CME: Advanced PLLA Injection: Optimizing Safety & Maximizing Patient Results

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Advanced PLLA Injection: Optimizing Safety & Maximizing Patient Results

Advanced PLLA Injection: Optimizing Safety & Maximizing Patient Results
This step-by-step video reviews the safe and appropriate PLLA injection techniques for two popular, off-label areas: the chest and buttock.

Available credits: 1.00

Time to complete: 60 minutes


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  • Overview

    While Poly-L Lactic Acid (PLLA/Sculptra® Aesthetic) has been used for non-facial volumization for some time now, there’s a lot of safety precautions that need to be considered to reach the best possible patient outcomes. Reviewing best practices for the off-label use of PLLA are Dr. Sabrina Fabi and Dr. Neil Sadick. 

    Disclaimer:  The list of available dermal fillers is continuously evolving. Since this activity was produced, some products are no longer approved by the US FDA or currently marketed, while others have received regulatory approval.  Providers are highly encouraged to click on this link to view the FDA’s updated list of injectable available: Dermal Fillers Approved by the Center for Devices and Radiological Health.

  • Disclosure of Conflicts of Interest

    In accordance with the ACCME Standards for Commercial Support, The Omnia-Prova Education Collaborative (TOPEC) requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. TOPEC resolves all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. 

    Sabrina Fabi, MD, FAAD, FAACS
    Board certified in dermatology and dermatological cosmetic surgery; Faculty for UC San Diego Medical Center; Partner at Cosmetic Laser Dermatology in San Diego, California.

    Sabrina Fabi, MD, FAAD, FAACS has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Valeant, Galderma, Allergan, Merz.
    Served as a speaker or a member of a speakers bureau for: Galderma, Allergan, Merz.

    Neil Sadick, MD FAAD, FAACS, FACP, FACPh
    Board certified in Dermatology, Internal Medicine, Cosmetic Surgery, and Hair Restoration; Clinical Professor of Dermatology at Weill Cornell Medical College; Immediate Past President of the American Academy of Cosmetic Surgery (AACS).

    Neil Sadick, MD FAAD, FAACS, FACP, FACPh, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Galderma.
    Served as a speaker or a member of a speakers bureau for: Galderma.
    Received grants for clinical research from: Galderma.


    • Sean T. Barrett has nothing to disclose.
    • Jason D. Bloom, MD receives consulting fees from Allergan, Aqua Pharmaceuticals, Cearna/OcuMend, Endo Pharmaceuticals, Galderma, InMode, MEND Nutrition, Merz, Remedly, Revance, RightResult, Sinclair, and ThermiAesthetics; is a speaker for Allergan, Alma Lasers, Galderma, InMode, Merz, and ThermiAesthetics; conducts contracted research with Allergan, Galderma, and Zeltiq; and has ownership interest in Cearna/OcuMend, MEND Nutrition, and Remedly.
    • Ken Brown has nothing to disclose.
    • Carole Drexel, PhD, CHCP has nothing to disclose.
    • Kia K. Gray, MPH has nothing to disclose.
    • Ashley Rosenthal has nothing to disclose.
    • Jennifer Spear Smith, PhD has nothing to disclose.
  • Learning Objectives

    After completing this activity, participants should be better able to:

    • Describe the uniqueness of PLLA compared with other dermal fillers
    • Recite adverse events for filler injections and establish a clinic-wide plan to handle adverse events
    • Decide on the best PLLA reconstitution methods for your clinic
    • Identify the best PLLA candidates for the injection sites demonstrated
    • Integrate into practice using PLLA into the medial arm, décolletage (chest) and buttocks
  • Target Audience

    This activity is designed to meet the educational needs of dermatologists, plastic surgeons and aesthetic health care professionals including nurse practitioners, nurses, physician assistants, OB/GYNs, and dentists throughout the U.S who have experience injecting fillers and Poly-L-Lactic Acid.

  • Accreditation and Credit Designation Statements

    The Omnia-Prova Education Collaborative, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The Omnia-Prova Education Collaborative, Inc. designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

  • Provider(s)/Educational Partner(s)


    Omnia Education is the leading provider of education for women’s health professionals. Our activities are recognized nationwide for providing credible, relevant, and practical information on issues impacting the female patient. Additionally, our unique focus has transformed the CME learning environment, and our ability to help learners recognize and overcome barriers to optimal performance and optimal patient outcomes has positioned us as a leader in women’s health education.

  • Commercial Support

    This activity is supported by an independent educational grant from Galderma USA.

  • System Requirements

    Our site requires a computer, tablet or mobile device and a connection to the Internet. For best results, a high-speed Internet connection is recommended (DSL/cable). We also recommend using the latest version of your favorite browser to ensure compliance with W3C standards, such as Internet Explorer, Microsoft Edge, Chrome, Firefox or Safari. Users accustomed to IE8, IE9 IE10 are advised to update their browsers for the best experience.

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