Hyaluronic Acid Injectable Gel VYC-25L Is Safe and Effective for Adults Seeking Chin Enhancement to Correct Chin Retrusion: Results From a Real-world Evidence Study in China

IF 2.8 3区 医学 Q2 SURGERY Aesthetic Plastic Surgery Pub Date : 2025-02-26 DOI:10.1007/s00266-024-04572-3
Yimin Liang, Wang Zhan, Yun Xie, Danru Wang, Qingfeng Li, Grace Zhao, Smita Chawla
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Abstract

Background

Chinese individuals may seek chin enhancement to address esthetic perceptions regarding chin retrusion. Because studies of the injectable hyaluronic acid gel VYC-25L (Allergan Aesthetics, an AbbVie Company, Irvine, CA) contained few Asian subjects and none from China, its effects on chin retrusion in Chinese individuals are unclear. This 12-month, real-world evidence study evaluated the safety and effectiveness of VYC-25L for chin enhancement in Chinese adults.

Methods

At Hainan Bo’ao Super Hospital, 2 cohorts of prospectively and retrospectively enrolled adults received VYC-25L treatment (maximum 4 mL). Cohort 1 only underwent 3D imaging before and after treatment for digital analysis. The primary effectiveness measure was mean change from baseline in glabella–subnasale–pogonion (G–Sn–Pog) angle at month 3 based on 3D facial images. Both cohorts completed the Global Aesthetic Improvement Scale (GAIS; subjects and investigators) and a satisfaction questionnaire (subjects). Injection site response (ISR) and adverse events were recorded.

Results

Of 90 subjects enrolled (cohort 1, n=36; cohort 2, n=54), 89 completed the study. Mean change from baseline in G–Sn–Pog angle at month 3 was 3.19 degrees (95% CI, 2.55–3.83; P < 0.001 vs 0), with improvement maintained through 12 months. Month 3 “improved”/“much improved” GAIS responder frequencies were 94.3% (investigators) and 97.1% (subjects); 91.5% of subjects were “satisfied”/“very satisfied” with treatment at month 3. Most (>70%) ISRs were mild or moderate in severity. Four treatment-related adverse events occurred (all mild).

Conclusion

VYC-25L was safe and effective for enhancement of the chin and jaw in Chinese adults.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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透明质酸注射凝胶VYC-25L对寻求下颌增强矫正下颌后缩的成人安全有效:来自中国真实世界证据研究的结果。
背景:中国人可能会寻求下巴增强来解决关于下巴后缩的审美知觉。由于注射透明质酸凝胶VYC-25L (Allergan Aesthetics, AbbVie Company, Irvine, CA)的研究中很少有亚洲受试者,也没有来自中国的受试者,因此其对中国人下巴后缩的影响尚不清楚。这项为期12个月的真实世界证据研究评估了VYC-25L对中国成年人下巴增强的安全性和有效性。方法:在海南博鳌超级医院,前瞻性和回顾性纳入2组成人,接受VYC-25L治疗(最大4ml)。队列1仅在治疗前后进行三维成像以进行数字分析。主要有效性衡量指标是基于3D面部图像的第3个月时眉间-鼻下-毒囊(G-Sn-Pog)角相对基线的平均变化。两组受试者都完成了全球审美改善量表(GAIS;受试者和调查人员)和满意度问卷(受试者)。记录注射部位反应(ISR)和不良事件。结果:90名受试者入组(队列1,n=36;队列2,n=54), 89人完成研究。第3个月G-Sn-Pog角较基线的平均变化为3.19度(95% CI, 2.55-3.83;P < 0.001 vs .0),改善持续了12个月。第3个月GAIS“改善”/“显著改善”的应答频率分别为94.3%(调查人员)和97.1%(受试者);第3个月时,91.5%的受试者对治疗“满意”/“非常满意”。大多数(约70%)isr的严重程度为轻度或中度。发生4例治疗相关不良事件(均为轻度)。结论:VYC-25L是一种安全、有效的成人下颌增强剂。证据等级iii:本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述,请参阅目录或在线作者说明www.springer.com/00266。
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来源期刊
CiteScore
4.40
自引率
25.00%
发文量
479
审稿时长
3 months
期刊介绍: Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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