Collagen Stimulators
Your own collagen, built over months.
Injectable particles (Poly-L-lactic acid or polycaprolactone) placed in deep planes. The body responds by laying down new collagen around them. The result builds gradually over 3 – 6 months and lasts years. Not a quick fix.
Best for structural rejuvenation and lasting skin density.
- ·Global facial volume loss
- ·Declining skin density
- ·Diffuse fine lines without sharp folds
- ·Jawline and cheek contour restoration
- ·Neck and décolletage collagen support
- ·Body areas (arms, knees) on selected indications
Four steps, every time.
- Consultation & planning
I assess volume loss and skin density. I explain the gradual timeline — you will not see the final result for 3 months.
15 – 20 min - Product preparation
PLLA is reconstituted carefully, following specific hydration protocols to minimise nodule risk. Ellansé is ready-to-use.
10 min - Anaesthesia & injection
Topical or infiltrative anaesthesia. Deep-plane placement with cannula. Multiple passes at planned vectors.
20 – 30 min - Massage protocol brief
Immediate massage of the treated area; self-massage 5 minutes, 5 times a day, for 5 days. Follow-up at 6 weeks.
5 – 10 min
Biostimulators are a long-horizon treatment. If you want an immediate change for a wedding next month, this is the wrong choice — you will see nothing meaningful for 6–8 weeks. If you are thinking about aging in years, not weeks, this is one of the best tools I have.
Massage is non-negotiable.
Mild swelling and occasional bruising for 1–3 days. The '5/5/5' self-massage protocol is mandatory for PLLA to distribute product and reduce nodule risk.
Do
- Massage the treated area 5 min, 5×/day, for 5 days (PLLA).
- Sleep on your back with head slightly elevated for 3 nights.
- SPF 50+ every morning, as always.
- Return for the planned second session — PLLA is almost always a series.
Don't
- Skip the massage protocol for PLLA — nodules are the consequence.
- Exercise intensely for 48 hours.
- Have facial treatments or massage from others for 2 weeks.
- Judge the result at 2 weeks — wait 3 months.
Technical specification.
For peer doctors and trainees. If this is unfamiliar language, skip to the FAQ instead.
Products & technique
- Products
- Lanluma® (PLLA), Ellansé® (PCL-based)
- PLLA reconstitution
- 5 – 8 mL sterile water, ≥24 h hydration
- Plane
- Supraperiosteal / deep subcutaneous
- Technique
- Blunt cannula, fanning, retrograde linear threads
- Onset
- PLLA 6–8 weeks; Ellansé from 2 weeks
- Duration
- PLLA up to 2 years; Ellansé 1 – 4 years by formulation
- Interval
- PLLA 4 – 6 weeks between sessions