Hyaluronic Acid Filler Migration
The Integration Pattern of Non-Animal Stabilized Hyaluronic Acid (NASHA)- and Optimum Balance Technology (OBT)-Based Fillers: An Ultrasound and Magnetic Resonance Imaging (MRI) Study
1 other identifier
interventional
10
1 country
1
Brief Summary
Soft tissue filler injections continue to grow in popularity as a method of facial rejuvenation, including volume restoration and contour enhancement. Many different hyaluronic acid (HA)-based fillers are available on the market and differ in terms of their physical and chemical properties, which results in families of fillers (e.g., Non-Animal Stabilized Hyaluronic Acid - NASHA vs. Optimal Balance Technology - OBT) with different tissue integration patterns. It has been proposed that the properties of fillers significantly influences their tendency to migrate. More specifically, thick fillers may be less prone to migration compared to fluid fillers. However, a detailed knowledge of facial anatomy, safer injection techniques, and careful product selection based on filler qualities may be preventive measures for filler migration. The goal of this study is to describe the short and intermediate-term product distribution/integration patterns of NASHA and OBT-based fillers, and to evaluate the evidence (if any) of filler migration from the intended site of injection.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Dec 2025
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 29, 2025
CompletedFirst Posted
Study publicly available on registry
July 23, 2025
CompletedStudy Start
First participant enrolled
December 11, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2027
January 22, 2026
January 1, 2026
2 years
May 29, 2025
January 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Evaluate evidence (if any) of filler migration from the intended site of injection for NASHA and OBT-based fillers, as visualized by high resolution MRI.
High resolution MRI will determine presence of filler migration. Migration will be assessed radiologically and defined as the presence of identifiable product in anatomical regions outside the treatment area (where the product was initially placed) using a dichotomous qualitative response "yes/no".
Baseline (post optimal correction), Week 12 and Week 24
Secondary Outcomes (2)
Number of particpants assessed as having proudct distribution past the area of injection. Assesment will be determined clincially by a qualified physician.
Baseline (post optimal correction), Week 12 and Week 24
Number of particpants assessed as having proudct distribution past the area of injection. Assesment will be made uisng ultrasoundimaging
Baseline (post optimal correction), Week 12 and Week 24
Other Outcomes (1)
Evaluate the frequncy of advese events (safety) of pan-facial HA injections.
Baseline to Week 24
Study Arms (1)
Restylane Injectables
OTHERAll adult participants (\>18 years)
Interventions
Participants will receive pan-facial treatment in at least one facial area using a Restylane NASHA product and at least one different facial area using Restylane OBT product. Participants will undergo three (3) scheduled MRI scans thoughout the duration of the study post HA injections.
Eligibility Criteria
You may qualify if:
- At the time of consent, male or female participants 18 years of age and older;
- Participants with established facial volume loss and/or contour deficits;
- Accepted the obligation not to receive any other facial procedures throughout the study duration;
- Understood and accepted the obligation and would be logistically able to appear for all scheduled follow-up visits;
- No previous facial fillers for 18 months prior to this study;
- Capable of providing informed consent, approved by an independent ethics committee, prior to the initiation of any screening or study-specific procedures;
- Participants must be willing and able to comply with procedures required in the protocol.
- Participants must be in good health as per investigator's judgment based on medical. history.
- Female participants of childbearing potential must be willing practice at least 1 protocol-specified method of birth control that is effective from Baseline through at least 30 days after the last dose or until the end of study, whichever is longer. Female participants of non-childbearing potential do not need to use birth control
You may not qualify if:
- Current Pregnancy or lactation \[sexually active women of childbearing age must agree to use medically acceptable methods of contraception for the duration of this study (e.g., oral contraceptives, condoms, intrauterine device, shot/injection, patch)\];
- Hypersensitivity to Restylane products, HA filler or amide local anesthetics;
- Participants presenting with porphyria or any other liver diseases;
- Inability to comply with follow-up and abstain from facial injections during the study period;
- Heavy smokers, classified as smoking more than 12 cigarettes per day;
- History of severe or multiple allergies manifested by anaphylaxis, since drug allergies might preclude optimal management of complications;
- Previous tissue revitalization therapy in the treatment area within 6 months before treatment with laser or light, mesotherapy, radiofrequency, ultrasound, cryotherapy, chemical peeling, or dermabrasion;
- Previous facial surgery, including liposuction;
- Lifetime history of permanent implants in the treatment region;
- History in the last 18 months of semi-permanent dermal fillers (e.g., poly-L-lactic acid, polyalkylimide, polymethylmethacrylate, polytetrafluoroethylene, and silicone), synthetic implantation and/or autologous fat transplantation in the treatment region;
- History or presence of any disease or lesion near or at the treatment area, including inflammation, active or chronic infection, including in the mouth, dentals, head and neck region;
- Participant has an uncontrolled systemic diseases
- Participants present with or have a history of any medical condition that may place the participant at increased risk following exposure to hyaluronic acid or interfere with the study evaluation, including:
- Diagnosed myasthenia gravis, Lambert-Eaton syndrome, amyotrophic lateral sclerosis, or any other significant disease that might interfere with neuromuscular function
- History of facial nerve palsy
- +25 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Erevna Innovations Inc.
Westmount, Quebec, H3Z 1C3, Canada
Study Officials
- PRINCIPAL INVESTIGATOR
Andreas Nikolis, MD
Erevan Innovations Inc.
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 29, 2025
First Posted
July 23, 2025
Study Start
December 11, 2025
Primary Completion (Estimated)
December 1, 2027
Study Completion (Estimated)
December 1, 2027
Last Updated
January 22, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share