Evidence map›Paper›PMID 41760129›Full record

ArticleFacial plastic surgery : FPS2026

First Insights on the Upcoming Role of Next-Generation PLLA-LASYNPRO in Aesthetic and Regenerative Medicine: A Survey of Experts-the PLLA-LASYNPRO Rationale.

Dario Bertossi, Maurizio Cavallini, Alessandra Camporese, Roberto Dell'Avanzato, Nicola Kefalas, Enrico Massidda, Marco Papagni, Mariagrazia Patalano, Sandro Quartucci, Monica Renga and 3 more

Abstract read
In one paragraph

Article in Facial plastic surgery : FPS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

13 authors.

Dario BertossiDepartment of Surgical Sciences, Section of Oral and Maxillofacial Surgery, University of Verona, Verona, Italy.
Maurizio CavalliniExecutive Committee of Agorà, Italian Society of Aesthetic Medicine, Milan, Italy.
Alessandra CamporeseInternational School of Aesthetic Medicine, Fondazione Internazionale Fatebenefratelli, Rome, Italy.
Roberto Dell'AvanzatoPrivate Practice, Milan, Italy.
Nicola KefalasRigenera Lab, Turin, Italy.
Enrico MassiddaUniversità Niccolò Cusano, Rome, Italy.
Marco PapagniExecutive Committee of Agorà, Italian Society of Aesthetic Medicine, Milan, Italy.
Mariagrazia PatalanoPrivate Practice, Studio Mariagrazia Patalano, Messina, Italy.
Sandro QuartucciSaba Clinic, Rome, Italy.
Monica RengaExecutive Committee of Agorà, Italian Society of Aesthetic Medicine, Milan, Italy.
Adriano SantorelliAdriano Santorelli & Partners Private Practice, Naples, Italy.
Chantal SciutoExecutive Committee of Agorà, Italian Society of Aesthetic Medicine, Milan, Italy.ORCID 0000-0001-5188-7068
Gloria TrocchiPathology Isola Tiberina Hospital - Gemelli Isola, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Injectable collagen stimulators have traditionally been linked to inflammatory foreign-body reactions (FBR) as a mechanism of action. However, the next-generation PLLA-LASYNPRO microspheres, contained in the CE-marked JULÄINE medical device, may represent a paradigm shift. Preclinical data suggest these microspheres can promote collagen and extracellular matrix (ECM) regeneration with minimal inflammatory response. Objectives and Hypotheses: This study aimed to evaluate the scientific soundness and clinical relevance of a non-inflammatory mechanism of action for PLLA-LASYNPRO. The central hypothesis was that design and manufacturing innovations could enable effective biostimulation while reducing inflammation and long-term tissue reactions. Study Design: A structured expert board meeting was convened to assess the rationale and implications of this emerging mechanism. The process included a preliminary survey and an in-person consensus meeting involving multidisciplinary specialists in aesthetic and regenerative medicine. Methods: On January 24, 2025, 13 experts in aesthetic medicine, dermatology, and plastic surgery participated in a board meeting held in Milan, Italy. Scientific literature and preclinical data were reviewed in advance. Discussions were organized around biophysical characteristics, tissue integration, inflammatory profile, and safety considerations. Results: The board considered the non-inflammatory mechanism of PLLA-LASYNPRO both biologically plausible and clinically promising. Key differentiating features included particle morphology, lack of excipients, and manufacturing purity. The panel highlighted the potential to reduce chronic inflammation, a known limitation of traditional collagen stimulators. Early clinical impressions supported this hypothesis, although prospective data are still forthcoming. Conclusion: This manuscript presents the consensus of a multidisciplinary board on the rationale for PLLA-LASYNPRO in aesthetic and regenerative medicine. It forms the first part of a two-paper series. The second manuscript will provide practical clinical guidance for the deep dermal administration of PLLA-LASYNPRO and real-world use of JULÄINE.

Indexed as

Cosmetic TechniquesMicrospheresPolyestersRegenerative MedicineCollagenExtracellular MatrixForeign-Body ReactionHumansCollagenPolyesterspoly(lactide)

Identifiers

PMID41760129
PMCPMC13364261

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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.