Evidence map›Paper›PMID 41305938›Full record

Trial reportAesthetic surgery journal2026

Effectiveness and Safety of a Polyvinyl Alcohol Microsphere and Hyaluronic Acid Suspension for Chin Augmentation: A Randomized Controlled Trial and Multidisciplinary Study.

Wei-Jin Hong, Ji-Zhen Ren, Cheng-Yuan Wang, Shi-Wei Wang, Kun Zhang, Zhen-Yu Chen, Mu-Yan Zou, Jia-Hua Cao, Huan-Yun Niu, Sheng-Kang Luo

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Aesthetic surgery journal, 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. 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

10 authors.

Wei-Jin Hong
Ji-Zhen Ren
Cheng-Yuan Wang
Shi-Wei Wang
Kun Zhang
Zhen-Yu Chen
Mu-Yan Zou
Jia-Hua Cao
Huan-Yun Niu

Funding

Imeik Technology Development Co., Ltd
6 · The paper itself

Abstract

backgroundDermal fillers are a primary treatment for chin retrusion. However, current options have limitations in longevity and biomechanical properties.

objectivesThe aim of this study was to evaluate the efficacy and safety of a novel filler, comprised of polyvinyl alcohol (PVA) microspheres suspended in hyaluronic acid (PVA-HA), for chin augmentation.

methodsThe physicochemical properties of PVA were compared to those of traditional filler materials by measuring the contact angle, Young's modulus, and friction wear, and by scanning electron microscopy analysis. Biocompatibility was assessed in animal models via histopathological and immunofluorescence analyses. Subsequently, a prospective, randomized controlled trial was conducted from June 2021 to March 2023 in 144 subjects with chin retrusion, randomly allocated 3:1 to receive PVA-HA or no treatment. Efficacy was assessed by changes in the glabella-subnasale-pogonion (G-Sn-Pog') angle, a chin retrusion scale, and the Global Aesthetic Improvement Scale.

resultsPreclinical tests demonstrated that PVA microspheres had favorable hydrophilicity, softness, and mechanical properties, comparable to natural periosteum. In animal models, PVA-HA exhibited excellent biocompatibility with only a mild, transient inflammatory response. In the clinical trial, the PVA-HA group showed a mean G-Sn-Pog' angle increase of 1.12° (95% CI, 0.83°-1.41°) at 60 weeks, compared with a mean decrease of 0.42° (95% CI, -0.87° to 0.03°) in the control group (between-group difference, 1.54°; P < .01). Significant improvements were also observed on both the Global Aesthetic Improvement Scale and the chin retrusion scale (both P < .001). Adverse events were primarily mild-to-moderate, transient injection-site responses.

conclusionsThe novel PVA-HA filler demonstrates favorable physicochemical and biocompatibility properties. It provides clinically significant and safe outcomes in chin augmentation, representing a promising new option for soft tissue filling. LEVEL OF EVIDENCE: 2 (THERAPEUTIC):

Indexed as

Cosmetic TechniquesDermal FillersHyaluronic AcidPolyvinyl AlcoholAdultAnimalsChinFemaleHumansMaleMicrospheresMiddle AgedProspective StudiesRatsTreatment OutcomeYoung AdultDermal FillersHyaluronic AcidPolyvinyl Alcohol

Identifiers

PMID41305938
PMCPMC13064670

What OpenQuestion holds

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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.