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Alma Accent XL

Alma - Accent XL

Applications Specifications Technologies Before & After Pictures Frequently Asked Questions Testimonials Research Articles


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

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

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RF Power up to 300 W
RF Handpieces Unipolar, UniLarge, BiPolar
Output Frequency 40.68 MHz (±2Khz)
Electrical 208-240 VAC, 2.5 A, 50 Hz
100-120 VAC, 5 A, 50/60 Hz
Weight 50 kg (110 lbs)
Dimensions (W x D x H) 54 x 44 x 97 cm (21″ x 17″ x 38″)

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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

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Before & After Pictures:

Accent®XL works on all parts of the body, regardless of a patient’s age or skin type. In fact, more than 100,000 patients around the world have already chosen the Accent Your Body™ experience for superior body shaping and skin tightening. View some of the best before and after photos, below.

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Frequently Asked Questions:

Q: On what parts of the body can AccentXL be used?

A: Accent helps smooth and contour any loose, wrinkled or dimpled skin anywhere on the face and body. The treatment can help flatten the stomach and slim the hips and thighs. It also improves the thin, delicate skin that develops on the face, neck and under arms. Many patients also consider it after surgery or having a baby.

Q: What is an AccentXL treatment like?

A: During the procedure the Accent system is set to precisely heat the tissue just within the dermis. Depending on the size of the treated area, a treatment may take up to 45 minutes. Following each treatment, the patient can immediately resume all routine activities. There may be slight redness, which should disappear in less than 24 hours. Generally, no more than three to five treatments at two weeks intervals will be required.

Q: Are the treatments safe?

A: Absolutely. Incorporating advanced safety precautions, Accent directs proven Radio Frequency energy to precisely the areas of   the skin being treated. Thousands of patients have been treated safely and successfully worldwide using the Accent system.

Q: How long before results will be seen?

A: Dual-layer RF Thermotherapy causes the deep structures of the skin to tighten right away; results are immediately visible. With time, new collagen develops, further tightening   the skin and yielding even more beautiful, natural looking and firmer skin. While just one or two treatments can produce good results, optimal results require follow-up procedures.

Q: Does it hurt?

A: While pain tolerance is subjective, most people tolerate Dual-layer RF Thermotherapy well, and have little or no discomfort. Patients often describe the sensation as a “warm massage.” The risk of significant side effects is extremely low.

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Superior technology, virtually painless

“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

Safe and effective

“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

Fast, comfortable and easy to use

“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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Research Articles:

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