Abstract

The dermal filler Princess VOLUME is a highly cross-linked, viscoelastic hyaluronic acid injectable gel implant used for aesthetic treatment. To evaluate the efficacy and safety of Princess VOLUME in the treatment of nasolabial folds, an open-label uncontrolled, multicenter study was conducted. Forty-eight subjects were recruited who had moderate to deep wrinkles, according to the Modified Fitzpatrick Wrinkle Scale (MFWS). Subjects received Princess VOLUME in both nasolabial folds at Day 0. Nasolabial fold severity was evaluated at 30, 90, 180, and 270 days after treatment, using the MFWS and the Global Aesthetic Improvement Scale (GAIS). Adverse events and treatment site reactions were recorded. Among the 48 subjects, 93.8% were female with a median age of 52 years. There were significant improvements (P < 0.0001) in the MFWS scores at 30, 180, and 270 days after treatment compared with those at baseline, with a mean decrease of 1.484 (±0.408), 1.309 (±0.373), and 1.223 (±0.401), respectively; hence the primary endpoint was achieved and clinical efficacy demonstrated. Princess VOLUME was well tolerated, and most adverse events were injection site reactions of mild to moderate severity. Subject satisfaction (97.9%), subject recommendation of the treatment (93.6%), and investigators GAIS scores (97.9% improvement) were high.

Highlights

  • The facial signs of aging are characterized by the formation of wrinkles and folds, which result from the loss of bone mass and soft tissue volume, the redistribution of fat, and decreased skin elasticity and thickness [1,2,3,4]

  • At Day 30 after a single treatment with Princess VOLUME, there was a significant improvement in Modified Fitzpatrick Wrinkle Scale (MFWS) compared to baseline in almost all subjects, consistent with a significant reduction in nasolabial fold severity according to the MFWS scale

  • The treatment effect was maintained throughout the study period, with an improvement in MFWS of up to 1 grade in both nasolabial folds reported in 89.4% and 85.1% of subjects at Day 180 and Day 270, respectively

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Summary

Introduction

The facial signs of aging are characterized by the formation of wrinkles and folds, which result from the loss of bone mass and soft tissue volume, the redistribution of fat, and decreased skin elasticity and thickness [1,2,3,4]. HA is a naturally occurring glycosaminoglycan which exhibits no species or tissue specificity and is an essential component of the extracellular matrix in adult tissue [3, 10,11,12]. In the skin, it is located among the collagen fibers and has a hydrophilic capability, playing a critical role in the maintenance and regulation of hydration within tissues and contributing to skin turgor [3, 5, 13, 14]

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