Journal of Cosmetic Dermatology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Dec. 22, 2024
ABSTRACT
Background
A
recent
study
highlighted
variability
in
complication
rates
among
polylactic
acid
(PLA)‐based
collagen
stimulator
fillers,
with
notably
high
rate
of
complications
linked
to
PLLA‐Elleva.
The
suggested
that
product‐specific
characteristics
might
have
greater
impact
on
outcomes
than
injection
techniques.
Methods/Results
Through
a
critical
analysis
pertinent
literature,
this
commentary
explores
how
PLLA‐Elleva's
unique
physicochemical
properties,
particularly
its
bimodal
degradation
process,
may
contribute
the
increased
nodule
formation
observed.
Conclusion
Although
pattern
does
not
inherently
compromise
safety,
it
introduces
requires
careful
attention
dosage,
technique,
and
patient
selection.
Polymers,
Journal Year:
2024,
Volume and Issue:
16(5), P. 624 - 624
Published: Feb. 25, 2024
Lactide
is
one
of
the
most
popular
and
promising
monomers
for
synthesis
biocompatible
biodegradable
polylactide
its
copolymers.
The
goal
this
work
was
to
carry
out
a
full
cycle
production
from
lactic
acid.
Process
conditions
ratios
reagents
were
optimized,
key
properties
synthesized
polymers
investigated.
influence
molecular
weight
acid
oligomers
on
yield
lactide
studied.
polymerization
first
carried
in
500
mL
flask
then
scaled
up
2000
laboratory
reactor
setup
with
combined
extruder.
Initially,
solution
concentrated
remove
free
water;
then,
oligomerization
presence
various
concentrations
tin
octoate
catalyst
at
temperatures
150
210
°C.
67–69%.
resulting
raw
purified
by
recrystallization
solvents.
after
butyl
acetate
(selected
as
optimal
solvent
purification)
41.4%.
Further,
unit
concentration
ppm.
Conversion
95%;
Mw
=
228
kDa;
PDI
1.94.
products
studied
differential
scanning
calorimetry,
NMR
spectroscopy
gel
permeation
chromatography.
form
pellets
obtained
using
an
extruder
pelletizer.
Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: April 10, 2024
Polylactic
acid
(PLA)
is
a
bioresorbable
and
biodegradable
polymer
extensively
used
in
various
biomedical
engineering
applications.
In
this
study,
we
investigated
the
mass
loss
thermal
properties
of
PLA-multi-walled
carbon
nanotube
(MWCNT)
composites
under
simulated
physiological
conditions.
The
were
prepared
by
melting
PLA
with
0.1,
0.5,
1.0,
5.0
wt%
MWCNTs
using
an
ultrasonic
agitator,
FTIR
analysis
confirmed
composite
formation.
Subsequently,
subjected
to
hydrolysis
conditions
(pH
7.4
37
°C)
for
up
60
days.
results
revealed
that
decreased
increasing
MWCNT
content,
suggesting
presence
decelerated
process.
On
day
58,
pure
was
12.5%,
decreasing
8.34%
0.1%
MWCNT,
5.94%
0.5%
4.59%
1%
3.54%
5.0%
MWCNT.
This
study
offers
valuable
insights
into
behavior
PLA-MWCNT
physiologically
conditions,
facilitating
development
new
enhanced
stability
degradation
resistance
Skin Research and Technology,
Journal Year:
2024,
Volume and Issue:
30(6)
Published: June 1, 2024
Injectable
fillers,
pivotal
in
aesthetic
medicine,
have
evolved
significantly
with
recent
trends
favoring
biostimulators
like
calcium
hydroxylapatite
(CaHA-CMC;
Radiesse,
Merz
Aesthetics,
Raleigh,
NC)
and
poly-l-lactic
acid
(PLLA;
Sculptra
Galderma,
Dallas,
TX).
This
study
aims
to
compare
the
particle
morphology
of
these
two
injectables
examine
its
potential
clinical
implications.
Utilizing
advanced
light
scanning
electron
microscopy
techniques,
physical
characteristics
CaHA-CMC
PLLA
particles
were
analyzed,
including
shape,
size,
circularity,
roundness,
aspect
ratio,
quantity
phagocytosable
particles.
The
findings
reveal
several
morphological
contrasts:
exhibited
a
smooth,
homogenous,
spherical
diameters
predominantly
ranging
between
20
45
µm,
while
varied
considerably
shape
appearing
as
micro
flakes
from
2
150
µm
major
axis
length.
circularity
roundness
higher
compared
PLLA,
indicating
more
uniform
shape.
Aspect
ratio
analysis
further
underscored
differences,
showing
closer
resemblance
circles,
unlike
oblong
Quantification
content
both
revealed
percentage
PLLA.
These
distinctions
may
influence
tissue
response
each
treatment.
CaHA-CMC's
uniform,
result
reduced
inflammatory
cell
recruitment,
whereas
PLLA's
heterogeneous
evoke
pronounced
response.
Clinical Cosmetic and Investigational Dermatology,
Journal Year:
2024,
Volume and Issue:
Volume 17, P. 2755 - 2765
Published: Dec. 1, 2024
Abstract:
Poly-D,L-lactic
acid
(PDLLA)
microspheres,
marketed
globally
as
Aesthefill
®
(Regen
Biotech,
Seoul,
South
Korea),
are
recognized
for
their
biocompatible
and
biostimulatory
properties,
positioning
them
a
preferred
option
in
aesthetic
medicine.
This
article
presents
consensus
recommendations
from
Brazilian
experts
on
the
reconstitution
clinical
application
of
PDLLA
facial
non-facial
treatments.
Developed
using
modified
Delphi
method
with
contributions
leading
dermatologists
plastic
surgeons,
outlines
protocols
reconstitution,
injection
techniques,
patient
management.
Key
include
7–
8
mL
sterile
water
injection,
addition
lidocaine
to
improve
comfort,
preference
targeting
superficial
subcutaneous
layer.
Dosing
guidelines
specifically
tailored
each
treatment
area
desired
degree
correction,
underscoring
importance
personalized
plans.
Maintenance
treatments
advised
at
biennial
intervals
or
shorter
patients
exhibiting
accelerated
collagen
degradation.
The
also
highlights
need
proper
training
screening
minimize
adverse
effects,
such
nodules
granulomas.
comprehensive
guide
aims
standardize
use
PDLLA,
prioritizing
safety
optimizing
outcomes.
While
trials
evaluating
PDLLA's
indications
remain
limited,
these
evidence-based
bridge
gap
by
offering
practical
grounded
expertise.
Further
research
is
encouraged
validate
explore
new
applications
Plain
Language
Summary:
Poly-D,
L-lactic
microspheres
small
particles
used
medicine
skin
appearance
stimulating
production.
summary
expert
preparing
body
Why
was
study
done?
aimed
create
standardized
help
practitioners
achieve
best
results
ensure
when
cosmetic
purposes.
What
did
researchers
do
find?
They
called
approach
gather
refine
PDLLA.
By
consensus,
who
participated
this
recommend
prepare
adding
reduce
discomfort
during
injections.
Specific
linear
retrograde
fanning
methods,
different
areas
face
body.
have
provided
dosing
emphasize
individualized
mean?
more
effectively
safely,
providing
better
outcomes
patients.
Regular
maintenance
suggested
every
two
years,
frequent
sessions
those
faster
loss.
Proper
careful
essential
avoid
complications
Keywords:
poly-D,L-lactic
acid,
polylactic
stimulator,
recommendations,
filler
Dermatologica Sinica,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 24, 2025
Dear
Editor,
Biostimulators
are
cutting-edge
cosmetic
treatments
that
rejuvenate
the
skin
by
stimulating
collagen
production.
Poly-L-lactic
acid
(PLLA;
Sculptra;
Galderma),
poly-D,
L-lactic
(PDLLA;
AestheFill,
REGEN),
and
polycaprolactone
(PCL;
Ellansé;
Sinclair
Pharma)
stimulate
biosynthesis
of
type
I
(COL1),
thereby
remodeling
dermal
architecture,
augmenting
thickness
elasticity,
achieving
volumization
wrinkle
correction.[1]
have
been
shown
to
induce
production
III
(COL3),
which
functions
as
a
subcutaneous
scaffold
plays
crucial
role
in
reducing
superficial
facial
static
wrinkles.[2]
This
study
investigated
ability
these
three
biostimulators
synthesis
at
different
time
points.
PLLA,
PDLLA,
PCL
were
subcutaneously
injected
into
dorsal
six
adult
Lee-Sung
minipigs
[Table
S1].
Skin
samples
obtained
28,
91,
182
days
after
injection,
was
examined.
The
procedures
detailed
Supplementary
Materials.
After
harvested,
quantitative
reverse
transcription
polymerase
chain
reaction
performed
determine
mRNA
expression
levels
COL1
COL3.
In
addition,
immunohistochemistry
staining
on
assess
COL3
densities.
At
28
postinjection,
PLLA
led
higher
compared
PDLLA.
Furthermore,
91
182,
increase
induced
remained
significantly
greater
than
observed
with
other
two
biostimulators.
Similarly,
days,
resulted
PDLLA
[Figure
1].
However,
no
significant
differences
noted
among
Histological
analysis
confirmed
stimulated
density
fibers
2].Figure
1:
Quantitative
following
stimulation
days.
Note:
*P
<
0.05,
**P
0.01.
NS:
significance.Figure
2:
Density
(depicted
brown)
assessed
using
immunohistochemical
staining.
Noticeable
variations
day
28.
Representative
histological
micrographs
from
animal
specimens
Y171
(day
28),
Y173
91),
Y167
182)
presented.
Scale
bar
=
50
μm.The
factors
influencing
degree
between
material
host
include
composition,
size,
shape,
surface
roughness,
porosity
biostimulator.
this
study,
increased
injection
may
be
attributed
several
factors.
First,
has
slower
degradation
rate,[3,4]
leading
its
prolonged
presence
within
deep
dermis
or
layer
sustained
activation
fibroblasts.
Second,
induces
more
pronounced
foreign
body
due
rough
irregular
fibroblasts.[5]
These
effects
less
their
faster
prominent
reactions
induced.
Differences
chemical
structure
also
influence
Further
research
is
needed
fully
understand
mechanisms
evaluate
long-term
3
limitations.
functionality
(i.e.,
tensile
strength
elasticity
contribution)
newly
produced
not
evaluated,
limiting
our
understanding
practical
6-month
observation
period
capture
quality.
Longer-term
studies
essential
durability
sustainability
effects.
porcine
model
revealed
superior
production,
effect
for
least
while
initially
diminished
indicating
impact
primarily
driven
rather
Although
elevated
can
contribute
structural
support,
excessive
pose
risk
scarring
fibrosis.
Therefore,
remains
promising
candidate
enhancing
rejuvenation,
it
carefully
optimize
dosing
application
techniques
minimize
potential
adverse
outcomes.
Future
should
focus
validating
findings
human
subjects
evaluating
safety
efficacy
various
clinical
settings,
well
exploring
use
combination
therapies
maximize
both
aesthetic
regenerative
medicine.
Ethical
approval
Institutional
Animal
Care
Use
Committee
(IACUC)
stutas:
NLAC-111-M-024.
Data
availability
statement
datasets
generated
during
and/or
analyzed
current
publicly
available,
but
available
corresponding
author
reasonable
request.
Financial
support
sponsorship
Nil.
Conflicts
interest
Dr.
Jeff
Huang
Cheng-Chieh,
Jason
Li
Chien-Nien,
Luiz
Eduardo
Toledo
Avelar,
Alessandra
Haddad
Stephanie
Lam
speakers
medical
consultant
Galderma.
Leon
Tsung-Ju
Lee
conflict
disclose.
Nanomaterials,
Journal Year:
2025,
Volume and Issue:
15(6), P. 470 - 470
Published: March 20, 2025
Recently,
various
biocompatible
and
biodegradable
materials
have
garnered
significant
attention
as
cosmetic
fillers
for
skin
rejuvenation.
Among
these,
poly
ε-caprolactone
(PCL),
L-lactic
acid
(PLLA),
D,L-lactic
(PDLLA),
polydioxanone
(PDO)
microspheres
been
developed
commercialized
a
dermal
filler.
However,
its
irregularly
hydrophobic
pose
hydration
challenges,
often
causing
syringe
needle
blockages
side
effects
such
delayed
onset
nodules
papules
after
the
procedure.
In
this
study,
we
synthesized
polyethylene
glycol-poly
(mPEG-PDLLA)
copolymer
to
address
limitations
of
conventional
polymer
fillers.
Comprehensive
characterization
was
performed
using
nuclear
magnetic
resonance
spectroscopy,
Fourier
transform
infrared
differential
scanning
calorimetry.
The
mPEG-PDLLA
copolymers
demonstrated
unimodal
size
distribution
approximately
121
±
20
nm
in
an
aqueous
solution.
vitro
cytotoxicity
collagen
genesis
were
evaluated
human
fibroblast
cells.
angiogenesis
observed
over
time
hairless
mice
injected
with
copolymers,
confirming
potential
role
enhancing
synthesis.
To
assess
inflammatory
response,
expression
levels
genes
MMP1
IL-1β
analyzed.
Additionally,
gene
transforming
growth
factor-β
types
I
III
compared
Rejuran®
animal
studies.
newly
collagen-stimulating
PEGylated
PDLLA
may
be
safe
effective
option
Dermatologic Surgery,
Journal Year:
2025,
Volume and Issue:
unknown
Published: April 2, 2025
Poly-l-lactic
acid
(PLLA)
is
widely
used
in
dermatology,
traditionally
through
subcutaneous
injections.
Alternative
delivery
methods
such
as
ablative
fractional
lasers
(AFLs)
and
needle-based
devices
have
gained
interest,
but
limited
data
exist
on
their
efficacy.
To
assess
the
effectiveness
of
AFLs
for
PLLA
impact
channel
morphology
uptake.
Full-thickness
human
abdominal
skin
samples
were
treated
with
CO2
laser,
difference
frequency
generation
(DFG)
microneedle
radiofrequency
(MNRF),
(MN).
After
applying
topically,
real-time
particle
movement
into
channels
was
detected
optical
coherence
tomography
(OCT).
Histology
assessed
vertical
distribution
PLLA.
Optical
captured
particles
descending
from
AFLs,
not
MNRF
or
MN.
confirmed
uptake
up
to
80.3%
61.9%
DFG
channels,
compared
minimal
(1.4%)
MN
(0.7%).
The
laser
enabled
deeper
penetration
(120-240
μm),
whereas
delivered
more
superficially
(0-120
μm).
Ablative
effectively
skin,
while
showed
Among
geometry
influenced
distribution.
In
vivo
clinical
studies
are
needed
retention
its
remodeling.
Polymers,
Journal Year:
2024,
Volume and Issue:
16(18), P. 2564 - 2564
Published: Sept. 11, 2024
The
primary
objective
of
this
systematic
review
study
was
to
investigate
the
effectiveness,
durability,
and
adverse
events
PLLA
treatment
for
aesthetic
indications.
search
strategy
performed
in
MEDLINE
(Ovid).
electronic
literature
five
databases
performed,
from
inception
until
12th
February
2024.
This
identify
randomized
clinical
trials
that
assessed
adult
individuals
exhibiting
facial
aging
and/or
lipoatrophy.
Risk
bias
using
Cochrane
Risk-of-Bias
Tool
Randomized
Trials
(RoB
2).
Eleven
RCTs
out
1467
identified
citations
were
included.
Four
studies
showed
increased
dermal
thickness,
significant
improvement
lipoatrophy
severity
scores,
after
with
its
effects
sustained
at
least
25
months.
Two
demonstrated
superiority
over
injectable
human
collagen.
Also,
three
positive
results
favoring
when
compared
PH
gel
severity,
transepidermal
water
loss,
skin
quality,
elasticity,
patient
satisfaction.
All
mild-to-moderate
intensity,
main
ones
worth
noting
bruising,
hematoma,
tenderness,
nodules,
edema.
Five
eleven
considered
having
high
risk
bias.
evidence
on
effectiveness
safety
rejuvenation
is
low
quality;
thus,
reported
safety,
long-lasting
purpose
should
be
further
investigated.