Evidence map›Paper›PMID 40584392›Full record

ReviewClinical, cosmetic and investigational dermatology2025

Alopecia Secondary to Hyaluronic Acid Injection: A Case Report and Literature Review.

Lingling Jia, Jiachao Xiong, Changjiang Zhao, Hua Jiang, Yufei Li

Abstract readReview
In one paragraph

Review in Clinical, cosmetic and investigational dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Treatment for Filler-Induced Alopecia with Concentrated Growth Factors.Clinical, cosmetic and investigational dermatology · 2026
    Article
  2. 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

5 authors.

Lingling Jia *Department of Plastic Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, People's Republic of China.
Jiachao Xiong *Department of Plastic Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, People's Republic of China.
Changjiang ZhaoDepartment of Plastic Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, People's Republic of China.
Hua JiangDepartment of Plastic Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, People's Republic of China.
Yufei LiDepartment of Plastic Surgery, Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, 200120, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hyaluronic acid injections, commonly used for anti-aging purposes, carry potential risks, including transient or permanent alopecia, a complication not yet fully characterized. This adverse effect can result from various mechanisms, such as pressure, ischemia, inflammation, and necrosis. Objective: This study aimed to present a case report of a patient treated with Concentrated Growth Factor combined with microneedling and minoxidil for alopecia following hyaluronic acid injection in the left temporal scalp and to systematically review literature from January 2000 to December 2024 on alopecia secondary to hyaluronic acid injections. Methods: A 23-year-old woman developed a 5×6.5 cm alopecic patch on the left temporal scalp just four days after receiving 5 mL of Restylane hyaluronic acid filler in the frontal area. Despite initial treatment with 1500 units of hyaluronidase, alopecia progressed. A multimodal therapy was then initiated, including Concentrated Growth Factor injections, microneedling, and topical 5% minoxidil, delivered over three sessions at 1-2-week intervals. A systematic literature search (PubMed/Web of Science/Embase, 2000-2024) identified 13 relevant articles reporting on 19 cases of hyaluronic acid-induced alopecia for analysis. Results: In the case report, the patient experienced full hair regrowth after treatment with Concentrated Growth Factor, microneedling, and minoxidil. Additionally, thirteen full-text articles involving 19 patients with hyaluronic acid-induced alopecia were analyzed. Data collected included filler type, injection site, complication site, onset of alopecia, associated symptoms, diagnostic tests, proposed mechanisms, treatment approaches, and outcomes. Various treatments were employed across studies, with variable success rates. Conclusion: Prompt diagnosis and early intervention are crucial in preventing irreversible hair loss after HA injections. Knowledge of scalp anatomy and injectable materials is essential. This case suggests that combining Concentrated Growth Factor, microneedling, and minoxidil may offer a promising therapeutic strategy for HA-induced alopecia.

Indexed as

alopeciacosmetic proceduresdermal fillersfillershair losshyaluronic acid

Identifiers

PMID40584392
PMCPMC12204110

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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.