excel HR™ 21st Century Hair Removal

Nd:YAG• 1064 nm• Skin Types I-VI• Safest wavelength for

darker skin and tanned patients

• Effective on dark, coarse hair

Pulsed Light (IPLs)• 590 to 1200 nm• Skin Types I-V; best for light

skin and dark hair• Shallower penetration –

deeper, thicker hairs not treated as effectively

• Less precise – can lead to heating of skin pigment

Alexandrite• 755 nm• Skin Types I-V; ‘gold standard’

for I-IV• More effective for finer, lighter

hair• Most globally requested,

trusted and utilized wavelength

Diode Laser• 800, 810 nm• Skin Types I-III; less for IV, V• Peak Power/Brightness is a

fraction of Nd:YAG/Alex lasers – can be less effective on finer, lighter hair

• Blind to treatment area

Hair Removal Light Source Comparison

CUTERA’s excel HR redefines effective, safe and comfortable laser hair removal

for the 21st century

TechnologyHigh-powered proven Alex,

Only true long pulse Nd:YAG

TechnologyHigh-powered proven Alex,

Only true long pulse Nd:YAG

VersatilityAll Skin Types,

Superior for Leg Veins

VersatilityAll Skin Types,

Superior for Leg Veins

Performance

High-Powered 755 nm / 1064

nm laser

Performance

High-Powered 755 nm / 1064

nm laser

Introducing excel HR! Advanced 21st Century Hair Removal

ComfortSuperior Sapphire

Contact Cooling

ComfortSuperior Sapphire

Contact Cooling

Thoughtfully engineered to meet the needs of customers that have high-volume hair removal practices, and

want to treat all skin types

• Versatile, High Performance High-Power 755 nm Alexandrite + Versatile 1064 nm

Nd:YAG Effectively treats ALL skin types Easily set 3 –18 mm spot sizes optimized for hair

and vascular

• Rapid, powerful energy delivery Coverage rate 5.1 cm2/sec (755 nm) truPulse™ consistent long pulse energy delivery

(1064 nm)

• Comfortable treatments with Sapphire contact cooling

The only high power Alex product on the market with contact cooling

Effective, safe, comfortable Superb visibility of treatment site

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excel HRAdvanced 21st Century Hair Removal

Compact & Modern Design• Small footprint• Quick start up• Runs quiet and cool• Plugs into 220v

No Disposables or Consumables• No consumables, no CFC’s,

no per shot, per patient costs

Intuitive User Interface• Easy to navigate

parameters

Real Time Calibration • System continually

monitors laser output to ensure each laser pulse is exactly the same.

• No waiting for calibration

High-power Alexandrite and Long-pulse Nd:YAG Laser• 50J Alex/80J Nd:YAG Max Energy• Proprietary truPulse™ technology –

the only true long pulse Nd:YAG• Up to 2 Hz Alex/10 Hz Nd:YAG

Superior Sapphire Contact Cooling• Pre, parallel and post-

cooling

excel HRAdvanced Design, Modern Ergonomics

Modern Ergonomics• Robust, extra-long 3 meter

fiber for optimal reach and easy patient access

• Motorized spot size adjust – no switching of fiber-optic assemblies

Excellent Visibility• Large diameter sapphire window • Visibility throughout treatment

Adjustable Spot Size• Motorized, on-the-fly adjustments• No switching of fiber-optic

assemblies• 3-18 mm (Nd:YAG); 5-18 mm (Alex)• Real time calibration

Sapphire Contact Cooling• Clinically superior for laser hair removal• Pre-, parallel-, and post-cooling• Adjustable temperature sapphire window 4°C to 20 °C

excel HRIntelligent Energy Delivery

1064 nm Nd:YAG

excel HRTreat All Skin Types I – VI

755 nm Alexandrite

• Most trusted and utilized wavelength for laser hair removal globally

• Only laser with sufficient melanin absorption and peak power to effectively remove finer, lighter hair

• Has proven long-term results for permanent hair reduction in skin phototypes 1-IV1,2 and is considered the ‘gold standard’ for treatment of these skin types

• The Alex wavelength is preferentially absorbed by melanin and an optimized pulse width efficiently targets small to medium follicular structures with less thermal diffusion 1. Grunewald S et al. Lasers Surg Med 2014; 46: 13-19. 2. Davoudi SM et al. Arch Dermatol 2008;

144(10):1323-7.

excel HRHigh-Power 755 nm Alexandrite

• Cutera recognized as world leader in 1064 nm technology

• Only truPulse™ 1064 nm laser on the market Measurably delivers consistent levels of long pulse energy, pulse

after pulse (not a composite pulse)

• Greater depth of penetration than other lasers

• Lower melanin absorption (ideal for darker skin types)

• Long-pulsed Nd:YAG is considered the safest wavelength for hair removal in skin types IV-VI, as well as tanned skin – it safely and effectively targets larger deeper follicular structures in darker skin types

excel HRLong-Pulse 1064 nm Nd:YAG

10 msec truPulse™

Competitor “10 msec”

Sapphire Contact CoolingThe Importance of Cooling

• Melanin is the target in hair follicles, but is also a target in the epidermis

Cooling reduces the temperature rise in the epidermis and protects it from damage, permitting higher fluences to be delivered to the hair follicles

• Cooling acts as a local anesthetic for improved comfort

Sapphire Contact CoolingThe Patient’s Choice

• Patient preference study* 5 subjects, Single LHR treatment ½ Tx with excel HR, ½ Tx with GentleMax Pro Energy delivery levels closely matched Patients rated pain score, overall satisfaction level

Back #1 Thigh #1 Chest #1 Chest #2 Legs #10123456789

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excel HR competitor (cryo)Energy (J) excel HR Energy (J) competitor (cryo)

Subject

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100% of subjects preferred the excel HR treatment overall!

All subjects found excel HR to be the more comfortable Tx!

excel HR was 20% more comfortable on average!

*Data on file

Sapphire Contact CoolingImproved Efficacy with the Sapphire Lens

• Minimizing the light bending (refraction) ensures that more of the light reaches the target tissue

• Matching the light path with the refractive index allows the light to back scatter and escape without causing heat build up at the skin’s surface – this is referred to as optical damping

• Sapphire contact cooling creates near ideal conditions for optical damping – a thin liquid layer can be used to provide optical coupling and enhance the optical damping effect

Index matching between sapphire and skin allows back scattered light to

escape, further protecting the epidermis from heat

build-up

Refractive index mismatch causes

internally reflected laser light to accumulate under the skin and contribute to

epidermal heating

Pre-Tx

Clinical ResultsPreliminary Clinical Treatment (755 nm) – Patient X (Chest)

6 Weeks Post 1 Tx

Photos courtesy of Cutera Research Center

Clinical ResultsPreliminary Clinical Treatment (755 nm) – Patient Y (Full Back)

Photos courtesy of Cutera Research Center

• Skin Type V

Pre-Tx 6 Weeks Post 1 Tx 3 Months Post 1 Tx

Clinical ResultsPreliminary Clinical Treatment (755 nm) – Partial Back

Photos courtesy of Cutera Research Center

Pre-Tx 6 Weeks Post 1 Tx 3 Months Post 1 Tx

Pre-Tx

Clinical ResultsPreliminary Clinical Treatment (755 nm) – Patient Z (Under Arm)

6 Weeks Post 1 Tx

Photos courtesy of Cutera Research Center

3 Months Post 1 Tx

Pre-Tx

Clinical Results1064 nm Nd:YAG Laser Hair Removal

Post-Tx

Photos courtesy of Eliot F. Battle, Jr., MD

• Skin Type V

• Pseudofolliculitis Barbae

Clinical Results1064 nm Nd:YAG Laser Hair Removal

Pre-Tx Post-Tx

Photos courtesy of Cutera Research Center

Clinical Results1064 nm Nd:YAG Laser Hair Removal

Pre-Tx Post-Tx

Photos courtesy of Samuel Lederman, MD

excel HRSummary

• excel HR is the modern day solution for hair removal, redefining safe, effective, and comfortable laser hair removal treatments

• Combination of 755 nm + 1064 nm can treat ALL skin types

• Fastest, most powerful hair removal system on the market• Integrated Sapphire contact cooling• Only true long pulse Nd:YAG • Rapid ROI with low cost of ownership & no consumable

costs• Efficient operation with motorized spot size adjust & real

time calibration• Handpiece design provides superb visibility of treatment

site• Versatile – best Nd:YAG on the market for treating veins

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