Appendices
Contents
1. infusion APPENDIX B COMPARING MODALITIES AND TOOLS FOR SKIN TREATMENTS I Following please find a non scientific discussion which compares the results from SilkP eel Dermallnfusion treatments with existing potent solutions compared to other common modalities DISCLAIMER does not represent or claim any clinical outcome beyond the information on user guide this is only for general information and not to share with the public Comparison and discussion between SilkPeel Dermallnfusion effects and the a Hydroxy acids AHA s IN GENERAL a Hydroxy acids AHA s are a class of chemical compounds it is not just one single product and it is difficult to address all compounds together in one basket to compare with SilkPeel to determine how active an alpha hydroxy acid product is is to look at both the concentration of AHA and the pH of the product e do lift off a little of the surface skin layer and at high concentrations do stimulate collagen growth e AHA sare a nice conditioning ingredient to help renew the skin clear pores and lift off some dry skin e to resume As a home product it does home level very mild safe and reproducible results gt in comparison SilkPeel Dermallnfusion SilkPeel is an office procedure that e 1 adds hydration to the deeper layers e 2 can help diffuse active ingredients to target areas and e 3 exfoliate as an office exfoliation e In short SilkPeel Dermallnfusion is an offic2. the improvement of the skin condition from the effect of the active ingredients is Steady and progressive and accumulates from week to week gt This may predict that some of the material stays in the dermis for longer than 1 week or such The outcome of the treatment is dependent on both the active ingredients being present and active and the progressive abrasion effect that takes off the upper layers of dead cells week after week that also helps promote the natural process of rejuvenation of the skin The histology sections in Dr Moy s paper are made after 24 and 48 hours of the treatment and all still show effect of the active ingredient Overall itis almost impossible to PROVE for how long Sodium Hyaluronate stays in the dermis but there is definitely a long term effect and a cumulative effect that could not be achieved if the product stayed only for a number of hours there Immediate exposure of the abraded skin to the fluid demonstrates an interesting effect The keratinocytes show marked swelling from hydration The upper papillary dermis also demonstrates edema around the collagen fibers and around the vascular structures Figure 1 The first histologic slide demonstrates a uniform even abrasion to the depth of 30 35 microns within the epidermis on preauricular skin The stratum corneum is removed and portions of the granular layer are also removed in sections Page 14 of 17 IM APPENDIX D CLEAN
3. this is for the office doctor to decide how to clean the heads based on your country regulations We can t really give a specific amount of time but here s whatthe Empower Foam bottle says dual enzymatic cleaner ready to use reduces transport load reduces exposure to soils due to splashing Neutral pH formula that provides advanced corrosion protection and is safe for rubber plastic stainless steel carbon steel and soft metals e And here are additional claims made by Metrex not emed Empower Foam 5 only an enzymatic spray to break down bio burdens itis not a sterilant or disinfectant but rather a precursor for either of the two for total disinfectant success the heads should be soaked in our disinfectant solution for 3 minutes sprayed and scrubbed with the empower foam rinsed then soak again in our disinfectant for 10 minutes But it still isn t sterilized e NEVER soak your diamond heads into gluteralderhyde Suggestion RUNNING AIR THROUGH THE TUBING run AIR in between changes of solutions for a short while like 1 2 minutes to ensure that solutions of different types would not interact chemically with each other Running air through the machine after each solution and after the cleaning is extremely useful anyway to keep the machine for never clogging Page 15 of 17 IM MORE ABOUT CLEANING THE DIAMOND HEADS Infusion In order to maintain the life of the treatment head one should best clean them as s
4. Propyl Paraben 1 0 3 KOJIC ACID 5 GLYCOLIC ACID 2 5 TRIETHANOLAMINE 2 SALICYLIC ACID 0 5 ARBUTIN 0 5 PHENOXYETHANOL AND METHYL PARABEN AND BUTYL PARABEN AND ETHYL PARABEN AND PROPYL PARABEN 0 4 SODIUM HYDROXIDE 0 1 Page 3 of 17 N APPENDIX TYPES OF SOLUTIONS AND INGREDIENTS Il Following please find a non scientific short description of few of the active ingredients and then their most basic function in the existing solutions Arbutin Arbutin is a natural plant derived highly effective stable skin whitening agent that works on the skin by transforming excessive melanin production into colorless substances as well as competing with certain enzymes that inhibit tyrosine oxidation by tyrosinase a main cause of hyper pigmentation UV damage primarily from the sun is one of the main causes of hyper pigmentation P roducts emerginC spot emerginC lighten up under eye circle fighter Kojic Acid Skin lightening agent kojic acid Kojic acid is a natural effective lightener derived from rice that helps fade spots by retarding excessive melanin production Kojic acid is extracted from mould grown on rice Aspergillus oryzae or that grown on soybean Aspergillus sojae and is used as a starter medium for the production of fermented food Kojic acid is produced biologically by fermentation of bacteria on carbohydrates The name is J apanese and comes from the word koji meaning culture Skin color
5. areas and would be considered unsafe for many sensitive body areas Page 10 of 17 iV vie APPENDIX B COMPARING MODALITIES AND TOOLS FOR SKIN TREATMENTS V Prepares the skin before any skin treatment by removing the upper layer of dead skin thoroughly hydrates for days post treatment and overall promotes and stimulates new cell growth of healthy skin Microdermabrasion cannot hydrate skin it is drying it out Provides continuum of treatment after laser and IPL treatments Fraxel and Melasma Cosmelan procedures by removing the flakes and crust wet abrasion and keeping up with helping re growth of healthy skin Microdermabrasion is seldomly used before laser or IPL Tx actually contra indicated when flaking and wet crusting occurs Dermaceutical solutions actually assist in the therapeutic effect of the clinical treatment SALICYLIC BASED CLARIFYING solution based for acne conditions KOJ IC ACID OR HYDROQUINONE BASED BRIGHTENING lightens skin helps clearing sun damaged skin and removing age spots HYALURONIC BASED HYDRATING solution deeply moisturizes skin and helps it stay there for hours and days Microdermabrasion cannot be used in combination with dermaceutical topicals only post application not half as efficient e Specialized patented handpiece completely SAFE to use does not penetrate further if applied for more or less time on skin or if operator movement Is uneven or handpiece is pushed or pul
6. is determined by the quantity of melanin in the skin Melanin is biosynthesized in the melanosome of the melanocyte a process involving the presence of the enzyme tyrosinase Kojic acid is known to inhibit tyrosinase thereby reducing the production of melanin Kojic acid is primarily used in cosmetics for its skin lightening effect It acts as an inhibitor of tyrosinase which is responsible for the formation of melanin the skin coloring agent in skin Kojic acid also reduces existing melanin in the skin thereby assisting in the depigmentation of the skin Kojic acid successfully reduces age spots and pigmentation on face and body typically caused by sun damage Kojic acid is also known to have an anti microbial effect MORUS NIGRA LEAF MULBERRY EXTRACT BLACK MULBERRY LEAF Mulberry extract Sohakuhi or mulberry extract is obtained from the dried skin of the root of the mulberry found throughout J apan where this extract is produced Sohakuhi has been credited with many healing functions for many years More latterly ithas been recognized as a whitening agent as it contains phenylflavanoids an element that whitens human skin by inhibiting the activation of tyrosinase Tyrosinase is involved in the production of freckles so the inhibition of tyrosinase helps prevent the formation and subsequent darkening of freckles on the skin Also known to be an anti inflammatory and an emollient INGREDIENT FUNCTION SOLUTION S CONTAINING INGREDIENT Hum
7. ING DIAMOND HEADS DO s AND DON TS NOTE For complete instructions refer to section 4 2 in the User Manual for proper sterilizing of the treatment heads and handpiece the notes below only refer to specific issues and questions we have been asked in regards to cleaning and do not replace or add to the information on the User Manual These notes were gathered by our users and operators and we are quoting them here only to provide advice or consult and only the product label should be the ultimate guide for the complete instructions Do NOT USE Cidex or other products containing Gluteraldehyde to clean the treatment heads This is the one product ingredient that will cause the diamonds to come off the heads Please make sure that your customers are instructed not to use these products and to refer to section 4 2 in the manual for proper sterilizing of the treatment heads and handpiece of solution before putting them in an autoclave where can we get this solution ANSWER We recommend using an enzymatic detergent like Empower Foam soak the Treatment Heads after treatment In the US this can be purchased from Moore Medical or any medical hospital supply establishment Along with the foam a soft metal or firm plastic brush should be used to scrub the heads disinfecting would not be sterilizing but Empower Foam is a high level disinfectant We cannot guarantee these are fully disinfected or sterile we do recommend autoclaving
8. P eel on the right side and untreated epidermis on the left side The hydration effect is dramatically shown by the enlarged keratinocytes with the displaced nuclei on the SilkPeel areas compared to the untreated areas Also the rapid hydration effect has increased the SilkP eel treated epidermal thickness by 7096 The SilkPeel System A Histological Observational Study of Microdermabrasion with Solution Delivery Lawrence S Moy MD PSP February 15 2007 Page 8 of 17 IM APPENDIX B COMPARING MODALITIES AND TOOLS FOR SKIN TREATMENTS Ill The main differences are These AHA acids work at the very base of the stratum corneum not only the upper layers dissolving the cement that holds dead skin cells together Claims are being made that at greater AHA concentrations gt 15 have deeper dermal effects such as higher amounts of collagen and increased skin thickness are observed Some of our physicians users also claim that SilkPeel can achieve that with time and higher settings FYI Use of just Salicylic Acid or a regular Mechanical Scrub regular microdermabrasion will not produce identical exfoliation benefits Both only work superficially to remove already loosened skin cells on the upper layer of skin Alpha hydroxy acids work at the lowermost levels of the stratum corneum We trust that thanks to the Dermallnfusion penetration of the Salicylic Acid or other solutions deeper into the dermis
9. SiukPeelL Dermalinfusion S Ys tem In service Protocol App ena ces for Beauticians Licensed Aestheticians P european version IMPORTANT DISCLAIMER THIS BROCHURE AND THE INFORMATION WITHIN IS NOT INTENDED TO REPLACE THE USER GUIDE OR ANY OTHER FORMAL MATERIALS AS PROVIDED WITH EMED INC SYSTEM THE INFORMATION CONTAINED IS NOT CLINICAL OR MEDICAL AND DOES NOT CLAIM TO BE SUCH THIS IN SERVICE PROTOCOL CANNOT REPLACE FULL SYSTEM IN SERVICE AND CAN BE USED ONLY AS A VERY BASIC PROTOCOL GUIDE FOR NEW OPERATORS THE PARAMETERS WITHIN THE PROTOCOL ARE BASED ON OUR OBSERVATION ONLY AND HAVE NOT BEEN TESTED BY US TO SHOW THAT THEY ARE OPTIMAL TO SKIN CONDITIONS OR ELSE PHYSICIAN MUST BE ASKED FOR EVERY INFORMATION WHICH MAY CONCERN SKIN PROCEDURES OR SKIN TREATMENT WITH MACHINES AND BEFORE USING ANY PRODUCT THAT COMES IN CONTACT WITH SKIN THIS PROTOCOL IS NOT ABOUT INSTRUCTING OR DIRECTING YOU TO USE ANY PRODUCT OR PROVIDE CLNICAL OR MEDICAL OPINIONS OF ANY KIND THE WRITERS DO NOT TAKE ANY RESPONSIBILITY FOR PROVIDING ANY TYPE OF OUTCOMES OR RESULT AND MISTAKES IN THE CONTENTS THAT MAY RESULT IN ANY SKIN OR OTHER HEALTH HAZARDS OR ANY OTHER COMPLAINT DO NOT USE THIS IN SERVICE PROTOCOL IF THE INFORMATION AS ABOVE IS NOT CLEAR TO YOU OR YOU DO NOT AGREE WITH IT TYPES OF SOLUTIONS AND INGREDIENTS I Following please find the ingredient listing for the existing solutions percentages are list
10. ail 6 face w neck treatment 1000 00 1125 00 including sunscreen from retail Treatment packages can be customized i e back shoulders d collet etc 6 treatments and charge for 5 see price above Eye package HYALURONIC BASED HYDRATING only 6 eye area only treatment 450 00 600 00 including retail eye serum or cream Page 17 of 17 D m ACC infusion APPENDIX E SILKPEEL DERMALINFUSION BUSINESS ASPECTS II Lip package HYALURONIC BASED HYDRATING only 6 lip area only treatment 450 00 600 00 including lip balm plumper offered in retail Eye amp Lip package special offer if combined HYALURONIC BASED HYDRATING only 6 eye amp lip treatments 800 00 including lip balm or lip plumper and eye serum or cream Tough Skin Conditions i e Psoriasis topical dermatitis eczema scars etc price according to size of area treating Page 18 of 17
11. cedure preps skin for laser IP L procedure infUSION APPENDIX C SKIN CONDITIONS Q amp A I Psoriasis amp SIIkP eel SILKPEEL It is ok to treat patients with Psoriasis as long as the person s history ae ee en and skin can tolerate e aware of any inflammation which can be present and adjust diamond grit accordingly e Sometimes itis good to lay a foundation of HYALURONIC BASED HYDRATING solution with the smooth tip first and then follow with SALICYLIC BASED CLARIFYING solution based solution and a fine diamond head ppp e SALICYLIC BASED CLARIFYING solution will allow the skin to Rateale ays exfoliate for a longer amount of time REM ii Hypodermis e HYALURONIC BASED HYDRATING solution will congeal with the SALICYLIC BASED CLARIFYING and pull ita bit deeper helping it to provide maximum results Treat with SilkP eel as long as itis comfortable to the patient and always consult the physician on staff to make any final judgment calls necessary Stratum Corneoium Summer time amp SilkP eel SilkP eel treatments may be beneficial to help dry skin during the summer for protection and help with preventing further actinic sun damage By hydrating it continuously the skin would be less damaged by sun and wind Sure they MUST use SPF 15 or even better 30 at all times even in the winter not only because of SilkPeel because of sun UV penetrating the skin anyway even when cloudy Certainly it is
12. disorders Preservative Preservative anti bacterial anti fungal Infusion Hydrating Brightening Clarifying Clarifying Brightening Clarifying Brightening Clarifying Brightening Clarifying Hydrating Brightening Brightening Brightening Brightening Hydrating Hydrating Hydrating Hydrating Page 5 of 17 Infusion Algae Extract Artemisia Vulgaris Extract triple A complex Mugwort Extract Glycine non polar amino acid Allatonin Chamomile Anthemis Nobilis Flower Extract Disodium EDTA Rich in amino acids polypeptides and cell membranes of carbohydrates when combined with Mugwort Extract works as a powerful anti inflammatory balances skinds moisture levels provides suppleness to the skin increases surface hydration anti inflammatory alleviates irritation soothes the skin Aids in collagen re synthesis Heals moisturizes soothes alleviates irritation effectively treats burns wounds and acne Soothes repairs relaxes muscles anti septic anti inflammatory anti sistaminic Improves synergy with preservatives improves product stability Hydtrating Hydrating Hydrating Hydrating Hydrating Hydrating DISINFECTANT TURNED BROWN EMED Disinfectant may turn brownish or yellowish a while after opening This is normal and perfectly OK Itis still excellent for use and you should not replace or exchange in any case Page 6 of 17 A
13. e procedure providing deeper and more precise penetration with more predictable clinical outcomes still extremely safe with reproducible results e AHAs are nice and even work as chemical exfoliations but not at as a consistent effect as the SilkPeel Figure 1 The first histologic slide demonstrates uniform even abrasion to the depth of 30 35 microns within the epidermis on preauricular skin The stratum corneum is removed and portions of the granular layer are also removed in sections Page 7 of 17 infusion APPENDIX B COMPARING MODALITIES AND TOOLS FOR SKIN TREATMENTS II Scientific observations show that SilkPeel helps work the skin barrier down to the correct layer to allow the agents in carefully made solutions 1 become more active or 2 have a more established effect It is obvious that there is mild disturbance in the Odland bodies that allows the SilkPeel to work well No other procedure that is repeatable renewable and quick healing does that Users need to actually understand the true structural layers of skin to understand the difference Probably the deeper effect of AHA depends on these parameters which is not the case with mechanical abrasion like SilkPeel where deeper effects depend on vacuum levels the diamond head grit the product solution being used Salicylic acid helping the abrasive effect Fig 4 This slide demonstrates the edge of treatment for the Silk
14. ectant draws moisture from the Propylene Glycol di Hydrating Brightening Clarifying S D Alcohol 40 B ethanol denatured Solvent anti septic Hydrating Brightening Clarifying Reduces inflammation soothes skin Aloe Barbadensis speeds recovery prevents infection Hydrating Brightening Clarifying anti septic moisturizes Salicylic Acid Organic Carboxylic Treats acne exfoliates can aid in Acid BHA Beta Hydroxy Acid absorption Brightening Clarifying Page 4 of 17 IM Triethanolamine TEA Phonexyethanol Methyl Paraben Butyl Paraben Propyl Paraben Glycerin Arbutin Sodium Hydroxide Morus Nigra Leaf Extract Mulberry Sodium Hyaluronate pure hyaluronic acid Panthenol Alcohol analog of vitamin B5 Pantothenic Acid P ro vitamin B5 Potassium Sorbate Sodium Benzoate Buffer used as Ph stabilizer emulsifier fragrance Preservative Preservative Preservative Preservative Humectant emollient solvent provides lubrication and improves skin s smoothness Natural double action whitening agent infiltrates the skin without affecting the concentration of cell manipulation effectively prevents the activity of Tryronsinase in the skin effectively prevents the formation of melanin Neutralizes strong acids Skin lightening co agent moisturizes Humectant emollient moisturizer when mixed with Allatonin improves skin conditions i e sunburns mild burns and minor skin
15. ed next to each name SILKPEEL HYDRATING FORMULA WATER 86 33 ALOE BARBADENSIS LEAF EXTRACT WATER 98 5 AND SPRAY DRIED ALOE VERA POWDER 200X 0 5 AND GERMABEN II Propylene Glycol and Diazolidinyl Urea and Methyl paraben and Propyl Paraben 1 0 4 PROPYLENE GLYCOL 3 GLYCERIN 2 SODIUM HYALURONATE 2 TRIETHANOLAMINE 0 8 PANTHENOL 0 5 POTASSIUM SORBATE 0 3 SODIUM BENZOATE 0 3 in x 1 Mi l K oT ALGAE EXTRACT AND ARTEMISIA VULGARIS EXTRACT TRIPLE A COMPLEX 0 1 4 ie ov IM GLYCINE 0 1 Py A ALLANTOIN 0 05 Wc ANTHEMIS NOBILIS FLOWER EXTRACT CHAMOMILE EXTRACT ROMAN 0 01 WEN o5 DISODIUM EDTA 0 01 SILKPEEL CLARIFYING FORMULA ACNE amp ABRASION WATER 89 15 PROPYLENE GLYCOL 5 SD ALCOHOL 40B ALCOHOL DENATURED WITH 0 0006 DENATONIUM BENZOATE 2 5 ALOE BARBADENSIS LEAF EXTRACT WATER 98 5 AND SPRAY DRIED ALOE VERA POWDER 200X 0 5 AND GERMABEN II Propylene Glycol and Diazolidinyl Urea and Methyl paraben and P ropyl Paraben 1 0 2 SALICYLIC ACID 0 5 TRIETHANOLAMINE 0 45 PHENOXYETHANOL AND METHYL PARABEN AND BUTYL PARABEN AND ETHYL PARABEN AND PROPYL PARABEN 0 4 SILKPEEL BRIGHTENING FORMULA BROWN SPOTS amp ACTINIC DAMAGE WATER 84 99 PROPYLENE GLYCOL 3 GLYCERIN 3 ALOE BARBADENSIS LEAF EXTRACT WATER 98 5 AND SPRAY DRIED ALOE VERA POWDER 200X 0 5 AND GERMABEN II Propylene Glycol and Diazolidinyl Urea and Methyl paraben and
16. er procedure atleast 30 more than Microdermabrasion e Repeat patients 5 6 weekly procedures and then 1 monthly maintenance e Almost every patient walking in is a good candidate for SilkP eel almost no contra indications besides active acne medicine intake some pregnant women or rare skin conditions Helps level and prepares skin before lasers IP L Tx Keeps patients coming after laser IP L Tx Low Initial Cost less than 3 4 procedures a month to cover purchase price if leased Low per procedure cost less than 10 Euros per procedure dermaceutical solutions treatment tip cleansing product Extremely low maintenance costs actually none whatsoever if system is flushed after every procedure per cleansing procedures VERY COMMON SKIN CONDITIONS Main Indications Acne Dehydrated skin Hyperpigmentation sun and aging photodamage Actinic Keratoses Fine lines Other common uses in combination with other modalities Melasma flakes from Cosmelan Before applying ALA for PDT Tx Before after laser and IP L procedure Before Mesotherapy SilkP eel Price list in the US in average Face only 175 00 200 00 per treatment Face neck 200 00 225 00 per treatment D collet 175 00 per treatment Hands 50 00 or complimentary as an introduction to SilkP eel Back amp Shoulders 225 00 250 00 Arms only 180 00 200 00 Legs 225 00 300 00 Treatment packages 6 face only treatments 875 00 1000 00 including sunscreen from ret
17. kin is disinfected or autoclaved before and after each treatment Never there would be contamination between areas or between two people thanks to self cleaning procedure self disinfection procedure and cleaning of the tips diamonds e Shaving the top layer of the skin in an acneic skin opens the pores and allows the infiltration of Salicylic acid that kills the bacteria INSIDE the area even after the treatment is finished e Acneic skin could be dry apply a last pass with the HYALURONIC BASED HYDRATING solution to help this condition e Dermallnfusion feature actually secures DEEPER penetration and absorption of the topicals inside the papillary dermis which does not usually happen so efficiently with regular abrasion and later application of cream since it does not get to penetrate as well Page 13 of 17 MINO APPENDIX C SKIN CONDITIONS Q amp A III Dry Skin amp SilkP eel Sodium Hyaluronate pure hyaluronic acid and the other ingredients within the HYALURONIC BASED HYDRATING solution help moisturize and hydrate the skin in the long term The effectiveness of the penetration of the materials into the skin are cumulative and could not be achieved with just one time application or a stay of 24 hours Small quantities of the solution are probably active in the papillary dermis for at least one week gt Asa fact when you repeat the SilkP eel treatment every week to 10 days or every 3 4 days for active acne
18. led over the skin Can be very gentle on older sensitive skin flaky and crusted areas wet abrasion with flushing and safe removal of dead skin or in a more aggressive and abrasive way for rough areas changing diamond grit and vacuum settings Microdermabrasion handpieces clog and are 8 unsafe in the hands of a non competent operator as it penetrates too deep or not enough user dependent e Even more dramatic results when used in the Lymphatic Drainage modality Microdermabrasion cannot be used in this modality Self cleaning system the only system to clean itself out completely and flushes itself in automatic mode after every treatment and at the end of the day Microdermabrasion does not clean itself and cleaning takes time is it completely clean and safe to use in between patients Never clogs Diamonds treatment tips and handpiece are autoclavable and safe to re use Topicals are OTC grade low concentration over the counter cosmetics and safe for every skin condition still very potent thanks to the deep penetration and absorption simultaneously with abrasion Short recovery time 20 minutes Used INSTEAD of laser procedure when laser IP L procedure is either too expensive or patient is not interested in long recovery time un Stratum Or BEFORE a laser IPL treatment Stratum spinosum corneum to keep patient with clinic and Stratum basale Page 11 of 17 IM promote the laser pro
19. more important after any skin treatment when top skin layer has been removed MPORTANT Contraindication to SilkP eel treatment is when people are using ACCUTANE or the like for A medicine that makes skin very fragile v 4 Also allergies to Salicylic acid aspirin Page 12 of 17 IM D ACC infusion APPENDIX C SKIN CONDITIONS Q amp A II Active Acne amp SilkP eel SilkP eel treatments are safe and recommended to use with active acne in consult with the physician on board e Remember that SilkP eel is unique in providing wet abrasion or Dermallnfusion which means the handpiece is moving over the skin is constantly wet with SALICYLIC BASED CLARIFYING solution Salicylic acid is the best agent to kill the bacteria There is not any cross contamination from one area to the other since the tip of the handpiece is constantly actually treating the areas and not leaving behind living bacteria or else gt when moving along the tip of the handpiece acts as an aspiration probe that takes back into the waste jar every piece of skin and whatever material it finds on the surface of the skin or which it peels off the stratum corneum gt There is not any residual like other machines would have which is left on the top of the skin or that s been moving around to other areas after the treatment Every element of the handpiece that have been in contact with the s
20. sically the same Sold to every salon and aesthetician would the doctor want to compete with a nail salon are his patients expecting more of a clinical treatment when coming to the doctor s office e Non invasive SAFE Microdermabrasion can be invasive if penetrates blow 100 microns operator mistake and very unsafe for operators and patients breathing particles getting them in the eyes and ears e Very precise peeling of outer layer of skin user choice of 2 parameters vacuum negative pressure topicals flow and diamond grit 9 grades Microdermabrasion is NOT precise and only very well trained operator can get even exfoliation most of the time how much anyway e Non user dependent operator can stay on skin any number of minutes use a slow or fast movement can push or pull gets exactly same peeling depth and efficacy Microdermabrasion is user dependent will penetrate MORE if handpiece stays longer on skin real deep wounds less if you move too fast uneven and non controllable penetration e Wetabrasion Microdermabrasion is DRY abrasion Microdermabrasion is drying the skin even further leaving microscopic particles of aluminum oxide within the skin for days and weeks at a time Microdermabrasion cannot be used in localities where air is humid Florida or in wet conditions when skin NEEDS to be wet or flaky or dry anyway 75 of stratum corneum removed e clogging Microdermabrasion systems clog all
21. tated on pages 16 17 of the SilkP eel Operator s Manual Which states they are 1 to be soaked in emed disinfectant 2 scrubbed with an enzymatic detergent and then 3 autoclaved If the head is soaked in anything other than the disinfectant or enzymatic detergent emed can not uphold the life time warranty This alternative cleaning method can also damage the heads rust them or cause the diamonds to fall off the base due to corrosion of the adhesive Also if the heads damages are not noticed right away and the diamonds have started to lift the operator can Cause scratches on the patient Never good WARNING The main active in sterilants is Gluteralderhyde this is the chemical that breaks down the adhesive and ruins the diamond heads It is best practice to inform your accounts in the future that sterilant in general are NOT acceptable in cleaning the treatment heads In general it is prohibited to soak the treatment heads in a liquid sterilant containing Gluteralderhyde to clean them Disinfectant vs Sterilant A sterilant kills removes and destroys all microorganisms A disinfectant destroys the bacteria inside the microorganism neutralizing it but it is still there This difference is extremely important to physicians Which is also why they soak in the disinfectant then autoclave for sterility Page 16 of 17 m AT EL infusion APPENDIX E SILKPEEL DERMALINFUSION BUSINESS ASPECTS Basic Data e Price p
22. the time for many reasons wet area humidity in the air batch of particles tubing fails etc e Non particulate NO mess prevents the non healthy part of breathing the Aluminum Oxide particulates diamond peeling wet abrasion no particulates in the air Microdermabrasion users will testify that they hate using the system for more than 1 treatment a day Feel bad with breathing eyes are red and itchy scratches in cornea Alzheimer Precision Non Invasive Exfoliation with Dermallnfusion Topical Solutions for Dehydration Hyperpigmentation and Acne e Precise Abrasion or exfoliation of Stratum Corneum up to 35 microns in 1 pass while SIMULTANEOUSLY deep delivery of skin specific topical solutions to improve and revitalize skin Microdermabrasion does abrade an uneven layer of skin sometimes too deep and up to dermis user dependent and cannot be used in combination with simultaneous topical application e be used where other systems or technologies will be contra indicated i e dry skin acne flaky and sensitive skin Microdermabrasion lists dry skin and acne as contra indications Microdermabrasion shall never be used to remove wet flaky or crusted skin or in combination with ALA application and else e Safe and recommended to use on large and small areas NOT only for the face Extends treatment areas to chest upper arms and hands upper backs necks and feet Microdermabrasion is used primarily for the face
23. with SilkPeel the SilkPeel also works at the deeper layers and the effect is quite similar to lower concentrations of AHA and not only superficial Working deeper it actually increases cell turnover and influences the structure of new stratum corneum being made This results in skin that is more flexible more smooth and more even in tone We see similar effects in cumulative and frequent use of the SilkPeel TI i2 m 5 Fh MIO Eventually s nem acids and SilkPeel Dermallnfusion effect of 5 6 treatments will produce skin that is softer smoother less wrinkled less dehydrated and more even in skin tone No sand no paddles no vibration no limitations Clinical studies have documented even abrasion across the treatment area and rapid hydration into the underlying cells Whether your patients concerns are dehydration hyperpigmentation PIH or acne SilkPeel s proprietary topical dermaceuticals address all skin types and a wide range of dermatologic conditions Page 9 of 17 TM r DEN ACC infusion APPENDIX B COMPARING MODALITIES AND TOOLS FOR SKIN TREATMENTS VI GENERAL FEATURES AND BENEFITS IN COMPARING WITH MICRODERMABRASION e Dermal Infusion is NOT Microdermabrasion e New patented unique modality combines non invasive exfoliation with deep delivery of skin specific dermaceutical solutions for deep and long term absorption Microdermabrasion has been around for 15 years ba
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