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 contributes to their appearance. This approach has proven capable of delivering the subtle and natural-looking results desired by many patients — “I don’t want to look done, I just don’t want to look tired.” Seemingly small changes in shape, proportions, balance, and symmetry can sometimes have a surprisingly large effect on the overall appearance of the face. PLLA has also been used in the treatment of skin laxity in the décolleté, arms, and abdomen. Patients with significant skin laxity may require multiple sessions. The upper knees, thighs, and medial ankles have also been treated, with some improvement reported. Skin laxity may be treated with superficial subcutaneous linear threading or fanning injection techniques by qualified medical professionals, according to the appropriate treatment protocol.…

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