Evidence map›Paper›PMID 40224536›Full record

ArticleJPRAS open2025

Feasibility of calcium hydroxyapatite (Radiesse®) for improving the biomechanical properties of facial burn scars: A pilot study.

Mariana Del Carmen Radilla-Flores, Erik Agustín Márquez-Gutiérrez, Mario Vélez-Palafox, María Isabel Castrejón-Vázquez, Osiris Cristina Chávez-Flores, Mario Chopin-Doroteo, Maykel González-Torres

Abstract read
In one paragraph

Article in JPRAS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Review
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

7 authors.

Mariana Del Carmen Radilla-FloresDivisión de Cirugía Plástica y Reconstructiva, Centro Nacional de Investigación y Atención al Paciente Quemado, Instituto Nacional de Rehabilitación, Ciudad de México, México.
Erik Agustín Márquez-GutiérrezJefe de la División de Cirugía Plástica y Reconstructiva, Centro Nacional de Investigación y Atención de Quemados, Instituto Nacional de Rehabilitación, Ciudad de México, México.
Mario Vélez-PalafoxJefe de la División de Cirugía Plástica y Reconstructiva, Centro Nacional de Investigación y Atención de Quemados, Instituto Nacional de Rehabilitación, Ciudad de México, México.
María Isabel Castrejón-VázquezCentro Médico Nacional 20 de Noviembre, Servicio de Inmunología Clínica y Alergia, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Ciudad de México, México.
Osiris Cristina Chávez-FloresDivisión de Cirugía Plástica y Reconstructiva, Centro Nacional de Investigación y Atención al Paciente Quemado, Instituto Nacional de Rehabilitación, Ciudad de México, México.
Mario Chopin-DoroteoLaboratorio de Tejido Conectivo, Centro Nacional de Investigación y Atención de Quemados, Instituto Nacional de Rehabilitación, Ciudad de México, México.
Maykel González-TorresDepartamento de Ciencias Químicas, Facultad de Estudios Superiores Cuautitlán-Universidad Nacional Autónoma de México, Estado de México 54740, México.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Effective treatments for facial burn scars remain limited, emphasizing the need for innovative therapeutic approaches. This study explored the feasibility of the use of calcium hydroxyapatite (CaHA, Radiesse®) as a treatment to improve the biomechanical properties of facial burn scars. Objective: To evaluate the potential effects of CaHA injections on the biomechanical properties of facial burn scars and to compare these effects with those of untreated skin. Methods: A prospective longitudinal feasibility study was conducted with 13 patients who had mature facial scars (2-5 years) covering more than 90% of the face, including hypertrophic, atrophic, and/or keloid scars. The forehead, cheek, and jaw areas were measured before treatment (baseline control) and at 2, 4, and 6 months after CaHA application, resulting in 312 measurements. CaHA was injected subdermally on one side of the face, with the opposite side serving as a control. Biomechanical properties were assessed via a Cutometer MPA 580 alongside clinical assessments, photography, and validated scar scales (Vancouver Scar Scale and Patient and Observer Scar Assessment Scale). Results: Preliminary findings suggest that CaHA injections may improve skin extensibility, elasticity, viscoelasticity, hydration, erythema, and pigmentation in the forehead, cheek, and jaw areas. These observations were supported by visual assessments and scale evaluations. Conclusion: This feasibility study indicated that subdermal CaHA injections have potential as a noninvasive approach for improving the biomechanical properties of facial burn scars. However, further studies with larger sample sizes and long-term follow-up are needed to confirm these findings.

Indexed as

biomechanical propertiesbiostimulationburnscalcium hydroxyapatitefacial scars

Identifiers

PMID40224536
PMCPMC11993187

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Registered trials

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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.