Clinical Education
Contents
1. Syneron CAINJELA Overview Physiology of Cellulite and Adipocyte Metabolism The Vela Technology Vela Shape Il Clinical Treatment Infomation DHF13441 Rev 00 Page 3 77 science Results Trust DHF13441 Rev 00 Page 4 77 Subcutaneous Tissue Where DoesVela Technology Work Demisand Hypodermis Collagen Superficial layer Organized compact compartments Fibrousseptae Deep layer Areolarfat loose Partitions are haphazard Improving Cellulite and Reducing Circumference By Improving Adipocyte Metabolism and Tissue Quality lt D yneron CANDE y DHF13441 Rev 00 Page 5 77 CANDELA if wig FN ze GM Process of Cellulite Formation rat cells enlarged creating increased volume in compartments with limited space Fibrous septae are firm and skin dimples from the tension Blood vessels and lymphatics are compressed Accumulation of intercellular fluids and physiological waste yneron DHF13441 Rev 00 Page 6 77 CANDELA CANDELA Page7 77 a r S E amp 3 E value ples DHF13441 Rev 00 Gellulite Dim 11 tr n L I Jj i i e a d MI Ny La Pi d 7 E Lio i fg ru PL aoe tr a bee i it i A de i Raz EN ATH a Jop yd M Fs s I ibn ci J il Ti nwr r a a ee HL 8 Sy neron Class 1 No spontaneous dimpling Pinch test positive for dimpling Class2. Temperature measurements in real time Improved electrode configuration for patient comfort and safety Operator Comfort and ease Interface Design a DHF13441 Rev 00 Page 21 77 science Results Trust DHF13441 Rev 00 Page 30 77 New System New Clinical Protocol New Stacking Mode Clinical Protocol e The stacking mode clinical protocol has been developed for the optimized treatment of local fat deposits This new protocol providesa reduction ofat least 2 cm in asfew as 3 treatments 2 weeks apart or 1 longer treatment session The FH protocol is design for sustained heating of the IRE SA E E tissue resulting in optimal reproducible TET results HH Results can also be seen aftera one treatment protocol with a longertreatment duration DHF13441 Rev 00 CANDELA 3 Sessions vs 1 Session VelaShape lll Single Treatment VelaShape lll 3 Treatments Longer treatment time for a reduced Much less treatment time for multiple number of treatments treatments 1 Treatment 3 Treatments Spaced 2 Weeks Apart Performing the treatment twice on each area Results seen as eany as Week 2 with best Results seen as eany as Week 2 with best results results seen at Week 8 10 seen at Week 8 10 Practice and e ldeal for practices who can commit to e ldeal for practicesthat promote price per Patient Benefits one hour treatment sessions treatment e ldealfor practices that would offer e ldeal for prac
3. Vela Shape lll electrodes are in the same plane with the plastic easier to achieve vacuum and good contact with the tissue Vela Shape lll side walls are curved and not straight This makesthe vacuum more pleasant and more comfortable forthe patient i gt Vsmooth a pplicator amp CANPFI A DHF13441 Rev 00 Page 24 77 CANDELA NEW APPLICATORS New V Contour Applicator with Various Cover Sizes v Expended treatment range with multiple cover sizes L M S v New RF electrode design improves contact with the skin and delivers precise energy to the tissue gt Vsmooth Hollers applicator Each cover is sufficient for and new upgradesto be released 4 hours of use SOON DHF13441 Rev 00 j 4 s b s i a e 41 Pi f y ab P j gt a d n fa wl New User Interface Energy Set Up a Medium Welcome AU o End Treatment IR Level RF Level Utilities DU DHF13441 Rev 00 CANDELA Welcome to VelaShape III 90 00 Syneron Options New User Interface Treatment in Progress Medium 6 00 Options be Syneron r i PE r f di w ue L EE Es al Clinically Relevant Improvements Vela Shape III High Powerand ability to deliveroptimal energy acrossallimpedance ranges Impedance Measurements in real time every 1ms Optimized protocol to reach temperature and maintain temperature
4. umbilical cable and the umbilical cable s connection to system Verify that the cover is correctly attached to the applicator 5 Replace applicator filters or cover Turn the system off No IR output _ Call your Syneron representative for further instructions Turn the system off Electrodes are not rotating 2 Check that the applicator chamber is clean and that nothing Large Applicator is obstructing the electrodes 3 Connect a new applicator cover No vacuum suction DHF13441 Rev 00 Page 67 77 C CANDELA Filter Maintenance Replace filter every 30 minutes Filters can be washed with wam water dned thoroughly and reused fora total use time of 90 minutes If suction seems diminished check replace filter Once filter is removed be sure to clean recess under filter area with tissue or Q tip DHF13441 Rev 00 Page 68 77 C CANDELA Wiping the lens during treatment it is done with cover still on the hand piece DHF13441 Rev 00 Page 69 77 a CANDELA science Results Trust DHF13441 Rev 00 Page 70 77 4 L Z 24 Y Remember e Temperature e Time and patient Tolerance Adjust parameters RF and number of stacked pulses when necessary forcomfort and forcontinued maintenance of temperature overtime Po y eA MM F MA NCA n psg 7 A A wf A i F LI LI i F DHF13441 Rev 00 Page 71 77 Be comfortable Hold applicator comforta
5. 2 Spontaneous dimpling while standing Class 3 Spontaneous dimpling while standing and lying morbid obesity or menopausal DHF13441 Rev 00 Page 9 77 di CANDELA ps Ma y 2 Cellulite Treatment Factors Inducing Cellulite Solutions for Treatment Poor circulation e Improve circulation e Hormonal Influences e Improve lymphatic e Heredity drainage Smoking e Improve adipocyte Diet metabolism via improved blood circulation and e Lack of exercise oxygenation e Improve demal structure DHF13441 Rev 00 Page 8 77 CANDELA science Results Trust DHF13441 Rev 00 Page 10 77 History of the Vela Technology Syneron was the firstcompany to pioneerthe use of radio frequency technologies for body shaping with our VelaShape technology e _ VelaShape was the firstto receive the FDA clearance for non invasive circumferential reduction e Many other companies have tried to copy VelaShape technology for non invasive body shaping Venus Alma Viora Invasix etc VelaShape Facts e Over 8 000 units sold 10 000 procedures performed every day e Over 40 published clinical studies 5 million patients treated worldwide Syneron s vast expenence and research in producing effective body contouring devices has contnbuted to the outstanding success of the VelaShape Ill yneron DHF13441 Rev 00 _ What Did We Leam from Our Experi
6. 2 pulses then do one pass of 3 pulses before retuming to 2 pulses Wipe the IR lens frequently with a tissue or soft cloth ideally between passes initially and then approximately every minute in the latter part of the treatment The goal isto keep the lensclean and free of soray to maintain accuracy of real time temperature measurements DHF13441 Rev 00 Page 51 77 Outer thigh Treating Thigh Circumference 25 cm 10cm 25 cm Knee 20 cm Knee Inner thigh Inner thigh Outer thigh Front View Back View DHF13441 Rev 00 Page 52 77 Pulse stacking on the thigh i 2yneron F t gt y DHF13441 Rev 00 Page 53 77 SY CANDELA a i r ad rr 2 gt j FT F i gt 4 P e d kl s t ai A LI EN J i g ra a i P gt FR all a a 4 s fl LE d En Treatment Time and of Sessions e Abdomen and flanks are treated in 45 minutes Thigh istreated in 30 minutes Times listed are for an average body habitus KG f yneron y DHF13441 Rev 00 Page 54 77 CANDELA a a i hy EK di di te What is needed to achieve consistent and predictable results with Vela Sha pelll Reaching end point temperature of 43 45 C Maintaining end point temperature of 43 45 C over time Controlling end point temperature Creating more heat below the skin surface and sustaining this heat in the tissue longer DHF
7. OFF Intensity Level O Intensity Level Intensity Level 2 Intensity Level 3 Ou DHF13441 Rev 00 Page 42 77 CANDELA Apply a lightly visible layer of Vela Spray Example of Large Template to treat anterior abdomen Spray should be reapplied as needed for patient comfort and ease of treatment Be sure to wipe inside of cover every few passes to ensure accuracy of device thermometer Syneron 4 DHF13441 Rev 00 Page 45 77 CANDELA A Set Temperature and Go Medium Welcome to VelaShape Ill Options Sy neron DHF13441 Rev 00 Page 44 77 CANDELA yil Direction Pass 1 5 stacked pulses per sub area Pass 2 4 stacked pulses per sub area Pass 3 3 stacked pulses per sub area Pass 4 2 stacked pulses per sub area Additional Passes 2 stacked pulses per sub area until temperature is reached 2 stacked pulses per sub area until Vertical Snake temperature i is reached and maintained Same as Cycle 2 Horizontal Snake f Cycles 1 2 and 3 is less than 15 minutes continue with the Vertical Snake ee b area until the 15 minute treatment duration for all four Horizontal Snake Cycle 1 is very important Use stacks as tolerated and follow protocol until goal temperature is reached Cycles 2 4 can be viewed as maintenance Continue to move the applicator over the selected area in order to maintain goal temperature over time Total time fo
8. discretion refrain from treating any condition which might make it unsafe forthe patient Marked conditions may be treated at the discretion and under the full responsibility of the medical director ND although not recommended In such a case a smallarea should be treated and assessed a few days aterto determine if the patient will tolerate the treatment without developing adverse effects DHF13441 Rev 00 Page 35 77 o 7 A A Sy neron Clinical Procedure Aligning Expectations Improvement not elimination Temporary results maintenance is essential Skin tightening by RF may occur Not for excessively loose skin Stretch marks may improve not always Diet and exercise may improve results not essential Weight gain may worsen results DHF13441 Rev 00 Page 36 77 CANDELA Sy neron j Clinical Procedure Pre Ireatment Proper patient selection Aligning expectations Pre treatment Gently exfoliate the skin recommended Avoid anticoagulants if medical condition permits advisable Shave hair if necessary Weigh patient photograph and measure circumference Define treatment areas and set treatment parameters DHF13441 Rev 00 Page 37 77 CANDELA Py pam x r i RA i yc 4 oa i E i i Beginning the treatment Fig 1 Select areas L U Markareasasneeded to maintain awareness of bony structures and where you will treat once patient Is
9. end point temp faster v Reduced number of treatments sessions for optimal results DHF13441 Rev 00 w CANDELA New Features amp Benefits VelaShape 3 RF Power Curve v Industry s first Smart RF a closed loop RF that measureseach patienUsimpedance to ensure consistent vs energy delivery reducing the number of non responders RF power watts Patient impedence O DHF13441 Rev 00 New Features amp Benefits INTELLIG ENT FEEDBACK Built In Temperature Sensor v Better monitonng of tissue in real time v Enablesa more precise treatment v Increased patient comfort DHF13441 Rev 00 New Features amp Benefits v Sleek sophisticated ergonomically smart state of the art design v Lightweight highly mobile 60 smallerto easily fit into any size Clinic v Ability to operate with a foot pedalto reduce operator strain and can treat while sitting or standing DHF13441 Rev 00 New Features amp Benefits NEW USER INTERFACE gp v Based on the 10 multi touch 1 Android interface with full HD display v Easy to use intuitive GUI enables quick and easy set up of 0 00 treatments parameters before and dunng each treatment a v Future upgradesforguided protocol treatments DHF13441 Rev 00 NEW ELEC TRODE DESIGN New RF electrode design to improve contactwith the skin and better energy delivery to the fat layer RF energy heating
10. lying on Measure areasto plan treatment DHF13441 Rev 00 Page 38 77 CANDELA aa L A yv 2 Mas ee 2 i pe 4 z Measuring and marking the areasof the body to be treated A I I AN LU DHF13441 Rev 00 Page 39 77 a a all E 4 ua 2 3 Area Templates Choose a template depending on the size of the area you wisn to treat LARGE MEDIUM SMALL 25 x 20 cm 15 x 20 cm 10 x 20 cm Each small sguare is approx 5x5 cm Choose based on the anatomy of the patient and how well temperature is maintained in a given area e yneron EPS y DHF13441 Rev 00 Page 40 77 CANDELA P op lt l De Treating Abdomen Circ umference Example of How Templates Can Be Arranged Anterior abdomen Posterior abdomen Posterior abdomen Flank Flank Right side Left side Left side Right side SEE i T 15 cm 25 cm Front View Back View x R a C j A DE A il LS VW MAELL A DHF13441 Rev 00 Page 41 77 Set Parameters Set parameters on touch screen or on the applicator screen In stacking IR is always OFF When treating a patient for the first time start with a few pulses on RF of lor 2 and Vacuum of 1 so patient can getthe sensation for the treatment Tell the patient that s he isto communicate when the sensation becomes hot so that you will be able to adjust your parameters or pulses accordingly Start the treatment with RF 3 and Vacuum 1 IR is
11. 13441 Rev 00 Page 55 77 cC CANDELA Sy neron UN r y de cd y i de Komf n y A z Z VelaSmooth VelaSmooth VelaShapeI VelaShapeI VelaShape I VelaShape II VelaShape III 20W Pro 35W 50W Enhanced 65W Enhanced 150W Mode 50W Mode 65W CANDELA DHF13441 Rev 00 Dr GWYS Clinical Results 2 0 Cm of average circumference reduction following n single session protocol Manage Expectations Optimal Results seen 1 at 10 weeks O 8 n 0 5 TT mr 4 weeks 7 weeks Sy neron DHF13441 Rev 00 CANDELA o EM Or Clinical Results Vela lll success rate following a single session protocol 45 1hr ele 1 5 cm im cm 100 100 80 80 ZC D 67 D 60 o O 55 O o 40 D 36 o 27 20 0 0 Baseline 4 weeks 7 weeks 10 weeks yneron DHF13441 Rev 00 CANDELA i Significant Increase In Collagen Deposition A Non treated site on upper arm B Histology results at 1 month follow up after 5 treatments in same subject yneronn gt y ore DHF13441 Rev 00 o a UD 3 Local Inflammatory Response In Fat Tissu A od v 3 i i Y 7 Ll s Far gt i LI 24 days p U F hal 4 iy 4 gt A ym ak i fe Synero n CANDELA s hi F 2 A a FO F2 Clinical Results Summary Vela Ill heats up target tissue faster Vela Ill maintains target temperature longer Vela Ill educesthe o
12. bly Use the foot peddle Tiggeron Hand piece can be used and is generally meant for small cover use S gt ron E gt y dari DHF13441 Rev 00 Page 72 77 CANDELA A a Patient Positioning Making a flat work surface Patient lying on back with rolled towel under flank to bring Forward tissue from the side and flatten the work area Here you can divide the abdomen in two parts and treat One half with medium template from umbilicus to side DHF13441 Rev 00 Page 73 77 lt CANDELA tient Positi on abdomen with optimal flank and side a i ah Sa Ar i i Se i 4 At WE i na N we y Uu Su N unir Pl KE Cc yneron y DHF13441 Rev 00 Page 74 77 CANDELA Smaller area templates can be used based on anatomy of the patient DHF13441 Rev 00 Page 75 77 CANDELA DHF13441 Rev 00 Page 76 77 CANDELA Thank You er 4 I i A Pa f science Results Trust DHF13441 Rev 00 Page 77 77
13. dy contounng via temporary cellulite and Circumference reduction Additional treatment programs Post liposuction treatment via circumferential reduction Postpartum treatment via circumferential reduction Sy neron DHF13441 Rev 00 Page 11 77 i CANDELA hu ay Mechanism of Actio Powered by elos technology VelaShape Ill combines a synergistic use of different energies Bi Polar RF radio frequency for deep and sustained heating R infrared for superficial heating in cellulite treatment Mechanical tissue manipulation with pulsed vacuum for Improved depth of RF penetration and improved circulation of blood and lymphatics DHF13441 Rev 00 CANDELA Mechanism of Action The combination of the IRand vacuum coupled RF technologies causes deep heating of the fat cells adipocytes their surrounding connective septae and the undenying demal collagen fibers Efficient heating of the adipocytes Is achieved by the higher output of RF the optimal design of the electrodes and the concurent application of vacuum which allows for deeper heat penetration This promotes an increase in circulation lymphatic drainage cellular metabolism and collagen depositing Furthermore it stimulates fibroblast activity and remodels the extracellular matnx RESULT A localized reduction in skin laxity volume and an overall improvement in skin structure and texture Syneron Mechanism of Acti
14. eat Vancosities BMI under 30 Marginal results with Obese patients n Patients with edema due to lymphatic drainage problem Avoid thyroid area especially if there are thyroid pathologies DHF13441 Rev 00 Page 34 77 CANDELA EP Contraindicationsto Treatme nt Pacemaker or intemal defibnilator Superficial metal or other implants in the treatment area Current or history of cancer or pre malignantmoles Past history of any kind of cancer Severe concurrent conditions such ascardiac disorders Pregnancy and nursing Impaired immune system due to immunosuppressve diseases such as AIDS and HIV or use of immunosuppressive medications Diseaseswhich may be stimulated by light at the wavelengths used Patients with history of diseases stimulated by heat such as recurrent Herpes Simplex in the treatment area may be treated only following a prophylactic regimen Poorly controlled endocrine disorders such as diabetes Any active condition in the treatment area such as open wounds psonasis eczema and rash History of skin disorders keloids abnormal wound healing as well as very dry and fragile skin History of bleeding coagulopathies or use of anticoagulants Any surgical procedure in the treatment area within the last 3 months or before complete healing Treating overtattoo or permanent makeup Excessively tanned skin from sun sun bedsortanning creams within last 2 weeks Asperthe practitioner
15. ence with VelaShape Technology e Improvements in cellulite and circumference reduction requires heating of connective tissue for the growth of new and healthier collagen and elastin e Thermal connective tissue injury is based on reaching a thermal dose threshold This isa combination of elevated temperature and exposure time Reaching temp end point and maintaining it overtime is a key element in achieving consistent clinical results e There isa large vanety of tissue impedance between patients i ua Fora betterand faster thermal dose effect there sa need fora more powerful system which also measures skin impedance and provides realtime feedback on the tissue temperature _ gt yneron y DHF13441 Rev 00 CANDELA DL Se What Did We Leam from Our Experience with VelaShape Technology e Adequate heat delivery to the tissue determines treatment success e Controlled thermal injury isthe mechanism of action for collagen formation e Controlled thermal injury isthe mechanism of action for metabolic changesto the adipocyte Temperature Time gt Results Sy neron DHF13441 Rev 00 CANDELA g y d J A A PA Med gt cai i Se ty Evolution of Vela Over 8 Years VelaSmooth VelaShape VelaShape II Launch Year 2005 2007 2009 2013 cellulite reduction cellulite reduction cellulite reduction FDA Clearance cellulite reduction circumference reduction circumference reduction eletta Sa
16. le e role ol i of thighs of thighs aoaomen Large App Small App Vsmooth Vcontour Vsmoothll Vcontourll i lt i Vc ontour lil RF Power Up to 20W Up to 20W Up to 50W Up to 20W Up to 60W Up to 23W Uo to 150W Up to 150W IR Power LED Power LED Power Optical Up to 20W Up to 20W Up to 35W Up to 20W Up to 35W Up to 20W Up to 3 3W Up to 1 7W Light Spectrum 700 2000nm 700 2000nm _ 700 2000nm 700 2000nm 700 2000nm _ 700 2000nm Vacuum Pulsed Pulsed Pulsed Pulsed Pulsed Pulsed Pulsed 25mmx47m 25mmx50mm 10mmx13mm Tx area 40mmx40mm 25mmx25mm 40mmx40mm 30mmx30mm 30mmx30mm i 25mmx30mm m with rollers 25mmx50 Weight 60lbs 60lbs 83lbs Dims WxDxH 14 2 x 21 6 x 31 5 inches 14 2 x 21 6 x 31 5 inches 14 2 x 21 6 x 31 5 inches 15x19x52 inches of Treatments 12 16 spaced 2 wksapart 4 6 spaced 2 wksapart 4 6 spaced 2 wksapart 1 3 spaced 2 wksapart Goaltemperature of 45 degrees Celsiusis achieved faster End point temperature is maintained longer Built in temperature sensor allowsthe operatorto monitorand control the end point temperature Closed loop RF for consistent energy delivery Higher energy density allows for better heating of the tissue below the skin DHF13441 Rev 00 Indications FDA Temporary reduction in the appearance of cellulite Temporary reduction of abdomen and thighs circumferences Temporary improvementin the local blood circulation Relief of minor muscle achesand spasms CE e non invasive treatment for bo
17. ll 2 weeks post 1session of whole abdomen treatment 360 4 0 cm waist 2 5 cm abdomen change weight 1 4Kg DHF13441 Rev 00 CANDELA 4 weeks post 1session of whole abdomen treatment 360 DHF13441 Rev 00 science Results Trust DHF13441 Rev 00 Page 59 77 VelaShape Ill User Manual Science Results Trust Touch Screen Control Panel systems Main On Off Switch Large A BEN sma Applicator ER Small Applicator Umbilical Cable Console _Wheels with Brakes yneron Figure 1 VelaShape III System CANDELA Rubber stops for Applicator Arm Be sure the ams of the device are eguipped with the rubber stop to keep applicators securely in place when hung D yneron lt y DHF13441 Rev 00 Page 62 77 CANDELA yneron Sy neron DHF13441 Rev 00 Page 64 77 CANDELA Note foot peddle plug needs to be securely attached Make certain the cuff is turned and securely connected Be certain the foot peddle cord is not kinked or stepped on during treatment TO Cc yneron e y DHF13441 Rev 00 Page 65 77 CANDELA o KH RE 4a Clean Filter and Filter Cup 7 lt Filter Z lt syneron 7 DHF13441 Rev 00 Page 66 77 CANDELA Turn the system off 2 Check that air filter is clean and the filter cover is properly fastened the cover s sealing O ring should be properly installed Check the applicator connection to the
18. on Bipolar RF Energy Thermal effects e Increased metabolic reactions in the adipocytes Fibroblast stimulation e Collagen shrinkage e Collagen synthesis e Deep heat in the blood vessels gt oxygen dissociation il Page 13 77 si CANDELA DHF13441 Rev 00 D 4a Mec K nism pa Action Improved adipocyte metabolism via deep heating with RF allows adipocytesto actina metabolically more active fashion resulting in decreased size Syneron LE CANDELA DHF13441 Rev 00 Page 15 77 Mec hanism of Action Thermal Effect on Metabolism Deep heatisproduced by IR RF in dermal blood vessels Oxygen dissociation from Oxy Hb Extravasation of nutrients and oxygen TT Fat metabolic reactions in adipocytes ff Extended use of stored energy within the adipocyte results in shrinkage of the cellsthemselves Fat chambers shnnk and there is less tension on the fibrous septae Fibroblast metabolism leadsto collagen synthesis TT Collagen shnnkage for overall skin surface Improvement gt yneron y DHF13441 Rev 00 Page 16 77 CANDELA Syneron Mechanism of Action Vacuum Fibroblast proliferation via stimulation of stretch receptors Targeted penetration of the RF Negative pressure gt vascular dilatation Improved circulation WU Deep DHF13441 Rev 00 Page 17 77 CANDELA science Results Trust DHF13441 Rev 00 Page 19 77 v Increased RF energy 150W v Achieve
19. r the area should be a minimum of 15 minutes l DHF13441 Rev 00 Page 46 77 CANDELA 5 5 DL ve Honzontal Snake and Vertical Snake Movement Pattems Y e Above are the horizontal and vertical snake movement patterns Movement of the applicator will also be based on the anatomy of the patient e Keep in mind it is important to maintain contact over curved areas adjust movement pattern accordingly Cc yneron 4 DHF13441 Rev 00 Page 47 77 CANDELA gt SE v IT Pulse Stacking on the Abdomen 5 pulses gt DHF13441 Rev 00 Page 48 77 Cycle 1 Honzontal Snake in Summary 5 Stacked Pulses in the first pass 4 Stacked Pulses in the second pass 3 Stacked Pulsesin the third pass 2 Stacked Pulses until the goal temperature Is reached Once goaltemperature Isreached move to Cycle 2 continue with 2 stacked pulses moving in a vertical snake fashion DHF13441 Rev 00 Page 49 77 y dl y er Cycle 2 Vertical Snake DHF13441 Rev 00 Page 50 77 di CANDELA EF yr KA w me UE Cycles3and 4 For Cycle 3 continue in the honzontal snake pattem with 2 pulses as tolerated until the treatment endpoint temperature isreached in the area For Cycle 4 maintain the temperature in the area until a treatment time of 15 minutesisreached Note When spray is reapplied increased stacked pulse by I For example if you were stacking
20. tices seeking retum patients for VelaShape asa follow up treatment such upselling of other procedures or products as Post Lipo e Ideal for patients seeking a short lunch time Ideal for busy practices and patients treatment seeking a one time treatment solution e Idealfor practices who wish to have a close follow up on their patient during the program ll yneron Ba y DHF13441 Rev 00 CANDELA Circumferential Reduction and Body Contounng Medium Cover Stacking Protocol fordeep and sustained heating Sy neron DHF13441 Rev 00 Page 31 77 e TL CANDELA aw 4 y Parameters RF Vacuum Radiofrequency Heating e Metabolic reactions in the fat cells increased Fibroblast metabolism e Collagen shrinkage e Collagen synthesis e Deep heat inthe blood vessels gt oxygen dissociation Vacuum Fibroblast proliferation via stimulation of stretch receptors Targeted penetration of the RF Negative pressure gt vasculardilatation e Improved circulation DHF13441 Rev 00 Page 32 77 Remember Temperature and Time Easy as 1 2 3 1 Reach the nght temperature 2 Reach it quickly and deeply with stac king 3 Maintain itover time DHF13441 Rev 00 Page 33 77 CANDEL Syneron Clinical Procedure Patient Selection Safe for all skin types I VI Make sure there are no medical contraindications to IR RF Vacuum treatment see User Manual for complete list Not recommended to tr
21. verall treatment duration overtime Vela lll offers fewer and shorter treatment sessions Vela Ill treatment protocolsare optimized for treatment of small medium and large areasof the body and all are based on a similar simple and easy to leam mode of treatment Realtime Impedance Measurements Adjustable high power to deliveroptimal energy acrossall impedance ranges Measunng temp in realtime DHF13441 Rev 00 gt AW i i y i i 4 4 a Es P 1 pa Clinical Results Summary Proven Clinical Results The safety and effectiveness of the Vela Shape treatment has been demonstrated in multi center clinical trialsand in more than 5 million independent treatments performed on patients globally VelaShape Ill demonstrated over 2 cm reduction in the abdomen and over 1 5 cm reduction in the thighs Most patientsreported no discomfort during or following treatment DHF13441 Rev 00 2 weeks post 1session of whole abdomen treatment 360 DHF13441 Rev 00 Before amp After ihe VelaSha pe lll 2 weeks post 1session of whole abdomen treatment 360 1 5 cm waist 2 0 cm abdomen 1 0 cm hip weight change 0 5kg DHF13441 Rev 00 A 7 Before amp After Pic tures VelaSnape I 2 weeks post 1session of whole abdomen treatment 360 3 0 cm abdomen 2 0 cm hip weight change 1 4kg DHF13441 Rev 00 DHF13441 Rev 00 lt CANDELA Before amp After Pictures VelaSnape l
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