Background: Advances in medicine and increased life expectancy have intensified the demand for youthful facial appearance, driving a rise in aesthetic procedures addressing age-related wrinkles, folds, laxity, and sagging. Facial aging involves not only soft tissue but also skeletal volume loss, altering midface, perioral, and lip contours. This study evaluates the efficacy and safety of Avillon Diamond dermal fillers (Deep, Fine, Lips) for age-related facial volume and elasticity loss over six months. Patients/Methods: This multi-center, prospective, non-randomized clinical trial included 193 healthy female patients (>21 years) without prior minimally invasive aesthetic treatments. Avillon Diamond products were injected into various facial regions. Efficacy and safety were assessed at predefined intervals using the Medicis Midface Volume Scale (MMVS), Wrinkle Severity Rating Scale (WSRS), and Global Aesthetic Improvement Scale (GAIS). Results: Treatment significantly improved facial volume and contour across all facial areas. In the Deep group, severe volume loss decreased from 47.5% at baseline to 8.2% at month six. In the Fine group, mild-moderate volume loss persisted in 76% of patients at six months. In the Lips group, thin lips (55% at baseline) improved to full lip volume in 71.7% at day 14% and 56.7% at month six. Minimal, transient adverse events were observed. Patient satisfaction remained high, with sustained aesthetic outcomes over six months. Conclusions: Avillon Diamond hyaluronic acid fillers provide effective and safe facial rejuvenation with durable lifting and volumizing effects. High patient and physician satisfaction and a favorable safety profile support their use in aesthetic dermatology. Additional treatments may enhance long-term outcomes.
References
[1]
Vazirnia, A., Braz, A. and Fabi, S.G. (2020) Nonsurgical Jawline Rejuvenation Using Injectable Fillers. JournalofCosmeticDermatology, 19, 1940-1947. https://doi.org/10.1111/jocd.13277
[2]
Bertucci, V., Nikolis, A., Solish, N., Lane, V. and Hicks, J. (2021) Efficacy and Safety of Flexible Hyaluronic Acid Fillers in Lip and Perioral Enhancement. Journal ofDrugsinDermatology, 20, 402-408. https://doi.org/10.36849/jdd.5525
[3]
Cong, L.Y., Zhang, S., Huang, J., Yang, W., Lou, X., Liu, X., et al. (2024) A Study on the Aesthetic Parameters and Proportions of the External Contour for Minimally Invasive Facial Injection. AestheticPlasticSurgery, 48, 4750-4759. https://doi.org/10.1007/s00266-024-04232-6
[4]
Braz, A. and Eduardo, C.C.D.P. (2020) Reshaping the Lower Face Using Injectable Fillers. IndianJournalofPlasticSurgery, 53, 207-218. https://doi.org/10.1055/s-0040-1716185
[5]
Raspaldo, H., De Boulle, K. and Levy, P.M. (2010) Longevity of Effects of Hyaluronic Acid Plus Lidocaine Facial Filler. JournalofCosmeticDermatology, 9, 11-15. https://doi.org/10.1111/j.1473-2165.2010.00481.x
[6]
Li, X.Z., Chiang, C.F., Lin, Y.H., Chen, T.M., Wang, C.H., Tzeng, Y.S. and Cui, H.Y. (2023) Safety and Efficacy of Hyaluronic Acid Injectable Filler in the Treatment of Nasolabial Fold Wrinkle: A Randomized, Double-Blind, Self-Controlled Clinical Trial. JournalofDermatologicalTreatment, 34, Article ID: 2190829. https://doi.org/10.1080/09546634.2023.2190829
[7]
Alessandrini, A., Fino, P., Giordan, N., Amorosi, V. and Scuderi, N. (2015) Evaluation of a New Hyaluronic Acid Dermal Filler for Volume Restoration. JournalofCosmeticandLaserTherapy, 17, 335-342. https://doi.org/10.3109/14764172.2015.1039038
[8]
Trevidic, P., Andre, P., Benadiba, L., Deutsch, J., Galatoire, O., Garcia, P., et al. (2017) Prospective, Split-Face, Randomized, Long-Term Blinded Objective Comparison of the Performance and Tolerability of Two New Hyaluronic Acid Fillers. DermatologicSurgery, 43, 1448-1457. https://doi.org/10.1097/dss.0000000000001193
[9]
Mustak, H., Fiaschetti, D. and Goldberg, R.A. (2018) Filling the Periorbital Hollows with Hyaluronic Acid Gel: Long-Term Review of Outcomes and Complications. JournalofCosmeticDermatology, 17, 611-616. https://doi.org/10.1111/jocd.12452
[10]
Graivier, M., Fabi, S., Nestor, M., Meuse, P. and Mashburn, J. (2018) A Multi-Center, Open-Label, Prospective Study of Cannula Injection of Small-Particle Hyaluronic Acid Plus Lidocaine (SPHAL) for Lip Augmentation. Journal of Drugs in Dermatology: JDD, 17, 10-16.
[11]
Czumbel, L.M., Farkasdi, S., Gede, N., Mikó, A., Csupor, D., Lukács, A., et al. (2021) Hyaluronic Acid Is an Effective Dermal Filler for Lip Augmentation: A Meta-Analysis. FrontiersinSurgery, 8, Article 681028. https://doi.org/10.3389/fsurg.2021.681028
[12]
Beer, K., Biesman, B., Cox, S.E., Smith, S., Picault, L. and Trevidic, P. (2023) Efficacy and Safety of Resilient Hyaluronic Acid Fillers Injected with a Cannula: A Randomized, Evaluator-Blinded, Split-Face Controlled Study. Clinical, CosmeticandInvestigationalDermatology, 16, 959-972. https://doi.org/10.2147/ccid.s402315