Poly-L-Lactic Acid for Arms

The poly-L-lactic acid (PLLA) injection technique stimulates neocollagenesis and provides a natural look. In recent years there has been a growing interest for using this in other body areas such as the neck, chest, back of hands, lower breast region, thoraco-axillary fold, buttocks, arms and medial thighs. Both in facial application as in the body, there is no consensus regarding the best dilution or application technique, and their descriptions mainly based on the authors experience. In this chapter will approach a new technique for body areas and the dilution of the quantity of the product per application. The application of PLLA for rejuvenation of body areas is a minimally invasive procedure, durable and low frequency of complications. The poly-l-lactic acid (PLLA) was approved in Europe in 1999 and approved in the United States in 2004 by the FDA for the treatment of facial lipoatrophy associated with human immunodeficiency virus (HIV). In 2009, FDA approved PLLA for cosmetic indication in immunocompetent patients [1, 2]. Over the past 20 years of experience, PLLA was safe and effective. It is a widely used and safe application to restore volume in facial aging and bofy sagging.