Launch of the Alexandrite Laser for the JOULE Sciton International March 17, 2010 © 2010 Sciton, Inc. All rights reserved. 1
Nov 21, 2014
Launch of the Alexandrite Laser for
the JOULE
Sciton International March 17, 2010
© 2010 Sciton, Inc. All rights reserved.1
Table of Contents
2 © 2010 Sciton, Inc. All rights reserved.
Introduction to Laser Hair Removal
LHR - Market Overview
Introducing ClearScan ALX
Positioning ClearScan ALX
Materials Available for ClearScan ALX
Competitive Landscape for Hair Removal
Major ClearScan ALX Competitors
Introduction – Laser Hair Removal
• Epilation by laser was used experimentally for 20 years before it became commercially available in the mid 1990s.
• Soon laser hair removal became common, Food and Drug Administration (FDA) approved its use as "permanent hair reduction" in 1997.
• Laser and light-based hair reduction are now most commonly referred to collectively as "laser hair removal".
• Hair removal is commonly done on lip, chin, ear lobe, shoulders, back, underarm, abdomen, buttocks, pubic area, bikini lines, thighs, face, neck, cleavage, chest, arms, legs, hands, and toes.
• Laser works best with dark coarse hair. Light skin and dark hair are an ideal combination, but new lasers are now able to target dark black hair even in patients with dark skin.
3 © 2010 Sciton, Inc. All rights reserved.
Technologies
• Several wavelengths of laser energy have been used for hair removal, from visible light to near-infrared radiation.
• According to the history of laser hair removal, these technologies were once used and some are still being used
• Argon: 488 or 514.5 nm (no longer used for hair removal)
• Ruby: 694 nm (no longer used for hair removal; some articles claimed that it is not safe on most skin types and caused pigmentation changes, especially on lighter skin type)
• Alexandrite: 755 nm (most effective and safest on light skin types)
• Pulsed diode array: 810 nm (for light to medium type skin)
• Nd:YAG: 1064 nm (for all six skin colors, even tanned skin)
4 © 2010 Sciton, Inc. All rights reserved.
Table of Contents
5 © 2010 Sciton, Inc. All rights reserved.
Introduction to Laser Hair Removal
LHR - Market Overview
Introducing ClearScan ALX
Positioning ClearScan ALX
Materials Available for ClearScan ALX
Competitive Landscape for Hair Removal
Major ClearScan ALX Competitors
Total Nonsurgical, Minimally-Invasive Aesthetic Procedures in the US: 2002 – 2008: Over 10 Million in 2008
6 © 2010 Sciton, Inc. All rights reserved.
Source: American Society for Aesthetic Plastic Surgery
Laser Hair Removal - #2 for ALL Cosmetic Procedures (Including Surgical and Nonsurgical)
7 © 2010 Sciton, Inc. All rights reserved.
Source: ASAPS
Laser Hair Removal Ranked as the Second Most Performed Nonsurgical Procedure in 2008 by ASAPS
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American Society of Plastic Surgeons Ranked LHR as the 4th Most Performed Minimally-Invasive Procedure in 2008
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Laser hair removal remains, and is expected to remain, an extremely popular procedure!
ASAPS and ASPS 2008 Rankings for LHR in Men and Women: LHR Is a Top Procedure for Both
Top 5 nonsurgical cosmetic procedures for women in 2008
1. Botox - 2,239,024
2. Hyaluronic acid - 1,200,420
3. Laser hair removal - 1,101,255
4. Chemical peel - 554,492
5. Laser skin resurfacing - 532,008
10 © 2010 Sciton, Inc. All rights reserved.
Top 5 nonsurgical cosmetic procedures for men in 2008
1. Botox injection - 255,099
2. Laser hair removal - 179,708
3. Hyaluronic acid - 62,428
4. IPL laser treatment - 46,887
5. Microdermabrasion - 39,824
Source: American Society for Aesthetic Plastic Surgery
Source: American Society of Plastic Surgeons
ASAPS Estimates the Average Procedure Fee for LHR is $326
11 © 2010 Sciton, Inc. All rights reserved. Source: ASAPS
In 2008, ASAPS estimated the total US LHR market to be $417M
The ASPS Estimated the Average Fee for LHR is $456
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In 2008, ASPS estimated the total US LHR market to be $406M
The 2008 US LHR Market Was $406 - $417M
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How Big Is the Laser Market for Hair Removal?
Medical Insight Estimated the 2008 Worldwide Laser and Light Aesthetic Devices Market to be $280M
Sciton estimates the worldwide 2009 laser & light hair removal market was$168M.
14 © 2010 Sciton, Inc. All rights reserved.
Source: Emerging Market for Aesthetic Technologies, Medical Insight, Sciton Est.
Source: Medical Insight, Sciton estimates.
Table of Contents
15 © 2010 Sciton, Inc. All rights reserved.
Introduction to Laser Hair Removal
LHR - Market Overview
Introducing ClearScan ALX
Positioning ClearScan ALX
Materials Available for ClearScan ALX
Competitive Landscape for Hair Removal
Major ClearScan ALX Competitors
Introducing ClearScan ALX
16 © 2010 Sciton, Inc. All rights reserved.
510K – FDA Cleared Indications for Use for 755 nm
The 755 nm is indicated for stable long-term, or permanent hair reduction for all skin types (Fitzpatrick I - VI) including tanned skin. It is also indicated for the treatment of vascular lesions, benign pigmented lesions and wrinkles.
Obtaining CE Mark and regulatory clearance worldwide is in progress.
ClearScan ALX Specifications
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ClearScan ALX ConfigurationsConfigurations – New Systems
• ClearScan ALX Single Module• ClearScan ALX with ClearScan YAG, delivered separately• ClearScan ALX with ClearScan YAG, multiplexed
• Two Separate Scanners• Integrated Scanner: for 755 nm ClearScan ALX™ or lower fluence 1064 nm ClearScan YAG™ applications (6 mm spot)• HighFluence Integrated Scanner: for 1064 nm ClearScan YAG™ or 1319 nm ThermaScan™ applications (5 mm spot)
• 3 and 6 mm Single Spot Hand pieces
Upgrades: Upgrades will be available in June
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ClearScan ALX, Single Module
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• Joule, Single-Laser Wavelength Modular Platform
• Arm Delivery
• Single 755 nm Module-Alexandrite Laser
• Integrated Scanner: for 755 nm ClearScan ALX™ or lower fluence 1064 nm ClearScan YAG™ applications (6 mm spot)
• 3 and 6 mm single spot handpiece
• 250 Watt Thermoelectric Cooling System
• 3 Goggles
ClearScan ALX + ClearScan YAG
20 © 2010 Sciton, Inc. All rights reserved.
• Joule, Multi-Laser Wavelength Modular Platform
• Arm Delivery
• Single 755 nm Module: Alexandrite Laser• Single 1064 nm Module: Nd:YAG Laser
• Integrated Scanner: for 755 nm ClearScan ALX™ or lower fluence 1064 nm ClearScan YAG™ applications (6 mm spot)
• 3 and 6 mm single spot handpiece
• 250 Watt Thermoelectric Cooling System
• 3 Goggles
• OPTIONAL: HighFluence Integrated Scanner: for 1064 nm ClearScan YAG™ or 1319 nm ThermaScan™ applications (5 mm spot)
• OPTIONAL: MULTIPLEXING
ClearScan ALX and ClearScan YAG User Interface
21 © 2010 Sciton, Inc. All rights reserved.
Table of Contents
22 © 2010 Sciton, Inc. All rights reserved.
Introduction to Laser Hair Removal
LHR - Market Overview
Introducing ClearScan ALX
Positioning ClearScan ALX
Materials Available for ClearScan ALX
Competitive Landscape for Hair Removal
Major ClearScan ALX Competitors
23 © 2010 Sciton, Inc. All rights reserved.
EFFECTIVE AND TRUSTED RESULTS
SUPERIOR COMFORT
FAST
EXPANDABLE PLATFORM
The New Era in Alexandrite Laser Hair Removal!
24 © 2010 Sciton, Inc. All rights reserved.
MYTH #1: A 6mm Spot Will Not Work
“But You Only Have a 7 mm Spot; This Will Not Work.”
Customers have been indoctrinated to believe that a large spot size is• Required to achieve efficacy
THIS IS NOT TRUE
• Necessary for fast treatmentTHIS IS NOT TRUE
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It’s The Energy at the Target That Makes a Difference
• Gaussian beam versus Top Hat
• Depth of Penetration
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Gaussian vs Top Hat: Beam Shape Influences Treatment Uniformity and Efficacy
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Sciton delivers a top hat beam. A 10 mm Gaussian single spot has an effective diameter of ~6.5 mm. A top hat 6 mm spot has an effective diameter of 6 mm.
Top Hat Beam: Increased Effective Spot Size Relative to Gaussian Beam
A 6 mm top hat beam retains effective spot size as it penetrates. A 10 mm Gaussian beam loses effective spot size as it penetrates.
7 mmTop Hat
10 mmGaussian
A 6 mm Spot IS EFFICACIOUS: Spot Size vs Depth of Penetration
3mm 6mm 12mm
Spot size will allow the wavelength to realize its maximum penetration depth, but not exceed its inherent potential.
To be efficacious, the spot size must exceed the depth of penetration for 755 nm by four fold.1
755 nm penetrates ~1 mm deep; therefore a minimum spot size needed is 4 mm.
1. Source: “THEORETICAL CONSIDERATIONS IN LASER HAIR REMOVAL”, Ross et. al, 1999
1.5 mm 3 mm 6 mm
For 755 nm, a 6 mm Spot Penetrates to the Necessary Depth to Remove Hair Effectively
A 6 mm spot size penetrates to the necessary depth to remove hair effectively.
Drawbacks of Large Spot Sizes
Large spot size means lower fluence. Harder to treat patients who require higher fluence, have to use smaller spot size.
• Try placing smaller spots in a reliable pattern• How fast are you now with a smaller spot size?
Hard to track where you’ve been with single spots. Scanner offers capability of higher fluence with better control of coverage.
• Single spot and reliably holding at right angle to tissue• Avoid the crescent moon-shaped blistering pattern seen with single spots
31 © 2010 Sciton, Inc. All rights reserved.
Competitors focus on large spot size only because they don’t have a scanner.
Scanner is more versatile, offering different patterns and different shapes.
Myth: You must have a large spot size to be efficacious.
32 © 2010 Sciton, Inc. All rights reserved.
BUSTE
D
Myth #2: “A 6 mm Spot Size Will Be Too Slow.”
Sciton’s scanner technology is FAST• We deliver 50W of Power• Treat a patient at 2.5 cm2/sec, as fast or faster than our major competitors
• Will they tell you their clearing rate? NO.
33 © 2010 Sciton, Inc. All rights reserved.
Nomogram To Determine Speed
A Nomogram is a graphical calculating device and can be used as a quick reference.
Bottom Line: Maximum Average Power determines Speed. Power = Watts = The number of Joules delivered per second.
34 © 2010 Sciton, Inc. All rights reserved.
The Truth About Speed, Power and Clearing Rate
Nomogram Demonstrating Relationship Between Speed, Power, Clearing Rate, Fluence, Energy and Beam Diameter (spot size)
If you keep the fluence the same, to achieve a higher clearing rate, you need higher power. Conversely, lower power will yield a lower clearing rate.
If you keep the power the same and increase fluence, you will decrease the clearing rate.
35 © 2010 Sciton, Inc. All rights reserved.
POWER Determines Speed, Independent of Spot SizeExample: Fluence is 20 J/cm2
Cynosure typical parameters:• 15 mm spot• 20 J/cm2
• 1 Hz • Clearing rate is ~1.8 cm2/sec.• The Power is 35 Watts
Sciton at 20 J/cm2
• 6 mm spot• Clearing rate is 2.5 cm2/sec• ~8.5 Hz• The Power is 50 Watts
36 © 2010 Sciton, Inc. All rights reserved.
Myth: A 6 mm spot will be too slow.
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BUSTE
D
38 © 2010 Sciton, Inc. All rights reserved.
EFFECTIVE AND TRUSTED RESULTS
SUPERIOR COMFORT
FAST
EXPANDABLE PLATFORM
The New Era in Alexandrite Laser Hair Removal!
Advantages and Benefits of Sciton’s ClearScan ALX
ClearScan ALX Offers Superior Comfort
• Pre, post, parallel and bulk cooling• Non-sequential scanning• Pressure (Pain Gate theory)
39 © 2010 Sciton, Inc. All rights reserved.
Hierarchy of Cooling
Hierarchy of Cooling
Pre-coolingPost-cooling and pre-cooling
Parallel, post-cooling and pre-coolingBulk, parallel, post-cooling and pre-cooling
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Incr
easi
ng C
omfo
rt
The Integrated Cooling Provides Pre-, Post-, Parallel and Bulk Cooling
More aggressive epidermal cooling allows SUPERIOR COMFORT with the benefit of an efficacious treatment
• Ability to deliver more fluence with a smaller spot
Large sapphire provides ability to promote bulk cooling and the ability to apply pressure
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Contact Cooling & Advantages of Sapphire Plate
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CONCLUSION:
Sapphire contact cooling is significantly more effective than cryogen spray cooling in protecting the epidermis from unwanted thermal damage during laser hair removal……In addition to being more effective, sapphire contact cooling provides protection of the epidermis at significantly lower cost, with no risk of freezing and maximum comfort for the patient by cooling before, during, and after the treatment pulse.
Source: “Epidermal Protection: A Comparative Analysis of Sapphire Contact and Cryogen Spray Cooling’,” Klavuhn, K.G., Laser Hair Removal Technical Note No. 1: January 2000: 1-8,
Contact Cooling & Advantages of Sapphire Plate, cont.
43 © 2010 Sciton, Inc. All rights reserved.
CONCLUSION:
Cryogen Spray Cooling can create an ice film on the epidermis that scatters the laser light and reduces efficacy.
Pain Gate Theory
Pain is controlled by multiple pathways within the central nervous system. (Ronald Melzack and Patrick Wall,1962)
44 © 2010 Sciton, Inc. All rights reserved.
Pain is Controlled by three factors:
1.Activity in the pain fibers - opens the gate
2.Activity in other sensory nerves - closes the gate
3.Messages from the brain - concentrating on the pain or trying not to think about it
The pressure applied with the handpiece provides sensory stimuli to close the pain gate, leading to minimization of pain.
Variation of overlap during hand delivery and placement of sequential adjacent pulses may overheat the
dermal/epidermal junction
Pulse Stacking During Hand Delivery of Pulses
Pulse stacking occurs when subsurface temperature rise produced by an earlier pulse has not dissipated before an adjacent pulse arrives.
45 © 2009 Sciton, Inc. All rights reserved.
Stacked Pulses Cause Blistering and VERY Unhappy Patients
46 © 2010 Sciton, Inc. All rights reserved.
OUCH!Click on image for animation
Non-Sequential Scanning Gives Safe, Comfortable and Uniform Coverage
• Maximizes the time interval between adjacent spots • Minimizes subsurface heat build up• High speed, uniform coverage• Improved efficacy
Easy Fast Accurate
47
Non-sequential scanning -- Better Cooling and Pain Toleration
• Larger spots mean– much more total energy per shot (pain stimulus)– longer cooling time (pain duration)
• Sciton scanner chill plate ensures that heat flows quickly away from body– quicker cooling– higher fluences tolerable with successive pulses widely spaced– maintain high hair clearing rate while minimizing pain
Top view of skin
Sciton scanned pattern of treatment areas cool quicklyLarge spots hit hard, cool
slowly
ClearScan ALX Provides Effective and Trusted Results
• 755 nm is efficacious
• LAPG Scanner• Treatment uniformity
• High Power
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ClearScan ALX Offers Treatment Uniformity
Ideal beam shapeComputerized treatment
Complete uniform coverage
50
Candela Single Spot – Tedious and Extremely Difficult to Achieve 100% Uniform Coverage
51 © 2010 Sciton, Inc. All rights reserved.
Click on image for animation
100% Coverage Versus Incomplete Coverage and Lack of Treatment
100% coverage ensures a complete treatment!
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Sciton ClearScan ALX Competitor’s single spot hand piece
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Additional Benefits of Sapphire Plate Include Decreasing Distance to Dermal Target
CONCLUSION:
…sapphire cools the epidermis before, during, and after the laser pulse, permits beam coupling into the skin, and can provide a convergent beam that maximizes light penetration to the depper dermis. With gentle pressure, such contact devices can also be used to compress the skin, thereby decreasing the distance light must travel to reach dermal targets such as hair follicles.
Source: “Recent Developments in Cutaneous Lasers,” Alora et al, , Lasers in Surgery and Medicine 26: 108-118 (2000)
Summary of ClearScan ALX Advantages
54 © 2010 Sciton, Inc. All rights reserved.
SUPERIOR COMFORT
•Pre, post, parallel and bulk cooling•Ability to apply pressure/pain gate theory•Non-sequential scanning
EFFECTIVE AND TRUSTED RESULTS
•Top-hat Beam•Non-sequential scanning•755 nm works•Uniform Treatment•Maximum coverage
•Pre, post, parallel and bulk cooling
FAST•50 W of high power means fast•Non-sequential scanning
EXPANDABLE PLATFORM
55 © 2010 Sciton, Inc. All rights reserved.
EFFECTIVE AND TRUSTED RESULTS
SUPERIOR COMFORT
FAST
EXPANDABLE PLATFORM
The New Era in Alexandrite Laser Hair Removal!
Advantages and Benefits of Sciton’s ClearScan ALX: How To Sell ClearScan ALX
You Have Three Hair Removal Systems, Which One Should I Buy?
Start by asking:
• Which wavelength do you like?
• Which do you think is best?
• Which one do you prefer?
• What is your patient population?
• Which applications will you be using this for?
56 © 2010 Sciton, Inc. All rights reserved.
You Have Three Hair Removal Systems, Which One Should I Buy? (Cont.)
A busy HR clinic will want both ALX and YAG: There is a perception that ALX is better for lighter skin and YAG for darker skin; however, this is not always the case. This will also vary by country.
A cost-conscious clinic can get by with BBL.
Clinics with many dark skinned (IV-VI) patients need YAG; however, this is not a universal statement.
High vascular will want YAG and may add on ALX.
Most practices need BBL in their office – it’s a staple. Can get good results but operator dependent, not to be used on skin type VI.
ALX is for those who have convinced themselves this is the wavelength they must have.
57 © 2010 Sciton, Inc. All rights reserved.
Why Sciton?
• ClearScan ALX and YAG• Efficacious Treatment for All Skin Types• Rapid Permanent Hair Reduction• No Consumables• Integrated Continuous Contact Cooling• Complete Solution for Any Vascular Lesion
• BBL• Fast• No Consumables• Powerful Cooling• Interchangeable Smart Filters for Personalized Treatment• Predictable & Consistent Results
58 © 2010 Sciton, Inc. All rights reserved.
Table of Contents
59 © 2010 Sciton, Inc. All rights reserved.
Introduction to Laser Hair Removal
LHR - Market Overview
Introducing ClearScan ALX
Positioning ClearScan ALX
Materials Available for ClearScan ALX
Competitive Landscape for Hair Removal
Major ClearScan ALX Competitors
Materials for ClearScan ALX
60 © 2010 Sciton, Inc. All rights reserved.
Marketing Materials Anticipated Date
Product Brochure Mar 5
Website Mar 5
Online Hair Removal Challenge Mar 12
Pricing Quoter Mar 5
Letter to Install Base Mar 5
Physician Testimonials Available
Lifetime Data and Economics of System Available
Supporting Journal Articles Now and ongoing
Print Ads (Aesthetic Buyers Guide) Mar/Apr 2010
eBlast Mar 8
Clinical Studies
OUCH TEST One study completed Feb 2010
SPEED TEST March 2010
Training Webinars
US Mar 3
EMEA/LATAM Mar 16
APAC Mar 17/18
ClearScan ALX Product Brochure
61 © 2010 Sciton, Inc. All rights reserved.
ClearScan ALX Press Release: March 5th
62 © 2010 Sciton, Inc. All rights reserved.
Hair Removal Challenge
63 © 2010 Sciton, Inc. All rights reserved.
Click on image for animation
ClearScan ALX ConfigurationsConfigurations – New Systems
• ClearScan ALX Single Module• ClearScan ALX with ClearScan YAG, delivered separately• ClearScan ALX with ClearScan YAG multiplexed
• Two Separate Scanners• Integrated Scanner: for 755 nm ClearScan ALX™ or lower fluence 1064 nm ClearScan YAG™ applications (6 mm spot)• HighFluence Integrated Scanner: for 1064 nm ClearScan YAG™ or 1319 nm ThermaScan™ applications (5 mm spot)
• 3 and 6 mm Single Spot Hand pieces
Upgrades: Upgrades will be available in June
64 © 2010 Sciton, Inc. All rights reserved.
Table of Contents
65 © 2010 Sciton, Inc. All rights reserved.
Introduction to Laser Hair Removal
LHR - Market Overview
Introducing ClearScan ALX
Positioning ClearScan ALX
Materials Available for ClearScan ALX
Competitive Landscape for Hair Removal
Major ClearScan ALX Competitors
Four Popular Light Based Methods to Remove Hair
66 © 2010 Sciton, Inc. All rights reserved.
Nd:YAG• 1064 nm• Treats skin types I-VI• Can be painful
Pulsed Light• 590 to 1200 nm• Treats skin types I-V; effective
for light skin/dark hair• Least painful• Result highly dependent on
technique
Alexandrite• 755 nm• Recommended for skin types I-
III but used thru V; standard for HR for skin types I-IV
• Moderate pain
Diode• 800 or 810 nm• Recommended for skin types I-III
and possibly IV & V• Somewhat painful• Difficult to see treatment area
Hair Removal: Competitive Snapshot
67 © 2010 Sciton, Inc. All rights reserved.
Company Model Multi-function Platform Up-gradable System type Wavelength
Sciton
ClearScan YAG Yes Yes Nd: YAG 1064 nm
BBL and BBLs No Yes, if BBL on JOULE Pulsed Light 590 nm, 640 nm, 695 nm
ClearScan ALX Yes Yes Alexandrite 755 nm
AlmaSoprano XL No No Diode 810 nm
Harmony XL No No Pulsed Light 650 nm - 950 nm
CandelaGentleLASE Yes, on GentleMAX n/a Alexandrite 755 nm
GentleYAG Yes, on GentleMAX No Nd:YAG 1064 nm
CuteraCoolGlide Yes, on Xeo platform No Nd:YAG 1064 nm
ProWave 770 Yes, on Solera Opus Platform No Pulsed Light 770 nm – 1100 nm
Cynosure
Cynosure PL No No Pulsed Light 560 nm – 950 nm
Acclaim Yes No Nd:YAG 1064 m
Apogee No No Alexandrite 755 nm
Lumenis
LightSheer Yes, on Lumenis One No Diode 800 nm
IPL Quantum Yes No Pulsed Light 690 nm – 1200 nm
Elora Yes No Pulsed Light 570 – 1200 nm
Palomar LuxG Yes, on StarLux 500 No Pulsed Light 525 nm – 1200 nm
Syneron
eMax/ eLaser DSL No No Diode/ RF Electrical Energy 810 nm
eMax/eLight DS No No Optical Energy/ RF Electrical Energy 600 nm - 980 nm
LightAge LP and LPX No No Alexandrite 755nm
Product Images
68 © 2010 Sciton, Inc. All rights reserved.
Technology
Laser Pulsed Light RFNd:YAG DiodeAlexandrite
ScitonClearScan &
BBL
Sciton BBLs
AlmaSoprano XL
AlmaHarmony XL
CandelaGentleLASE
CandelaGentleYAG Sciton
ALEX
CuteraCoolGlide
CuteraProWave 770
Cynosure PLCynosureAcclaim
CynosureApogee
LumenisLightSheer
LumenisIPL Quantum
LumenisElora
PalomarStarLux 500 Syneron
eMax/ eLaser DSL
ScitonBBL on JOULE
Table of Contents
69 © 2010 Sciton, Inc. All rights reserved.
Introduction to Laser Hair Removal
LHR - Market Overview
Introducing ClearScan ALX
Positioning ClearScan ALX
Marketing Materials Available for ClearScan ALX
Competitive Landscape for Hair Removal
Major ClearScan ALX Competitors
Candela GentleMax and GentleLase: Alexandrite Competitor
70 © 2010 Sciton, Inc. All rights reserved.
Company CANDELA - Note No IPL system GentleMAX GentleLASELaser Type Alexandrite Nd:YAG AlexandriteWavelength 755 nm 1064 nm 755 nmExpandable? No No NoMax Peak Power 26,400 watts Max Average Power Not reported Clearing rate at 20 J/cm2 Fluence up to 600 J/cm² up to 100 J/cm2Pulse Width 0.25-0.50, 3, 5, 10-300 ms 3 ms (fixed pulsed duration)
Single Spot Size-Max Fluence
1.5mm-600 J/cm² 1.5mm-600 J/cm² 3mm-460 J/cm² 3mm-460 J/cm²
6mm-150 J/cm² (10 Hz but not for hair) 6mm-200 J/cm²
6 mm
8mm-100 J/cm² 8mm-150 J/cm² 8 mm10mm-60 J/cm² 10mm-100 J/cm² 10 mm12mm-40 J/cm² 12mm-70 J/cm² 12 mm – 40 J/cm2
15mm-30 J/cm² (2 Hz) 15mm-44 J/cm² 15 mm – 30 J/cm218mm-20 J/cm² (2 Hz) 18mm-30 J/cm² 18 mm – 20 J/cm2
Repetition Rateup to 10 Hz (only when turn cryogen off, and pulse duration to 0.25 and Joules to 8-10, smaller spots) 1.5 Hz
Scanner No NoScanner spot size NA NA NAAiming Beam Yes Yes Yes
Epidermal Cooling DCD or AirOptional Dynamic Cooling - Cryogen
sprayList Pricing $134,000-200,000 $79,999-98,500 Applications Hair Removal Hair Removal Hair Removal Pigmented Lesions Leg & Facial Veins Leg & Facial Veins Wrinkle Reduction Vascular Lesions Skin Tightening Pigmented LesionsOther claims Half the size The hand pieces are considered consumables and run from $2500 to $3000 brand new
Candela Product Positioning
71 © 2010 Sciton, Inc. All rights reserved.
Candela Promotional Materials
Candela has offered hair removal with Alexandrite for several years. They have • Before and After photos• Webinars• Clinical Bulletins• Procedure Videos
Candela heavily promotes that larger spot size means efficacy and speed.
72 © 2010 Sciton, Inc. All rights reserved.
ClearScan ALX vs Candela
• Candela is a single spot and provides cryogen cooling.• Overlap may result in blisters• Cumbersome to place hundreds of spots over large areas• Uneven treatment coverage• Risk of delivering treatment unevenly if hold handpiece at wrong angle, creating ‘crescent moon’ pattern• Cryogen cooling is inferior to contact cooling
• Simply, it is not as comfortable and can never be as comfortable as the Sciton system
• Sciton offers• Superior comfort• Effective and trusted results with better coverage• Fast• Expandable platform
73 © 2010 Sciton, Inc. All rights reserved.
Cynosure
Cynosure offers
• Apogee• Elite• Apogee Elite MPX
74 © 2010 Sciton, Inc. All rights reserved.
Cynosure Apogee and Elite: Alexandrite Competitor
75 © 2010 Sciton, Inc. All rights reserved.
Company CYNOSURE Apogee EliteLaser Type Alexandrite Alexandrite Nd:YAGWavelength 755 nm 755 nm 1064 nm
Expandable?Yes, can add 1064 and upgrade
to the Elite NoMax Peak Power Max Average Power Not reported Not reported Clearing rate at 20 J/cm2 Fluence Pulse Width 0.5 - 300 ms 0.5 - 300 ms 0.4 - 300 ms
Single Spot Size-Max Fluence
1.5 - 600 J/cm2 3 - 300 J/cm2
5 mm - 25 J/cm2 5 - 50 J/cm2 (2 Hz, 5 ms) 5 - 240 J/cm2 7 - 50 J/cm2 (2 Hz, 5 ms) 7 - 160 J/cm2
10 mm - 50 J/cm2 10 - 50 J/cm2 (1 Hz, 5 ms) 10 - 80 J/cm212 mm - 35 J/cm2 12 - 35 J/cm2 (1 Hz, 5 ms) 12 - 50 J/cm215 mm - 25 J/cm2 15 - 25 J/cm2 (1 Hz, 5 ms) 15 - 35 J/cm2
Repetition Rate 3 Hz 3 Hz 5 Hz
Scanner No No NoScanner spot size NA NA NAAiming Beam Yes Yes Yes
Epidermal Cooling Integrated Zimmer Cold airList Pricing $89,000 Applications Hair Removal Hair removal Hair Removal Leg and Facial Veins Pigmented Lesions Leg and Facial Veins Pigmented lesions Other claims
Cynosure Apogee Elite MPX: Alexandrite Competitor
76 © 2010 Sciton, Inc. All rights reserved.
Company CYNOSURE Apogee Elite MPX*Laser Type Alexandrite Nd:YAG Alexandrite + Nd:YAG XPL2 **
Wavelength755 nm 1064 nm
755 + 1064 nm Multiplexed
Xenon Pulsed Light (530-1200 nm)
Expandable? YES for the Elite MPXMax Peak Power Max Average Power Clearing rate at 20 J/cm2 Fluence up to 40 J/cm2 up to 600 J/cm2 up to 200 J/cm2 up to 40 J/cm2Pulse Width 0.5 - 300 ms 0.5 - 300 ms 10 - 40 ms 5-35 ms
Single Spot Size-Max Fluence
1.5 - 600 J/cm2 3 - 300 J/cm2 5 - 25 J/cm2 5 - 240 J/cm2 5 - 200 J/cm2 7 - 160 J/cm2 7 - 100 J/cm2 1 X 5 cm10 - 50 J/cm2 10 - 90 J/cm2 10 - 70 J/cm2 12 - 40 J/cm2 12 - 60 J/cm2 12 - 50 J/cm2 15 - 30 J/cm2 15 - 40 J/cm2 15 - 32 J/cm2 18 - 22 J/cm2 18 - 27 J/cm2
Repetition Rate 10 Hz 10 Hz 1.5 Hz 1 HzScanner No No No Scanner spot size NA NA NA Aiming Beam Yes Yes Yes Epidermal Cooling Cold air (`10 deg C @ 350l/min) List Pricing $120,000-$160,000 Applications Hair Removal Hair Removal Sun damaged skin Pigmented Lesions Leg and Facial Veins Dyschromia Pigmented lesions
Diffuse redness, rosaceaOther claims
Apogee Elite MPX
Cynosure Product Positioning
77 © 2010 Sciton, Inc. All rights reserved.
Apogee
Cynosure Promotional Materials
Cynosure’s promotional materials include:• Video• Brochures• Articles in Aesthetic Buyers Guide• Online revenue calculator• Before and After Photos• Clinical Studies cited on their website:
• Analytical Report, Apogee Elite - David M. Cauger – Aesthetic Trends and Technologies, Summer 2004• “Optimized Laser Hair Removal” - Brooke Jackson, MD, Director, Skin Wellness Center of Chicago, Clinical Assistant Professor at Northwestern University• “Customizing Photoepiliation - Caution urged on tanned and light-haired patients” - Beth Kapes - Dermatology Times January 2004
• Their webinars and seminars appear to promote SmartLipo heavily, less emphasis on hair removal
78 © 2010 Sciton, Inc. All rights reserved.
ClearScan ALX vs Cynosure
• Cynosure is a single spot and requires Zimmer chiller• Overlap may result in blisters• Cumbersome to place hundreds of spots over large areas• Uneven treatment coverage• Risk of delivering treatment unevenly if hold handpiece at wrong angle, creating ‘crescent moon’ pattern• Extra Zimmer chiller
• Simply, it is not as comfortable and can never be as comfortable as the Sciton system
• Sciton offers• Superior comfort• Effective and trusted results with better coverage• Fast• Expandable platform
79 © 2010 Sciton, Inc. All rights reserved.
Light Age
Light Age Website offers very limited information on system.
Does provide patient videos and testimonials
Single SpotForced Air chiller
80 © 2010 Sciton, Inc. All rights reserved.
Company Light AGEName Epicare LP Epicare LPXLaser Type Alexandrite AlexandriteWavelength 755 nm 755 nmExpandable? Max Peak Power Max Average Power 65 W 100 WClearing rate at 20 J/cm2 2.8 cm2 per sec 4.8 cm2 per secPulse Width 3-300 ms 3-300 ms
Single Spot Size-Max Fluence
7 - 40 J/cm2 7 - 40 J/cm29 - 40 J/cm2 9 - 40 J/cm212 - 35 J/cm2 12 - 40 J/cm215 - 22 J/cm2 15 - 35 J/cm2
Repetition Rate 1-3 Hz 1-3 HzScanner No NoAiming Beam Yes YesEpidermal Cooling Integrated cooling Integrated coolingElectrical Dimensions Weight List Pricing $69,000 $89,000 Applications
Other claims or Notes
You tube video claims can treat back in 10-20 minutes
BUST THE SPOT SIZE MYTH!
81 © 2010 Sciton, Inc. All rights reserved.
Myth: You must have a large spot size to be efficacious.
Myth: A 6 mm spot will be too slow./You must have a large spot to be fast.
BUSTE
D
82 © 2010 Sciton, Inc. All rights reserved.
EFFECTIVE AND TRUSTED RESULTS
SUPERIOR COMFORT
FAST
EXPANDABLE PLATFORM
The New Era in Alexandrite Laser Hair Removal!
Key ClearScan ALX Messages
THANK YOU!
Cheryl Deguara, PhD
Product Manager
Office: 650.493.9155, ext. 141
83 © 2010 Sciton, Inc. All rights reserved.