Storz Medical · Distributed by Evoskin
Acoustic Wave Therapy
Precision-engineered, clinically validated regenerative technology — now available through Evoskin.
Storz Medical has defined the standard for acoustic wave therapy for over three decades. Evoskin brings their two flagship AWT platforms to U.S. aesthetic practices — addressing the full spectrum of body and skin regeneration. No surgery. No downtime.
The Science
Mechanical Signals. Biological Outcomes.
Acoustic Wave Therapy (AWT®) delivers controlled pressure pulses into tissue, triggering mechanotransduction cascades that stimulate collagen synthesis, improve microcirculation, and remodel the extracellular matrix.
Unlike energy modalities that rely on thermal injury for remodeling, AWT activates tissue regeneration through precision biophysical signaling — no thermal damage, no recovery burden.
Clinical evidence supports AWT across multiple aesthetic indications: subcutaneous fat remodeling, connective tissue tightening, scar and stretch mark softening, and lymphatic drainage optimization.
Fat Remodeling
Collagen Synthesis
Scar & Stretch Marks
Lymphatic Drainage
The dual handpiece connector configuration allows two operators to work simultaneously or enables seamless protocol transitions between body regions within a single session. The near-silent Air Power drive system ensures patient comfort. Optional modules extend the platform: V-ACTOR® vibration therapy (1–35 Hz) for lymphatic stimulation and myofascial release, and the VACU-ACTOR® vacuum module for enhanced tissue coupling in dense adipose or fibrous tissue.
Clinical Indications
- Cellulite (Nürnberger-Müller Grade I–III)
- Striae distensae / stretch marks
- Superficial facial lines and periorbital laxity
- Connective tissue laxity and skin firmness loss
- Localized subcutaneous adiposity
- Lymphatic congestion and post-procedure edema
- Myofascial tension and muscle relaxation
Results compound across sessions. Practices using the D-ACTOR® 200 »ultra« in a structured 6–8 session protocol consistently report high patient satisfaction, strong retention, and a compelling service differentiator.
Storz Medical · Radial AWT
D-ACTOR® 200 »ultra«
The Gold Standard in Radial AWT for Aesthetic Medicine
Some devices treat the surface. The D-ACTOR® 200 »ultra« transforms it.
Engineered by Storz Medical — the global pioneer of acoustic wave technology — it delivers precisely calibrated acoustic pressure pulses radially into tissue, initiating a cascade of biological responses no topical, injectable, or thermal device can replicate: neoangiogenesis at the microvasculature level, fibroblast activation driving de novo collagen synthesis, and mechanical disruption of the fibrous septae that create surface irregularities.
0.3–5.0
bar pressure
1–21
Hz frequency
2×
handpiece ports
This is not energy delivered indiscriminately. Operating across 0.3–5.0 bar and 1–21 Hz, it gives the treating physician granular control over penetration depth, impulse intensity, and tissue response. Every parameter is accessible directly from the handpiece via the integrated Active-tip-control display — so clinical focus stays on the patient, not the console.
“The D-ACTOR® 200 »ultra« sets a new standard in non-invasive body and skin regeneration — combining Swiss engineering precision with a clinical evidence base that spans three decades.”
Technical Specifications
| Wave type | Radial acoustic wave |
| Pressure range | 0.3 – 5.0 bar |
| Frequency range | 1 – 21 Hz |
| Handpiece connectors | 2 (dual simultaneous) |
| Optional modules | V-ACTOR® vibration (1–35 Hz), VACU-ACTOR® vacuum therapy |
| Interface | Active-tip-control handpiece display + optional 10″ touchscreen |
| Drive system | Air Power (near-silent) |
Storz Medical · Multi-Modal AWT
DUOLITH® SD1 T-TOP »ultra«
The Gold Standard in Radial AWT for Aesthetic Medicine
The most sophisticated cases demand the most sophisticated tools. The DUOLITH® SD1 T-TOP »ultra« is Storz Medical’s flagship multi-modal AWT platform — and for practices committed to comprehensive, outcome-driven aesthetic medicine, there is no equal.
Where conventional body devices address a single tissue plane, this platform works across all of them simultaneously. Its modular handpiece architecture combines three distinct acoustic energy modalities — focused/defocused (C-ACTOR®), radial (D-ACTOR®), and vibration (V-ACTOR®) — for fully layered, precision-orchestrated protocols within a single appointment.
The Modular Triad
Three Handpieces. Three Tissue Systems.
Deep
C-ACTOR® Handpiece
Deep Tissue Remodeling
Short, high-energy defocused waves penetrate subcutaneous fat and deeper fascial compartments — triggering adipocyte membrane disruption, lipolytic enzyme activity, and microvasculature remodeling for genuine structural contour change.
Dermal
D-ACTOR® Handpiece
Dermal Collagen Regeneration
Long, lower-energy radial waves activate fibroblasts, stimulate glycosaminoglycan production, and remodel cross-linked collagen — addressing skin laxity, surface irregularity, and collagen degradation with documentable improvement.
Recovery
V-ACTOR® Handpiece
Lymphatic Activation & Recovery
Calibrated vibration pulses across broad surface areas activate the superficial lymphatic network, reduce edema, and generate myofascial release — enhancing biological uptake of the preceding acoustic energy.
The result of combining all three: a single treatment session that simultaneously addresses fat, connective tissue, and lymphatics. No other platform on the U.S. market delivers this in one integrated workflow.
10″ Touchscreen
A curated protocol library with embedded video guidance and evidence-based parameter recommendations — reducing training time and ensuring procedural consistency across providers.
Patient Management
Integrated before/after documentation supports outcome tracking and strengthens patient communication around results across the treatment series.
Modular & Future-Proof
Optional ultrasound integration measures subcutaneous fat thickness in real time. Add handpieces and modules as your service menu expands — without replacing hardware.
How It Works
Deep Tissue Remodeling
C-ACTOR®High-energy defocused waves penetrate subcutaneous fat and fascial layers — triggering adipocyte disruption, metabolic activation, and structural contouring at depth.
Dermal Collagen Regeneration
D-ACTOR®Radial acoustic waves activate fibroblasts and remodel the extracellular matrix in the dermis and sub-dermis — restoring elasticity, smoothing texture, and improving tone.
Lymphatic Activation
V-ACTOR®Vibration pulses stimulate the superficial lymphatic network, reduce edema, enhance vascular perfusion, and generate the immediate tightening effect patients see and feel.
Clinical Indications
“From deep fat remodeling to dermal collagen regeneration to lymphatic recovery — the DUOLITH® SD1 T-TOP »ultra« gives aesthetic physicians the clinical architecture to address every layer of the body. Nothing else does what this platform does.”
Technical Specifications
Multi-modal, upgradable architecture engineered to grow with your practice.
| Wave types | Focused/Defocused (C-ACTOR®), Radial (D-ACTOR®), Vibration (V-ACTOR®) |
| Handpiece system | Modular — interchangeable handpieces per indication |
| Interface | 10″ touchscreen with protocol library, treatment videos, patient management |
| Documentation | Integrated progress tracking and before/after photography |
| Optional add-on | Ultrasound fat layer measurement module |
| Design | Modular / upgradable architecture — future-proof investment |
Decades of Science. One Trusted Partnership.
Storz Medical is the global leader in shock wave and acoustic wave technology, with a clinical evidence base spanning urology, orthopedics, wound healing, and aesthetics. Every D-ACTOR® and DUOLITH® system is engineered in Switzerland to exacting quality standards, with over 1,000 peer-reviewed publications.
Evoskin brings this technology to U.S. providers with the same commitment to clinical excellence that defines our broader portfolio — dedicated onboarding, hands-on training through Evoskin Academy, and direct access to our clinical support team.
Clinical Credibility
Backed by 30+ years of Storz Medical clinical research and an extensive published evidence base in aesthetic AWT.
Practice Integration
Evoskin provides full onboarding, staff training, and ongoing clinical support — so your team delivers consistent outcomes from day one.
Modular Investment
Both platforms grow with your practice — add handpieces and modules as indications expand, without replacing the base system.
Get Certified in Storz AWT
Structured hands-on training in AWT protocols — patient selection, device operation, combination treatment strategies, and outcomes documentation. CE-eligible curriculum available.
Got Questions?
Frequently Asked Questions
The D-ACTOR® 200 »ultra« is a dedicated radial AWT system, ideal for practices focused on cellulite reduction, stretch marks, and superficial connective tissue. The DUOLITH® SD1 T-TOP »ultra« is a multi-modal platform combining focused, radial, and vibration waves — suited for practices offering a full spectrum of body contouring and skin regeneration services.
Yes. Acoustic wave therapy is non-thermal and non-ablative, making it safe across all Fitzpatrick skin types without risk of post-inflammatory hyperpigmentation.
Most aesthetic AWT protocols consist of 6–8 sessions, scheduled weekly or biweekly depending on indication and device. Maintenance sessions are recommended at 1–3 month intervals. Your Evoskin clinical support representative can assist with protocol development tailored to your patient population.
No. AWT is non-invasive with no recovery period. Patients return to normal activities immediately following treatment.
Yes — AWT integrates well with ENDORET® PRP, laser treatments, and professional peel protocols. Evoskin Academy provides combination treatment training.