GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Volume / Contour · Nasolabial fold

HA filler crosslinked evidence for Nasolabial fold

A 67.9 / 100 Supported 99 RCT/meta · 29 clinical/observational · 32 case · 262 total
Strong evidence · positive conclusion

This procedure group has the highest level of PubMed evidence for this indication, and the papers broadly support its effectiveness.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Includes meta-analysis/SR Median year 2020 Last 5 years 44% Positive results 47% Negative results 14 Korea/Asia 46

Known in Korea as

필러라풀렌리쥬필리즈네미라콜쥬비덤뉴라미스레스틸렌리쥬비엘바디필러

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 Safety and Effectiveness of a Crosslinked Hyaluronic Acid Filler in Korean Patients for the Correction of Nasolabial Folds: A Randomized, Patient- and Evaluator-Blinded, Paired Study. Aesthetic surgery journal · 2026 · PMID 41507069

Abstract summary (English) BACKGROUND: Hyaluronic acid (HA) dermal fillers are widely used as a nonsurgical treatment for facial aging, including nasolabial folds (NLFs). Because demand for convenient aesthetic procedures increases, new HA products require rigorous comparison with established fillers. OBJECTIVES: The aim of this study was to assess the noninferiority and safety of a new crosslinked HA filler, SkinPlus-HYAL Implant Lidocaine...

Journal Article, Multicenter Study, Randomized Controlled Trial, Equivalence Trial, Comparative Study

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tier1 Effectiveness and Safety of a Cross-linked Hyaluronic Acid Plus Mannitol Filler for the Correction of Nasolabial Folds in Chinese Subjects: A Randomized, Blinded, Controlled Study. Aesthetic surgery journal · 2026 · PMID 40997110

Abstract summary (English) BACKGROUND: Hyaluronic acid-based dermal fillers are commonly used to correct prominent nasolabial folds (NLFs), a hallmark of aging. OBJECTIVES: This study aimed to verify the effectiveness and safety of STYLAGE L filler (Laboratoires VIVACY, Archamps, France) vs a well-established comparator, Restylane (Galderma, Uppsala, Sweden), for correcting moderate-to-severe NLFs in Chinese subjects. METHODS: A 12-month,...

Journal Article, Randomized Controlled Trial, Multicenter Study, Equivalence Trial

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tier1 A Systematic Review of the Efficacy and Safety of Profhilo® and Profhilo® Body. Plastic and aesthetic nursing · 2026 · PMID 41920062

Abstract summary (English) Skin aging causes cumulative structural, physiological, and progressive skin changes, as well as wrinkles, uneven skin tone, elasticity loss, and skin thinning. We performed a systematic review of nine studies involving 278 participants to assess the efficacy and safety of the stable, hybrid cooperative complexes of high molecular weight hyaluronic acid (HCC-HA) and low molecular weight hyaluronic acid used in...

Journal Article, Systematic Review, Review

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tier1 A Split Face Study Comparing the Effect of a PDLLA Based Product and PLLA on the Nasolabial Fold (NLF). Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2026 · PMID 41532837

Abstract summary (English) BACKGROUND: Injectable Poly-L-lactic acid (PLLA) is effective in restoring mid-face volume and is widely used treating the nasolabial fold (NLF). This study aimed to compare the safety and efficacy of a novel PDLLA based product (PDLLA + non-cross-linked HA; Poly-D, L-lactic acid + hyaluronic acid) with that of a commonly used PLLA for NLF correction. METHODS: In this multi-center, randomized, split-face,...

Journal Article, Multicenter Study, Randomized Controlled Trial, Comparative Study

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tier1 A Prospective Study Comparing the Efficacy of Hyaluronic Acid and Collagen in the Treatment of Nasolabial Folds. Journal of cosmetic dermatology · 2026 · PMID 41454456

Abstract summary (English) BACKGROUND: Hyaluronic acid (HA) is established as the gold standard for nasolabial folds (NLFs) correction. However, its use is frequently associated with transient edema and potential migration. These limitations have spurred investigation into collagen-based fillers as viable alternatives characterized by comparable efficacy and a favorable safety profile.

Journal Article, Randomized Controlled Trial, Comparative Study

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tier1 A Comparative Study of the Efficacy of Different Tissue Fillers for Nasolabial Fold Correction. Aesthetic plastic surgery · 2025 · PMID 41204009

Abstract summary (English) BACKGROUND: Nasolabial folds (NLFs), the pronounced furrows extending from the base of the nose to the corners of the mouth, tend to deepen and lengthen as a natural consequence of aging. Currently, one of the most prevalent treatments for NLFs involves injectable tissue fillers. Although various types of fillers have been utilized in clinical settings, there exists a paucity of research dedicated to evaluating...

Journal Article, Comparative Study, Meta-Analysis

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tier1 Final Report on the Safety and Efficacy of Poly-L-Lactic Acid Filler (Gana V) Injection for the Correction of Nasolabial Fold: A Double-Blind, Non-Inferiority, Randomized, Split-Face Controlled Trial. Aesthetic plastic surgery · 2025 · PMID 40897963

Abstract summary (English) BACKGROUND: We presented the interim results (6 months) of the trial on the safety and efficacy of poly-L-lactic acid filler (PLLA; Gana V) injection for the correction of nasolabial fold (NLF); however, no long-term follow-up trials through 24 months have been conducted on this topic. OBJECTIVE: We aimed to evaluate the safety and efficacy of Gana V, a new PLLA filler, over 24 months for NLF correction compared...

Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't

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tier1 Effectiveness and Safety of STYLAGE® L Lidocaine in the Treatment of Nasolabial Folds (NICE Study): A Randomized, Double-Blind, Split-Face Controlled Study. Aesthetic plastic surgery · 2025 · PMID 40830240

Abstract summary (English) BACKGROUND: Prominent nasolabial folds (NLFs) are a typical manifestation of aging. Hyaluronic acid (HA)-based injectable fillers are commonly used for correction. The NICE Study primarily evaluated non-inferiority of STYLAGE® L Lidocaine (STYL-L), a cross-linked HA filler with lidocaine, versus the similar product Juvéderm® ULTRA 3 (JUV-3) in correcting moderate to severe NLFs.

Journal Article, Randomized Controlled Trial

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tier1 Long-term Safety and Effectiveness of Cold-Crosslinked Hyaluronic Acid Fillers: Multicenter, Randomized, Controlled, Double-Blind Study. Aesthetic surgery journal · 2025 · PMID 40378267

Abstract summary (English) BACKGROUND: Evolysse Form (EVLF) and Evolysse Smooth (EVLS) (Symatese, Chaponost, France) are new hyaluronic acid fillers created using an innovative cold-crosslinking process. OBJECTIVES: The authors of this study aim to collect safety and effectiveness data on new cold-crosslinked fillers to support the US approval for the correction of moderate-to-severe dynamic facial wrinkles and folds. METHODS: In this...

Journal Article, Randomized Controlled Trial, Multicenter Study, Equivalence Trial

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tier1 Noninferiority Study Comparing the Efficacy and Safety of a New Hyaluronic Acid (HA) Filler Containing Lidocaine With an Existing HA Filler for the Treatment of Nasolabial Fold Wrinkles: A Randomized, Double-Blind, Split-Face Trial. Journal of cosmetic dermatology · 2025 · PMID 40620129

Abstract summary (English) BACKGROUND: The aesthetic use of hyaluronic acid (HA) has led to the development of various commercial HA fillers. Crosslinked HA dermal fillers are commonly used to treat facial wrinkles. This study demonstrated the non-inferiority of the newly developed hyaluronic acid filler by comparing its efficacy and safety to that of the existing hyaluronic acid filler.

Journal Article, Randomized Controlled Trial, Comparative Study, Equivalence Trial

View on PubMed

Suggested interpretation

Strong evidence base

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