Abstract
INTRODUCAO: O acido poli-L-lactico e usado na Europa, para fins cosmeticos, desde 1999, e nos Estados Unidos, para tratamento de lipoatrofia pelo HIV, desde 2004. Este trabalho tem por objetivo apresentar nossa experiencia com o emprego do acido poli-L-lactico para uso cosmetico, visando restaurar a perda de volume facial decorrente do processo de envelhecimento. METODO: Doze pacientes foram submetidos ao tratamento no periodo de 2006 a 2012. O produto foi reconstituido em 5 ml de agua destilada e, no momento da injecao, foram acrescentados 2 ml de lidocaina a 2% com adrenalina 1:200.000. O tratamento foi individualizado de acordo com o volume e o contorno faciais dos pacientes. Os resultados foram analisados por meio de fotografias pre e pos-procedimento, e de acordo com a percepcao do medico e dos pacientes. RESULTADOS: Todos os pacientes mostraram-se satisfeitos com os resultados obtidos. Foram observados 4 casos de equimose no local da injecao, e 1 paciente apresentou nodulos na regiao periorbitaria. CONCLUSOES: O acido poli-L-lactico pode ser utilizado como mais uma ferramenta para restaurar, corrigir e amenizar as deformidades faciais.
Highlights
The use of material injections in the face for esthetic improvement has been reported since 20081
Poly-l-lactic acid was approved by the United States Food and Drug Administration (FDA) in August 2004 for the treatment of human immunodeficiency virus-induced lipodystrophy
This study aims to present the authors’ experience using poly-l-lactic acid for cosmetic purposes by restoring facial volume through the treatment of static wrinkles, in the middle and lower thirds of the face
Summary
The use of material injections in the face for esthetic improvement has been reported since 20081. Poly-l-lactic acid was approved by the United States Food and Drug Administration (FDA) in August 2004 for the treatment of human immunodeficiency virus-induced lipodystrophy. The use of poly-l-lactic acid is approv ed for cosmetic purposes in Europe, Canada, Aus tralia, and Brazil. Poly-l-lactic acid has been used in Europe since 1999 for cosmetic purposes and in the United States since 2004 for the treatment of human immunodeficiency virus lipoatrophy. This paper aims to present the use of poly-l-lactic acid for the cosmetic purpose of restoring facial volume lost due to the aging process. Methods: Twelve patients were treated in private practice between 2006 and 2012. Conclusions: Poly-l-lactic acid is another tool for restoring, correcting, and smoothing facial deformities
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