Effectiveness and Safety of a High G' Hyaluronic Acid Injectable for Jawline Definition
A Randomized Controlled Clinical Investigation.
Shridharani SM, Ablon G, Hevia O, Weiss R, Joseph J, Montes JR, Coleman K, Donath A, George R, Biesman B, Rohrich R, Cohen JL, Somenek M, Baumann L, Cox SE, Nilsson A, Rugheimer A, Weinberg F, Bromée T
Dermatologic SurgeryIn the feed 1 Oct 2026, published online 2 Oct 2026, issue 2026 Oct 02, added to PubMed 1 Oct 2026
Topics: Cosmetic, lasers, scars & wounds
Abstract
BACKGROUNDHASHA is a novel, NASHA HD Technology, hyaluronic acid (HA) injectable, optimized for lower-face shaping.
OBJECTIVESThis multicenter study evaluated effectiveness and safety of HASHA in improving jawline definition for up to 2 years.
METHODSSubjects with moderate-to-very-severe volume deficiency on the Galderma Jawline Scale (GJS) were randomized 3:1 to HASHA injections (via needle or cannula) or no-treatment control. At Month 12, HASHA-treated subjects were offered optional re-treatment and controls were offered first treatment with HASHA.
RESULTSAt Month 3, the HASHA group (N = 168) had a statistically significant (p < .001) higher ≥1-grade blinded evaluator-assessed GJS responder rate than the no-treatment group (N = 68) (85.1% vs 14.3%, primary endpoint), which remained high in the HASHA group at Months 12 (67.1%) and 24 (69.0% without re-treatment; 81.3% with Month-12 re-treatment). Treating-investigator-assessed Global Aesthetic Improvement Scale improvement rates were ≥84% at Months 3 to 24. Most HASHA-treated subjects reported improved overall satisfaction with their appearance (≥70%) and natural-looking results (≥82%) through Month 24. Treatment-related adverse events, all mild or moderate, occurred in 14.5% of subjects after initial treatment.
CONCLUSIONHASHA was superior to no-treatment for improving jawline definition, with improvement lasting throughout 24 months. Subject satisfaction was high. Treatment was well tolerated.
Abstract from PubMed
PMID 42821780 · DOI 10.1097/DSS.0000000000005378