Pdf the aesthetic

Increasingly, online patient consultations have been replac-
ing face-to-face visits with real-time communication, including
the exchange of medical information. In aesthetic medicine,
online consults can help physicians give prospective patients a
preliminary idea of a proposed treatment plan prior to an in
person meeting. Historically, cloud-based, secure and reliable
online physician-patient “match-ups” have been difficult to come
by and implement successfully, but a recent start-up company is
ready to change all of that.
continued on page 3
Novel Technology Leads Evolution
of Virtual Consultations
The Aesthetic Academy Preview
THE Aesthetic Awards 2015
TAS 2015 Review
July/August 2015
Circulation 25,000
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The recently released Zwivel platform from Zwivel, LLC (Paramus, N.J.) is
transforming the traditionally inefficient cosmetic consultation process by provid-
ing an online interactive prescreening tool, saving both aesthetic consumers and
practitioners valuable time. This online program integrates seamlessly within a
practice’s website, allowing the consultation process to begin remotely.
Using Zwivel’s online portal, prospective cosmetic patients can easily reach
out to a physician from their computer tablet or smartphone, or search for and
select from multiple practitioners based on factors such as proximity, specialty
and board certification status. Patients can submit information detailing the de-
sired procedures and outcomes; upload photos and record videos of them-
selves to illustrate their concerns about a single body part or multiple areas;
and answer some basic questions about their medical history, budget and time
frame for treatment. Physicians can then review the information and respond
with treatment recommendations and fee estimates. If the patient is satisfied with
the information received, he or she can ask for a full, in-person consultation.
“Zwivel is like Match.com for the aesthetic industry,” expressed plastic sur-
geon Gary D. Breslow, M.D., F.A.C.S., who is the co-founder and CEO of
Zwivel. “It does not replace the full, in-office consultation. Just like Match.com,
you still have to go out on the date, but you can find out if the date is worth
going on.”
According to Dr. Breslow, “Over 60% of all cosmetic consultations end up
with no procedure being performed. As a result, the process can be very inef-
ficient for both the physicians and patients, causing busy people to waste valu-
able time on consultations that go nowhere.”
Zwivel tackles this inefficiency head on, said Neil J. Zemmel, M.D., F.A.C.S.,
a plastic surgeon in Midlothian, Va., “Zwivel’s abilities run pretty deep. It lets us
bring the practice to the patient, and it gives them a really good feel for what
we do. We’ve gotten patients that have come into the office because of Zwivel,
and we’ve operated on many of them so far. It is a phenomenal online automa-
tion system that has changed the way we do business.”
For Robert Zubowski, M.D., a plastic surgeon in Paramus, N.J., any physician
running a high volume practice will see many people come into the office with
unworkable goals or unrealistic expectations in terms of surgical results. “It is
to the point where I’m trying to maximize the time I have for consultations and
avoid any that may be unnecessary,” he shared.
For instance, a prospective patient that comes in and is significantly over-
weight may want a procedure that is contraindicated, Dr. Zubowski expressed.
“If that patient was a Zwivel consultation, then I could have told her she needs to
lose weight before any procedures, and to come in after she loses the weight so
we can discuss her options. That process alone saves the patient a consultation
fee and time. Zwivel has helped minimize the number of those kinds of patients
By Jeffrey Frentzen, Executive Editor
Zwivel Facilitates Online Match-Ups
Between Cosmetic Physicians and Patients
Gary D. Breslow, M.D., F.A.C.S.
Plastic Surgeon
Co-Founder and CEO
Zwivel, LLC
Paramus, NJ
Neil J. Zemmel, M.D., F.A.C.S.
Plastic Surgeon
Midlothian, VA
Robert Zubowski, M.D.
Plastic Surgeon
Paramus, NJ
Robert Brueck, M.D.
Plastic Surgeon
Fort Myers, FL
”We’ve gotten patients
that have come into the
office because of Zwivel,
and we’ve operated on
many of them so far. It
is a phenomenal online
automation system that
has changed the way
we do business.”
THE Aesthetic Guide July/August 2015 www.miinews.com
©
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4
Table of Contents
July/August 2015
Volume 18 • Number 4
52 THE Aesthetic
Academy
Newport
Beach 2015
Preview
58 THE Aesthetic
Awards 2015
Winners
40 THE Aesthetic
Show 2015
Review
©
2015M
edicalInsight®

10 Dermal Filler Product Comparison Chart
92 Aesthetic Company Directory
98 Skin Rejuvenation Comparison Chart
102 Hair Removal Comparison Chart
106 Vascular Technologies Comparison Chart
110 Body Shaping Technologies Comparison Chart
112 Fractional Technologies Comparison Chart
114 Microdermabrasion Comparison Chart
115 Acne Tx Device Comparison Chart
116 Emerging Technologies Comparison Chart
117 Physician-Dispensed Topicals Comparison Chart
Also In This Issue Advertisers Index
Correction of errors: Medical Insight® assumes no liability for the information
contained in this publication. Every effort has been taken to ensure the accuracy of
this information by contacting sources believed to be reliable. Errors, when
discovered, will be promptly corrected. Copyright: This publication is protected by
U.S. Copyright Law; © 2015 Medical Insight® Unauthorized reproduction is strictly
forbidden by law, the penalty for violation is $100,000 per occurance.
THE Aesthetic Guide is a trademark of Medical Insight®.
Editorial Staff
Sarina Moretti
Contributing Editor
Andy Pickett, Ph.D., B.Sc.
Contributing Editor
Jay A. Shorr
Contributing Editor
Kevin A. Wilson
Contributing Editor
Contact Information
Medical Insight®
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Jeffrey Frentzen
Executive Editor
jeff@miinews.com
Erin Velardo
Senior Editor
erin@miinews.com
Advice Media 77
THE Aesthetic Academy 2015 20-21,
56-57
THE Aesthetic Buyers Club 118-119
THE Aesthetic Show 2016 32
Aesthetic TV 50-51
ALPHAEON Corp. 37
Ascentium Capital 79
BTL Industries 33
CAREstream America 49
THE Certified Aesthetic Consultant 90-91
Cynosure 17
DASIL 36
EndyMed Medical 47
Envy Medical 65
Epionce 69
FotoFinder Systems 81
Fotona 124
Galderma Laboratories 11
IMCAS 13
Lumenis 123
Merz Aesthetics 24-27
Miramar Labs 61
NewMedical Technology 83
NewSurg 85
Plastic Empire 38-39
Refine USA 67
Revision Skincare 43
Sciton 19
Silhouette Lift, Inc., a Sinclair Company 2
Suneva Medical 71
SupraMedical 73
Thermi 45
Vanink 75
Viora 87
ZELTIQ Aesthetics 23
Zimmer MedizinSystems 63
Zwivel Online Cosmetic Consultations 15

Inserts:
THE Aesthetic Academy
Cynosure
Merz Aesthetics
Cover: Shino Bay Aguilera, D.O.
©
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6
and allows us to leave consultation slots open for someone who might be a better
candidate for a treatment.”
Dr. Breslow agreed, adding, “Aesthetic practitioners are some of the busiest
people in medicine. Many have long waiting lists of patients to get in to see them,
and no time to spare on consultations that don’t result in a procedure.”
Conversely, for cosmetic patients, “Internet search engines like Google can tell
you where a practice is located, contact information, the types of procedures
performed and gives you an overview of the practice in general,” Dr. Breslow con-
tinued. “However, they can’t tell you specifically what treatment would be best for
you, how much it will cost and who is the right physician for you. Zwivel creates a
sophisticated filter to fine tune that discovery process for each and every patient.”
The current version of Zwivel is free for both cosmetic patients and physicians,
so any aesthetic practitioner can sign up to start the program immediately. This
free tool called ZwivelDirect™, is uploaded to a practice’s website as a “Start Your
Consultation Now” widget, utilizing a colorful, eye-catching “pop up” design that
encourages use. The platform provides filters to ensure that physicians will only
receive requests for procedures that they perform.
“We live in a world where everything is Internet based, so my website is a very
important component to growing my practice,” expressed Robert Brueck, M.D.,
a plastic surgeon in Fort Myers, Fla. “Zwivel provides me with another option to
offer my patients. Also, many patients today like convenience, thus a platform
enabling an online consult is appealing to them.”
In addition to starting the Zwivel process via ZwivelDirect™, consumers can
also start their online consultation with multiple physicians simultaneously using
the ZwivelSearch™ platform located on Zwivel.com. They can go through the
same online consultation process as when they visit a practice’s website directly,
but with ZwivelSearch they have the option of selecting as many as five prac-
titioners to start a consultation with based on zip code, specialty and board
certification status.
Any physician who signs up to use Zwivel can be found on ZwivelSearch.
“We chose to limit search selections to five physicians at a time, because we
didn’t want people sending requests out to 50 or 100 physicians,” Dr. Breslow
explained. “Each physician gets a separate request and none of the other practi-
tioners can see that correspondence. It’s all on a one-to-one basis between each
patient and each clinician. The benefit of this service is that patients can receive
multiple opinions at the same time.”
The next edition of Zwivel will be a subscription-based premium service called
ZwivelPremium™, which is due in late 2015 and will carry even more interac-
tive features, Dr. Breslow added. “With this upgraded service, the physician
can save all the replies that they’ve sent and can reuse their videos for future
replies. They can also customize their replies and invite staff to participate in
the correspondence.”
Once patient and physician find one another through either the ZwivelDirect™
or ZwivelSearch™ platform, it proves to be cost-effective for both parties,
Patients can start their consultation online via
any smartphone, computer or tablet device.
Photo courtesy of Zwivel
”Internet search engines
like Google can tell
you where a practice
is located, contact
information, the
types of procedures
performed and gives
you an overview of the
practice in general.
However, they can’t tell
you specifically what
treatment would be best
for you, how much it
will cost and who is the
right physician for you.”
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7
Dr. Zemmel reiterated. “Zwivel has allowed me to actually render a preliminary
medical opinion. It’s not a substitute for an in-person exam, of course, but I can
at least get a patient somewhere in the ballpark. And then we can even quote
them how much it’s going to cost, so the Zwivel process also helps to keep
patient expectations — at least their financial expectations — in line with what
we offer.”
Most prospective patients using Zwivel are reaching out tentatively and trying
to find that ballpark, too, Dr. Zubowski pointed out. “It doesn’t really seem like
they’re looking for a full consultation on Zwivel. They are basically saying this is
what I’m thinking. Is it realistic? Is my budget realistic? Do you agree that this is
something that would help me? If the answers to those questions are yes then they
will more likely than not book an appointment.”
For Dr. Zemmel, Zwivel has also increased website traffic and boosted conver-
sion rates. “Say you have a patient whose financial expectations are not reason-
able and they don’t have the budget or the resources,” he expressed. “Rather than
bringing them in and spending an hour doing a full consultation we’re able to
go online, render a preliminary opinion and let them know what the fee is going
to be. The patient might come back and say, ‘I need to save up a little bit more
money and then come in for a consultation in six months.’ It is a great system for
helping us run our business with very little waste.”
According to physician users, Zwivel requires prospective patients to provide
as much comprehensive information as possible when sending a request to prac-
titioners, which also gives them an opportunity to become more educated about
medical aesthetics prior to a face-to-face consultation.
“For instance, a patient might post on Zwivel, ‘I’m thinking about liposuction of
my abdomen and hips,” stated Dr. Zemmel. “I will look at their picture and see
that their weight is good and their height is good, but their photograph shows
that they have significant skin laxity. Therefore, they are not a good candidate for
a liposuction procedure. Instead, I would tell them that they need a tummy tuck.
They took the time to ask the right questions, get informed about procedures and
Patients can easily select their concerns and desired procedures by clicking on a body area.
”Zwivel has allowed
me to actually render
a preliminary medical
opinion. It’s not a
substitute for an in-
person exam, of course,
but I can at least get
a patient somewhere
in the ballpark.”
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8
send a video or selfies as part of the Zwivel consultation. After going through that
process, they may be able to more readily understand that they are indeed not a
good candidate. Before I have even met them face to face, I have refocused them
into the mindset of needing a more invasive procedure, such as a tummy tuck.”
After the practitioner gives the patient a quote on Zwivel and a consultation is
scheduled, another time saver occurs. “Then my staff becomes involved,” stated
Dr. Zubowski. “Somebody takes over from me, either my patient coordinator or
our front desk, and they use Zwivel to continue communicating with the patient.”
After a Zwivel patient has been scheduled for an in person consultation, a high
touch kind of communication has to be employed in order to successfully com-
plete the new patient process, he noted.
“You have to take care of these patients quickly and efficiently, and that in-
volves training staff on Zwivel and encouraging them to use it,” Dr. Zubowski
said. “It helps that my staff has been with me for over 20 years. If I dropped dead
during the consultation then they could probably finish it. Your staff has to know
exactly what to look for, but if they don’t know the answer to a question they
need to come to the physician. In my practice, in the course of the day, staff will
go online, check the Zwivel account and then post answers, so I don’t necessarily
have to do it all myself.”
Any time you introduce a new product, service or technology into a practice,
the practitioner has to expect some initial pushback from the staff. “There are
always concerns when we change or add a process, especially in the area of
patient outreach which is so critical to the business,” Dr. Zubowski continued.
When Zwivel was introduced to his staff, Dr. Zubowski’s office manager came
to him with a concern: “Oftentimes, when prospective patients come in for a
consultation, they don’t know yet whether or not they are a good candidate for
surgery or a procedure, or if they want to proceed with surgery at all,“ she noted.
“However, once they come in, meet the staff, see the office and how it is run,
then they see the value of the providers and the professional environment, which
is something that one can’t see or experience as easily on the Internet. Therefore,
wouldn’t that person be less likely to schedule a consult since they are remote?“
Despite the understandable logic in his office manager’s concern, Dr. Zubowski
advised that many Zwivel patients still call to make an appointment after submit-
ting a Zwivel request. “It seems that people want to get information quickly, and
Zwivel allows for that back and forth communication and patient education. If a
prospective patient calls for an appointment, and it’s a busy office then they may
have to wait several weeks to get in for a consultation. Zwivel allows the physician
or someone on staff to give a new patient immediate feedback regarding what
kind of procedure they want and whether their goals are realistic,” he said.
Practitioners also view Zwivel as an excellent adjunct to phone, email, website
and other methods used to capture new business. “Zwivel seems to have a lot
of functionality and capacity for patient recruitment, but it’s not something that
everyone would use,” Dr. Zemmel stated. “A lot of people continue to just make a
phone call for an appointment, but for the people that do use Zwivel, they say it
is very accessible and very easy to use.”
”If a prospective
patient calls for an
appointment, and it’s
a busy office then
they may have to wait
several weeks to get
in for a consultation.
Zwivel allows the
physician or someone
on staff to give a new
patient immediate
feedback regarding
what kind of procedure
they want and whether
their goals are realistic.”
Zwivel online cosmetic consultations save
patients and physicians valuable time.
©
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9
Zwivel’s ease of use and accessibility benefits the physician in other ways, Dr.
Brueck pointed out. “I am not always in the office when new Zwivel patients contact
me, but I can take my smartphone wherever I am and respond to a request. I try to an-
swer them as quickly as possible. The online consult is easy and does not have a steep
learning curve, and that is saying a lot for someone like me who is a computer flop.”
Since privacy issues are critical in online consults and Zwivel is entirely private,
secure and HIPAA/HITECH compliant. According to Dr. Breslow, “In the future,
we are planning on utilizing Zwivel’s HIPAA/HITECH compliant platform to en-
able physicians to not only interact with new patients, but conduct the same kind
of interactive, multimedia rich communication with existing patients. One of the
new tools in the works will accommodate Zwivel communication with existing
patients. The physician would send the patient a link that can be used to sign into
the system and create a HIPAA compliant portal between them.”
Even as Zwivel grows in complexity and feature richness, the system remains
simple to navigate, stated Dr. Zemmel. “We have not had anyone who doesn’t get
it,” he said. “In addition, I have never before seen such a positive response to a
program from both physicians and patients. It introduces efficiency into a process
that is traditionally very inefficient.”
According to Dr. Breslow, patient feedback has been overwhelmingly positive.
“Patients tell me all the time how great and cool this is. With 90% of all patients
being women – most having jobs, children or both – they don’t have time to go
from practice to practice looking for the right cosmetic physician. Zwivel stream-
lines the process for both parties.”
As Dr. Breslow maintained, “Zwivel makes the consultation process seamless
and more efficient. In a strange way, I am just as happy when patients don’t come
into the office after they go through the Zwivel process as when they do. This is
because I know that I just saved a lot of time and effort for both the patient and
myself. That is where Zwivel succeeds.”
”With 90% of all patients
being women – most
having jobs, children
or both – they don’t
have time to go from
practice to practice
looking for the right
cosmetic physician.
Zwivel streamlines the
process for both parties.”
Cosmetic physicians who sign up for ZwivelPremium have access to a growing list of enhanced features.
©
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edicalInsight®

10
Manufacturer Product(s) Key Component Description Physician
Price
Regulatory Status
Adoderm VARIODERM Fine Line
VARIODERM Basic
VARIODERM Plus
VARIODERM Subdermal
VARIODERM Lips and Medium
VARIODERM Mesolift
VARIOFILL Body Contour
Hyabell Lips
Hyabell Basic
Hyabell Deep
Hyabell Ultra
Non-animal Hyaluronic
Acid
Acid
Acid
Acid
Acid
Acid
Acid
Acid
Acid
Acid
Acid
6 mg/mL; for superficial wrinkles and lip augmentation.
12 mg/mL; for medium wrinkles and lip contour.
18 mg/mL; for deep wrinkles and volume.
27 mg/mL; for volume augmentation and facial
contouring.
12 mg/mL; special formulation for lip augmentation
and medium wrinkles.
12.8 mg/mL; effective smoothing of superficial wrinkles.
10 mL; for various indications on the body surface.
12 mg/mL; for lip augmentation and lip contour.
16 mg/mL; medium wrinkles and lip contour.
20 mg/mL; deep wrinkles, especially of the face.
24 mg/mL; very deep wrinkles, face contouring,
volumizing.
Contact mfr.
Contact mfr.
Contact mfr.
Contact mfr.
Contact mfr.
Contact mfr.
Contact mfr.
Contact mfr.
Contact mfr.
Contact mfr.
Contact mfr.
CE marked, marketed in Europe and
other countries.
other countries.
other countries.
other countries.
other countries.
other countries.
other countries.
other countries.
other countries.
other countries.
other countries.
Allergan CosmoDerm
CosmoPlast
HydraFill – Softline
HydraFill – Softline Max
Juvéderm ULTRA 2
Juvéderm ULTRA 3
Juvéderm ULTRA 4
Juvéderm VOLUMA
Juvéderm HYDRATE
Purified Human-based
Collagen + Lidocaine
Acid
Acid + Lidocaine
Acid
Acid
Purified human-based collagen 35 mg/mL.
Purified human-based collagen 35 mg/mL, cross-
linked with glutaraldehyde.
*All collagen products contain 0.3% lidocaine.
Non-animal, cross-linked cohesive hyaluronic acid
24 mg/g.
24 mg/g.
24 mg/g.
24 mg/g.
24 mg/g.
*All Juvéderm ULTRA products contain 0.3%
lidocaine.
20 mg/g.
13.5 mg/g plus mannitol 0.9%; 1 x 1 mL syringe.
$205
$235
$200 – $225
$200 – $225
$200 – $225
$200 – $225
$245
Contact mfr.
Contact mfr.
Worldwide
Worldwide
CE marked.
CE marked.
CE marked.
CE marked.
CE marked.
CE marked for facial volume restoration.
CE marked.
Galderma Restylane
Restylane Touch
Restylane Perlane
Restylane Lyft
Restylane Sub-Q
Restylane Lipp
Restylane Vital
Restylane Silk
Macrolane VRF30
Macrolane VRF20
Sculptra Aesthetic
NASHA
Acid
Injectable Poly L-Lactic
Acid (PLLA)
NASHA gel – a non-animal hyaluronic acid, stabilized
with BDDE. The differentiation is in the size of the
NASHA particles, to assure a tissue-tailored range of
products. Restylane – 100,000 particles per mL.
Restylane Touch – 500,000 particles per mL.
Restylane Perlane – 10,000 particles per mL.
Restylane Lyft – 10,000 particles per mL.
Restylane Sub-Q – 1,000 particles per mL.
Concentration 20 mg/mL.
Volumizer.
$275 per cc
N/A
$480 per vial
Restylane is approved world-
wide with the exception of Japan.
Restylane Perlane, Restylane Sub-Q
and Restylane Touch are approved
worldwide with the exception of Japan
and U.S. U.S. approval in progress.
Restylane Lipp approved in Europe.
CE marked.
FDA approved.
Merz Aesthetics Belotero Balance – 22.5 mg/mL
Radiesse
Radiesse (+)
Hyaluronic Acid
CaHA
CaHA
Non-animal double phase cross-linked hyaluronic
acid – via biofermentation – with CPM (Cohesive
Polydensified Matrix) technology.
Radiesse injectable implant is a sterile non-pyrogenic,
semi-solid, cohesive implant, whose principle compo-
nent is synthetic calcium hydroxylapatite suspended
in a gel carrier of sterile water for injection, glycerin
and sodium carboxymethyl cellulose (1.5 cc, 0.8 cc).
Radiesse (+) injectable implant is an opaque, sterile
non-pyrogenic, semi-solid, cohesive implant, whose
principle component is synthetic calcium hydroxy-
lapatite suspended in a gel carrier of glycerin, sodium
carboxymethyl cellulose 0.3% lidociane hydrochloride
and sterile water for injection (1.5 cc, 0.8 cc).
Contact mfr.
Contact mfr.
Contact mfr.
CE marked in Europe. FDA approved.
CE marked in Europe. FDA approved.
Suneva Medical, Inc. Bellafill Purified Bovine
Collagen and PMMA
80% purified bovine collagen and 20% polymethyl-
methacrylate (PMMA) microspheres and 0.3%
lidocaine.
N/A FDA approved for the correction of
nasolabial folds and moderate to
severe, atrophic, distensible facial acne
scars on the cheek in patients over
the age of 21 years. Health Canada
approved for nasolobial folds.
Note: Data subject to change; please refer to Company Directory for supplier contact information. Not all devices are FDA cleared for the application(s) indicated.
Dermal Filler Product Comparison Chart
©
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edicalInsight®

1414 THE Aesthetic Guide July/August 2015 www.miinews.com
Zhou Chen, M.D., Ph.D.
Professor
Department of Dermatology
Peking University People’s Hospital
Beijing, China
Maurice Adatto, M.D.
Medical Director
Skinpulse Dermatology Laser Center
Geneva, Switzerland
Christine Dierickx, M.D.
Medical Director
Laser and Skin Center of Boom
Boom, Belgium
Benjamin Ascher, M.D.
Plastic Surgeon
Clinique IENA
Lecturer and Clinical Assistant
Paris Academy
Paris, France
Michael H. Gold, M.D.
Gold Skin Care Ctr.
Tennessee Clinical Research Ctr.
Clinical Assistant Professor
Vanderbilt University
School of Medicine
Nashville, TN, USA
Chee-Leok Goh, M.D., M.B.B.S.,
M.Med., M.R.C.P., F.R.C.P.E., F.A.M.S.
Clinical Professor
National University of Singapore
Adj. Professor
Duke-NUS Graduate School
Sr. Consultant Dermatologist
National Skin Centre, Singapore
Nancy Garcia-Tan, M.D., F.P.D.S.
Dermatologist
Chief of Dermatology
Cardinal Santos Medical Center
Greenhills, San Juan,
Metro Manila, Philippines
Takahiro Fujimoto, M.D., Ph.D., M.B.A.
Medical Director
Clinic F Laser and Skin Centre
Tokyo, Japan
Ma. Teresita G. Gabriel, M.D.,
F.P.D.S.
Chair
Research Institute for
Tropical Medicine
Alabang, Muntinlupa City, Philippines
Jason B. Diamond, M.D., F.A.C.S.
Diplomate
American Board of Facial Plastic and
Reconstructive Surgery
Los Angeles, CA, USA
Doris J. Day, M.D.
of Dermatology
NYU Langone Medical Center
Director
Day Dermatology and Aesthetics
New York, NY, USA
Steven R. Cohen, M.D., F.A.C.S.
Medical Director
FACES+ Plastic Surgery
Skin and Laser Center
Clinical Professor of Plastic Surgery
University of California, San Diego
La Jolla, CA, USA
Hong-Kyu Cho, M.D.
Plastic Surgeon
NB Plastic Surgery Clinic
Seoul, Korea
Macrene Alexiades-Armenakas,
M.D., Ph.D., F.A.A.D.
Assistant Clinical Professor
Yale University School of Medicine
New Haven, CT, USA
Director
Dermatology and Laser Surgery
New York, NY, USA
Daniel Cassuto, M.D.
Professor of Plastic Surgery
University of Catania
Catania, Italy
Barry DiBernardo, M.D., F.A.C.S.
New Jersey Plastic Surgery
Montclair, NJ, USA
Tina Alster, M.D.
Washington Institute of
Dermatologic Laser Surgery
Washington, D.C., USA
Red M. Alinsod, M.D.,
F.A.C.O.G., A.C.G.E.
Urogynecologist and Pelvic
Reconstructive Surgeon
Laguna Beach, CA, USA
Klaus Fritz, M.D.
Director, Dermatology and Laser Centers
Landau, Germany
Associate Professor
Carol Davila University of Medicine
and Pharmacy
Bucharest, Romania
President, European Society of Laser
Dermatology
Henry Chan, M.D., Ph.D., M.B.B.S.,
F.R.C.P., F.H.K.C.P., F.H.K.A.M.
Dermatologist
Honorary Professor
Li Ka Shing Faculty of Medicine
University of Hong Kong
Hong Kong, China
Koenraad De Boulle, M.D.
Director
Aalst Dermatology Group
Aalst, Belgium
Angelo Cuzalina, M.D., D.D.S.
Past President
American Academy of
Cosmetic Surgery, 2011
Diplomate
American Board of Cosmetic Surgery
Tulsa, OK, USA
Sabrina Fabi, M.D.
Board Certified Dermatologist
Goldman, Butterwick, Fitzpatrick,
Groff Fabi Cosmetic
Laser Dermatology
San Diego, CA, USA
Kevin Brenner, M.D., F.A.C.S.
Board Certified Plastic and
Reconstructive Surgeon
ROX Center
Beverly Hills, CA, USA
Gregory Buford, M.D., F.A.C.S.
Board Certified Plastic Surgeon
Beauty by Buford
Englewood, CO, USA
Peter Bjerring, M.D., Ph.D.
Professor of Dermatology
Aarhus University Hospital
Vejle, Denmark
David J. Goldberg, M.D.
Clinical Professor of Dermatology
Mount Sinai School of Medicine
New York, NY, USA
Joon-Yong Choi, M.D.
Chief Plastic Surgeon
Dream Plastic Surgery Group
Seoul, Korea
Alberto Goldman, M.D.
Board Certified Plastic Surgeon
Clinica Goldman
Porto Alegre, Brazil
Miles Graivier, M.D., F.A.C.S.
Plastic and Reconstructive Surgeon
North Atlanta Plastic and
Roswell, GA, USA
SCIENTIFIC ADVISORY BOARD
©
2015M
edicalInsight®

Tess Mauricio, M.D., F.A.A.D.
Founder
Scripps Ranch Dermatology and
Cosmetic Center
San Diego, CA, USA
David McDaniel, M.D.
Laser Center of Virginia
Virginia Beach, VA, USA
Ronald L. Moy, M.D.
Dermatologist and Facial
Cosmetic Surgeon
Moy, Fincher and Chipps Facial
Plastic Dermatology
UCLA Medical School
David Matlock, M.D.,
M.B.A., F.A.C.O.G.
The Laser Vaginal Rejuvenation
Institute of Los Angeles
Woraphong Manuskiatti, M.D.
Professor
Siriraj Hospital, Mahidol University
Siriraj Skin Laser Center
Bangkok, Thailand
Corey S. Maas, M.D., F.A.C.S.
The Maas Clinic for Aesthetic and
Facial Plastic Surgery
Associate Clinical Professor
University of California, San Francisco
San Francisco and Lake Tahoe, CA
Yuanhong Li, M.D., Ph.D.
Associate Professor of Dermatology
Vice Chairman
No. 1 Hospital of China
Medical University
Shenyang, China
Daniel Man, M.D.
Plastic Surgeon
Boca Raton, FL, USA
Joyce Teng Ee Lim, M.B.B.S.,
F.R.C.P.I., F.A.M.S.
Dermatologist
Joyce Lim Skin and Laser Clinic
Singapore Visiting Consultant
National Skin Centre
Singapore
Marina Landau, M.D.
Dermatology
Wolfson Medical Center
Holon, Israel
Malavika Kohli, M.D., D.V.D., D.N.B.
Consultant Dermatologist
Aesthetic Dermatologist
Jaslok Hospital and Research Centre
Director
Skin Secrets
Mumbai, India
Beom-Joon Kim, M.D., Ph.D.
Dermatologist
Head Professor and Chairman
College of Medicine, Chung-
Ang University
Seoul, Korea
Peter Huang, M.D.
Plastic and Cosmetic Surgeon
Director
Rebecca Cosmetic Institute
Taipei, Taiwan
Moshe Lapidoth, M.D., M.P.H.
Head of the Laser Unit
Rabin Medical Center
Tel Aviv, Israel
Taro Kono, M.D.
Department of Plastic and
Tokyo Women’s Medical University
Tokyo, Japan
Wendy W. Lee, M.D.
Assistant Professor of Clinical
Ophthalmology, Oculofacial Plastic and
Bascom Palmer Eye Institute, University
of Miami Miller School of Medicine
Co-Director
UM Cosmetic Medicine
Miami, FL, USA
Hang Li, M.D.
Associate Professor
Chief of the Dermatologic
Surgery Division
Peking University First Hospital
Beijing, China
Geun-Soo Lee, M.D., Ph.D.
Dermatologist
Drs. Woo and Hann’s Skin and
Laser Center
Seoul, Korea
Suzanne Kilmer, M.D.
The Skin Surgery Center
of Northern California
Sacramento, CA, USA
Chanyeong Heo, M.D., Ph.D.
Assistant Professor
Department of Plastic Surgery
School of Medicine
Seoul National University
Chairman and Chief of the
Budang Hospital
Seoul and Gyeonggi-do, Korea
Lorrie Klein, M.D.
President
Lorrie Klein, M.D. - Dermatology
Laser Center
Euro Day Spa, Inc.
Laguna Niguel, CA, USA
Bang Soon Kim, M.D., Ph.D.
Clinical Associate Professor
Director
SU Dermatologic Clinic
Seoul, Korea
Sindy Hu, M.D.
Chang Gung Memorial Hospital
Taipei, Taiwan
Arielle Kauvar, M.D.
of Dermatology
New York University
School of Medicine
New York, NY, USA
Chang-Hun Huh, M.D., Ph.D.
Budang Hospital
Gyeonggi, Korea
Gangaram Hemandas, M.B.B.S.,
M.R.C.P., F.R.C.P., M.Med., F.A.A.M.
Head and Consultant Dermatologist
Prince Court Medical Center
Consultant Dermatologist
Tropicana Medical Center
Petaling Jaya and
Kuala Lampur, Malaysia
Ka-lam Hau, M.B.Ch.B., M.R.C.P.,
F.H.K.A.M., F.H.K.C.P., D.C.H.
Dermatology Specialist
Hong Kong SAR, China
Bruce Katz, M.D.
Mount Sinai School of Medicine
New York, NY, USA
Garo Kassabian, M.D., F.A.C.S.
Dual Board Certified Plastic
and General Surgeon
Founder and Medical Director
Lift MD Aesthetics
Christopher Inglefield, B.Sc.,
M.B.B.S., F.R.C.S.(Plast)
Medical Director
London Bridge Plastic Surgery
Aesthetic Clinic
London, UK
Per Hedén, M.D., Ph.D.
Associate Professor of Plastic Surgery
Karolinska Institutet
Founder and Chairman
Akademikliniken Private Hospital Group
Stockholm, Sweden
Sanjay Grover, M.D., F.A.C.S.
Diplomate
American Board of Plastic Surgery
Newport Beach, CA, USA
Pearl E. Grimes M.D.
Director
Vitiligo and Pigmentation Institute
VPI Cosmetic Center
©
2015M
edicalInsight®

Claudine Santos-Roura, M.D.,
F.P.D.S.
Dermatologist and Cosmetic Surgeon
Contours Advanced Face and
Body Sculpting Institute
Manila, Philippines
Mark G. Rubin, M.D.
of Dermatology
University of California, San Diego
Private Practice
Woffles Wu, M.B.B.S., F.R.C.S.,
F.A.M.S.
Plastic Surgeon
Woffles Wu Aesthetic Surgery
Laser Centre
Singapore
Jianzhong Zhang, M.D.
Professor and Chairman
Peking University People’s Hospital
Beijing, China
Siak-Khim Tan, M.D., B.S.
Medical Director
The DRx Clinic
Singapore
E. Victor Ross, M.D.
Director
Cosmetic and Laser Dermatology Unit
Scripps Clinic
San Diego, CA, USA
Alexander Z. Rivkin, M.D.
Facial Cosmetic Surgeon
Founder
Westside Aesthetics
ChongHyun Won, M.D.
Assistant Professor
Ulsan University School of Medicine
Seoul, Korea
Joseph Niamtu, III, D.M.D.
Cosmetic Facial Surgeon
Richmond, VA, USA
Kei Negishi, M.D., Ph.D.
Associate Professor and Chief of
Aesthetic Dermatology Division
Aoyama Institute of Women’s Medicine
Tokyo Women’s Medical University
Tokyo, Japan
Jason Pozner, M.D., F.A.C.S.
Medical Director
Sanctuary Medical Aesthetic Center
and Sanctuary Plastic Surgery
Boca Raton, FL, USA
Jorge A. Perez, M.D., F.A.C.S.
Perez Plastic Surgery
Ft. Lauderdale, FL, USA
Andrew P. Ordon, M.D., F.A.C.S.
Plastic Surgeon
Host
CBS talk show The Doctors
Beverly Hills and
Rancho Mirage, CA, USA
Gordon H. Sasaki, M.D., F.A.C.S.
Clinical Professor
Loma Linda Medical University Center
Private Practice
Pasadena, CA, USA
Ava Shamban, M.D.
Laser Institute for Dermatology
Santa Monica, CA, USA
of Dermatology
University of California, Los Angeles
William Philip Werschler, M.D.,
F.A.A.D., F.A.A.C.S.
Assistant Clinical Professor of
Medicine/Dermatology
University of Washington
School of Medicine
Seattle, WA, USA
Sabine Zenker, M.D.
Dermatologist
Dermatology Surgery Clinic
Munich, Germany
Guoyu Zhou, M.D.
Oral and Maxillofacial Surgeon
Deputy Director
Medical Laser Centre of Shanghai
Jiaotong University Medical College,
Ninth People’s Hospital
Shanghai, China
Gerhard Sattler, M.D.
Founder and Medical Director
Rosenpark Klinik
Darmstadt, Germany
Mark B. Taylor, M.D., F.A.A.D.
Director
Gateway Aesthetic Institute and
Laser Center
Salt Lake City, UT, USA
Deborah S. Sarnoff, M.D.,
F.A.A.D., F.A.C.P.
NYU Langone Medical Center
New York, NY, USA
Leif Rogers, M.D., F.A.C.S.
Leif Rogers, M.D. Reconstructive
and Cosmetic Plastic Surgery
Neil Sadick, M.D.
Weill Cornell Medical College
New York, NY, USA
Atchima Suwanchinda, M.D., M.S.
Consultant
Laser and Dermatologic
Surgery Unit
Ramathibodi Hospital, Mahidol University
Director
Medisci Biointegrative and
Anti-Aging Center
Bangkok, Thailand
Insuck Suh, M.D., Ph.D.
Professor
Department of Plastic and
College of Medicine, Hallym University
Kangnam Sacred Heart Hospital
Seoul, Korea
W. Grant Stevens, M.D., F.A.C.S.
Plastic Surgeon
Marina Plastic Surgery
Clinical Professor of Surgery
University of Southern California
Marina Del Rey, CA, USA
Nantapat Supapannachart, M.D.
Dermatologist
Clinical Professor
Ramathibodi Hospital, Mahidol
University Medical School
Clinical Staff
Bumrungrad Hospital
Bangkok, Thailand
Hsien-Li Peter Peng, M.D.
Director
Dr. Peng’s Dermatological Clinic
Cosmetic Laser Center (P-Skin Clinic)
Taiwan, Republic of China
Kyle Koo-Il Seo, M.D., Ph.D.
BOTOX Clinic
Seoul National University Hospital
Director
Modelo Clinic
Seoul, Korea
Nark-Kyoung Rho, M.D.
Samsung Medical Center
Director
Leaders Aesthetic Laser
Cosmetic Surgery Center
Seoul, Korea
Miriam Emily Piansay-Soriano,
M.D., F.P.D.S.
Davao Doctors Hospital
Davao City, Philippines
Craig L. Ziering, D.O., F.A.O.C.D.
CEO and Medical Director
Ziering Medical Worldwide
West Hollywood, CA, USA
Rhoda S. Narins, M.D.
NYU Medical Center
Medical Director
Dermatology Surgery and
Laser Center
Manhattan and White Plains, NY, USA
©
2015M
edicalInsight®

ZELTIQ® Aesthetics (Pleasanton, Calif.), is well known in the aesthetic market
for its ground-breaking research in fat reduction through controlled cooling.
Since the development of its market leading CoolSculpting® body contouring
treatment, pioneered by renowned Harvard University scientists Dieter Manstein,
M.D., Ph.D. and R. Rox Anderson, M.D., ZELTIQ has further invested in over ten
years of research, including scientific support in more than 50 published clinical
articles reporting on successful treatments and outcomes for more than 4,000
clinical trial patients. The system itself has been commercially available for more
than six years, with millions of treatments performed worldwide.
ZELTIQ has brought innovation to the aesthetic market by introducing applica-
tors that target popular treatment areas and broaden indications. The original
CoolSculpting system included the CoolCore™ applicator and was FDA cleared
for the flanks. Within two years the company introduced the CoolCurve+™ and
CoolMax™ applicators with abdomen clearance. The CoolSmooth PRO™ sur-
face applicator for ‘non-pinchable’ areas was added soon after, targeting the
outer thighs, along with the FDA cleared CoolFit™ applicator, which is intended
for vertical fat on the inner thighs.
These novel applicators are optimized to fit different body shapes and sizes,
creating a wide variety of treatment opportunities for practitioners. Unlike
other capital equipment in the market, the applicators work with your exist-
ing CoolSculpting system, increasing its versatility without significant capital
outlay. According to Anil Rajani, M.D., CEO and medical director of Style
Aesthetics Cosmetic Center in Portland, Ore., “As ZELTIQ continues to expand
its suite of applicators and range of cleared indications, we are afforded the
versatility to create comprehensive and customized patient treatment plans to
maximize outcomes,” he said. “It’s exciting for practitioners and patients.”
According to a 2014 survey by the American Society for Dermatologic Surgery
(ASDS), the CoolSculpting procedure remains the top treatment modality used
by practices for body contouring. “Patients have always wanted a non-invasive
solution for this indication,” said Dr. Rajani. “The CoolSculpting system allows
practitioners to treat troublesome areas completely non-invasively, which is al-
ways ideal and is the best way to minimize risk to the patient. ZELTIQ’s consumer
research shows that there are 22.4 million patients who would consider non-
invasive fat reduction and have localized areas of unwanted subcutaneous fat
that are resistant to diet and exercise. Now you can treat these areas, which
makes CoolSculpting so popular among patients.”
The procedure works on the principle of cold panniculitis. Application of con-
trolled cooling can damage fat cells without effecting skin or surrounding tissues.
Fat cells are crystalized through the skin’s surface. As they die off, the body pro-
cesses the fat and cellular debris through its natural healing and waste removal
processes, resulting in selective non-invasive treatment of subcutaneous adipose
tissue. With long lasting results visible as early as three weeks, CoolSculpting
treatments are highly sought after by patients.
“I firmly believe that every aesthetic practice should have a body contouring
system,” said Dr. Rajani. “As ZELTIQ continually innovates and expands treatment
opportunities, the CoolSculpting system is the ideal choice.”
By Kevin A. Wilson, Contributing Editor
ZELTIQ Celebrates Ten Years
of Clinical Innovation and Research
Anil Rajani, M.D.
CEO and Medical Director
Style Aesthetics Cosmetic Center
Portland, OR
THE Aesthetic Guide July/August 2015 www.miinews.com22
Before Tx
16 weeks after CoolSculpting Tx (no weight change)
Photos courtesy of John B. Fasano, M.D.
Before Tx
Eight weeks after CoolSculpting Tx (-6 pounds)
Photos courtesy of Leyda E. Bowes, M.D.
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2828
Aesthetic practitioners are still looking for just the right energy-based tech-
nology or combination of treatments that will achieve better outcomes with
little to no downtime. Most practices have likely acquired more than one
device to address various aesthetic indications – the non-invasive elimination
of fat being among the most requested.
Popular fat reduction energies include electromagnetic waves, ultrasound
and lasers as well as two other unique technologies: cryolipolysis, which
reduces fat by freezing it, and Selective Radiofrequency™ (RF), which is
proven to eradicate fat and was recently FDA cleared for circumferential reduc-
tion. The BTL Vanquish ME platform from BTL Aesthetics (Boston Mass.)
represents an advanced implementation of Selective RF. During treatment,
the unit’s non-contact device (or applicator) is positioned over the area to
be treated and delivers RF-based energy, initiating induced apoptosis in
the fat layers.
By comparison, the cryolipolysis fat reduction technique freezes a
specified area of fat using a cooling applicator that when applied to the
target area cools the underlying fat tissue without damage to the skin or
surrounding tissues.
Many physicians that purchased the CoolSculpting® cryolipolysis device
from ZELTIQ Aesthetics (Pleasanton, Calif.) later bought BTL Vanquish ME
as a complementary treatment to augment the system’s feature set. In some
cases the Vanquish ME replaced it altogether. Notably, many of the same
key opinion leaders that have lauded CoolSculpting for several years have
also noted that the BTL Vanquish ME is a fast, safe and effective way to treat
unwanted fat without downtime or complications. As well, it complements
the BTL Exilis device, which is used for skin tightening.
According to Robert W. Kessler, M.D., F.A.C.S., a plastic surgeon in
Corona Del Mar, Calif., who uses both systems, “One of the things that is
really appealing about BTL Vanquish ME is that due to the large spot size,
it can cover broader areas in essentially a shorter period of time – a whole
abdomen, flank to flank. Also, it provides excellent efficacy.”
Jeff Russell, owner of Beleza MedSpa in Scottsdale, Ariz., and executive
director of the International Association for Physicians in Aesthetic Medicine
Physicians Prefer BTL Vanquish ME
as Stand Alone or Adjunctive Tx
Robert W. Kessler, M.D., F.A.C.S.
Plastic Surgeon
Corona Del Mar, CA
Peter J. Jenkin, M.D., F.A.A.D.
Dermatologist
Seattle, WA
Jeff Russell
Owner
Beleza MedSpa
Executive Director
International Association for Physicians
in Aesthetic Medicine
Scottsdale, AZ
After BTL Vanquish ME Tx
Photos courtesy of Amir Moradi, M.D.
Before Tx
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29
(IAPAM), added CoolSculpting in his practice two years ago, followed by
the BTL Exilis and then BTL Vanquish. “We needed the ability to treat skin
laxity, which CoolSculpting doesn’t provide,” he said.
The BTL Exilis comes in at this point, noted Dr. Kessler. “CoolSculpting has
been very nice for my healthy patients, but my older patients were getting
laxity. I researched skin tightening technologies and chose the BTL Exilis. I’ve
been using it over three years.”
When he upgraded to the BTL Vanquish ME, Dr. Kessler also saw its value
as a kind of aesthetic “finishing tool,” he added. “We’ve been able to smooth
out any irregularities resulting from cryolipolysis with the BTL Exilis and BTL
Vanquish ME. For instance, if you do both flanks on a person, one flank is
going to respond better than the other. Sometimes it’s a noticeable difference.
It has nothing to do with the technology of CoolSculpting; it’s just that every-
body’s body is different.”
As well, patients increasingly desire treatments on different areas of
the body and BTL Vanquish ME is a good adjunct to cryolipolysis in these
situations. “For instance, you can treat the inner thigh with CoolSculpting
and the outer thigh with BTL Vanquish ME. You can also treat the arms with
Vanquish ME. You would have to invest in additional applicators to treat
these areas with cryolipolysis.
For Peter J. Jenkin, M.D., F.A.A.D., a medical and cosmetic dermatologist in
Seattle, Wash., “The cryolipolysis science and technology made sense. It was
quite effective and we obtained consistent results,” he said. “But some patients
were uncomfortable, especially with the large handpiece when it was used in
the central abdomen.”
After three years of performing CoolSculpting treatments and having also
implemented the BTL Vanquish during that same period, Dr. Jenkin found that
he was using the Selective RF device more often and decided to replace his
cryolipolysis device with the BTL Vanquish ME.
According to Dr. Kessler, “With CoolSculpting it is one hour per site per ap-
plication, so when you’re looking at six areas with one device, it is six hours
of work. With the BTL Vanquish ME, you could conceivably do six areas with
the abdominal handpiece in four, 45-minute sessions. Yes, patients might have
Photos courtesy of Melanie Palm, M.D.
Before Tx
Photos courtesy of Anna Pare, M.D.
Before Tx
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3030
to come back in four times, but not many patients are willing to stay for one
six hour treatment either.”
Since it can do a much larger area in less time, for Dr. Kessler, the BTL
Vanquish ME is much more time effective. “Also, it allows for a larger patient
pool and we haven’t had any complications or side effects with BTL Vanquish.”
“There is never a pain issue with BTL Vanquish ME, and it is not messy.
You can turn a room over in five minutes. There are no oils, gels or marking
up involved with treatment,” Mr. Russell maintained.
Ultimately, for many the bottom line in choosing BTL Vanquish ME comes
down to cost and return on investment. Specifically, Dr. Jenkin felt that,
“With CoolSculpting, the cost of consumables was high, so as the BTL
systems came along, the cryolipolysis device rapidly became marginalized
in my practice.”
In terms of business models, there is a clear advantage to employing the
BTL Vanquish ME, Dr. Kessler agreed. “Rather than paying a fixed fee for
each consumable that we use, which requires us to charge the patient a
certain amount for each area we treat, I have control over the price point,”
he said.
“Both systems are around $100K, so your per-month cost is going to be
the same,” Mr. Russell pointed out. “The big difference really is with BTL
Vanquish there are no consumables. The only other cost to consider is the
expense of your operator.”
BTL Vanquish has become a workhorse in the office, Dr. Kessler stat-
ed. “It is user and time friendly. From the patient’s experience, it’s also
very comfortable.”
Recently, Mr. Russell considered purchasing a second CoolSculpting
unit. “Having two units working together is popular. It’s call ‘dual sculpt-
ing’,” he said. However, after comparing the benefits of the cryolipolysis
and Selective RF technologies, he decided to purchase the BTL Vanquish
ME. “We have cut our treatment time in half and can help patients that we
weren’t able to treat before.”
Four weeks after fourth BTL Vanquish ME Tx
Photos courtesy of Karen Harkaway, M.D.
Before Tx
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31
However, Dr. Kessler pointed out one of CoolSculpting’s most important
benefits, from the practice business perspective. “You or someone on your
staff can position the patient, initiate the treatment, and then step away
and leave the area,” he said. The system has a pager button that patients
can use to summon staff. “With the BTL Vanquish ME device, the tempera-
ture is building and adipose tissue is getting hot, so somebody has to be
stationed nearby in order to lower the power or change the position of
the handpiece if the temperature gets too hot. Somebody has to be within
earshot of the treatment room.”
Patient safety and correct patient choice are a priority, Dr. Jenkin stated.
“With any energy-based device, it comes down to proper education of the
patient, giving them realistic expectations and also making sure they are the
right candidates for the procedure.”
Mr. Russell concurred, noting that it’s better to under promise and over
deliver. “Managing patient expectations is critical,” he said. “The ideal can-
didate wants to lose a few inches and also has to have realistic expectations.
This patient cares about the measurable changes, and we see people that run
from very firm to overweight.”
Ultimately, patient satisfaction is key, but so is practitioner satisfaction. “I’m
very pleased with both the BTL Exilis and BTL Vanquish ME,” Dr. Jenkin re-
ported. “They both have their own niche, patient satisfaction is very high and
the virtual complete absence of side effects and consumables makes it very
easy to deal with in terms of price point.”
According to Dr. Kessler, the complementary nature of CoolSculpting
and BTL Vanquish ME points the way towards more practitioners embrac-
ing energy-based technologies that interoperate well with other systems
and modalities. “We will never have that singular magic bullet kind of
device that is going to do everything we need to do,” he said. “This also
goes for plastic surgery procedures. How many different types of face-lifts,
breast lifts and other lifts are there? There is so much variability out there.
If you work with different technologies and techniques, then you learn the
best ways to use them.”
Photos courtesy of David Goldberg, M.D.
Before Tx
After four BTL Vanquish ME treatments
Photos courtesy of Trevor Born, M.D.
Before Tx
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34
In only a few years since its launch, ALPHAEON Corp.® (Irvine, Calif.) is fulfill-
ing a promise to redefine the patient / physician relationship as well as transform
the world of self-pay healthcare. Much has been said of the company’s lifestyle
healthcare model, which appeals to patients seeking to maintain a positive quality
of life with support from specialty physicians.
ALPHAEON has also succeeded in attracting many qualified aesthetic practitio-
ners looking to gain new patients, build their practices, increase their competitive
edge, contribute to product development with fewer regulatory strings attached
and gain more control over how they do business. What has not been discussed
before is the experience of these vested practitioners that now form the bedrock of
ALPHAEON’s physician community.
“I love the fact that ALPHAEON helps bring phyicians back into a direct rela-
tionship with the patient, and also eliminates the middle man,” expressed M.
Bradley Calobrace, M.D., F.A.C.S., a plastic surgeon in Louisville, Ky., and an early
ALPHAEON partner and investor in Strathspey Crown Holdings, LLC (ALPHAEON’s
parent company). “The company represents the sector of healthcare in which patient
care is not reimbursed by third-party payers. These patients are under recognized
and under represented.”
According to Mary Lupo, M.D., a dermatologist in New Orleans, La., ALPHAEON
provides an alternative for physicians that seek and serve this specific patient popu-
lation. “Physicians are and should be at the forefront and critically involved in all
aspects of patient care, including the process of product development,” she said. “Yet,
thanks to insurance companies, the government and pharmaceutical companies, the
most critical cog in the wheel has become marginalized and commoditized.”
ALPHAEON’s unified brand provides board certified specialists in medical aesthet-
ics and other specialties with the tools to grow their practices and contribute innova-
tive ideas across the entire field, as well as benefit from new, cutting edge products
and technologies to advance their leadership in the industry.
In Dr. Lupo’s opinion, “ALPHAEON already stands out by virtue of its uniqueness
in the marketplace. It puts physicians back in the driver’s seat to review and approve
only the best products for their patients.”
“Of doctors, for patients,” is the guiding principle of ALPHAEON, expressed
Joseph M. Gryskiewicz, M.D., F.A.C.S., a plastic surgeon in Edina, Minn. “It re-
creates the time honored relationship between patients and healthcare providers.
People want to have control over their healthcare options, and ALPHAEON has
made it possible to also help provide physicians with the best products and services
to support those patients.”
When Dr. Calobrace was initially setting up his practice, he says, “Companies
brought me products. They never asked me for input before they created them, and
they told me all the reasons why they were the best products. I bought them and
would do the best I could with them. ALPHAEON is different because we in the
M. Bradley Calobrace, M.D.,
F.A.C.S.
Plastic Surgeon
Louisville, KY
Mary Lupo, M.D.
Dermatologist
New Orleans, LA
Joel Schlessinger, M.D.
Dermatologist
Omaha, NB
Joseph M. Gryskiewicz, M.D.,
F.A.C.S.
Plastic Surgeon
Edina, MN
Louis P. Bucky, M.D., F.A.C.S.
Plastic Surgeon
Philadelphia, PA
ALPHAEON Builds Excellent Ties
with Leaders in Medical Aesthetics
©
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ALPHAEON medical community decide the products that best serve our practices and
best meet the needs of our patients.”
As with many early physician partners, Joel Schlessinger, M.D., a dermatologist
in Omaha, Neb., got involved with ALPHAEON because he knew the people be-
hind the company. “I knew that these were talented individuals,” he said. “Then I
realized the firm’s goals and the promise of offering an outlet for physicians to not
only practice medicine as they want to and as it used to be practiced, but it is also
an opportunity for patients to experience the benefits of the company’s streamlined
and efficient system.”
One of those tools is ALPHAEON’s interactive visualization and patient education
platform, TouchMD™, a software program that increases physicians’ efficiency in edu-
cating patients, and also improves the patient’s overall experience before, during and
after consultations.
“TouchMD has allowed me to greatly improve communications with my patients,”
stated Louis P. Bucky, M.D., F.A.C.S., a plastic surgeon in Philadelphia, Penn. “This has
led to a better understanding of what the patient wants, which translates into deliver-
ing the best possible outcomes and providing a superior level of care. ALPHAEON
helps to reestablish that strong physician-patient relationship.”
Dr. Gryskiewicz agreed, noting, “TouchMD has helped me immensely in terms of
educating patients and also converting a consultation into a patient. Patients that have
seen five other physicians in town come to us and they are just blown away by our
approach and the technology.”
These technology solutions also extend to ShoutMD®, a crowd intelligence platform
that allows physicians to congregate online and collaborate via forum discussions in
order to share insights, suggest ideas and work directly with colleagues to directly
impact the company’s strategic direction.
For Dr. Lupo, using ShoutMD to interact with other specialists is a joy and education-
al. “The biggest advantage for me grows out of association with other physicians,”
she noted. “I use ShoutMD to help other dermatologists, as well. ALPHAEON has
done a smart job of creating this excellent community of physicians.”
Another important offering, ALPHAEON Credit, helps patients in obtaining financial
options. “It is terrific,” stated Dr. Schlessinger. “In my office it has replaced all other
patient financing plans. It is very customer-centric and not predatory like so many
other credit institutions. We’ve seen many people approved for ALPHAEON Credit
that would have been turned down by others.”
In the end, the various ALPHAEON options encourage practitioners to commit to
maintaining a high quality practice environment, stated Dr. Lupo. “It allows us to be
free, and to contribute to a medical community that stimulates innovation on a daily
basis. It is a valuable investment in time and money. Physicians make a lot of invest-
ments in things that they know nothing about. With ALPHAEON, I know the company
and I believe in it, and I believe in bringing products to market that are top notch and
vetted by the leading physicians in the aesthetic space.”
35THE Aesthetic Guide July/August 2015 www.miinews.com
“TouchMD has allowed
me to greatly improve
communications with
my patients. This
has led to a better
understanding of what
the patient wants,
which translates into
delivering the best
possible outcomes
and providing a
superior level of care.”
With the ShoutMD platform physicians can collaborate via
online forum discussions to share insights, suggest ideas
and work directly with colleagues.
Photo courtesy of ALPHAEON Corp.
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edicalInsight®

Where Science
Meets Beauty
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edicalInsight®

ow in its ninth year and bringing together the largest and most
diverse group of attendees and exhibitors ever, THE Aesthetic Show™
(TAS), which took place at the Wynn Resort Casino in Las Vegas
from July 9 – 12, 2015, once again elevated the medical aesthetic industry. This
year’s theme celebrated male aesthetics, with lectures and events focused on
helping attendees understand and embrace this emerging market.
N
THE Aesthetic Show 2015
By Michael Moretti, Editor
Redefines the Boundaries of
Education and Entertainment
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edicalInsight®

A distinguished faculty of luminaries and global thought leaders pre-
sented instructive live treatment demonstrations, hands-on workshops
and a diverse scientific program that covered all things relevant and cur-
rent in aesthetic medicine, including practice management, cutting edge
technologies and the newest procedures in the field.
TAS’s program began on Thursday, July 9 with three pre-show edu-
cational sessions. New this year was the industry’s first ever Feminine
Rejuvenation Symposium, which brought together world renowned
experts in non-surgical vulvovaginal rejuvenation techniques. This
course included live demonstrations of the latest technologies used in
these procedures.
As in previous years, the pre-show program also featured two ad-
vanced hands-on injectable training courses that provided attendees with
the principles and practices necessary to achieve optimal results for facial
shaping and rejuvenation, as well as wrinkle reduction using neurotoxins
and dermal fillers. These sessions included lectures and demonstrations
from the top physician injectors, such as William Philip Werschler, M.D.,
F.A.A.D., F.A.A.C.S.; Michael H. Gold, M.D.; Christopher Khorsandi,
M.D.; and Joseph Niamtu, III, D.M.D.
Each year, one of the highlights of the TAS pre-show session is THE
Certified Aesthetic Consultant (CAC) educational program, which covers
all aspects of running an aesthetic practice. Overseen by Jay A. Shorr
and Mara Shorr, this advanced training course offers a highly structured,
interactive platform with modules that educate and test attendees on mar-
keting, management skills, advanced practice metrics and more. Those
that successfully complete the curriculum and pass the final exam receive
national recognition as a Certified Aesthetic Consultant, which is the only
degree of its kind in our industry – helping all staff members gain the core
competencies critical to practice success.
On Friday, July 10, the main scientific program got underway with
THE Aesthetic Visionaries Welcome Address, in which the industry’s
major opinion leaders shared inspiring, forward-looking presentations
related to aesthetic medicine. Leif Rogers, M.D., F.A.C.S., emphasized
the show’s theme by discussing how to successfully manage the male
aesthetic patient. Red M. Alinsod, M.D., F.A.C.O.G., A.C.G.E., went
the opposite direction, delving into the new world of energy-based
feminine rejuvenation. Other important topics covered in this keynote
session included transdermal delivery of drugs and topicals, rescuing
botched patients via revision treatments and the developing market of
lipodissolving procedures.
Running through Sunday, the main program covered the foremost
topics in aesthetic medicine, including trends in body shaping and
skin tightening technologies; advanced injectable techniques and ap-
plications; the latest advances in anti-aging skin treatments, ranging
from topicals to the newest energy-based procedures; and even the
art of optimizing the business of skincare. Other sessions focused on
emerging procedures and technologies, including a session entirely
dedicated to feminine rejuvenation.
In addition to offering the most progressive educational program, TAS
continued its tradition of being the most entertaining meeting in the in-
dustry, underscored by THE Aesthetic Awards™, where physicians and
individual practices were recognized for their outstanding contributions
to the profession. Highlighting this year’s emphasis on male aesthetics
Zwivel Online Consultations by Zwivel
Silagen Scar Therapy by NewMedical Technology
THE Aesthetic Show 2015 Redefines the Boundaries
of Education and Entertainment
Before and after Radiesse For Hands Tx
Photos courtesy of Merz Aesthetics
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edicalInsight®

was a surprise cameo appearance by Justin Jedlica, also known as the
“Human Ken Doll,” who has had over 200 cosmetic surgery procedures
to achieve his unique look.
Incorporating two new co-hosts – plastic surgeon Leif Rogers, M.D. and
his practice partner, Rand Rusher, R.N. – the ceremony also featured an
expanded series of awards categories comprising some of the most inter-
esting emerging treatment segments including Best Patient Enhancement -
Lipofilling, Best Botched Patient Revision, Best Feminine Rejuvenation and
Best Male Patient Enhancement.
Additionally, Andrew P. Ordon, M.D., F.A.C.S., TAS’s scientific program
chairman was on hand to present his namesake Humanitarian Award to
Steven B. Hopping, M.D., a Washington D.C.-based plastic surgeon that
has been a tireless advocate for the disadvantaged, volunteering his
time and surgical skills to help those in need around the world. As well,
Howard Murad, M.D., honored David Matlock, M.D., F.A.C.O.G., with
the prestigious Howard Murad Lifetime Achievement Award for his life’s
work in the field of cosmetic surgery.
Throughout the entirety of TAS, Aesthetic TV® (ATV) was keenly pres-
ent, filming webisodes in the heart of the exhibit hall on the expansive
center stage. The ATV crew also filmed the awards show, conducted
news interviews and covered demonstrations of new products and tech-
nologies on the show floor.
Along these lines, the accompanying exhibit hall boasted more ven-
dors than ever, presenting a multitude of new products and services.
Among the most innovative technologies discussed was the novel internet
product, Zwivel from Zwivel, LLC (Paramus, N.J.). This unique consultation
platform enables physicians and patients to be matched in a convenient,
efficient and interactive manner. Potential patients quickly search for aes-
thetic physicians in their area that specialize in a given procedure, and
begin a cosmetic consultation with one or more physicians online from
their computer, smartphone or tablet without ever leaving their home.
Patients can share their concerns, indicate their procedure(s) of interest,
budget and timeframe, and even record a profile video. The selected
cosmetic physician(s) can then reply with their opinions, estimated fees
and a custom recorded video response.
TAS was not without advances in topical products such as Silagen®
Scar Therapy from NewMedical Technology, Inc. (Northbrook, Ill.). This
comprehensive line of physician-exclusive silicone scar treatments em-
ploys 100% pure medical grade silicone gel. Since keloid and thick scars
are formed by excess amounts of collagen production, when applied to
the skin, Silagen forms a flexible and invisible barrier over the scar. This
helps to prevent excessive transepidermal evaporative water loss and
aids in normalizing the production of collagen, keeping the creation of
keratinocytes under control. Silagen gel therapy is ideal for the face and
other visible areas, and can adhere better than silicone sheeting espe-
cially on areas of the body that move.
Among injectables, newly FDA approved dermal fillers were presented
at TAS as well. Radiesse® For Hands from Merz Aesthetics (Raleigh,
N.C.) is the first FDA cleared filler approved to restore lost volume in
the dorsum and can also help reduce the prominence of tendons and
veins. Delivering smooth, natural-looking results that can last up to one
year in many patients, this product not only provides immediate volume
and correction, but also continues to work by stimulating the body to
Acne scars before and after Bellafill Tx
Photos courtesy of Suneva Medical, Inc.
Before and after Halo Hybrid Fractional Laser Tx
Photos courtesy of Sarolta Szabo, M.D.
Before and after five PicoSure treatments
Photos courtesy of Clean Slate Laser
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46
produce its own natural collagen. Made from calcium hydroxylapatite, it
is injected through a fine needle sometimes in multiple injections points,
and is followed by gentle massage.
Bellafill® from Suneva Medical, Inc. (San Diego, Calif.) also stood out
for having recently become the only dermal filler FDA cleared for the treat-
ment of acne scars. It is safe and effective for the correction of moderate to
severe, atrophic, distensible facial acne scars on the cheek in patients over
the age of 21. Bellafill adds volume to the skin to lift and smooth out pitted
acne scars to the level of the surrounding skin. This long lasting treatment is
a simple, in-office procedure with minimal to no downtime.
Staying on the topic of low or no downtime therapies, many energy-
based aesthetic devices were presented at TAS 2015. The PicoSure laser-
based platform from Cynosure (Westford, Mass.), which is already well
known for tattoo removal, recently received FDA approval for its new
532 nm wavelength upgrade, which is designed to more effectively treat
red, orange and yellow tattoo inks. PicoSure is now the only picosecond
laser platform with a combination 755 nm / 532 nm wavelength option
to treat the full color spectrum of inks in fewer sessions. It treats pigment-
ed lesions, but has also been FDA cleared as a skin revitalization tool.
Among other products in the laser arena, the recently released Halo™
from Sciton, Inc. (Palo Alto, Calif.), is a groundbreaking hybrid fractional
laser that performs advanced phototherapy and skin tightening for aging
and sun damaged skin. Combining 2940 nm and 1470 nm wavelengths,
this system can deliver ablative and non-ablative energy in the same pulse
with a consistent pattern that yields uniform results. The Erbium:YAG wave-
length, which is usually employed for full ablation, is provided in fraction-
ated form to reduce downtime while the new 1470 nm wavelength is used
to non-ablatively treat both epidermal and dermal pigmented lesions.
Jumping from lasers to microwaves, miraDry from Miramar Labs (Santa
Clara, Calif.), which is FDA cleared for permanent reduction of axillary
hyperhidrosis, recently received FDA approval for the treatment of un-
wanted underarm hair and permanent reduction of underarm hair of all
colors. miraDry utilizes miraWave Technology, a precisely delivered mi-
crowave energy combined with hydroceramic contact cooling to destroy
sweat and odor glands, as well as reduce underarm hair.
CoolSculpting® from ZELTIQ Aesthetics (Pleasanton, Calif.) is another
system featuring a unique technology – cryolipolysis – which non-invasive-
ly cools adipose tissue for fat reduction. The company showed a range
of new applicators that work with this popular treatment, most of which
utilize suction to hold target tissue in place while applying controlled
cooling. The CoolCore® or CoolMax® applicator is used to treat the
abdomen, while the CoolCurve® Plus applicator fits on and around the
curves of the body, such as on the love handles or flanks. CoolFit® is a
flat applicator that works on vertical fat in hard-to-treat areas like the in-
ner thigh and CoolSmooth® PRO is a surface applicator that works with
non-pinchable fat, such as on the outer thigh.
When it comes to energy-based body shaping systems, the ZWave Pro:
Body Shaping from Zimmer MedizinSystems (Irvine, Calif.), uses acoustic
radial waves to efficiently treat dermatologic and cosmetic conditions,
especially tissue weakness and cellulite. This device offers skin tightening
and body contouring results when used in combination with ultrasound,
low-level laser, radiofrequency (RF) and cryolipolysis procedures. Tissue
reactions and metabolic effects include a short-term increase of blood
Before and after CoolSculpting Tx
Photos courtesy of ZELTIQ Aesthetics
MiraDry by Miramar Labs
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edicalInsight®

flow induced by massage and vasodilation; long-term improvement of
blood flow caused by formation of blood vessels; lymphatic drainage ef-
fects; mechanical and biochemical lipolysis; softening of fibrotic structures
(septum, scar tissue); cell regeneration and collagen neogenesis. The
advantages of acoustic radial waves include an easy to operate non-
invasive procedure that is painless with no downtime.
Another interesting use of energy for body countouring can be found
in the the BTL Vanquish™ ME platform from BTL Aesthetics (Boston,
Mass.), which was recently FDA cleared for circumferential reduction of
the abdomen area. Using Selective Radiofrequency™ to non-invasively
address fat reduction, the system’s patented technology creates a high-
frequency energy field that targets the thermal effects into the fat layer
while protecting surrounding skin tissue. This system employs a panel
array that emits Selective RF energy with the largest spot size in the
industry, providing a clinically proven and safe treatment option that
doesn’t touch the patient’s skin
Continuing in the realm of radiofrequency technology, ThermiRF from
Thermi, LLC (Dallas, Texas) employs temperature controlled RF for innova-
tive approaches to a wide-range of face and body indications, resulting
in optimal skin tightening, fat reduction and body contouring outcomes.
The platform features a proprietary combination of percutaneous RF
energy delivered via a minimally invasive probe with two temperature
feedback mechanisms, including thermistor regulation of internal tissue
temperature and visual infrared monitoring of the surface skin heat lev-
els. ThermiRF’s range of handpieces include ThermiTight, which applies
subdermal heating to lift, tighten and rejuvenate the lower face and neck,
tighten skin on the abdomen, arms and other body areas, as well as
reduce cellulite. ThermiSmooth addresses the appearance of wrinkles
and lines on the skin, ThermiRase treats the nerves responsible for facial
muscle contractions and ThermiVa facilitates feminine rejuvenation by
reducing vaginal laxity.
In order to help physicians stay current with their technologies and
treatment offerings, Ascentium Capital (Kingwood, Texas) offers custom-
ized solutions to physicians and a streamlined process that makes financ-
ing fast and flexible. This includes a simple, one-page application for
loans up to $250,000 with credit decisions in as little as two hours.
Affordable financing and leasing structures are available for up to $1.5
million, with broad terms up to 84 months. Additionally, working capital
loans are available and useful for inventory, payroll, marketing expenses
and more. Deferred payment options are available to match cash flow,
allowing a practice to acquire new technology and equipment and gen-
erate revenue before regular payments are due.
With over 2,500 aesthetic physicians and professionals converging in
Las Vegas to learn about the latest technologies, equipment and prod-
ucts, everyone expressed unanimous optimism about the future. Overall,
attendees demonstrated serious interest in the new approaches present-
ed at TAS 2015 and were excited about bringing these new technologies
and techniques back to their practices and patients.
Before and after BTL Vanquish ME Tx
Photos courtesy of BTL Aesthetics
Before and after ThermiTight Tx
Photos courtesy of Brian Kinney, M.D.
ZWave Pro by Zimmer MedizinSystems
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edicalInsight®

TAA Delivers Advanced
Education and the California
Dream Experience
THE Aesthetic AcademyOct. 31 – Nov. 1 • Marriott Hotel • Newport Beach, CA
WilliamPhilipWerschler,
M.D.,F.A.A.D.,F.A.A.C.S.
ScientificChairman
RedM.Alinsod,M.D.,
F.A.C.O.G.,A.C.G.E.
DoreJ.Gilbert,M.D. PearlE.Grimes,M.D.,
F.A.A.D.
AlexanderZ.Rivkin,M.D. E. Victor Ross, M.D.Melanie Palm, M.D. Lori J. Robertson, R.N.,
M.S.N., F.N.P.-C.
2015TheAestheticAcademy.com
™
www.TheAestheticAcademy.com
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edicalInsight®

Attendees at TAA Newport Beach have the unique
opportunity to mingle with the glamorous Hollywood TV
stars of our industry while learning the latest techniques and
tactics driving modern aesthetic practices to excel.
Kybella
PicoSure
The newest products recently approved by the FDA and
used by elite scientific researchers will debut at TAA Newport.
These innovations include Kybella, Restylane Lift, Ultrashape,
PicoSure, SculpSure and more.
©
2015M
edicalInsight®

TAA Newport Beach features an A List Faculty recruited from the top
echelon of scientific advisors who have actually helped develop
leading products and clinical protocols. Additionally, we will be
joined by guest star physicians who specialize in the art of treating
the most demanding and eccentric celebrity patients.
TAA Aesthetic Awards attendees who present their best clinical outcomes have
the opportunity to win professional accolades, prestigious status among their
peers and raise their practice credibility to the top of our very competitive field.
54 THE Aesthetic Guide July/August 2015 www.miinews.com www.TheAestheticAcademy.com
2015
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edicalInsight®

Benefits of this degree include advanced medical training, enhanced credibility,
expanded skills and services, increased patient credibility and more.
All Attendees will Receive THE Aesthetic Medicine Degree
THEAest
h
etic Medicin
e
Degree
D
A
M
C
CAC
CA
Certifie
d
Aesthetic Con
sultant
THE Certified Aesthetic Consultant Fast Track Certification
Program Level VIII is designed as a highly-structured,
interactive and intensive platform focused on growing your
practice through office management, patient counseling
and practice marketing.
Earn your Certified Aesthetic Consultant
Degree at TAA Newport Beach
www.cac-med.com
Become a Member of THE Aesthetic Buyers Club
THE Aesthetic Buyers Club is the largest, most powerful buying group
in the medical aesthetic industry. Join today to receive exclusive monthly
discount offers, extra products and premium services.
www.tabc-med.com
Mara Shorr, B.S.Jay A. Shorr, B.A.
2015
©
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edicalInsight®

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edicalInsight®

Celebrates the Best of Medical Aesthetics
THE Aesthetic Awards
2015
xemplifying THE Aesthetic Show’s tradition of combining the most cutting
edge scientific educational program with Hollywood style entertainment,
THE Aesthetic Awards ceremony, which took place on Saturday, July 11,
2015, once again exceeded expectations, and entered uncharted territory.
Continuing with the theme of male aesthetics, this year’s show was co-hosted
by not one, but two, well-known aesthetic professionals – Beverly Hills plastic
surgeon Leif Rogers, M.D. and his practice partner Rand Rusher, R.N. Amid
all the glitz and glamor of male models, red carpet appearances and flowing
champagne, world-renowned physicians took the stage to honor a select group of
esteemed practitioners for their outstanding contributions to aesthetic medicine.
E
©
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edicalInsight®

Best Facial Injectable Enhancement
Garry R. Lee, M.D.
Look Younger MD
Las Vegas, NV
Dr. Lee is internationally renowned for his
minimally invasive cosmetic procedures and
recognized as one of the top aesthetic anti-
bruising microcannula cosmetic physicians.
He is an internationally published aesthetic
author and the inventor of The Long Micro-
Cannula Double Cross-Hatched Fan, The
Wiggle, The Chrinkle and The Pyramid ad-
vanced cosmetic injection techniques. He
teaches physicians and nurses for Allergan
and Eclipse Aesthetics – and is the Air-Tite
National Director of USA MicroCannula
Instruction. He is the founder and medical
director of Look Younger MD in Las Vegas,
an Allergan Black Diamond aesthetic practice
in the top 1% in the U.S.
Before After
• 3 cc Voluma to the cheeks
• 1 cc Restylane in the tear trough
• 2 cc Juvéderm Ultra Plus to the marionette lines
• 3.5 cc Juvéderm Ultra Plus to the cheeks
• 1 cc Juvéderm Ultra Plus to the nasolabial folds
• 2.5 cc Juvéderm to submalar region
• 2.5 cc Juvéderm to perioral region
• 2 MicroPen treatments with PRP
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edicalInsight®

Best Non-Surgical Facial Rejuvenation
Alexander Kaplan, M.D.
Celebrity Laser Spa Surgery Center
Los Angeles, CA
Dr. Kaplan is a cosmetic surgeon and has
been the medical director of Celebrity Laser
Spa Surgery Center in Los Angeles, Calif.
since 2005. He graduated from the University
of Michigan Medical School in 1996 and
trained in general and plastic surgery at the
University of Chicago for five years, followed
by emergency medicine at UCLA, for which
he is board certified. Dr. Kaplan is a fellow of
the American Society of Laser Medicine and
Surgery, a member of the American Academy
of Cosmetic Surgery and American Society of
Cosmetic Physicians. He specializes in non-
surgical skin rejuvenation, body contouring
and laser tattoo removal. His expertise has
been quoted in In Touch Magazine, The Los
Angeles Times and The New York Times. Re-
cent media appearances include interviews
on The Doctors, KCBS-LA News, Univision,
LOGO Network, POPSUGAR and E! Network.
• Full-face DOT Fractional CO2 Tx
Before After
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edicalInsight®

Best Surgical Facial Rejuvenation Enhancement
Gary Motykie, M.D., F.A.C.S.
Beverly Hills, CA
Dr. Motykie is a board certified plastic surgeon
highly skilled in breast surgery, body contour-
ing, rhinoplasty and facial rejuvenation as well
as numerous other cosmetic surgical procedures.
With about 50% of his practice consisting of
revision surgeries from elsewhere, Dr. Motykie
believes in performing safe, effective plastic
surgery that focuses on “doing it right the first
time.” He earned his Undergraduate Degree in
the challenging field of Bio-Medical Engineering
during which time he was involved in the devel-
opment of artificial organs and prosthetic limbs.
After graduating, Dr. Motykie studied medicine
at Northwestern University and plastic surgery
at the University of Texas, where he performed
surgery at one of the world’s top cancer and
burn reconstruction facilities. Dr. Motykie
completed an Advanced Cosmetic Surgery
Fellowship in Beverly Hills, in 2004. Since then,
he has spent the past ten years dedicated to de-
signing an integrative approach to health, well-
ness, nutrition and surgery in order to further
evolve his practice beyond the current standards.
• Face-lift
• Facial fat grafting
• Mole removal
• IPL Photofacial
• Botox
Before After
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edicalInsight®

Best Overall Facial Makeover
Lori Hansen, M.D.
Oklahoma City, OK
Dr. Hansen is an accomplished facial plastic
surgeon treating patients throughout Oklahoma
and other parts of the U.S. A University of
Oklahoma Medical School graduate, Dr. Hansen
completed her ENT residency both at the
University of Alabama at Birmingham and
University of Oklahoma Medical Center, fol-
lowed by a fellowship in facial plastic surgery
in Beverly Hills, Calif. with Frank Kamer, M.D.
Equally significant to Dr. Hansen’s medical
accomplishments is her involvement in outreach
efforts and initiatives involving domestic violence
concerns. Dr. Hansen was the inspiration behind
the innovative Face to Face Domestic Violence
program (through AAFPRS), a worldwide net-
work of physicians who provide pro-bono work
for victims of domestic abuse. In 1999, she was
selected by Vanity Fair as one of America’s 200
Most Influential Women, specifically for her
work focusing on domestic violence concerns.
In 2011, Dr. Hansen received a national award
from The Aesthetic Awards for the Best Facial
Surgical Rejuvenation Enhancement.
• Face-lift
• Upper and lower blepharoplasty
• Full-face Lutronic CO2 Tx
• Lutronic Accusculpt Tx
• Galderma Perlane in cheeks
• Restylane Silk in lips
• Dysport
• 1 Lutronic Spectra Peel
Before After
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edicalInsight®

Best Non-Surgical Body Shaping Enhancement
Yann G. Lin, M.D.
Mill Creek Skin Laser Center
Mill Creek, WA
Dr. Lin is a licensed physician, specializing in
cosmetic dermatology. He spent years train-
ing and practicing in New York and New
Jersey before coming to the Pacific North-
west and has already gained a reputation
for his preciseness and patience. He has
appeared on The Wellness Panel on King 5’s
New Day Northwest.
• ZELTIQ CoolSculpting treatments
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edicalInsight®

Best Surgical Body Shaping Enhancement
Gene Sloan, M.D.
Aesthetic Plastic Surgery
Little Rock, AK
Dr. Sloan is a board certified plastic surgeon. He graduated
from the University of Arkansas for Medical Sciences in Little
Rock, Ark., and now serves as an assistant clinical professor
at the University of Arkansas for Medical Sciences and
Arkansas Children’s Hospital. Dr. Sloan’s educational achieve-
ments attest to his knowledge. His surgical skills and aesthetic
sense have given him a reputation for achieving natural
results. The many patients who have referred their friends
and family to Dr. Sloan are a testimony to his caring attitude
and professional demeanor.
• Abdominoplasty skin flap
• Dermapen microneedling to scar
Before After
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edicalInsight®

Best Patient Enhancement – Lipofilling
Angelo Cuzalina, M.D., D.D.S.
Tulsa Surgical Arts
Tulsa, OK
Dr. Cuzalina began his post-graduate educa-
tion at Oklahoma State University (Stillwater,
Okla.), graduating with a degree in physiology,
and went on to obtain a medical degree from
the University of Alabama (Tuscaloosa, Ala.)
and a dental degree from Baylor University
(Waco, Texas). Dr. Cuzalina completed an oral
and maxillofacial surgery residency, followed
by a full body cosmetic surgery fellowship, and
he is board certified by the American Board of
Cosmetic Surgery and the American Board of
Oral and Maxillofacial Surgery. He has been
in private practice exclusive to cosmetic surgery
since 1998 running an AAAHC accredited sur-
gery center. As an author, Dr. Cuzalina has
written key articles and book chapters in major
medical publications. • Liposuction of hips, waist, abdomen
• Brazilian Butt Lift via fat grafting using 700 cc per
side of buttocks and trochanteric depression
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edicalInsight®

Best Overall Body Makeover
Marco A. Pelosi, II, M.D.
Pelosi Medical Center
Bayonne, NJ
Dr. Pelosi is director of the Pelosi Medical
Center in Bayonne, N.J. He is recognized as
the leading expert in laparoscopic surgery
using the single umbilical puncture approach
and his expertise as a vaginal surgeon is also
widely recognized. His extensive writing on
topics related to his specialty includes over
165 published articles and contributions to
several textbooks. He is a pioneer in the de-
velopment of combined laparoscopic and
vaginal techniques for the routine removal
of large uteri, urogynecologic procedures and
rectovaginal surgery, and he has introduced
a number of single-puncture laparoscopic pro-
cedures that include hysterectomy, supracervical
hysterectomy, appendectomy, myomectomy,
adnexal surgery, colposuspension, sling
procedures, gasless single umbilical puncture
hysterectomy and ectopic pregnancy. In 2004
Dr. Pelosi II and his son Marco A. Pelosi,
III, M.D., founded the International Society
of Cosmetogynecology.
• Lap Band Surgery
• Liposuction to back, flanks, waist,
abdomen, pre-sacral area
• Fat transfer to the buttocks
• Liposuction-assisted brachioplasty,
monsplasty, inner thighplasty
• Lipoabdominoplasty
Before After
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edicalInsight®

Best Botched Patient Revision
Seena Boyle, L.E., C.L.O./A.
Young Medical Spa
Center Valley, PA
Seena Boyle is a licensed esthetician and
certified laser operator and has been with
Young Medical Spa® for six years. Under the
direct supervision of Thomas E. Young, M.D.,
Ms. Boyle performs various treatments such
as facials, chemical peels, microdermabrasion
and laser hair reduction. She utilizes the
Cynosure Icon system for the treatment of
stretch marks, body and acne scars, rosacea,
sun damage and overall skin rejuvenation.
She is also trained to perform VelaShape™
and Pellevé treatments. Ms. Boyle continu-
ally attends THE Aesthetic Show™ to further
her education and treatment skills so she can
continue to work with Dr. Young in helping
patients presenting with challenging condi-
tions and problems of the skin.
• Palomar Icon IPL and 1540 Fractional
Laser treatments of burns, scars and
hypopigmentation from previous
Rosacea Tx at another practice
Before After
©
2015M
edicalInsight®

Best Feminine Rejuvenation
Red M. Alinsod, M.D.
Alinsod Institute for Aesthetic and
Vulvovaginal Surgery
Laguna Beach, CA
Dr. Alinsod graduated from Loma Linda
University School of Medicine in 1986 and
completed his OB/GYN residency at Loma
Linda University Medical Center in 1990. While
heading the Gynecologic Services at George
Air Force Base (Calif.) and Nellis Air Force Base
(Nev.) he concentrated on benign gynecology,
urogynecology and pelvic surgery. Dr. Alinsod
was able to train extensively in hysteroscopic
and advanced laparoscopic surgery, receiving
the first Certificate #20 from the Accreditation
Council of Gynecologic Endoscopy in Nevada.
Dr. Alinsod has trained residents and fellows
from numerous world-class institutions as well
as preceptor a large cadre of physicians in
both reconstructive and aesthetic vulvovaginal
surgery. Dr. Alisod’s focus on labial and vaginal
surgery to improve patient lives has led to
innovations in surgery and technology that has
greatly impacted how vulvovaginal surgery is
performed worldwide. He is currently focused
on non-surgical vulvovaginal therapies.
• Labia majoraplasty with fat pad removal
Before After
©
2015M
edicalInsight®

Best Male Patient Enhancement
• Hi-Def Liposelection using VASER Liposuction
Todd Howell, M.D.
The Aesthetic Medicine and
Anti-Aging Clinic
Baton Rouge, LA
Dr. Howell is a member of both the American Academy of
Anti-Aging Medicine and the American Academy of
Cosmetic Surgery. Dr. Howell specializes in aesthetic and
anti-aging medicine, but is also a practicing emergency room
physician with three years’ experience in general surgery. A
native of Baton Rouge, Dr. Howell attended the University
of Texas at Austin, where he received a bachelor’s degree
in Biology. After UT he attended Louisiana State University
School of Medicine at New Orleans, where he received his
Doctorate of Medicine.
Before After
©
2015M
edicalInsight®

Best Overall Patient Enhancement
Gary Motykie, M.D.
Beverly Hills, CA
Dr. Motykie is a board certified plastic surgeon
highly skilled in breast surgery, body contour-
ing, rhinoplasty and facial rejuvenation as well
as numerous other cosmetic surgical procedures.
With about 50% of his practice consisting of
revision surgeries from elsewhere, Dr. Motykie
believes in performing safe, effective plastic
surgery that focuses on “doing it right the first
time.” He earned his Undergraduate Degree in
the challenging field of Bio-Medical Engineering
during which time he was involved in the devel-
opment of artificial organs and prosthetic limbs.
After graduating, Dr. Motykie studied medicine
at Northwestern University and plastic surgery
at the University of Texas, where he performed
surgery at one of the world’s top cancer and
burn reconstruction facilities. Dr. Motykie
completed an Advanced Cosmetic Surgery
Fellowship in Beverly Hills, in 2004. Since then,
he has spent the past ten years dedicated to de-
signing an integrative approach to health, well-
ness, nutrition and surgery in order to further
evolve his practice beyond the current standards.
• Lower body lift
• Full abdominoplasty
• Abdominal muscle tightening
• Liposuction of the waist
• Extended brachioplasty
• Full mastopexy with submuscular placement
of 425 cc saline implants
Before After
©
2015M
edicalInsight®

Best Aesthetic Practice
Germantown Aesthetics
Germantown, TN
Founded by Gregory Laurence, M.D.
Taking a multimodal, holistic approach, the skills of Germantown Aesthetics’ all-star team
range much wider than surgery to include laser treatments, filler injectables, skincare and
non-surgical face-lifts. Our dedicated ensemble is trained in several cutting edge cosmetic
care techniques. Germantown Aesthetics also serves as a training center for some of the
top doctors in the Mid-South region for cosmetic procedures and techniques.
©
2015M
edicalInsight®

Aesthetic Nurse of the Year
Pamela J. Schell, Psy.D., M.S.N., A.R.N.P., D.N.C.
Werschler Aesthetics
Spokane, WA
Ms. Schell is the director of Werschler Aesthetics, nationally recognized as one of the leading medical spas in the country.
An expert in the delivery of medically based cosmetic services, Ms. Schell has had the opportunity to teach and train with
many of the world’s leading experts, receiving advanced training in the use of neuromodulators and dermal fillers from top
plastic surgeons and dermatologists from around the world. She received her Bachelor of Science in Nursing, her Masters
of Science in Nursing, and her Advanced Practice Nursing degree from Washington State University at the Intercollegiate
College of Nursing. She has also completed her Doctorate in Health Psychology with a focus toward preventative medicine.
Ms. Schell continues to be a trainer for Allergan, Merz and Valeant, teaching beginning and advanced injection techniques
locally in the Pacific Northwest, nationally and internationally. She also serves as a consultant to the skincare industry and
specializes in the teaching of skincare techniques with different product lines.
©
2015M
edicalInsight®

Andrew P. Ordon, M.D. Humanitarian Award for Aesthetic Medicine
Steven B. Hopping, M.D., F.A.C.S.
The Center for Cosmetic Surgery and
The Washington Hair Institute
Washington, D.C.
Dr. Hopping is director of The Center for Cosmetic Surgery and The Washington Hair Institute in Washington, D.C. He is
also a clinical professor of surgery at George Washington University. Dr. Hopping served as president of the American
Academy of Cosmetic Surgery and the Cosmetic Surgery Foundation. He is currently a Trustee of the International Division
of the American Board of Cosmetic Surgery. Dr. Hopping co-founded The Future of Nicaragua Foundation and has led
multiple missions providing reconstructive surgery and healthcare services to underprivileged families in Nicaragua and
Guatemala for the past ten years.
©
2015M
edicalInsight®

Howard Murad, M.D. Lifetime Achievement Award
David Matlock, M.D.
The Laser Vaginal Rejuvenation Institute
Vaser HiDef Liposculpturing Institute
Los Angeles, CA
Known as the pioneer of female genital plastic surgery, Dr. Matlock has dedicated his entire cosmetic practice to
Laser Vaginal Rejuvenation® (LVR) and Designer Laser Vaginoplasty® (DLV), as well as liposculpturing (including
Brazilian Butt Augmentation and Vaser Hi Def). With a practice in Los Angeles, Calif., Dr. Matlock has distin-
guished himself as a highly specialized vaginoplasty surgeon offering a vast amount of experience combined with
education in the medical field. Contributed with popularizing LVR®, DLV®, Vaser Hi Def liposculpturing and Brazilian
Butt Augmentation over the past six years, Dr. Matlock has spent over 10,000 hours performing LVR and DLV in
15 years, as well as over 25,000 hours of liposculpturing over the past 23 years. Dr. Matlock is well known as
a cast member of E! Entertainment’s hit show Dr. 90210.
©
2015M
edicalInsight®

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