Skip to main content
SpringerLink
Log in

Poly-L-Lactic Acid for Arms

  • Chapter
  • First Online:
Minimally Invasive Aesthetic Procedures

Abstract

The poly-L-lactic acid (PLLA) injection technique stimulates neocollagenesis and provides a natural look. In recent years there has been a growing interest for using this in other body areas such as the neck, chest, back of hands, lower breast region, thoraco-axillary fold, buttocks, arms and medial thighs. Both in facial application as in the body, there is no consensus regarding the best dilution or application technique, and their descriptions mainly based on the authors experience. In this chapter will approach a new technique for body areas and the dilution of the quantity of the product per application. The application of PLLA for rejuvenation of body areas is a minimally invasive procedure, durable and low frequency of complications. The poly-l-lactic acid (PLLA) was approved in Europe in 1999 and approved in the United States in 2004 by the FDA for the treatment of facial lipoatrophy associated with human immunodeficiency virus (HIV). In 2009, FDA approved PLLA for cosmetic indication in immunocompetent patients [1, 2]. Over the past 20 years of experience, PLLA was safe and effective. It is a widely used and safe application to restore volume in facial aging and bofy sagging.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Murad A, Hayes G, Edward MK, Jack PMJ, Keyvan N, Isaac MN, et al. ASDS guidelines of care: injectable fillers. Dermatol Surg. 2008;34(Suppl 1):115–48.

    Google Scholar 

  2. Distante F, Pagani V, Bonfigli A. Stabilized hyaluronic acid of non-animal origin for rejuvenating the skin of the upper arm. Dermatol Surg. 2009;35(Suppl 1):389–93.

    Article  CAS  Google Scholar 

  3. Sculptra [prescribing information], Bridgewater, NJ: Dermik Laboratories; a business of sanofi-aventis U.S. LLC. 2006.

    Google Scholar 

  4. Vleggaar D, Bauer U. Facial enhancement and the European experience with Sculptra (poly-l-lactic acid). J Drugs Dermatol. 2004;3:542–7.

    PubMed  Google Scholar 

  5. Sherman RN. Sculptra: the new three-dimensional filler. Clin Plast Surg. 2006;33:539–50.

    Article  Google Scholar 

  6. Lam SM, Azizzadeh B, Graivier M. Injectable poly-L-lactic acid (Sculptra): technical considerations in soft- tissue contouring. Plast Reconstr Surg. 2006;118:55S–63S.

    Article  CAS  Google Scholar 

  7. Vleggaar D. Facial volumetric correction with injectable poly-L-lactic acid. Dermatol Surg. 2005;31:1511–7.

    Article  CAS  Google Scholar 

  8. Valantin MA, Aubron-Olivier C, Ghosn J, et al. Polylactic acid implants (New-Fill) to correct facial lipoatrophy in HIV-infected patients: results of the open-label study VEGA. AIDS. 2003;17:2471–7.

    Article  CAS  Google Scholar 

  9. Mandy SH. Fillers that work by fibroplasia: poly-L-lactic acid. In: Carruthers J, Carruthers A, editors. Soft tissue augmentation. 2nd ed: Saunders; 2007. p. 101–4.

    Google Scholar 

  10. Mandy SH. Satisfying patient expectations with soft-tissue augmentation. Dermatol Online J. 15(7):1.

    Google Scholar 

  11. Duracinsky M, Leclercq P, Herrmann S, Christen MO, Dolivo M, Goujard C, et al. Safety of poly-L-lactic acid (New-Fill®) in the treatment of facial lipoatrophy: a large observational study among HIVpositive patients. BMC Infect Dis. 2014;14:474.

    Google Scholar 

  12. Burgess CM, Quiroga RM. Assessment of the safety and efficacy of poly-L-lactic acid for the treatment of HIV-associated facial lipoatrophy. J Am Acad Dermatol. 2005;52:233–9.

    Article  Google Scholar 

  13. Radaelli A. Cosmetic use of polylactic acid for hand rejuvenation: report on 27 patients. J Cosmet Dermatol. 2006;5(3):233–8.

    Article  Google Scholar 

  14. Radaelli A, Forte R. Cosmetic use of polylactic acid: report of 568 patients. J Cosmet Dermatol. 2009;8(4):239–48.

    Article  Google Scholar 

  15. Coimbra D, Amorim AGF. Ácido Poli-L-láctico na região medial dos braços. Surg Cosm Dermatol. 2012;4(2):182–5.

    Google Scholar 

  16. Fitzgerald R, Vleggaar D. Facial volume restoration of the aging face with poly-l-lactic acid. Dermatol Ther. 2011;24:2–27.

    Article  Google Scholar 

  17. Lowe NJ, Maxwell CA, Lowe P, Shah A, Patnaik R. Injectable poly-l-lactic acid: 3 years of aesthetic experience. Dermatol Surg. 2009;35(Suppl 1):344–9.

    Article  CAS  Google Scholar 

  18. Peterson JD, Goldman MP. Rejuvenation of the aging chest: a review and our experience. Dermatol Surg. 2011;37(5):555–71.

    Article  CAS  Google Scholar 

  19. Teimourian B, Malekzadeh S. Rejuvenation of the upper arm. Plast Reconstr Surg. 1998;102(2):545–51; discussion 552–3.

    Article  CAS  Google Scholar 

  20. Mazzuco R, Sadick NS. The use of poly-L-lactic acid in the gluteal area. Dermatol Surg. 2016;42(3):441–3.

    Article  CAS  Google Scholar 

  21. Sadick NS, Arruda S. The use of poly-L-lactic acid in the abdominal area. Dermatol Surg. 2017;43(2):313–5.

    Article  CAS  Google Scholar 

  22. Duffy DM. Complications of fillers: overview. Dermatol Surg. 2005;31:1626–33.

    Article  CAS  Google Scholar 

  23. Lowe NJ, Maxwell CA, Lowe P, Shah A, Patnaik R. Adverse reactions to dermal fillers: review. Dermatol Surg. 2005;31(11 pt 2):1616–25.

    CAS  PubMed  Google Scholar 

  24. Gladstone HB, Cohen JL. Adverse effects when injecting facial fillers. Semin Cutan Med Surg. 2007;26:34–9.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Les Peaux Clinic of Dermatology, Rio de Janeiro, RJ, Brazil

    Daniel Dal’Asta Coimbra & Betina Stefanello

  2. Rubem David Azulay Institute of Dermatology, Santa Casa of Mercy of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Daniel Dal’Asta Coimbra & Betina Stefanello

Authors
  1. Daniel Dal’Asta Coimbra
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Betina Stefanello
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Instituto de Assistência Médica ao Servidor Público Estadual (IAMSPE), Tenured International Professor and Mentor for PhD and MSc Programs, São Paulo, São Paulo, Brazil

    Adilson Da Costa

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Coimbra, D.D., Stefanello, B. (2020). Poly-L-Lactic Acid for Arms. In: Costa, A. (eds) Minimally Invasive Aesthetic Procedures . Springer, Cham. https://doi.org/10.1007/978-3-319-78265-2_74

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-78265-2_74

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78264-5

  • Online ISBN: 978-3-319-78265-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation