Biolift four points technique: new horizons for the administration of cross-linked fillers at three different molecular weights

Main Article Content

Luisa Cerutti
Tania Stripoli

Keywords

Hyaluronic acid, Soft Touch Zhoabex, filler, Biolift Four Points minimally invasive technique

Abstract

Hyaluronic acid is one of the main constituents of injectable fillers, medical devices widely used in aesthetic medicine to prevent or treat skin aging. Fillers differ in rheological and physico-chemical properties derived from their production process such as molecular weight, concentration of hyaluronic acid, mechanism and degree of cross-linking. Zhoabex Soft Touch Filler is a hyaluronic acid formulation with three molecular weights and can be used in the minimally invasive approach named Biolift Four Points technique. The Biolift Four Points technique arises from the analysis and comparison of different techniques and it consists in identifying four specific anatomical points of the face for a functional and effective administration. The administration of Soft Touch with the minimally invasive Biolift Four Points technique improves hydration and texture with an appreciable lifting effect.

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References

1. Fallacara A, Baldini E, Manfredini S, Vertuani S. Hyaluronic Acid in the Third Millennium. Polymers (Basel). 2018; 10(7):701.
2. Bravo B, Correia P, Gonçalves Junior JE, Sant'Anna B, Kerob D. Benefits of topical hyaluronic acid for skin quality and signs of skin aging: From literature review to clinical evidence. Dermatol Ther. 2022; 35(12):e15903.
3. Attenello NH, Maas CS. Injectable fillers: review of material and properties. Facial Plast Surg. 2015; 31(1):29-34.
4. Essendoubi M, Gobinet C, Reynaud R, Angiboust JF, Manfait M, Piot O. Human skin penetration of hyaluronic acid of different molecular weights as probed by Raman spectroscopy. Skin Res Technol. 2016; 22(1):55-62.
5. Fagien S, Bertucci V, von Grote E, Mashburn JH. Rheologic and Physicochemical Properties Used to Differentiate Injectable Hyaluronic Acid Filler Products. Plast Reconstr Surg. 2019; 143(4):707e-720e.
6. de la Guardia C, Virno A, Musumeci M, Bernardin A, Silberberg MB. Rheologic and Physicochemical Characteristics of Hyaluronic Acid Fillers: Overview and Relationship to Product Performance. Facial Plast Surg. 2022; 38(2):116-123.
7. Fundarò SP, Salti G, Malgapo DMH, Innocenti S. The Rheology and Physicochemical Characteristics of Hyaluronic Acid Fillers: Their Clinical Implications. Int J Mol Sci. 2022; 23(18):10518.
8. Khan U, Khalid N. A Systematic Review of the Clinical Efficacy of Micro-Focused Ultrasound Treatment for Skin Rejuvenation and Tightening. Cureus. 2021; 13(12):e20163.
9. Jaguś D, Skrzypek E, Migda B, Woźniak W, Mlosek RK. Usefulness of Doppler sonography in aesthetic medicine. J Ultrason. 2021; 20(83):e268-e272.
10. Laiacona D, Cohen JM, Coulon K, et al. Non-invasive in vivo quantification of human skin tension lines. Acta Biomater. 2019; 88:141-148.
11. Savoia A, Landi S, Baldi A. A new minimally invasive mesotherapy technique for facial rejuvenation. Dermatol Ther (Heidelb). 2013; 3(1):83-93.
12. Heydenrych I, Kapoor KM, De Boulle K, et al. A 10-point plan for avoiding hyaluronic acid dermal filler-related complications during facial aesthetic procedures and algorithms for management. Clin Cosmet Investig Dermatol. 2018; 11:603-611.
13. Dhillon B, Patel T. A Retrospective Analysis of Full-face Dermal Filler Treatments: Product Choice, Volume Use, and Treatment Locations. J Clin Aesthet Dermatol. 2020; 13(9):33-40.
14. Pavicic T, Mohmand HM, Yankova M, et al. Influence of needle size and injection angle on the distribution pattern of facial soft tissue fillers. J Cosmet Dermatol. 2019; 18(5):1230-1236.
15. De Maio M. Myomodulation with Injectable Fillers: An Innovative Approach to Addressing Facial Muscle Movement. Aesth Plast Surg. 2018; 42(3):798-814.
16. De Maio M. Myomodulation with Injectable Fillers: An Update. Aesth Plast Surg. 2020; 44(4):1317-1319.
17. Barrett J.B. Acupuncture and Facial Rejuvenation. Aesthet Surg J. 2005, 25(4):419-424.
18. Coimbra DD, Stefanello B. Myomodulation with Facial Fillers: A Comprehensive Technical Guide and Retrospective Case Series. Aesthetic Plast Surg. 2023; 47(3):1162-1174.
19. Kane MAC. Commentary on Myomodulation with Injectable Fillers: An Innovative Approach to Addressing Facial Muscle Movement. Aesthetic Plast Surg. 2018; 42(5):1360-1363.
20. De Maio M. MD CodesTM: A Methodological Approach to Facial Aesthetic Treatment with Injectable Hyaluronic Acid Fillers. Aesth Plast Surg. 2021; 45(2):690-709.
21. Kuge H, Mori H, Tanaka TH, Tsuji R. Reliability and Validity of Facial Check Sheet (FCS): Checklist for Self-Satisfaction with Cosmetic Acupuncture. Medicines (Basel). 2021; 8(4):18.
22. Cho JH, Lee HJ, Chung KJ, Park BC, Chang MS, Park SK. Effects of Jae-Seng Acupuncture Treatment on the Improvement of Nasolabial Folds and Eye Wrinkles. Evid Based Complement Alternat Med. 2015; 2015:273909.
23. Hexsel D, Soirefmann M, Porto MD, Siega C, Schilling-Souza J, Brum C. Double-blind, randomized, controlled clinical trial to compare safety and efficacy of a metallic cannula with that of a standard needle for soft tissue augmentation of the nasolabial folds. Dermatol Surg. 2012; 38(2):207-14.
24. Jaguś D, Skrzypek E, Migda B, Woźniak W, Mlosek RK. Usefulness of Doppler sonography in aesthetic medicine. J Ultrason. 2021; 20(83): e268-e272.
25. Chaudhary M, Khan A, Gupta M. Skin Ageing: Pathophysiology and Current Market Treatment Approaches. Curr Aging Sci. 2020; 13(1):22-30.
26. Longas MO, Russell CS, He XY. Evidence for structural changes in dermatan sulfate and hyaluronic acid with aging. Carbohydr Res. 1987; 159(1):127-13.
27. Bonté F, Girard D, Archambault JC, Desmoulière A. Skin Changes During Ageing. Subcell Biochem. 2019; 91:249-280.
28. Kelun Li, Fanyu Meng, Yu Ru Li, et al. Application of Nonsurgical Modalities in Improving Facial Aging. Int J Dent. 2022; 2022:8332631.