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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ALL OF THIS IS OUTDATED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
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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
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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.
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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).
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Horne DF, Kaminer MS. Skin Therapy Lett. 2006 Feb;11(1):5-7. Chirurgia
estetica mini invasiva con fili di sostegno. Bacci - Edizioni: Minelli.
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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.
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Lycka B, Bazan C, Poletti E, Treen B. Dermatol Surg. 2004 Jan;30(1):41-4; discussion 44
Facial lifting with "APTOS" threads: featherlift.
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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.
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Sulamanidze MA, Fournier PF, Paikidze TG, Sulamanidze GM. Dermatol Surg. 2002
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Wire scalpel for surgical correction of soft tissue contour defects by subcutaneous dissection.
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Sulamanidze MA, Salti G, Mascetti M, Sulamanidze GM. : Dermatol Surg. 2000 Feb;26(2):146-50;
discussion 150-1, Midface barbed suture lift.
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technique for wound closure using a barbed suture.
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Murtha AP, Kaplan AL, Paglia MJ, Mills BB, Feldstein ML, Ruff GL. Plast Reconstr Surg. 2006
May;117(6):1769-80
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