Two effects, one after the other
Ellansé, also written Ellanse, is made of polycaprolactone microspheres carried in a carboxymethylcellulose gel. By make-up it is about 30% microspheres, each roughly 25 to 50 µm across, and about 70% gel. It is made by Sinclair.
The gel gives volume on the day. Over the following weeks the gel is absorbed, and fibroblasts lay down collagen around the microspheres that stay behind. That collagen then provides the support over the longer term. So the look on day one is not the final picture. Dosing is planned for what the collagen will do, and results vary.
Because the collagen is what counts, treatment starts with less than the final amount. You are reviewed once the gel has gone and collagen is forming, as that is when the real change can be judged.
How Ellanse treatment is planned in Singapore
Two versions are used. Ellansé-S resorbs sooner and Ellansé-M resorbs later. Both use the same microspheres and carrier. They differ in how long the collagen scaffold persists, and the choice is made for each patient and each area. The product goes deep, on the bone surface or in deep fat compartments where anatomy allows. It is placed in small deposits, never spread as a thin sheet. Slowly, the microspheres break down to carbon dioxide and water. Ellansé is CE-marked as a medical device. It does not have US FDA approval.
Where it may suit
Projection at the chin and definition along the jaw, in firm tissue.
Hollowed temples and the outer cheek, where structural support is the need.
Hands where the tendons have become visible.
People who understand it cannot be reversed and want it for the collagen that follows.
Who should avoid it or wait
Known allergy to a component or a history of severe allergic reactions. Bleeding disorders. Non-absorbable filler such as silicone in the area. Earlier filler that has not been mapped.
Pregnancy and breastfeeding. Infection or inflammation at or near the site, such as active acne or a cold sore.
Autoimmune disease or immune-modifying treatment.
Blood thinners, a history of keloid or hypertrophic scars, and recent or planned dental work.
What Ellansé cannot do
It cannot be dissolved. Hyaluronidase has no effect on PCL or its gel carrier. If a problem arises it has to be managed, because it cannot be undone. Ellansé does not lift a descended jowl, and for that the doctor may discuss focused ultrasound or the VF Lift. It is not used for lips, tear troughs, or fine lines in thin or mobile skin. If you have never had your face assessed, or you want the option of reversal, a reversible hyaluronic acid filler is usually the gentler place to start. Nor can anyone tell you exactly how long it will last in your face, so no duration should be taken as a prediction.
Side effects and risks
Swelling, bruising, tenderness at the injection sites, and short-lived firmness where the gel sits.
Nodules, and product you can see or feel. These are linked to shallow placement, too much in one spot, or use in mobile areas.
Vascular complications can happen with any injectable near facial vessels. Read the warning signs so you know when to seek urgent help.
Lumps and earlier filler
A lump should be examined before anyone treats it, usually with ultrasound. Options for nodules include observation, injections, and the Sculpting mode of Time Freeze Laser LCLR. Lumps or heaviness from earlier filler usually call for taking product away, and adding more is not the answer. See our page on pillow face. Ellansé will not be placed over filler that has not been mapped. A lump needs a diagnosis first, because the right response depends on what it is and where it sits.
Recovery, in phases
Before you book
How long it lasts, and how fees work
No duration is promised. How long it holds depends on the version, the area, the amount, your tissue, and any weight change. PCL resorbs over time, and the collagen ages along with the face. Fees are not published. They depend on the areas, the version chosen, the amount your anatomy calls for, staging, and any combined treatment. A written quote comes at consultation, which also decides whether Ellansé is advised at all.