Lecture originally given by Dr. Stan Constantin (Romania) on the use of Radiosurgery in Primary Care. Later modified by Radiosurgery expert Dr.Patrick Treacy from www.ailesburyclinic.ie +3531 2692255

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4. Why 4.0MHz Radiosurgery?

5. Frequency chart and tissue alteration comparison

7. 4.0 MHz RF 0.650 MHz ESU Valleyllab Histological study Comparative study of cutaneous incisions Ellman Surgitron

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9. Why ellman surgitron RF dual frequency, 4.0 MHz, 120 ICE ? ( ellman International inc., Oceanside, n.y., usa) LH = T x P x W x S F LH=lateral heat , T=time, P=power intensity, W=waveform , S=surface area, F=frequency

10. Why ellman surgitron RF dual frequency , 4.0 MHz, 120 ICE ? ( ellman International inc., Oceanside, n.y., usa) LH LH LH = T x P x W x S F LH=lateral heat, T=time, P=power intensity, W=waveform, S=surface area, F =frequency

11. Why ellman surgitron RF dual frequency, 4.0 MHz, 120 ICE ? ( ellman International inc., Oceanside, n.y., usa) LH = T x P x W x S F LH=lateral heat, T=time, P=power intensity, W=waveform, S=surface area, F =frequency

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17. RF Facial Plastic Aesthetic Surgery Upper Blepharoplasty Brow Lift / internal direct suspension Lower Blepharoplasty - de La Plaza septal sutures repair - Adamson orbicularis flap suspension - lateral canthopexy (external lamella)

18. BROW-UPPER EYELID 3D VOLUMETRIC REJUVENATION Surgical technique Modified 3D Volumetric Internal Browplasty/Browpexy

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20. Surgical technique of the periorbital area with mini Bleph mono RF forceps

21. Surgical technique of the periorbital area with mini Bleph mono RF forceps

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33. Clinical Cases and Results

35. Clinical Cases and Results

37. Clinical Cases and Results

39. Clinical Cases and Results

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41. breast augmentation many dissatisfied patients share unpleasant memory of postoperative pain, discomfort, bleeding and two weeks recovery Eduard Munch – “The Crying”

44. long insulated, monopolar, RF stan, 4.0 MHz forceps (third generation technique) ( ellman International inc., Oceanside, n.y., usa)

45. long insulated, monopolar, RF stan, 4.0 MHz forceps ( ellman International inc., Oceanside, n.y., usa) LH = T x P x W x S F LH=lateral heat, T=time, P=power intensity, W=waveform, S =surface area , F=frequency

46. SURGICAL TECHNIQUE insulated, bipolar forceps (Nava) 1.7 MHz dissection ( ellman International inc., Oceanside, n.y., usa) LH = T x P x W x S F LH =lateral heat , T=time, P=power intensity, W=waveform, S=surface area, F=frequency F (monopolar) = 4.0 MHz F (bipolar) = 1.7 MHz LH (monopolar) < 2 x LH (bipolar) LH (monopolar) < LH (bipolar) LH

47. SURGICAL TECHNIQUE long insulated, monopolar, RF stan, 4.0 MHz forceps ellman surgitron RF dual frequency, 4.0 MHz, 120 ICE ( ellman International inc., Oceanside, n.y., usa)

49. surgical techniques dissection sequences inframammary approach LH = T x P x W x S F LH=lateral heat, T =time , P=power intensity, W=waveform, S =surface area , F=frequency

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54. immediately natural breast appearance

55. immediately natural breast appearance

56. immediately natural breast appearance

57. immediately natural breast appearance

58. immediately natural breast appearance

59. immediately natural breast appearance

60. immediately natural breast appearance

61. immediately natural breast appearance

62. postoperative results rational surgeons would agree to progressively increase surgical skills patient deserve better we can do better we must do better

63. I want to thank you! Dr. Jon Garitto, ellman International inc.

64. Thank you for your attention!