{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T17:52:06Z","timestamp":1785261126220,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T00:00:00Z","timestamp":1747008000000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100013116","name":"Merz Pharmaceuticals","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100013116","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>While various techniques exist to treat the buttocks, few combine multiple products in a single session, offering both aesthetic and logistical benefits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To evaluate the aesthetic improvement of the buttocks in patients treated with a combination of calcium hydroxylapatite\u2010carboxymethylcellulose (CaHA\u2010CMC), Incobotulinumtoxin A (IncoBoNT\u2010A), and cohesive poly\u2010densified matrix hyaluronic acid (CPM\u2010HA V) in one session.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients\/Methods<\/jats:title>\n                    <jats:p>This retrospective observational study involved women aged from 35 to 55\u2009years who underwent the combined technique. Data were collected from the patient's charts, and photos were taken before treatment, and at 30 and 90\u2009days post\u2010procedure. Two independent physicians evaluated cellulite (5\u2010point scale) and flaccidity (4\u2010point scale) in all patients. Aesthetic improvements were assessed by patients and physicians using the GAIS (5\u2010point) scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten women aged 45.3 (\u00b15.2) years participated. Initially, 80% presented\n                      <jats:italic>moderate<\/jats:italic>\n                      to\n                      <jats:italic>severe<\/jats:italic>\n                      flaccidity, and 30% and 90% presented\n                      <jats:italic>moderate<\/jats:italic>\n                      to\n                      <jats:italic>very severe<\/jats:italic>\n                      cellulite in relaxed and contracted buttocks, respectively. After 90\u2009days, flaccidity improved in 9\/10 patients, and cellulite in 4\/10 and 9\/10 patients in static and dynamic assessments, respectively. There was a moderate correlation between the assessments at baseline and after 90\u2009days. The aesthetic appearance of the buttocks was rated as\n                      <jats:italic>much improved<\/jats:italic>\n                      or\n                      <jats:italic>very much improved<\/jats:italic>\n                      by 100% of the patients and 60% of the physicians after 90\u2009days.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A single\u2010session combined application of CaHA\u2010CMC, IncoBoNT\u2010A, and CPM\u2010HA effectively improved flaccidity and cellulite, resulting in high patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.70227","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T07:55:39Z","timestamp":1747036539000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Single Session of Calcium Hydroxylapatite, Incobotulinumtoxin\n                    <scp>A,<\/scp>\n                    and Hyaluronic Acid for Gluteal Aesthetic Improvement"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5534-4267","authenticated-orcid":false,"given":"David","family":"Di Sessa","sequence":"first","affiliation":[{"name":"DSL Clinica, Private Practice  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0711-281X","authenticated-orcid":false,"given":"Carla de Sanctis","family":"Pecora","sequence":"additional","affiliation":[{"name":"Clinica Dermatologie, Private Practice  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6185-1840","authenticated-orcid":false,"given":"Rossana Cantanhede Farias","family":"de Vasconcelos","sequence":"additional","affiliation":[{"name":"Department of Dermatology Universidade de Santo Amaro  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9864-5277","authenticated-orcid":false,"given":"Gustavo Limongi","family":"Moreira","sequence":"additional","affiliation":[{"name":"DSL Clinica Medica, Private Practice  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,12]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"American Society of Plastic Surgeons \u201cPlastic Surgery Statistics Report 2020 \u201d2020."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocd.14573"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000001994"},{"key":"e_1_2_11_5_1","first-page":"68","article-title":"Improved Neocollagenesis and Skin Mechanical Properties After Injection of Diluted Calcium Hydroxylapatite in the Neck and D\u00e9\u0107olletage: A Pilot Study","volume":"16","author":"Yutskovskaya Y. 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