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Thermal Video Comparison

ReFirme ST vs Titan


 

ReFirme™ Skin Tightening via Wrinkle Treatment with ST Applicator

Syneron is thrilled to announce the FDA approval of the ST applicator for virtually painless and fast treatment for skin tightening. Syneron’s foundation for technology is based on elos™; the revolutionary combination of light and Bi-Polar Radio Frequency. The ST applicator combines gentle pulses of infrared light (700-2000nm) simultaneously with Bi-Polar Radio Frequency. One significant advantage to the ReFirme procedure is the fact the treatment is “virtually painless”.

ReFirme Application

The ReFirme procedure for skin tightening and wrinkle treatment is very easy to perform. The technician selects a level of Bi-Polar Radio Frequency and a contact cooling temperature treatment choice of either Normal (10°C) or Strong (5°C). Clear coupling gel is applied to the face. A full face pass is performed first on the patient. The patient will immediately notice the contact cooling and the gentle thermal effect as the applicator is pulsed on the face and neck. The ReFirme application is virtually painless and the contact cooling temperature can be changed to Strong when treating over bony prominences.

The ST applicator has a treatment area of 8mm x 12mm (96 sq. mm per pulse) with a repetition rate of 1.2 Hz in auto repeat mode. Once the full face and neck pass has been performed, the applicator should be targeted to the following areas for multiple pass technique to sequentially layer the desired thermal effect for optimal treatment. These areas include:

  • Jowl Laxity
  • Neck Laxity
  • Sagginess under the eyes
  • Sagging brow line
  • Nasolabial Folds
  • Upper/Lower Mandible

The ST applicator combining infrared light simultaneously with Bi-Polar Radio Frequency provides a thermal depth of penetration up to 4 mm. The result is noticeable contracture at the dermal layer of the skin. It is recommended to perform 1,600 to 2,000 pulses to cover the entire face and neck. Based upon this recommendation, actual treatment time is 25 to 35 minutes. The endpoint for treatment is edema and mild erythema. The treatment protocol is 3 to 5 treatments every 2 to 4 weeks. A maintenance treatment is recommended once every 3 to 6 months to maintain the optimized results obtained from the ReFirme procedure.

Clinical trials for the ST applicator have been performed in Canada and Australia. Listed below are some patient testimonials for the ReFirme procedure.

“Two weeks after the last treatment, my face feels tighter inside always and especially after cleansing. The high cheek bones feel the tightest and firmess from within, also the jaw line feels tighter and firmer. The corners of mouth feel firmer as well. My overall appearance looks improved, some fine lines do look improved. I am overall pleased with the appearance, it looks and feels refreshed.”

“After five treatments I noticed that my face was a lot brighter looking and that the treatments had helped to tighten the skin. It was especially noticeable around the chin and mouth area.”

“At the first treatment I didn't see any significant results, but my skin did feel refreshed and smooth. After the 3rd treatment I noticed significant results. Right after the treatment in your office I could see the plumpness of my skin, it looked tight and smooth. This lasted for a couple of days but the true results came about a week after the treatment. My main concern was my neck as this was where you could see the skin losing it's elasticity. Now the skin does look tighter and I am happy with the results.”

The ReFirme application and ST applicator is available on our new eLight and eMax platforms. In addition, there is a program available to upgrade an Aurora or Galaxy platform so the ST applicator and ReFirme application can be integrated into your existing equipment. Contact your local Syneron representative for further details on this program.

Syneron will continually develop new applications to offer the physician the most affordable, effective and easiest to use system available to the medical aesthetic marketplace. In addition, our technology will always be synchronized with the demands your patient desires and optimize the ROI from investing in elōs technology.


The combination of optical infrared and bipolar radio frequency energies deliver bulk heating of collagen resulting in contracture and edema.

Very focused energy with maximum depth of penetration at 4 mm even if the pulse is stacked.

ReFirme™ ST
Cooling Effect

ReFime™ ST
Mid Pulse

ReFirme™ ST
Thermal Spot