4838 A Pilot Study to Evaluate the Local Volumizing Effects of a Long-Lasting PMMA Dermal Filler

Tuesday, May 10, 2011: 10:00 AM
Dan Mills, MD, Division of Plastic Surgery, Loma Linda University, Loma Linda, CA, Dennis Hurwitz, MD, Surgery (Plastic), University of Pittsburgh, Pittsburgh, PA, Daniel Ronel, MD, Daniel Ronel, MD Private Practice, Santa Fe, NM, Ayoub Sayeg, MD, Sayeg Plastic Surgery Center, Troy, MI and Scott Mosser, MD, Scott Mosser, MD, APMC, San Francisco, CA

Goals/Purpose:   Decreased collagen production and loss of subcutaneous fat contribute to the development of facial aging. This pilot study is evaluates the local volumizing effects of an FDA-approved non-resorbable PMMA/bovine collagen filler (Suneva Medical) in the malar region of subjects with age-related volume loss

Methods/Technique: This multi-center, prospective, open-label study enrolled 24 subjects. Subjects received bilateral malar augmentation treatment with up to 2 “touch-ups” (day 0, 4 wk and 6 wk) until full correction was achieved (≤ 8.8 cc total).  Injections were placed supraperiosteally. Subjects return at weeks 8, 26, 52, 104 and 260 for assessments. Baseline and post-treatment malar volume loss (5 point scale, 1=mild to 5=severe), investigator and subject global aesthetic improvement (GAIS, 5-point scale, 1+very much improved to 5=worst), safety data, and patient satisfaction and likelihood to recommend were collected.

Results/Complications:   An interim analysis of available data from 23 subjects was completed at 6 months.  At the time of the conference, data from 1 ˝ years of follow-up will be presented.  The mean total volume injected was 5.35 ± 1.92 cc (range 2.4-8.8 cc).  No device related AEs or SAEs were reported.  Malar volume showed significant improvement of 1.18 ± 0.80 points (p < 0.0001).  Physician assessed GAIS averaged 1.36 ± 0.58, while patient GAIS averaged 1.83 ± 0.83.  86.9% of patients were either satisfied with their treatment with 100% likely to recommend.  Sequential photographs of patients across all visit timepoints will be presented.

Conclusion:   Interim results (1 ˝ years of follow-up) of this long-term malar augmentation study suggests clinical utility, safety of use, and high patient satisfaction following treatment with this long-lasting PMMA dermal filler.  Patients will continue to be followed out to 5 years.