GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Lifting / Laxity · Decollete laxity

PLLA filler (Sculptra) evidence for Decollete laxity

C 37.8 / 100 Supported 0 RCT/meta · 1 clinical/observational · 1 case · 11 total
Early-stage evidence

This is an early evidence stage based mainly on observational studies and case reports. Use it as supplementary reference, and follow your doctor's judgment for treatment decisions.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Median year 2017 Last 5 years 27% Positive results 27%

Known in Korea as

스컬트라

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier2 Safety and effectiveness results of an innovative injectable poly-L-lactic acid-based collagen stimulator (Lanluma®)-Clinical outcomes at 9 months in a post-market study. Journal of cosmetic dermatology · 2024 · PMID 39228358

Abstract summary (English) BACKGROUND: Injectable fillers for soft tissue augmentation stand out as one of the most favored procedures in the field of aesthetic medicine, especially in addressing the clinical signs of skin aging. Among soft tissue fillers, non-permanent fillers have been safely used in numerous medical applications for several decades. AIMS: The aim of this post-market observational, open-label, uncontrolled, multicentered,...

Journal Article, Multicenter Study, Observational Study

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tier0_review Off Face Usage of Poly-L-Lactic Acid for Body Rejuvenation. Journal of drugs in dermatology : JDD · 2017 · PMID 28628686

Abstract summary (English)

Injectable soft-tissue augmentation agents have become popular alternatives to surgical procedures for the aging face and body. In contrast to temporary, space-occupying replacement fillers such as collagen-based and hyaluronic acid products, poly-l-lactic acid (PLLA) has been demonstrated to gradually promotes deposition of collagen via a biostimulatory response, with therapeutic effects lasting approximately...

Journal Article, Review

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tier0_review Three-Dimensional Rejuvenation of the Décolletage. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2016 · PMID 27128235

Abstract summary (English) BACKGROUND: Photodamaged skin of the chest is characterized by skin laxity, lines/wrinkles, hyperpigmentation, erythema, tactile roughness, atrophy, and telangiectasias. METHODS: A MEDLINE search was performed on combination treatments in chest rejuvenation, and the results are summarized. Practical applications for these combinations of procedures are discussed.

Journal Article, Review

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tier0_review Décolletage: Regional Approaches with Injectable Fillers. Plastic and reconstructive surgery · 2015 · PMID 26441106

Abstract summary (English) BACKGROUND: Patients increasingly request rejuvenation of the aging and photodamaged décolletage. Rhytides in this area can be addressed with injectables such as poly-L-lactic acid and hyaluronic acid products and energy-based devices, such as fractionated ablative and nonablative lasers and microfocused ultrasound with visualization. METHODS: This article will review the anatomy of the chest wall as it pertains to...

Journal Article, Review

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tier0_review Current Concepts in the Use of PLLA: Clinical Synergy Noted with Combined Use of Microfocused Ultrasound and Poly-L-Lactic Acid on the Face, Neck, and Décolletage. Plastic and reconstructive surgery · 2015 · PMID 26441097

Abstract summary (English) BACKGROUND: Aging of the face, neck, and décolletage is a multifactorial process involving epidermal photodamage and loss of soft tissue and bony volume. Multilevel rejuvenation of these areas can be obtained by enhancing volume restoration, neocollagenesis, and tissue contraction with combined efficacy of poly-L-lactic acid (PLLA) and microfocused ultrasound (MFU, Ultherapy) treatments. METHODS: The authors...

Journal Article, Review

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tier0_review Techniques for the optimization of facial and nonfacial volumization with injectable poly-l-lactic acid. Aesthetic plastic surgery · 2012 · PMID 22926148

Abstract summary (English) UNLABELLED: With the recognition of the key role of volume loss in the facial aging process, injectable dermal fillers and volumizers have become increasingly important treatment options for recontouring and rejuvenating the aging face. While replacement fillers effectively correct individual lines and wrinkles, volumizing agents that replace collagen provide a longer-lasting, volume-based alternative. Poly-L-lactic...

Journal Article, Review

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tier3 Broken Dermal Filler Cannula in Post-Radiated Décolleté. Aesthetic plastic surgery · 2022 · PMID 36447093

Abstract summary (English) We present a case of 72-year-old that arrived at our emergency department following breaking of a dermal cannula used to inject a poly-L-lactic acid (PLLA) to the décolleté by an aesthetic practitioner. She had a history of previous radiation to the breast after a lumpectomy. The cannula was removed using fluoroscopy guidance.

Case Reports, Letter

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tier_other Nonfacial Use of Injectable Poly-L-lactic Acid: Safety Data From a Multicenter Observational Study in the United States. Aesthetic surgery journal. Open forum · 2026 · PMID 42004285

Abstract summary (English) BACKGROUND: Poly-L-lactic acid (PLLA-SCA) was approved for facial aesthetic use in the USA in 2009. Nonfacial aesthetic treatment using PLLA-SCA, a collagen-stimulating injectable implant, is a frequent clinical practice, and initial studies support its safety. OBJECTIVES: The objective of this study was to evaluate the safety of PLLA-SCA when used in nonfacial areas in real clinical practice in the USA.

Journal Article

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tier_other Recommendations on the Use of Injectable Poly-L-Lactic Acid for Skin Laxity in Off-Face Areas. Journal of drugs in dermatology : JDD · 2019 · PMID 31524350

Abstract summary (English) Injectable poly-L-lactic acid (PLLA) is a biodegradable synthetic polymer that stimulates collagen production, leading to gradual volume restoration. The treatment of sagging skin in body areas is still a big challenge, as there are few aesthetic procedures aiming to improve it. This article provides recommendations on the use of PLLA in the treatment of skin laxity in off-face areas, as the neck, décolletage, arms,...

Journal Article

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tier_other Poly-L-lactic acid for the Improvement of photodamage and rhytids of the décolletage. Journal of cosmetic dermatology · 2017 · PMID 29119683

Abstract summary (English) BACKGROUND: Poly-L-lactic acid (PLLA) is a biostimulatory filler approved for use in HIV lipoatrophy as well as cosmetic improvement in facial folds and wrinkles in immunocompetent patients. Similar to the face and hands, the décolletage is commonly subject to photodamage and the resulting appearance of rhytids and crepiness, which could benefit from PLLA treatment. OBJECTIVES: The objective of the study was to...

Journal Article

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Suggested interpretation

Limited evidence

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