Aesthetic Medicine

BAP Technique — HA Restructuring

BAP (Bio Aesthetic Points) is a technique that involves injecting a high-concentration, thermally stabilized HA product into five fixed anatomical points on each side of the face — areas with fewer blood vessels and major nerves. The product disperses within the tissue, stimulating the production of collagen and elastin, thereby improving firmness, elasticity, and overall skin quality across the face.

Medically reviewed by BS.Ths.CKI Kim Kha — BonBoz Clinic

Mechanism

The product used in BAP is a combination of high and low molecular weight HA, stabilized by heat (without using the chemical cross-linking agent BDDE), at a high concentration. After injection, HA naturally spreads within the subcutaneous layer, retaining moisture and interacting with fibroblasts and adipocytes to enhance collagen and elastin production over several weeks. The result is firmer, thicker, and more elastic skin — a 'biological restructuring' rather than mere volume replacement.

Why only 5 points on each side?

The five points are selected based on anatomy: the cheekbone, sub-cheekbone, preauricular area, jaw angle, and chin — areas with fewer large blood vessels and nerves, ensuring safety and allowing the product to spread and cover the mid-lower facial layers. Fewer injection points mean less bruising, less pain, and a quicker procedure; the spreading effect comes from the product's properties, not from the number of injections.

BAP vs. fillers and skin boosters

Filler: shapes and replaces volume locally. Skin booster: diluted HA injected as micro-dots in the dermis, providing hydration and smoothing the skin surface. BAP: high-concentration HA placed under the skin at 5 points, spreading to improve firmness and elasticity at a deeper level. The three techniques complement each other in the rejuvenation plan.

Indications

Skin begins to lose firmness, slightly sagging in the cheeks and jawline; thin skin with reduced elasticity due to aging (typically 35–60 years); individuals seeking to improve overall skin quality without altering facial shape; can be combined before or after HIFU or thread lifting. Also suitable for the neck and back of the hands with a separate point map.

Risks to be aware of

Swelling, lumps at the 5 points for 1–3 days (as the product spreads gradually), small bruises, mild pain, and rare inflammatory or infectious reactions; low vascular risk due to the injection site but still requires a physician to perform. Not suitable when clear volume replacement is needed.

At BonBoz

Aesthetic dermatologists assess skin firmness, laxity, and thickness; select registered products, and inject at the correct 5 anatomical points using the bolus technique under the skin, with surface anesthesia beforehand. The treatment consists of 2 sessions spaced 4 weeks apart, maintaining results for 6–9 months; the physician performs the procedure directly and aligns it with an overall rejuvenation plan.

How is it performed?

Disinfect and mark 5 anatomical points on each side (cheekbone, sub-cheekbone, preauricular area, jaw angle, chin). The doctor slowly injects a bolus of HA product into the subcutaneous layer at each point with equal amounts, gently massaging to initiate product diffusion. Duration: 15–20 minutes.

Before the procedure

We will assess your skin firmness and laxity and take standardized photographs. Please inform us about your allergy history and any anticoagulant medications you are taking. Makeup should be removed prior to the procedure, and surface anesthesia will be applied for 20 minutes. Additionally, please avoid alcohol and aspirin for 24 hours before your appointment.

After the procedure

Do not massage strongly or apply makeup for 12 hours. Avoid steam baths and heavy exercise for 2–3 days. Lumps at the injection site may gradually appear within 1–3 days. The second session should be scheduled after 4 weeks. Results are noticeable after 4–8 weeks and last for 6–9 months.

Possible risks — your doctor explains them before treatment

  • Swelling, lumps at the injection site for 1–3 days
  • Small bruising, mild pain
  • Inflammatory reactions, infections (rare)
  • Results may be less than expected in cases of significant skin laxity

Who should NOT have this?

  • Patients who are pregnant or breastfeeding should consult their doctor before treatment.
  • Those with infections or active inflammatory acne in the injection area should also seek medical advice.
  • Individuals with a known allergy to hyaluronic acid (HA) should avoid this treatment.
  • Patients with active autoimmune diseases or coagulation disorders need to discuss their condition with a healthcare professional prior to proceeding.
  • Expectations regarding volume replacement, contouring, or noticeable lifting should be clearly communicated and understood before treatment.
Chân dung BS.Ths.CKI Kim Kha

BS.Ths.CKI Kim Kha

Aesthetic Dermatology

  • Graduated as a General Practitioner — Tay Nguyen University (2018)
  • Specialist Level I in Dermatology — Pham Ngoc Thach University of Medicine, degree awarded in 2025
  • Medical Practicing Certificate No. 009784/ĐL-CCHN — Issued by the Department of Health of Dak Lak Province on 15/10/2021
  • Over 8 years of experience in aesthetic dermatology practice (since 2018), including over 4 years of practice with an official Medical Practicing Certificate
  • Primary Specialization in Plastic and Reconstructive Surgery; Certificates in Dermatological Procedures & Minor Surgery, Microsurgery, and Lasers & Light Therapies in Dermatology
  • Certificates in Dermal Fillers, Botox, and Thread Lifts; Certificates in Emergency Resuscitation and Infection Control
  • Formerly practiced at the Aesthetic Dermatology Unit — Post and Telecommunications General Hospital (2019–2021) and Venus Sunrise Clinic (2022–2024) before joining BonBoz Clinic (2025)
  • Former lecturer in Aesthetic Dermatology Theory at Ana Aesthetic Training School (2018–2019)
  • Over 5,000 clinical dermatology cases treated
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Frequently asked questions

Does BAP fill the face?

No; the product spreads and stimulates collagen, it does not hold volume. The skin becomes firmer and thicker, but the shape of the face remains unchanged.

How long until results are visible?

The skin feels more hydrated and smoother after 1–2 weeks; firmness and elasticity become noticeable after 4–8 weeks, especially after the second session.

How long do the results last?

Approximately 6–9 months after 2 sessions; a follow-up session is recommended to maintain results.

How long does the bump at the injection site last?

1–3 days as the product spreads into the tissue; avoid strong rubbing during this time.

What is the difference between BAP and skin boosters?

BAP places high-concentration HA under the skin at 5 points to spread and restructure deeper layers; skin boosters are micro-injections in the dermis, focusing on surface hydration.

Can it be done alongside HIFU or thread lifting?

Yes, typically spaced 2–4 weeks apart; BAP improves skin quality, complementing the lifting effects of HIFU and threads.

Is BAP painful?

Only 5 injections on each side with surface anesthesia; there is a sensation of pressure when the product is injected, which passes quickly.

What age is suitable for this treatment?

Typically 35–60 when the skin starts to lose firmness; younger individuals with good skin rarely need it.

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