Safe and Effective Restoration of Jawline Definition With Hyaluronic Acid Injectable Gel VYC-25L: Results From a Randomized Controlled Study.

IF 3 2区 医学 Q1 SURGERY Aesthetic Surgery Journal Pub Date : 2024-11-15 DOI:10.1093/asj/sjae147
Alexander Rivkin, Jeremy B Green, Suzanne Bruce, Sue Ellen Cox, Oscar Hevia, Smita Chawla, Marta Sartor
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Abstract

Background: A well-defined jawline improves overall facial aesthetics, motivating patients to seek jawline augmentation.

Objectives: In this study we evaluated the safety and effectiveness of the hyaluronic acid injectable gel VYC-25L for restoring jawline definition.

Methods: In a US multicenter, evaluator-blinded study adults with grade 2 (moderate) or 3 (severe) Allergan Loss of Jawline Definition Scale (ALJDS) scores were randomized. Participants were randomized to the VYC-25L treatment group or control group at study onset, with 12-month follow-up. The control group had the option to receive treatment after 6 months (primary endpoint completion). Effectiveness measures included Month 6 ALJDS responders rate (proportion of participants with ≥1-grade improvement from baseline on both sides), FACE-Q Satisfaction With Lower Face and Jawline scores, and Global Aesthetic Improvement Scale (GAIS) responders (improved/much improved) as assessed by the investigator and participants. Injection site responses (ISRs) and adverse events (AEs) were monitored.

Results: At Month 6, ALJDS responder rates were 69.0% vs 38.0% in the VYC-25L treatment (n = 157) and control (n = 49) groups, respectively (P = .0001). In the VYC-25L treatment group, FACE-Q scores improved by a mean of 45.9 points from baseline at Month 6 (P < .0001). Furthermore, 88.4% and 89.0% of participants in the VYC-25L treatment group were GAIS responders at Month 6 by participant and investigator assessment, respectively. Most ISRs were mild or moderate and resolved within 2 weeks. Most treatment-related AEs were mild and resolved within 1 week.

Conclusions: VYC-25L safely and effectively restores jawline definition through 1 year.

Level of evidence: 1:

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使用透明质酸注射凝胶 VYC-25L 安全有效地恢复下颌角轮廓:随机对照研究的结果。
背景:轮廓分明的下颌角能改善面部整体美感,从而促使患者寻求下颌角整形手术:本研究将评估透明质酸注射凝胶 VYC-25L 在恢复下颌轮廓清晰度方面的安全性和有效性:美国一项多中心、评估者盲法研究对Allergan下颌角轮廓丧失量表(ALJDS)评分为2级(中度)或3级(重度)的成人进行随机分组。研究开始时,参与者被随机分配到 VYC-25L 治疗组或对照组,随访 12 个月。对照组可选择在 6 个月后接受治疗(主要终点完成)。疗效测量指标包括第6个月ALJDS应答率(两侧面部较基线改善≥1级的参与者比例)、FACE-Q下面部和下颌角满意度评分,以及由研究人员和参与者评估的全球美学改善量表(GAIS)应答率(改善/大幅改善)。对注射部位反应(ISRs)和不良事件(AEs)进行了监测:第6个月时,VYC-25L治疗组(n = 157)和对照组(n = 49)的ALJDS应答率分别为69.0%和38.0%(p = .0001)。在 VYC-25L 治疗组中,第 6 个月时的 FACE-Q 评分与基线相比平均提高了 45.9 分(p < .0001)。此外,根据参与者和研究者的评估,VYC-25L 治疗组分别有 88.4% 和 89.0% 的参与者在第 6 个月时对 GAIS 有反应。大多数 ISR 为轻度或中度,并在 2 周内缓解。大多数治疗相关不良反应为轻度,并在一周内缓解:结论:VYC-25L能安全有效地恢复下颌角轮廓,疗程长达1年。
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来源期刊
CiteScore
6.20
自引率
20.70%
发文量
309
审稿时长
6-12 weeks
期刊介绍: Aesthetic Surgery Journal is a peer-reviewed international journal focusing on scientific developments and clinical techniques in aesthetic surgery. The official publication of The Aesthetic Society, ASJ is also the official English-language journal of many major international societies of plastic, aesthetic and reconstructive surgery representing South America, Central America, Europe, Asia, and the Middle East. It is also the official journal of the British Association of Aesthetic Plastic Surgeons, the Canadian Society for Aesthetic Plastic Surgery and The Rhinoplasty Society.
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