1. Demonstrate superiority of treatment with the Ulthera DeepSEE System compared to untreated control for the improvement of skin laxity of the lower face and submental area. 2. Demonstrate the safety of treatment with the Ulthera DeepSEE System for the improvement of skin laxity of the lower face and submental area.
Subjects in the study received a single treatment with Ulthera DeepSEE system on the midface, lower face, submental (under the chin) and upper neck area using 3 DeepSEE (DS) transducers (DS 10-1.5, DS 7-3.0, DS 7-4.5) at either Day 1 or Day 90. Subjects treated at Day 1 were followed for 180 days after treatment and subjects treated at Day 90 were followed for 90 days after treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
201
Focused ultrasound energy delivered below the surface of the skin
Untreated-control, followed by Ultherapy treatment (focused ultrasound energy delivered below the surface of the skin)
Peking University First Hospital, Merz Investigational Site #0860003
Beijing, China
Air Force General Hospital, Merz Investigational Site #0860002
Beijing, China
Beijing Hospital, Plastic Surgery, Merz Investigational Site #0860029
Beijing, China
Shanghai 9th Hospital, Plastic Surgery, Merz Investigational Site #0860015
Shanghai, China
Percentage of Subjects With Improvement in Lower Face and Submental Skin Laxity at Day 90
Lower face and submental skin laxity were determined by three blinded evaluators after comparing Day 90 photographs with baseline photographs. Improvement was concluded if at least two evaluators assessed the Day 90 photographs as "improved" compared to baseline.
Time frame: Day 90
Displacement of Skin in the Submentum at Day 90
Displacement of skin (in millimeters \[mm\]) in the submentum was determined by three-dimensional (3D) quantitative photographic analysis by comparing Day 90 photographs with baseline photographs. X-axis (lateral), Y-axis (vertical), and Z-axis (anterior to posterior) direction components were provided for both sides of the face combined (that is, overall).
Time frame: Day 90
Percentage of Subjects With Any Improvement on the Investigator Global Aesthetic Improvement Scale (iGAIS) at Day 90 as Assessed by the Treating Investigator in the Treatment Group
iGAIS ratings (-3 to +3 scores; lower scores meant worse outcome) used baseline photographs for comparison. Improvement was defined as a rating of +1, +2, or +3 on the iGAIS.
Time frame: Day 90
Percentage of Subjects With Any Improvement on the Subject Global Aesthetic Improvement Scale (sGAIS) at Day 90 as Assessed by the Subjects in the Treatment Group
sGAIS ratings (-3 to +3 scores; lower scores meant worse outcome) used baseline photographs for comparison. Improvement was defined as a rating of +1, +2, or +3 on the sGAIS.
Time frame: Day 90
Change From Baseline in FACE-Q Satisfaction With Lower Face and Jawline Score (Rasch-transformed) at Day 90, as Assessed by Subjects in Treatment Group
The subject assessed satisfaction using the Face-Q Satisfaction with Lower Face and Jawline module (1 \[very dissatisfied\] to 4 \[very satisfied\] scores; Rasch transformed score 0-100; higher scores meant better outcome).
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Huashan Hospital Shanghai, Merz Investigational Site #0860004
Shanghai, China
Time frame: Baseline up to Day 90
Number of Subjects With at Least One Treatment-related Treatment-emergent Adverse Events (TEAEs)
Time frame: From first treatment (Day 1) up to end of the study (EOS) (Up to Day 180)