PLLA provides clinicians with a powerful tool for providing long-lasting correction of facial volume loss. As experience has been gained with this product and technical issues have evolved, it has been found to be a safe and effective product with predictable and reproducible results. Subtle, natural, and pleasing results of long duration can be obtained with a reasonable amount of product utilizing the emerging concepts of the pathophysiology of facial aging in order to optimize site-specific corrections.
Evaluate each patient individually and determine prior to the start of treatment if fillers are a cost-effective choice for the patient. Remember that very empty and very elastotic faces are very difficult to fill (regardless of product choice), requiring considerable product which may be expensive for the patient. A patient with severe global lipoatrophy and a thin body with no fat donor sites may have limited choices for rejuvenation and may therefore choose fillers regardless of cost. This may be accomplished more successfully in a patient with good skin elasticity. A patient with an outer skin envelope that is no longer able to accommodate any underlying volume loss should be made aware that replacement of volume may not give the results desired without also addressing the excess skin with a surgical lift.
As with all filler agents, less PLLA is required in younger or fuller faced patients to achieve desirable results. Treatments done over several sessions with PLLA, or even HA fillers, are appealing to many patients who prefer a slower, more subtle approach to rejuvenation. With PLLA, the patience required to go through several sessions is rewarded by the durability and longevity of the product.
Edit By Bella
Rimless Industry Co.,Ltd.