Procedimiento Aprobado por la FDA en los USA desde el año 2002* Sobre el Thermage™ Seguridad Procedimiento Aprobado por la FDA en los USA desde el año 2002* >80 Paises >2200 Médicos ~450,000 Procedimientos Slide 9: About Thermage “Thermage is an FDA cleared procedure for the non-invasive treatment of wrinkles, including the upper and lower eyelids. It is used for tightening and contouring the skin on the face, eyes, lips, tummy, thighs, arms, hands and buttocks. Anywhere where there is lax skin. Thermage is also FDA cleared for the temporary improvement in the appearance of cellulite. We’ve been in the market place for over 5 years. We have over 2,200 clinicians performing Thermage procedures in over 80 countries. To date about 450,000 procedures have been performed. Our safety profile is excellent – and we have many clinical studies that support the procedure in terms of efficacy and safety.” [CLICK] Clínicamente Seguro Sustentado por estudios Clínicos * General clearance in 2000. Aesthetic clearance in 2002. ** FDA cleared for the non-invasive treatment of wrinkles and rhytids, including upper and lower eyelids ** FDA cleared for the temporary improvement in the appearance of cellulite

Como Funciona Thermage? Slide 10: How does Thermage Work “So, how does Thermage work? Before I go into the procedure let’s talk a little about how skin ages.” [CLICK]

en las capas profundas de la piel Capa de piel Bandas de Colágeno Músculo Slide 12: Animation and After photo “Here’s a women whose skin is starting to sag as she ages.” [CLICK] El Thermage™ es una técnica revolucionaria de aplicación de Radio Frecuencia en las capas profundas de la piel

Con la edad las capas de colageno disminuyen Antes del tratamiento Capa de piel Bandas de Colágeno con laxitud Músculo Slide 13: Animation and Before Photo “You can see as her collagen stretches she has sagging jowls, her jawline becomes less defined. Her skin texture has changed.” [CLICK] Con la edad las capas de colageno disminuyen

Con una sola sesión de traqtamiento las fibras de colágeno se estiran Luego del tratamiento Capa de piel Bandas de Colágeno estimulada Músculo Slide 14: Animation and After Photo “After the Thermage treatment you can see how that jawline has nicely tightened, this whole area around the neck has tightened up and her overall skin texture has improved.” [CLICK] Con una sola sesión de traqtamiento las fibras de colágeno se estiran

Profundidad del tratamiento Tejido Celular Subcutaneo Dermis Epidermis Músculo Zona de acción del Laser Zona de acción de Thermage Slide 15: Depth of Heating “This slide shows you the depth of heat penetration of Thermage. The diagram of the skin reflects the three layers of skin, the deepest layer being the fat layer. The strands that flow through the fat are filled with collagen. [CLICK] While many lasers you may be familiar with penetrate to the dermal layer, Thermage also penetrates deep into the fat layer to tighten these collagen strands which results in the contouring effect many of our patients experience and which you’ll see later in the photographs.”

Thermage Thermage es un procedimiento SEGURO NO INVASIVO Efectos secundarios muy esporádicos: Enrojecimiento Hinchazón Efectos secundarios descritos: Ampollas Nódulos Superficies irregulares Slide 19: Thermage “Thermage is non-invasive and has an excellent safety record – over 99.6%. Although very rare, like all medical procedures there are some possible side effects, listed here.” [CLICK]

Resultados UN SOLO Tratamiento Respuesta inmediata en el 60% Resultados mejoran con el tiempo Resultados muy sutiles Estiramiento de la piel, contornos definidos Mejora la calidad y textura de la piel Resultados a largo plazo Respuesta depende de la edad y condición de la piel de cada paciente Slide 20: Results “Thermage is a single treatment. You may see some immediate response after the treatment. But ladies this is the best part. As a result of the procedure, new collagen continues to renew over the next 6 months. That means the mirror will continue to reflect improved results over time. Unlike surgery where results are expected to be more dramatic, a Thermage procedure is subtle, so it can be your secret. Friends may say it looks like you’ve just gotten back from vacation, or you look less tired, or you’ve lost weight! Some of the results you can expect are: tightening of your skin, improvements in skin texture, contouring around the face, or other areas of the body. And the results are long-lasting and could last for years, depending upon your skin’s natural aging process. Depending on your skin type, and many other factors, such as skin care regimen, individual results will vary.” [CLICK]

Candidatas Espectativas Apropiadas Leve a Moderada laxitud de la piel Piel arrugada, Caida de parpados moderado Espectativas Apropiadas Leve a Moderada laxitud de la piel Piel Arrugada Edad: 35-65 años Pliegue naso labial Moderado Face by Thermage is for those patients who desire smoother skin texture, a reduction in fine lines and wrinkles, tighter skin all over the face and defined contours along the jawline. Most important is that they must have the right expectations. This patient has mild to moderate skin laxity. You can see some fine lines around her eyes. She has a moderate nasolabial fold, her jawline is beginning to lose its definition, and she has a moderate amount of laxity in the submental area. Linea del mentón y laxitud sub mentoneana Moderadas Contraindicaciones: Marca Pasos, Implantes coroprales

Mejoría Leve Antes Pretratamiento 3 Meses Post Tratamiento This patient was treated just in the lower face and neck area. This is an example of moderate improvement. This patient has some significant tightening in her submental area. All before and after photos are un-retouched. Results vary depending on age and skin condition Treatment by Richard Fitzpattrick, M.D.

Buen resultado 5 Months Post Treatment Pretreatment This patient was treated mid and lower face and has a good improvement in her skin texture and nasolabial fold. Her jawline is more defined and her submental laxity is reduced. All before and after photos are un-retouched. Results vary depending on age and skin condition Treatment by Rebecca Euwer, M.D.

Buen resultado 5 Months Post Treatment Pretreatment This patient had a great overall improvement in skin texture, her nasolabial folds and marionette lines are reduced and her submental laxity reduced. All before and after photos are un-retouched. Results vary depending on age and skin condition Treatment by Michael Kaminer, M.D.

Resultado Dramático 7 Months Post Treatment Pretreatment This patient has a dramatic improvement 7 months after her treatment. She has great contouring along her jawline and reduced submental laxity. Her nasolabial folds and marionette lines are significantly reduced and her eyes look more open and lifted. All before and after photos are un-retouched. Results vary depending on age and skin condition Treatment by Majid Bashy, M.D.

Areas más sensibles al tratamiento 6 Months Post Treatment Areas más sensibles al tratamiento Areas sensibles You need to be aware of potentially sensitive areas and nerve locations so you can adjust the power settings if needed.

“Cambios visibles durante el tratamiento This slide showing the treatment of half a face demonstrates visible skin tightening. Area No Tratada Area Tratada Susan Kilmer, M.D. All before and after photos are un-retouched. Results vary depending on age and skin condition

“Cambios palpalbles durante el tratamiento Area Tratada Area No Tratada This picture demonstrates a physician palpating the skin to look for tightening and a change in fullness. Flor Mayoral, M.D. All before and after photos are un-retouched. Results vary depending on age and skin condition

TRATAMIENTO FACIAL CON THERMAGE Slide 21: Title page for Face by Thermage results “So now we’re going to show you some before and after photos of actual Thermage patients, starting with the face. Results vary from subtle to dramatic, depending on your age and skin condition, as these pictures will show you.” [CLICK]

Immediate Post Treatment Before Thermage Immediate Post Treatment Slide 22: Before and After – Face [CLICK to reveal after photo] “The main reason I want to show you this picture is that this is a patient who has just completed her treatment. You can see she has no reason not to go right back to work, or out for a coffee with her friends. As you can see with this patient, immediately post treatment, there’s no redness or swelling – she doesn’t need to hide out at home for a few days. For most patients, any redness or swelling is short-lived.” [CLICK] Michael Kaminer, MD Individual results vary depending on age and skin condition.

Before Thermage 6 Months Post Thermage Flor Mayoral, MD Slide 23: Before and After – Face “Here is an example of a patient treated in just the mid and lower face area. [CLICK to reveal after photo]. The after picture is 6 months after treatment. You can see her cheeks look less heavy, her jawline is much more defined and you can see that she has some nice tightening below her chin, the “waddle” area is very much reduced. The result is natural looking and subtle. I think you’ll agree she has a nice look.” [CLICK] Flor Mayoral, MD Individual results vary depending on age and skin condition.

Before Thermage 6 Months Post Thermage Flor Mayoral, MD Slide 24: Before and After – Face “This patient has some wrinkles and lines, these lines here below the corners of her mouth we call marionette lines. [CLICK to reveal after photo]. She has very nice improvements. You see these marionette lines are softened, her jawline is more defined. Overall her skin tone and texture is improved.” [CLICK] Flor Mayoral, MD Individual results vary depending on age and skin condition.

Before Thermage 6 Months Post Thermage Mark Nestor, MD Slide 25: Before and After – Face “Unlike many lasers, Thermage is color-blind – so we can treat all kinds of skin types. This patient was treated in just the mid/lower face area. [CLICK to reveal after photo]. This after photograph is 6 months after treatment. You can see she has some very nice tightening in her cheek area and a reduction in these lines ( we call these nasolabial folds) here. Her jawline is contoured and looks more defined. I think you’ll agree that this photograph nicely shows the change in skin texture in this patient.” [CLICK] Mark Nestor, MD Individual results vary depending on age and skin condition.

Before Thermage 4 Months Post Thermage Michael Kaminer, MD Slide 26: Before and After – Face “This patient wanted a refreshed, younger looking appearance. [CLICK to reveal after photo] Four months after the procedure, her skin texture has improved, the marionette lines have diminished and the loose skin under her chin has tightened up. She was quite happy with her results.” [CLICK] Michael Kaminer, MD Individual results vary depending on age and skin condition.

Before Thermage 2 Months Post Thermage Rebecca Euwer, MD Slide 27: Before and After – Face “Here is another patient who was treated in just the mid/lower face. [CLICK to reveal after photo] She has some nice smoothing and tightening in the cheek area and her jawline is contoured and more defined.” [CLICK] Rebecca Euwer, MD Individual results vary depending on age and skin condition.

Before Thermage 9 Months Post Thermage Ruth Hillelson, MD Slide 28: Before and After – Face “Male patients can also benefit from a Thermage procedure. [CLICK to reveal after photo] Wouldn’t you agree that he has had some nice tightening and contouring affects along his jawline and under his chin?” [CLICK] Ruth Hillelson, MD Individual results vary depending on age and skin condition.

Before Thermage 7 Months Post Thermage Ben Hugo, MD Slide 29: Before and After – Face This patient had just the beginnings on loose skin under her chin. [CLICK to reveal after photo]. This photo was taken 7 months after treatment. You can see she has tightening and more definition along the jawline. The small bulge under her chin has been reduced and she has al overall less heavy look. [CLICK] Ben Hugo, MD Individual results vary depending on age and skin condition.

Before Thermage 10 Months Post Thermage Nellie Gauthier, MD Slide 30: Before and After – Face “This patient wanted her whole face, neck and periorbital done. [CLICK to reveal after photo]. This after photograph is 10 months after treatment. You can see a lifting of her eyebrow from tightening in the periorbital area. Her jawline is sharper and her cheek is lifted. There is a reduction in the loose skin under her chin. She has an overall younger look and the texture of her skin has improved.” [CLICK] Nellie Gauthier, MD Individual results vary depending on age and skin condition.

Before Thermage 3 Months Post Thermage 10 Months Post Thermage Slide 31: Before and After – Face “This is the same patient but what I would like to show you a different photo angle and the progression of improvement. [CLICK to reveal after photo]. This photograph was taken just 3 months after her treatment. You can see her brow is already started to lift and the reduction in the lax skin under her eyes can be seen from this angle. [CLICK] This photograph is 10 months after treatment. You can see additional lifting of her eyebrow from the 3 month results and additional improvement in the under-eye bags. She looks much less tired 10 months after treatment.” Nellie Gauthier, MD Individual results vary depending on age and skin condition.