Mesotherapy · Point techniques

Biological Lifting, 6-Point and 9-Point Lifting:
Point Techniques

Biological lifting, 6-point lifting and 9-point lifting are names for techniques in which hyaluronic acid-based products are injected at predetermined anatomical points on the face to support skin quality.

The number of points depends on the product and on the practitioner’s protocol. These techniques do not provide a surgical lift; the plan and expectations are clarified at a face-to-face consultation.

Technique
Hyaluronic acid-based injections at defined anatomical points
Names
6-point, 9-point, biological lifting: protocol names
Aim
Skin quality, hydration and a mild sense of firmness
Typical plan
Often 2 sessions a few weeks apart, then maintenance

What is biological lifting?

Biological lifting is a name for non-surgical treatment in which products intended to support the skin’s own structure are placed through specific injection points. It is not a single product or a standard medical procedure.

The word biological is used here to convey that the treatment aims to support skin quality and hydration rather than pull tissue mechanically. In practice, high-concentration hyaluronic acid products are often placed as small deposits at defined points on each side of the face, designed to spread into the surrounding tissue. Rather than many tiny injections, a small number of targeted points is used.

A well-known example of this technique class is the BAP technique associated with Profhilo, which describes five points on each side of the face. Other products and practitioners may use different point layouts on the same principle. The point technique itself is a method rather than a product, so it is important to ask which product is used under the name biological lifting.

What are 6-point lifting and 9-point lifting?

6-point and 9-point lifting are protocol names that refer to how many injection points are used on the face. More points do not in themselves mean a greater effect.

In point-based techniques, areas where product can be placed safely are chosen with the facial skeleton, blood vessels and nerves in mind. Some protocols define six points on each side, others nine, and some practitioners add points for the lower face, neck or décolletage. These are names used in the market, and what they include can vary between practitioners.

Which points are used should depend on your skin’s needs and on the technique recommended for the chosen product. The number of points is not a marker of quality; what matters is placing the right product, in the right amount, at safe anatomical points. Even within one person, the two sides of the face may differ, so the layout may vary slightly. The rationale should be explained to you.

What can it do, and what can it not do?

It can support hydration, skin quality and mild laxity. It does not lift marked sagging and does not replace lost volume the way filler does.

Point-based hyaluronic acid treatments are mainly considered when skin is starting to thin, dry out and lose elasticity. In some people they can help the skin look plumper, better hydrated and more rested. The change is gradual and varies between individuals, so no specific result can be promised. It is usually assessed a few weeks after the course, and sun protection and skincare remain important.

Marked sagging, deep wrinkles, a less defined jawline or cheek volume loss are not problems these techniques can solve alone. In those situations, dermal fillers, collagen stimulators, energy-based devices or surgical options may be relevant. Point techniques can sometimes be one supporting step within a wider plan, with the sequence decided by the physician at consultation.

Who may not be suitable?

Pregnancy and breastfeeding, active infection in the area, known allergy to hyaluronic acid or other ingredients and certain medical conditions may mean treatment is postponed or not advised.

If there is active acne, a cold sore or infection at the injection points, treatment is postponed. If filler or products of unknown composition have previously been placed in the same areas, the details matter, as they affect possible interactions and the safe choice of points. Bringing records of previous treatments can help. Autoimmune conditions, bleeding disorders and blood thinners can also affect the plan.

Elective injections are generally postponed during pregnancy and breastfeeding. If what you are hoping for is a surgical-level lift, it should be explained clearly that this method may not be right for you. An honest discussion of expectations sometimes leads to postponing treatment or recommending something different. Suitability is decided by the physician after reviewing your history and examining your face.

What do sessions, aftercare and risks involve?

A small number of injections are placed at the chosen points and the treatment itself is usually quick. Visible bumps at the points for a few hours to a day, bruising and tenderness are common.

On the day, the skin is cleansed, the points are marked and the product is placed with a fine needle or cannula. Treatment usually takes 15–30 minutes, though extra time is allowed for preparation and observation. Point-based hyaluronic acid protocols typically start with two sessions a few weeks apart, with maintenance assessed according to your response; this can vary by product.

Avoid make-up and massage for the first day, and saunas and strenuous exercise for a day or two. Bruising, swelling and tenderness are common; infection, allergic reaction and nodules are less common. With hyaluronic acid injections there is a small risk of injection into a blood vessel, which is why anatomy and technique matter. Report unexpected pain, blanching or skin colour change promptly.

Frequently asked questions

Is 9-point lifting more effective than 6-point lifting?

The number of points alone does not determine the effect. The layout depends on your skin’s needs and the technique recommended for the product.

Is biological lifting the same as Profhilo?

Profhilo is a product name often associated with the five-point BAP technique. Biological lifting is a general name for similar point-based techniques.

How long do biological lifting results last?

It varies with the product, age and skin type. Timing of maintenance is agreed at your follow-up appointment.

Can it replace filler?

No, they serve different purposes. If there is volume loss, filler is assessed separately; point techniques focus on skin quality.

Can I go straight back to work?

Most people return to normal activities the same day. Because of bumps at the points and possible bruising, avoid scheduling it just before an important event.

Should I massage the points after biological lifting?

No, in biological lifting the product is meant to spread from the points by itself, so massage is not needed unless your physician advises it. On the first day, pressing, rubbing or massaging the points can disturb how the product spreads and add to swelling and bruising. If bumps have not eased within a few days, or a firm lump appears, see your physician.

What if the two sides of my face look different after biological lifting?

Small differences between the two sides in the first days after biological lifting are usually temporary and come from uneven bumps, swelling or bruising at the points. Most faces are also naturally slightly asymmetric, and this can draw more attention after treatment. If a difference persists, it is assessed at your follow-up, and the point layout can be adjusted at the second session.

Should I stop aspirin or fish oil before biological lifting?

Do not stop aspirin or blood-thinning medicines prescribed by your doctor on your own; these are discussed at your consultation. Over-the-counter supplements such as fish oil, vitamin E and ginkgo, and some painkillers such as ibuprofen, can increase bruising. If your physician agrees, pausing these for a few days before biological lifting may be suggested; which ones and for how long is decided together.

Can I sleep on my side or front after biological lifting?

On the first night after biological lifting, avoid sleeping on your side or front, as this presses on the injection points; sleep on your back with your head slightly raised. Because the product sits in only a few points, keeping pressure off them helps the bumps flatten. From the second night most people can sleep as usual, or a little later if still tender.

Sources (2)
  1. Pharmaceuticals (Tintor G, et al.): Hybrid Cooperative Complexes of Low- and High-Molecular-Weight Hyaluronic Acid in Aesthetic Medicine (2025)
  2. Plast Aesthet Nurs (Sparavigna A, et al.): A Systematic Review of the Efficacy and Safety of Profhilo® and Profhilo® Body (2026)

This content is for general information and does not replace a personal medical assessment.

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