At IMCAS 2026, device innovation felt markedly different this year. The energy wasn’t centered around “stronger” or “faster.” Instead, the conversation shifted toward precision engineering, biologic targeting, and intelligent integration within broader treatment frameworks. The industry’s most compelling launches weren’t about pushing more power into tissue — they were about understanding exactly where to intervene, how to intervene, and why that intervention matters in the context of longevity, regeneration, and whole-patient optimization.
From transcranial magnetic stimulation entering aesthetic clinics with BTL Industries’ EXOMIND®, to wavelength-specific acne correction with Cutera’s AviClear, to the unique coagulation precision of SylfirmX, IMCAS 2026 showcased a more mature era of medical aesthetics. These technologies demonstrated that the future isn’t about isolated cosmetic outcomes — it’s about biological signaling, mental clarity, sebum regulation, micron-level thermal control, and treatments that align with larger longevity frameworks. Medical aesthetics has evolved beyond surface-level correction, and IMCAS continues to be the global stage where that evolution becomes visible first.
Device technology at IMCAS 2026 was less about incremental power increases — and more about precision, targeting, and integration.
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IMCAS Paris 2026 Device Innovations from 3 Top Manufacturers
1 BTL Industries – EXOMIND®
BTL Industries, makers of EMSCULPT NEO® AND EMSCULPT FACE®, are breaking new ground with their EXOMIND®. They’re one of the first companies to bridge aesthetics with mind/body.
“EXOMIND’s patented ExoTMS technology is built on the foundation of Transcranial Magnetic Stimulation, a well-established and noninvasive therapy that has been studied for decades in the treatment of Major Depressive Disorder.” Quote from bodybybtl.com
Dr. Briglia Q+A with Garreth Pepper from BTL Industries about EXOMIND®
“This is exciting for me because our clinic has been doing this for years, and this is something that they are just launching.” Dr. Briglia
“The response has been overwhelming. I think it took a bit of time for people to realize that there is a place for TMS treatments in the aesthetic and cosmetic field. As soon as people start getting their head around, as you would know, we spoke about it – the mind-body connection. This is not just for people who have severe psychological issues, but also for busy moms, busy dads, and mental sharpening. Do you wanna be more efficient at cognitive sharpening, or do you want to sleep better? I think a big demographic that also sees the benefit is the perimenopausal markets.” Garreth Pepper from BTL
“Just to kind of rewind a little bit, the EXOMIND® is transcranial magnetic stimulation. It works on the brain with magnets. I like to describe it to my patients as a physical therapy for the brain. Using magnets to tap on the brain
and to reconnect those neural synapses that have broken over time to allow those chemicals to flow normally.
So instead of just throwing some medication at the problem, saying, oh, you have anxiety, you have depression, which basically just increases the upflow of the chemicals in the connections that are still kind of lingering.
This actually repairs the problem. So you’re reconnecting those wires and allowing the chemicals to flow normally again.
And in aesthetics, we see acne and different skin conditions that often are linked to anxiety, depression, and that mind-body connection. And that’s why it’s very exciting to see this here at IMCAS.” Dr. Krytal Briglia, L+A Medical Contributor
“In our cosmetic and aesthetic world, it’s very easy to work on the exterior appearance. You know, we can make people look bright, shiny, young, and filled u,p and that’s great. But the smart clinics globally, once they understand
that the internal workings need to be worked on as well, for the full effect, I think that’s important as well – OCD, binge eating, depression, REM sleep, smoking, cessation, HRV( heart rate variability levels), and brain fog.
“When we’re pitching it, I describe it in this way…imagine your work desk with all these piles of projects and notes, and it’s a big mess. ExoMind just reorganizes it – clears it up and helps to make better decisions.” Garreth Pepper BTL
2 Cutera – AviClear Laser
The AviClear laser is unique in that it focuses on the sebum in order to treat acne.
Dr. Briglia Q+A with Martin Kissinger, Director of Marketing and Education Support, Cutera
“One of the devices we found was AviClear, and this is different from things that I’ve used or trained on, for acne treatment. This is a different wavelength. So traditionally, most clinicians are aware of using IPL, a 1927 thulium, or even CO2 to target bacterial destruction in the skin. And this wavelength is different. What’s this wavelength?” Dr. Krystal Briglia
“This wavelength is 1726 nanometers. With that wavelength, we have a slightly higher absorption in the oil in the sebum than in the water. Actually, two times the absorption than in the water. And with that, we can have the selectivity. All the treatments that you talked about, they have their space, and they have their place in the acne treatment regimen. But here we have a real chance to go to the core of the problem, to the sebum overproduction when you have an acne problem. Patients really can have this as an additional building block in their, uh, treatment regimen.” Martin Kissinger, Cutera
“This wavelength specifically targets the sebum, which is something that’s different from traditional lasers
that most clinicians are aware of.” Dr. Krystal Briglia
“Exactly. So I think the real benefit is here that we are right at the core of the problem, rather than having a systemic drug or having some, you know, treatment which have their standing of the secondary effects of acne, we really go to the core of the sebum overproduction and can have a real effect, of course. In the studies for the FDA clearance, this was set up as a monotherapy, and we had great results there.” Martin Kissinger, Cutera
3 Sylfirm X
We discovered Sylfirm X through an introduction by Dr. Vincent Wong. He mentioned that they have some unique aspects to their device that are truly innovative because Slyfirm X is the world’s First FDA – approved for Pulsed & Continuous Wave Radiofrequency (RF) Microneedling Device. Sylfirm X is an emerging Dual Wave RF device that can be used across different skin types for multiple benefits with the Xceptional 300 micron depth. Precise thermal coagulation is created by using evenly-leveled electrodes to penetrate precise depths.
L+A Q+A with Sylfirm X CEO, Jeremy Chang Lee
“Traditionally, it was thought that when you use non-insulated needles for microneedle radiofrequency treatment, the radio frequency would be delivered throughout the whole needle and the heat would reach the epidermis layer, affecting and then damaging the epidermis layer. When we were inventing our device, we actually found out that the microneedle, the coagulation zone is formed at the very end of the needle only. In a teardrop shape. So that’s NA Effect.” M. K. Kim, Marketing Director, translating for CEO Jeremy Chang Lee.
“What is the NA Effect?” Barry
“The founder was Dr. Na, so it’s named after him. You see, after testing with our device, they actually found out that the coagulation zone is formed at the edge of the needle, only in a teardrop shape, forming a better coagulation zone and then delivering energy more effectively. So that’s our NA Effect.” M. K. Kim, Marketing Director, translating for CEO Jeremy Chang Lee.
Melasma, Redness & PIH
SYLFIRM X’s Pulsed Wave Mode creates selective coagulation to aid recovery of hyperactive melanogenesis, which gives you pigmentations where patches of skin become darker than the surrounding skin.
Na Effect
The combination of PW waves and NA effect in the SYLFIRM X system ensures selective coagulation using bi-polar non-insulated gold needles for the treatment of damaged skin cells while maintaining overall skin health.
Difference of 300 Micron
SYLFIRM X delivers RF energy to the target into the tissue. Precise thermal coagulation is created by using evenly-leveled electrodes to penetrate the accurate target depth, in order to induce optimal results with extra effectiveness.