Sculptra® vs. Radiesse® vs. Ellansé®: Which collagen stimulator is right for you?

Sculptra® (PLLA), Radiesse® (CaHA), and Ellansé® (PCL) Compared: Which Collagen Stimulator is Right for Your Patients? Mechanism of Action, Duration of Effect, and Indications for Physicians.

Collagen Stimulators: The New Generation of Aesthetic Medicine

Collagen stimulators have revolutionized aesthetic medicine: instead of immediate volume enhancement, they focus on the body's own collagen production for natural, long-lasting results. The three leading active ingredients – Poly-L-Lactic Acid (PLLA) in Sculptra®, Calcium Hydroxylapatite (CaHA) in Radiesse®, and Poly-Caprolactone (PCL) in Ellansé® – differ fundamentally in their active ingredient, mechanism, and indication.

Sculptra® – Poly-L-Lactic Acid (PLLA)

Sculptra® by Galderma is based on Poly-L-Lactic Acid (PLLA). PLLA microparticles stimulate fibroblasts to produce collagen.

  • Active Ingredient: Poly-L-Lactic Acid (PLLA)
  • Duration of Action: Up to 24 months
  • Onset of Action: Gradual over 4–6 weeks
  • Sessions: 2–3 treatments at 4–6 week intervals
  • Indications: Temples, cheeks, chin, facial volume loss

Radiesse® – Calcium Hydroxylapatite (CaHA)

Radiesse® contains calcium hydroxylapatite microspheres in a gel carrier. Note: Radiesse® is currently not available in the Novamedo range. Please contact us for availability inquiries.

  • Active Ingredient: Calcium Hydroxylapatite (CaHA)
  • Duration of Action: 12–18 months
  • Onset of Action: Immediate (gel carrier) + long-term (CaHA)
  • Indications: Nasolabial folds, hands, facial contouring, neck

Ellansé® – Poly-Caprolactone (PCL)

Ellansé® by Sinclair is based on Poly-Caprolactone (PCL) – a biodegradable polymer with the longest duration of action among collagen stimulators.

  • Active Ingredient: Poly-Caprolactone (PCL)
  • Duration of Action: Ellansé® S: 12 months | Ellansé® M: 24 months
  • Onset of Action: Immediate (CMC gel) + long-term (PCL)
  • Sessions: 1 treatment is sufficient
  • Indications: Cheeks, chin, temples, facial structuring

Direct Comparison: Sculptra® vs. Radiesse® vs. Ellansé®

Feature Sculptra® Radiesse® Ellansé®
Active Ingredient PLLA CaHA PCL
Immediate Effect No Yes Yes
Duration of Action Up to 24 months 12–18 months 12–24 months
Sessions 2–3 1–2 1
Visible in X-ray No Yes (CaHA) No
In Novamedo Shop ✅ Available ⚠️ On request ✅ Available

Which Collagen Stimulator for Which Patient?

  • Sculptra®: Ideal for patients with significant volume loss who prefer a gradual, natural result.
  • Radiesse®: Ideal for immediate results with long-term effects – especially for hands and nasolabial folds.
  • Ellansé®: Ideal for maximum duration of action with just one session and precise facial structuring.

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