Recommendations on the Use of Injectable Poly-L-Lactic Acid for Skin Laxity in Off-Face Areas

J Drugs Dermatol. 2019 Sep 1;18(9):929-935.

Abstract

Injectable poly-L-lactic acid (PLLA) is a biodegradable synthetic polymer that stimulates collagen production, leading to gradual volume restoration. The treatment of sagging skin in body areas is still a big challenge, as there are few aesthetic procedures aiming to improve it. This article provides recommendations on the use of PLLA in the treatment of skin laxity in off-face areas, as the neck, décolletage, arms, abdomen, buttocks, and thighs, including the patient selection, product preparation, and injection techniques. The use of PLLA is a promising method for the treatment of skin laxity in corporal areas, improving body contour and appearance. Further investigation is needed to better understand the efficacy and durability of PLLA in non-facial indications and to provide the best evidence for optimal patient outcomes. J Drugs Dermatol. 2019;18(9):929-935.

MeSH terms

  • Age Factors
  • Cellulose / administration & dosage*
  • Cellulose / adverse effects
  • Cosmetic Techniques / adverse effects
  • Cosmetic Techniques / standards*
  • Elasticity / drug effects*
  • Esthetics
  • Female
  • Humans
  • Injections, Subcutaneous / adverse effects
  • Lactic Acid / administration & dosage*
  • Lactic Acid / adverse effects
  • Mannitol / administration & dosage*
  • Mannitol / adverse effects
  • Middle Aged
  • Patient Selection
  • Practice Guidelines as Topic
  • Rejuvenation
  • Skin / drug effects
  • Skin / metabolism
  • Skin Aging / drug effects*

Substances

  • New-Fill
  • Lactic Acid
  • Mannitol
  • Cellulose