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The Different
PLLA, PDLA & PDLLA?

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What is PLA?
Polymers of lactic acid derived from plants
(starch of potatoes, corn, etc.)

Particles size: 30~60 ㎛ , 140k Dalton

Poly L Lactic Acid (PLLA) biodegradable


Category :
Poly D Lactic acid (PDLA)
biocompatibility
It has been used as a material for medical sutures
and as a wound covering agent Collagen no tolerance
production promoter

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Poly(lactic acid) (PLA) is a biocompatible material with excellent mechanical strength, easy processability, and good
biodegradability [8–11]. For these reasons, PLA has been widely used in tissue engineering, drug delivery, surgical sutures, and
orthopedic repair material

PLLA PDLA PDLLA


Poly-L-Lactic Acid Poly-D-Lactic Acid Poly-DL-lactic Acid
Has slower biodegradation rates compared Breaks down in the body relatively
Better chemical stability
toesopption the other forms of PLLA quickly

PDLA does not decompose when exposed


Low grade inflammation
Much longer resorption time to certain enzymes that can hydrolyze both
PLLA and PDLLA

Stimulate collagen 1,4 or 1,1 times Better keratinocytes proliferation (as water
higher than PDLA or PDLLA content protection) than PLLA

Better fibrioblast proliferation than PDLA High grade inflammation

Degraded moderate, maintain effect of


promoting collagen regeneration for a long Worst collagen regeneration
time
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PLLA vs PDLA

PLLA PDLA
is like solid sponge is like porous sponge
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The Different
Collagen Stimulator & Filler?

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Collagen Stimulator Dermal Filler
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PLLA vs PDLA

PLLA(L-Form) PDLA (D-Form)

PLLA looks solid and PDLA looks like pressed cotton candy. It means that PDLA can make small volume formation and
PLLA can make bigger volume formation
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aesPlla Composition &
Benefit?

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aesPlla ® Composition
Components

Carboxymethyl Total
Product Poly-L-lactic acid (PLLA) Mannitol volume
cellulose (CMC)
(mg)

mg % mg % mg %

aesPlla ® 150 41.1 90 24.7 125 34.2 365

PLLA : Collagen Stimulator


CMC : Pengental, Penstabil dan Pengikat
Mannitol : Meningkatkan Liofilisasi Partikel (untuk menghasilkan sebuah produk bubuk yang stabil)

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What is aesPlla ® ?
• aesPlla Ⓡ is an injectable poly-L-lactic acid (PLLA)

collagen stimulant for face and body

• aesPlla Ⓡ is CE approved & have already used in Europe etc.

• aesPlla Ⓡ ‘s main ingredient PLLA provides results of gradual volume


effects with long lasting more than 2 years

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Strong point aesPlla?

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1. Safe
PLLA has been used for more than 30 years in the medical field

2. Natural
Stimulates the natural production of collagen

3. Long-lasting
provides long lasting effects more than 2 years

4. Versatile
Can be used in many indications such as face and body

5. Easy and fast dilution


Injection after 30 minute dilution

6. Appropriate dosage of a vial


Suitable amount for a single treatment

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Safety of aesPlla ® - no nodule by streamlined shape particle
Particle type
**SEM micrograph, solution form

aesPlla ® Product S aesPlla ® Product S

x300
x100

x2000

x500
x5000

Granulated powder of aesPlla ® has streamlined shape which can reduce side effects like nodules, so aesplla is the safer.
*Manufacturer research data

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How long dilution time of
aesPlla?

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How to dilute aesPlla?

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Reconstitution

Draw sterile water or normal saline into the syringe

Add sterile water to the aesplla vial


• For aesPlla ® : 9 ml

Shake the vial for and then let the vial stand for at least
30 minutes to ensure complete hydration

Strongly agitate prior to use

*Quick dilution – 30 minutes


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Where are the area
indicated for aesPlla?

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aesPlla ® indications

Face Décolletage Buttocks Thighs Cellulite Upper arms Hands


Forehead and neck augmentation
temporal area reshaping
cheeks
nasolabial folds

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Where is the area
prohibited for aesPlla?

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aesPlla ® should not be used in the certain area

aesPlla should not be used in Lips areas

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Cellulite indications

aesPlla Ⓡ should NOT be injected into the gluteal


fold (banana fold) to treat cellulite

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How about aesPlla
storage?

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aesPlla ® storage

Store at room Keep away from


Do not freeze Keep dry
temperature sunlight

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How about aesPlla
Post-treatment care?

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Post-treatment care

Apply an ice pack Massage the treated area Avoid wearing makeup or applying other skin products
35–45 minutes 5 minutes, 5 times a day, to the injection site
First day at least 2 weeks for 1 week

Minimize exposure to UV light, Avoid swimming or using a sauna Avoid vigorous exercise for
until any initial swelling and redness has resolved for 1 week 1 week

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What is contraindication of
aesPlla?

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Contraindications
Active inflammation or infection in or near the treatment area

Hypersensitivity to any of the components

Patients who are pregnant, lactating, breastfeeding or under 18 years of age

Do not use in or near the periorbital area and lips

Do not use in eye contour

Patients with known history of or susceptibility to keloid formation or hypertrophic scarring

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Mechanism of Plla?

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1. Inflamasi
2. 3-4 weeks PLLA dikelilingi
sel mast, makrofag dll
3. 3 months inflamasi
menurun & terjadi
peningkatan jumlah serat
kolagen
4. Peningkatan kolagen terus
terjadi 8-24 bulan
5. 9 bulan PLLA mulai
terdegradasi perlahan,
kemudian diabsorpsi
menjadi CO2 dan H2O

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Mechanism of action

1. 2. 3. 4. 5. 6.
Before treatment aesPlla (PLLA plus Within a few days, aesPlla begins to After about 6 weeks, PLLA particles
sterile water) the water is gradually promote visible improvement gradually degrade
injected in the area absorbed collagen production can be seen over time

Collage
n PLLA

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Thank You

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