Document Detail


Injectable poly-L-lactic acid for cosmetic enhancement: learning from the European experience.
MedLine Citation:
PMID:  19615539     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Currently a diverse range of injectable agents are used for noninvasive facial enhancement. Injectable poly-L-lactic acid (PLLA) is a biocompatible, biodegradable, synthetic polymer that is approved for correction of HIV-related facial lipoatrophy in Europe, Canada, and the United States. PLLA is also approved in several countries for cosmetic purposes, and is under review in the United States for this indication. After injection, PLLA elicits a gradual increase in facial volume via hypothesized endogenous production of fibroblasts and, subsequently, collagen, enabling global facial rejuvenation to be tailored, as required, over time. Substantial increases in dermal thickness after injection of PLLA have been observed to last for up to 2 years. This article reviews the use of PLLA in Europe and the United States with regard to practitioner experiences and techniques for optimizing outcomes. Correct reconstitution and administration of PLLA have been found to be important parameters for optimal use of this agent.
Authors:
Kimberly Butterwick; Nicholas J Lowe
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of the American Academy of Dermatology     Volume:  61     ISSN:  1097-6787     ISO Abbreviation:  J. Am. Acad. Dermatol.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-07-20     Completed Date:  2009-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7907132     Medline TA:  J Am Acad Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  281-93     Citation Subset:  IM    
Affiliation:
Dermatology/Cosmetic Laser Associates of La Jolla Inc, La Jolla, California 92037, USA. kbutterwick@spa-md.com
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MeSH Terms
Descriptor/Qualifier:
Cosmetic Techniques*
Esthetics
Europe
Female
Humans
Injections, Intradermal
Lactic Acid / therapeutic use*
Male
Patient Satisfaction
Polymers / therapeutic use*
Rejuvenation
Risk Assessment
Skin Aging / drug effects*
Treatment Outcome
United States
Chemical
Reg. No./Substance:
0/Polymers; 26100-51-6/poly(lactic acid); 50-21-5/Lactic Acid

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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