STANDARD PROTOCOL

HIGH INTENSITY FOCUSED ULTRASOUND

Focused ultrasound holds promise in large number of therapeutic

applications. It has long been known that high intensity focused
ultrasounds (HIFU) can kill tissue through coagulative necrosis.
OVERVIEW
However, it is only in recent years that practical clinical applications
are becoming possible, with the development of high power
ultrasound arrays & non-invasive monitoring methods.
High Intensity Focused Ultrasound (HIFU) is a technology that
causes thermal tissue destruction with high precision & minimum
PRINCIPLE
damage to the surrounding structures. The principle is based on the
physical effects of ultrasound on tissues.
SKIN TYPE All Skin Type
AREAS OF TREATMENT Face, Jawline, Double Chin and saggy parts of the body.
INDICATIONS Eyebrow elevation, lifting of the face, neck and submental areas.
It is not for pregnant & breastfeeding. It is not also recommended
for diabetic, has history of auto-immune disorder, seizure disorder
CONTRAINDICATIONS
& herpes simplex. And also not for patients with implanted
electrical devices.
STANDARD TREATMENT PLAN Thrice a year
SIDE EFFECTS/DOWNTIME Redness, mild to moderate swelling, indentation, altered sensation
 PROCEDURAL PROTOCOL

I. ASSESSMENT

1. Patient completes a new patient questionnaire

 Personal Information
 Reason for consultation
2. Doctor conducts a comprehensive consultation covering:
 Patient’s main concerns
 Analysis on skin
 Treatment options
 How the proposed treatment will treat your skin condition
 CTreatment plan
 The side effects & potential complications associated with the treatment.

II. CONSENT

1. Provide the Consent Forms to the client.

2. Fully explain to the client all the contraindications, side effects and potential
complications associated with the treatment & patient authorization.
3. Have the patient sign his/her initials at the end of each page.
4. Have the patient write the printed name with signature & date on the consent form.
a) For client under 18 years old, have both the patient and his/her guardian sign.
5. Sign witness printed name, signature & date at the bottom of the consent form.

III. PREPARATION

1. Assist the patient to the washing area and have his/her wash his/her face & neck.
a) Make sure that the patient is free from make-up; male patients should be clean
shaven.
2. Prepare the materials
 Gloves
 Cotton Buds
 Disposable Mask
 70% Isopropyl Alcohol
 HIFU transducer 3.0mm, 4.5mm and 9.0mm
 Skin marker
 Coupling Gel
 Gauze Pad and Tissue
3. Once patient has washed his/her face & neck, direct the patient to the photo room.
 4. Take photos of the patient in different sides but standard angles.
5. Lead the patient to the treatment room.
6. Position the patient comfortably in the bed, drape as necessary.
7. Cleanse the treatment area and degrease with alcohol.
8. Topical anesthetic is often applied approximately 30-60 minutes before the
procedure.

IV. TREATMENT PROPER

Face and Neck

1. Clean the area using sterile water then let the Doctor do the markings.
2. Apply cooling gel to the areas to be treated
3. Assist the Doctor in the entire treatment.
4. Treat to a clinical endpoint:
a) Visual lifting & tightening of the selected target areas
b) Reduction/Narrowing of the jowls
c) Accentuating or defining the jaw line
d) Palpable change

NOTE: Usually the Doctor will treat one side of your face at a time – pulse by pulse. The
doctor will do multiple passes, all over one side of your face, including extra pulses in
your problem areas & always under the chin. After one side is done, you can sit up to
see the difference already from the other side.

V. POST TREATMENT

1. Once procedure is done, clean the face with dry gauze.

2. Apply topical corticosteroid followed by sunscreen (spf30 or higher)
3. Advise the patient the following:
a) Wash treated area gently w/ mild soap & water. If treated area is irritated, the
area should not be rubbed with a face cloth or towel but rather patted dry.
b) Wear a sunscreen with an SPF30 or greater for at least 1 week post treatment.
c) Do not irritate treated area chemically (such as with acne or anti-aging
products) or mechanically (such as with sonic cleansing systems) for 1-2 days
after treatment.
d) Aspirin, aspirin-containing products and ibuprofen should be avoided for at least
2 weeks prior post treatment. You may use Tylenol for discomfort if necessary.
Prednisone and other steroids should be avoided completely for a month, since
they affect the results.
e) Provided that there is no persistent redness, blistering, or crusting present in
the treatment area, you may resume all normal activities.
 f)Contact the clinic immediately if you notice blistering, redness, crusting,
tenderness, or any other changes that may concern you.
4. Schedule the client for his/her next follow-up
 Follow ups: 1 month, 3 months and 6/8 months

NOTE: If you are 30-50, three sessions may be enough. If you are over 50, plan on 3-5
sessions for one year, then maintenance once every one to two years.