Evidence map›Paper›PMID 34255156›Full record

SynthesisAesthetic plastic surgery2021

Tissue Fillers for the Nasolabial Fold Area: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

Tomasz Stefura, Artur Kacprzyk, Jakub Droś, Marta Krzysztofik, Oksana Skomarovska, Marta Fijałkowska, Mateusz Koziej

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Aesthetic plastic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. A Split Face Study Comparing the Effect of a PDLLA Based Product and PLLA on the Nasolabial Fold (NLF).Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2026
    Trial
  7. Effectiveness and Safety of STYLAGEAesthetic plastic surgery · 2025
    Trial
  8. Article
  9. Article
  10. Facial Injectable Fillers in Aesthetic Medicine: Clinical Applications and Safety Strategies.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Facial fillers: Relevant anatomy, injection techniques, and complications.World journal of otorhinolaryngology - head and neck surgery · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Tomasz StefuraJagiellonian University Medical College, Świętej Anny 12, 31-008, Kraków Cracow, Poland. tomasz.stefura@gmail.com.ORCID 0000-0003-4208-7872
Artur KacprzykJagiellonian University Medical College, Świętej Anny 12, 31-008, Kraków Cracow, Poland.
Jakub DrośJagiellonian University Medical College, Świętej Anny 12, 31-008, Kraków Cracow, Poland.
Marta KrzysztofikJagiellonian University Medical College, Świętej Anny 12, 31-008, Kraków Cracow, Poland.
Oksana SkomarovskaJagiellonian University Medical College, Świętej Anny 12, 31-008, Kraków Cracow, Poland.
Marta FijałkowskaDepartment of Plastic, Reconstructive and Aesthetic Surgery Second Chair of Surgery Medical, University of Lodz, Lodz, Poland.
Mateusz KoziejDepartment of Anatomy, Jagiellonian University Medical College, Cracow, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tissue fillers injections remain to be one of the most commonly performed cosmetic procedures. The aim of this meta-analysis was to systematize and present available data on the aesthetic outcomes and safety of treating the nasolabial fold area with tissue fillers. We conducted a systematic review of randomized clinical trials that report outcomes concerning treatment of nasolabial fold area with tissue fillers. We searched the MEDLINE/PubMed, ScienceDirect, EMBASE, BIOSIS, SciELO, Scopus, Cochrane Controlled Register of Trials, CNKI and Web of Science databases. Primary outcomes included aesthetic improvement measured using the Wrinkle Severity Rating Scale score and Global Aesthetic Improvement Scale. Secondary outcomes were incidence rates of complications occurring after the procedure. At baseline, the pooled mean WSRS score was 3.23 (95% CI: 3.20-3.26). One month after the procedure, the pooled WSRS score had reached 1.79 (95% CI: 1.74-1.83). After six months it was 2.02 (95% CI: 1.99-2.05) and after 12 months it was 2.46 (95% CI: 2.4-2.52). One month after the procedure, the pooled GAIS score had reached 2.21 (95% CI: 2.14-2.28). After six months, it was 2.32 (95% CI: 2.26-2.37), and after 12 months, it was 1.27 (95% CI: 1.12-1.42). Overall, the pooled incidence of all complications was 0.58 (95% CI: 0.46-0.7). Most common included lumpiness (43%), tenderness (41%), swelling (34%) and bruising (29%). Tissue fillers used for nasolabial fold area treatment allow achieving a satisfying and sustainable improvement. Most common complications include tenderness, lumpiness, swelling, and bruising. LEVEL OF EVIDENCE II: "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 ."

Indexed as

Cosmetic TechniquesDermal FillersSkin AgingHumansHyaluronic AcidNasolabial FoldRandomized Controlled Trials as TopicTreatment OutcomeDermal FillersHyaluronic AcidDermal fillersHyaluronic acidMeta-analysisNasolabial foldTissue fillers

Identifiers

PMID34255156
PMCPMC8481177

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.