A Novel Pixilated Serial Puncture Technique for Forehead Recontouring Using Poly-L-lactic Acid

Volume loss is a major change that occurs to the aging face. Volume changes may originate in both soft and bony tissue. At present, there has been limited discussion in the literature on forehead recontouring and the application of fillers in this area. We present a case report of the off-label use of injectable poly-L-lactic acid (PLLA)(Sculptra Aesthetic, sanofi-aventis US LLC) for forehead recontouring using a novel serial puncture technique in pixilated patterns. Pixelated targeting provides a safe, easy, and effective method for utilizing PLLA to treat volume loss in the forehead.