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Traditional versus limited delamination entry points: a study assessing the enhancement of the jowl and the labiomandibular fold in primary rhytidectomy

TEP vs. PEP in primary rhytidectomy

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN31166644
Enrollment
100
Registered
2026-07-01
Start date
2024-09-01
Completion date
Unknown
Last updated
2026-07-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Aesthetic study requiring the clinical presence of moderate to severe lower facial aging, specifically defined by visible jowling equivalent to Grade 2 or higher on the Croma Jawline Sagging Assessment Scale, accompanied by the presence of clearly delineated labiomandibular folds (marionette lines). Other

Interventions

Patients were randomly assigned to one of two groups using a computer-generated sequence. Group A: Traditional Entry Point (TEP): This approach involved a subcutaneous dissection from the preauricul

Sponsors

Ain Shams University Faculty of Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
45 Years to 70 Years

Inclusion criteria

Inclusion criteria: 1. Male and female patients 2. Aged between 45 and 70 years 3. Deemed medically fit for elective general anesthesia (ASA class I or II) 4. Aesthetic inclusion strictly required: 4.1. The clinical presence of moderate to severe lower facial aging 4.2. Specifically defined by visible jowling equivalent to Grade 2 or higher on the Croma Jawline Sagging Assessment Scale, accompanied by the presence of clearly delineated labiomandibular folds (marionette lines)

Exclusion criteria

Exclusion criteria: Patients with a history of any previous surgical facial rejuvenation were strictly excluded to prevent confounding anatomical alterations 2. Active tobacco smoking or nicotine use within the preceding four weeks 3. The presence of systemic connective tissue disorders 4. Uncontrolled diabetes mellitus (HbA1c > 7.0%) 5. A Body Mass Index (BMI) exceeding 30 kg/m2, and a clinical diagnosis of body dysmorphic disorder.

Design outcomes

Primary

MeasureTime frame
Aesthetic enhancement of the lower face measured using the Croma Jawline Sagging Assessment Scale, Marionette Lines Grading Scale and FACE-Q Aesthetics module at baseline (preoperatively) and 12-Months

Countries

Egypt

Contacts

Public ContactMohamed Afifi
mohamednagyb0100066@med.asu.edu.eg+20 01003856322

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jul 23, 2026