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Poly-L-Lactic Acid Biostimulation

You'll be able to plan and execute Sculptra treatments with sound reconstitution, dilution, and injection technique for gradual, natural-looking volumization.

What this track covers

This track covers poly-L-lactic acid (PLLA) as a collagen biostimulator, including its mechanism of action, reconstitution and dilution protocols, and injection strategy for face and body. It emphasizes how PLLA's delayed, progressive effect changes treatment planning and patient counseling compared to traditional fillers.

What you will practice

  • Selecting reconstitution volume and hydration time for PLLA vials
  • Choosing dilution ratios based on treatment area and goals
  • Mapping injection patterns and depth across facial subunits
  • Sequencing multi-session treatment plans for gradual volumization
  • Counseling patients on the collagen neogenesis timeline and expectations

Simulator scenario

A virtual patient presents for facial volume loss and asks why results won't be visible immediately, requiring the clinician to explain the biostimulation timeline and set a treatment plan.

Board question topics

  • PLLA mechanism of action and collagen neogenesis
  • Reconstitution and dilution principles
  • Facial anatomy and injection depth for biostimulators
  • Patient selection and expectation setting

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