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Beijing Toplaser Technology Co., Ltd.
Reverse Time, Regain Youth
OPERATING & CLINICAL Manual
LUNA V
Version 1.1
Beijing Toplaser Technology Co., Ltd.
Machine overview
Beijing Toplaser Technology Co., Ltd.
Chapter I
SUMMARY
As we know, the object will make sound while vibrating. The scientists take vibration times per second
as sound frequency, measured by hertz. What human could hear is 20~20,000Hz. When sound
frequency is above 20,000Hz, or no more than 20Hz, we can not hear it. Therefore, we take the sound
wave with the frequency above 20,000 Hz as the ‘Ultrasonic’. Usually, the ultrasonic with frequency
1~5MHz is used for medical treatment. It has the advantages of good direction, high penetrative
capability, easy to get concentrative sound energy, long propagation distance under water, and can be
used for range acquisition, speed testing, clearing, welding, gravelling, etc.,…and have many
applications in Medical, Military, Industry, Agriculture…
Once upon a time, when navy ships were sailing in the sea, many pinholes appeared in propeller, which
caused much attention and made people research on this phenomenon. When the object travels in water
with high speed, pressure will be dramatically reduced in the interface between solid and liquid.
Sometimes, it even causes vacuum, and forms low pressure tiny bubbles at the same time. Under the
water pressure, those bubbles break down rapidly and become kind of strong shockwave, which is
“Cavitation” phenomenon. In the past two years, it is used in Aesthetic Industry, so far , it has become
the newest top technology for partial cellulite reduction.
With the development of technology, traditional Liposuction comes to the end gradually. The safer and
more effective weight lost method emerges. Toplaser has promoted Cavitation Cellulite Reduction
Equipment, which helps more people achieving their dreams of slender shapes. This equipment is
completely different from general ultrasonic machines. The table below shows the differences between
cavitation cellulite reduction and general ultrasonic.
Frequency
Superficial Chemical Effect
& Terminal Effect
Cavitation
Phenomenon
Treatment Depth
Cavitation
30K～40KHZ
10%
90%
Adipose Layer
General
Ultrasonic
3MHZ
90%
10%
Superficial Layer
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Chapter II
OPERATING INSTRUCTION
2.1 Accessory
Electric Power Cord
Footswitch
Key
Cavitation handpiece
Bipolar RF handpiece
Five-polar RF handpiece
RF Power Selection Button
Tripolar RF handpiece
2.2 Installation
Power
Switch
RF
Footswitch
Cavitation Handpiece Connector
Handpiece Connector Connector
Fan
Power Cord
Connector
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First step: Insert and connect the cavitation Handpiece.
Second step: Insect and connect RF Handpiece.
Third step: Insert and connect Footswitch.
Forth step: Insert electric power cord into power cord connector, and switch on.
2.3 On/Off Illustration:
The first step：Turn Power Switch to the “Ⅰ” state and now the LED indicator is illuminated. . Then
turn the Key Switch to “ON” and the machine is in the working mode. The screen enters into opening
interface and 5 seconds later, into the operation interface.
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The second step： select “CAVITATION” into cellulite reduction program，or “RF” into skin
tightening program (refer to Picture 1);
Picture 1
The third step：
A, If cellulite reduction program, select the treatment targets here. Totally, there are four options: Arm,
Abdomen, Buttocks, Leg. Select F1 (skin firming) or F2 (body shaping) for different treatment purpose.
Push the “+” or“－”buttons of “Intensity” to adjust the treatment power, 20%~100% adjustable，step
by 10%; Push the “+”or “－”buttons of “Time” to adjust the treatment time, 0~60min adjustable, step
by 5min. After setting all the parameters, press the “READY” button to enter into working state and
then press Footswitch. When releasing Footswitch, the treatment stops. Then press the “STANDBY”
button, it enters into the safe state. Press Return Button
2);
Picture 2
3
back to the selection interface (Picture
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B, Select “RF” into skin tightening program. You can choose treatment handpiece, see picture3
Picture 3
C.Setting the treatment time, from 0-60min adjustable and the RF power, adjustable by RF Power
Selection Button, clockwise to increase, counterclockwise to reduce from Level 1 to Level 8. After
setting the parameters, press the “READY” button to enter into working state and then press
Footswitch. When releasing Footswitch, the treatment stops. Then press the “STANDBY” button, it
enters into the safe state. Press Return Button back to the selection interface (Picture 4);
Picture 3
The fourth Step： Rotate the key switch to “OFF” and push Power Switch to the “0” state
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2.4 Operation Notice:

Keep away from radios and other equipment;

Must use cooling gel for skin protection;

Keep Handpiece moving constantly during the operation, to prevent the skin overheating;

Make sure to use the correct Handpiece in the correct operation interface;

Before shut off the equipment, please firstly enter into “STANDBY” mode.

There is anti-interference function for the software. The equipment may automatically reset;

When unexpected powers off, please wait for I minute and then switch on because the software
program has self-protection function.
Chapter III
CAVITATION PROTOCOL
3.1 Theory
Through the low frequency vibration of ion, cavitation reaches the ideal effect for cellulite reduction.
The vibration of ion wave would produce a strong power through positive and negative alternation,
which brings different pressure to the cell membranes internally and externally. When cell membrane
can not endure the pressure, it will explode, break into liquid and get out of human body by metabolism.
The quantity of fat cell is reduced. The ideal effects for cellulite reduction will be achieved and the fat
cell metabolism also will be improved.
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Cavitation Schematic Diagram
A. During the shrinking cycle, the
ion wave forms positive pressure
effect around the liquid molecules
and fat cells.
B. During the expansion cycle, the
ion wave forms positive pressure
effect around the liquid molecules
and fat cells.
C. When shrinking and expansion
cycle alternation, the ion wave forms
many microvoids in fat cells, where
molecules are weak in adhesion,
called “Cavitation” in Physics.
D. The implosive results induced by
Cavitation will give rise to the
strong molecular motion, eventually
leading to fat cell explode, break
down, and then be metabolized out
of the body. So the fat cells
decrease.
3.2 Applications
Reduce cellulite, ease muscle tension and improve the body’s metabolism
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3.3 Parameter Setting (40 KHZ)
Treatment Area
Time（F 2） Time （F 1）
Abdomen
Thigh
Power
Setting
Session
20min
10min
40%~70%
2times/week
10min
10min
30%~50%
1time/week
5min
5min
30%~40%
3times/week
Leg
（one-side）
Lower
8~10
Leg
times/session
Buttocks（one-side）
5min
10min
30%~50%
2times/week
Arm（one-side）
5min
5min
20%~40%
3times/week
Notes: The above energy setting is for one certain treatment area. The total treatment time can not be
over 60 minutes in one week in one treatment area. It is highly recommended to reduce session if
patient takes treatments for more than one area within one week. However, each treatment time shall be
remained. For example, Patient treats abdomen and thigh within one treatment, abdomen treatment
shall be 20min (F2) / 10 min (F1), thigh treatment 10 min (F2)/ 10min (F1), but abdomen treatment
shall be carried out only one time during each week. Thigh treatment remains one time for each week.
3.4 Contraindication
1. People suffering from liver disease.
2. Severe hypertension, hyperlipidemia, diabetes mellitus, and poor circulation in blood and lymph.
3. Pregnant and baby-nursing women.
4. People with metal instrument buried in the body or with heart pacemaker.
5. Being allergic skin or skin surface with inflammation or wounds.
6. The face, neck, ankle, lymph nodes and joints can not be treated with Cavitation.
7. Women abdomen during menstrual period.
8. Person who is in fever.
9. Vascular veins can not be treated.
3.5 Treatment Procedure
3.5.1 Preparation
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A. Treatment material preparation: Cooling gel, a one-time treatment towel, cleaning supplies, Tape
measure, markers.
B. Photograph records (photographs taken at the same angle).
C. Measuring circumference and record (in the abdomen as an example)
D. Use warm water cleansing treatment area.
Technique: To the navel as the center, respectively mark 4 points in tow side and back of the waist
horizontally. Also mark tow more points 5cm up and blow each 4 points vertically. Measure and record
all horizontal point before and after treatment. （As shown below）
(1)Set navel as center, mark 2 points
up and below 5cm each vertically
(2) Same way on the side of the waist
(3)Same way, on the back of waist.
(4)Measure each 4 points horizontally at Navel
Level.
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(5) Measure each 4 points horizontally 5cm Below Navel Level.
3.5.2 Treatment and notice
A. The principle of energy options
As the average thickness of fat in various parts of different, the treatment time and energy can be
adjust according to actual situation, also based on customer’s experience and skin condition, adjust
range for energy normally is around 10%, Some mhuirance strong customer, you adjust the energy by
feeling the skin temperature, be aware the over heated.
B. Treatment Technique.
(1) Ventral Treatment.
（1）
（2）
Apply cooling gel first in the abdomen (Figure 1), then start operations, to the navel as the center, using
treatment handpiece squeeze with the hand on the fat, and slow-moving handpiece, speed should not be
too fast, the standard rate of 1s moving 1cm (such as the Figure 2), the treatment shown in the
following order (1) ~ (8).
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（3）
（4）
（5）
（6）
（7）
(8) Side Waist Treatment.
2) Treatment for Leg
（1）
（2）
Apply cooling gel first on the Leg (1), then start operations, using treatment handpiece squeeze with the
hand on the fat, and slow-moving handpiece, speed should not be too fast, the standard rate of 1s
moving 1cm (4), the treatment shown in the following order (5) ~ (8).
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（3）
(4)
（5）
（6）
（8）
(7)
（3）Arm treatment
(1)
(2)
(3)
Firstly, apply the cooling gel on the upper arm (Picture 5). Then start to operate, using handpiece and
squeeze fat to treat. The treatment sequence is as in the picture above （1）～（3）.
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C. Operation Attention
①Ensure the handpieces are hold stabley and efficiently.
②The Footswitch can be stepped when the handpiece place against the skin;
③The handpiece speed can’t be too fast, and recommended speed is 1m/1s;
④The handpiece can’t be stay in one place for long time.
⑤ Need to reduce the energy or increase the speed when the customers feel intense sting and
burning.
⑥ Keep the handpiece clear with Bones and joint part of body during the treatment.
D. Normal post-treatment reaction
① Twitter in the ear (the sound wave passing from skeleton to ear)
② Sense of little hotness (The energy is produced when the vacuum bubbles are broken)
③ Sense of little sting (The pain nerves are located in the epidermis, it reacts with the aqua of
cooling gel when the cavitation applying on skin).
E. Abnormal reaction and causes
① The Roseola will disappear in the 1-2 hours after treatment when it appears in the operation and
post-treatment.
Causes: 1. the customers’ skins are too sensitive
2. It is an unabiding hypersusceptibility phenomenon of epidermis because of the vacuum
bubbles working on the epidermis. The bubbles are produced when Cavitation takes place
in the water of the cooling gel.
Solution: 1. Reduce energy
2. Take certain anti-allergic medications
② Circumference geting bigger after the treatment
Cause: The customer body has strong reaction for the cavitation shock wave, so they will have
temporal edema.
Solution: reduce energy.
3.5.3 Post-treatment Attention
（1）Detoxification treatment is recommended carried out 24-hours after cavitation treatment. 2nd
detoxification treatment can be in another 2-4 days.
（2）Reasonable diet control.
① Avoiding eating too much animal oil, butter and cheese
② Little Seed fat is ok, olive oil is better.
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③ NOT take in carbohydrate food, including rice, noodle, dessert, sugars and so on in three days after
treatment.
④ Little rice and noodle on the fourth day after treatment, only at lunch.
⑤ Try not to eat any dessert and sugars during and after treatment.
⑥ Eat certain fruit
⑦ Complement the amount of protein.
（3）The amount of drinking water guarantee during 1.5－2L.
（4）With the physical exercises to achieve the energy consumption of fat on the best Fat Burn Heart
Rate, and also do some muscle training.
Chapter IV RF PROTOCOL
Radio Frequency: RF is the abbreviation of Radio Frequency, a kind of high frequency current.
Alternating current whose change less than 1000 times per second is called the low-frequency current,
or is the high frequency current.
4.1 The treatment Principle of RF
Positioned tissues are heated to promote blood circulation and tighten the collagen in dermis. At the
same time, the cooling measures are taken on the skin surface; the dermal layer of the epidermis is
heated to maintain a normal temperature. Most of RF energy enter into the deeper dermal layer, so that
deeper layers of skin to be up to 45 ℃ -60 ℃, dermal layer of skin become thickened, and the wrinkles
are shallow or disappear, so the skin become firmer and contour are lifted. The original collagen protein
become thickened to increase the new collagen protein which are produced by irritate the skin.
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4.2 Treatment Item
Wrinkle removal
improve pouch, dark circle
Contract pore
improve dull tone skin
Fade spots
increase skin elasticity and burnish
Contract double chin
Tighten skin (whole body) lift contour
Skin whitening
improve acne scar
4.3 Contraindication
1、Pregnant woman, abdomen (during menstrual period)
2、Audiphones, cardiac pacemaker, etc metal medical apparatus and steel nail, steel plate implant in the
human body
3、Skin disease, the inflammation of the skin
4、Malignant tumors
5、Upper eyelid
6、Don’t stay on the skin.
4.4 Treatment Procedure
4.4.1 Bipolar RF Treatment
1 The installment, split and accessories
Installment: Handpiece head lines up hand shank screw. Hold hand shank, simultaneously whirl the
handpiece head toward inner side until handpiece and hand shank fasten together. That’s the whole
installment of handpiece.
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Disassembly: Hold the handpiece, rotate the tip anticlockwise until it apart from the handpiece. Deposit
well for next time use.
2 Introduction of treatment tips

Medium size tip: Apply to face, neck and hand.

Small size tip: Apply to rim of the eye, mouth and nose.

Large size tip: Apply to back, buttocks… large part of body.
3 Operating demonstration
（1）Preparation: Conducting medium
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RF Oil
Cooling Gel
Different between RF Oil and Cooling Gel: RF oil could conduct heat faster and more uniform, shorten
the operation time; Cooling Gel treatment brings a little slow heat and requires a longer time.
（2）Facial treatment : (RF Oil for instance)
Age
25-35
35-45
over45
Item
face
face
face
Day
7-10
5-7
3－5
Minute
20
30
40
Energy Level
Start from 4.
Step1: Apply RF oil evenly on the face and keep circle moving at even pace from jowl to basal part of
the ear.
Step2: Lift from corners of the mouth to the part of cheek in front of ear.
Step3: Move from inner to outer corner of eye.
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Step4: Keep circle moving at even pace on forehead.
Step5: Using the small size tip, move from inner to outer corner of eye.
Step6: Keep circle moving at the wrinkle between eyebrows, then move to tip of nose at even pace,
after that make circle moving on nose wings.
Step7: Make half round moving around mouth.
(3）Neck Treatment
Age
25-35
35-45
Over 45
Item
neck
neck
neck
Day
7－10
5－7
3－5
Minute
15
20
20
17
Energy level
Start from 3, no more than
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Step1: Lift from upward side of collarbone to lower jaw bone.
Step2: Lift from upward side of collarbone to lower jaw bone keep clear of prominentia laryngea.
(4)Arm Procedures
Age
25-35
35-45
Over 45
Item
arm
arm
arm
Daub the cooling gel equably
Day
5－7
3－5
3－5
Minute
30
30
30
Energy level
Start from 4.
Move circularly and uniformly from wrist to elbow
Move circularly and uniformly on the arm，can prevent the arm skin sagging
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(5) Operation of the abdomen
Age
Item
Day
Minute
Energy level
25-35
abdomen
5－7
30
Start from 6.
35-45
abdomen
3－5
30
Over 45
abdomen
2－4
40
Daub the cooling gel equably ,move the handpiece upward from the lower part of the abdomen.
Move the handpiece along the navel circularly and uniformly，melt the fat, improve the cellulite。
(6)Operation demo of the legs:
Age
Item
Day
Minute
Energy Level
25-35
legs
5－7
30
Start from 6.
35-45
legs
3－5
30
Over 45
legs
3－5
30
Daub the cooling gel equably Move the handpiece upward from the lower part of the crus, accelerate
circulation of the blood.
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Move the handpiece upward from the lower part of the leg, tighten the muscle, improve the cellulite
(7)Operation demo of the hands
Age
Item
Day
Minute
Energy level
25-35
hands
5－7
10
Start from 3, no more than 8.
35-45
hands
3－5
10
Over 45
hands
3－5
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Daub cooling gel on the hands Move circularly and uniformly on fingers and the back of hands,
daub more cooling gel on fingers, please pay attention that the skin on the hands is too thin, do not
choose high energy.
Note: All the energy, we offered you a start level, which is used for most people. Considering different
customer owns different skin type, you could raise the energy level step by step, and reach a level that
customer feel heat but could endure and feel comfortable.
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4.4.2 Tripolar and Five-polar RF Teatment
1 Facial area treatment demonstration
1) Parameter Setting:
Treatment area
Handpiece
Energy
Treatment time
Remarks
5-10 minutes on
both cheeks
selection
Facial
Tripolar RF
2-3
handpiece
each side
2) Enter into RF working mode, select tripolar handle.
3）Clean skin and dry it, spread the cooling gel on left or right face, click READY key on the
screen, then the handpiece indicator light is on, and system start to operate. The treatment
length for each side is 5 to 10 minutes.
Pic 4
4) Move in circle from chin toward mandible continuously to the front area of the ear (shown
as picture 5), and then move slightly to the corners of mouth (shown as picture 6), move in
circle to the front area of the ear, then slide the handpiece to the front area of the ear, then
toward the nosewing (shown as picture 7), move upward in circle to the front area of the ear,
this process can be repeated, but do not stay on one treatment area.
Picture 5
Picture 6
Picture 7
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2 Neck treatment demonstration:
1) Parameter setting:
Treatment area
neck area
Handpiece
Tripolar RF
Energy
Treatment
selection
time
2-3
15-20 minutes
Remarks
Neck
handpiece
2）Enter into RF working mode, select tripolar handle
3）After clean skin and dry it, spread the RF glycerin well on left or right neck area (shown as
Picture 7), click READY key on the screen, then the handpiece indicator light is on, and
system start to operate. The treatment length for each side is 15 to 20 minutes.
Picture 8
4) Operating Procedures:
Move in circle slowly from mandible toward clavicle, or circle from laryngeal to the both
sides, avoid Thyroid area. This process can be repeated, but do not stay on one treatment area.
Picture 9
Picture 10
3 Abdomen treatment demonstration:
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1) Parameter setting
Treatment area
Handpiece
Abdomen
Five-polar
RF
Energy selection
Treatment time
Remarks
5-7
30-40 minutes
The
handpiece
whole
abdomen
2) Enter into RF working mode, select penta polar handle(Body Handle)
Picture 3
3）Spread RF glycerin well on the abdomen area, then the handle indicator light is on, and start
to operate. The treatment length is 30 to 40 minutes.
Picture 11
4) Operating Procedures:
A. Circle around the navel clockwise (follow the sequence of the picture 12,13,14,15), move the
handpiece in slow and constant pace, do not stay on one treatment area, and this process can be
repeated.
Picture12
Picture13
Picture 14
Picture 15
B. When operate on the side waist, client should lie down on the side, and move the handpiece in slow
and constant pace in circle or 8 shape (shown as picture 16 and picture 17), do not stay on one
treatment area, and this process can be repeated.
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Picture 16
Picture 17
4 Treatment demonstration on the back:
1) Parameter Setting.
treatment area
handpiece
back
Five-polar
RF
energy selection
treatment time
remarks
6 above
30-40 minutes
The whole back
handpiece
area
2）Enter into RF working mode, select penta polar handle(Body Handle)
3）Spread the RF glycerin well on the back area, then the handle indicator light is on, and
system start to operate. The treatment length is 30-40 minutes.
Picture 18
4) Operating Procedures:
Move the handpiece upward slowly in circle along both sides of the spine, and avoid the spin,
shown as picture 19,20,21,22. This process can be repeated, but do not stay on one treatment area.
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Picture 19
Picture20
Picture21
Picture 22
5 Arm Treatment demonstration
1) Parameter setting
Treatment area
Handpiece
Energy selection
Treatment time
Remarks
(one side)
arm
Tripolar
RF
5-7
20-30 minutes
handpiece
One side of the
whole arm
2）Enter into RF working mode, select tripolar handle(facial handle)
3）Spread the RF glycerin well on the arm (shown as picture 23), then the handle indicator
light is on, and system start to operate. The treatment length is 20-30 minutes for each arm.
Picture 23
4) Operating Procedures:
Move the tri-polar handpiece slowly or in “8” shape on the arm, shown as picture 24 and picture
25. This process can be repeated, but do not stay on one treatment area.
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Picture 24
Picture 25
6 Leg Treatment demonstration:
1) Parameter setting:
treatment area
handpiece
energy selection
treatment
remarks
time(one side)
leg
Five-polar
RF
70 above
30-40 minutes
handpiece
One side of the
whole leg
2）Enter into RF working mode, select penta polar handle(Body Handle)
3）Spread the RF glycerin well on the leg (shown as picture 26), click READY key on the
screen, then the handpiece indicator light is on, and system start to operate. The treatment
length is 30-40 minutes for each leg.
Picture 26
4) Operating Procedures:
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Move the body handpiece slowly on the leg area, while moving the body handpiece, make
sure five polars are all fully contacted with the skin. When operate on the outside leg area,
client can lie on the side, move body handpiece in circle, shown as picture 27 to picture 30.
This process can be repeated, but do not stay on one treatment area.
Picture 27
Picture 28
Picture 29
Picture 30
Chapter V RELATIVE KNOWLEDGE
5.1 About Fat
1 Definition of fat:
Fat cell is made up of one molecule of glycerol and three molecules of fatty acids, so fat cell also
named triglyceride. It is mainly store in subcutaneous layer, around kidney, great omentum and
mesenterium. Adult male has a fat content of 10%~20% of his weight, female is a little bit on the
higher side.
2 Function of fat
（1）Energy supply & store: The energy produced by completely oxidizing of fat in body can be more
than two times of the energy produced by commensurable sugar and protein. Fat is effective energy
storage material. On an empty stomach, 50% of the required energy in body comes from fat oxidizing;
One to three days without food, about 85% of the required energy in body comes from fat oxidizing.
（2）Keep up body temperature. Fat is not easy to conduct heat. Subcutaneous fat could keep body
temperature invariable.
（3）Protect internal organs. Fat around internal organs just like insole could buffer mechanical impact
avoiding injuries
5.2 Cause and Types of fat
1 Cause:
Fat cell amount stays remain in adolescence period, no increasing or decreasing. Adiposis is caused by
continuously expanding of fat cells. The cause of fat is: ①Energy intake is more than energy cost,
extra energy is stored in form of fat in body; ②Metabolic disorder caused by diseases, medicine or
endocrine dyscrasia, toxins couldn’t be eliminated out of body.
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2 Fat Classifications
(1)
Muscle fat: during strenuous exercise, a great amount of lactic acids is produced in muscle
tissues, some acids can not be metabolized in time, they will stay in lipocyte and finally lead to muscle
fiber hypertrophy.
(2) Hydrops fat: Due to the problem of body metabolism, the lymphatic is closed up while the
capilliary vessel will generate so much fluid among histiocyte that lead to swelling and laxity,
especially on four limbs.
3 Phlegmona fat:
The surface of skin appears convex-concave, and there will be a range of honeycomb dell after figure
press. Due to exhaustion or lack of physical exercise, the increasing big lipocyte will be pushed into
connective tissue of the dermis, and then the lipocyte will minimal the cell distance and in some way
squeeze micro vessel, remaining water and metabolite in adipose layer.
5.3 Weight Information
Weight index BMI= weight (kg)/ height (meter), according to the form weight the patient weight
Western BMI index
Asia BMIindex
thin
﹤18.5
﹤18.5
normal
18.5~24.9
18.5~22.9
overweight
﹥25
﹥23
fat
﹥30
﹥25
Superheavy
﹥35
﹥30
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APPENDIX
1.Pre-treatment form
name
sex
age
phone
Medical history
Take medicine
about steroids or
not soon
weight（kg）
/ height（m）2
=
BMI
normal：18.5~22.9
Weight change
（in ten years）
diet（time、kind、
qunatity、sock
water and so on）
Sports（climing、
sport、walking）
Typ e o f th e
□ muscle
□ dropsy
lip o c yte
C o u rse o f th e
treat me n t
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2. Cavitation treatment form
name
sex
age
phone
The size before
treatment
time
Size after
times
date
Customer
beautician
signature
signature
energy
treatment
F1
1
2
3
4
5
6
7
8
9
30
F2