3. Non-Surgical Cosmetic Procedures
Increase in Number of Non-Surgical
Cosmetic Procedures Performed Annually*
1997 1,126,177
2006 9,533,980
*Based on procedures performed in the United States only.
Source: ASAPS 2006 Cosmetic Surgery National Databank Statistics
4. How does it work?
What results would I get?
Is this one of those crazy things I’ve seen on TV?
Am I the right candidate? Is it safe?
Does it hurt?
How long will it last?
Will people see I’ve had work done?
5. About Thermage
Cleared by FDA in 2002*
>80 >2200 ~450,000
Countries Physicians Procedures
Excellent Safety Profile Supported by Clinical Studies
* General clearance in 2000. Aesthetic clearance in 2002.
** FDA cleared for the non-invasive treatment of wrinkles and rhytids, including
upper and lower eyelids
** FDA cleared for the temporary improvement in the appearance of cellulite
15. Thermage
Thermage is a safe, non-invasive
procedure
Side-effects are generally mild
and may include:
Redness
Swelling
Blisters
Bumps
Rare instances of surface irregularities
16. Results
Single treatment
Some immediate response
Results improve over time
Results are subtle
Skin tightening, contouring
Skin quality and texture
Long-lasting results
Individual results vary depending
on age and skin condition
17.
18. Before Thermage Immediate Post Treatment
Michael Kaminer, MD
Individual results vary depending on age and skin condition.
19. Before Thermage 6 Months Post Thermage
Flor Mayoral, MD
Individual results vary depending on age and skin condition.
20. Before Thermage 6 Months Post Thermage
Mark Nestor, MD
Individual results vary depending on age and skin condition.
21. Before Thermage 4 Months Post Thermage
Michael Kaminer, MD
Individual results vary depending on age and skin condition.
22. Before Thermage 2 Months Post Thermage
Rebecca Euwer, MD
Individual results vary depending on age and skin condition.
23. Before Thermage 9 Months Post Thermage
Ruth Hillelson, MD
Individual results vary depending on age and skin condition.
24. Before Thermage 7 Months Post Thermage
Ben Hugo, MD
Individual results vary depending on age and skin condition.
25. Before Thermage 10 Months Post Thermage
Nellie Gauthier, MD
Individual results vary depending on age and skin condition.
26. Before Thermage 3 Months Post Thermage 10 Months Post Thermage
Nellie Gauthier, MD
Individual results vary depending on age and skin condition.
27. Continued Improvement Over
Time
Before Thermage 4 Months Post Thermage 6 Months Post Thermage
All before and after photos are un-retouched.
Results vary depending on age and skin condition Treatment by Flor Mayoral, M.D.
28. Continued Improvement Over
Time
Before Thermage 4 Months Post Thermage 6 Months Post Thermage
All before and after photos are un-retouched.
Results vary depending on age and skin condition Treatment by Flor Mayoral, M.D.
29.
30. Before Thermage 6 Months Post Thermage
Brian Biesman, MD
Individual results vary depending on age and skin condition.
31. Before Thermage 6 Months Post Thermage
Brian Biesman, MD
Individual results vary depending on age and skin condition.
32. Before Thermage 6 Months Post Thermage
Brian Biesman, MD
Individual results vary depending on age and skin condition.
33. Before Thermage 2 Months Post Thermage
Kelley Hails, MD
Individual results vary depending on age and skin condition.
34. Before Thermage 10 Months Post Thermage
Kelley Hails, MD
Individual results vary depending on age and skin condition.
35. Before Thermage 6 Months Post Thermage
Sterling Baker, MD
Individual results vary depending on age and skin condition.
36. Before Thermage 15 Months Post Thermage
Flor Mayoral, MD
Individual results vary depending on age and skin condition.
37.
38. Before Thermage 2 Months Post Thermage
Vicki Belo, MD
Individual results vary depending on age and skin condition.
39. Before Thermage Immediate Post Thermage
Ruth Hillelson, MD
Individual results vary depending on age and skin condition.
40. Before Thermage 2 Months Post Thermage
Birgit Buxmeyer, MD
Individual results vary depending on age and skin condition.
41. Before Thermage 3 Months Post Thermage
Gregory Nikolaidis, MD
Individual results vary depending on age and skin condition.
42. Before Thermage 4 Months Post Thermage
Gregory Nikolaidis, MD
Individual results vary depending on age and skin condition.
43.
44. Before Thermage 12 Months Post Thermage
Suzanne Kilmer, MD
Individual results vary depending on age and skin condition.
45. Before Thermage 3 Months Post Thermage
John Stratis, MD
Individual results vary depending on age and skin condition.
46. Before Thermage 18 Months Post Thermage
Virginia Stevens, MD
Individual results vary depending on age and skin condition.
47. Before Thermage 2 Months Post Thermage
Dennis Hammond, MD
Individual results vary depending on age and skin condition.
48. Before Thermage 5 Months Post Thermage
Ruth Hillelson, MD
Individual results vary depending on age and skin condition.
49. Before Thermage 3 Months Post Thermage
David Magilke, MD
Individual results vary depending on age and skin condition.
50. Before Thermage 6 Months Post Thermage
Richard Asarch, MD
Individual results vary depending on age and skin condition.
51. Before Thermage 3 Months Post Thermage
Nantapat Supapannachart, MD
Individual results vary depending on age and skin condition.
52.
53. Results
Before Thermage 6 Months Post Thermage 14 Months Post Thermage
1000 REPS
Single Treatment by Silvia Cuevas, M.D.
54. Results
Before Thermage 6 Months Post Thermage 13 Months Post Thermage
1000 REPS
Single Treatment by Silvia Cuevas, M.D.
55. Results
Before Thermage 3 Months Post Thermage 13 Months Post Thermage
1000 REPS
Single Treatment by Silvia Cuevas, M.D.
56. Results
Before Thermage 3 Months Post Thermage 13 Months Post Thermage
1000 REPS
Single Treatment by Silvia Cuevas, M.D.
Attendees are told to be seated and when everyone is in their seats, the video begins.
VIDEO: A series of clips from Thermage ® coverage on TV.
Slide 7: Non-Surgical Cosmetic Procedures “ The number of people seeking non-surgical cosmetic procedures has grown tremendously over the last 9 years. With reality shows highlighting many of these “makeover” techniques, cosmetic procedures have been increasing. In particular non-invasive procedures are becoming incredibly popular. These are numbers just for the US. You can see in 2006 over 9.5 million procedures were performed. Many people want cosmetic improvements, but don’t have time for the downtime associated with surgery.” [CLICK] These Numbers are placeholders and intended for Thermage to update as often as you like.
Slide 8: A series of questions highlight on the screen. “ Over the next 15 or 20 minutes, I’m going to tell you about a non-invasive solution to help improve signs of aging called Thermage. I will aim to answer some of the questions that are important to you in deciding if a Thermage treatment is for you. What is Thermage – what does it do, how does it work, what does a treatment feel like and how safe is it? We’ll show you some results from women just like you who have been treated with Thermage, and you’ll hear from some of them too. We’ll leave some time at the end so you can ask questions. So let’s start with an introduction to Thermage.” [CLICK]
Slide 9: About Thermage “ Thermage is an FDA cleared procedure for the non-invasive treatment of wrinkles, including the upper and lower eyelids. It is used for tightening and contouring the skin on the face, eyes, lips, tummy, thighs, arms, hands and buttocks. Anywhere where there is lax skin. Thermage is also FDA cleared for the temporary improvement in the appearance of cellulite. We’ve been in the market place for over 5 years. We have over 2,200 clinicians performing Thermage procedures in over 80 countries. To date about 450,000 procedures have been performed. Our safety profile is excellent – and we have many clinical studies that support the procedure in terms of efficacy and safety.” [CLICK]
Slide 10: How does Thermage Work “ So, how does Thermage work? Before I go into the procedure let’s talk a little about how skin ages.” [CLICK]
Slide 11: Animation showing aging skin. [CLICK] “ As you age your skin sags as collagen stretches. With just one treatment in a doctor’s office Thermage’s unique deep heating technology immediately renews your natural collagen, resulting in tighter, more youthful appearing skin that continues to improve for up to 6 months. So what does that mean?” [CLICK]
Slide 12: Animation and After photo “ Here’s a women whose skin is starting to sag as she ages.” [CLICK]
Slide 13: Animation and Before Photo “ You can see as her collagen stretches she has sagging jowls, her jawline becomes less defined. Her skin texture has changed.” [CLICK]
Slide 14: Animation and After Photo “ After the Thermage treatment you can see how that jawline has nicely tightened, this whole area around the neck has tightened up and her overall skin texture has improved.” [CLICK]
Slide 15: Depth of Heating “ This slide shows you the depth of heat penetration of Thermage. The diagram of the skin reflects the three layers of skin, the deepest layer being the fat layer. The strands that flow through the fat are filled with collagen. [CLICK] While many lasers you may be familiar with penetrate to the dermal layer, [CLICK] Thermage also penetrates deep into the fat layer to tighten these collagen strands which results in the contouring effect many of our patients experience and which you’ll see later in the photographs.” [CLICK]
Slide 16: Are you a good candidate “ So if this kind of procedure is interesting to you, the first thing we need to establish is whether you are a good candidate? First you would schedule a consultation with us/the practice/{name}. At that time you’ll discuss what results you want to achieve, which areas specifically you want to improve, we’ll explain more about what the procedure involves, and answer your specific questions. We can then help you decide if Thermage is the right procedure for you. Let me show you a short clip showing how a Thermage procedure is done.” [CLICK]
Slide 17: Video of treatment “ When you arrive a temporary grid will be applied to your skin that ensures the treatment is delivered uniformly and safely. You’ll be asked how the treatment feels to make sure you have enough heat in your skin to have an effect, but that you are still comfortable. Depending on which part of your body is being treated the procedure can take anywhere from 45 minutes to 2 hours.” (Use laser pointer to highlight the tip when the video ends) “See this blue tip? Let’s take a closer look at how that treatment tip is working to tighten and contour your skin.” [CLICK]
Slide 18: Animation of Thermage Tip technology “ To begin the treatment, the surface of your skin is cooled to protect the outer layer. Then, you will feel a heat sensation, as the energy is being delivered to tighten the collagen deep below the surface of the skin. The result is tighter, smoother skin.” [CLICK]
Slide 19: Thermage “ Thermage is non-invasive and has an excellent safety record – over 99.6%. Although very rare, like all medical procedures there are some possible side effects, listed here.” [CLICK]
Slide 20: Results “ Thermage is a single treatment. You may see some immediate response after the treatment. But ladies this is the best part. As a result of the procedure, new collagen continues to renew over the next 6 months. That means the mirror will continue to reflect improved results over time. Unlike surgery where results are expected to be more dramatic, a Thermage procedure is subtle, so it can be your secret. Friends may say it looks like you’ve just gotten back from vacation, or you look less tired, or you’ve lost weight! Some of the results you can expect are: tightening of your skin, improvements in skin texture, contouring around the face, or other areas of the body. And the results are long-lasting and could last for years, depending upon your skin’s natural aging process. Depending on your skin type, and many other factors, such as skin care regimen, individual results will vary.” [CLICK]
Slide 21: Title page for Face by Thermage results “ So now we’re going to show you some before and after photos of actual Thermage patients, starting with the face. Results vary from subtle to dramatic, depending on your age and skin condition, as these pictures will show you.” [CLICK]
Slide 22: Before and After – Face [CLICK to reveal after photo] “ The main reason I want to show you this picture is that this is a patient who has just completed her treatment. You can see she has no reason not to go right back to work, or out for a coffee with her friends. As you can see with this patient, immediately post treatment, there’s no redness or swelling – she doesn’t need to hide out at home for a few days. For most patients, any redness or swelling is short-lived.” [CLICK]
Slide 24: Before and After – Face “ This patient has some wrinkles and lines, these lines here below the corners of her mouth we call marionette lines. [CLICK to reveal after photo]. She has very nice improvements. You see these marionette lines are softened, her jawline is more defined. Overall her skin tone and texture is improved.” [CLICK]
Slide 25: Before and After – Face “ Unlike many lasers, Thermage is color-blind – so we can treat all kinds of skin types. This patient was treated in just the mid/lower face area. [CLICK to reveal after photo]. This after photograph is 6 months after treatment. You can see she has some very nice tightening in her cheek area and a reduction in these lines ( we call these nasolabial folds) here. Her jawline is contoured and looks more defined. I think you’ll agree that this photograph nicely shows the change in skin texture in this patient.” [CLICK]
Slide 26: Before and After – Face “ This patient wanted a refreshed, younger looking appearance. [CLICK to reveal after photo] Four months after the procedure, her skin texture has improved, the marionette lines have diminished and the loose skin under her chin has tightened up. She was quite happy with her results.” [CLICK]
Slide 27: Before and After – Face “ Here is another patient who was treated in just the mid/lower face. [CLICK to reveal after photo] She has some nice smoothing and tightening in the cheek area and her jawline is contoured and more defined.” [CLICK]
Slide 28: Before and After – Face “ Male patients can also benefit from a Thermage procedure. [CLICK to reveal after photo] Wouldn’t you agree that he has had some nice tightening and contouring affects along his jawline and under his chin?” [CLICK]
Slide 29: Before and After – Face This patient had just the beginnings on loose skin under her chin. [CLICK to reveal after photo]. This photo was taken 7 months after treatment. You can see she has tightening and more definition along the jawline. The small bulge under her chin has been reduced and she has al overall less heavy look. [CLICK]
Slide 30: Before and After – Face “ This patient wanted her whole face, neck and periorbital done. [CLICK to reveal after photo]. This after photograph is 10 months after treatment. You can see a lifting of her eyebrow from tightening in the periorbital area. Her jawline is sharper and her cheek is lifted. There is a reduction in the loose skin under her chin. She has an overall younger look and the texture of her skin has improved.” [CLICK]
Slide 31: Before and After – Face “ This is the same patient but what I would like to show you a different photo angle and the progression of improvement. [CLICK to reveal after photo]. This photograph was taken just 3 months after her treatment. You can see her brow is already started to lift and the reduction in the lax skin under her eyes can be seen from this angle. [CLICK] This photograph is 10 months after treatment. You can see additional lifting of her eyebrow from the 3 month results and additional improvement in the under-eye bags. She looks much less tired 10 months after treatment.” [CLICK]
Multiple Passes: Cheeks, Jawline and Submental Region
Single treatment, multiple Passes: Cheeks, Jawline and Submental Region
Slide 32: Title page for Eyes by Thermage results “ As well as treating the entire face, Thermage is the first company to receive FDA clearance for non-invasive eyelid treatments. Eyes by Thermage is a non-invasive procedure that helps smooth and tighten skin around the eye as well as the eyelid. The following before and after photos give you a good idea of what this procedure can do for you. Again, results will vary depending on your age and skin condition.” [CLICK]
Slide 33: Before and After – Eyes “ We know this is an area that many women want to improve, reducing their droopy eyelids, softening the lines, wrinkles and crow’s feet around their eyes. Thermage is the only non-invasive treatment that addresses these concerns, and can treat directly over the eye, so we can help smooth out that crepey texture on the upper eyelid that makes it difficult to put on make-up as we get older. [CLICK to reveal after photo] This patient had a particularly dramatic improvement. You can see how the sagging skin – known as hooding – has been tightened up, and you can see much more of her upper eyelids.” [CLICK]
Slide 34: Before and After – Eyes “ This is another patient that is happy with the outcome. [CLICK to reveal after photo]. Again you can see a nice reduction in the hooding, the sagging skin below the brow, also you can see that the lines and crow’s feet have been softened.” [CLICK]
Slide 35: Before and After – Eyes “ I know you don’t get to see yourself with your eyes closed. In this before picture, you can see she has this crepey skin on her eyelid that makes it difficult to apply make-up smoothly and evenly. [CLICK to reveal after photo]. In this after photo, you can see the upper eyelid is smoother and tighter and also notice the softening of the crow’s feet.” [CLICK]
Slide 36: Before and After – Eyes “ In this before photo, you can see she has some hooding of her upper eyelid. [CLICK to reveal after photo] Just 2 months after the procedure, the hooding is vastly improved and her eyes look brighter and more open. Her eyebrow line even looks more lifted.” [CLICK]
Slide 37: Before and After – Eyes “ This is the same patient again but from the other side. [CLICK to reveal after photo]. This after photo is 10 months after treatment. Her results have continued to improve and should last for a few years.” [CLICK]
Slide 38: Before and After – Eyes “ Here is another opportunity to see the results with eyes closed. [CLICK to reveal after photo] The crease in her upper eyelid is much smoother 6 months after the procedure. You can even see a little lift in the brow line.” [CLICK]
Slide 39: Before and After – Eyes “ This patient had sagging skin on only one of her eyelids. She wanted to make her eyes look symmetric and more awake. [CLICK to reveal after photo] I think you can see she achieved her goal. The sagging skin of her eyelid has tightened and her crow’s feet have diminished. This photo also demonstrates the long term result that can be achieved with the Thermage procedure, as this photo was taken 15 months after her treatment. You can see that her results were very good and should continue to last for a great deal longer.” [CLICK]
Slide 48 - Title page for the Body Shape procedure by Thermage “ As well as the face and eyes, Thermage can be used on various parts of the body. It can be used for skin laxity or it can be used to shape areas of the body: Love handles are just one example. This additional shaping capability is possible because we can now heat deeper and treat more collagen, resulting on contouring on a deeper level.” [CLICK]
Slide 49 - Before and After – Body Shape procedure - Abdomen “ This women had some extra volume around her abdomen that she wanted to address. With our body shape procedure we can now address these concerns in addition to any loose skin.” [CLICK to reveal after photo]. Here she is just two months post treatment and after just one treatment of Thermage. She did not loose weight either. The contouring around her waistline is due to the collagen contraction in the deep layers of the tissue. She has had circumferential reduction around her waistline and the heaviness look is reduced. [CLICK]
Slide 50 - Before and After – Body Shape procedure - Abdomen This woman had loose skin in addition to the extra volume on her andomen. [CLICK to reveal after photo]. Here she is immediately post treatment. You can see how the deep heating of this procedure can cause immediate collagen contracture resulting in circumference reduction the same day of the procedure. Her results will continue to improve over the next 6 months. [CLICK]
Slide 51 - Before and After – Body Shape procedure - Buttocks This woman wanted to give her buttocks a lift and “plump” it up a bit. [CLICK to reveal after photo]. Just two months later you can see the lifted result she got, as well as an improvement in texture. Her jeans fit better and she was very happy with the results. [CLICK]
Slide 52 - Before and After – Body Shape procedure - Buttocks This woman also wanted some lifting and smoothing of her buttocks. [CLICK to reveal after photo]. You can see the results just 3 months later. She got an overall smoothing of the buttocks area and a more rounded lifted look to her buttocks. [CLICK]
Slide 53 - Before and After – Body Shape procedure - Knees Here is a patient that wanted to address the volume and texture around her knees. [CLICK to reveal after photo]. Just four months later she had a good overall smoothing to the texture and look of her knees. [CLICK]
Slide 55 - Title page for the Body by Thermage “ Before our Body Shape procedure we had Body by Thermage. These procedures are designed especially to help smooth and tighten wrinkled, crepey and sagging skin on many body areas: abdomen, legs and buttocks are examples. For people that need only skin tightening and not body contouring this procedure is a good option.” [CLICK]
Slide 56: Before and After – Legs “ This woman wanted some improvements on her upper legs. This is an area in which there are really no other procedures that can be performed to address this lax skin. [CLICK to reveal after photo]. After her Thermage treatment, she noted a gradual improvement in wrinkling and cellulite - this picture is 12 months after treatment.” [CLICK]
Slide 57: Before and After – Arms “ Here is an example of a Thermage treatment on the arms. This was also done with out medium depth tip. [CLICK to reveal after photo]. Here she is three months after treatment. Quite remarkable don’t you think? I’d say she’s ready for the summer and a strapless dress for the holidays.” [CLICK]
Slide 58: Before and After – Tummy “ All of these abdomen treatments I am now going to show now were done with the medium depth tip. These patients were treated because they just had loose skin. This woman was in good shape but had some sagging of her skin around her lower belly that bothered her. [CLICK to reveal after photo]. Here she is 18 months after the initial treatment. This patient didn’t have any surgery or lose any weight. This is a subtle result, but still she has some significant improvements. The heaviness of the skin here is much reduced and the sagging and wrinkling is much improved. This could be the difference between being brave enough to wear a bikini or low cut jeans or not.” [CLICK]
Slide 59: Before and After – Tummy “ This woman was also in good shape but her skin was starting to sag and exercise did not help. [CLICK to reveal after photo]. She had a dramatic result. It really is the same person, look at these two moles. This is 2 months after the treatment and the picture speaks for itself. You can see a great improvement in skin texture, reduction of the wrinkles, all around the belly button is tightened, and generally the whole area is smoother and tighter.” [CLICK]
Slide 60: Before and After – Tummy “ Here is another woman who was not happy with how her tummy looked. [CLICK to reveal after photo]. The after picture is actually taken 5 months after the treatment. I think you’ll agree this is a dramatic change. I don’t think this patient would have been wearing her belly button jewelry 5 months earlier. You can see she has some tightening in the whole area, and especially around her belly button. The texture of the skin is much improved. You can see she has stretch marks and while those aren’t gone, that whole area has tightened up somewhat and made them a little less noticeable.” [CLICK]
Slide 61: Before and After – Tummy “ This patient was in good shape, but exercise was not helping with the sagging skin left over from pregnancy. [CLICK to reveal after photo] This is a dramatic result just 3 months after the treatment. Her belly button is visible, no longer hiding under that sagging skin. She has an overall tighter tummy and improvement to the texture of her skin. She looks bikini ready!” [CLICK]
Slide 62: Before and After – Tummy “ After having children, this mother of 2 wanted to get back that tighter skin she had before pregnancy. [CLICK to reveal after photo] You can see she has visible tightening of the entire tummy especially the area under her belly button. A pretty nice improvement overall.” [CLICK]
Slide 63: Before and After – Tummy “ Here is another post-partum patient who had a great deal of loose skin. [CLICK to reveal after photo] She, too, received some tightening results especially around her belly button and the area below.” [CLICK]
Slide 55 - Title page for the Body by Thermage “ Before our Body Shape procedure we had Body by Thermage. These procedures are designed especially to help smooth and tighten wrinkled, crepey and sagging skin on many body areas: abdomen, legs and buttocks are examples. For people that need only skin tightening and not body contouring this procedure is a good option.” [CLICK]
This patient had an excellent result that according to her doctor has lasted beyond these 6 month photographs.
Here is another great result in early studies.
And yet another great result. All these patients maintained their weight within 5 pounds of there pre-treatment weight.
And yet another great result. All these patients maintained their weight within 5 pounds of there pre-treatment weight.
