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Beneath the Surface Series

PLLA (Poly‑L‑Lactic Acid): The Gradual Sculptor

Dr Alluris Aesthetics
July 17, 2025
•
5 min read

Article 11

At Dr Adam Alluris Aesthetics, we often focus on treatments that work with your body to stimulate its natural regenerative capacity. Poly‑L‑Lactic Acid (PLLA) is one such treatment — a long‑lasting collagen stimulator that delivers results gradually, making it ideal for those seeking natural, subtle, and long‑term improvements in skin quality and volume.

What is PLLA?

PLLA is a biocompatible, biodegradable polymer that has been used in medical and cosmetic treatments for many years. Unlike traditional fillers, it doesn’t “fill” immediately but encourages your body to build its own collagen over time.

✅ Best for:
– Gradual restoration of volume in cheeks, temples, and jawline.
– Improving skin texture and firmness.
– Patients seeking long‑term results with a natural, lifted look.

The Science Behind PLLA

PLLA acts as a collagen stimulator. Upon injection, the PLLA particles trigger a mild inflammatory response that encourages fibroblasts to produce new collagen. This creates a scaffolding effect that improves skin quality and restores lost volume.

Results evolve gradually over 3–6 months and can last for up to 2 years or longer, making PLLA one of the best treatments for long‑term collagen support.

The Treatment Process

As Dr Adam explains to patients, PLLA treatments are performed via a series of injections. The area is cleansed, and a topical or local anaesthetic may be used for comfort. The suspension of PLLA is administered with a fine cannula or needle, focusing on areas that will benefit from collagen support.

✅ Number of Sessions: Typically 2–3 treatments spaced 4–6 weeks apart.
✅ Duration: Approximately 30–45 minutes per session.
✅ Downtime: Minor swelling or bruising may occur but usually resolves within a few days.

What to Expect After PLLA

Results develop gradually. In the first few days, you’ll notice a mild plumping effect due to the fluid in the PLLA solution. This subsides, and collagen production becomes noticeable at 3–4 weeks, reaching its peak effect within 3–6 months. Results can last up to 2 years and can be supplemented with maintenance treatments every 12–18 months.

PLLA vs PRP, Exosomes, and Polynucleotides

While PRP, Exosomes, and Polynucleotides work to enhance cellular function, hydration, and tissue quality, PLLA focuses on structural collagen restoration. Its effects are longer‑lasting and ideal for deeper volumisation and long‑term skin support.

👉 To understand the differences and learn how to make the right choice, revisit the comparison article:
– PRP: Liquid Gold for Skin and Hair
– Exosomes in Aesthetic Medicine
– Polynucleotide Treatments

Final Thoughts from Dr Adam

“PLLA is a treatment that excites me because it delivers long‑term, natural results that evolve beautifully over time. In a world where instant fixes are common, PLLA gives patients the gift of gradual, sustainable, and elegant rejuvenation. As with all treatments I offer, the key is selecting the right approach for your individual needs and aligning that with realistic expectations and clinical evidence.”

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Interested in exploring how PLLA can help you achieve a naturally lifted and revitalised look? Book a consultation with Dr Adam today to discuss your personalized treatment plan and start your journey towards long‑term, elegant results.

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Stay Tuned for in the last entry of Beneath the Surface Series, Dr Adam will give his views on the best time of the year to have each of the techniques presented in this series.

Dr Alluris Aesthetics
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