Evidence map›Paper›PMID 40814769›Full record

Trial reportJournal of cosmetic dermatology2025

Efficacy and Durability of the Association of Botox and Skinvive in the Treatment of Moderate/Severe Wrinkles in the Periorbital Region: A Randomized, Controlled, Double-Blind, Split-Face Clinical Study.

Maria Luiza Boechat Borges Neves, Cecilia Thome, Silvio Ventura da Silva Junior, Thalita Machado, Alfonso Sánchez-Ayala, Mariana Barbosa Câmara-Souza, Giancarlo De la Torre Canales

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
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.

Maria Luiza Boechat Borges NevesDepartment of Dentistry, Ingá University Center, Paraná, Brazil.
Cecilia ThomePrivate Practice, Paraná, Brazil.
Silvio Ventura da Silva JuniorDepartment of Dentistry, Ingá University Center, Paraná, Brazil.
Thalita MachadoDepartment of Dentistry, Ingá University Center, Paraná, Brazil.
Alfonso Sánchez-AyalaDepartment of Dentistry, University of Ponta Grossa, Paraná, Brazil.
Mariana Barbosa Câmara-SouzaDepartment of Dentistry, Ingá University Center, Paraná, Brazil.
Giancarlo De la Torre CanalesDepartment of Dentistry, Ingá University Center, Paraná, Brazil.ORCID https://orcid.org/0000-0002-0921-342X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe combined efficacy and durability of botulinum toxin A (BTX) and hyaluronic acid fillers (HA) for canthal wrinkles have not been thoroughly evaluated in randomized clinical trials.

aimsThis study evaluated the efficacy, safety, and durability of the combined treatment protocol of onabotulinumtoxinA and Juvederm Volite VYC-12 (Skinvive) for moderate and severe canthal lines.

methodsThis randomized double-blinded split-face trial included 25 women with periorbital dynamic wrinkles at severity levels II-IV according to the Merz 5-point scale. After bilateral onabotulinummtoxinA injections, the sides of the participants' faces were randomized to receive HA injections or a simulated injection. Assessed variables included electromyography activity (EMG), Merz 5-point crow's feet scale, and FACE-Q appraisal on crow's feet lines. Assessments were performed at baseline, 1, 2, 3, and 6 months. For differences in EMG and satisfaction scores, the two-way repeated measures ANOVA and Bonferroni's post hoc analyses were conducted. Wrinkle severity scores were analyzed with the Mann-Whitney U test.

resultsInter-treatment comparisons revealed no significant differences between treatment protocols in all assessed periods for EMG (p = 0.86). For severity of canthal wrinkles, onabotulinumtoxinA + VYC-12 exhibited lower canthal wrinkle severity in rest and contracted positions after 3 (p = 0.04), and 3 (p = 0.007) and 6 (p = 0.001) months, respectively. Additionally, satisfaction with BTX-HA treatment was significantly higher after 3-month (p = 0.001) and 6-month (p = 0.001) follow-ups compared to BTX treatment.

conclusionsHigher improvements in canthal wrinkles could be enhanced by using onabotulinumtoxinA and VYC-12 in association as a treatment protocol.

Indexed as

Botulinum Toxins, Type ACosmetic TechniquesDermal FillersHyaluronic AcidNeuromuscular AgentsSkin AgingAdultDouble-Blind MethodElectromyographyFaceFemaleHumansMiddle AgedPatient SatisfactionSeverity of Illness IndexTreatment OutcomeBotulinum Toxins, Type ADermal FillersHyaluronic AcidNeuromuscular Agentsonabotulinum toxin Abotulinum toxin type aCanthal wrinkleshyaluronic acid filleronabotulinumtoxinAVYC‐12

Identifiers

PMID40814769
PMCPMC12355333

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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.