GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Volume / Contour · Lateral cheek volume

HA filler crosslinked evidence for Lateral cheek volume

B 57.5 / 100 Supported 10 RCT/meta · 12 clinical/observational · 20 case · 125 total
Good evidence · positive conclusion

There is a relatively good level of clinical evidence, and a majority of papers support its effectiveness.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Includes meta-analysis/SR Median year 2021 Last 5 years 54% Positive results 39% Negative results 3 Korea/Asia 12

Known in Korea as

필러라풀렌리쥬필리즈네미라콜쥬비덤뉴라미스레스틸렌리쥬비엘바디필러

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 A Systematic Review of the Efficacy and Safety of Profhilo® and Profhilo® Body. Plastic and aesthetic nursing · 2026 · PMID 41920062

Abstract summary (English) Skin aging causes cumulative structural, physiological, and progressive skin changes, as well as wrinkles, uneven skin tone, elasticity loss, and skin thinning. We performed a systematic review of nine studies involving 278 participants to assess the efficacy and safety of the stable, hybrid cooperative complexes of high molecular weight hyaluronic acid (HCC-HA) and low molecular weight hyaluronic acid used in...

Journal Article, Systematic Review, Review

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tier1 Efficacy and safety of different hyaluronic acid fillers on cheek volume augmentation: systematic review and network meta-analysis. Archives of dermatological research · 2024 · PMID 39708174

Abstract summary (English) BACKGROUND: Various rejuvenation surgeries, including hyaluronic acid (HA) fillers, aim to address mid-face volume loss. However, literature on the comparative efficacy and safety of different HA fillers for the zygomatic area remains limited. METHODS: This systematic review and network meta-analysis (NMA), adhering to NMA PRISMA 2020 and Cochrane guidelines.

Systematic Review, Journal Article, Network Meta-Analysis

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tier1 Jowl Improvement With Injectable Fillers: Jawline Injections Alone Versus Jawline and Cheek Injections. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2024 · PMID 39078942

Abstract summary (English) BACKGROUND: Jowling is a common aesthetic complaint in aging individuals. OBJECTIVE: Injectable filler placed at the lateral jawline will improve the appearance of jowls, as defined by the Merz Aesthetic Jawline Grading Scale (MAJGS). This improvement will be independent of concomitant injection of filler into the lateral cheek.

Journal Article, Comparative Study, Randomized Controlled Trial

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tier1 Safety and efficacy of the transoral approach for cheek volumization with hyaluronic acid: A pilot study. Journal of cosmetic dermatology · 2021 · PMID 34636474

Abstract summary (English) BACKGROUND: With aging, there is a decrease in the volume of facial fat compartments, which can be restored using injectable biodegradable fillers. AIMS: The objective of this study was to assess the efficacy and safety of an ultrasound-guided transoral injection versus the traditional percutaneous approach for cheek volumization with hyaluronic acid. PATIENTS/METHODS: This is a pilot, single-center, comparative,...

Journal Article, Randomized Controlled Trial

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tier1 Hyaluronic Acid Fillers for Midface Augmentation: A Systematic Review. Facial plastic surgery : FPS · 2021 · PMID 33634456

Abstract summary (English) Injectable fillers represent one of the most requested minimally invasive treatments to rejuvenate the aging face, and its popularity is steadily rising. A vast majority of filler treatments are with hyaluronic acid (HA). The aim of this systematic review is to evaluate patient outcomes, safety profile, and administration techniques of various HA fillers for malar augmentation.

Journal Article, Systematic Review

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tier1 Non-Hyaluronic Acid Fillers for Midface Augmentation: A Systematic Review. Facial plastic surgery : FPS · 2021 · PMID 33648015

Abstract summary (English) There has been an increasing role in the use of injectable fillers for rejuvenation of the aging face. In this systematic review, we aim to evaluate the existing literature related to soft tissue fillers of the midface. Specifically, we focus on the non-hyaluronic acid fillers including polymethylmethacrylate (PMMA), poly-L-lactic acid (PLLA), calcium hydroxyapatite (CaHA), and autologous fat.

Journal Article, Systematic Review

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tier1 Efficacy and durability of hyaluronic acid fillers for malar enhancement: A prospective, randomized, split-face clinical controlled trial. Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology · 2018 · PMID 28135883

Abstract summary (English) Various hyaluronic acid fillers can be used for facial attenuation and rejuvenation. The efficacy and durability of hyaluronic acid fillers are of major concern to dermatologists and patients. This study aimed to evaluate three-dimensional morphology, tissue distribution, and changes in volume after injection of two different hyaluronic acid fillers.

Journal Article, Randomized Controlled Trial

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tier1 A Randomized, Controlled, Multicenter Study of Juvéderm Voluma for Enhancement of Malar Volume in Chinese Subjects. Plastic and reconstructive surgery · 2017 · PMID 28538556

Abstract summary (English) BACKGROUND: Hyaluronic acid gels are used to restore volume to the midface, but there are few data published on this use in Asian subjects. METHODS: This study evaluated the safety and effectiveness in Chinese subjects of Juvéderm Voluma, a 20-mg/ml hyaluronic acid gel formulated for midface volumizing. This prospective, multicenter study randomized 119 subjects aged 18 years or older to a treatment group and 27...

Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial

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tier1 Mid-Face Volumization With Hyaluronic Acid: Injection Technique and Safety Aspects from a Controlled, Randomized, Double-Blind Clinical Study. Journal of drugs in dermatology : JDD · 2017 · PMID 28403269

Abstract summary (English) UNLABELLED:

BACKGROUND: Injection of hyaluronic acid (HA) volumizing fillers in the malar area is intended for rejuvenation of the mid-face. The choice of products, depth, and technique of injection depends on the desired level of volume enhancement and practitioners' preferences.

OBJECTIVE: To describe a volumizing injection technique in the scope of a controlled, randomized, double-blind, single-center,...

Journal Article, Randomized Controlled Trial

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tier1 A randomized comparison of the efficacy of low volume deep placement cheek injection vs. mid- to deep dermal nasolabial fold injection technique for the correction of nasolabial folds. Journal of cosmetic dermatology · 2014 · PMID 24910271

Abstract summary (English) BACKGROUND: Hyaluronic acid (HA) fillers are FDA approved for improving the appearance of the nasolabial folds. Previous reports on the use of HA for this treatment have focused on injections directly into the location of the desired correction. To our knowledge, a study has not been done evaluating the efficacy of injecting a low volume of HA into the adjacent area of volume loss to correct both volume loss and...

Comparative Study, Journal Article, Randomized Controlled Trial

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Suggested interpretation

Strong evidence base

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