JAN-FEB 2016

MedEsthetics—business education for medical practitioners—provides the latest noninvasive cosmetic procedures, treatment trends, product and equipment reviews, legal issues and medical aesthetics industry news.

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Page 23 of 67

LESS IS MORE 22 JANUARY/FEBRUARY 2016 | Med Esthetics treatment available in selected markets in August 2015. According to company brochures, local anesthesia takes care of the pain so all the patient feels is slight suction and some warmth from the handpiece. There is some swelling and redness, and patients may experience some soreness for a day or two but most can resume normal activities the same day. The company calls the launch of miraSmooth a perfect addition to plastic surgery and dermatology practices looking to offer their patients the latest in aesthetic procedures. "There are very few good options for patients with lighter hair," says Dr. Ross. "The microwave device might represent a good opportunity for patients looking for hair reduction in the axilla." Dr. Seiler is considering purchasing the miraDry, but says he would use it primarily to treat sweating and not for hair reduction. "You do see some hair reduction with the miraDry," he explains, "but treatments are relatively painful and expensive compared to other devices. "Before investing in any hair reduction laser, you fi rst need to learn the physics of the device and how it affects all types of skin. Don't just rely on what sales reps say. You want a device with enough energy to kill the follicle quickly and safely," continues Dr. Seiler. "Second, let your clientele guide your purchase. If you can purchase only one device, a diode laser wavelength with a novel linear scanning approach with integrated contact cooling. The Clear + Brilliant pélo also offers the fastest and largest treatment area available (50mm by 15mm) compared to other diode lasers. "I would say that over the last fi ve years devices and technology have continued to improve, but there were no major innovations until this year," says Jeremy Brauer, MD, of Laser & Skin Surgery Center of New York, referring to the miraDry, which gained FDA approval in July 2015 for the treatment of unwanted underarm hair and permanent reduction of underarm hair of all colors. "What makes this technology unique is that hair reduction is not achieved by targeting the pigmentation of the hair, but instead the level of skin where the hair resides. It is the fi rst device that allows the physician to target axillary hair of all colors in patients of all skin types, achieving reduction of up to 70% in just one to two treatment sessions," says Dr. Brauer. "This is signifi cant, as we usually recommend at least fi ve laser treatments to achieve similar results. While its role within the space has yet to be fully explored or defi ned, I think it is a signifi cant adjunct and is at least complimentary to the existing armamentarium." Miramar Labs began a roll-out of the miraDry device with the introduction of the miraSmooth underarm hair removal The introduction of the miraSmooth procedure offers a new axilla hair removal option for patients of all skin types. © GETTY IMAGES

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