Over the past decade, the field of noninvasive energy-based aesthetic treatment has exploded in the United States (U.S.), with new treatments for improving the appearance of skin in the aging Baby Boomers. Techniques such as nonablative laser-based skin resurfacing, energy-based skin tightening, cellulite treatment, and fat removal are some of the new technologies, as well as the successful and ever-improving area of laser (and other energy-based) permanent hair reduction. Today, energy-based aesthetic treatments are available to treat nearly every troublesome skin defect—from acne, pigmentation/redness, scars, sun damage, vascular lesions, and mild-to-moderate facial or leg veins and even tattoo removal. Most treatments are quick and virtually painless and may lead to clearer, better-toned, tighter and younger-looking skin.

While the dominant laser hair removal market has grown significantly since introduction in the late 1990s, several emerging segments, such as skin rejuvenation, skin tightening and cellulite/fat reduction (if proven truly effective), are expected to grow significantly. Skin tightening, in particular, addresses a difficult-to-treat problem of aging—skin thinning and sagging. While it was pioneered by Thermage, new skin tightening therapies promise to provide “noninvasive, nonsurgical facelifts” to millions of people who do not wish to endure painful cosmetic surgery. Today, dozens of competitive energy-based “skin rejuvenation and tightening” treatments have been recently introduced that may prove truly effective while complementing, not replacing, popular noninvasive dermal fillers and neurotoxins, such as Restylane and Botox.

The number of energy-based aesthetic procedures performed in the U.S. is expected to grow from more than 2.6 million in 2006 to more than 6.0 million in 2011, with corresponding aesthetic device sales increasing from an estimated $520 million to more than $1.2 billion. This reflects a compound annual growth rate approaching 20%. The U.S. device market is saturated with intense competition from more than 25 manufacturers of energy-based aesthetic equipment, such as Candela, Palomar Medical Technologies, Syneron, and Thermage, as well as several smaller and emerging companies. Leading firms have been experiencing record growth due to the nature of the growing “aesthetic physician and spa” markets, which are more than eager to adopt more profitable, nonreimbursed, high-patient volume treatments.

This dynamic, new report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities. Covered topics in this report include: laser hair removal, skin resurfacing, skin rejuvenation, skin tightening/wrinkle removal, noninvasive cellulite/fat reduction, energy-based devices for home or consumer use, and emerging professional or “office-based” technologies.

TABLE OF CONTENTS

EXECUTIVE SUMMARY

i.       Energy-Based Aesthetic Procedures

ii.       Energy-Based Aesthetics Market

iii.      Market Drivers

iv.      Market Limiters

v.      Methodology

Exhibit ES-1:    Energy-Based Aesthetic Treatments, Procedure Volumes Forecast, 2006-2011

Exhibit ES-2:    Energy-Based Aesthetic Systems, Market Forecast, 2006-2011

Exhibit ES-3:    2006, Energy-Based Aesthetic Systems Market, Estimated Share of Sales, by Segment

Exhibit ES-4:    2011, Energy-Based Aesthetic Systems Market, Estimated Share of Sales, by Segment

Exhibit ES-5:    2007, Selected New Products in the Aesthetic Lasers Market

1. AESTHETICS OVERVIEW

1.1 Anatomy of the Skin

1.1.1 Epidermis

1.1.2 Dermis

1.1.3 Subcutaneous Tissue

1.1.4 Collagen and Elastin

1.2 Anatomic Changes Associated with Photoaging of the Skin

1.2.1 Sagging

1.2.2 Wrinkles and Creases

1.2.3 Pigmentation Defects

1.2.4 Vascular Defects

1.3 Acne

1.4 Body Shape

1.5 Hair

1.5.1 Laser Hair Removal

Exhibit 1-1:      Anatomy of the Skin

Exhibit 1-2:      Collagen

Exhibit 1-3:      The Collagen Remodeling Process

Exhibit 1-4:      The Effects of Time and Gravity on Facial Skin

2. ENERYGY BASERD AESTHETIC DEVICES AND THERAPIES

2.1 Photodamage and Aging Skin

2.2 Overview of Energy-Based Technology

2.2.1 Lasers

2.2.2 Plasma Energy

2.2.3 Radiofrequency

2.2.4 Microwave Energy

2.2.5 Ultrasound

2.3 Areas of Treatment

2.3.1 Hair Removal

2.3.1.1 Aesthera

2.3.1.2 Alma Lasers

2.3.1.3 Candela

2.3.1.4 Cutera

2.3.1.5 Cynosure

2.3.1.6 Lumenis

2.3.1.7 Palomar Medical Technologies

2.3.1.8 Sciton

2.3.1.9 Syneron

2.3.1.10 Other Competitors

2.3.2 Skin Resurfacing

2.3.2.1 Ablative Techniques

2.3.2.2 Minimally Ablative Techniques

2.3.2.2.1 Cutera

2.3.2.2.2 Lumenis

2.3.2.2.3 Palomar Medical Technologies

2.3.2.2.4 Reliant Technologies

2.3.2.2.5 Rhytec

2.3.2.2.6 Sciton

2.3.2.2.7 Other Competitors

2.3.3 Skin Rejuvenation, and Skin Tightening and Wrinkle Reduction

2.3.3.1 Skin Rejuvenation

2.3.3.2 Skin Tightening and Wrinkle Reduction

2.3.3.2.1 Alma Lasers

2.3.3.2.2 Candela

2.3.3.2.3 Cutera

2.3.3.2.4 Cynosure

2.3.3.2.5 Lumenis

2.3.3.2.6 Palomar Medical Technologies

2.3.3.2.7 Sciton

2.3.3.2.8 Syneron

2.3.3.2.9 Thermage

2.3.3.2.10 Ulthera

2.3.3.2.11 Other Competitors

2.3.4 Noninvasive Cellulite Reduction and Adipose Fat Removal

2.3.4.1 Alma Lasers

2.3.4.2 Candela

2.3.4.3 Cutera

2.3.4.4 Cynosure

2.3.4.5 Dynatronics

2.3.4.6 Juniper Medical

2.3.4.7 LipoSonix

2.3.4.8 SmoothShapes

2.3.4.9 Syneron

2.3.4.10 Thermage

2.3.4.11 UltraShape

2.4 Energy-Based Aesthetic Devices for In-Home Use

2.4.1 Candela

2.4.2 Light Dimensions

2.4.3 Palomar Medical Technologies

2.4.4 Radiancy

2.4.5 SpectraGenics

2.4.6 Syneron

2.4.7 Therative

2.4.8 Tyrell

2.4.9 Xthetix

Exhibit 2-1:      Energy-Based Aesthetic Technology and the Natural Healing Response

Exhibit 2-2:      2007, Selected Patient Charges for Laser Hair Removal

Exhibit 2-3:      2007, Selected Energy-Based Hair Removal Systems

Exhibit 2-4:      Aesthera’s Photopneumatic Therapy

Exhibit 2-5:      Comparison of Aesthera’s Photopneumatic Therapy to Traditional Hair Removal Technology

Exhibit 2-6:      Alma Lasers’ Soprano XL Hair Removal System

Exhibit 2-7:      The GentleLASE System

Exhibit 2-8:      Features of GentleLASE Hair Removal

Exhibit 2-9:      Cutera’s CoolGlide Laser Hair Removal System

Exhibit 2-10:    Palomar’s StarLux 500 Laser and Pulsed Light Platform

Exhibit 2-11:    Syneron’s Elōs Permanent Hair Reduction Process

Exhibit 2-12:    Syneron’s E-Family Aesthetic Platforms

Exhibit 2-13:    Hair Removal Treatment Using Syneron’s Elōs Technology, Selected Images

Exhibit 2-14:    The Laser Resurfacing Skin Rejuvenation Process

Exhibit 2-15:    2007, Selected Ablative and Minimally Ablative Skin Resurfacing Systems

Exhibit 2-16:    Palomar Medical Technologies’ Lux1540 Fractional Photothermolysis Treatment, Selected Images

Exhibit 2-17:    Reliant Technologies’ Fraxel Laser Treatment, MicroThermal Zones

Exhibit 2-18:    Reliant Technologies’ Fraxel re:store Laser System Treatment, Selected Images

Exhibit 2-19:    2007, Selected Energy-Based Skin Tightening and Wrinkle Reduction Systems

Exhibit 2-20:    Alma Lasers’ Harmony System

Exhibit 2-21:    Lumenis’ Functional Aspiration Controlled Electrothermal Stimulation Technology for Skin Rejuvenation

Exhibit 2-22:    Palomar Medical Technologies’ LuxIR Fractional Infrared Laser Handpieces for Skin Tightening and Soft Tissue Coagulation

Exhibit 2-23:    Syneron’s ReFirme Skin Tightening Treatment, Selected Images

Exhibit 2-24:    Syneron’s ReFirme Treatment on Hands, Selected Images

Exhibit 2-25:    Syneron’s FotoFacial Skin Rejuvenation Treatment, Selected Images

Exhibit 2-26:    Overview of the Thermage Procedure Using ThermaCool

Exhibit 2-27:    Thermage’s ThermaCool NXT System

Exhibit 2-28:    Hands by Thermage Treatment, Selected Images

Exhibit 2-29:    Light BioScience’s GentleWaves Light-Emitting Diode Photomodulation Device

Exhibit 2-30:    2007, Selected Noninvasive Cellulite Reduction and Fat Dissolution Systems

Exhibit 2-31:    Cynosure’s Smartlipo LaserBodySculpting Workstation

Exhibit 2-32:    Cynosure’s TriActive Cellulite Workstation

Exhibit 2-33:    Dynatronics’ Synergie Aesthetic Massage System

Exhibit 2-34:    Dynatronics’ Synergie, Before and After Photos

Exhibit 2-35:    The LipoSonix Procedure

Exhibit 2-36:    Syneron’s VelaSmooth Treatment, Selected Images

Exhibit 2-37:    The UltraShape Contour I System

Exhibit 2-38:    2007, Selected Energy-Based Aesthetic Devices for    In-Home Use

Exhibit 2-39:    Radiancy’s No! No! Hair Removal Device

Exhibit 2-40:    SpectraGenics’ TRIA Hair Removal Device

Exhibit 2-41:    Tyrell’s Zeno Pro Acne Clearing Device

3. MARKET ANALYSIS

3.1 Energy-Based Aesthetic Procedures

3.2 Market Analysis

3.2.1 Market Drivers

3.2.2 Market Limiters

3.2.3 Market Trends

3.3 Competitive Analysis

Exhibit 3-1:      Selected Energy-Based Aesthetic Procedures, 1997, 2005, and 2006

Exhibit 3-2:      Energy-Based Aesthetic Treatments, Procedure Volumes Forecast, 2006-2011

Exhibit 3-3:      Energy-Based Aesthetic Systems, Market Forecast, 2006-2011

Exhibit 3-4:      2006, Energy-Based Aesthetic Systems Market, Estimated Share of Sales, by Segment

Exhibit 3-5:      2011, Energy-Based Aesthetic Systems Market, Estimated Share of Sales, by Segment

Exhibit 3-6:      2007, Selected New Products in the Aesthetic Lasers Market

Exhibit 3-7:      2006, Energy-Based Aesthetic Systems Market, Share by Supplier

Exhibit 3-8:      Selected Energy-Based Aesthetic Systems Companies, Fiscal Year Growth, 2005-2007

4. COMPANY PROFILES

4.1       Aesthera Corporation

4.2       Alma Lasers LTD

4.3       Candela Corporation

4.4       Cutera, Inc.

4.5       Cynosure, Inc.

4.6       Light Dimensions, Inc.

4.7       LipoSonix, Inc.

4.8       Lumenis LTD

4.9       Palomar Medical Technologies, Inc.

4.10     Reliant Technologies, Inc.

4.11     Rhytec, Inc./Rhytec LTD

4.12     Sciton, Inc.

4.13     SmoothShapes, Inc.

4.14     SpectraGenics, Inc.

4.15     Syneron Medical LTD

4.16     Therative, Inc.

4.17     Thermage, Inc.

4.18     Tyrell, Inc.

4.19     Ulthera, Inc.

4.20     UltraShape, Inc.

4.21     Xthetix, Inc.

 APPENDIX:  COMPANY LISTING