Evidence map›Paper›PMID 34716645›Full record

ArticleJournal of cosmetic dermatology2021

Effectiveness of combined microfocused ultrasound with visualization and subdermal calcium hydroxyapatite injections for the management of brachial skin laxity.

Sylvia Ramirez, Ivan Boon Kwang Puah

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05469516 (Superficial MFU-V and Diluted Calcium Hydroxyapatite for the Improvement of Lower Face Skin Quality and Wrinkles), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 19% of its field
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.

NCT05469516 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Superficial MFU-V and Diluted Calcium Hydroxyapatite for the Improvement of Lower Face Skin Quality and Wrinkles

TypeinterventionalSponsorCutis Medical Laser Clinics Pte LtdRan2022 to 2023Enrolled15ConditionsAgingArmsUlthera System [Ulthera, Inc.], Merz Radiesse Injectable Implant
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Early Experience With Ultherapy Prime in Asia Pacific: A Pilot Case Series.Plastic and reconstructive surgery. Global open · 2025
    Article
  7. Review
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  9. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 1 country.

Sylvia RamirezCutis Medical Laser Clinics, Singapore city, Singapore.ORCID https://orcid.org/0000-0002-7843-1885
Ivan Boon Kwang PuahAmaris B Clinic, Singapore city, Singapore.
AMS (Singapore) · SGInstitute of Medical Biology · SG

Funding

Merz Aesthetics
6 · The paper itself

Abstract

backgroundThere is no publication to date on the combined use of microfocused ultrasound with visualization (MFU-V) and calcium hydroxylapatite (CaHA) for brachial skin laxity.

aimTo assess the effectiveness of combining MFU-V with diluted/hyperdiluted CaHA in a single session for treating brachial skin laxity. SUBJECTS/

methodsFemale subjects who had skin laxity in the brachial regions and who desired non-surgical intervention were enrolled into this prospective, single-arm pilot study. MFU-V (Ultherapy

resultsTwelve subjects participated in the study. The mean R0 reading (measure of skin firmness) progressively improved from 0.515 mm at baseline to 0.433 mm at 24 weeks (p < 0.05 for 12 and 24 weeks). The mean R2 reading (measure of skin elasticity) and mean arm VAS improved significantly from baseline at all visits (p < 0.05 for all). The majority of subjects at each visit showed improved arm appearance and were satisfied with their treatment. Both procedures were well-tolerated.

conclusionsCombined use of MFU-V with diluted/hyperdiluted CaHA demonstrates significant improvements in both objective and subjective measures of brachial skin laxity.

Indexed as

Cosmetic TechniquesSkin AgingUltrasonic TherapyDurapatiteFemaleHumansPatient SatisfactionPilot ProjectsProspective StudiesTreatment OutcomeUltrasonographyDurapatitearm laxitycalcium hydroxylapatitecombination therapymicrofocused ultrasound with visualization

Identifiers

PMID34716645
PMCPMC9297859
OpenAlexW3208200143

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.