Ontology highlight
ABSTRACT: Background
Age-related changes of facial soft tissue cause clinical signs of facial aging such as lip atrophy, marionette lines, and an accentuated nasolabial fold. These changes can be modified using dermal fillers.Aims
To evaluate efficacy, longevity, and safety of a cross-linked hyaluronic acid-based filler with Tri-Hyal technology in the treatment of lips, nasolabial folds, and marionette lines.Materials and methods
This prospective, multi-center trial evaluated injections of three different areas (lips, nasolabial fold alone, or with marionette wrinkles) with a soft tissue filler containing 25 mg/ml cross-linked hyaluronic acid and 0.3% lidocaine. Primary endpoint was the aesthetic correction 3 weeks after one injection session without touch-up. Follow-up was 18 months. Assessments were performed using the Global Aesthetic Score (GAS), clinical scoring based on photographic scales, high-frequency ultrasound imaging, and the Global Aesthetic Improvement Scale (GAIS).Results
In total, 100 subjects were injected. GAS improved significantly for all treatment indications at 3 weeks (p < 0.0001). Success rates were highest for nasolabial folds (98.4%), followed by marionette lines (94.4%) and lips (73.5%). After 18 months post-injection, success was observed in 91%, 88%, and 33% of subjects injected into nasolabial folds, marionette lines, and lips, respectively. GAIS scored highest for nasolabial folds (SGAIS: 71%; IGAIS: 40%), followed by marionette lines (SGAIS: 56%; IGAIS: 33%) and lips (SGAIS: 30%; IGAIS: 22%) at 18 months follow-up.Conclusions
The filler demonstrated high efficacy and safety in all indications. Regional differences in longevity were evident. Thus, the necessity of regional retreatments should be discussed with patients before injection.
SUBMITTER: Ehlinger-David A
PROVIDER: S-EPMC10087550 | biostudies-literature | 2023 Feb
REPOSITORIES: biostudies-literature
Ehlinger-David Agnès A Gorj Mihai M Braccini Frédéric F Loreto Federico F Grand-Vincent Anne A Garcia Philippe P Taieb Maryna M Benadiba Laurent L Catoni Isabelle I Mathey Elena Rumyantseva ER Deutsch Jean-Jacques JJ Bahadoran Philippe P Vincent Thibaud T David Michel M Cartier Hugues H Nadra Karim K Moellhoff Nicholas N Fanian Ferial F
Journal of cosmetic dermatology 20220731 2
<h4>Background</h4>Age-related changes of facial soft tissue cause clinical signs of facial aging such as lip atrophy, marionette lines, and an accentuated nasolabial fold. These changes can be modified using dermal fillers.<h4>Aims</h4>To evaluate efficacy, longevity, and safety of a cross-linked hyaluronic acid-based filler with Tri-Hyal technology in the treatment of lips, nasolabial folds, and marionette lines.<h4>Materials and methods</h4>This prospective, multi-center trial evaluated injec ...[more]