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. 2024 Mar;23(3):794-802.
doi: 10.1111/jocd.16085. Epub 2023 Nov 15.

Skin rejuvenation effect of the combined PDLLA and non cross-linked hyaluronic acid: A preliminary study

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Skin rejuvenation effect of the combined PDLLA and non cross-linked hyaluronic acid: A preliminary study

Suk Bae Seo et al. J Cosmet Dermatol. 2024 Mar.

Abstract

Background: Skin aging is characterized by wrinkles, rough skin texture, pigmentation, facial erythema, and telangiectasia through structural and functional changes in the epidermis and dermis. Recently, injectable poly(D, L-lactic acid), a biodegradable polymer, has been used widely for skin rejuvenation.

Aims: This study aims to assess the efficacy and safety of injectable dermal poly D, L-lactic acid) for skin rejuvenation.

Patients/methods: A total of 16 patients who desired skin rejuvenation were included. All participants received two or three procedure sessions with a 4 weeks interval between sessions. Clinical and three-dimensional images at baseline, before each procedural session, and follow-up visits were obtained. Therapeutic effects were assessed by evaluating signs of aging skin and overall improvement by dermatologists and patients. Histologic examinations with special stains were performed on the posterior auricular areas of consenting patients at baseline and follow-up visits after injecting poly D L-lactic acid into the postauricular area as in the face.

Results: Overall, statistically significant differences were observed in all signs of aging skin, such as fine wrinkles, skin texture, irregular pigmentation, telangiectasia, and facial erythema before and after treatments. Half (50%) of patients responded that there was more than 50% overall improvement. There were no severe adverse events. Histologic examination demonstrated increases in collagen and elastic fibers in the dermis.

Conclusions: Results of this preliminary study suggest that injectable dermal poly D, L-lactic acid can significantly affect skin rejuvenation without causing any serious adverse events.

Keywords: L-lactic acid; poly D; skin booster; skin rejuvenation.

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References

REFERENCES

    1. Tzellos TG, Klagas I, Vahtsevanos K, et al. Extrinsic ageing in the human skin is associated with alterations in the expression of hyaluronic acid and its metabolizing enzymes. Exp Dermatol. 2009;18(12):1028-1035. doi:10.1111/j.1600-0625.2009.00889.x
    1. Amano S. Possible involvement of basement membrane damage in skin photoaging. J Investig Dermatol Symp Proc. 2009;14(1):2-7. doi:10.1038/jidsymp.2009.5
    1. Liebel F, Kaur S, Ruvolo E, Kollias N, Southall MD. Irradiation of skin with visible light induces reactive oxygen species and matrix-degrading enzymes. J Invest Dermatol. 2012;132(7):1901-1907. doi:10.1038/jid.2011.476
    1. Courderot-Masuyer C, Robin S, Tauzin H, Humbert P. Evaluation of the behaviour of wrinkles fibroblasts and Normal aged fibroblasts in the presence of poly-L-lactic acid. J Cosmet Dermatol Sci Appl. 2012;2(1):20-27. doi:10.4236/jcdsa.2012.21006
    1. Cabral LRB, Teixeira LN, Gimenez RP, et al. Effect of hyaluronic acid and poly-L-lactic acid dermal fillers on collagen synthesis: an in vitro and in vivo study. Clin Cosmet Investig Dermatol. 2020;13:701-710. doi:10.2147/CCID.S266015

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