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Cynosure TempSure Envi

Cosmetic practices looking to diversify their skin rejuvenation modalities beyond laser and injectables can now offer their patients an effective and versatile radiofrequency platform: the Cynosure TempSure Envi from Hologic Inc.

The FDA-approved advanced radiofrequency (RF) device minimizes facial fine lines and wrinkles, tightens skin through soft tissue coagulation and improves the appearance of cellulite, according to a recent press release.

Dr. Saluja“Primarily, I like that TempSure Envi is temperature controlled,” says Raminder Saluja, M.D., founder of Saluja Cosmetic and Laser Center in Huntersville, N.C. “This means that as I am treating a patient, the device is reading the real-time temperature at the treatment site to ensure that appropriate temperatures are achieved for optimal results.”

TempSure Envi also has safety controls, so that once the temperature selected has been reached, the device will cease RF delivery, then resume once the temperature falls below the selected temperature.

“In essence, there is feedback temperature sensing, to not only achieve the selected temperature, but also to not exceed the selected temperature,” Dr. Saluja tells The Aesthetic Channel.

Dr. Saluja says this integrated monitoring adds significantly to safety. “I can trust the device to execute what I have programmed and that the treatment I am providing is accurate,” she states. “Other RF devices do not have the temperature control built in.”

Because of these safety features, Dr. Saluja is able to delegate treatment, she says.

TempSure Envi also plays a selection of spa music during treatment, “which correlates to greater comfort for the patient,” Dr. Saluja says. This is in contrast to many RF devices that emit a beeping noise during the entire treatment session, “which can be distracting.”

Dr. Saluja, who was one of the lead investigators for the Institutional Review Board (IRB) study of TempSure Envi, started using the product last September and has treated the face of 50 patients to date.

She has found success offering three to five sessions, spaced three to four weeks apart. “In my experience, treatment for the entire face takes between 20 and 25 minutes,” Dr. Saluja says. “There is also no downtime following treatment, which my patients love.”

Dr. Saluja characterizes her results as “really quite nice.” She says the device heats the deep layers of skin to regenerate collagen that improves the overall appearance of wrinkles and laxity of the face. Immediately after the procedure, though, patients “see a little ‘pop’ where their skin becomes tighter from collagen fibril contracture,” Dr. Saluja explains. “Then, over time, new collagen is laid down for a greater effect.”  

In addition, 99% of patients reported pain-free treatment, according to a Cynosure in-house study.

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