• Deep fractional technology

• Penetration into adipose tissue 0.5mm – 5mm (5000 microns)

• plus additional 1mm Heat Profile (7mm for Bodytite)
• Matrix of 24 thin gold-coated micro pins
• Advanced lattice design of return electrodes creates a
uniform effect
• Little to no thermal damage to epidermis - coating
• Disposable tips
• Specifically designed for subdermal and dermal
remodeling of face & body
 TREATMENT TARGETS
Morpheus8 Applicator can be utilized for:

▪ Lifting & Morphing the lower face & neck

▪ Treatments of fine lines and wrinkles

▪ Scars and skin irregularities

▪ Improvement of skin tone & looseness

▪ Treatment of face, neck and body areas

WHAT IS RF ENERGY?

• RF is a part of electromagnetic spectrum where it’s frequency range depends

on industry

• IN MEDICINE: RF (radio-frequency) energy is an alternating electrical current

in a frequency range of 100kHz – 6MHz
• InMode RF frequency is 1MHz

• Pure controlled thermal effect

• At lower frequency there is nerve stimulation
• At higher frequency there is more radiation and less localized RF

Time
ELECTRICAL CURRENT - RF ENERGY

• Conductive RF - PC, TV, Medicine

– Depends on contact with skin

- Localised RF Bipolar RF Monopolar

energy
- Not spread
around body
- Better control
of depth
MECHANISM OF RF THERAPY

Electrical current conducted by the tissue increases ion collision

Kinetic energy is transformed to thermal energy (heat)

Heat causes controlled damage to skin tissue

The damage triggers natural healing mechanism

Tissue renewal (new collagen, elastin, HA) and regeneration (thicker

dermis)
resulting in skin tightening
MORPHEUS8 - Coated needles mean we protect the epidermis & can
safely apply multiple shots of energy in deeper layers
THE MECHANISM OF ACTION – TRIPLE EFFECT
• Thermal effect creates fat coagulation and bulk heating to
tighten & lift

• Thermal injury also induces secretion of:

• New collagen fibers
• New elastic fibers
• More ECM, mainly HA

• Mechanical needle injury induces fibroblasts stimulation

• Coated needles localize heat just at the distal tip, sparing
epidermis of heat damage
MULTI-LAYER TECHNOLOGY…WITHIN SAME
TREATMENT

-0.5 mm (resurfacing tip)

-5 mm (body tip-aesthetic devices)

-7 mm (Bodytite device only)
• 24 thin gold-coated micro pins
• Penetration into tissue at 1mm – 4mm (4000 microns)
• plus additional 1mm Heat Profile
• Advanced lattice design of return electrodes creates a
uniform effect
• Little to no thermal damage to epidermis – polymer coating
• Disposable tips
• Specifically designed for subdermal and dermal
remodeling of face & neck
• Superficial fractional technology
• Penetration into the epidermis: 0.5 mm (500 microns)
• Plus additional 0.25mm Heat Profile
• Matrix of 24 thin gold-coated micro pins
• Disposable tips
• Specifically designed for epidermal resurfacing of
the superficial layer of the skin
• Little more surface damage & downtime – heated tip
• Can be used to treat superficial skin texture issues
such as very fine, crepy lines and scaring
• 12 thin gold-coated micro pins
• Penetration into adipose tissue 1.0mm – 4mm (4000 microns)
• plus additional 1mm Heat Profile
• Smaller grid lattice return electrode
• Little to no thermal damage to epidermis
• Disposable tips
• Specifically designed for subdermal and dermal remodeling
of the small hard-to-reach areas such as
the periorbital area, forehead,
• Deep fractional technology
• 40 thin gold-coated micro pins
• Penetration into the adipose tissue 2mm – 5mm
(7mm for Bodytite)
• plus additional 1mm Heat Profile
• Larger lattice panel
• Little to no thermal damage to epidermis
• Disposable tips
• Specifically designed for subdermal and dermal remodeling
of larger body areas such as the abdomen,
buttocks, and thighs
SPECIFICATIONS

▪ Polymer coated needles with 0.5mm conductive tip

▪ Multiple treatment depths with the same tip, max depths:
▪ Periorbital/forehead - 1/2mm
▪ Lower Face & Neck - 3mm
▪ Body - 4mm (Morpheus8 tip) 5/7mm (Body tip)
▪ Multiple depths can be targeted in same treatment

▪ Operation mode:
▪ Cycling – each pulse needles are pulled in and out
▪ Fixed – needles stay protruded and RF pulses are delivered with
predetermined repetition rate in the same site (stacking)
▪ Burst (Body tip only) – RF is delivered at multiple depths in tissue in
same penetration of needle

▪ LED BAR on the applicator and beep indicates pulse of RF delivery

FLEXIBILITY OF MULTIPLE MORPHEUS 8 TIP OPTIONS

5mm – 6mm on
aesthetic devices
BODY BURST TECHNOLOGY

BENEFITS
Automatic multi-level pin depths per cycle, in millisecond
intervals
Customizable treatment settings
Increased treatment efficiency
Multiple targeting of thermal zones
Faster treatments – less passes required
Enhanced thermal coagulative effect
Bulk heating
MORPHEUS8 BODY - BURST MODALITY
RADIOFREQUENCY VULCANIZATION TECHNOLOGY

HOW IT WORKS
Three step RF Vulcanization Process:
1. CHARGE - Powerful RF energy burst delivered deep into
the FSN causing re-orientation of collagen fibers
2. MOULD - RF energy dissipation leads to block heating
resulting in collagen remodeling and buttressing of FSN
3. WEAVE - RF energy delivered to the dermal level causing
pulling and synching of fibers into a weave
MORPHEUS8 BODY BURST MODALITY – CUSTOMIZABLE SETTINGS

- Bodytite only

- Bodytite only
BURST MULTI-LEVEL PULSE MODE – 2 PULSES/CYCLE

5 mm/3 mm 4 mm/2 mm
MULTI-LEVEL PULSE MODE – 3 PULSES/CYCLE
7 mm/5 mm/3 mm 6 mm/4 mm/2 mm
 PRE-TREATMENT
▪ Consultation, analysis of skin & manage expectations

▪ Cease any potential contraindicated medications (e.g blood thinners/NSAIDs)

▪ Anti HSV viral prophylaxis is recommended for patients with history of Herpes
Simplex when treating the perioral area

▪ Local Anesthetics should be applied by a properly trained personnel for 30-

60mins (or alternative anesthetic), & removed completely

▪ Clean skin with 70% alcohol or similar

▪ Apply a few test spots and wait 10-15min for light skin and longer for dark skin
CONTRAINDICATIONS
▪ Pacemaker or internal defibrillator, or other metallic or electronic implant anywhere in the body
▪ Permanent implant in the treated area such as metal plates, screws and metal piercing or silicon
▪ Intra-dermal or superficial sub-dermal areas injected with Botox®/HA/collagen/fat injections or other
augmentation methods with bio-material, before the product has been dissipated (up to ~6 months), except
Botox after binding to the facial neuro-muscular junction (2 weeks)
▪ Current or history of skin cancer, or any other type of cancer, or pre-malignant moles
▪ Pregnancy and nursing
▪ Severe concurrent conditions, such as cardiac disorders or sensory disturbances
▪ Impaired immune system due to immunosuppressive diseases such as AIDS, or use of immunosuppressive
medications
▪ Patients with history of diseases stimulated by heat, such as recurrent Herpes Simplex in the treatment
area, may be treated only following a prophylactic regime
▪ Poorly controlled endocrine disorders, such as diabetes or thyroid dysfunction and hormonal virilization
▪ Any active skin condition in the treatment area, such as sores, psoriasis, eczema, and rash
▪ History of skin disorders, keloids, abnormal wound healing, as well as very dry and fragile skin
CONTRAINDICATIONS – CONT.
▪ History of bleeding coagulopathies or use of anticoagulants in the last 7-10 days
▪ Any treatment area surgery performed within a year prior to treatment
▪ Facial dermabrasion, facial resurfacing, or deep chemical peeling within the last three months, if face is
treated
▪ Having received treatment with light, laser, RF, or other devices in the treated area within 2-3 weeks for non-
ablative procedures, and 6-12 weeks for ablative fractional laser resurfacing (according to treatment
severity) prior to treatment, except special recommendations – follow UV post tx advice
▪ Use of Isotretinoin (Accutane®) within 6 months prior to treatment
▪ Use of non-steroidal anti-inflammatory drugs (NSAIDS, e.g., ibuprofen-containing agents) one week before
and after each treatment session, as per the practitioner’s discretion
▪ Treating over tattoo or permanent makeup to be kept, treating over the lips
▪ Skin type VI and dark V patients treat with caution
▪ Treating over hair bearing surfaces – hair should be removed pre tx
▪ Irritable skin like excessively tanned skin from sun, tanning beds or tanning creams and sprays within the
last two weeks
▪ As per the practitioner's discretion, refrain from treating any condition that might make it unsafe for the
patient
TIP CARE

▪ Tip arrives GAMMA sterilized in individual packet

▪ Pre-Use check package integrity

▪ Ensure you have the correct tip for desired treatment (12, 24, resurfacing or
body)

▪ Inspect all components of the Handpiece for visible damage

The Morpheus8 tip is single use only!

SELECTING TREATMENT PARAMETERS
▪ 12, 24 & 40 pin treatment may be applied to all skin types - Resurfacing tip skin
type I-III only

▪ The deeper the treatment the higher RF energy can be applied

▪ Reduce ~20% energy when working on thin skin, or on bony area like forehead

▪ Further ~20% reduction on thin skin over bone, like upper chest and back of
hands – consider resurfacing tip

▪ Use ONLY 1/2mm Depth and Cycling Mode settings on bony areas such as:
Forehead, Periorbital etc
SELECTING TREATMENT PARAMETERS – CONT.

▪ When treating dark skin restrict energy, starting at energy level 15 or lower
adding 5 levels each visit to a maximum of energy level 40 on soft tissue, and
energy level 25 over bone, preferably following bleaching regimen (cease these
products 3 days before treatment)

▪ Higher settings may be used if the user is experienced

▪ Follow QRG guidlines

TREATMENT PROCEDURE

▪ Apply the hand piece perpendicular to the treated area, with complete
contact and firm pressure

▪ On bony contoured areas such as forehead ‘squeeze’ the tissue around

the tip to ensure good, full contact

▪ Press footswitch to deliver RF energy – Single press for each pulse for
sensitive and small areas like eyelids, or continuous press for the Cycle
Mode

▪ When performing treatment, move the hand piece to the adjacent area
with overlap of approximately 50%

▪ 1-2 additional pulses may be triggered at the same site (Stacking) in

Fixed Mode. However, DO NOT stack pulses on bony areas such as
Forehead, Periorbital, etc.
 GOOD COUPLING IMPORTANCE

Partial contact of external grid & partial needles penetration caused

by:
• very soft tissue (e.g. abdomen)
• not enough pressure
• Bony/curved areas of the forehead

• Bony areas use with extra caution: reduce the energy levels,
use 1-2 mm depth.
• ‘Pinch’ skin around tip to ensure full contact of all corners and
edges before firing RF
• Exclude zones with extremely thin skin and high curvature such
as upper part of the forehead or temple.
MAINTENANCE THROUGHOUT TREATMENT
▪ During a prolonged treatment, cell debris may adhere to the pins and affect device
performance, to avoid this from happening, we recommend the following steps:

1. Clean the tips every ~200 penetrations into the skin (stacked pulses are not counted),
a. Adjust treatment parameters to max depth in Fixed Mode. Any Energy and Repetition rate
may be used.
b. Hold the Morpheus8 Applicator with one hand and with the other hand firmly stretch a 70%
alcohol-soaked pad (ethanol or isopropyl alcohol) over the tip.
c. Press the footswitch and allow the pins to fully penetrate through the pad several times.
After a couple of repetitions, move the pad to expose new alcohol-soaked areas.

2. When reaching ~1500 penetrations, dispose of the tip and use a new one.
Most facial procedures do not exceed this number.
POST-TREATMENT
▪ Skin can be cooled after the treatment to relieve discomfort

▪ Can apply healing or antibiotic ointment (e.g. Clinisept) immediately post

treatment, up to 1-3 days

▪ Avoid touching the treated area

▪ Avoid additional heat for rest of the day

▪ As soon as the needle holes close (1-3 days), can apply moisturizer, sun-
screen, and make-up (with clean applicator). Use SPF ongoing.

▪ Avoid retinol based products for 3-5 days post treatment

M O R P H E U S 8 T R EATM EN T S C H E D U LE

• Recommend a course of 3
treatments

• One session every 4-6 weeks

• Reviewed at 12-18 months

• Forma can be used to maintain and

prolong results if desired
MORPHEUS8 TRAINING VIDEO
Morpheus8 Results
BEFORE & AFTER 3 MORPHEUS8 TREATMENTS

Results after 3 treatments, face & neck, 4mm/3mm double stack & 2mm
BEFORE & AFTER 2 MORPHEUS8 TREATMENTS

Results after 2 treatments- 4mm 35 energy/3mm- 40 energy, 2mm- 20 energy

3 FA C I A L M O R P H E U S 8 T R E AT M E N TS , 1 - 2 M O N T H S A PA R T

Before Pre 2nd Treatment Pre 3rd Treatment 1 months post

3rd Treatment
Forehead, under eyes, nose: 2mm, 40-45 energy levels
Neck, upper lip: 3mm, 40-50 energy levels
Cheeks: 4mm, 45-50 energy levels

Courtesy: Dr. Hellman, NY, USA

O N E M O R P H E U S 8 FA C I A L T R E AT M E N T
 ONE MORPHEUS 8 FACIAL TREATMENT

Before Before 2nd Treatment

Courtesy: Dr. Hellman, NY, USA

 ONE MORPHEUS 8 FACIAL TREATMENT

Before Before 2nd Treatment

Energy level: 50
Face: 2mm & 3mm
Neck: 2mm, 3mm & 4mm
Courtesy: Dr. F. Roth, USA ~50% overlapping, >600 pulses total
ONE MORPHEUS 8 RESURFACING TREATMENT
MORPHEUS8 ABDOMEN: BEFORE AND AFTER ONE TX (24 PIN TIP)

4mm, 45, double stack

3mm, 45, double stack
2mm, 40, singles pulse
24 pin tip
T H A N K YO U