Evidence map›Paper›PMID 41517528›Full record

ReviewJournal of clinical medicine2025

Hyaluronidase Use in Aesthetic Medicine: Formulations, Safety, and Clinical Practice.

Francesca Arrigoni, Stefania Belletti, Silvia Caboni, Maurizio Cavallini, Andrea Cordovana, Riccardo Lazzari, Marco Francesco Papagni

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Francesca ArrigoniAgorà-Italian Society of Aesthetic Medicine, 20122 Milan, Italy.ORCID 0009-0008-0467-6602
Stefania BellettiFocus Group "Complication", Agorà-Italian Society of Aesthetic Medicine, 20122 Milan, Italy.
Silvia CaboniFocus Group "Complication", Agorà-Italian Society of Aesthetic Medicine, 20122 Milan, Italy.
Maurizio CavalliniFocus Group "Complication", Agorà-Italian Society of Aesthetic Medicine, 20122 Milan, Italy.
Andrea CordovanaFocus Group "Complication", Agorà-Italian Society of Aesthetic Medicine, 20122 Milan, Italy.
Riccardo LazzariFocus Group "Complication", Agorà-Italian Society of Aesthetic Medicine, 20122 Milan, Italy.
Marco Francesco PapagniFocus Group "Complication", Agorà-Italian Society of Aesthetic Medicine, 20122 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The rising number of Hyaluronic acid (HA) filler applications has led to an increase in the incidence of complications, which can range from undesired aesthetic outcomes to severe vascular occlusion events. Hyaluronidase (Hyal) hydrolyzes HA molecules and represents the preferred treatment for managing complications associated with HA fillers. Although Hyal formulations are safe and effective, Hyal use for treating complications of aesthetic procedures remains off-label in many countries due to the lack of standardized protocols and varying recommendations on dosing strategies. Here, we review the use of Hyal in aesthetic medicine, focusing on the available formulations, including galenic preparations, and the associated risks. We provide an update on the current clinical practice for Hyal administration by reviewing cases reported in the literature from 2020 to 2025. We summarize the current dosage strategies and administration techniques for treating different complications, with details on newly developed protocols, the implementation of imaging guidance, and adjunctive treatments. Despite the great variability in dosage and protocols, Hyal administration is a safe and effective treatment to manage complications and undesired aesthetic outcomes caused by HA fillers. Future efforts should focus on developing standardized protocols to facilitate the decision-making process, reduce response time, and ensure successful outcomes.

Indexed as

aesthetic procedurecomplicationcosmetic medicinedermal fillerhyaluronic acid

Identifiers

PMID41517528
PMCPMC12787120

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.