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Radio frequency body contouring
- 2. Radiofrequency (RF) has been used safely and effectively in medicine for over 75 years RF technology has been used for: Skin tightening & wrinkle reduction Fat reduction & body sculpting RF energy heats skin tissue deep from within, while protecting the epidermis. Avante Laser Training Institute 2
- 3. RF is a form of electromagnetic energy. RF has long wavelengths and travel at the speed of light When applied to tissue it produces electromagnetic fields, causing oscillation of molecules within the tissue, Causing the generation of heat Avante Laser Training Institute 3
- 4. RF Body Contouring Avante Laser Training Institute 4
- 5. Existing Technology Mono-Polar Bi-Polar (using 2 or 4 electrodes) Tri-Polar (using 3 or 6 electrodes) Avante Laser Training Institute 5
- 6. RF energy flows between 3 or 6 electrodes Penetration depth is controlled and limited to treatment area only Heats superficial (dermal) and deep (hypodermal) layers- up to 20mm below the skin’s surface. Avante Laser Training Institute 6
- 7. RF Body Contouring RF energy: ◦ Is focused under the electrodes for effective treatments ◦ Has high power density for immediate results visible from 1st treatment and proven long-lasting results. Avante Laser Training Institute 7
- 8. RF Body Contouring RF energy: ◦ Has low power consumption leading to patients reporting a very pleasant treatment experience ◦ Uses 1 MHz frequency: safe and effective for collagen remodeling ◦ Has patient controlled manual switch to ensure maximum safety Avante Laser Training Institute 8
- 9. RF Body Contouring RF energy: ◦ No need for skin cooling and safe for all skin types ◦ Does not does not affect pigmentation ◦ Non-invasive ◦ Feels like a warm massage Avante Laser Training Institute 9
- 10. Accumulation of Fat ◦ Enlarged fat cells in the hypodermis push the dermis and epidermis layers against the fibrous connective tissue, creating cellulite condition. Avante Laser Training Institute 10
- 11. RF Body Contouring Treatment ◦ Selectively heats the fat cells in the deep and superficial adipose layers simultaneously. ◦ Heating the fat cells increases their metabolism and forces them to secrete fatty acids (liquid fat) into the surrounding extra-cellular space and on to the blood and lymph system. Avante Laser Training Institute 11
- 12. RF Body Contouring Treatment Results: ◦ Fat cells release the liquid fat (fatty acids) and shrink resulting in: Fat and circumference reduction Cellulite reduction Collagen renewal and skin tightening Avante Laser Training Institute 12
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- 17. Combining RF Body Contouring ◦ Invasive/ablative procedures – 1-3 months or until healed ◦ Botox – 2 weeks ◦ Natural fillers – 3-4 weeks ◦ Mesotherapy – depends on healing ◦ Superficial and light peels – 2 weeks Avante Laser Training Institute 17
- 18. Combining RF Body Contouring ◦ Fractional Laser: 1 month or until complete healing ◦ Ultrasound, LED devices – 24 hours ◦ Laser, IPL procedures – 1-2 weeks ◦ Synthetic fillers, gold/plastic thread: not recommended to combine Avante Laser Training Institute 18
- 19. Pre-Treatment Contraindications ◦ Under 18 years old ◦ Pacemaker or internal defibrillator, implanted neurostimulators or any other internal electric device ◦ Metal implants in the treatment area ◦ Pregnancy or nursing Avante Laser Training Institute 19
- 20. Pre-Treatment Contraindications ◦ Current or history of cancer, especially skin cancer, or pre-malignant moles ◦ Impaired immune system due to immunosuppressive diseases such as AIDS and HIV, or use of immunosuppressive medications Avante Laser Training Institute 20
- 21. Pre-Treatment Contraindications ◦ Severe concurrent conditions such as cardiac disorders, epilepsy or lupus ◦ Poorly controlled endocrine disorders, such as diabetes ◦ History of bleeding coagulopathies, or use of anticoagulants Avante Laser Training Institute 21
- 22. Pre-Treatment Contraindications ◦ Patients whose condition could be negatively affected by heat. (ex. Recurrent Herpes Simplex in treatment area– prophylactic treatment) ◦ Patients having diminished or exaggerated perception of temperature changes Avante Laser Training Institute 22
- 23. Pre-Treatment Contraindications ◦ Sores, hemorrhages or risk of hemorrhages, septic conditions, psoriasis, eczema and rash and excessively/freshly tanned skin ◦ History of skin disorders such as keloid scarring, abnormal would healing, as well as very dry and fragile skin Avante Laser Training Institute 23
- 24. Pre-Treatment Contraindications ◦ Any surgical, invasive, ablative procedure in the treatment area before complete healing ◦ Any condition which might make it unsafe for the patient Avante Laser Training Institute 24
- 25. Additional Precautions ◦ Patients taking medications, supplements, or herbs that might cause fragile skin or impaired skin healing such as prolonged steroid regime, Accutane, tetracycline, or St. John’s Wort. ◦ Condition that impede wound healing ◦ Have patient ask their physician when uncertain Avante Laser Training Institute 25
- 26. Pre-Treatment ◦ Detailed patient medical history including previous treatment methods ◦ Determine if patient is suitable for treatment ◦ Inform the patient of typical treatment results and possible adverse effects ◦ Accurate patient expectations ◦ Consent forms Avante Laser Training Institute 26
- 27. Always record ◦ Patient treatment and response of tissue ◦ Before and after photos Avante Laser Training Institute 27
- 28. Possible side effects ◦ Pain ◦ Excessive skin redness ◦ Damage to natural skin texture (burn, blister) ◦ Excessive swelling ◦ Fragile skin ◦ Bruising ◦ Itching Avante Laser Training Institute 28
- 29. Prepare the treatment area: ◦ Ask the patient to remove jewelry ◦ Cleanse and dry area ◦ Lubricate area with Glycerin ◦ Give patient the manual switch and explain usage ◦ Measure a baseline skin temperature measurement Avante Laser Training Institute 29
- 30. Treatment ◦ Lubricate the skin with Glycerin ◦ Areas with hair need extra Glycerin Avante Laser Training Institute 30
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- 32. Treatment ◦ Goal is to increase the skin surface temperature and create a thermal effect ◦ During treatment, raise the temp in the work area 40-42 degrees Celsius and maintain for default time ◦ Move to the next work areas but incorporate the previously treated areas sustaining heat Avante Laser Training Institute 32
- 33. Treatment ◦ Use slow continuous movements ◦ Circular, elliptical or figure 8 movements ◦ Do not stop the movement as this may cause over-heating and potential burn. ◦ Monitor patent’s tolerance and discomfort Avante Laser Training Institute 33
- 34. Treatment ◦ Adjust the power settings accordingly ◦ If the patient complains about excessive heat then it is better to reduce the power level than to move faster Avante Laser Training Institute 34
- 35. Treatment ◦ Monitor heat sensation verbally & regularly ◦ Never exceed 45 degrees Celsius ◦ After 1 minute of treatment, if skin temp does not increase by additional 4 degrees, power should be increased again by 2 units ◦ After 1 more minute, if skin temp does not increase by additional 4 degrees, power should be increased again by 2 units Avante Laser Training Institute 35
- 36. Treatment ◦ Endpoint temp is typically achieved after about 5 minutes of treatment ◦ Check patient’s skin temperature periodically throughout treatment by using a non-contact infra-red thermometer placed a few centimeters above the skin Avante Laser Training Institute 36
- 37. After Treatment ◦ Clean applicators with alcohol. Have Patient Drink a lot of water Patient should exercise in the two hours following treatment High protien and low carb and low sugar diet is best Avante Laser Training Institute 37
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