PLLA thread lift vs Sculptra?

Question

Sculptra and PLLA threads are made of the same thing and thus both should produce collagen using a similar process. However, many say PLLA threads produce the “bad” type of collagen (I can’t recall if it was type one or type three akin to fibrotic scar tissue). Why the difference? And are there similar risks of granulomas? I've read awful experiences by Sculptra but have successfully had many thread lifts (though, the PDO type).

Nadir Qazi, DO · Answer

It is true that Sculptra and PLLA (poly-L-lactic acid) threads are both made of the same material and work by stimulating collagen production in the skin. However, there are some differences between the two treatments that can affect the type of collagen produced and the potential risks involved.
Sculptra is a dermal filler that is injected into the skin to stimulate collagen production and restore volume to the face. It is made of poly-L-lactic acid, which is a biocompatible and biodegradable synthetic material that has been used in medical implants for many years. Sculptra is known to stimulate the production of type 1 collagen, which is the same type of collagen found in youthful, healthy skin.
On the other hand, PLLA threads are absorbable sutures that are inserted under the skin to lift and tighten sagging skin. Like Sculptra, PLLA threads are made of poly-L-lactic acid and work by stimulating collagen production. However, some studies suggest that PLLA threads may stimulate the production of more type 3 collagen, which is a type of collagen that is more prevalent in scar tissue and may contribute to a fibrotic or stiff appearance.
While both Sculptra and PLLA threads have been shown to be safe and effective treatments for facial rejuvenation, there are some risks associated with these procedures. One potential complication is the formation of granulomas, which are small lumps that can form under the skin as a result of the body's immune response to the treatment. These granulomas can be treated with corticosteroid injections or other treatments, but they can be a source of concern for some patients.
In conclusion, Sculptra and PLLA threads are both effective treatments for facial rejuvenation that work by stimulating collagen production. While Sculptra is known to produce type 1 collagen and PLLA threads may produce more type 3 collagen, both treatments have been shown to be safe and effective for most patients. However, like any cosmetic procedure, there are some risks involved, including the potential for granulomas. It is important to discuss these risks and benefits with your dermatologist to determine which treatment is best for you.

PLLA thread lift vs Sculptra?

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