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Randomized Controlled Trial
. 2024 Dec 1;50(12):1143-1148.
doi: 10.1097/DSS.0000000000004315. Epub 2024 Jul 5.

Prospective Clinical Trial Demonstrating the Efficacy of Hyaluronic Acid Filler for the Improvement of Atrophic Facial Scars up to 2 years

Affiliations
Randomized Controlled Trial

Prospective Clinical Trial Demonstrating the Efficacy of Hyaluronic Acid Filler for the Improvement of Atrophic Facial Scars up to 2 years

Robyn Siperstein et al. Dermatol Surg. .

Abstract

Background: Hyaluronic acid (HA) filler longevity has been studied for wrinkles. However, its long-term use for treating atrophic facial scars has not yet been analyzed in long-term prospective studies.

Objective: Analyze the safety and duration of a HA filler for the use in atrophic scars.

Materials and methods: Fifteen subjects received VYC-17.5L in atrophic scars on 1 randomized cheek and saline on the other, with 1 optional touch-up treatment and crossover after the short-term trial. Grading for this long-term extension was done on Day 720, using the Global Aesthetic Improvement Scale (GAIS) and the Quantitative Global Scarring Grading System.

Results: On Day 720, a live blind evaluator rated the VYC-17.5L assigned side as having significant reduction in scar severity (-7.2 [t(22) = -6.01, p = .00009]) and number of scars (-8.8 [t(22) = -6.25, p = .00006]) as compared with baseline. There was no significant difference in the results from Day 120 to Day 720. Ninety-two percent (11/12) of subjects reported improvement (GAIS), were satisfied with the treatment, thought it looked natural, and had fewer side effects than expected. There were no persistent or late-onset side effects.

Conclusion: VYC-17.5L improved rolling atrophic facial scars, and the results were sustained throughout the 2-year trial without side effects.

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Conflict of interest statement

The authors have indicated no significant interest with commercial supporters.

Figures

Figure 1.
Figure 1.
(A–C) Canfield Primos 3D photo-analysis of 46-year-old man with atrophic scarring (A) before treatment and (B) 90 days after treatment with VYC-17.5L, and (C) over 2 years after treatment.

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