{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:51:32Z","timestamp":1791496292126,"version":"4.3.4"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,11,17]],"date-time":"2024-11-17T00:00:00Z","timestamp":1731801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,11,17]],"date-time":"2024-11-17T00:00:00Z","timestamp":1731801600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Achieving a defined abdomen through traditional surgical methods like liposuction and abdominoplasty involves risks and significant downtime. Hyaluronic acid (HA) body filling has emerged as a minimally invasive alternative, offering immediate results with reduced recovery periods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>The high\u2010definition abdomen through HA technique (HHD) was implemented on young men with BMI\u2009&lt;\u200924.9, excluding those with obesity or excessive skin laxity. HA gel with large particle sizes (800\u20131800\u2009\u03bcm) and high G prime was chosen based on subcutaneous thickness. Injections were guided by ultrasound into the lamellar fat layer between Camper's fascia and Scarpa's fascia, targeting abdominal metameres for enhancement. Participants completed the Global Aesthetic Improvement Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The technique produced satisfactory outcomes, enhancing abdominal metamere definition. Mild post\u2010procedural hematomas and transient discomfort were noted. At 10\u2009months, 71.4% of patients reported \u201cmuch improved,\u201d and 28.6% reported \u201cimproved,\u201d per the GAIS questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Customizing HA characteristics and employing ultrasound guidance ensured safe and precise injections, minimizing vascular risks. Limitations such as HA's temporary nature and exclusions for surgical candidates were acknowledged.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HHD using large particle HA proved effective in achieving aesthetic abdominal enhancements with minimal risks and downtime. This technique not only provided immediate results but also contributed to enhanced patient satisfaction and self\u2010esteem. Further research is needed to explore broader applications and refine outcomes across diverse patient groups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.16692","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T01:39:09Z","timestamp":1731893949000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Hyaluronic High Definition Fill Technique"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8221-6635","authenticated-orcid":false,"given":"Luciana M.","family":"Louren\u00e7o","sequence":"first","affiliation":[{"name":"Private Practice in Dermatology  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5534-4267","authenticated-orcid":false,"given":"David","family":"Di Sessa","sequence":"additional","affiliation":[{"name":"Private Practice in Dermatology  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Carolina Franco","family":"Tebet","sequence":"additional","affiliation":[{"name":"Private Practice in Dermatology  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9577-8656","authenticated-orcid":false,"given":"Maria Gabriela Ortiz","family":"de Noronha","sequence":"additional","affiliation":[{"name":"Private Practice in Dermatology  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helena Louren\u00e7o","family":"de Medeiros","sequence":"additional","affiliation":[{"name":"Faculty Ci\u00eancias M\u00e9dicas de Minas Gerais  Belo Horizonte Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Sigrist","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital das Cl\u00ednicas\u2013Faculty of Medicine University of S\u00e3o Paulo  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,17]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.87a.19097"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.12788\/j.sder.2015.0171"},{"key":"e_1_2_8_4_1","volume-title":"Abdominoplasty","author":"Regan J. P.","year":"2023"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000003550"},{"key":"e_1_2_8_6_1","unstructured":"American Society of Plastic Surgeons \u201cNational plastic surgery statistics report \u201d2022 https:\/\/www.plasticsurgery.org\/documents\/News\/Statistics\/2022\/plastic\u2010surgery\u2010statistics\u2010report\u20102022.pdf."},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14763"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2022.03.004"},{"issue":"1","key":"e_1_2_8_9_1","article-title":"Square Technique\u2010A Treatment for Cellulite With Large Size Particle Hyaluronic Acid","volume":"4","author":"Matos L. L.","year":"2023","journal-title":"Skin Health and Disease"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-020-01772-5"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005429"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00104-016-0257-3"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.14712\/23362936.2023.9"},{"key":"e_1_2_8_14_1","volume-title":"Anatomy for Sculptors: Understanding the Human Figure","author":"Zarins U.","year":"2014"},{"issue":"8","key":"e_1_2_8_15_1","first-page":"E69","article-title":"Guideline for the Safe Use of Hyaluronidase in Aesthetic Medicine, Including Modified High\u2010Dose Protocol","volume":"14","author":"Murray G.","year":"2021","journal-title":"Journal of Clinical and Aesthetic Dermatology"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000625"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e31824ecc2b"}],"container-title":["Journal of Cosmetic Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.16692","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocd.16692","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocd.16692","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T21:44:09Z","timestamp":1791495849000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocd.16692"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,17]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2]]}},"alternative-id":["10.1111\/jocd.16692"],"URL":"https:\/\/doi.org\/10.1111\/jocd.16692","archive":["Portico"],"relation":{},"ISSN":["1473-2130","1473-2165"],"issn-type":[{"value":"1473-2130","type":"print"},{"value":"1473-2165","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,17]]},"assertion":[{"value":"2024-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e16692"}}