QWith so many different protocols, how do you prepare Poly-L lactic acid in the office without losing money if the patient no-shows?

Gabriela Maloney, DO

Gabriela Maloney, DO

Forefront Dermatology
Brookfield, WI

Newer guidelines state that Poly-L-lactic acid can be reconstituted within 2 hours of treatment. This has been a game changer as it allows same day reconstitution. Once ready, a vial has to be used within 72 hours1. Due to these limitations, patients that schedule treatment and no-show can present a challenge. For clinics that do this often it is not as concerning; however, if you are new to doing this procedure the potential of losing a vial can be costly.   

I follow the label and reconstitute the product with 5 mls of sterile water at least 2 hours prior to treatment. A few things I have implemented to prevent revenue loss include taking a 50% deposit at the time of booking. This will ensure your cost and time is protected, and it will also help self-select patients that are very motivated to get the treatment. I have my staff call these patients the day before to confirm the appointment and remind them to arrive early. I also avoid scheduling these patients on a Friday, so that if they do not come in for their appointment, we have other days of the week to use the product before it needs to be discarded.


  1. Sculptra aesthetic patient brochure. Galderma Laboratories, 2022.