Evidence map›Paper›PMID 42420660›Full record

Trial reportAesthetic plastic surgery2026

Association of AbobotulinumtoxinA and Skinbooster for Periorbital Wrinkles: A Randomized, Controlled, Double-Blind, Split-Face Study.

Ana Claudia Laureano Navarro Shishido, Livia Leão Leite Tostes, Bryanne Brissian de Souza Nobre, Jacqueline Rosa Gonçalves, Lucas Alexandre de Sousa Mendes, Ana Claudia Carbone, Alfonso Sánchez-Ayala, Mariana Barbosa Câmara-Souza, Giancarlo De la Torre Canales

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Ana Claudia Laureano Navarro ShishidoDepartment of Dentistry, Ingá University Center, Uningá, Maringá, Paraná, Brazil.
Livia Leão Leite TostesDepartment of Dentistry, Sao Leopoldo Mandic University, Campinas, Espirito Santo, Brazil.
Bryanne Brissian de Souza NobreDepartment of Dentistry, Federal University of Uberlandia, Uberlandia, Minas Gerais, Brazil.
Jacqueline Rosa GonçalvesDepartment of Dentistry, Ingá University Center, Uningá, Maringá, Paraná, Brazil.
Lucas Alexandre de Sousa MendesDepartment of Dentistry, Ingá University Center, Uningá, Maringá, Paraná, Brazil.
Ana Claudia CarboneDepartment of Dentistry, Ingá University Center, Uningá, Maringá, Paraná, Brazil.
Alfonso Sánchez-AyalaDepartment of Dentistry, University of Ponta Grossa, Ponta Grossa, Paraná, Brazil.
Mariana Barbosa Câmara-SouzaDepartment of Dentistry, Ingá University Center, Uningá, Maringá, Paraná, Brazil.
Giancarlo De la Torre CanalesDepartment of Dentistry, Ingá University Center, Uningá, Maringá, Paraná, Brazil. giancarlo.de.la.torre.canales@ki.se.ORCID http://orcid.org/0000-0002-0921-342X

Funding

Agência Regional para o Desenvolvimento da Investigação, Tecnologia e Inovação UID/4585/2025
6 · The paper itself

Abstract

backgroundAlthough multimodal aesthetic treatments are used, the combined effects of botulinum toxin A and hyaluronic acid skinbooster for periorbital rejuvenation have not been properly evaluated. This study assessed the efficacy and durability of associating abobotulinumtoxinA and Restylane

methodsTwenty-four Brazilian women with dynamic periorbital wrinkles (Merz 5-point scale, levels II-IV) participated in this randomized, double-blinded, split-face trial. After bilateral abobotulinumtoxinA injections, one side of the face was randomized to receive Restylane

resultsEMG showed significant reductions over time, with no differences between treatments protocols (p > 0.05). For canthal wrinkle severity, the combined protocol (AbobotulinumtoxinA + Restylane® Skinbooster Vital) demonstrated lower scores at 3 months (p = 0.0001) and 6 months (p = 0.003) compared with AbobotulinumtoxinA alone, as reported by patients. Skin texture progressively improved following Restylane® Skinbooster Vital application, remaining significantly higher at 3 (p = 0.0001) and 6 months (p = 0.002) when compared with AbobotulinumtoxinA alone. Patient satisfaction increased in both protocols, with superior results at 3 months in the combined protocol group (p = 0.009).

conclusionThe association of abobotulinumtoxinA with Restylane® Skinbooster Vital provides enhanced and lasting improvements in severe canthal wrinkles. LEVEL OF EVIDENCE I: 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

Botulinum Toxins, Type ADermal FillersHyaluronic AcidSkin AgingAdultCosmetic TechniquesDouble-Blind MethodFemaleHumansMiddle AgedNeuromuscular AgentsPatient SatisfactionRejuvenationTreatment OutcomeabobotulinumtoxinABotulinum Toxins, Type ADermal FillersHyaluronic AcidNeuromuscular AgentsRestylaneBotulinum toxin type aCanthal linesHyaluronic acidPolymers

Identifiers

PMID42420660
PMCPMC13631032

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.