PLLA Collagen Stimulator - the “liquid facelift” with over 20 years of clinical use

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What is PLLA Collagen stimulator?

PLLA Collagen stimulator is a biocompatible and biodegradable injectable filler treatment containing  poly-L-lactic acid (PLLA) for facial volume restoration and rejuvenation. Unlike traditional dermal fillers that provide immediate volume, PLLA Collagen stimulator works gradually by stimulating the body’s natural collagen production. Collagen is a crucial protein that provides structure and elasticity to your skin, but its production diminishes with age. This loss significantly contributes to wrinkles, sagging, and volume loss in the face. PLLA Collagen stimulator naturally enhances facial contours over time, allowing for subtle and long-lasting results. 

How does PLLA Collagen stimulator work?

Each vial of PLLA Collagen stimulator contains Poly-L-Lactic Acid (PLLA) 150mg, Sodium carboxymethycellulose (CMC) 90mg and mannitol 127mg. The active ingredient of PLLA Collagen stimulator is PLLA, with CMC and mannitol acting as a carrier for delivery.  Each vial of PLLA Collagen stimulator is recommended to be diluted with 10mls of water for injection- some clinics may hyperdilute PLLA Collagen stimulator with 20-30mls for treatment of large areas (eg body). Concentrated PLLA Collagen stimulator with dilution of 3-5mls is no longer recommended due to the high rate of nodule formation.

PLLA Collagen stimulator, when injected into the dermis or subcutaneous tissue of the treatment area, triggers a controlled inflammatory effect and attracts fibroblasts. Fibroblasts are skin cells responsible for the production of collagen and elastin – key components in maintaining our skin’s structural integrity, overall texture, and elasticity. The PLLA particles act as a scaffold, providing structural support for the new collagen fibres. 

Over time, PLLA is absorbed by the body and the newly formed collagen and elastin remains, thus creating natural and subtle-looking results.

Essentially, PLLA Collagen stimulator works in three phases:

Benefits of PLLA Collagen stimulator

  • Long-lasting and natural-looking results
  • No downtime
  • Minimally invasive- no surgery or scars
  • Gradually improves skin  quality
  • Biocompatible and safe

What conditions can PLLA Collagen stimulator treat?

PLLA Collagen stimulator is highly versatile and can treat a range of aesthetic concerns, such as:

  • Facial volume loss: as we age, we tend to experience fat loss in various areas of our face, such as the cheeks and temples. PLLA Collagen stimulator aids in replacing lost volume by firming up the treatment area with the gradual production of collagen and elastin.
  • Nasolabial folds and marionette lines: in addition to volume loss, deep lines such as nasolabial folds and marionette lines are characteristic of ageing. PLLA Collagen stimulator smooths and softens these lines.
  • Skin laxity: loose skin is another sign of ageing. PLLA Collagen stimulator improves skin firmness and elasticity in sagging areas. 
  • Jawline definition: PLLA Collagen stimulator can also improve the contours of the jawline, providing a more defined and youthful appearance.
PLLA Collagen stimulator effectively reduces and softens signs of ageing, such as volume loss and wrinkles.

What can I expect from PLLA Collagen stimulator treatment?

Dr Hoe Ying Min strives for a less is more approach, ensuring her patients achieve natural-looking and sustainable results. During your consultation, Dr Hoe will evaluate your skin, discuss your aesthetic goals, and determine if PLLA Collagen stimulator is the right treatment for you. A personalised treatment plan is then created for you.

Next, the treatment area is cleansed, and a topical numbing cream is applied. After about 20 to 30 minutes, when the numbing cream has taken effect, PLLA Collagen stimulator is injected via a specialized blunt needle known as a cannula. Depending on the treatment area and desired aesthetic effect, PLLA Collagen stimulator treatment takes approximately 20-30 minutes.

After treatment, you may experience mild swelling, redness, or bruising at the injection sites, which resolves after a few days. Over the next 1-2 months, collagen production takes place, with a gradual and consistent improvement in skin texture and volume, leading to a more natural and refreshed look. 

How many PLLA Collagen stimulator sessions are required?

How many PLLA Collagen stimulator sessions and how many vials of PLLA Collagen stimulator required varies with patient age, expectations and skin condition. The recommendation is 1 vial of PLLA Collagen Stimulator per decade of age, so a patient in his or her 40s would require 4 vials of PLLA Collagen stimulator. For each PLLA Collagen stimulator session, a maximum of 2 vials can be injected for full face rejuvenation. The subsequent session would be 4-6 weeks later. Thereafter, maintenance treatments can be done every 12-18 months.

Dr Hoe’s treatment recommendations for PLLA Collagen stimulator

“Young” patient 30-40s, early skin sagging of the face

2 PLLA Collagen stimulator sessions a month apart, 2 vials of PLLA Collagen stimulator per treatment- total 4 vials of PLLA Collagen stimulator

“Mature” patient 50-60s, moderate skin sagging of the face

3 PLLA Collagen stimulator sessions a month apart, 2 vials of PLLA Collagen stimulator per treatment- total of 6 vials of PLLA Collagen stimulator

Body area:

Abdomen: 8 vials of PLLA Collagen stimulator
Buttocks: 8 vials of PLLA Collagen stimulator
Arms: 4 vials of PLLA Collagen stimulator

Who is PLLA Collagen stimulator suitable for?

PLLA Collagen stimulator is suitable for patients with early to moderate signs of facial ageing such as fine lines, loose skin and facial volume loss. PLLA Collagen stimulator has also been approved to treat HIV related lipodystrophy (facial volume loss). 

PLLA Collagen stimulator has also been used to treat loose skin on the body such as the abdomen, buttocks or arms.

PLLA Collagen stimulator is contraindicated for patients who are pregnant, lactating, have active skin infections or a history of keloid scarring.

Is PLLA Collagen stimulator safe?

The active ingredient of PLLA Collagen stimulator, is broken down naturally by the skin into carbon dioxide and water and naturally eliminated from the body. PLLA Collagen stimulator is approved by most health authorities worldwide including US FDA, Europe’s CE Mark, Korean FDA, Singapore’s HSA. PLLA Collagen stimulator treatments are considered to be safe in the hands of an experienced injector. PLLA Collagen stimulator has been approved for aesthetic use for over 20 years, the active ingredient PLLA has been used for medical applications for over 40 years. 

Risks of PLLA Collagen stimulator

Patients may experience bruising, swelling or mild discomfort after PLLA Collagen stimulator injections, which resolves after 2-3 days. 

Rare but significant side effects include: vascular occlusion (blockage of a blood vessel potentially leading to skin necrosis or blindness), infection, nodules and granulomas

An experienced PLLA Collagen stimulator injector will know how to avoid pitfalls, reduce the risk of serious side effects and manage side effects when they occur

PLLA Collagen stimulator should NOT be injected to the forehead, undereye, nose or lip area due to the high risk of nodule formation.



PLLA Collagen stimulator vs HA filler vs PCL Collagen Stimulator vs Noninvasive Biocompatible Injectable?

PLLA Collagen stimulator in Singapore

PLLA Collagen stimulator is a registered medical device (implant) in Singapore and needs to be injected by a medical professional with advanced postgraduate training. Not every doctor is credentialed to inject needs to be injected by an aesthetic doctor (with a Certificate of Competency for filler injection), plastic surgeon or dermatologist. Ideally, the doctor should have completed advanced hands on training in PLLA Collagen stimulator injection and perform a high volume of PLLA Collagen stimulator cases regularly.

Price of PLLA Collagen stimulator in Singapore

PLLA Collagen stimulator costs $1000-1500 per vial (diluted to 10ml volume), depending on clinic location, doctor’s experience and package. 

Price of PLLA Collagen stimulator at Bay Aesthetics Clinic

PLLA Collagen stimulator- $988 nett per vial
Prices are for first time treatments

Frequently asked questions

PLLA Collagen stimulator stimulates collagen production, providing long-lasting facial rejuvenation. Results typically appear within 1-2 months, with optimal improvements seen at 3-4 months. The effects can last up to two years or more, with most patients undergoing maintenance treatments every 12-18 months to sustain their ideal results.
There is no downtime, allowing clients to resume normal activities immediately. Mild swelling may occur at the injection sites but typically resolves within 2-3 days. Clients are advised to gently massage the treated area daily for five days post-treatment.
The number of vials needed depends on the individual and will be discussed during the consultation. Factors such as treatment areas, expectations, and budget will be considered when creating a personalised treatment plan. As a general guideline, one vial of PLLA Collagen stimulator is often recommended for every decade of the client's age, with typically 2 vials used in each treatment session.

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