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iTero Element Intraoral Scanner For Sale

$7,635.00

The iTero Element Scanner is a digital impression system that eliminates the need for messy putty in your mouth.

Improving iTero Intraoral Scanners

While it’s already a leader in dental technology, iTero is constantly refining its intraoral scanning options. Its Element Itraoral Scanner, introduced in March 2015, captures 6,000 frames per second, up to 20 times faster than its predecessor. Its wand is also smaller and lighter, with in-built controls for more intuitive operation. Intraoral scanners from iTero are renowned for their accuracy, but the increased capture speed improves the company’s already impressive statistics.

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Description

iTero Element Intraoral Scanner

What Are iTero Intraoral Scanners?

Intraoral scanners from iTero scan the mouths of patients, capturing images to create three-dimensional dental images in minutes. Intraoral scanners are simple to use and can be operated by one person. Their user-friendly nature helps dental professionals get the best results. The scans they produce are also more detailed than the traditional two-dimensional images they replace.

Intraoral digital scans help dental professionals create accurate physical dental models for restorative work, including crowns, veneers, and implants. They also help orthodontists diagnose orthodontic problems and develop the best treatment plans.

The company’s digital ecosystem software works seamlessly with its intraoral scanners, improving workflow for dental professionals working on orthodontic and restorative cases. However, unlike many early intraoral scanners, they are open systems. This feature gives dental professionals more flexibility about how they use their digital scan files. Intraoral digital scans from iTero scanners can be easily shared with other dental professionals and third-party providers such as Invisalign. When all relevant parties have the scans, they can communicate better to improve patient outcomes.

What iTero Intraoral Scanners Do

Intraoral scanners feature a wand, which the dental professional moves around a patient’s mouth. In the latest versions, the wand captures thousands of frames per second which are pieced together to create a three-dimensional visualisation of the patient’s mouth. The wands on iTero intraoral scanners are smaller than early intraoral scanners, allowing them to scan molars in the back of the mouth which were traditionally difficult to reach. Dental professionals using small wands also aren’t limited by how wide their patients can open their mouths. The small wands are also less likely to make patients gag than older forms of scanning technology.

Intraoral scanners also have screens which display the digital dental images as they’re captured in real time. The screens show whether the scan is good or not before it’s saved and submitted to the lab. This feature can be a real time-saver for dental professionals who, in the past, could receive word from the lab two or three weeks later that their scans were inadequate. By providing immediate feedback, intraoral scanners can save dental professionals and patients time and frustration.

Unlike many intraoral scanners, patients don’t need to cover their teeth in titanium dioxide powder before an iTero intraoral scan. This benefit further improves the scanning process for dental patients.

How Intraoral Scanners Make Invisalign Orthodontics Easier

Orthodontists can also create better Invisalign treatment plans for their patients using iTero intraoral scans.Invisalign clear aligners are one of the most popular teeth-straightening aids used today as they’re effective, removable, and virtually undetectable. Unlike many intraoral scanners, iTero intraoral scanners have open architecture which makes them compatible with the Invisalign system, including its Invisalign Outcome Simulator. Orthodontists can scan their patients’ mouths with an iTero intraoral scanner, then show them how their Invisalign treatment will look. This technology improves the patient experience because patients can know what to expect and feel more confident in their diagnosis and treatment plan. It also makes the ClinCheck setup three times faster.

After setup, speed is still on the iTero intraoral scanners’ side. iTero states ClinCheck treatment plans submitted with its scans are usually posted to the Invisalign Doctor Site three times faster than traditional polyvinyl siloxane scans. As a result, your Invisalign aligners are created and posted back to your orthodontist sooner so that you can start treatment faster. Since the iTero intraoral scanning system is open, orthodontists can also send the scan files to any laboratory of their choosing for the creation of a retainer, which reinforces your treatment after the Invisalign process, and other dental tools.

Orthodontists can also create better Invisalign treatment plans for their patients using iTero intraoral scans. Align Technology research shows orthodontists who use the scans have 10 times fewer rejections and seven times fewer issues with the fit of the Invisalign aligners. These results may be because iTero intraoral scanners can help orthodontists track their patients’ progress. Regular scans throughout Invisalign treatment can help orthodontists compare expected outcomes with results. If results aren’t as expected, orthodontists can use the scans to educate their patients about their treatment and the importance of complying with their recommendations.

Improving iTero Intraoral Scanners iTero Element Intraoral Scanner

While it’s already a leader in dental technology, iTero is constantly refining its intraoral scanning options. Its Element Itraoral Scanner, introduced in March 2015, captures 6,000 frames per second, up to 20 times faster than its predecessor. Its wand is also smaller and lighter, with in-built controls for more intuitive operation. Intraoral scanners from iTero are renowned for their accuracy, but the increased capture speed improves the company’s already impressive statistics.

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SettingsiTero Element Intraoral Scanner For Sale remove3Shape TRIOS 4 Intraoral Scanner For Sale removeAMD Picasso Lite Plus Dental Diode Laser For Sale removeHuvitz HRK-8000A Auto Refractor Keratometer For Sale removeINMODE Bodytite Laser – Radio Frequency (RF) For Sale removeEndymed Pro Hair Laser For Sale remove
NameiTero Element Intraoral Scanner For Sale remove3Shape TRIOS 4 Intraoral Scanner For Sale removeAMD Picasso Lite Plus Dental Diode Laser For Sale removeHuvitz HRK-8000A Auto Refractor Keratometer For Sale removeINMODE Bodytite Laser – Radio Frequency (RF) For Sale removeEndymed Pro Hair Laser For Sale remove
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DescriptionThe iTero Element Scanner is a digital impression system that eliminates the need for messy putty in your mouth.Improving iTero Intraoral ScannersWhile it’s already a leader in dental technology, iTero is constantly refining its intraoral scanning options. Its Element Itraoral Scanner, introduced in March 2015, captures 6,000 frames per second, up to 20 times faster than its predecessor. Its wand is also smaller and lighter, with in-built controls for more intuitive operation. Intraoral scanners from iTero are renowned for their accuracy, but the increased capture speed improves the company’s already impressive statistics.Caries diagnostic aid for surface caries. TRIOS 4 has built-in fluorescent technology that aids in the identification of possible caries. Using TRIOS 4, dental professionals can now be aided in the early-detection of surface caries, without the need for an additional scanning device. Caries diagnostic aid for interproximal caries. TRIOS 4 will also feature a dedicated transillumination smart tip later this year. The smart tip will aid in the identification of possible interproximal caries undetectable to the eye, without emitting radiation.INCLUDES:
  • Picasso Lite+ Laser 3.0 Watts
  • Wireless Foot Control
  • Quick Start Guide
  • Owner’s Manual
  • Universal Power Supply
  • One Transportation Box
  • One Multi-Tip Handpiece
  • Three Pairs of Protective Laser Goggles
  • 3 Year Warranty
The image can then be displayed on a monitor, helping you to educate your patients The HRK can provide peripheral keratometry measurement data which is very useful when fitting contact lenses. The eye can be displayed in full colour mode on a tilting touch screen which enables you to see the patient’s contact lens fitting status, previously only possible using a slit lamp. As the HRK has the world’s first contact lens fitting function in an auto keratometer, you can now see the flourescein liquid with blue illumination along with automatic calculation and recommendation for contact lens fitting.InMode Aesthetics InmodeRF BodyTite with BodyTite and FaceTite ApplicatorsBenefits Controls heating to ensure that large volume contraction is consistent, avoiding overtreated or undertreated area When treating different areas of the body, the operator is always receiving real time temperature monitoring, even in deep fat areas where laser temperature readers cannot reach Allows focal treatment of all body areas with large volume Treats deep fat, up to 50 mm (2 inches)3Deep Intensif Handpiece – Fractional Microneedling RF Skin Remodeling Specifically designed to treat acne scars, deep wrinkles, stretch marks and other conditions requiring deep dermal heating. The Intensif Handpiece applies an array of micro-diameter needles to safely and effectively deliver focused RF energy deep into the dermis, providing a revolutionary collagen remodeling solution for acne scar treatment and deep wrinkle reduction, with minimal discomfort and downtime.
Content

iTero Element Intraoral Scanner

What Are iTero Intraoral Scanners?Intraoral scanners from iTero scan the mouths of patients, capturing images to create three-dimensional dental images in minutes. Intraoral scanners are simple to use and can be operated by one person. Their user-friendly nature helps dental professionals get the best results. The scans they produce are also more detailed than the traditional two-dimensional images they replace.Intraoral digital scans help dental professionals create accurate physical dental models for restorative work, including crowns, veneers, and implants. They also help orthodontists diagnose orthodontic problems and develop the best treatment plans.The company’s digital ecosystem software works seamlessly with its intraoral scanners, improving workflow for dental professionals working on orthodontic and restorative cases. However, unlike many early intraoral scanners, they are open systems. This feature gives dental professionals more flexibility about how they use their digital scan files. Intraoral digital scans from iTero scanners can be easily shared with other dental professionals and third-party providers such as Invisalign. When all relevant parties have the scans, they can communicate better to improve patient outcomes.What iTero Intraoral Scanners DoIntraoral scanners feature a wand, which the dental professional moves around a patient’s mouth. In the latest versions, the wand captures thousands of frames per second which are pieced together to create a three-dimensional visualisation of the patient’s mouth. The wands on iTero intraoral scanners are smaller than early intraoral scanners, allowing them to scan molars in the back of the mouth which were traditionally difficult to reach. Dental professionals using small wands also aren’t limited by how wide their patients can open their mouths. The small wands are also less likely to make patients gag than older forms of scanning technology.Intraoral scanners also have screens which display the digital dental images as they’re captured in real time. The screens show whether the scan is good or not before it’s saved and submitted to the lab. This feature can be a real time-saver for dental professionals who, in the past, could receive word from the lab two or three weeks later that their scans were inadequate. By providing immediate feedback, intraoral scanners can save dental professionals and patients time and frustration.Unlike many intraoral scanners, patients don’t need to cover their teeth in titanium dioxide powder before an iTero intraoral scan. This benefit further improves the scanning process for dental patients.How Intraoral Scanners Make Invisalign Orthodontics EasierOrthodontists can also create better Invisalign treatment plans for their patients using iTero intraoral scans.Invisalign clear aligners are one of the most popular teeth-straightening aids used today as they’re effective, removable, and virtually undetectable. Unlike many intraoral scanners, iTero intraoral scanners have open architecture which makes them compatible with the Invisalign system, including its Invisalign Outcome Simulator. Orthodontists can scan their patients’ mouths with an iTero intraoral scanner, then show them how their Invisalign treatment will look. This technology improves the patient experience because patients can know what to expect and feel more confident in their diagnosis and treatment plan. It also makes the ClinCheck setup three times faster.After setup, speed is still on the iTero intraoral scanners’ side. iTero states ClinCheck treatment plans submitted with its scans are usually posted to the Invisalign Doctor Site three times faster than traditional polyvinyl siloxane scans. As a result, your Invisalign aligners are created and posted back to your orthodontist sooner so that you can start treatment faster. Since the iTero intraoral scanning system is open, orthodontists can also send the scan files to any laboratory of their choosing for the creation of a retainer, which reinforces your treatment after the Invisalign process, and other dental tools.Orthodontists can also create better Invisalign treatment plans for their patients using iTero intraoral scans. Align Technology research shows orthodontists who use the scans have 10 times fewer rejections and seven times fewer issues with the fit of the Invisalign aligners. These results may be because iTero intraoral scanners can help orthodontists track their patients’ progress. Regular scans throughout Invisalign treatment can help orthodontists compare expected outcomes with results. If results aren’t as expected, orthodontists can use the scans to educate their patients about their treatment and the importance of complying with their recommendations.Improving iTero Intraoral Scanners iTero Element Intraoral ScannerWhile it’s already a leader in dental technology, iTero is constantly refining its intraoral scanning options. Its Element Itraoral Scanner, introduced in March 2015, captures 6,000 frames per second, up to 20 times faster than its predecessor. Its wand is also smaller and lighter, with in-built controls for more intuitive operation. Intraoral scanners from iTero are renowned for their accuracy, but the increased capture speed improves the company’s already impressive statistics.

3Shape TRIOS 4 Intraoral Scanner

3Shape TRIOS 4

Our most powerful intraoral scanner to date

Take your dentistry beyond treatment Our intraoral scanning solutions allow you to take your dentistry beyond. The new 3Shape TRIOS 4 combines our established superior scanning technology with groundbreaking caries diagnostic aid technology* for both surface and interproximal caries. No additional scanning device needed.Smart tips 3Shape TRIOS 4 Intraoral ScannerThe new generation of TRIOS smart tips feature instant-heat technology for optimized scanning.Be scan-ready in seconds with instant-heat technology.Scan 2-3 times as many patients with instant-heat in combination with 30% more battery life.Optimal scanning due to automatic use counter and tip-change alert.The TRIOS system is a complete in-house ecosystem including a scanner and extensive design software. This means there are plenty of options depending on your needs. Those who are just looking for a scanner and want to utilize labs may look into the basic, cheaper options. Those who want to design crowns, bridges and other prosthetics can opt for design modules. The only missing component is a milling machine, which if you want to mill restorations in-house, will have to be from a third party. This proves to be a weak link in the digital chain.At iDD, we have been using the TRIOS 3 for over four years in our clinic, spending literally thousands of hours learning the workflow. We have carried out all aspects of dentistry using the TRIOS system including same-day crowns, implant surgical guides, implant restorations and digital smile design.Disclaimer: This is an impartial review of the scanner and we do not have any ties to the company. The team at iDD remain unwaveringly committed to providing you with objective and trustworthy information and therefore do not seek any sponsorship. 3Shape kindly loaned us a TRIOS 4 scanner, due to a personal interest in upgrading our older TRIOS 3 model. Our team at iDD are constantly approached by scanner companies to review their scanners and it is always made clear that they will have no part in writing reviews or restricting any conclusions iDD makes in our thorough analysis and clinical use of these products.
AMD Picasso Lite Plus Dental Diode Laser
Feature & Benefits-3.0 Watts-Wireless Foot Control-Color Touch Screen-Easy to Use Presets-Built-In Treatment Timers for Periodontal Treatment and Aphthous Ulcer Treatment-Customizable Continuous/ Pulsed Modes-Multiple Languages Menu-Adjustable Volume & Aiming Beam Intensity-Two-Year Warranty*-Ideal for First-Time and Expert Laser Practitioners-Performs a Wide Range of Soft-Tissue Surgical Procedures & Periodontal Treatment-Offers the Convenience of Disposable Fiber Tips or Low-Cost Strippable Fiber*Warranty – 2 years parts and labor on the laser unit. Other terms and conditions apply.See the Owner’s Manual for complete details.Procedures -Gingival Troughing for Crown Impressions; Gingivectomy & Gingivoplasty-Gingival Incision & Excision; Hemostasis & Coagulation-Excisional & Incisional Biopsies-Soft-Tissue Crown Lengthening & Fibromal Removal-Frenectomy & Frenotomy-Implant Recovery & Exposure of Unerupted Teeth-Incision & Drainage of Abscess-Pulpotomy as an Adjunct to Root Canal Therapy & Reduction of Gingival Hypertrophy-Operculectomy & Vestibuloplasty-Leukoplakia & Oral Papillectomies-Treatment of Canker Sores, Herpetic & Aphthous Ulcers of the Oral Mucosa– Sulcular Debridement– Laser Soft-Tissue Curettage– Removal of Highly Inflamed Edematous Tissue Affected by Bacteria Penetration of the Pocket Lining & Junctional EpitheliumINCLUDES:
  • Picasso Lite+ Laser 3.0 Watts
  • Wireless Foot Control
  • Quick Start Guide
  • Owner’s Manual
  • Universal Power Supply
  • One Transportation Box
  • One Multi-Tip Handpiece
  • Three Pairs of Protective Laser Goggles
  • 3 Year Warranty
THE MOST AFFORDABLE LASER IN THE DENTAL INDUSTRY

Keeping up with technology and implementing a dental laser into your practice sounds like a huge expense, but AMD Picasso Lasers are not only the most awarded soft-tissue lasers in the industry, but also the best priced--we guarantee! It’s no wonder Picasso Lasers are the most utilized soft-tissue lasers on the market.

Huvitz HRK-8000A Auto Refractor KeratometerHuvitz Auto Ref – Keratometer HRK-8000A
  • Touch and tilting 7″ LCD Screen that allows for free and smooth tilting for viewing at any angle.
  • Optimized Optical System
  • Micro Lens Array
  • Aberration Measurement which also can be displayed in a graphical Zernike Refraction Map
  • PSF & Image Simulation
  • Colour View Mode
  • Peripheral Keratometry Measurement
  • Ultra High Precision KER Data
  • Contact Lens Fitting Assistance Guide
  • Contact Lens Prescription Guide
  • Auto Tracking
  • Animated Guide
  • Faster Measurement Speed
  • Quiet and speedy auto cutting printer
  • More data on aberration measurement
With its extreme precision and accuracy, the HRK8000A uses the most advanced wavefront technology to measure the light reflected from the retina and helps you to diagnose any refractive error. With a micro lens array developed by Huvitz, the HRK creates a number of focal points, the pattern of which can give a valuable insight into the patients ocular system. The HRK not only displays the conventional data such as spherical, cylinder and axis, the high order aberration data is displayed in a graphical Zernike refractive map, giving you a deeper understanding of your patient’s eyes.Optimized Optical System Huvitz HRK-8000A Auto Refractor Keratometer A wavefront is a physical representation of the optical quality of a light beam. Using various methods, aberrometers map how light rays travel through the eye. The HR-8000A is engineered according to the Hartmann-Shack wavefront measurement technique, which is widely preferred for its speed and repeatability.Touch & Tilting Color Display Screen  A bright, high contrast 7″ VGA color TFT LCD screen provides high resolution video images. A smooth, free tilting function also offers you a comfortable and clear view at any angle.The image can then be displayed on a monitor, helping you to educate your patients The HRK can provide peripheral keratometry measurement data which is very useful when fitting contact lenses. The eye can be displayed in full colour mode on a tilting touch screen which enables you to see the patient’s contact lens fitting status, previously only possible using a slit lamp. As the HRK has the world’s first contact lens fitting function in an auto keratometer, you can now see the flourescein liquid with blue illumination along with automatic calculation and recommendation for contact lens fitting.
INMODE Bodytite Laser – Radio Frequency (RF)BodyTite Cannula Length:17 cm Cannula Diameter:2.2 mm Depth of Treatment:Up to 50 mm (2”) Internal Temperature:Operator adjustable between 50°C – 70°C External Temperature:Operator adjustable up to 42°C Output Temperature:1 MHz+ FaceTite Cannula Length:10 cm Cannula Diameter:1.3 mm Depth of Treatment:Up to 25 mm (1″) Internal Temperature:Operator adjustable between 50°C – 70°C External Temperature:Operator adjustable up to 42°C Output Frequency:1 MHzBodyTite WorkstationMinimally Invasive Radio-Frequency Assisted Lipolysis (RFAL) Surgical Results Without the Scars.BodyTite is InMode’s latest minimally-invasive body contouring procedure that provides superior internal and external lipolysis, delivering results only achieved through more extensive excisional surgical procedures. BodyTite is powered by RFAL (Radio-Frequency Assisted Lipolysis) resulting in three-dimensional remodeling.BodyTite provides doctors with a tool to perform arm lifts without excisions, breast lifts without the lollipop scar and contour areas of non-adherence with results previously only achieved through more extensive surgical procedures.Benefits Controls heating to ensure that large volume contraction is consistent, avoiding overtreated or undertreated area When treating different areas of the body, the operator is always receiving real time temperature monitoring, even in deep fat areas where laser temperature readers cannot reach Allows focal treatment of all body areas with large volume Treats deep fat, up to 50 mm (2 inches)PATIENT BENEFITS Patients today want to avoid surgery when possible. With BodyTite and FaceTite, your patients can reduce fat without leaving behind saggy, wrinkly skin. They are left with surgical-like results with no scars, less downtime and long-lasting, beautiful results.PRACTICE BENEFITS Adopting RFAL with three-dimensional skin contraction can help innovate your practice. Leveraging BodyTite and FaceTite for your practice allows you to add a suite of minimally invasive procedures that contours and lifts abdominal, breast, face, neck, arm, thigh and knee tissue.FaceTite HOW DOES IT WORK FaceTite is a minimally-invasive contouring solution for the face and small areas of the body. Physicians can achieve results similar to a facelift or brachioplasty without excisional surgery. This is a safe, effective and exciting treatment that offers patients significant aesthetic changes.FaceTite is powered by RFAL (Radio-Frequency Assisted Lipolysis) and provides superior internal and external lipolysis, resulting in three-dimensional remodeling of the fibrous septa. Built-in safeguards including real time measurements of skin temperature, impedance monitoring, power cut-off and audible feedback help ensure patient safetyBenefits INMODE Bodytite Laser – Radio Frequency (RF) Uniform thermal field provides an even distribution of heat. Dual temperature technologies provide greater safety and control compared to other technologies. 100% energy concentration in the treatment zone. Physician sets and controls the temperatures. Heat gradient enables optimal treatment results.AccuTite ACCURACY IS EVERYTHING PRECISION TARGETING AND PROVEN PERFORMANCE ACCURACY IS EVERYTHING The new AccuTite makes focal RF contraction without excisional surgery the new standard in cosmetic medicine. Small, but mighty, the AccuTite delivers precision heating in addition to the science and safety recognized with the Radio-Frequency Assisted Lipolysis (RFAL) family of technologies. FOR FACE AND BODY FACEBrow Periorbital Nasolabial Fold Lower Face Neck BODYAxilla Bra Fat Upper Arms Hands Abdomen Etching Inner Thigh Knees Women’s Health & WellnessSIMPLE, SAFE & FOCUSED The AccuTite is the smallest minimally-invasive radio-frequency contraction device with the most number of clinical studies and peer-reviewed publications backing its safety and efficacy. Patients who need precision fat reduction or skin contraction now have a new solution that can be done under local anesthesia, in an office setting, in less than 20 minutes, without excisional surgery. Endymed Pro Hair Laser3Deep iFine Handpiece – Eye & Mouth Area Skin Tightening Handpiece Specifically designed to treat the hard to reach, delicate skin tissue around the eyes and mouth. The revolutionary iFine handpiece provides:. Smoother, tighter skin around the eyes Reduced under eye sagging and improved eye contour Reduced hooding to reveal more of the eyelid More youthful, less tired looking eyes Reduction in the fine lines around the mouthEndymed Pro Hair Laser 3Deep Intensif Handpiece – Fractional Microneedling RF Skin Remodeling Specifically designed to treat acne scars, deep wrinkles, stretch marks and other conditions requiring deep dermal heating. The Intensif Handpiece applies an array of micro-diameter needles to safely and effectively deliver focused RF energy deep into the dermis, providing a revolutionary collagen remodeling solution for acne scar treatment and deep wrinkle reduction, with minimal discomfort and downtime.Endymed Pro Hair Laser 3DEEP Large Handpiece – Body Contouring & Skin Tightening Handpiece Specifically designed for treatment of larger body areas, such as the abdomen, buttocks and thighs, for treating skin laxity, cellulite, body shaping and circumference reduction.3Deep Shaper Handpiece – Body Contouring & Skin Tightening Handpiece Specifically designed for treatment of larger body areas, such as the abdomen, buttocks and thighs, for treating skin laxity, cellulite, body shaping and circumference reduction – larger coverage than the Large Handpiece.3DEEP Small – Body Tightening Handpiece Specially designed for the treatment of wrinkles and lax skin on the face and neck, including forehead, temples, cheeks and under chin areas.3DEEP Fine – Facial Tightening Handpiece Specially designed for skin laxity treatment of smaller body areas, such as peri-umbilical, neck, arms and knees.Fractional Skin Resurfacing Handpiece The Fractional Skin Resurfacing (FSR) handpiece was developed by experts in dermatology, RF technology and ergonomics. Specially designed for fractional skin resurfacing and the treatment of skin roughness, hyperpigmentation, wrinkles and scars on both facial and body areas.3DEEP has 7 peer reviews and 86.7% efficasy Results in 18 min WITH NO SWELLING on a 10×10 cm area.Ultimate in versatility, offering a multitude of treatment options in one radio frequency device. Utilizing proprietary 3DEEP™ technology, the EndyMed PRO provides deep dermal heating and collagen remodeling.PATIENT BENEFITS • Highly effective • Customized treatment parameters • Optimal safety with minimal discomfort and no side effects • Short treatment with minimal downtime • Noticeable immediate improvement • Long term resultsPHYSICIAN BENEFITS • Effective solutions for anti-wrinkles, skin tightening, fractional skin resurfacing and body contouring • Fast, walk-in / walk-out procedure for optimal patient satisfaction • Customized treatment plan with preset default parameters • Suitable for the complete range of skin types • Single platform growth plan • No consumables (for the 3Deep handpieces) and low priced consumables (for the FSR handpiece) for rapid ROI and profitability 
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