Evidence map›Paper›PMID 39339028›Full record

ReviewPolymers2024

Efficacy and Safety of Poly-l-Lactic Acid in Facial Aesthetics: A Systematic Review.

Roberta Signori, Antony de Paula Barbosa, Fernando Cezar-Dos-Santos, Ana Claudia Carbone, Silvio Ventura, Bryanne Brissian de Souza Nobre, Maria Luiza Boechat Borges Neves, Mariana Barbosa Câmara-Souza, Rodrigo Lorenzi Poluha, Giancarlo De la Torre Canales

Registry-linked trialAbstract readReview
In one paragraph

Review in Polymers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07478198 (Study on the Efficacy and Safety of PLLA Injections for Improving Facial Laxity Following GLP-1 Analog Therapy), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07478198 naenrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Study on the Efficacy and Safety of PLLA Injections for Improving Facial Laxity Following GLP-1 Analog Therapy

TypeinterventionalSponsorShanghai Punan Hospital of Pudong New DistrictRan2025 to 2026Enrolled22ConditionsFacial Skin LaxityArmsPLLA injection
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Integrative Aesthetics: Shaping the Emerging Frontier of Modern Aesthetic Medicine.Clinical, cosmetic and investigational dermatology · 2026
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Roberta SignoriEgas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, 2829-511 Caparica, Almada, Portugal.
Antony de Paula BarbosaDepartment of Research & Development, Health & Aesthetics, Antony Barbosa Institute, Belo Horizonte 31270-901, Minas Gerais, Brazil.
Fernando Cezar-Dos-SantosInstituto Joana Borghetti, Foz do Iguaçu 85851-220, Paraná, Brazil.
Ana Claudia CarboneDepartment of Dentistry, Ingá University Center, Uningá, Maringá 87035-510, Paraná, Brazil.
Silvio VenturaDepartment of Dentistry, Ingá University Center, Uningá, Maringá 87035-510, Paraná, Brazil.
Bryanne Brissian de Souza NobreDepartment of Dentistry, Ingá University Center, Uningá, Maringá 87035-510, Paraná, Brazil.
Maria Luiza Boechat Borges NevesDepartment of Dentistry, Ingá University Center, Uningá, Maringá 87035-510, Paraná, Brazil.
Mariana Barbosa Câmara-SouzaDepartment of Dentistry, Ingá University Center, Uningá, Maringá 87035-510, Paraná, Brazil.ORCID 0000-0002-9961-121X
Rodrigo Lorenzi PoluhaDepartment of Dentistry, State University of Maringa, Maringá 87035-510, Paraná, Brazil.ORCID 0000-0001-7180-6448
Giancarlo De la Torre CanalesEgas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, 2829-511 Caparica, Almada, Portugal.ORCID 0000-0002-0921-342X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The primary objective of this systematic review study was to investigate the effectiveness, durability, and adverse events of PLLA treatment for aesthetic indications. The search strategy was performed in MEDLINE (Ovid). The electronic literature search of five databases was performed, from the inception of the databases until the 12th of February 2024. This was to identify randomized clinical trials that assessed PLLA treatment in adult individuals exhibiting facial aging and/or facial lipoatrophy. Risk of bias was assessed using the Cochrane Risk-of-Bias Tool for Randomized Trials (RoB 2). Eleven RCTs out of 1467 identified citations were included. Four studies showed increased dermal thickness, significant improvement in facial lipoatrophy severity and aesthetic clinical scores, after PLLA treatment with its effects sustained for at least 25 months. Two studies demonstrated the superiority of PLLA over injectable human collagen. Also, three studies showed positive results favoring PLLA when compared with PH gel in lipoatrophy severity, transepidermal water loss, skin quality, elasticity, and patient satisfaction. All adverse events were mild-to-moderate in intensity, and the main ones worth noting were bruising, hematoma, tenderness, nodules, and edema. Five out of eleven studies were considered having high risk of bias. The evidence on the effectiveness and safety of PLLA for facial rejuvenation is of low quality; thus, the reported high effectiveness, safety, and long-lasting effects for this purpose should be further investigated.

Indexed as

biostimulatorfacial aestheticsPoly-l-lactic acidsystematic review

Identifiers

PMID39339028
PMCPMC11435306

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.