Asian Journal of Surgery (Feb 2025)

Safety and efficacy of the amino acid-crosslinked hyaluronic acid in the treatment of temple hollowing

  • Yanping Guo,
  • Puzhen Li,
  • Wuhan Wei,
  • Qiang Li,
  • Caiqi Shen,
  • Xiaoying Zhuo,
  • Yujie Luo,
  • Jie Liu,
  • Peisheng Jin,
  • Xueyang Li

DOI
https://doi.org/10.1016/j.asjsur.2024.10.140
Journal volume & issue
Vol. 48, no. 2
pp. 1034 – 1040

Abstract

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Background: Loss of volume in the temples is an early sign of aging and often gives the impression of a gaunt and emaciated appearance. Objective: The authors conduct a clinical study to investigate the safety and effectiveness of the amino acid crosslinked hyaluronic acid (ACHA) for the treatment of temple hollowing. Methods: 75 subjects with Temple Hollowing Scale (THS) from 2 to 4 were enrolled and assigned according to the ratio of 2 (ACHA group, n = 50): 1 (no treatment control group, n = 25). All subjects were assessed at the 12-month follow-up visit using the THS, Global Aesthetic Improvement Scale (GAIS), ultrasound, and three-dimensional scanning. Subjects were instructed to report any adverse events (AEs) within 14 days after the ACHA treatment. Results: An average volume of 4.72 ± 1.13 ml was injected into the temples. We received 18 treatment-related AEs reported by 10 subjects. Compared with the control group, THS, GAIS, and soft tissue thickness were significantly improved in the ACHA group at 1 month, 6, and 12 months after injection. Three-dimensional scanning showed that ACHA could maintain a certain volume in the temple 12 months after ACHA injection. Conclusions: ACHA is an effective and safe hyaluronic acid for patients with minimal to severe temple hollowing.

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