QUICK REFERENCE GUIDE – Morpheus8

Date: February 2021

Typical Treatment Parameters

• Tips – Morpheus8, Morpheus8 Prime, Morpheus8 Body and Morpheus8 T tips.
• Depth – 1, 2, 3, and 4mm for Morpheus8 and Prime tips. 2-7mm for Morpheus8 Body tip. Morpheus8 T tip is 0.5mm fixed
depth for resurfacing, when the engine is disabled, and insertion and retraction of the pins is done manually.
• RF Energy – Range is from 5-60. Limited range of 5-30 is for Morpheus8 T tip and for 1mm depth of Morpheus8 and
Prime tips, as well as Body Tip in Fixed and Burst modes. Always start with lower settings and gradually increase.
• Cycle Mode - Pins penetrate and retract from the tissue with every pulse. The Tip is moved to next site with overlap.
• Fixed Mode - Pins are continuously deployed at programable depth when footswitch is activated. The pins retract back
and energy delivery terminates once the footswitch is released. It is used for stacking of pulses.
• Burst Mode- Is applicable to Morpheus8 Body tip only in 2-3 consecutive depths, one pulse per depth:
- At 7mm setting, pulses are emitted at 7, 5, and 3mm
- At 6mm setting, pulses are emitted at 6, 4, and 2mm
- At 5mm setting, pulses are emitted at 5, and 3mm
- At 4mm setting, pulses are emitted at 4, and 2mm
Burst Mode allows to reduce treatment time, increase uniformity and reduce mechanical damage by applying
less penetrations into the skin.
• Repetition – can be set to Single pulse mode or Repetition mode when pulses are delivered automatically with
predetermined pulse repetition rate: In Cycle Mode – Single, 0.5 and 1pps. In Fixed Mode – 0.5, 1.0 and 1.5pps.

Pins *Depth Treatment Areas **Energy Mode

Tip Name No. mm Levels

Facial Bony Areas, e.g. Periorbital, and Forehead as

Morpheus8 Tip 24 1-2 8 - 15 Cycle
well as Hands Dorsum

Morpheus8 Tip 24 2-3 Facial Soft Tissue, e.g. Cheeks as well as Neck 15 - 40 Cycle/Fixed

Morpheus8 Tip 24 3-4 Curved Body Areas, e.g. Knees and Arms 20 - 45 Cycle/Fixed

Small Facial Bony Curved Areas, e.g. Upper Lip,

Morpheus8 Prime Tip 12 1-2 15 - 25 Cycle/Fixed
Eyelids

Morpheus8 Prime Tip 12 1-3 Small Facial Soft Curved Areas, e.g. Nose 20 - 30 Cycle/Fixed

Morpheus8 Body Tip 40 2-4 Body Thin Fat Areas (<1cm), e.g. Hips and Decollate 15 - 30 Cycle/Fixed

Body Thick Fat Areas (≥1cm), e.g. Abdomen, Buttocks 15 – 30 Fixed/Burst

Morpheus8 Body Tip 40 4-7
and Thighs 30-40 Cycle

0.5
Morpheus8 T Tip 24 Bony Areas with Surface Irregularities 10 - 20 Manual
Fixed

0.5
Morpheus8 T Tip 24 Soft Areas with Surface Irregularities 20 - 30 Manual
Fixed

*Not all information is applicable in all countries. **Energy levels should be as high as tolerated and according to skin response.
• Thin and bony skin like forehead, treat with 2mm depth, while 4-7mm depth can be used for thicker body areas.
• For superficial skin resurfacing, use Morpheus8 T tip. Focused areas, such as upper lid or upper lip may be treated
with a smaller Morpheus8 Prime tip of 12 pins. Large body areas may be treated faster and more homogeneously by
a larger Morpheus8 Body tip with 40 pins, in Cycle/Fixed/Burst modes, as applicable.
• Use the Burst Mode on body areas only (4-7mm), with or without deep lesions like cellulite, scars and stretch marks.
DO NOT use on face and neck and not on body areas with thin skin over bone (knee).
• Treatment may be applied to all skin types. However, when treating dark skin restrict energy, starting at energy
level 8 and avoid treating, or treat with caution over bone and curved areas, following bleaching regimen (optional).
• Avoid treating over superficial injected areas with natural fillers or very recent Botox injections.
• For deeper treatment, use higher RF energy.
• Reduce ~20% energy when working on thin skin/tissue like neck, or on bony area like forehead or jawline.

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 – Morpheus8
Date: February 2021

• Further ~20% reduction on thin skin over bone, like decollate and back of hands.
• Use lower energy for thin skin, dark skin, labia minora/majora and bony areas.
• Morpheus8 T tip can be used for the applications related to skin surface ablation and coagulation as an addition to
sub-dermal invasive or non-invasive remodeling or as a stand-alone treatment. Stacking is NOT recommended!
• Method of Anesthesia: Apply topical cream/ointment/gel, preferably high concentration (e.g. 15-18% Lidocaine +
5% Prilocaine), as prescribed by the manufacturer, exercising caution around the eyes. Apply for 30-60min.
- Nerve block or local anesthesia may be applied for higher energy, especially with Body tip at 5-7mm depth.
- Highest energy level is usually applied following invasive procedures that involve tumescent or IV sedation.
• Pre-cooling and cooling during the procedure relieve discomfort. Air cooling is recommended as it also dries the skin.
If other means of cooling, such as ice packs or ice-filled surgical gloves are applied, make sure that skin remains
completely dry, by occasional wiping with a sterile gauze to prevent arcing and to facilitate maximum coupling.
Pre-Treatment
• Prior to the treatment inspect the tips for any damage.
• Prescribe anti-HSV viral prophylaxis for patients with history of Herpes Simplex.
• Remove numbing cream from treatment area – clean skin with cleanser and finish off with 70% rubbing alcohol or
preferably with 3-4% Hydrogen Peroxide.
• Start on dry skin with a low energy and adjust settings according to patient tolerance and skin response.
• Always perform test spots before treatment! If the spot pattern is uneven, remove the tip and apply a new tip.
Following the test, wait for 10-15min for skin types I-III and 24-48h for skin types IV-VI prior to full treatment.
Treatment Procedure
• Apply the handpiece perpendicular to the treated area, with complete contact and firm pressure. To improve
coupling between the skin and the tip, stretch skin on very soft tissue or pinch on bony or thin skin areas.
• Do not slide tip over the treatment area to avoid skin scratching. Make sure to lift and place the tip for complete
placement and apply pressure before pulsing.
• Ensure that the patient is steady during the procedure. Provide additional support with towels or pillows.
• Use extra caution on bony areas: reduce the energy levels, use 1 and 2mm depth settings. Exclude zones with
extremely thin skin and high curvature such as upper part of the forehead or temples.
• Move the handpiece to the adjacent area with overlap of approximately 30-50%.
• Stacking with 1-2 additional pulses may be triggered at the same site in Fixed Mode. However, DO NOT stack
pulses in superficial treatment by Morpheus8 T tip and at 1mm depth of other tips. Refrain from stacking on bony
areas such as forehead, periorbital, jawline, etc.
• If gaps are visible after the full area treatment, they may be re-treated immediately.
• Occasionally, additional 1-3 passes are necessary to optimize results. Wait until the full area is treated before
attempting additional pass, allowing for a delayed response on dark skin. An additional pass may be applied in a
different direction to the previous pass/passes, to ensure complete area coverage.
• Acceptable endpoints are minimal to substantial erythema and edema, often accompanied by tingling heat
sensation. Minor pin-point bleeding is occasionally observed.
• Clean the tip, as well as patient’s skin with clean dry gauze frequently to remove cell debris, blood or sweat,
especially when treating deep or when using Burst mode.
• Cleaning of pins every ~200 pulses with alcohol 70%-soaked pads stretched over the tip will improve coupling and
reduce the risk of arcing of RF energy. Cleaning the tip ensures long, homogeneous performance!
• Recommended number of pulses per tip should not exceed 1500 to assure pins' cleanliness/sharpness!
Post-treatment & Schedule
• Cooling the skin post-treatment can reduce discomfort and excessive skin response.
• Clean the skin with 3-4% Hydrogen Peroxide which is effective as a bacteriostatic and hemostatic agent.
• Apply healing or antibiotic ointment, immediately post treatment for 1-3 days.
• As soon as the craters close (1-3 days), apply moisturizer and sun-screen, and may use make-up.
• Downtime is minimal and ranges from 1-5 days, the longer time for superficial treatment and higher energy levels.
Some patients hardly show any skin surface response despite future good results.
• Number of sessions vary from 1-4 with intervals of 3-6 weeks, and maintenance as needed.

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.