juvederm 8 point lift www.dokterfrodo.nl

1. the -point
lift
-point
lift
-point-point-point-point
A clinician’s guide to

2. Facial enhancement and rejuvenation have moved beyond wrinkle effacement
and surgical facelifts - to an approach that volumizes and structures.
This comprehensive, multimodal approach permits clinicians to develop aesthetic
treatment plans tailored to individual patient needs and designed to produce a
natural look.1
The 8-point lift is a new approach, utilizing the new VYCROSSTM
collection of hyaluronic
acid (HA) dermal fillers for facial rejuvenation and shaping. The procedure, developed
by Dr Mauricio de Maio, is delivered in 8 distinct treatment areas to achieve the most
natural result and maintain each patient’s unique facial expressions.2,3
Treatment is individualized to each patient using the Juvéderm®
family of HA fillers –
including Juvéderm®
VOLBELLA®
with Lidocaine, Juvéderm®
VOLIFT®
with Lidocaine and
Juvéderm®
VOLUMA®
with Lidocaine.
The procedure recommends a sequence of injection and specific sites that should be
adapted based on each patient’s profile to achieve the optimal outcome. This booklet aims
to provide clinicians with the information needed to carry out the 8-point lift with confidence.
Facial enhancement and rejuvenation
and surgical facelifts - to an approach that
This comprehensive, multimodal approach permits clinicians to develop aesthetic
Facial enhancement and rejuvenation
and surgical facelifts - to an approach that
This comprehensive, multimodal approach permits clinicians to develop aesthetic
treatment plans tailored to individual patient needs and designed to produce a
1
Facial enhancement and rejuvenation
and surgical facelifts - to an approach that
This comprehensive, multimodal approach permits clinicians to develop aesthetic
treatment plans tailored to individual patient needs and designed to produce a
Facial enhancement and rejuvenation
and surgical facelifts - to an approach that
This comprehensive, multimodal approach permits clinicians to develop aesthetic
treatment plans tailored to individual patient needs and designed to produce a
the -point lift-point lift-point lift-point lift

3. Volume loss and
the ageing process
Volume loss and the ageing process
1
Key areas of volume loss:
Tear trough and infraorbital area
Nasolabial fold and the effect of gravity
Malar region

4. Mouth frown
Pre-jowl area
Jawline
Recognition of volume loss in facial ageing is the basis
for facial rejuvenation, influencing the types and
extent of surgical procedures, as well as the way in which
minimally invasive approaches are employed.1
Restoring volume
with the VYCROSSTM
collection of fillers

5. Enhancement of lip and
perioral areas and reduction
medium-deep depressions
Restores facial volume
94200JR 94201JR
94504JR
94506JR
1 x 1 mL 2 x 1 mL
1 x 2 mL
2 x 1 mL
Yes 0.3%
(HCI)
Yes 0.3%
(HCI)
Yes 0.3%
(HCI)
HA fillers for use in the 8-point lift:
the Juvéderm®
family
4
5
®
Replacing volume and structure with
the VYCROSSTM
collection of HA fillers
The versatility of the
VYCROSSTM
collection
Juvéderm®
VOLBELLA®
with Lidocaine
Juvéderm®
VOLIFT ®
with Lidocaine
Juvéderm®
VOLUMA®
with Lidocaine
Product
code
Packaging
HA
Concentration
Lidocaine
System
Recommended
Indications

6. Not cohesive
Smooth cohesive Smooth cohesive
HYALURONIC ACID CHAINS
HYALURONIC ACID CHAINS
HYALURONIC ACID CHAINS
Juvéderm®
™
The Juvéderm®
range of fillers
uses proprietary technology
The use of the proprietary Vycross™ technology
produces malleable yet cohesive fillers.8
NASHA
technology
3D matrix
technology
VYCROSSTM
technology6
The VycrossTM
technology provides a unique patented combination of majority low
Minimal swelling, longer duration7,8
and enhanced smoothness16
Identifying patients
lPendant cross linker
lFully reacted cross linker
SHORT CHAIN
LONG CHAIN

7. Identifying patients
Facial assessment and treatment planning
When approaching patients, it is important to consider how
volume can accentuate the natural features.
Facial assessment
upper, mid and lower
face in terms of structure,
proportion and symmetry
9
volume loss as well
as facial appearance
Photographs can act as an effective tool for educating
patients on their facial appearance and to explain
the rationale for the treatment plan by demonstrating the
effects of ageing on the features of the face.9
Treatment planning
Facial shape and volume the perception
1
reduction in the perception of a
patient’s apparent age 10
Explain that as the ageing process is continual, treatment plans and
goals will need to be adapted in order to optimize and maintain
desired appearance2,3
Develop an understanding of patients’
motivations and perceptions of beauty

8. Practical guide
to the 8-point lift
Practical guide to the 8-point lift
Suitable for
a variety
of patients†
Very little
downtime
Natural result
Advantages of the 8-point lift2,3
†
Important aspects to consider before treatment:
1.1.1. Where to injectWhere to injectWhere to inject
2.2.2. What sequence to injectWhat sequence to injectWhat sequence to inject
3.3.3. What product to injectWhat product to injectWhat product to inject
4.4.4. How much to injectHow much to injectHow much to inject

9. Understanding facial anatomy
Practical guide to the 8-point lift
Variations in anatomy exist and can differ from patient to patient.
Nerves
Muscle
1
2
3
4
5 Levator labii
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Anatomy of the face11,12
Circulation
4
5
1
2
6
7
8
9
10
11
12
13
14
15
3

10. Practical guide to the 8-point lift
1.1.1. Where to inject?Where to inject?Where to inject?
Point 1: Zygomatic arch
Point 2: Cheekbone
Point 3: Mid-cheek region
Point 4: Canine fossa and nasolabial fold
Point 5: Marionette lines
Point 6: Pre-jowl sulcus
Point 7: Jawline
Point 8: Sub-malar region
2.2.2. What is the best sequence of injections for your patient?What is the best sequence of injections for your patient?What is the best sequence of injections for your patient? 2,32,32,3
2
1
7
48
3
6
5

11. Practical guide to the 8-point lift
First direct the
patient to lean forward
(eyes up, chin down)
so as to demarcate the
GO/NO GO areas
prior to injecting.
In addition to
Juvéderm®
VOLUMA®
with
Lidocaine and Juvéderm®
VOLIFT®
with Lidocaine
used in the 8-point lift,
Juvéderm®
VOLBELLA®
with
Lidocaine can also be used
to treat the lip,
peri-oral and peri-orbital
areas if desired.
Where NOT to inject 2,3
NO GO
The NO GO areas
GO
The GO areas
PointPointPoint ProductsProductsProducts
1.1.1. Zygomatic archZygomatic archZygomatic arch JuvédermJuvédermJuvéderm®®®
VOLUMAVOLUMAVOLUMA®®®
VOLUMA®
VOLUMAVOLUMAVOLUMA®
VOLUMA®
VOLUMA®
VOLUMAVOLUMAVOLUMA®
VOLUMA with Lidocainewith Lidocainewith Lidocaine
2.2.2. CheekboneCheekboneCheekbone JuvédermJuvédermJuvéderm®®®
VOLUMAVOLUMAVOLUMA®®®
with Lidocainewith Lidocainewith Lidocaine
3.3.3. Mid-cheek regionMid-cheek regionMid-cheek region JuvédermJuvédermJuvéderm®®®
VOLUMAVOLUMAVOLUMA®®®
with Lidocainewith Lidocainewith Lidocaine
4.4.4. Nasolabial foldsNasolabial foldsNasolabial folds JuvédermJuvédermJuvéderm®®®
VOLIFTVOLIFTVOLIFT®®®
with Lidocainewith Lidocainewith Lidocaine
5.5.5. Marionette lines (mouth frown)Marionette lines (mouth frown)Marionette lines (mouth frown) JuvédermJuvédermJuvéderm®®®
VOLIFTVOLIFTVOLIFT®®®
with Lidocainewith Lidocainewith Lidocaine
6.6.6. Pre-jowl areaPre-jowl areaPre-jowl area JuvédermJuvédermJuvéderm®®®
VOLUMAVOLUMAVOLUMA®®®
with Lidocainewith Lidocainewith Lidocaine
7.7.7. JawlineJawlineJawline JuvédermJuvédermJuvéderm®®®
VOLUMAVOLUMAVOLUMA®®®
with Lidocainewith Lidocainewith Lidocaine
8.8.8. Cheek regionCheek regionCheek region JuvédermJuvédermJuvéderm®®®
VOLUMAVOLUMAVOLUMA®®®
with Lidocainewith Lidocainewith Lidocaine
3.3.3. Which products to inject and whereWhich products to inject and whereWhich products to inject and where
BEFORE AFTER

12. Practical guide to the 8-point lift
4.4.4. How much to inject?How much to inject?How much to inject?
® ®
The following patient case studies provide an example
of volumes that may be injected at each point
13
Adapted from De Maio M. 20122 3
Scheduling treatments
Explain that as the ageing process is continual,
treatment plans and goals will need to change in order
to optimize and maintain desired appearance
For you and your patient
contamination14
14
15
14
2
1
7
48
3
6
5
5.5.5. Post-injection guidelinesPost-injection guidelinesPost-injection guidelines

13. 1. 9 2.
3. 4.
11 5. 11 6.
7. 5
8. 10 9. 10. 36
11. 12. 13.
14. 35 15. ® ®
16. Allergan Data on
1. 9 2.
3. 4.
11 5. 11 6.
7. 5
8. 10 9. 10. 36
11. 12. 13.
14. 35 15. ® ®
16. Allergan Data on
A new
the VYCROSSTM
collection
Juvéderm®
VOLUMA®
with Lidocaine
Juvéderm®
VOLIFT®
with Lidocaine
Juvéderm®
VOLBELLA®
with Lidocaine
the VYCROSS
®
VOLUMA
Juvéderm®
VOLIFT
VOLBELLA
the VYCROSS
VOLUMA
VOLIFT®
VOLBELLA
the VYCROSS
®
VOLUMA
®
VOLIFT®
VOLBELLA
the -point-point-point-point
liftlift
-point
lift
-point