Treatment
Poly-L-lactic acid
Poly-L-lactic acid (PLLA) is a collagen biostimulator - it does not fill wrinkles on the spot but prompts the skin to rebuild its own collagen, delivering a gradual and long-lasting effect.
At a glance
Duration
30-60 min
Anaesthesia
Yes (numbing cream)
Back to everyday life
Right away
Results visible
Gradually, full effect after approx. 12 weeks
Recommended series
1-4 treatments a few weeks apart
This treatment helps with
Where we perform this treatment
MEDESTETIS Klinika Dr Kuschill & Dr Grodecka
Garncarska 8, Kraków
Performed by
MEDESTETIS Klinika Dr Kuschill
Włodarzewska 81, Warszawa
Performed by
What the treatment involves
Poly-L-lactic acid (PLLA) is a biostimulator that is well tolerated and fully absorbed by the body over time. However, it does not act like a classic filler: instead of filling a wrinkle on the spot, it stimulates fibroblasts to produce new collagen.
The effect builds gradually - the skin rebuilds its own structure, which is why the result looks natural and lasts a long time. It is a solution particularly valued in slim people with thin skin and a visible loss of volume.
Indications
The treatment is recommended for loss of firmness and volume associated with collagen depletion. The most common indications are:
- loss of firmness and sagging of the facial skin
- loss of volume in slim people with thin skin
- wrinkles at the corners of the mouth and on the temples
- hollowing of the temples, cheekbone arches and tear troughs
- improvement of the contour around the jaw angle
- overall rejuvenation and improved skin density
How the treatment works
The treatment is preceded by a thorough medical consultation.
We apply a numbing cream to the skin, and the product is administered with a very fine needle or microcannula. At the end we perform a massage to distribute the product evenly. The procedure takes 30 to 60 minutes.
Results
The effects appear gradually as the skin rebuilds collagen - the full result is usually visible after approx. 12 weeks. The skin becomes firmer, denser and looks younger.
In favourable cases the effect lasts even around 2 years, which is why PLLA is considered one of the longer-lasting biostimulators.
Aftercare
After the treatment, cooling the skin is recommended, and mild bruising usually does not last longer than 2-4 days. An important element is at-home massage:
- massage the treated area as instructed by the physician (often several times a day for several days)
- apply cold compresses if swelling or redness appears
- avoid the sauna, solarium and intense exercise for approx. 2 weeks
- drink more water and protect the skin from the sun
Our clinical set of recommendations for injectable biostimulators also applies. The effect builds gradually - the full result is usually visible after approx. 12 weeks; report any unusual symptom to the clinic:
- avoid air travel for the first 24 hours
- on the first nights sleep on your back with your head raised at an angle of approx. 45 degrees
- do not apply makeup for the first 24 hours, then treat it gently for 2-3 days
- until the swelling subsides, protect the face from frost, wind and sun
- postpone scheduled dental hygiene procedures by about 8 weeks
Contraindications
We do not perform the treatment in cases such as:
- pregnancy and breastfeeding
- autoimmune diseases (e.g. Hashimoto's disease in an active phase)
- uncontrolled diabetes
- a tendency to hypertrophic scars and keloids
- active viral or bacterial infections of the facial skin (e.g. herpes)
The final qualification is carried out by the physician during the consultation.
Pricing
Julaine
| Wariant | Cena |
|---|---|
| 1 ampoule | 3500 zł / ampoule |
| Additional ampoule | 3000 zł / ampoule |
Poly-L-lactic acid
| Wariant | Cena |
|---|---|
| Lanluma V (1 ampoule) | 2500 zł / ampoule |
The final cost is agreed during the consultation, once your plan is set.
Frequently asked questions
How does poly-L-lactic acid differ from hyaluronic acid?+
PLLA does not fill a wrinkle right away but stimulates the skin to produce its own collagen - the effect builds gradually and lasts a long time.
Why isn't the effect immediate?+
Because it comes from new collagen, whose rebuilding takes time - the full result is usually visible after approx. 12 weeks.
Does the treatment hurt?+
We use a numbing cream, but the treatment is not entirely painless - the sensations are usually well tolerated.
Why do you have to massage the face after the treatment?+
Massage helps distribute the product evenly and reduces the risk of nodules forming.
How long does the effect last?+
In favourable cases even around 2 years.
Who is this treatment for?+
Especially for slim people with thin skin and loss of firmness who expect a natural, gradual effect.
How much does poly-L-lactic acid cost?+
The treatment costs from 2 500 to 3 500 zł per vial, depending on the product. The physician plans the number of vials and sessions during the consultation - usually 2-3 sessions a few weeks apart are used.
What effects to expect - and why the divergent opinions?+
Poly-L-lactic acid works through gradual collagen stimulation, so the effect builds over weeks and reaches its full extent after 2-3 months. Hence the divergent opinions: people assessing the result after a week often don't yet see the changes that will appear later. It is a treatment for the patient - in return, the effect looks natural and lasts up to around 2 years.
Sources
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Learn more →Ready for the first step?
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