clinician training

Clinician Training

MK3236B

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Clear + Brilliant® Overview

Clear + Brilliant helps:

• PREVENT and address early signs

of aging skin

• MAINTAIN what your patients love

about younger-looking skin

• IMPROVE tone, texture and radiance

• AFFORDABLE treatment with

minimal downtime

Indications for use include dermatological procedures requiring the coagulation of soft tissue and general skin resurfacing procedures.

Clear + Brilliant® Overview

• Proactive treatment

• Maintain what they love

• Affordable

• Quick with minimal

discomfort

• Little to no downtime

• Enhanced skin care

continuum

"I figure I have only

one skin so I'd better

start taking care of it."

"I don't have

wrinkles yet,

but I am

determined to

take care of

my skin now!"

"I’m looking for anything to

make my skin luminous and

healthy again. Nothing at

home is working."

“I’m only 33…

where’s my

glow?"

Clear + Brilliant® Overview Integrated Skincare +

Original Perméa™

Surgery

Where does Clear + Brilliant® fit? Continuum of Care

Facials,

Peels Injectables Transformative

Procedures

Position for Success

Clear + Brilliant® helps:

• PREVENT and address early signs of aging

• IMPROVE tone, texture and radiance

• MAINTAIN what your patients love

• AFFORDABLE procedure

• ALTERNATIVE procedure for existing patients

• INCREMENTAL procedure to offer all patients


Patient Profiles Shelly, 26

• Uses skincare products and

sunscreen, gets facials

• Has tried microdermabrasion and

chemical peels

• Doesn’t have textural

irregularities… yet!

Shelly needs to be proactive in her skin care:

• Continue current skin care regimen

• Add Clear + Brilliant® treatments to microdermabrasion

“What else can I do for my skin?”

*Model

Patient Profiles Jeanine, 31

• Wants radiant skin without

risk and downtime

• Doesn’t want to use injectables

• Getting all she can from

chemical peels

Jeanine needs elevated continuum of care:

• Continue current skincare regimen

• Add Clear + Brilliant® treatments to chemical peels

“I want more but don’t have a lot of free

time. What can I get for a radiant glow?”

*Model

Patient Profiles Sarah, 37

• Takes care of her skin, but

has years of photo damage

• Is new to laser procedures

• Wants long term results with little

downtime

Sarah needs a comprehensive regimen:

• Continue at home skin care

• Clear + Brilliant® Perméa™ treatments

“I have some sun damage. Is there

anything I can do to even out my tone?”

*Model

Patient Profiles Diane, 43

• Uses professional skincare products

• Started Botox®/fillers a few years ago

• Will receive benefits from a more

aggressive treatment

Diane needs a treatment to bridge the gap:


• Supplement Botox®, fillers with Clear + Brilliant®

“I’m not ready for a big laser treatment just

yet – is there something else you can offer me?”

*Model

Patient Profiles Caroline, 50

• Uses professional skin care

products, Botox®/fillers and peels

• Received a series of Fraxel® laser

treatments in the past

Caroline needs maintenance care:


• Offer Clear + Brilliant® to maintain results from Fraxel

“I need a refresher for my skin.

Is there an affordable option?”

*Model

Clear + Brilliant® Procedure Ideal Candidates

• Realistic expectations

– Proactive care to help prevent

– Maintenance after corrective procedures

– Tone and texture improvements

– “I just want my skin to look good”

*See Instructions for Use for contraindications, considerations and other important safety information.


Clear + Brilliant® Procedure Contraindications / Considerations*

• Contraindications

– Actinic keratosis, melasma, rosacea, other skin conditions (e.g. skin cancer, active

infections, cold sores, open wounds, rashes, burns, inflammation, eczema, psoriasis)

– Predisposition to keloid formation or excessive scarring

– Compromised immune system (e.g. HIV, lupus, scleroderma, systemic infections)

– Sensitivity to light; use of photosensitizing agents/medications

– Systemic steroids

– Retinoids should be avoided at least 2 weeks prior to treatment

– Isotretinoin (Accutane®+) treatment or drugs in a similar class

– Skin recovering from a cosmetic procedure

– Botox injections or dermal fillers 2 weeks prior to treatment

• Considerations

– Predisposition to post inflammatory hyperpigmentation (PIH)

– Active tanning, UV exposure

– Medication which may affect coagulation, predispose patients to petechiae

– No studies on cosmetic tattoos, pregnant or nursing mothers or silicone implants

*See Instructions for Use for contraindications, considerations and other important

safety information. Appropriate medical judgment should be exercised at all times. +Accutane brand is no longer available.

Managing Patient Expectations Results

• Uniform skin tone

• Improved texture

• More radiant skin

• Minimized pore size appearance

• Skin that looks and feels clear and brilliant

• Immediate and progressive – improves over

multiple treatments

In a clinical study, 100%* of patients

reported improvements in their skin

*Data on file. N=28; 100% reported improvements after multiple sessions

Managing Patient Expectations Treatment Experience

• Multiple treatments are ideal

– Spaced 2-4 weeks apart

• Maintenance treatments, as desired

• Appointment will take approximately

35-60 minutes Depends on treatment area(s)

– Topical anesthetic agent: 15-30 min

– Procedure time: 20-30 min

Most patients describe an increased sensation of heat or

“prickling” during treatment

Managing Patient Expectations Minimal Social Downtime

Minimal Social Downtime

• Redness, subtle inflammation

immediately after treatment

– Commonly resolves within a few hours

– May last until the following day in some

patients

• Social downtime varies from patient

to patient

Avoid direct sun exposure

Wear sun block and hats when outside

Procedure Preparation

Clear + Brilliant® Procedure Supplies Needed

PERMÉA™ ONLY

*SkinCeuticals kits available in U.S. and Canada Markets only

• Help PREVENT and address

early signs of aging skin

• MAINTAIN younger looking skin

• Focused on:

– Skin texture

– Skin elasticity

– Minimized pore appearance

– Longer-term improvements

through collagen remodeling

Clear + Brilliant® Procedure Choosing the Correct Handpiece



* Based on Ex-Vivo Study. Data on File.

• IMPROVE tone and radiance

• MAINTAIN younger looking skin

• Focused on:

– Visibly Illuminated Skin

– Even Uniform Tone

– Enhanced Skin Permeability*

– Laser followed by Topical

Skincare Regimen

PREVENT

MAINTAIN

Texture

Minimized

Pore Appearance

Tone

IMPROVE

Radiance

Permeability

Original


Perméa™

Clear + Brilliant® Procedure System Preparation

Post laser warning sign

Place handpiece in cradle Automatically performs self-test

Power system “on”

Clear + Brilliant® Procedure Patient Preparation

Set expectations in consultation

Have patient sign consent form

Remove makeup and jewelry

Take before photos Check vertical tilt and horizontal rotation

Align tip of nose with edge of cheek

Gaze is eye level

Topical Anesthetic Agents

• Office staff should be educated on topical anesthetics

• Develop office protocols

– Application technique, duration, removal

– What to do in emergency

– Emergency supply kit

• Adhere to prescribing information for topical anesthetic


Apply topical anesthetic Wait approximately 15-30 min (physician discretion)

Remove completely with dry gauze pad. Wipe skin

with alcohol or witch hazel and allow to dry.

SKIP THIS STEP FOR PERMÉA™ TREATMENTS


Class 3R Laser Safety

• Laser warning signs

• Laser goggles for staff

– Proper optical density (OD) eyewear for laser wavelength

• Patient eye protection (not plastic)

• Never point the laser at anything other than intended tissue

target

Provide patient protective eyewear Not plastic

E.g. disposable and non-disposable laser eye shields*

*Used by practitioners skilled with the use of C+B and similar lasers; sample suppliers include (but are not limited to) Glendale Laser,

Kentek Corporation, Lasermet Limited, Oculo-Plastik, Inc.

Procedure Guidelines

Clear + Brilliant® Procedure Treatment Preparation

• Single-use treatment tips

• Preset for 800cm2 surface area coverage or 40 minutes,

whichever comes first

• Average treatment time: 10 minutes for face; 5 minutes for neck Tip

Deta

ils

Clear + Brilliant® Procedure Treatment Levels

To pause or change

level during treatment:

• Deactivate laser

Press laser

activation button

Place handpiece in

the cradle

• Display will return to

Level Selection

screen

• Fractional Diode laser

• Spot size: 140μm – fixed

• Patented IOTS

Clear + Brilliant® Technology Handpiece Specifications

*Coverage assumes 4 total passes

Clear + Brilliant® Procedure Pattern Preview Test

• Use eye protection

• Perform only 1 pass for the test

– Visualize laser pattern on burn

paper, or peel back laminate for

closer inspection

– If lines are missing, do not

perform treatment; contact Solta

Product Support

Clear + Brilliant® Procedure Handpiece Technique

• Position treatment tip perpendicular to the skin

– Ensure that both rollers are in full contact with the skin

Clear + Brilliant® Procedure Handpiece Speed

Visual indicator light:

No sound Also applies when HP is not moving

Visual indicator light: BLUE

Constant tone

Use smooth, controlled movements 100% of treatment delivered

Visual indicator light: RED

High-pitched tone Less than 50% of treatment delivered

Clear + Brilliant® Procedure Treatment Areas

Forehead

Lower right Lower left

Treatment Technique: Original 50% overlap, 4 total passes

1. 2 VERTICAL passes in the

same line

2. Overlap 50% and repeat

3. Cover entire area

Alternative Techniques:

- 2 horizontal passes

- 1 vertical + 1 horizontal

Move to the next treatment area. Repeat steps 1 and 2 for all treatment

areas until entire area is treated.

Apply cooling gel or cooling pack to treated area.

(optional)

Treatment Technique: Perméa™

50% overlap, 4 total passes

1. 2 VERTICAL passes in the

same line

2. Overlap 50% and repeat

3. Cover entire area

Alternative Techniques:

- 2 horizontal passes

- 1 vertical + 1 horizontal

Apply 1-2 drops of topical directly to the treated area and gently

spread over the entire area using fingertips.

Move to the next treatment area. Repeat steps 1 and 2 for all treatment

areas until entire area is treated.

Clear + Brilliant® Procedure Additional Passes / Procedure Finish

Perform additional 2-4 passes where

necessary or desired, such as

problem areas shown here.

Apply Biocellulose

Masque for Perméa

treatments (optional)

STEP 4 APPLIES TO PERMÉA™ TREATMENTS ONLY

Treat off-face areas as necessary or desired, such as hands, neck,

and décolleté, using extra time available on the treatment credit.

Clear + Brilliant® Procedure

TIME: 40 Minutes

PERCENT: 800 cm2

Treatment Surface Area

As the treatment

progresses, tip life

counts down from:

Post Treatment and Follow-up

Clear + Brilliant® Procedure Expected Post-Treatment Experience

Some patients have experienced an itchy sensation or slightly more sensitive skin

Clear + Brilliant® Results Healing Progression Photos

Before Original 1 Day Post Treatment Immediately Post

Photographs courtesy of Solta Medical Aesthetic Center. All photos are un-retouched. Results may vary.

Clear + Brilliant® Results Healing Progression Photos

Before Immediately

Post Treatment

“Felt redness very next day and

felt dryness for a while”

“A little puffy around my eyes”

“A little red and rough to the

touch”

1 Day

Post Treatment

“Skin peeling and no dryness”

“Skin has a rough texture”

“Skin feels a bit scaly”

2 Days

Post Treatment

“Skin is much smoother”

“Rough skin starting to flake off”

“Complexion is starting to look

better”

3 Days

Post Treatment

“Brightened skin tone”

“Make-up goes on so much

smoother!”

“Skin just looks better”

4 Days

Post Treatment

“Clearer skin and pores are

tighter”

“Skin is much smoother”

“There is a glow to my skin!”

1 Week

Post Treatment

“Short downtime & smoother,

tighter skin after treatment”

“Everything just looks better”

“Tone is even, more natural!”

2 Weeks

Post Treatment


Clear + Brilliant® Procedure Potential Side Effects and Complications

Clear + Brilliant® Procedure Post-Treatment Instructions for Patients

Post-Treatment Care

• Allow skin to heal; do not rub, scrub or exfoliate

• Use bland moisturizer and mild cleanser

• Avoid exposure to sunlight

• Use SPF 30+ sunscreen daily

• Use SkinCeuticals Home Care Recovery

System* (Perméa™ treatments only)

• Make-up can be used to lessen the appearance of redness

• Ice packs can be used for swelling, heat sensation and

itching sensation

*Available in U.S. and Canada Markets only

Clear + Brilliant® Procedure System Cleaning Instructions

Treatment Tip Removal

• Remove by squeezing the

sides of the tip

• Discard the tip according to

your local regulations

• Secure handpiece back in the

cradle or place in storage case

• Clear + Brilliant treatment tips are single-use and should be

disposed of after each treatment.

• Do not use acetone on the tip as this may cause damage

preventing the tip from functioning properly.

Clear + Brilliant® Procedure System Cleaning Instructions

Handpiece

• Wipe exterior surface and sealing window (take care) with

70% alcohol solution or Cavi wipes

– Use an alcohol prep pad or moisten a gauze pad (do not soak)

Exterior Surfaces

• Wipe console surfaces and exterior chassis with a soft cloth

– Use a mild cleansing solution (e.g. 70% alcohol solution)

• Clean display screen with antistatic glass or plastic cleaner

• Allow the handpiece window to completely dry before treatment.

• Do not use harsh detergents or acetone to clean the handpiece

or exterior surfaces, including the console.

• Do not pour cleaning products directly on the system and/or

handpiece, as this could cause damage.

Patient Results

Before Clear + Brilliant Original 1 Month Post 6 Treatments


Clear + Brilliant® Results Before and After Photos

Be

fore

C+

B O

rig

ina

l 1

Mo

nth

Po

st

6 T

rea

tme

nts


Clear + Brilliant® Results Before and After Photos


Clear + Brilliant® Perméa™ Results Before and After Photos

Before Perméa (followed by C E Ferulic®) 1 Week Post 6 Treatments



Before Perméa 1 Week Post 6 Treatments



Before Perméa (followed by C E Ferulic®) 1 Week Post 6 Treatments

Thank You

MK3236B © 2013 Solta Medical, Inc. All rights reserved. Clear + Brilliant, Clear + Brilliant Perméa, and Fraxel are registered trademarks of

Solta Medical, Inc. or its subsidiaries. Other names and brands may be claimed as the property of others.

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