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
Indications for use include dermatological procedures requiring the coagulation of soft tissue and general skin resurfacing procedures.
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:
• Continue current skin care regimen
• 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:
• Continue current skin care regimen
• 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.
Indications for use include dermatological procedures requiring the coagulation of soft tissue and general skin resurfacing procedures.
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
Indications for use include dermatological procedures requiring the coagulation of soft tissue and general skin resurfacing procedures.
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
Clear + Brilliant® Procedure Choosing the Correct Handpiece
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
Clear + Brilliant® Procedure Patient Preparation
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
Clear + Brilliant® Procedure Patient Preparation
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
Photographs courtesy of Solta Medical Aesthetic Center. All photos are un-retouched. Results may vary.
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
Photographs courtesy of Solta Medical Aesthetic Center. All photos are un-retouched. Results may vary.
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
Photographs courtesy of Solta Medical Aesthetic Center. All photos are un-retouched. Results may vary.
Clear + Brilliant® Results Before and After Photos
Photographs courtesy of Solta Medical Aesthetic Center. All photos are un-retouched. Results may vary.
Clear + Brilliant® Perméa™ Results Before and After Photos
Before Perméa (followed by C E Ferulic®) 1 Week Post 6 Treatments
Photographs courtesy of Solta Medical Aesthetic Center. All photos are un-retouched. Results may vary.
Clear + Brilliant® Perméa™ Results Before and After Photos
Before Perméa 1 Week Post 6 Treatments
Photographs courtesy of Solta Medical Aesthetic Center. All photos are un-retouched. Results may vary.
Clear + Brilliant® Perméa™ Results Before and After Photos
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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