Evidence map›Paper›PMID 42087429›Full record

Trial reportJournal of cosmetic dermatology2026

A Comprehensive Evaluation of Patient Satisfaction and Clinical Outcomes in Poly-L-Lactic Acid Treatments-A Randomized, Interventional, and Comparative Clinical Study.

Victor R M Munoz-Lora, Danielle Dias, Fernanda Bezerra, Ana C N Carnevali, Rud Varela, Andrea D Tedesco, Pietra Roschel, Gabriela Giro, Patrícia Pauletto, Victor Rogerio and 1 more

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of cosmetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Victor R M Munoz-LoraDepartment of Facial Aesthetics, Guarulhos University, Guarulhos, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-1134-8542
Danielle DiasUniversity of Brasília, Brasília, Brazil.
Fernanda BezerraUS Orofacial Clinic, Brasília, Brazil.
Ana C N CarnevaliDepartment of Endocrinology and Metabolism, Federal University of São Paulo, São Paulo, Brazil.
Rud VarelaHOF Pro Academy, Rio Verde, Goiás, Brazil.ORCID https://orcid.org/0009-0002-5623-5725
Andrea D TedescoIAT Instituto Andrea Tedesco, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-9602-5426
Pietra RoschelHOF Pro Academy, Rio Verde, Goiás, Brazil.ORCID https://orcid.org/0000-0002-7330-4502
Gabriela GiroDepartment of Facial Aesthetics, Guarulhos University, Guarulhos, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-7590-8158
Patrícia PaulettoUniversidad de Las Américas, Quito, Ecuador.ORCID https://orcid.org/0000-0002-1762-7059
Victor RogerioPrivate Office, São Paulo, Brazil.ORCID https://orcid.org/0000-0001-7092-5373
Marcelo GermaniDepartment of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.ORCID https://orcid.org/0000-0003-2976-9633

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoly-L-lactic acid (PLLA) is widely used in aesthetic medicine due to its bio-stimulatory properties. However, limited research has compared different PLLA formulations.

aimTo evaluate the impact of PLLA formulation and injection depth (subcutaneous vs. supraperiosteal) using objective and subjective assessments. MATERIALS AND

methodsThis randomized clinical trial with split-face and parallel components included 20 participants. Each participant received a single PLLA formulation of PLLA-SCA (Sculptra) or PLLA-ELL (Elleva), while the injection plane was alternated between hemifaces. Dermal thickness was assessed using ultrasonography at baseline, 60, and 120 days. Patient satisfaction was evaluated using the Global Aesthetic Improvement Scale (GAIS).

resultsDermal thickness increased over time but showed no significant differences between products (p = 0.78) or injection planes (p = 0.83). GAIS scores were positive at 60 days but declined significantly at 120 days (p = 0.031), particularly for PLLA-ELL (p = 0.022). No significant correlation was found between dermal thickness and GAIS scores at 60 (ρ = -0.038, p = 0.819) or 120 days (ρ = 0.016, p = 0.927).

conclusionsInjection depth did not significantly influence PLLA outcomes. However, differences in patient satisfaction between PLLA formulations highlight the role of physicochemical properties in treatment longevity. These findings emphasized the need to integrate objective and subjective measures in assessing bio-stimulatory treatments.

Indexed as

Cosmetic TechniquesDermal FillersPatient SatisfactionPolyestersSkin AgingAdultEstheticsFaceFemaleHumansInjections, SubcutaneousMaleMiddle AgedTreatment OutcomeUltrasonographyDermal FillersPolyesterspoly(lactide)facial aestheticsfacial anatomypoli‐L‐lactic‐acidultrasound

Identifiers

PMID42087429
PMCPMC13145310

What OpenQuestion holds

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Registered trials

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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.