Evidence map›Paper›PMID 40062708›Full record

SynthesisJournal of cosmetic dermatology2025

Conditions to Consider When Choosing Fillers.

Gi-Woong Hong, Jovian Wan, Song-Eun Yoon, Sky Wong, Kyu-Ho Yi

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Review
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  11. A Review: Causes, Consequences, and Management Strategies of Facial Overfilling.Clinical, cosmetic and investigational dermatology · 2025
    Review
  12. Article
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

5 authors.

Gi-Woong HongSamskin Plastic Surgery Clinic, Seoul, Korea.
Jovian WanMedical Research Inc, Wonju, Korea.
Song-Eun YoonBrandnew Aesthetic Surgery Clinic, Seoul, Korea.
Sky WongLeciel Medical Centre, Hong Kong.ORCID https://orcid.org/0000-0003-4412-7380
Kyu-Ho YiDivision in Anatomy and Developmental Biology, Department of Oral Biology, Human Identification Research Institute, BK21 Four Project, Yonsei University College of Dentistry, Seoul, Korea.ORCID https://orcid.org/0000-0001-5572-1364

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe selection of dermal fillers in aesthetic medicine often relies on factors such as cost, immediate outcomes, and practitioner experience. However, incorporating knowledge of fillers' rheological properties, such as viscoelasticity and cohesiveness, allows for more precise product selection tailored to patient needs and treatment goals while reducing the risk of complications.

aimsThis review aims to summarize essential considerations for filler selection, focusing on rheological properties, safety profiles, and clinical applications. Additionally, it seeks to highlight differences between hyaluronic acid (HA) fillers and non-HA fillers to guide practitioners in aesthetic procedures. PATIENTS/

methodsA systematic review was conducted following PRISMA guidelines. Searches across PubMed, Scopus, Web of Science, and the Cochrane Library yielded 619 articles. After duplicate removal and rigorous screening, 50 peer-reviewed studies were included. Data extraction focused on filler types, rheological properties (e.g., G' and G″ values), safety, and efficacy.

resultsHA fillers, particularly monophasic types, exhibit smoother consistency and better cohesiveness, making them ideal for high-mobility areas like the mouth. Biphasic fillers, with higher viscoelasticity, provide superior lifting capacity for deeper tissue support. Non-HA fillers, such as poly-L-lactic acid and calcium hydroxylapatite, offer longer-lasting results but require precise techniques due to irreversibility. Proper selection based on filler rheology, target area, and patient needs can mitigate risks such as overfilled syndrome, Tyndall effect, and delayed inflammatory responses.

conclusionsUnderstanding the rheological and safety profiles of fillers is essential for achieving optimal aesthetic outcomes. HA fillers are recommended for novice practitioners due to their reversibility, while experienced clinicians may explore non-HA options. Tailored filler selection based on rheological properties and clinical context ensures safer and more effective treatments.

Indexed as

Cosmetic TechniquesDermal FillersSkin AgingHumansHyaluronic AcidRheologyViscosityDermal FillersHyaluronic Acidhyaluronic acid fillersnon‐hyaluronic acid fillerspatient safetyrheologyviscoelasticity

Identifiers

PMID40062708
PMCPMC11892339

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.