QUICK REFERENCE GUIDE (QRG)
BodyTite/NeckTite Date: March 2019
INDICATIONS AND TREATMENT AREAS
BodyTite (BT) and NeckTite (NT) handpieces are both designed for circumference reduction, contouring, and skin
tightening. They are used on different areas due to their different specifications.
• A shorter cannula is better controlled on small areas or curved areas (NT).
• A longer cannula is suitable for larger areas, flatter zones and fewer incisions.
• A thinner cannula is for more controlled aspiration on thin areas and in fibrotic areas (NT).
• A thicker cannula is for thicker fat layers to be aspirated more rapidly.
Handpiece Cannula Length (cm) Cannula Diameter (mm) Treatment Area
Large areas with a thick fat layer like the
BT 25 5.0
abdomen, buttocks, thighs
Large areas with a medium fat layer like the
BT 25 3.9
back, thin abdomen etc.
Small areas with thick or medium fat layer
BT 17 3.9
like the flanks, inner thigh
Small areas with thin fat layer like the neck,
NT 12 2.5
knees, arms
TYPICAL TREATMENT PARAMETERS
Handpiece and Treatment <20mm Fat 20-25mm Fat >25mm Fat Deep Cut-off Depth
Area Superficial Intermediate Power Level Temp (oC) Level
Power Level Power Level
BT – Low Curve 25-30 30-50 40-60 38-40 4-5
e.g. Abdomen
BT – Medium Curve 20-25 25-30 30-40 38-39 4
e.g. Thighs
BT – High Curve 10-20 20-25 20-30 38 2-3
e.g. Arms
NT – Thin Fat Neck 10-12 NA NA 38 1-
<2cm
NT – Thick Fat Neck NA 15-20 NA 38-40 2-3
>2cm
• BT on superficial fat > Depth level 3; on intermediate fat >4+2 or 5+3; on deep fat >5+3+2.
• When NT is used on the neck, depth level 3 is the deepest level to be used to avoid the platysma.
• When NT is used on small body areas like the arms or the male breast (gynecomastia), 30-35 power levels
may be needed, which is obtained by using the NT through the BT interface.
• The pulse mode for NT is mostly CW, while 1-2sec pulses may be used by beginners.
PRE-TREATMENT
• Photograph, measure and weight patient.
• Mark treatment zones while patient is standing:
o BT – On zones of ~10-15cm (4-6’’) mark X on fat elevations.
o NT – Mark central and two lateral zones.
• Pinch test to estimate fat thickness to guide the number of depth levels to be treated.
• Mark incision points as far as possible from treatment area border (up to 5cm for BT, less for NT).
• For local tumescent anesthesia, oral sedation and narcotics may be used.
TREATMENT PROCEDURE
• Make a 3-5mm incision port by a scalpel and administer tumescent anesthesia with an infiltrating cannula for
both local and general anesthesia.
o BT – Start at the deep plane, followed by more superficial layers, as applicable.
1
Please Note: Quick Reference Guides are on occasion revised and updated. It is the practitioner’s responsibility to ensure
the use of the most current version of the Quick Reference Guide. Current Clinical Updates may be found on
www.InModeResources.com.
QUICK REFERENCE GUIDE (QRG)
BodyTite/NeckTite Date: March 2019
o BT – Tumescent of Super-Wet technique (2-3L per ~1L estimated aspirate).
o NT – Typically ~150cc tumescent for full neck until firm.
o NT – May use syringe with 25G spinal needle alone or with infiltrating cannula.
• Apply sterile ultrasound gel and introduce the internal electrode horizontally through the incision.
• Start at the deepest plane level and work from deep to the planned superficial layers.
• Ensure good contact between external electrode and skin, assisting with your free hand.
• Apply planned coagulation RF power along with synchronous aspiration.
• Cover the full treatment zone with slight overlap of the external electrode in a fanning technique with back
and forth zigzag movements. Speed of these movement is slow, x3 slower than conventional liposuction,
~2sec for back and forth movement per zone.
• In areas with excessive fibrous tissue, such as scars, previous liposuction or male breast/flanks, move slower
to soften the fibers and reduce mechanical trauma.
• Treat in one plane only until endpoint is reached, before moving to the more superficial planes:
o Using BT, endpoint is lack of resistance in deep and intermediate planes, and cut-off temperature in
superficial plane.
o Using NT, the endpoint is the cut-off temperature.
• After reaching the endpoint at each level, you may continue treating for 1-2min.
• Always stop when there is excessive heat response and avoid heating that area further.
• Typically, the energy that is introduced to each treatment zone is:
o For BT 10-15kJ, per treatment zone of 10x15cm; 4-6kJ/level with 2-4oC epidermal temperature rise
at each level.
o For NT 2-4kJ per treatment zone (1/3 of a neck).
• Residual fat after RFAL (50-70%) may be aspirated by BT cannula or SAL/PAL for final contouring.
POST_TREATMENT
• Apply compression garment following incision ports suturing:
o For BT, 3 weeks 22/24 hours daily followed by 3 weeks of day or night only.
o For NT, 3-5 days 22/24 hours daily followed by 1-3 weeks night only.
• Fluids drain for 1-3 days through open incisions and dressings should be changed daily.
• Discomfort can be reduced by the prescription of oral analgesia.
• Prophylactic oral and topical antibiotics may be prescribed as per physician discretion.
• Some physicians deploy a closed drain to the abdomen for large aspirated volume (>2L).
RESULTS
• Erythema may last for 2 days or more.
• On the body there may be mild ecchymosis (bruising) for 7-10 days.
• Substantial edema may last for 1-3 weeks.
• There will be decreased sensation that will be gradually regained after 2-24 weeks post-operatively, or
occasionally longer.
• Results keep improving for 3-12 months, with maximal soft tissue contraction at 12 months.
TIPS
• Sterile cooling measures should be ready if there is a n adverse thermal event.
• RF power should be lowered when treating thin fatty layers or the superficial fat plane, or high curvature
areas and over fibrotic tissue.
• Restrict fat volume aspiration in one procedure to 5L and consider general anesthesia for >3L fat.
• On superficial layer it may help to subdivide the treatment zone into two to accelerate heating.
2
Please Note: Quick Reference Guides are on occasion revised and updated. It is the practitioner’s responsibility to ensure
the use of the most current version of the Quick Reference Guide. Current Clinical Updates may be found on
www.InModeResources.com.
