Introduction

Ultra-Z Introduction

Aesthetic Trends

Lipo-sculpture History

Lipo Plastic Trend

Lipo-sculpture Equipment Introduction

Ultra-Z Introduction

Why Ultra-Z?

Patients vs. Surgeons Benefits

Before & After

 Aesthetic Trends
19 19
20
60 90
10
’S ’S

Voluptuous Skinny Sexy & Healthy

3
 Lipo-sculpture History
2006
New UAL (ULTRA-Z)
Super Ultrasound
2002 Lipolysis
WAL (Water Assisted Liposuction)

2000
LAL (Laser Liposuction)
Technology

1996
PAL (Infrasonic)

1992
Old UAL (Ultrasound Assisted Liposuction)

1985 Dr. Michael Zocchi

SAL (Suction Assisted Liposuction)

Dr. Jeffrey Klein & Dr.Patrick (Dermatologist)
1977 35 mg/kg Lidocaine
Epinephrine
Dry Liposuction
Dr. Yves-Gerard Illouz(Plastic Surgeon, French)
1921 Blunt cannula tunneling
*SAL : Suction Assisted Liposuction
Cut & Scrape ”Dry-liposuction” / First purely cosmetic use *UAL : Ultrasonic-Assisted Liposuction
1921 – Dujarrier,
Uterine curette – Necrosis & Amputation

Time
4
Trend Lipo Plastic Trend

• Reduce weight
•Lipo-suction
• Not tissue selective (Avulsion)
• Reshaping of a patient's figure

•Lipo-sculpture
• Large Volume liposuction
(silhouette)

• Easier application
• Safer solution
• General anesthesia • Faster result

• Lipo-selective lipolysis

• Superficial lipolysis

• Local anesthesia
Time

5
 Lipo-sculpture Equipment Introduction

SAL PAL WAL LAL UAL(Ultra-Z)

Nd – Yag 1064nm Bubble effect
How to work Manual stroke Vibration Stroke Water under high pressure
Nd – Yag 1444nm (Cavitation)

Cannula size
3.0 ~ 4.0 2.0 / 3.0 / 4.0 / 5.0 3.5 ~ 4.0 1.0 1.2 / 1.9, / 2.9 /3.7
(mm)
Arm Arm
Main All
All Thigh Abdomen Only face
Application Special Areas
Abdomen Thigh

Aspiration
2,000cc 2,500cc ~ ~ 1,000cc ~ 200cc ~ 2,500cc
(cc)
1. Easier application
Advantage All application - Less painful No incision 2. Faster result
3. Safer solution

1. Physical fatigue 1. Most painful 1. Longest Learning –curve 1. Extremely limited Time consuming in
2. Time consuming 2. Limited application 2. Longest time application large volume aspiration
3. Long time 3. Limited application 1. No result
Disadvantage
4. Sever bleeding
5. Irregular
menstruation

6
 Laser vs. Ultrasound

Laser Ultra-Z

� Burning •Emulsification
� Slow •Fast
� Ash •Liquid Status

7
 Ultrasound characteristics

• Sound Wave
Sound wave is the energy transmitted from the vibration between mediums.

•Ultrasound
Ultrasound is sound waves which has higher frequency than frequency of human hearing.
Application in Medical Equipment from Diagnostic to HIFU (High Intensity Focused
Ultrasound)

8
 Ultrasound characteristics
• Frequency
• Low Frequency 🡪 focus on far distance, low resolution, high power
▪ Ex: Lipolysis equipment

• High Frequency 🡪 focus on near distance, good resolution , low power

▪ Ex: Diagnostic equipment

•Two Wave forms

• Longitudinal wave 🡪 transmit easily in soft tissue (fat, water)
• Transverse wave 🡪 transmit better in solid materials (steel, bone)

9
 Ultra-Z Core Competence

GENERATO HAND-PIECE PROBE OUTPUT

R
AC Input

Amplifier

Piezoelectric crystals

Amplifying to High V Converting from Electrical Energy to Ultrasound Energy Mechanical Vibration Ultrasound

Ultra Z Technology Core Competence

• GENERATOR : Stable Generator by High-Technical Know- How

• HAND-PIECE : Longitudinal wave without energy loss

• PROBE : The Thinnest Probe of UAL in the world

10
Why Ultra-Z?

Easier
Safer
Faster

11
 Why Ultra-Z?

1. Easier Application
• All applications – Face, Body and special application – with various probes
• Delicate application like a face with the thinnest probe(1.2mm) in the world
• Special application like osmidrosis & gynecomastia

2. Safer Solution
• Emulsify only fat with minimal damage of other important tissues
• 3 Less : Less pain, Less bleeding, Less swelling
• Lipo-sculpture in office under local anesthesia

3. Faster Result
• Predictable result by Bubble effect (cavitation)
• Fast recovery due to 3 Less
• Even result and enhanced skin elasticity

12
Why Ultra-Z? Easier Application

• All applications
▪ 1.2 & 1.9 : Face
▪ 2.9 : All body – Abdomen, Osmidrosis, Cankle
▪ 3.7 : Special – Thigh, Gynecomastia

• Face application
▪ The most delicate indication like a face with the
thinnest probe (1.2mm) in the world

• Special application
▪ Osmidrosis & Gynecomastia in fibrous area

13
 Why Ultra-Z? Safer Solution

Avulsion Emulsion

� Uneven contouring •Even contouring

� Painful, longer recovery •Less painful
� Surgeon fatigue •Precise sculpting
� Unpredictable result •User-friendly

14
 Why Ultra-Z? Safer Solution

Others Ultra-Z

• Emulsify only fat with minimal damage of other important tissues

• 3 Less : Less pain, Less bleeding, Less swelling

• Lipo-sculpture in-office under local anesthesia

15
 Why Ultra-Z? Faster Result

Bubble Effect (Cavitation)

• All Ultrasound vibration makes small bubbles only in the fat cell

• The fat cell is maximum expansion by the ultrasound energy

• The fat cell is destroyed as implosion and emulsion.

16
 Why Ultra-Z? Faster Result

• Vibrating UAL probe tip generates forces and pressures over a short range sufficient to
fragment cells and disrupt tissue structures.

•Tissue strength determines whether it will be destroyed or not.

•According to the below chart, fat has the least tissue strength in the body in comparison to
Bon
muscle, collagen, bone and Ultrasound energy of Ultra-Z is designed to disrupt only fat
e
based on the tissue strength.

Collage
Tissue Strength

Muscl Data Source : Rohrich R.J., Beran S.J., Kenkel J.M.

“Ultrasound-Assisted Liposuction”, 1998.
e

Ultra-Z Power Fa
t
Tissue
Disruption
17
 Ultra-Z Benefit

• Simple surgery like a treatment

• Safer solution

• Predictable results

• All applications

• Physician fatigue decrease

•3 Less
• Less Pain

• Less Bleeding

• Less Swelling

•Skin retraction improvement

•Simple follow-up treatments
•Fast recovery

18
 Q&A

Q: Is there bleeding and how about pain?

A: Ultrasound energy make only fat emulsification (bubble effect) without damage of nerve, blood vessel,
muscle and other tissue. So there is much less bleeding and much less pain.
Q: Is there any risk of burn inside?
A: There is no burn in the inner part.
Q: How to prevent burn on incision site?
A: 1. Spreading(Sprinkling) normal saline by syringe on incision site.
2. Using wet gauze on incision site.
3. Using hard type protector.
Q: After surgery, do patients have to wear compression garment?
A: Compression garment is very helpful for more satisfactory result and faster recovery.
Q: Is local anesthesia possible?
A: Bubble effect of Ultra-Z can make local anesthesia because of its fat focused energy(only fat emulsification
without damages of other tissue nerve, blood vessel, muscle).
Q: What is the end point of using Ultra-Z?
A: Guide using time of Ultra-Z is 1min/100cc of tumescent but End point is No resistance of probe.

19
 Q&A

Q: Is seroma occurring after Ultra-Z use?

A: No. Traditional Ultrasound equipment has seroma from unnecessary power. But Ultra-Z has efficient power
for fat emulsification without damages of other tissue. But Frictional seroma can be possible if too many
strokes happen in superficial layer.

Q: Is an irregularity happening?
A: Rarely, because Ultra-Z liposculpture use emulsification not avulsion which can make an irregularity.

Q: What is the difference between traditional ultrasound equipment & Ultra-Z?

A: Traditional type has unnecessary power and heat from thick cannula(5mm diameter and hollow type which
can aspirate simultaneously). It makes internal burn and seroma and bad results.
Ultra-Z makes efficient power for only fat focused energy with micro size probe which can be possible for not

only detail area but also special application.

20
 Q&A

Q: what is main difference with Laser lipolysis?

A: Laser burns the fat and it makes carbonization.
Ultrasound emulsifies the fat.

Q: Can PAL type equipment use together?

A: Yes, Ultra-Z concentrates 2 layers: superficial layer and middle layer and then aspirate with SAL.
And PAL type can be used in only deep layer which has little effect of bleeding and irregularity.

21
Before
&
After
22
 Face

1 month

Wonjin Plastic Surgery

23
 Face

1 month

Wonjin Plastic Surgery

24
 Abdomen

2 month

Wonjin Plastic Surgery

25
 Abdomen

1 month

Wonjin Plastic Surgery

26
 Abdomen & Arm

6 weeks

Wonjin Plastic Surgery

27
 Arm

Wonjin Plastic Surgery

1 month

Chantique Aesthetics in Malaysia

28
 Arm

1 month

Wonjin Plastic Surgery

29
 Thigh & Abdomen

1 month

Wonjin Plastic Surgery

30
 Back

1 month

Wonjin Plastic Surgery

31
 Thigh

1 month

Wonjin Plastic Surgery

32
 Calf

1 month

Wonjin Plastic Surgery

33
 Gynecomastia

2 weeks

Mi-Q Clinic

34
 Gynecomastia

1 month

Wonjin Plastic Surgery

35
 Gynecomastia

2 weeks

JK Plastic Surgery

36