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Dual Layer Thermotherapy

The first device of its kind, Accent®XL, with the iPixelRF handpiece, is a unique multi-application, Radio Frequency (RF) based platform for the non-invasive treatment of cellulite, skin tightening and body shaping that is virtually painless.

UniPolar Pro

AccentXL uses Alma’s patented UniPolar Pro technology; providing therapeutic heat to all layers of the dermal tissue.

For physicians

  • Easy to operate
  • No expensive disposables, grids or return electrodes
  • Expandable
  • High patient and clinical staff satisfaction
  • Delivers consistent results regardless of climate or season
  • Treats cosmetically unacceptable laxity due to age, solar elastosis or post-surgical trauma, such as liposuction

For patients

  • Non-invasive, non-ablative, no anesthesia
  • Noticeable results on all skin types and on patients of nearly any age
  • Can be used on any part of the body
  • No downtime procedure
  • Minimal risk of side effects
  • Tighter, re-contoured skin

The comfortable way to tone and tighten skin.

Accent®XL rejuvenates the skin’s firmness and texture in a fast, safe and virtually pain-free procedure for patients. IN-Motion gradually heats the layers of skin – so it’s very comfortable. Current applications for AccentXL include:

  • Treatment of cellulite
  • Skin tightening
  • Body Contouring
  • Hyperhidrosis/excessive sweating

Only the AccentXL system from Alma Lasers combines two radio frequency modes into a single device. Each proprietary mode – Bipolar and Unipolar – is delivered by a discrete handpiece to distribute therapeutic heat at different tissue depths within the body.

Faster results with new larger handpiece

The new Unilarge handpiece now delivers twice the surface area, with double the available energy. This means that treatments can be performed up to 30 percent faster – patients see results sooner and you improve your bottom line.

  • The BiPolar handpiece creates local, superficial dermal heating on delicate areas, such as the face
  • The exclusive UniPolar and UniLarge handpieces provide deep dermal and subdermal heating of larger areas


Microplasma radiofrequency is a fractional ablative technology that can be used to improve skin imperfections while significantly reducing the risk of Post-Inflammatory Hyperpigmentation (PIH). Microplasma is a non-chromophore specific technology that both ablates and heats the skin through controlled, focused delivery of energy without the need for expensive disposables.

A virtually pain free procedure

AccentXL come with the console, the BiPolar and UniPolar RF handpieces, a dummy (null) handpiece, and the following parts:


Hand Piece



PixelRF In Motion Microchannels with controlled heating
RF Bi-Polar Adjustable power settings
In Motion
Individualized & effective
BiPolar + thermometer Automatic temperature reading
in C° or F° during treatment In Motion
  Faster treatment
UniLarge + thermometer
Uniform Removable massage head with
more ballsIn Motion
Comfortable treatment
System RF Power up to 300W (+/- 5%)
Output Frequency 40.68 MHz (+/- 2Khz)
Weight 50 Kg/110 Lbs
Dimension 58 cm/23 in (W) x 52 cm/ 20.5 in (D) x 135 cm/53 in (H)
Power supply 100-230 VAC, 50/60 Hz, single phase

Safety features come standard

You’ll receive the console, the BiPolar and UniPolar RF handpieces, a dummy (null) handpiece, and the following parts:

  • 2 keys
  • 1 non-contact thermometer
  • 1 power cord
  • 1 operator’s manual
  • 1 interlock
  • Treatment oil
  • Water filling/draining kit
  • On-site installation/In-service training (1 day each)
  • Advanced Operator Training (a $2,000 value)

Shipping and installation requirements

AccentXL can be shipped anywhere. It needs no special receiving facilities, as it is small enough to fit on any elevator. Site preparation should be minimal.

  • It uses any standard wall outlet
  • Space should be allocated with adequate ventilation and free air flow
  • The system should be connected to a dedicated circuit
  • There is no need to ever add water
  • Room temperature should ideally be between 20 and 25°C, with a relative humidity less than 80%.



A dedicated UniPolar RF handpiece designed especially for treatment of the face. UniFace combines UniPolar RF technology and In-motion technology to contract collagen fibers within the skin, stimulate the formation of new collagen and bolster delicate facial skin against future aging.



The UniLarge handpiece combines high energy UniPolar RF technology and In-motion technology to tighten skin and stimulate the formation of new collagen as well as speed up metabolism of adipose tissue, smoothing the appearance of cellulite.



The CoaxiPolar handpiece uses a coaxiPolar RF current to create local, superficial dermal heating for skin tightening and collagen production while In-motion technology allows for more comfortable treatment. When used in combination with the UniForm handpiece, the result is safe, controlled delivery of RF energy to both the superficial dermal and deeper subdermal layers of the skin, achieving maximum effectiveness.



The Microplasma handpiece uses radiofrequency and Microplasma technologies to produce micro-sparks that travel between the RF electrode and the skin’s surface. These micro-sparks ablate the skin, creating micro-channels that allow access to deeper skin tissue, achieving highly effective skin tightening as well as skin resurfacing and rejuvenation.



The Periorbital handpiece is designed to treat the area around the eyes, using UniPolar and In-motion technologies to tighten lax skin comfortably and improve fine lines and wrinkles.



The Periorbital handpiece is designed to treat the area around the eyes, using UniPolar and In-motion technologies to tighten lax skin comfortably and improve fine lines and wrinkles.


“Most Promising New Aesthetic Technology”

Accent®XL was named the Most Promising New Aesthetic Technology in the 2006 Laser & Light Technology Choice Awards. And unlike other RF systems, AccentXL provides effective treatment for cellulite, skin tightening and body shaping with significantly less discomfort, a minimal risk of side effects and no downtime or expensive disposables. Plus, the technology is always expandable when new research innovations emerge.

Radio Frequency

The dual radio frequency modes produce therapeutic heat in two ways:

  • Tissue resistance to BiPolar RF current creates local, superficial dermal heating
  • UniPolar™ and and UniLarge™ RF generates alternating electromagnetic fields that cause rotation and friction in the dipole water molecules of deeper tissue

IN-Motion™ technology removes pain

The IN-Motion technology of AccentXL represents a breakthrough in patient comfort, speed of procedures and repeatable clinical results.

It provides a gradual thermal rise to the target’s therapeutic temperature, without the risk of injury and with much less pain for the patient.

The IN-Motion™ technology is administered using a sweeping technique, which enables a larger treatment area for body reshaping.

How the technologies work together: collagen reorganization

AccentXL works by gradually heating the dermal and subdermal tissue to tighten and re-contour both superficially and volumetrically.

  • Collagen fibers contract and multiply, which firms and improves laxity
  • Connective tissue contracts to improve the skin’s contour, texture and architecture
  • Circulation improves and retained fluids drain from subcutaneous adipose tissue (cellulite) to reduce edema, erythema and overall volume

Ultrasound image of patient’s abdomen prior to treatment with AccentXL. Notice that the connective tissue is sparse, spread apart and not well organized.

15 days post treatment (5 weeks, 2x/wk). The thickness of the patient’s superficial fat has decreased 33 percent and there is a clear demarcation from the deep fat. Connective tissue has become uniform, linear and horizontally oriented, with an increase in collagen fibers

What fellow practitioners are saying…

“I often find the Accent®XL system to be superior to prior generations of RF technology in the treatment of skin laxity, particularly on the neck. It is also a remarkable breakthrough that the system is painless and requires no anesthesia. AccentXL treatments can be performed rapidly with no downtime and can be applied concurrently with other non-ablative modalities, such as injectables to achieve better results in the ‘non-surgical facelift.’ Immediate skin tightening is evident and the results are often considered striking.”

— Macrene Alexiades-Armenakas, M.D., Ph.D., Board Certified in Dermatology.
Director, Dermatology and Laser Surgery – New York, NY


“I think the AccentXL system definitely has its place in the world. I even used it successfully to contour the face of a patient who had reconstructive surgery. As a non-invasive treatment, it’s the most effective technology on the market right now.”

— Steven Bloch, M.D., Board Certified in Plastic Surgery.
Former Chief Resident in Plastic Surgery, University of Wisconsin; Body by Bloch – Highland Park, IL


“The AccentXL system is superb. As a non-invasive therapy, no anesthesia is required. In fact, an overwhelming majority of my patients thought that treatments with the Accent system were painless.”

— Peter Rullan, M.D., Board Certified in Dermatology.>
Dermatology Institute – Chula Vista, CA


“The AccentXL system is safe, easy-to-use, requires fewer treatments than other RF systems for the treatment of skin laxity of the thigh, and the results last longer. The UniPolar mode promotes deep, diffuse tightening of the skin. None of my patients felt that their treatments were uncomfortable. I think the AccentXL is going to become a very popular treatment.”

— David Goldberg, M.D., Board Certified in Dermatology.
Clinical Professor and Director of Laser Research, Mount Sinai School of Medicine; Skin Laser & Surgery Specialists of New York & New Jersey


“We found that both the BiPolar and UniPolar modes of the AccentXL system increased skin tightening of the neck and the periorbital and perioral regions of the face. Unlike similar technology, the AccentXL does something in almost everyone.” (Research conducted at the Tennessee Clinical Research Center.

— Michael Gold, M.D., Board Certified in Dermatology.
Assistant Clinical Professor, Vanderbilt University School of Medicine; Gold Skin Care Center – Nashville, TN


“We obtained remarkably good results with the AccentXL system. It was consistent for all of the patients that followed the protocol. All of them showed an improvement. Some dramatic, some moderate, but every patient expressed satisfaction with the results. Everyone said that their skin felt tighter the day after the first treatment. Of all the RF systems on the market today, I feel the Accent is the most effective technology out there.”

— Maurice Sherman, M.D., Board Certified in Cosmetic Surgery, Facial Plastic Surgery and Otolaryngology.
Associate Professor of Clinical Surgery, UC San Diego; Del Mar Cosmetic Medical Center – Del Mar, CA


“In my office, I have found the AccentXL system to be extremely fast. Compared to previous RF technologies in aesthetic medicine, no consumables are required, making treatments simpler and more efficient than in the past. More importantly, the Accent system raises the bar in patient comfort and satisfaction in aesthetic procedures”

— Ava Shamban, M.D., Board Certified in Dermatology.
Assistant Clinical Professor, University of California, Los Angeles; Laser Institute for Dermatology and European Skin Care – Santa Monica, CA


“We have a winner here! The AccentXL system is easy to use, not painful and well-tolerated. In fact, one of my patients was so impressed with her results, she actually asked for a ‘membership’ with the Accent.”

— Flor Ana Mayoral, M.D., Board Certified in Dermatology.
Clinical Faculty Member, University of Miami’s Miller School of Medicine; Dermatology Group – Miami, FL


“We have found the AccentXL system to be very safe and relatively comfortable with a high percentage of responders. Compared to other RF devices we have used, treatment with the Accent system is much less painful, faster and easier to perform. It also allows more ‘artistic’ use on the face. Although responses vary, a high percentage of treated subjects showed a visible response. Some observe an immediate skin tightening of the face.”

— David H. McDaniel, M.D., Board Certified by the American Board of Dermatology.
Assistant Professor of Clinical Dermatology and Plastic Surgery, Eastern Virginia Medical School; Laser Skin and Vein Center of Virginia – Virginia Beach, VA

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