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Pulse Electroporation Onyx Medical, Inc. Various TDD Technologies • Electroporation - Using short electrical modulated pulses of high voltage to create transient aqueous pores in the skin. • Iontophoresis – Using low voltage electrical current to drive charged product through the skin. • Sonophoresis – Using ultrasound to disrupt the stratum corneum. • Thermal energy – Using heat to make the skin more permeable • Magnetophoresis - has been investigated as a means to increase assimilation across the skin. • Needle Free Injection - devices for “firing” molecules through the skin at high velocity Electroporation • Non-invasive • Alternative to mesotherapy • Virtual mesotherapy or without needles • Painless procedure • Introduction of drugs • Alternating current • Acts as a virtual syringe • Changes direction (polarity) continuously slowly • Generating new pores • Micro and macromolecules • 500,000 Dalton as collagen. • 800.000 Dalton as hyaluronic acid • Rearrange the structure in the cells of the outer layer of skin Electroporation For electroporation we need: • Membrane potential: 0.5-1.5 volts • Disrupt lipid layer • Open biological channels (aquous) • These channels stay open several seconds • Change polarity constantly Background The application of an electrical pulse momentarily disrupts the cell membrane, allowing entry of product. When the pulse ceases, the membrane returns to its original structure, leaving retained product that has penetrated into the interior of the cell in place. Electroporation • Electric doors called biological channels • Electric pulse changes membrane polarity • By slowly changing the polarization we do not cause electrolysis • This disrupts lipid layer Open Channels Intercellular Communications Cellular Penetration Electroporation • This effect lasts for seconds, therefore allowing the introduction of substances. • Hydrofilic and hydrophobic molecules penetrate at the rate of 1g every 1 - 1.5 minutes. • Continuous formation and appearance of biological channels • Dramatically increases skin permeability. Conclusion • Electroporation is a process that uses high-voltage current to make cell membranes permeable to allow the introduction of new materials. • In a practical sense Electroporation is opening a door that allows us to insert “products” into the body. Methodology • Research documents 4 times better results when you do an exfoliation such as a peel or micromicrodermabrasion before Electroporation. • This eliminates dead cells from the Keratinic layer. • This changes the skin potential and makes it easier to create biological channels. Comparison with 500 400 300 200 100 0 No Microdermabrasion - No Dermoelectroporation No Microdermabrasion - Dermoelectroporation Only Microdermabrasion Only - No Dermoelectroporation Microdermabrasion & Dermoelectroporation Indications Introduction of substances for: • Skin treatment • Cellulite • Flaccidity • Wrinkles • Obesity • Collagen production Contraindications • Pacemakers, heart valves or other active implants. • Epilepsy • Pregnant women • Immediately after Botox • Skin outbreaks or on infected tissue • Metal plates or other metal objects • Ulcer or gastroenteritis Wrinkles Instruction: Clean and dry skin the skin. Exfoliate by microdermabrasion. Optional: Use a micro roller after microderm. Select Protocol: Power: 70% - 80% Time of application: 20 – 25 minutes Amount of product: 4 to 6 cc, divided into face, neck, and décolleté Method: Circular motion, soft and slow until completely absorbed Frequency of session: One session a week during five to six weeks After one session every two weeks for one month A monthly session as maintenance Décolleté Instruction: Clean and dry skin the skin. Exfoliate by microdermabrasion. Optional: Use a micro roller after microderm. Select Protocol: Power: 70% - 80% Time of application: 15 – 20 minutes Amount of product: 4 cc Method: Circular motion, soft and slow until completely absorbed Frequency of session: One session a week during five to six weeks After one session every two weeks for one month A monthly session as maintenance Body Firming Instruction: Clean and dry skin the skin. Exfoliate by microdermabrasion. Optional: Use a micro roller after microderm. Select Protocol: Power: 80% - 90% Time of application: 15 – 20 minutes Amount of product: 5 to 6 cc (depending if we have to reduce or reaffirm) Method: Circular motion, soft and slow until completely absorbed Frequency of session: One session a week during six to eight weeks After one session every two weeks for one month A monthly session as maintenance Breast Firming Instruction: Clean and dry skin the skin. Exfoliate by microdermabrasion or gentle enzyme peel. Select Protocol: Power: 80% - 90% Time of application: 15 – 20 minutes Amount of product: 3 to 4 cc Method: Circular motion, soft and slow until completely absorbed Frequency of session: One session a week during six to eight weeks After one session every two weeks for one month A monthly session as maintenance Facial Rejuvenation Instruction: Clean and dry skin the skin. Exfoliate by microdermabrasion. Optional: Use a micro roller after microderm. Select Protocol: Power: 70% + Face, 30-40% Lips Time of application: 20 – 25 minutes Amount of product: 5 to 6 cc, divided into face, neck, and chest (also hands) Method: Circular motion, soft and slow until completely absorbed Frequency of session: One session a week during three to four weeks After one session every two weeks for one month A monthly session as maintenance Localized Obesity Instruction: Clean and dry skin the skin. Exfoliate by microdermabrasion. Optional: Use a micro roller after microderm. Select Protocol: Power: 85% - 95% Time of application: 15 – 20 minutes Amount of product: 6 to 10cc Method: Circular motion, soft and slow until completely absorbed Frequency of session: One session a week during six to eight weeks After one session every two weeks for one month A monthly session as maintenance Cellulite Instruction: Clean and dry skin the skin. Exfoliate by microdermabrasion. Optional: Use a micro roller after microderm. Select Protocol: Power: 85% - 95% Time of application: 15 – 20 minutes Amount of product: 6 to 10cc Method: Circular motion, soft and slow until completely absorbed Frequency of session: One session a week during six to eight weeks After one session every two weeks for one month A monthly session as maintenance ELECTROPORATION Onyx Medical, Inc. 1-800-333-5773 WWW.ONYXMEDICAL.COM