The goal of this randomized, split-face, double-blinded clinical trial is to evaluate the efficacy and safety of Elravie Re2O (particulated human Acellular Dermal Matrix, phADM) as a skin booster compared with hyaluronic acid (HA) skin booster alone in adults with skin roughness. The main questions it aims to answer are: 1. Does phADM combined with HA improve objective skin measurements and subjective skin assessments more effectively than HA alone? 2. Is phADM + HA treatment safe and well tolerated? Researchers will compare one half of participant's face treated with phADM + HA versus the opposite cheek treated with HA alone to see if phADM provides superior skin improvement. Participants will: 1. Be randomly assigned to receive three intradermal injections at one-month intervals, with phADM + HA on one cheek and HA alone on the other. 2. Undergo follow-up visits over 20 weeks for evaluation of ACSS score, instrumental skin quality measurements (e.g., skin density, volume, wrinkles), and satisfaction (GAIS). 3. Be monitored for local adverse events and changes in vital signs to assess safety.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
20
Elravie Re2O is a particulated human Acellular Dermal Matrix (phADM), with each 5 mL syringe containing 150 mg of phADM. This product is classified as a human tissue product and received its approval via a tissue bank establishment permit from the Ministry of Food and Drug Safety.
Elravie Balance is a gel-type hyaluronic acid (HA) skin booster. It contains HA at a concentration of 20mg/ml in a 2.5 cc syringe with a volume of 1.5 mL.
Severance Hospital, Yonsei University College of Medicine
Seoul, South Korea
Nasolabial fold depth
Nasolabial fold depth was measured using the Antera 3D CS (Miravex, Dublin, Ireland), which quantifies wrinkle depth in millimeters (mm)
Time frame: Baseline and 1, 4, 8, 12, 16, and 20 weeks post-treatment
Under-eye wrinkles
The Eve V (EVELAB INSIGHT, Singapore) was used to measure under-eye wrinkles in pixels.
Time frame: Baseline and 1, 4, 8, 12, 16, and 20 weeks post-treatment
Skin volume
Skin volume was measured in cubic millimeters (mm3) with the 3D LifeViz micro (QuantifiCare, Biot, France)
Time frame: Baseline and 1, 4, 8, 12, 16, and 20 weeks post-treatment
Skin density
Skin density was evaluated in percentage (%) using the Skin Scanner (tpm, Luneburg, Germany)
Time frame: Baseline and 1, 4, 8, 12, 16, and 20 weeks post-treatment
Pore area
Pore area was measured using the Antera 3D CS (Miravex, Dublin, Ireland), which quantifies pore area in millimeters squared (mm2).
Time frame: Baseline and 1, 4, 8, 12, 16, and 20 weeks post-treatment
Eye and cheek area lifting
Eye and cheek area lifting was assessed with the Morpheus3D (Morpheus, Gyeonggi, Republic of Korea),which measures the increase in curve length in millimeters to determine the degree of lifting.
Time frame: Baseline and 1, 4, 8, 12, 16, and 20 weeks post-treatment
Global Aesthetic Improvement Scale
Time frame: Baseline and 1, 4, 8, 12, 16, and 20 weeks post-treatment
Allergan Cheek Smoothness Scale
Time frame: Baseline and 1, 4, 8, 12, 16, and 20 weeks post-treatment
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