A Randomized, Comparator-Controlled Study of HARC for Cheek Augmentation and Correction of Midface Contour Deficiencies

September 2021 | Volume 20 | Issue 9 | Original Article | 949 | Copyright © September 2021


Published online August 30, 2021

Derek Jones MD,a Leslie Baumann MD,b Amir Moradi MD,c Sachin Shridharani MD,d Melanie Palm MD,e Craig Teller MD,f Mark Taylor MD,g Theda C. Kontis MD,h Anne Chapas MD,i Michael S. Kaminer MD,j David Bank MD,k Kenneth Beer MD,l Deirdre Hooper MDm

aSkin Care and Laser Physicians of Beverly Hills, West Hollywood, CA
bBaumann Cosmetic & Research Institute, Inc., Miami, FL
cMoradi, M.D., San Diego, CA
dLUXURGERY, New York, NY
eArt of Skin MD, Solana Beach, CA
fBellaire Dermatology Associates, Bellaire, TX
gGateway Aesthetic Institute and Laser Center/Advanced Clinical Research Inc., Salt Lake City, UT
hFacial Plastic Surgicenter, Ltd., Baltimore, MD
iUnion Square Laser Dermatology, New York, NY
jSkinCare Physicians, Chestnut Hill, MA
kThe Center for Dermatology, Cosmetic & Laser Surgery, Mt. Kisco, NY
lResearch Institute of SouthEast, LLC, West Palm Beach, FL
mAudubon Dermatology, New Orleans, LA

RESULTS

Demographics and Treatment
In Group A, 142 subjects were randomized to HARC and 68 to Control. A total of 60 subjects were included in Group B (splitface treatment with HARC). The FST enrollment goal of the study was met. Baseline demographics in Group A and Group B were similar; mean age was 53 and 52 years, respectively, and the majority of subjects were female (89% in Group A and 92% in Group B (Table 1). A majority of all subjects in Group A (57- 61%) and Group B (52-57%) had MMVS score 3, ie moderate loss of midface fullness at baseline (Table 1). For Group A, total mean volume injected for initial and touch-up treatment was statistically less for HARC than Control (4.3 mL and 4.9 mL, respectively, P=0.0134, post-hoc calculation). Total mean volume HARC injected for Group B (initial and touch-up treatment) was 4.2 mL (2.10 mL for cannula and 2.07 mL for needle). Injection characteristics in terms of injection depth, method, and tool, are summarized in Table 2.

Effectiveness
The primary endpoint comprising non-inferiority of HARC to Control for cheek augmentation and correction of midface contour deficiencies was established based on MMVS change from baseline at week 12, as assessed by blinded evaluation