Evidence map›Paper›PMID 41065147›Full record

ArticleJournal of cosmetic dermatology2025

The Efficacy and Safety of Combining Cross-Linked Hyaluronic Acid Filler VYC-12L and Energy-Based Devices for Facial Skin Quality Improvement in Asians.

Mikako Oku, Kentaro Oku

Abstract read
In one paragraph

Article 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 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. Article
  2. 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

2 authors.

Mikako OkuHills Grace Clinic, Yokohama, Japan.
Kentaro OkuHills Grace Clinic, Yokohama, Japan.ORCID https://orcid.org/0009-0009-9308-7523

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, treatments using energy-based devices (EBDs) aimed at skin quality improvement have become widely adopted. However, it has been pointed out that treatments using EBDs alone show limited durability of effects and variability in patient-perceived improvements. Therefore, we evaluated skin quality improvement resulting from a combination therapy involving cross-linked hyaluronic acid (CL-HA) filler and EBD treatments tailored to patients' chief concerns.

objectiveTo assess the efficacy and safety of combined CL-HA filler and EBD therapies in treating facial skin quality improvement among Asian subjects.

methodsIn this prospective, evaluator-blinded study, 18 participants aged 32-59 years with decreased skin elasticity, fine wrinkles, uneven texture, pore enlargement, pigmentation, and sagging were enrolled. CL-HA filler (VYC-12L) was injected intradermally into the entire face. One month later, according to each patient's primary concerns and symptoms, EBD treatment (either high intensity, high frequency parallel ultrasound beam [PUB], picosecond alexandrite laser [PSAL], and sequential monopolar bipolar pulsed radiofrequency [SMBPRF]) was administered to the entire face. Evaluations were conducted at three time points: baseline (T0), 4 weeks post-CL-HA injection (T1), and 8 weeks post-EBD treatment (T2). Subjective assessment was performed using the FACE-Q | Aesthetics-Satisfaction with Skin scale. Objective assessment was independently conducted by a dermatologist utilizing three-dimensional image analysis and skin diagnostic imaging with the Global Aesthetic Improvement Scale (GAIS).

resultsAll participants completed the study. Pairwise comparisons of the FACE-Q skin satisfaction scores demonstrated statistically significant improvements at all time points: from T0 to T1 (p < 0.05), from T0 to T2 (p < 0.001), and from T1 to T2 (p < 0.001). Objective assessment with the GAIS showed improvement in all cases: very much improved (2 cases), much improved (9 cases), improved (7 cases), no change (0 cases), and worsened (0 cases). Regarding safety, no severe adverse events were reported, and only minor transient post-treatment reactions were observed.

conclusionsThe combination of CL-HA filler and EBD represents a safe and effective therapeutic approach for enhancing facial skin quality in Asian subjects.

Indexed as

Cosmetic TechniquesDermal FillersHyaluronic AcidLasers, Solid-StateSkin AgingAdultAsian PeopleCombined Modality TherapyFaceFemaleHumansInjections, IntradermalMaleMiddle AgedPatient SatisfactionProspective StudiesDermal FillersHyaluronic Acidcollagen synthesiscombination therapycross‐linked hyaluronic acid (CL‐HA) fillerenergy‐based devices (EBDs)facial agingskin quality improvement

Identifiers

PMID41065147
PMCPMC12509472

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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.