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Boca Promoitalia, a world leading company in the use of absorbable barbed threads, revolutionizes the aesthetic procedure of lip remodeling BOCA is conceived in 2012 BOCA: Lip Revolution Boca Is a bidirectional convergent barbed thread that revolutionizes lip remodeling. Due to its absorbable structure and practicality of use. It allows a minimally invasive approach to a very common and requested aesthetic treatment. BOCA: Lip Revolution Boca is a absorbable biocompatible “bio-suture” that shares the same revitalization as all the sutures of the Happy LiftTM family. Free Floating Double Needles Ancorage Narrower StandUp Ineedle BOCA: Lip Revolution Boca is a suture in caprolacton, material that is: - Absorbable - Biocompatible - Safe -Used for surgical sutures in hospitals worldwide. BOCA: Lip Revolution Boca transforms aesthetic lip remodeling. PROMOITALIA conceives a futuristic technology “DOUBLE R²” ( rather a double passage of cross-polymerization that renders the suture in caprolacton unique), Is specific for the lips. “ defined lips and a MINIMUM DURATION OF 3 YEARS” YEARS” . BOCA: Lip Revolution Double R2 polymerization assures: -A greater duration of the suture -A selective fibroblastic stimulation with the consequent formation of marginal MICROFIBROSIS. “ defined lips and a MINIMUM DURATION OF 3 YEARS” Before BOCA Until today, lips were treated with infiltrative products of different nature, with not always satisfying results, often not durable, durable but even worse, leading to delayed adverse reactions. reactions Some examples1 -Silicon and permanent products PROHIBITED IN MANY COUNTRIES since TOXIC - Semi-permanent and fibroblastic stimulating fillers (Hydroxyapatite, polylactic acid) POSSIBLE DELAYED ADVERSE REACTIONS -Absorbable fillers: Cross-linked hyaluronic acid /collagen SHORT DURATION / ALLERGENIC REACTIONS AFTER BOCA ALL OF THIS IS OUTDATED The Promoitalia Experience Boca is the latest addition to the renowned Happy Lift™ family of sutures featuring the same reliability, safety and performance of all Promoitalia sutures. The only absorbable sutures used worldwide. “The The best solution for those who want more in greater safety” safety” BOCA: Certifications BOCA is certified BOCA is safe BOCA is the only suture that may be used anywhere in the world. TGA (Australia), ANVISA (Brazil), FDA (Thailand), KFDA (Korea), INVIMA (Colombia), SFDA (Saudi Arabia), UAE (Kuwait and Dubai), FDA (Philippines), HPA (Singapore), etc. BOCA: Scientific Studies Accardo C. / Valentini D. / Bonifazi E. Facial aging: personal experience with infiltration of botulinus toxin and successive implantations of Barbed threads . Bartoletti La Medicina estetica numero 28, anno (2 Aprile – Giugno 2004) A. A. Adamyan, et other Morphological foundation of face lift using barbed sutures V. Vishnevsky Institute of Surgery, Russian Academy of Medical Sciencies, Moscow, Russia BOCA: Scientific Studies BOCA: High-tech manufacturing BOCA: Indications Happy lift Boca -In particular, it is indicated for: - Lip augmentation - Filling smoker wrinkles - Lip reshaping according to the indications of the patient - Paris Lip lifting and augmentation - Remodeling the angle of the mouth Boca KIT 3 barbed threads in Caprolactone DOUBLE R² reabsorbable 7 cm USP 2/0 biocompatible 3 cannulas 9 cm BOCA by Design BOCA is a FREE FLOATING BIDIRECTIONAL CONVERGENT SUTURE 7 cm 17 BOCA: How does it work? The suture is inserted through the use of the spinal needle in the WHITE ROOL at a sub-dermal level. The technique proves to be completely invasiveness. It may be realized under local anesthesia without the need of an operating room. BOCA: Advantages • Results: PERMANENT OVER TIME • Better definition than any other technique for the marginal volumetric increase of the lips • Safety • Outpatient technique • Under Local Anesthesia LIPS ANATOMY BOCA: Technique Summary - Performed under local anesthesia and/or sedatives (optional) - Surgeon inserts dissolvable threads Boca. - Use a spinal needle of either 19 or 20 gauge length 9/15 cm. - Use free floating bidirectional convergent Boca suture (length 7 cm.) Summary - Follow the patway of Red lines = where thread enters into the white roll (see previous images). slide 17 - Once the thread is placed, engage it - Cut thread at the skin level - The the holes in the commissure covered with micropore tape to minimize facial movement BOCA: Photographic procedure BOCA: Photographic procedure BOCA: Photographic procedure Boca: Before and After photos Before Immediately after Clinical Cases Boca: Before and After photos Before Immediately after Boca: Before and After photos Boca: Before and After photos Boca: Before and After photos Boca: Results “The definitive solution to all the aesthetic problems related to the mouth” mouth” “ A reabsorbable product with longlong-lasting results” results” “The simplicity and advantages of a filler in an avantavant-garde technology, with results as natural as possible” possible” Boca: Masterclass For International training Subscribe at [email protected] PromoItalia Group Spa Via San Gregorio, 44 – Milan Tel +39 02 670 77 226 Reference • • • • • • • • • • • • • Beyond the Lifting: Happy Lift Revitalizing, the apex of technology ACCARDO C. Journal of Japan Society of Aesthetic Surgery, VOL.42; NO.5; PAGE.226 (2005) Accardo C. Conference of aesthetic Medicine, Singapore 2007,novembre 2007 A new concept to lift and revitalize facial soft tissues with completely reabsorbable threads. – ACCARDO C. Surginews n.21 - 2004 Revue specialisèe en Laser IPL et autres Techniques en Dermocosmetique. Lifting du visage avec les fils Aptos ACCARDO C. Surginews n.4 -2004 Revue specialisèe en Laser IPL et autres Techniques en Dermocosmetique. Novedades y avances en el lifting facial mediante hilos de suspensión ACCARDO C. Surginews (Nº2;Edición Europea; pags.3-6 ), L’invecchiamento del volto: esperienza personale con infiltrazione di tossina botulinica e successivo impianto di Aptos, D. Valentini Valentini,, E. Bonifazi Bonifazi,, C. Accardo, Accardo La Medicina Estetica, Anno 28, numero 2, Apr-Giu 2004 Reference • • • • • Villa MT, White LE, Alam M, Yoo SS, Walton RL. Plast Reconstr Surg. 2008 Mar;121(3):102e-108e Combined approach for facial contour restoration: treatment of malar and cheek areas during rhytidectomy. Tapia A, Ruiz-de-Erenchun R, Rengifo M. Plast Reconstr Surg. 2006 Aug;118(2):491-7; discussion 498-501 Siluette Some anatomical observations on midface aging and long-term results of surgical treatment. • • Owsley JQ, Roberts CL. Plast Reconstr Surg. 2008 Jan;121(1):258-68 Siluette, Reduction of face and neck laxity with anchored, barbed polypropylene sutures (Contour Threads). • Horne DF, Kaminer MS. Skin Therapy Lett. 2006 Feb;11(1):5-7. Chirurgia estetica mini invasiva con fili di sostegno. Bacci - Edizioni: Minelli. • Reference • • Carniol PJ, Ganc DT. Curr Opin Otolaryngol Head Neck Surg. 2007 Aug;15(4):244-52. The emerging technique of the antiptosis subdermal suspension thread. • • Lycka B, Bazan C, Poletti E, Treen B. Dermatol Surg. 2004 Jan;30(1):41-4; discussion 44 Facial lifting with "APTOS" threads: featherlift. • Sulamanidze MA, Paikidze TG, Sulamanidze GM, Neigel JM. Otolaryngol Clin North Am. 2005 Oct;38(5):1109-17, Evaluation of a novel technique for wound closure using a barbed suture. • Sulamanidze M. Plast Reconstr Surg. 2007 Jul;120(1):349-50; author reply 350. Removal of facial soft tissue ptosis with special threads. • Sulamanidze MA, Fournier PF, Paikidze TG, Sulamanidze GM. Dermatol Surg. 2002 May;28(5):367-71. Wire scalpel for surgical correction of soft tissue contour defects by subcutaneous dissection. • • Sulamanidze MA, Salti G, Mascetti M, Sulamanidze GM. : Dermatol Surg. 2000 Feb;26(2):146-50; discussion 150-1, Midface barbed suture lift. • Hochman M. Facial Plast Surg Clin North Am. 2007 May;15(2):201-7, vi. Evaluation of a novel technique for wound closure using a barbed suture. • Murtha AP, Kaplan AL, Paglia MJ, Mills BB, Feldstein ML, Ruff GL. Plast Reconstr Surg. 2006 May;117(6):1769-80 • Reference • • • • • • • • • • • • • • • • • • • Barbed sutures in facial rejuvenation.” rejuvenation.” WOFFLES T.L. WU, MD. Aesthetic surgery journal – November/December 2001; 24 : 582582-587 Fils et fillings fillings.. La revue de chirurgie esthetique de langue Francaise Francaise.. Fournier F.P. T. XXV, N105, Decembre 2001, Pp. 33-6. Flabby, ageing Face. A new approach M.A. Sulamanidze et al World congress on Aesthetic and Restorative Surgery, Mumbai, Feb. 2001, 54. Transconjunctival Sub Sub--Orbicularis Oculi Fat (SOOF) Pad Lift Blepharoplasty Blepharoplasty,, M.S. Freeman, Arch. Facial Plast Plast.. Surg., Vol. 2, JanJan-Mar. 2000. Age specific changes in facial and cervical tissues, A Review, Kazinnikova Kazinnikova,, A.A. Adamian Adamian.. Ann. Of Plastic, Rec. and Aesth Aesth.. Surg., 2000, 1, 5252-61 The S Lift: less is more. Saylan Z Aesth Surg J 1999; 19(5):406. Browlifting with thread: The technique without undermining using AC, Beer SMC. Aesth Plast Surg 1998;22: 120120-125. minimum incisions. Graziosi Neck recontouring with suture suspension and liposuction: an alternative for early early rhytidectomy candidate Giampappa VC, Di Bemado BE. Aesth Plast Surg 1995; 19:21719:217-23. Plastic Surgery. New Methods and refinements. T. Skoog Skoog,, Almquist & Wiksell International, Stockholm, 1974, pp. 301301-303. ETC ETC: Thank you for your kind attention!