Specialty MedicalGregory Schaeppi

Patient Population: Predominantly Women

Aesthetic Procedure Experienced• Experimented with other medi-spa

typetreatments such as Botox, fillers, facialRejuvenation…• Likely to have undergone cosmetic

surgeries• Cellulite likely to be one of many

issues they would like treated

Potential New Patients• Tend to be younger and more active• Cellulite is their main concern,

otherwise satisfied with their appearance

• Not ready for elective surgery, looking for noninvasive treatment

% of Women who are extremely or very concerned about

wrinkles and sagging skin:

Wrinkles: 44% Sagging Skin: 41%

Women are Concerned About Signs of Aging*

*Harris Interactive study for American Society of Plastic Surgeons 2006.

The Skin Tightening Market

• A large market exists for medical treatments that tighten the skin to reduce the effects of aging and environmental factors (such as UV exposure)

• The traditional methods for accomplishing skin tightening have been surgical excision and extremely painful chemical peels

What is Skin Tightening?

• It is a permanent, non-surgical alternative to a face lift or tummy tuck

• Skin tightening is quickly becoming one of the most popular and fastest growing skin rejuvenation techniques

The Skin Tightening Market

• 2006 = 205,000 procedures @ $82M annually *

• 2011 = 3,000,000 procedures @ $1B annually *

The Body Shaping Market

Catalyst Driving Growth

Device Sales est 2006 2011 $231M $564M

Procedures est. $14.4M $32.5MFees Earned est. $4.2B $7.5B $4.5B $8.1B

*Medical Insight, Inc. 2006 Body Shaping Market Study

is a skin condition affecting over 90% of women.

Cellulite commonly appears on the hips, buttocks and legs, but is not

caused by being overweight, as many believe.

Even those with slim figures often complain about cellulite.

Cellulite is a common term used to describe superficial pockets of trapped fat,

which cause “orange peel” skin

What is Cellulite?

Cellulite

• Underneath the epidermis/dermis exists a fat layer, known as the subcutaneous or hypodermis layer.

• The hypodermis is structurally unique from the other fat layers because its fat lobes are organized into chambers by surrounding strands of connective tissue

Cellulite makes its home here.

Where is it Cellulite located?

Three types of fatty layer data are collected

Location/depth

Thickness

Liquid/Solid Density

Mapping the Fat Layer

Fat cells within the chambers of the hypodermal layer expand against the vertical connective tissue like a balloon expanding inside a plastic

bag.

Eventually this connective tissue contracts and holds the skin at a non-flexible length, while the surface tissue continues to expand.

Capillaries

Collagen

fibers

Fat cells

How does it formulate?

Dimpling on outer skin layer

How does it formulate?

The condition compounds when the capillaries are compressed; retarding metabolism and a natural osmotic process between the blood and the tissues.

Tissues receive less oxygenThe metabolic rate drops sharply

The body is no longer capable ofprocessing the cellulite condition on its own

Signs of dense, unhealthy cells appear in the abdomen, thighs and buttocks…

Cellulite…Let’s compare the cellulite condition to frozen water in a plastic cup.

Drinking straw = CapillaryCup walls = Connective tissueWater = Fat cell

When the body’s natural fat processing system does not operate as fast as fat is collected in the fat cells, the cells fill

up like a balloon pushing the cell walls out and up.

What is Collagen?

• Collagen is the most abundant protein in the body (accounting for 30% of the total protein in the human body).

• Collagen is responsible for the strength and elasticity of our skin. The gradual degradation of collagen leads to the characteristic lines, wrinkles and folds that accompany the aging process.

Collagen Fibers

• Tough bundles of collagen called collagen fibers are a major component of the extra-cellular matrix that supports most tissue structure.

De-naturation

• The safe temperature range to shrink collagen fibers without destroying them is narrow (60 – 70 degrees C.)

• When the collagen molecule is subjected to temperatures between 60 degrees and 70 degrees C., ultra-structural cross-links rupture and cause the immediate contraction of the fibers to about 1/3 their original length. The molecules, however, remain intact—provided that temperatures do not exceed 75 degrees C.

Radiofrequency devices promote skin tightening non-invasively by means of a two stage process:

– De-naturation, the first stage produces an immediate effect

– Collagen remodeling, the second stage is gradual and occurs over a period of 3 to 6 months

The RF Spectrum

EHF (Extremely High Frequency) Used for satellite communications

30 GHz to 300 GHz (= wavelengths from 10 mm to 1 mm)

SHF (Super High Frequency) Also known as the microwave band

3 GHz to 30 GHz (= wavelengths from The RF Spectrum 10 cm to 1 cm)

UHF (Ultra High Frequency) 300 MHz to 3000 MHz (= wavelengths from 100 cm to 1 cm)

VHF (Very High Frequency) 30 MHz to 300 MHz (= wavelengths from 10 meters to 1 meter)

HF Shortwave (High Frequency) 3 MHz to 30 MHz = (wavelengths from 100 meters to 10 meters)

MF (Medium Frequency) 300 kHz to 3 MHz (= wavelengths from 1000 meters to 100 meters)

• The Sybaritic ST operates at 5 MHz or 5 million cycles per second • Most ST’s operates in the (HF Shortwave) High Frequency range

Electromagnetic Spectrum

RF frequency Range = 3 Hz to 300 GHz

The Sybaritic Skin Tightener operates in the AM Radio range

Conductivity of Different Types of Tissue

Tissue containing blood has the highest electrical conductivity. Bone, fat and dry skin have the lowest conductivity

Tissue Conductivity (@1 MHz)

Blood 0.7

Bone 0.02

Fat 0.03

Dry Skin 0.03

Wet Skin 0.25

Select Treatment Area

Abdomen Treatment

Touch the abdomen then the Abdomen button to enter the Abdomen Treatment Program

1 2

Back Treatment

Touch the model’s back then the Back button to enter the Back Treatment Program

1 2

Specialty MedicalGregory Schaeppi