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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 Beijing Toplaser Technology Co., Ltd. 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 1 Beijing Toplaser Technology Co., Ltd. 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. 2 Beijing Toplaser Technology Co., Ltd. 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 Beijing Toplaser Technology Co., Ltd. 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 4 Beijing Toplaser Technology Co., Ltd. 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. 5 Beijing Toplaser Technology Co., Ltd. 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 6 Beijing Toplaser Technology Co., Ltd. 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 7 Beijing Toplaser Technology Co., Ltd. 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. 8 Beijing Toplaser Technology Co., Ltd. (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). 9 Beijing Toplaser Technology Co., Ltd. (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). 10 Beijing Toplaser Technology Co., Ltd. (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). 11 Beijing Toplaser Technology Co., Ltd. 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. 12 Beijing Toplaser Technology Co., Ltd. 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. 13 Beijing Toplaser Technology Co., Ltd. 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. 14 Beijing Toplaser Technology Co., Ltd. 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 15 Beijing Toplaser Technology Co., Ltd. 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. 16 Beijing Toplaser Technology Co., Ltd. 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 8. Beijing Toplaser Technology Co., Ltd. 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 18 Beijing Toplaser Technology Co., Ltd. (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. 19 Beijing Toplaser Technology Co., Ltd. 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 15 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. 20 Beijing Toplaser Technology Co., Ltd. 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 21 Beijing Toplaser Technology Co., Ltd. 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: 22 Beijing Toplaser Technology Co., Ltd. 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. 23 Beijing Toplaser Technology Co., Ltd. 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. 24 Beijing Toplaser Technology Co., Ltd. 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. 25 Beijing Toplaser Technology Co., Ltd. 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: 26 Beijing Toplaser Technology Co., Ltd. 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. 27 Beijing Toplaser Technology Co., Ltd. 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 28 Beijing Toplaser Technology Co., Ltd. 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 29 overweight:>23 Beijing Toplaser Technology Co., Ltd. 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