TREATMENT PROTOCOLS MANUAL Slim Light 6.9 Multi-functional aesthetic equipment The successful method for fighting against cellulite and localized adiposities, I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 0
4 OBJECTIVES OF BODY TREATMENT WITH SLIM LIGHT 6.9 OBJECTIVE 1. Treating Cellulite STEP 1. Depolymerize The mucopolysaccharides to release water STEP 2. Lipolyse The triglycerides from adipocytes STEP 3. Drain The exudations resulting from the two former actions STEP 4. Defibrose The tissues to restore their elasticity STEP 5 Firm Up The skin to improve its tone Classifying Cellulite ( WATER+ FAT+VASCULAR FACTORS) Compact cellulite 1 st stage Between the skin and the muscle fascia there are cells that form the so-called adipose tissue that is crossed by numerous blood vessels. An alteration in the permeability of the capillaries leads to a loss of the watery part of the blood, known as serum, with a consequent build-up and accumulation in the interstitial tissue located between the adipose cells. If the process is not stopped, this seepage of water into the interstitial tissue leads to a separation and disassociation of the adipose cells with a consequent break-up of the cells themselves and the formation of gaps. Oedematous cellulite 2 nd stage (alteration of the adipose cell). Under normal conditions, each I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 1
adipose cell is wrapped by a network of very fine reticular fibres. A repetition and duration of the oedema phenomenon leads to a defensive reaction by the fibres themselves that react by increasing in number (hyperplasia) and in thickness (hypertrophy). All this results in an alteration to the normal (lobe) structure of the adipose tissue and a dilation of the micro vessels. The circulation of the blood is compromised and if this phenomenon continues for a long period, the adipose tissue hardens (see sclerosis) and, in other words, becomes harder and more painful. Soft cellulite 3 rd and 4 th stages (formation of micro nodules). With the passing of time, the reticular fibres become collagen fibres; the latter tend to encapsulate the degenerated adipose cells with the formation of true micro nodules, that is of rounded structures of microscopic dimensions. 4 th stage (formation of macro nodules). When several micro nodules combine together, they give rise to the formation of a macro nodule, which is evident to the touch and painful when pressed. When talking of cellulite, it is always thought that only women are affected; however, there is a symptom similar to cellulite that affects men, although to a lesser extent and it is known as male cellulite. There are basically two differences between the female and the male phenomenon: the origin and the location of the pockets of fat deposits. Male cellulite is caused by a tendency to retain liquids in the tissues: therefore, it is a problem of constitution. For men the problem is characterized by rolls of fat in the area from the waist upwards: arms, back, stomach, but above all, the waist. In women on the other hand, cellulite is seen on the outside of the thighs, under the buttocks and on the inside of the knee. I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 2
OBJECTIVE 2. Sagging Tissue STEP 1 : Two Basic concept need to be kept in mind - Cutaneous tension of the skin - Flexibility of the skin - These two factors determine the elasticity and its capacity to adapt itself to anatomical controls as a function on movement STEP 2: Physiologic Balance - The fibroblasts of the dermis synthesize 2 essential proteins that create the fibres that organize the dense networks -The collagen function is to support the tension forces within the skin -The elastine contained in the elastic fibres can shrink or stretch in order to create and control cutaneous flexibility - Problems, stemming from either a lack of the 2 proteins or poor quality in the 2 proteins, will result in sqgging of the cutaneous tissue. STEP 3 Diagnostic Depressology Global Diagnostic: Observation of the anatomic segments While lying both on the front and back -While erect (standing), and while moving Analytic Diagnostic: Hand palpations on the cutaneous segments Put tension on the skin, and when released observe the movement of the tissue as it returns to its original form Qualitative study of the tissue and evaluation of its flabbiness Listening to the requests of the patient I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 3
STEP 4 Therapeutic Objectives 4.1. Improve the trophicity of the cutaneous tissue by stimulating local metabolic exchanges 4.2. To act on the bio-mechanical properties of the collagen and elastine fibres to firm up the skin with two results; a. Improved cutaneous tension b. Improved cutaneous flexibility 4.3. To maintain an optimal capacity of skin stretching and retraction possibilities obtained through a veritable cutaneous gymnastic I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 4
OBJECTIVE 3: HEAVY LEGS STEP 1: Anatomic and Physiologic Reminder Blood Return Circulation : 2 Systems -Lymphatic System -Venous System Venous System : 2 Networks -Superficial Venous Network -Plantar Venous Network -External Saphen Vein -Internal Saphen Vein -Deep Venous Network -Satellite arteries and veins (ex. Anterior tibial vein) -Common Linking Point: Thigh Ring (At the Scarpa level) which becomes the external iliac vein STEP 2: Diagnostic Procedures 1. Find the oedema areas With the tissue impression test to determine the origin of the oedemas (venous or lymphatic) 2. Palpation of the saphen areas From the bottom to the top 3. Pay attention to the specific signs of vascular fragility - Varicous veins - Spider veins - Erythroses (irritated) I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 5
STEP 3 : Therapeutic Objective 1. Strengthen the venous structures 2. Work on the 2 extreme areas of the network -Proximal area (inguinal) -Distal area (plantar) 3. Stimulate the venous flow on the 2 main venous blood flow channels -Internal Saphen vein -External Saphen vein 4. Improve the blood circulation of the supporting veins towards the main network blood flow I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 6
OBJECTIVE 4 : EMERGETIC RE-BALANCE Therapeutic Objective 1. Remove muscular tensions to obtain an overall good relaxation over the whole body 2. Stimulate the cutaneous receptors of the sympathetic system: -free nerve terminals -free mecanoreceptors terminals to improve cutaneous sensitivity 3. Remove all reflex stases 4. Regulate the cutaneous micro circulation network with a view to restaure the vasoconstriction and vasodilatation balance I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 7
The Infrared Soft Laser and the Reflecting Points Parameter Setting for Anti- Cellulite Sequence of Treatments Frequency Power Emission 1 to 5 5000 99% 6 to 10 7000 99% Above 11 9000 99% FIG1. (see picture)place the probe for 1 minute on every spot following the order: 1-2-3-4-2-3-1-A-B. Then, gently and slowly brush the concerned area. Only brushing may be done on every other day. FIG 2 press with the fingertips over the points 1-2-3-4 end then move around the probe over these points in sequence as shown. Then gently and slowly brush the leg with the direction from hip to foot. FIG 3 place the probe for 40 seconds on every spot following the order: from 1 to 23 on the right leg and from 1 to 23 on the left leg. Then, gently and slowly brush from above knee to foot (A) and after from hip under knee (B) the concerned area. Only brushing may be done on every other day. The brushing has to be done with the direction from hip to foot. 1 2 I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 8 3
Objective : Lypolisis of wider abdominal area 5 mins 350-400 0 1 2 3 1. Starting point: White line on abdomen 2. Move the treatment in a cross pattern on both sides on the white line 3. Widely overlap on the upper section to treat the side abdominal area I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 9
Objective : Drainage of exudates 10 mins 500 2 1 2 3 1. Over-Ombilical area: Drain towards the axillaries areas on both sides 2. Sub-Ombilical area: Drain towards the inguinal areas on both sidees 3. Trochanterien area and inside of knew area; Drain towards the Scarpa Triangle I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 10
Objective : Lypolisis around the trochanter areas 5 10 mins 350-400 0 1. Cross- kneading movement on the top half of the trichanter area 2. Cross- kneading movement on the bottom half of the trochanter area 3. Depending on the case, extend the movement to include on the tensor muscle of the fascia lata area. I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 11
Objective : Depolymerisation around the trochanter areas 5 10 mins 350-400 0 1. Precisely locate the large trochanter while the patient is laying on her side 2. Concentric circular sliding motion are around the large trochanter area 3. Progressively widen the circle diameter I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 12
Objective : Lypolysis of knee interior 5 mins 350-400 0 1. Progressive Horizontal Movement Kneading of the entire inside kneew 2. Progressive vertical kneading of the entire inside of knee 3. Extension of kneading to the large abductor muscle area I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 13
Objective : Depolymerisation of the knee interior 5 mins 350-400 0 1. Perform concentric circular movement on the internal large muscle 2. Widen the circle to some extent at the muscle periphery 3. Continue the work on the large abductor area I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 14
Objective : Depolymerisation / Lypolysis of deltoid area 3 mins 350-400 0 1. Progressive work on the anterior deltoid muscle 2. Progressive work on the posterior of the deltoid muscle 3. Progressive work on the medium, of the deltoid muscle : Repeat according to need I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 15
Objective :Drainage of the exudates in the deltoid area 3 mins 350-400 2TS 1. Anterior drainage towards the anterior face of the axillary area 2. Lateral drainage towards the anterior face of the axillary area 3. Posterior drainage towards the posterior face of the axillary area I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 16
Objective :Breaking Down of Fibrolytis cellulite (optional) Application Times SUCTION POWER PULSE FREQUENCY 15 mins 400-500 If painful cellulite, 2TS If no painfull, 0 1. Wide movements on the wider trochanter area 2. Wider work on internal side of knees 3. Wider work in the deltoid area (optional) I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 17
Objective :Firming of the anterior abdominal area 5 mins 300-400 0 1. Using one hand put tension on the skin on one side of the abdomen 2. Horizontal depressology movements on the front of abdomen, pushing away from the hand applying the tension 3. Identical manoeuvre, this time with hand on opposite side, and still pushing away from hand applying the tension. I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 18
Objective :Firming up of the lumbo-buttock area 5 mins 400 0 1. Applying tension with one hand underneath the patient s buttocks 2. Perform circular and cross-partern moverment on the lumbar area 3. Same manoeuvre on the other side I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 19
Objective :Firming up of the abdominal area 5 mins 300 0 1. Slow and focused work on the overweight areas of the abdominal sides 2. Gradually widening the movement towards the posterior area 3. Gradually widening the movement towards the anterior aide I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 20
Objective :Firming up of the internal section of the thigh 5 mins 300 0 1. With one hand apply tension at the inferior level of the abductor muscle 2. Continue work in an ascending motion on the abductors, carrying right over anterior face 3. Continue work in an ascending motion on the abductors, carrying right over posterior face. I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 21
Objective :Firming up of Posterior Thoracic area 5 mins 300 0 1. Tension with the hand at the rotating dorso-lumber section 2. Work in ascending motion towards the center an the lateral sides of the thorax 3. Perform an identical movement on the opposite side, being sure to respect the shoulder blades. I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 22
Objective :Firming up of internal side of the arm 5 mins 200 0 1. Apply tension with the hand ina bracelet grip just over the elbow 2. Continue work in an ascending motion on the front internal section of the arm, moving towards the axillary area 3. Continue work in an ascending motion on the back internal section of the arm, moving towards the axillary area. I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 23
Objective :Decongestion of the proximal area. 2 mins 400 2 1. Perform soft and slow movements in the inguinal fold without crossing its extremes 2. Perform deeper work in the same area with slightly wider movement and going over the inguinal fold edge 3. Perform wider back and forth movements covering the whole Scarpa area I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 24
Objective :Distal Decongestion 3 mins 600 3 1. Rolling-folding movements on the foot sole (posterior-anterior direction) 2. Circular movements around the external foot bone area 3. Circular movements around the internal foot bone area I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 25
Objective :Drainage of the Internal Saphen Area 6 mins 500 2 1. Rolling-folding movements on half of the internal saphen vein up to the inner-knee area 2. Rolling-folding movements on 2/3 of the internal saphen area (up to the mid-thigh section) 3. Rolling-folding movements on the entire internal saphen area (up to the pelvis) I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 26
Objective :Drainage of the external Saphen Area 3 mins 500 2 1. Rolling-folding movements up to the mid-half of the external saphen area 2. Rolling-folding movements on the entire external saphen area up to the back of the knee 3. Repeat movement several times, focusing on inner part of knee I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 27
Objective :Relaxation of specific body areas 10 mins 400 0 1. Relax dorsal and lombar areas 2. Relax trapezoid and neck areas (scapulo-cervical area) 3. Relax limbs I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 28
Breast Building Up Application Times SUCTION POWER 30 mins 300 2 Programming Setting Sequence of Treatment Frequency PULSE FREQUENCY Power Emission 1-3 4000 99% 4-6 6000 99% 7 above 9000 99% (see pictures)place the probe for 1 minute on every spot following the order front 1-2-3-4-2-3-4. Back S-1-2-3-4-5-D6,then D1,2,3,4,5 and S6, then D1,2,3,4,5 and S6, and then, gently and slowly brush the concerned area. Only brushing may be done on every other day. I dait pubblicati sono di proprieta di SHARP & BOTANICA S.r.l. E vietata ogni riproduzione anche parziale dei dati pubblicati 29