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Radio Frequency Body
Contouring
 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
 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
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RF Body Contouring
Avante Laser Training Institute 4
Existing Technology
Mono-Polar
Bi-Polar (using 2 or 4 electrodes)
Tri-Polar (using 3 or 6 electrodes)
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 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.
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 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.
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 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
 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
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 Accumulation of Fat
◦ Enlarged fat cells in the hypodermis push
the dermis and epidermis layers against
the fibrous connective tissue, creating
cellulite condition.
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 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.
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 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
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 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
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 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
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 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
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 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
 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
 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
 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
 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
 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
 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
 Always record
◦ Patient treatment and response of tissue
◦ Before and after photos
Avante Laser Training Institute 27
 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
 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
 Treatment
◦ Lubricate the skin with Glycerin
◦ Areas with hair need extra Glycerin
Avante Laser Training Institute 30
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 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
 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
 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
 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
 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
 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
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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
  • 13. Avante Laser Training Institute 13
  • 14. Avante Laser Training Institute 14
  • 15. Avante Laser Training Institute 15
  • 16. Avante Laser Training Institute 16
  • 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
  • 31. Avante Laser Training Institute 31
  • 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
  • 38. Avante Laser Training Institute 38
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