Miss Jonquille Chantrey on the benefits of Allergan’s new 8-point lift technique in achieving a comprehensive, whole-face approach to facial rejuvenation
As an industry, we are continuing to move away from ‘chasing the wrinkle’ and more towards treatments and techniques that incorporate a whole-face approach, with increasing prominence given to flexible and well-considered strategies.
Facial volume loss contributes significantly to facial ageing, typically occurring in the malar region, temples, infra-orbital and mandibular areas, resulting in dark shadows that give the face a tired and drawn appearance. Over the past five years we have primarily treated the mid- face, both supporting the peri-orbital region and lifting the perioral region, to treat the changes in the facial fat compartments. In doing so, there have been many techniques whereby large boluses of products have been placed in the anterior malar and zygomatic areas. This can create inappropriate projection and volume, resulting in an unnatural-looking result, both in repose and animation, when patients speak and smile. Other side effects of large bolus techniques may also include the formation of biofilms.
For some time, many practitioners have been considering and utilising techniques in which we can use minimal amount of product – with specific placements in certain areas – in order to achieve the maximum amount of lift for the patient with a more natural outcome. This has now been stratified into eight points: the key lifting areas of the face.
In points one to five I use a needle to administer the treatment, but it is important to note that you can also achieve additional improvements by using cannulas in these points, by revisiting points two and three. I return to these areas and treat them superficially with vectoring. I generally use a many vectoring techniques in my cannula work and so I incorporate this into the 8-point lift.
I don’t use all eight points in every patient. In many patients, for instance if they’re young or they have very good preservation of their facial fat compartments, then I may only treat point one and point two.
Similarly, I may only use points one, two and three in a patient whose face has a tired expression. With other patients who might be financially limited we can use points one, two and eight to give a lifting effect. This technique is about precise and specific positioning and placing of the product, focusing on the cause of the descent, rather than just treating the effects of it. Communication is an essential part of the 8-Point Lift.
Patients must understand that if small initial quantities are used, then they may require several appointments to achieve the desired result. In the initial one-hour assessment, I consult the patient to understand what they’re trying to achieve and also discuss in detail the causes of the changes in their face. We then agree a strategy as to how quickly or slowly they want to progress.
One of the advantages of this method is that the result is buildable, depending upon the expectations of the patient. In my experience, this approach results in a very high patient satisfaction rate and predictable, beautiful outcomes.