Evidence map›Paper›PMID 41794404›Full record

ReviewJournal of cosmetic dermatology2026

See, Touch, Feel, and Express: Achieving Safe and Natural Outcomes With HA Fillers-An International Consensus.

Atchima Suwanchinda, Hosung Choi, Niamh Corduff, Haiyan Cui, Lindsay Gail Torralba Garcia, Martina Kerscher, Ting Song Lim, Olivia Ong, Je-Young Park, Danai Praditsuwan and 4 more

Abstract readConsensus StatementReview
In one paragraph

Review in Journal of cosmetic dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Atchima SuwanchindaDepartment of Dermatology, Chulabhorn International College of Medicine, Thammasat University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-3432-7090
Hosung ChoiPIENA Aesthetic Medical Clinic, Seoul, Korea.
Niamh CorduffRiver End Aesthetics, Geelong, Australia.
Haiyan CuiDepartment of Plastic and Cosmetic Surgery, School of Medicine, Tongji Hospital, Tongji University, Shanghai, China.
Lindsay Gail Torralba GarciaWilson & Ayache Medical Aesthetics Clinic, Makati City, Philippines.
Martina KerscherDivision of Cosmetic Science and Aesthetic Dermatology, University of Hamburg, Hamburg, Germany.
Ting Song LimClique Clinic, Kuala Lumpur, Malaysia.ORCID https://orcid.org/0000-0001-6637-3836
Olivia OngJakarta Aesthetic Clinic, Jakarta, Indonesia.
Je-Young ParkApkoo-Jung Oracle Dermatology Clinic, Seoul, Korea.
Danai PraditsuwanDIAA Clinic, Chiang Mai, Thailand.
Tuck Wah SiewRadium Medical Aesthetics, Singapore, Singapore.
Fang-Wen TsengEverbeaute Medical Aesthetics, Taipei, Taiwan.
Raymond WuAsia-Pacific Aesthetic Academy, Hong Kong, Hong Kong.
Tatjana PavicicPrivate Practice for Dermatology & Aesthetics Dr. Tatjana Pavicic, Munich, Germany.ORCID https://orcid.org/0009-0006-4511-8661

Funding

Merz Aesthetics
6 · The paper itself

Abstract

backgroundThe concept of "natural outcomes" in filler treatments has been explored in clinical studies and literature, yet remains loosely defined, subjective, and lacks standardized assessment criteria.

aimsTo propose a multidimensional Natural Outcomes Framework to systematically define, assess, and communicate natural outcomes following hyaluronic acid (HA) filler treatment, facilitating attainment of desired results.

methodsAn international aesthetic multidisciplinary panel developed consensus statements and a practical framework for achieving safe and natural outcomes with HA fillers based on insights from a literature review, survey, and expert meeting.

resultsThis expert consensus emphasizes safety as a foundational aspect of natural outcomes. The framework extends beyond visual outcomes ("See") to encompass tactile ("Touch"), experiential ("Feel") and expressive ("Express") dimensions of naturalness, which can be assessed by various methods. The panel identified three categories of factors affecting natural outcomes: product, patient, and injector factors. Treatment can be optimized by selecting HA fillers with biomimetic design, suitable rheological properties, and low inflammatory potential; ensuring knowledge and technical competency; individualizing treatment plans; and fostering effective communication. A practical clinical workflow was devised to guide the attainment and assessment of safe and natural outcomes from pre-treatment to follow-up.

conclusionsThe Natural Outcomes Framework offers a structured approach to achieving safe and desired outcomes with HA fillers, aligned with this principle: "treat the patient, not the photograph." It promotes patient-practitioner alignment on treatment goals and use of appropriate products based on biomimetic design principles, contributing to the attainment of predictable and satisfying results with aesthetic HA filler treatments.

Indexed as

Cosmetic TechniquesDermal FillersHyaluronic AcidSkin AgingHumansTreatment OutcomeDermal FillersHyaluronic Acidcohesive polydensified matrixconsensusfacial rejuvenationfillerhyaluronic acidnatural outcomessafety

Identifiers

PMID41794404
PMCPMC12967260

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.