• Sergio Talarico, Ana P Meski, Laura Buratini, Mônica Manela-Azulay, Helen Simpson, Farzaneh Sidou, and Nabil Kerrouche.
• *Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil; †Hospital das Clínicas da Universidade de São Paulo, São Paulo, Brazil; ‡Clinica Dermatologica Laura Buratini, São Paulo, Brazil; §Centro Dermatológico, Rio de Janeiro, Brazil; ‖Galderma R&D SNC, Sophia Antipolis, France.
• Dermatol Surg. 2015 Dec 1; 41 (12): 1361-9.

BackgroundVolume restoration is an essential part of facial rejuvenation.ObjectiveTo assess long-term full-facial volume restoration using HAEL Volume Lidocaine hyaluronic acid filler.MethodsAn 18-month open study in 60 subjects with at least Grade 2 on the 4-point volume loss scale (VLS) for full face and at least 2 indications affected among chin, temporal areas, jawline, cheeks, cheekbones, and nasolabial folds (NLF). Performance was assessed by VLS, Lemperle rating scale (LRS), investigator Global Aesthetic Improvement Scale (GAIS), and 3-dimensional (3D) imaging.ResultsMost subjects (71.6%) had 3 or 4 indications injected, most commonly cheekbones (96.7%) and NLF (93.3%). At 18 months, at least a 1-grade improvement in VLS was observed for full face (68.3% of subjects), chin (77.8%), temporal areas (73.7%), cheeks (66.6%), cheekbones (58.6%), jawline (43.1%), and NLF (71.4%; LRS). For all indications, more than 60% of the volume gained at 3 weeks was sustained at 18 months based on 3D digital imaging. At 18 months, 95.0% of subjects had improved full-face GAIS and all subjects were satisfied with their aesthetic outcome. One subject (1.6%) had treatment-related adverse events.ConclusionFull-facial volume restoration was well sustained over 18 months with high patient satisfaction and good tolerability.

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