PLLA is not used directly in these wrinkles, lines, and folds, but rather in multiple areas (and tissue structures) of the face in an attempt to address the volume loss or laxity that leads to their appearance.  This approach has proven capable of delivering the sort of subtle and natural-looking results desired by many patients (“I don’t want to look done, I just don’t want to look tired”), and is the greatest strength of this product. Seemingly small changes in shape, proportions, balance, and symmetry can sometimes have a surprisingly large effect on our perception of the face.  PLLA has also been used successfully in the treatment of skin laxity in the décolleté, arms, and abdomen.  Patients with significant laxity may require multiple sessions.  Upper knees, thighs, and medial ankles have been treated with some improvement. All skin laxity is treated with superficial subcutaneous linear threading or fanning injections.  Reborn PLLA Dermal Filler…

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