Evidence map›Paper›PMID 39592491›Full record

ReviewAesthetic plastic surgery2025

Injectable Poly-L-Lactic Acid for Body Aesthetic Treatments: An International Consensus on Evidence Assessment and Practical Recommendations.

Alessandra Haddad, Luiz Avelar, Sabrina G Fabi, Juliana Sarubi, Michael Somenek, Daniel Dal'Asta Coimbra, Melanie Palm, Kalpna K Durairaj, Munir Somji, Roberta Vasconcelos-Berg and 9 more

Abstract readReviewConsensus Statement
In one paragraph

Review in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Review
  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Alessandra HaddadHospital Israelita Albert Einstein, Federal University of São Paulo, Rua Bandeira Paulista 726, 8th Floor, São Paulo, SP, 04532-002, Brazil. aleshaddad@gmail.com.ORCID 0000-0002-5552-7251
Luiz AvelarClinica Luiz Avelar, Belo Horizonte, Brazil.
Sabrina G FabiCosmetic Laser Dermatology, San Diego, CA, USA.
Juliana SarubiDermatology Private Practice, Belo Horizonte, MG, Brazil.
Michael SomenekAdvanced Plastic Surgery, Washington, DC, USA.
Daniel Dal'Asta CoimbraInstituto de Dermatologia Professor Rubem, David Azulay Santa Casa de Misericordia/IDPRDA, Rio de Janeiro, Brazil.
Melanie PalmArt of Skin MD, Solana Beach, CA, USA.
Kalpna K DurairajBeauty By DrKay, A Medical Corporation, Pasadena, CA, USA.
Munir SomjiDrMediSpa, London, UK.
Roberta Vasconcelos-BergUniversity Hospital of Basel, Basel, Switzerland.
Lim HanseokYonsei Medinoble Clinic, Seoul, Korea.
Kate Morlet-BrownWaikiki Specialist Centre, Waikiki Private Hospital, Waikiki, WA, Australia.
Jeff Huang, Taipei, Taiwan.
Rebecca Fitzgerald, Los Angeles, CA, USA.
Doris HexselHexsel Dermatologic Clinics and Brazilian Center for Studies in Dermatology, Porto Alegre, Brazil.
Cheri MaoGalderma, Princeton, NJ, USA.
Felipe WeinbergGalderma, Dallas, TX, USA.
Inna PrygovaGalderma, Uppsala, Sweden.
Daniel BråsäterGalderma, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Non-facial (body) rejuvenation is a treatment of increasing demand, with patients seeking to harmonize the benefits of rejuvenated facial appearance with other areas of the body. Poly-L-lactic acid (PLLA)-SCA (Sculptra®) has been approved for facial aesthetic uses since 1999 in Europe and since 2009 in the USA and more recently evaluated for the treatment of cellulite of the buttocks and thighs and other body indications. The current evidence base consists largely of prospective observational analyses and case series although systematic evaluations for a number of body areas are underway. Current data support a potential benefit for the use of PLLA-SCA for the aesthetic treatment of the neck, knees, abdomen, hands and upper arms. Improvements in aesthetic appearance (e.g. sagging, wrinkling, dimpling, cellulite) that are sustained over time with minimal side effects can be achieved. Standardization of injection protocols for different body areas is now needed along with the validation of clinical tools that can be used to agree on treatment goals and to evaluate aesthetic improvements over time. A group of international experts in the fields of facial and body aesthetics, plastic surgery and dermatology were selected based on their educational, scientific and publication merits together with clinical experience using PLLA-SCA for body rejuvenation. Here, we provide an evidence-based and expert-led consensus (14 years of off-face treatment experience) on recommendations for appropriate injection protocols for different body sites and evaluation tools when using the biostimulator PLLA-SCA for body aesthetic and rejuvenation procedures.Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Body ContouringCosmetic TechniquesDermal FillersPolyestersRejuvenationSkin AgingEstheticsEvidence-Based MedicineFemaleHumansMaleTreatment OutcomeDermal FillersPolyesterspoly(lactide)BiostimulatorBody aestheticsBody rejuvenationPLLA-SCAPoly-l-lactic acid

Identifiers

PMID39592491
PMCPMC11965205

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.