Consensus recommendations on the use of injectable poly‐l‐lactic acid in Asian patients

• Published in: Journal of cosmetic dermatology Vol. 22; no. 12; pp. 3223 - 3231
• Main Authors: Avelar, Luiz, Ong, Amanda, Ong, David, Wai, Anthony Chui Shing, Wai, Arthur Yu Tsz, Sungkyu, Jung, Seok, Lim Han, Tam, Elias, Leng, Shiau Ee, Huang, Jeff, Chao, Yates, Bråsäter, Daniel, Prygova, Inna
• Format: Journal Article
• Language: English
• Published: Oxford John Wiley & Sons, Inc 01-12-2023
• Subjects: Aesthetics; Aging; Agreements; Asian people; Collagen; FDA approval; Hyaluronic acid; Medical history; Patient assessment; Patient safety; Skin; Social networks; Asia
• ISSN: 1473-2130; 1473-2165
• DOI: 10.1111/jocd.15969

Background
Injectable poly‐L‐lactic acid (PLLA) has been proven safe and effective with numerous medical applications for more than 25 years. The product has been approved in over 40 countries and is being used for soft tissue augmentation in the face and certain body parts. With the increased demand for subtle and natural‐looking aesthetic treatments in the Asia‐Pacific region, there is also a heightened need for consistent preparation and effective treatment methodologies to optimize outcomes for Asian patients.
Methods
The body of evidence in medical literature, clinical data of presented case reports, and the collective experience of the authors are reflected in these consensus recommendations, which also take under consideration the availability of biostimulators in the Asia‐Pacific region.
Results
The resulting consensus recommendations include patient selection and assessment, management of treatment expectations, appropriate preparation and storage, proper injection techniques and treatment plans, management of adverse effects, PLLA combination with other facial rejuvenation procedures, and other constructive considerations.
Conclusions
In the above consensus recommendations, the authors shared their best practices in accordance with the updated preparation and treatment protocols of PLLA. These recommendations represent the clinical and real‐world techniques utilized by authors in providing PLLA treatments for Asian patients.