Evidence map›Paper›PMID 41225220›Full record

ArticleAesthetic plastic surgery2026

Forehead Volumization and Rejuvenation with Hybrid Fillers.

Nabil Fakih-Gomez, Jonathan Kadouch, Pia Maria Obeid, Elie Dagher, Inês Carpinteiro, Cristina Muñoz-Gonzalez

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2026. 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. 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

6 authors.

Nabil Fakih-GomezDepartment of Facial Plastic and Cranio-Maxillo-Facial Surgery, Fakih Hospital, Main Street, Khaizaran, 00000, Lebanon. info@drnabilfakih.com.ORCID 0000-0003-4464-8258
Jonathan KadouchPractice for Aesthetic Dermatology, Resculpt Clinic, Amsterdam, The Netherlands.
Pia Maria ObeidFaculty of Medicine. Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon.
Elie DagherFaculty of Medicine and Medical Sciences, University of Balamand Koura, Koura, Lebanon.
Inês CarpinteiroCiiem-Egas Moniz Center for Interdisciplinary Research, Lisbon, Portugal.
Cristina Muñoz-GonzalezDepartment of Facial Plastic and Cranio-Maxillo-Facial Surgery, Fakih Hospital, Main Street, Khaizaran, 00000, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAging leads to facial volume loss, particularly in the forehead, resulting in a flat appearance and static wrinkles. Effective forehead rejuvenation aims to restore volume while minimizing risks associated with filler injections. Hyaluronic acid (HA) and calcium hydroxylapatite (CaHA) fillers are commonly used, with recent interest in hybrid techniques that combine both to optimize aesthetic outcomes. This study evaluates the efficacy and safety of a premixed hybrid filler approach for forehead rejuvenation.

methodsA multicenter retrospective cohort study analyzed 111 patients (108 females, 3 males) aged 18-43, who received hybrid injections of CaHA (Radiesse

resultsThe cohort consisted of 108 women (97.2%) and 3 men (2.7%), mean age 30.5 years. The average injected volume was 3.11 mL. Two transient minor AEs (1.8%) were reported: localized hematoma and periorbital edema, both resolving with conservative management. No cases of vascular compromise, nodules, migration, or long-term complications were observed. High patient satisfaction was reported across all evaluations.

conclusionThe combination of CaHA and HA fillers administered via a retrograde fanning injection technique in the deep forehead fat plane proved to be both safe and effective in improving frontal depressions, with no adverse events reported during the 12 month observation period. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

Cosmetic TechniquesDermal FillersDurapatiteForeheadHyaluronic AcidRejuvenationSkin AgingAdolescentAdultCohort StudiesEstheticsFemaleFollow-Up StudiesHumansMalePatient SatisfactionDermal FillersDurapatiteHyaluronic AcidForehead fillingForehead volume restorationForehead volumizationHyaluronic acid fillerHybrid fillerPremixing

Identifiers

What OpenQuestion holds

Textmetadata
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.