Possible PLLA allergy - Should I be concerned about moving forward with Sculptra?

Thank you for sharing your experience — that’s a very reasonable concern. The dissolvable sutures used in your labiaplasty were likely made from a form of poly-L-lactic acid (PLLA), which is also the main component in Sculptra. While an exaggerated reaction to sutures doesn’t always mean you’ll react the same way to Sculptra, your history does suggest a possible sensitivity worth evaluating carefully.
I’d recommend discussing this in detail with an experienced injector.
They may suggest:
Reviewing the specific suture material used in your surgery.
Considering a small test injection or patch test before full treatment.
Exploring alternative biostimulators (like Radiesse) or hyaluronic acid fillers if there’s concern about PLLA sensitivity.
A careful, personalized consultation will help you weigh the risks and find the safest option for your goals.

Thank you for sharing your concerns. The reaction you experienced to the dissolvable sutures may have been due to localized irritation or sensitivity to the material rather than a true allergy. Sculptra contains poly-L-lactic acid (PLLA), which is also a biodegradable synthetic polymer, but it is not identical to the material used in absorbable sutures.

While some swelling and itching are expected after both sutures and injectable treatments, the intensity you described does raise an important consideration. A true allergy to PLLA is very rare, but prior reactions to dissolvable sutures may indicate a heightened sensitivity.

Before moving forward with Sculptra, it would be advisable to discuss your history with your treating provider. They may consider a careful review of your reaction, a possible patch test, or alternative treatment options to ensure your safety and comfort.

Number one, we don’t know what type of sutures were used in your surgical procedure. Number two, itching in the area of surgery, usually implies healing, not necessarily an allergy. Sculptra which I have been using for nearly 30 years is a great product as long as it’s injected with a proper technique and in the proper place. If you’re referring to the face, I would consider having fat grafting. In the right hands, the results are natural and permanent. I hope this helps a good luck from Leonard Grossman, MD, organic Plastic Surgery, New York City.