It can’t be stated enough: a doctor’s experience with specific injectables is a crucial factor in your results. A lack of expertise could lead to mediocre results or, as shown by a 2007 study, disfigurement.
Four patients who received superficial injections of polylactic acid, or PLA, around the eyes each exhibited consequent inflammation and nodules (abnormal lumps). PLA is intended to be administered more deeply than hyaluronic-acid fillers, and the proper technique for its use around the eyes is in relative infancy.
“This material does not act as a dermal filler, which would be injected superficially to smooth wrinkles, but needs to be placed deeply below the muscles to be a safer and more effective agent,” said study author and dermatologist Greg Goodman, whose research appeared in the Journal of Cosmetic Dermatology (the official digest of the European Society for Cosmetic and Aesthetic Dermatology). “New procedures are not necessarily the best procedures; sometimes waiting for a procedure to improve and mature over many years is the best policy for those seeking safe, quality results.”
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