Effectiveness and Safety of Sculptra Poly-L-Lactic Acid Injectable Implant in the Correction of Cheek Wrinkles

January 2024 | Volume 23 | Issue 1 | 1297 | Copyright © January 2024


Published online December 15, 2023

Sabrina Fabi MD FAAD FAACSa, Tiffani Hamilton MDb, Brenda LaTowsky MDc, Rebecca Kazin MDd, Keith Marcus MDe,f, Flor Mayoral MDg, John Joseph MDh, Deirdre Hooper MDi, Sachin Shridharani MDj,k, Jessica Hicks PhDl, Daniel Brasater PhDm, Felipe Weinberg MDm, Inna Prygova MDm

aCosmetic Laser Dermatology, San Diego, CA
bHamilton Research, LLC, Alpharetta, GA
cInvestigate MD, Scottsdale, AZ
dRKMD, Rockville, MD
eMarcus Medical Spa, Redondo Beach, CA
fMarcus Facial Plastic Surgery, Redondo Beach, CA
gMayoral Dermatology, Coral Gables, FL
hClinical Testing of Beverly Hills, Encino, CA
iAudubon Dermatology/DelRicht Research, New Orleans, LA
jLUXURGERY, New York, NY
kWashington University - St. Louis School of Medicine, Division of Plastic and Reconstructive Surgery, St. Louis, MO
lGalderma Laboratories, L.P. Dallas, TX
mGalderma, Uppsala, Sweden



greater in the PLLA-SCA group, versus the control, at month 7 (66.2% versus 38.6%; P=0.0043) and at month 9 (70.6% versus 31.1%; P<0.0001).

GCWS dynamic responder rate (live blinded evaluator assessment) was significantly higher in the PLLA-SCA group versus the control at months 7 (67.5% versus 27.3%; P<0.0001), 9 (64.7% versus 22.2%; P<0.0001), and 12 (70.5% versus 28.3%; P<0.0001; Figure 3). 

Treating investigator-reported GAIS responder rate was 68.1% at month 1 and >92% from month 7 onwards in the PLLA-SCA group and <7% throughout the study period in the control group (Figure 4). After the PLLA-SCA injection, treating investigators agreed/strongly agreed that skin radiance was improved (>95%), skin appeared tighter (>88%) and the jawline contour was improved (>85%; Table 3). 

From month 7 through month 12, subject satisfaction questionnaires revealed that most PLLA-SCA recipients reported treatment results to be excellent, very good, good, or satisfactory regarding improvement in skin radiance (greater than or equal to 90%), sagging (greater than or equal to 84%) and firmness (greater than or equal to 91%). Most PLLA-SCA subjects saw improvements regarding looking younger (greater than or equal to 90%) and