple treatment in the beauty industry. Combination treatments with cutting edge, pain-free technologies in one non-invasive treatment are used to achieve a younger more radiant complexion. Hollywood celebrities like Jennifer Lopez, Madonna, Susan Sarandon, Sandra Bullock and Vanessa Williams love these facial therapies. The promise of looking younger just after a session without surgery is a reality using technologies like  LHE, recognized Ultrasonic technologies, Radio Frequency sculpting, Microcurrent rejuvenation to re-define jaw lines, cheek bones by tightening and toning the skin around the mouth, eyes and forehead. Combination of technology in different sessions produces better longer lasting results. The combined benefits work to stimulate the production of collagen and elastin (the skin's building blocks); while toning the facial muscles that support the skin. LHE light therapy, pioneered by NASA, is used to stimulate the production of ATP, the fuel that powers life at a cellular level. The results of this amazing facial treatment are like getting a “work-out” for your face.

辐射的非侵入美国FDA批准的LHE（光热能源）的治疗是远是最流行的抗衰老治疗在全球范围内提供！ LHE地址通过它的独特的方法，选择性光热老化的地址。 LHE治疗后，皮肤明显变得更坚定，更顺畅，发光。当完成了一系列的太阳斑和皱纹大大减少，而且你的皮肤有一个更青春焕发。结果是持久的。非侵入性的面部雕刻治疗在美容行业是主要的主食。尖端的联合治疗，无痛苦在一个非侵入性治疗技术是用来实现一个更年轻，更容光焕发的肤色。珍妮弗·洛佩兹，麦当娜，苏珊·萨兰登，桑德拉·布洛克和凡妮莎·威廉斯等好莱坞名人爱这些面部的疗法。年轻只是一个会话后，无需手术的承诺是现实的，使用的技术，如LHE，公认的超声波技术，射频塑身，口周围的皮肤收紧和色调的微电流复兴重新定义下颚线，颧骨，眼睛和额头。在不同的会话技术的结合产生更好更持久的结果。合并后的利益工作，以刺激生产的胶原蛋白和弹性蛋白（皮肤的积木），而色调的支持皮肤的面部肌肉。 LHE光疗法，开创了由美国航空航天局使用，以刺激生产，燃料的权力生活ATP在细胞水平上。这个惊人的面部处理的结果就像是一个“工作”为你的脸。

Ugly side of beauty firms

Kelly Ip
Friday, November 16, 2012
The Consumer Council received 141 complaints about beauty treatments in the first 10 months of this year - with 30 percent of complainants saying the cosmetic work caused them to feel ill. The complainants paid a total of HK$3.26 million for the procedures, with one case involving HK$586,000 of intrusive beauty treatment. On her last day in office yesterday, Consumer Council chief executive Connie Lau Yin-hing called on the government to regulate high- risk beauty procedures as soon as possible. "Customers do not even know what kind of treatment they are receiving solely by the name of treatments until they have paid and signed a disclaimer," she said. The council said a Ms Lam who planned to buy a package through a group purchase website for HK$988 for a nose lift was persuaded to increase the treatment to three injections for the nose and three others for the cheeks and lower jaw. During the HK$12,000 treatment, her face and lips became numb and the lack of feeling remained for a week, during which her nose and face became dry and hard. Doctors told her that her nerve system had been damaged, having lost 50 to 70 percent sensation in the sides of the nose and cheeks. After she filed a complaint to the Consumer Council, she was offered a HK$10,000 refund as settlement, but she refused and decided to take legal action. In another case, a bride, Ms Chow, paid HK$380,000 for a beauty package in which she received skin whitening injections for HK$4,500 three days before her wedding. She suffered burns to her face and was prescribed medication by an associated clinic. The beauty center agreed to return HK$200,000 to her as well as medical fees of HK$1,500. Secretary for Food and Health Ko Wing-man set up a committee with the aim of banning risky medical procedures in beauty salons after a woman died after receiving blood transfusion in the DR beauty center in Causeway Bay.

凯利叶
2012年11月16日（星期五）
在今年前10个月，消委会收到141宗关于美容护理 - 30％的投诉者说，化妆品的工作使他们感到不适。
投诉人支付的程序，共为每股港币3.26元，与一宗涉及586,000港元的侵入性美容治疗。
在她的最后一天，在办公室昨日，消委会刘燕卿行政总裁尹兴呼吁政府尽快规范高风险的美容程序。
“客户甚至不知道什么样的待遇完全由他们正在接受治疗的名称，直到他们支付，并签署了一项声明，”她说。该委员会说，一个计划HK $ 988买了包通过团购网站的鼻子电梯的林女士被说服，增加治疗注射三针的鼻子和其他三人的脸颊和下颚。港币12,000元的治疗期间，她的脸和嘴唇变得麻木和感觉缺乏持续了一个星期，在此期间，她的鼻子和脸变得又干又硬。医生告诉她，她的神经系统遭到破坏，失去了50％至70％的鼻子和脸颊两侧的轰动。后，她提交了一份投诉，消费者委员会，她提供了HK $ 10,000退款结算，但她拒绝了，并决定采取法律行动。在另一起案件中，新娘周小姐，支付港币380,000元的美容包，她获得了她的婚礼前三天为HK $ 4,500的皮肤美白注射。她被烧伤了她的脸上和相关联的诊所处方药。美容中心同意归还20万港元给她以及医疗费用HK $ 1,500。食物及生高永文局长成立了一个委员会，目的是禁止风险的医疗程序后，在美容院一名女子死亡后，接受输血的DR美容中心，铜锣湾。

Undo edits

Periorbital skin tightening with a broadband infrared device

Dr. MONICA ELMAN

Elman Aesthetics Clinic, Rishon Le Zion

 

Introduction
Signs of aging in facial appearance can be significantly ameliorated by a reduction of periorbital
rhytids and skin laxity. Use of broadband infra red (IR) light to induce skin tightening has been reported (1). This effect is achieved by utilizing tissue water as a chromophore for dermal heating, consequently enabling shrinkage and neocollagenesis. This report presents preliminary clinical results achieved with a new IR light device specifically developed for aesthetic skin tightening by Radiancy Inc.

Materials and methods
A single-site, open, clinical study was undertaken to assess the safety and efficacy of the new IR skin tightening handpiece for the treatment of skin textural changes primarily in the periorbital area. Eleven subjects were recruited to participate in the study. The participants were screened for inclusion and exclusion criteria and signed an informed consent form. Exclusion criteria included medications that could affect the characteristics of the skin, photosensitive edications, a sun tan in the treatment area, a history of keloid formation, pregnancy, epilepsy and
use of Accutane within the past 6 months. Treatment was performed with the new IR handpiece
attached to Radiancy’s Mistral light and heat energy (LHE™) system. The handpiece consists of a
780–1800-nm broadband, filtered, IR halogen light source which emits a maximum fluence of 25 J/cm2. Spot size adaptors enable a choice of different treatment areas ranging from 13 12 mm to 50 25 mm. IR light energy is emitted from the handpiece in a proprietary, multi-pulse algorithm of 30 seconds total duration, which provides optimal deep dermal heating while preventing epidermal over-heating. This broadband IR light allows a penetration depth of 1–3 mm, targeting the reticular dermis. The dermal temperature is raised to 50–60°C, while the temperature of the epidermis is maintained below 40–42°C to minimize pain and avoid any potential side effects.
A series of 10 biweekly treatments were administered and followed-up for a period of 3 months.
Photographs were taken with a VISIA Complexion Analysis system (Canfield, OH, USA) at
baseline, after five treatments, at the end of the treatment sessions and during each monthly follow-up visit. Photography was carefully standardized since it is known (2) that skin textural changes tend to be subtle and may go undetected. Treatments were administered with an average fluence of 17–18 J/cm 2. Treatment included two to four passes on the treatment area. An ArTek Spot Cooler (ThermoTek Inc., Flower Mound, TX, USA) was used to cool the epidermis before and after IR energy administration. The fluence applied was determined based on the patient’s feedback and immediate skin temperature measurement using a MiniTemp MT6 (Raytek Corp., Santa Cruz, CA, USA) non-contact thermometer. The maximum skin temperature allowed was 42ºC, which assures skin safety and patient comfort. No anaesthesia was necessary for the performance of this procedure. The result was evaluated clinically and by comparing the photographs obtained. Evaluation was scored according to the following scale: 1 no improvement; 2 slight improvement; 3 good improvement; 4 very good improvement. During treatment the patient was requested to grade the discomfort level on a four-point scale (1 no discomfort or pain; 2 slight warmth;3 discomfort; 4 intolerable heat or pain). This scale has been reported to be an effective methodto guide treatment (3). Histological analysis of the specimens was performed using H&E. Patient self-assessment of the clinical improvement was also recorded throughout the trial period using a similar visual analog scale (VAS) score. Patients were also asked to complete a patient questionnaire at the end of the treatment period. Finally, biopsy specimens were taken from two patients prior to treatment and at the 3-month followup visit for staining.

Results
Eleven volunteers were recruited for this study; all females aged 38–66 years with skin types II–V. All the participants completed the full treatment and follow-up regimen. An immediate heating and skin tightening effect was noted by all patients, though pain and discomfort were maintained at a low to moderate level (pain score 1–2). Visible changes could be observed as soon as the fifth treatment (week 3). Textural changes persisted throughout the treatment and follow-up periods. Changes consisted of a smoothing of periorbital wrinkles and a more radiant skin tone which produced an overall rejuvenated ‘new natural look’. At the end of treatments the average investigator VAS score was 3 ( ‘good improvement’) based on VISIA photographic evaluation, while patient self-assessment was rated to be ‘slight improvement’ by four patients (36.4%), ‘good improvement’ by six patients (54.5%) and ‘very good improvement’ by one patient (9.1%). At 3 months’ follow-up the average investigator VAS score was reduced to 2.7 (‘slight improvement’ in four patients, ‘good improvement’ in six patients and ‘very good improvement’ in one patient) while the patients’ average VAS score increased to 3 (‘slight improvement’ in three patients, ‘good improvement’ in five patients and ‘very good improvement’ in three
patients). Projected heat from the treated area was felt for a few minutes following treatment administration. Local erythema and slight edema persisted for up to 2 hours. No other side effects were recorded. There was no need for analgesia. Histological analysis of biopsies taken from two patients before treatment revealed in one patient (aged 53 years) mild to moderate solar elastosis with a focus of seborrheic keratosis at one lateral margin. In the second patient (aged 57 years), severe solar elastosis was found. Analysis of biopsies taken at the 2-month follow-up visit found, in both patients, dermal edema below the solar elastosis.

Elastosis in the sun-exposed skin of old persons or in those who have chronic actinic damage. elastosis [e″las-to´sis]. 1. degeneration of elastic tissue. Seborrheic keratosis (also known as "seborrheic verruca," and "senile wart" :767 :637) is a noncancerous benign skin growth that originates in keratinocytes.

Discussion
Non-ablative laser skin rejuvenation utilizing IR wavelengths such as 1064, 1320, 1440 and 1540 nm has been clinically applied for almost a decade (4) to circumvent complications and the prolonged convalescence often associated with ablative resurfacing techniques. Only recently, however, have broadband IR devices been introduced as an alternative to more costly laser systems.
Ruiz-Esparza (5) was first to report on the use of broadband IR (Titan; Cutera Inc.) to produce skin
contraction leading to lifting of the eyebrows and/or improvement of lower face and neck skin laxity using fluences below pain levels. A group of 25 patients were treated for eyebrow lifting, lower face tightening and neck skin laxity using fluences of 20–30 J/cm 2. Immediate skin contraction was obtained in 22 of 25 patients and was maintained for the whole followup
period, up to 12 months.