Skip to content

Efficacy and Safety of FS VH S/D 4 S-apr for Flap Adherence in Rhytidectomy

A Randomized, Controlled Phase 3 Study to Evaluate Safety and Efficacy of Fibrin Sealant (FS) VH S/D 4 S-apr (ARTISS) to Adhere Tissues and Improve Wound Healing in Subjects Undergoing Rhytidectomy (Facelift)

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00999141
Enrollment
75
Registered
2009-10-21
Start date
2009-09-30
Completion date
2010-02-28
Last updated
2012-10-08

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

Conditions

Face-lift, Facial Rhytidectomy

Brief summary

The purpose of the study is to compare the safety and efficacy of FS VH S/D 4 s-apr versus standard of care in adhering tissue and improving wound healing in subjects undergoing facelift.

Interventions

BIOLOGICALFS VH S/D 4 s-apr

FS VH S/D 4 s-apr will be applied (using spray device provided by Sponsor) to the subcutaneous plane (intraoperative, topical administration) in both the neck and the face area.

Sponsors

Baxter Healthcare Corporation
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes

Inclusion criteria

* Male or female subject is 18 to 75 years of age at the time of screening * Subject is planned for facial rhytidectomy * Subject has read, understood and signed the written informed consent * Subject is healthy, as determined by the investigator using standard pre-operative assessments to include laboratory tests and electrocardiograms * Subject is of childbearing potential, presents with a negative serum pregnancy test, and agrees to employ adequate birth control measures for the duration of the study * Subject is willing and able to comply with the requirements of the protocol

Exclusion criteria

* Subject is indicated for an abbreviated or modified face-lift procedure such as deep plane procedures, minimal undermining procedures, thread lifts, and minimal access cranial suspension * Subject is indicated for concurrent facial surgeries during the operation (eg forehead plasty,blepharoplasty, rhinoplasty, buccal fat removal, any filler injections including fat injections, lip augmentation, skin resurfacing procedures etc.) * Subject is indicated for additional procedures to the body during the same operation (eg liposuction, mastoplasty etc.) * Subject has undergone a prior rhytidectomy surgery * Subject is an active smoker, as assessed by the investigator * Subject has a known (documented) bleeding or coagulation disorder * Subject is being treated with anti-coagulants or with Aspirin (that was not discontinued 7 days prior to surgery) * Subject has a vascular disorder, cardiovascular disease, and/or uncontrolled hypertension * Subject has diabetes mellitus with glycosylated hemoglobin (HbA1c) \> 7 * Subject is receiving active treatment for a malignancy * Subject has a connective tissue disorder * Subject has an active or chronic skin disorder * Subject has history of Bell's palsy * Subject has a documented history of pathologically or pharmacologically induced immune deficiency * Subject has received chronic treatment with immunosuppressive drugs, systemic corticosteroids, or other chronic treatments within 30 days prior to the surgery * Subject has a known sensitivity to components of FS VH S/D 4 s-apr * Subject has a known psychiatric disorder (eg, obsessive compulsive disorder, anxiety, eating disorders, etc.) * Subject has documented healing complications following previous surgeries (eg, hypertrophic scarring) * Subject is pregnant or lactating at the time of enrollment * Subject has participated in another clinical study involving an investigational product/device within 30 days prior to enrollment or is scheduled to participate in another clinical study involving an investigational product/device during the course of this study

Design outcomes

Primary

MeasureTime frameDescription
Total Volume of Drainage on Each Side of the Face24 hours (± 4h) after surgeryTotal drainage volume collected from each side of the face. One side of face is treated with FS VH S/D 4 s-apr (FS); the other side is treated using standard of care (SoC).
Number of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)Day 0 (day of surgery) through postoperative Day 14

Secondary

MeasureTime frameDescription
Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 3Through postoperative Day 3Investigators' assessed which side of the face (FS VH S/D 4 s-apr or Standard SoC) had less edema
Change From Baseline (Day 0, Preoperative) in Skin Sensitivity on Postoperative Days 3, 7, 14Day 0 (preoperative) through postoperative Day 14Skin sensitivity was measured using Semmes-Weinstein Monofilament set to detect neurological damage. Filament sizes are noted by handle numbers of measuring tools (\[handle number = log10(10\*force in milligrams applied to skin)\], range = 1.65 to 6.65). Detection of filament with smaller handle number = greater skin sensitivity. Smaller change in filament size detection from pre-op to post-op = less impact to recovery of sensation. Smallest filament felt for each side of face was noted. Change in skin sensitivity computed as (Handle Number Postop Day 3, 7, or 14) - (Handle Number Preop Day 0).
Participants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Through postoperative Day 14Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?
Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 1Through postoperative Day 1Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?
Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 3Through postoperative Day 3Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?
Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 7Through postoperative Day 7Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?
Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 14Through postoperative Day 14Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?
Reasons for Participants' Preferences for Side of FaceThrough postoperative Day 14Participants responded to the following questions during the side of face preference assessment: 1. Which side of the face do you prefer? Left side, right side, or no preference? 2. If right or left is chosen, participants were asked Please mark ALL reasons for choosing this side 1. Better skin sensation 2. Less numbness 3. Looks better 4. Less bruising 5. Less swelling 6. Less pain 7. Less itching 8. Less tingling 9. Less feeling of pins and needles 10. Other \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Free Text)
Participants' First Occurrence of Hematoma or Seroma by Study DayDay 0 (day of surgery) through postoperative day 14Investigators assessed each side of the face for the presence of hematomas and/or seromas
Participants With Hematoma/Seroma by Study DayDay 0 (day of surgery) through postoperative day 14Investigators assessed each side of the face for the presence of hematoma and/or seroma
Number of Participants With Hematoma/Seroma Anytime During the StudyDay 0 (day of surgery) through postoperative Day 14
Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 1Through postoperative Day 1Investigators' assessed which side of the face (FS VH S/D 4 s-apr or Standard SoC) had less edema
Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 7Through postoperative Day 7Investigators' assessed which side of the face (FS VH S/D 4 s-apr or Standard SoC) had less edema
Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 14Through postoperative Day 14Investigators' assessed which side of the face (FS VH S/D 4 s-apr or Standard SoC) had less edema

Other

MeasureTime frameDescription
Investigators' Satisfaction With Rate of HealingThrough postoperative Day 14During postoperative visits investigators recorded their satisfaction with the rate of healing of each side of the face (FS VH S/D 4 s-apr (FS) or Standard of Care (SoC) sides of face)
Investigators' Satisfaction With TreatmentThrough postoperative Day 14During postoperative visits investigators recorded their satisfaction with treatment on each side of the face (FS VH S/D 4 s-apr (FS) or Standard of Care (SoC) sides of face)
Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprThrough postoperative Day 14
Total Aspiration Volumes From Hematomas and SeromasThrough postoperative Day 14
Investigators' Satisfaction With Quality of Flap AdherenceThrough postoperative Day 14During postoperative visits investigators recorded their satisfaction with the quality of flap adherence for each side of the face (FS VH S/D 4 s-apr (FS) or Standard of Care (SoC) sides of face)
Participants' Assessment of Difference in Numbness Between Two Sides of FaceThrough postoperative Day 14During each postoperative visit (Day 1, 3, 7, and 14), participants were asked: How would you rate your numbness on each side of your face on a scale of 0-10, with 10 being the worst numbness possible? Difference in scores on a scale = (SoC score) - (FS VH S/D 4 s-apr score) The planned and approved Statistical Analysis Plan (SAP) called for a pre-aggregation of the data whereby differences between the two sides of the face were computed first within participants to retain the inherent correlation (pairings) in the measures. Summary statistics and statistical tests were then computed on the differences between the two sides of the face using paired sample tests.
Investigator Preference for Side of FaceThrough postoperative Day 14Investigator reported outcomes data was collected for overall preference for 1 side of face

Countries

United States

Participant flow

Recruitment details

Patients were enrolled at 7 clinical sites in the United States, beginning September 2009 and completing in December 2009

Pre-assignment details

79 participants were enrolled and screened. 2 were screen failures and 2 requested withdrawal. Therefore, 75 of the 79 enrolled were randomized.

Participants by arm

ArmCount
Facelift Participants
One side of face will be treated with the investigational product (FS VH S/D 4 s-apr) as an adjuvant to the standard of care (SoC), and the other side of the face will receive SoC alone. Please note: Each subject will participate in both arms (investigational product and SoC) simultaneously, and will serve as his/her own control.
75
Total75

Baseline characteristics

CharacteristicFacelift Participants
Age Continuous54.4 years
STANDARD_DEVIATION 7.4
Region of Enrollment
United States
75 participants
Sex: Female, Male
Female
71 Participants
Sex: Female, Male
Male
4 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
8 / 755 / 750 / 75
serious
Total, serious adverse events
0 / 751 / 751 / 75

Outcome results

Primary

Number of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)

Time frame: Day 0 (day of surgery) through postoperative Day 14

Population: Safety Analysis Set

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Number of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)Serious Adverse Events- Mild0 Events
Standard of Care (SoC)Number of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)Serious Adverse Events- Moderate0 Events
Standard of Care (SoC)Number of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)Serious Adverse Events- Severe0 Events
Standard of Care (SoC)Number of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)non-Serious Adverse Events- Mild0 Events
Standard of Care (SoC)Number of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)non-Serious Adverse Events- Moderate0 Events
Standard of Care (SoC)Number of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)non-Serious Adverse Events- Severe0 Events
FS VH S/D 4 S-aprNumber of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)non-Serious Adverse Events- Moderate0 Events
FS VH S/D 4 S-aprNumber of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)Serious Adverse Events- Mild0 Events
FS VH S/D 4 S-aprNumber of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)non-Serious Adverse Events- Mild2 Events
FS VH S/D 4 S-aprNumber of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)Serious Adverse Events- Moderate1 Events
FS VH S/D 4 S-aprNumber of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)non-Serious Adverse Events- Severe0 Events
FS VH S/D 4 S-aprNumber of AEs Related to the Investigational Product (FS VH S/D 4 S-apr)Serious Adverse Events- Severe0 Events
Primary

Total Volume of Drainage on Each Side of the Face

Total drainage volume collected from each side of the face. One side of face is treated with FS VH S/D 4 s-apr (FS); the other side is treated using standard of care (SoC).

Time frame: 24 hours (± 4h) after surgery

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (MEDIAN)
Standard of Care (SoC)Total Volume of Drainage on Each Side of the Face20.0 mL
FS VH S/D 4 S-aprTotal Volume of Drainage on Each Side of the Face8.0 mL
p-value: <0.0001two-sided paired t-test
Secondary

Change From Baseline (Day 0, Preoperative) in Skin Sensitivity on Postoperative Days 3, 7, 14

Skin sensitivity was measured using Semmes-Weinstein Monofilament set to detect neurological damage. Filament sizes are noted by handle numbers of measuring tools (\[handle number = log10(10\*force in milligrams applied to skin)\], range = 1.65 to 6.65). Detection of filament with smaller handle number = greater skin sensitivity. Smaller change in filament size detection from pre-op to post-op = less impact to recovery of sensation. Smallest filament felt for each side of face was noted. Change in skin sensitivity computed as (Handle Number Postop Day 3, 7, or 14) - (Handle Number Preop Day 0).

Time frame: Day 0 (preoperative) through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC)Change From Baseline (Day 0, Preoperative) in Skin Sensitivity on Postoperative Days 3, 7, 14Day 30.54 Handle number(s)95% Confidence Interval 0.85
Standard of Care (SoC)Change From Baseline (Day 0, Preoperative) in Skin Sensitivity on Postoperative Days 3, 7, 14Day 70.44 Handle number(s)95% Confidence Interval 0.94
Standard of Care (SoC)Change From Baseline (Day 0, Preoperative) in Skin Sensitivity on Postoperative Days 3, 7, 14Day 140.24 Handle number(s)95% Confidence Interval 0.82
FS VH S/D 4 S-aprChange From Baseline (Day 0, Preoperative) in Skin Sensitivity on Postoperative Days 3, 7, 14Day 30.60 Handle number(s)95% Confidence Interval 0.94
FS VH S/D 4 S-aprChange From Baseline (Day 0, Preoperative) in Skin Sensitivity on Postoperative Days 3, 7, 14Day 70.51 Handle number(s)95% Confidence Interval 1.02
FS VH S/D 4 S-aprChange From Baseline (Day 0, Preoperative) in Skin Sensitivity on Postoperative Days 3, 7, 14Day 140.32 Handle number(s)95% Confidence Interval 0.96
Secondary

Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 1

Investigators' assessed which side of the face (FS VH S/D 4 s-apr or Standard SoC) had less edema

Time frame: Through postoperative Day 1

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 140 participants
FS VH S/D 4 S-aprInvestigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 112 participants
Standard of Care (SoC) Side - HematomaInvestigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 123 participants
p-value: <0.00195% CI: [-0.524, -0.193]McNemar
Secondary

Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 14

Investigators' assessed which side of the face (FS VH S/D 4 s-apr or Standard SoC) had less edema

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 1427 participants
FS VH S/D 4 S-aprInvestigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 1413 participants
Standard of Care (SoC) Side - HematomaInvestigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 1434 participants
p-value: 0.02795% CI: [-0.342, -0.023]McNemar
Secondary

Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 3

Investigators' assessed which side of the face (FS VH S/D 4 s-apr or Standard SoC) had less edema

Time frame: Through postoperative Day 3

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 341 participants
FS VH S/D 4 S-aprInvestigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 312 participants
Standard of Care (SoC) Side - HematomaInvestigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 322 participants
p-value: <0.00195% CI: [-0.538, -0.205]McNemar
Secondary

Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 7

Investigators' assessed which side of the face (FS VH S/D 4 s-apr or Standard SoC) had less edema

Time frame: Through postoperative Day 7

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Investigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 741 participants
FS VH S/D 4 S-aprInvestigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 715 participants
Standard of Care (SoC) Side - HematomaInvestigators' Visual Comparisons of Edema Between the 2 Sides of Face at Day 717 participants
p-value: 0.00195% CI: [-0.521, -0.161]McNemar
Secondary

Number of Participants With Hematoma/Seroma Anytime During the Study

Time frame: Day 0 (day of surgery) through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Number of Participants With Hematoma/Seroma Anytime During the Study2 participants
FS VH S/D 4 S-aprNumber of Participants With Hematoma/Seroma Anytime During the Study5 participants
Standard of Care (SoC) Side - HematomaNumber of Participants With Hematoma/Seroma Anytime During the Study3 participants
Standard of Care (SoC) Side - SeromaNumber of Participants With Hematoma/Seroma Anytime During the Study65 participants
p-value: 0.25795% CI: [-0.039, 0.125]McNemar
Secondary

Participants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14

Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Participants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 1 (n= 75)47 participants
Standard of Care (SoC)Participants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 3 (n= 75)40 participants
Standard of Care (SoC)Participants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 7 (n= 75)44 participants
Standard of Care (SoC)Participants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 14 (n= 74)42 participants
FS VH S/D 4 S-aprParticipants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 14 (n= 74)15 participants
FS VH S/D 4 S-aprParticipants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 1 (n= 75)16 participants
FS VH S/D 4 S-aprParticipants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 7 (n= 75)18 participants
FS VH S/D 4 S-aprParticipants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 3 (n= 75)23 participants
Standard of Care (SoC) Side - HematomaParticipants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 14 (n= 74)17 participants
Standard of Care (SoC) Side - HematomaParticipants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 3 (n= 75)12 participants
Standard of Care (SoC) Side - HematomaParticipants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 7 (n= 75)13 participants
Standard of Care (SoC) Side - HematomaParticipants' Assessment of Side of Face Preference (SoC and FS VH S/D 4) on Postoperative Days 1, 3, 7, 14Day 1 (n= 75)12 participants
Secondary

Participants' First Occurrence of Hematoma or Seroma by Study Day

Investigators assessed each side of the face for the presence of hematomas and/or seromas

Time frame: Day 0 (day of surgery) through postoperative day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 00 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 110 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 80 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 20 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 90 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 100 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 30 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 11 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 130 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 40 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 50 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 120 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 60 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 140 participants
Standard of Care (SoC)Participants' First Occurrence of Hematoma or Seroma by Study DayDay 70 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 71 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 110 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 40 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 80 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 12 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 101 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 120 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 90 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 20 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 60 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 141 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 130 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 50 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 31 participants
FS VH S/D 4 S-aprParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 00 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 71 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 01 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 10 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 20 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 32 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 40 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 50 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 60 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 80 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 90 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 100 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 110 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 120 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 130 participants
Standard of Care (SoC) Side - HematomaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 140 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 60 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 11 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 110 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 50 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 40 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 00 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 120 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 32 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 20 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 140 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 90 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 80 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 130 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 100 participants
Standard of Care (SoC) Side - SeromaParticipants' First Occurrence of Hematoma or Seroma by Study DayDay 71 participants
Secondary

Participants With Hematoma/Seroma by Study Day

Investigators assessed each side of the face for the presence of hematoma and/or seroma

Time frame: Day 0 (day of surgery) through postoperative day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 41 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 81 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 13 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 91 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 50 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 102 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 32 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 110 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 60 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 120 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 22 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 130 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 71 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 141 participants
Standard of Care (SoC)Participants With Hematoma/Seroma by Study DayDay 00 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 141 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 01 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 11 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 21 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 34 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 44 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 53 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 60 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 72 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 82 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 92 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 102 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 111 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 121 participants
FS VH S/D 4 S-aprParticipants With Hematoma/Seroma by Study DayDay 131 participants
Secondary

Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 1

Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?

Time frame: Through postoperative Day 1

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 10.63 Proportion of Participants
FS VH S/D 4 S-aprProportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 10.21 Proportion of Participants
95% CI: [-0.577, -0.213]
Secondary

Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 14

Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 140.57 Proportion of Participants
FS VH S/D 4 S-aprProportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 140.20 Proportion of Participants
95% CI: [-0.528, -0.171]
Secondary

Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 3

Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?

Time frame: Through postoperative Day 3

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 30.53 Proportion of Participants
FS VH S/D 4 S-aprProportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 30.31 Proportion of Participants
95% CI: [-0.413, -0.02]
Secondary

Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 7

Participants responded to the following question during the side of face preference assessment: Which side of the face do you prefer? Left side, right side, or no preference?

Time frame: Through postoperative Day 7

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (NUMBER)
Standard of Care (SoC)Proportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 70.59 Proportion of Participants
FS VH S/D 4 S-aprProportion of Participants Preferring Either FS VH S/D 4 S-apr or SoC Side of Face - Day 70.24 Proportion of Participants
95% CI: [-0.518, -0.145]
Secondary

Reasons for Participants' Preferences for Side of Face

Participants responded to the following questions during the side of face preference assessment: 1. Which side of the face do you prefer? Left side, right side, or no preference? 2. If right or left is chosen, participants were asked Please mark ALL reasons for choosing this side 1. Better skin sensation 2. Less numbness 3. Looks better 4. Less bruising 5. Less swelling 6. Less pain 7. Less itching 8. Less tingling 9. Less feeling of pins and needles 10. Other \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Free Text)

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceLess Numbness16 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceLess Itching2 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceOther3 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceLooks Better35 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceLess Bruising21 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceBetter Skin Sensation19 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceLess Tingling2 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceLess Swelling37 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceLess Pain23 Participants
Standard of Care (SoC)Reasons for Participants' Preferences for Side of FaceLess Feeling of Pins and Needles4 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceBetter Skin Sensation5 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceLess Itching2 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceLess Numbness6 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceOther0 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceLess Swelling14 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceLooks Better13 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceLess Feeling of Pins and Needles1 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceLess Tingling1 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceLess Pain7 Participants
FS VH S/D 4 S-aprReasons for Participants' Preferences for Side of FaceLess Bruising8 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceLess Bruising21 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceBetter Skin Sensation15 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceLess Feeling of Pins and Needles7 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceLess Itching7 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceLess Numbness24 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceLess Pain22 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceLess Swelling30 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceLess Tingling6 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceLooks Better32 Participants
Standard of Care (SoC) Side - HematomaReasons for Participants' Preferences for Side of FaceOther3 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceLess Numbness9 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceLooks Better19 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceOther1 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceLess Pain8 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceLess Swelling16 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceLess Itching3 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceBetter Skin Sensation4 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceLess Tingling3 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceLess Feeling of Pins and Needles1 Participants
Standard of Care (SoC) Side - SeromaReasons for Participants' Preferences for Side of FaceLess Bruising14 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Bruising30 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Swelling33 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Numbness24 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Itching9 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceBetter Skin Sensation19 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceLooks Better37 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Pain26 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Feeling of Pins and Needles8 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Tingling9 Participants
FS VH S/D 4 S-apr Side - Day 7Reasons for Participants' Preferences for Side of FaceOther3 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Itching1 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Numbness7 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Pain5 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Bruising9 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Swelling14 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceOther0 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Tingling2 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceBetter Skin Sensation7 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceLooks Better13 Participants
SoC Side - Day 7Reasons for Participants' Preferences for Side of FaceLess Feeling of Pins and Needles1 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Pain25 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Numbness28 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Tingling16 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceBetter Skin Sensation26 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceOther2 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Bruising29 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceLooks Better35 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Feeling of Pins and Needles11 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Swelling36 Participants
FS VH S/D 4 S-apr Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Itching11 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Pain4 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceLooks Better12 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Numbness11 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Tingling1 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Feeling of Pins and Needles1 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceOther1 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceBetter Skin Sensation6 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Swelling12 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Bruising5 Participants
SoC Side - Day 14Reasons for Participants' Preferences for Side of FaceLess Itching0 Participants
Other Pre-specified

Investigator Preference for Side of Face

Investigator reported outcomes data was collected for overall preference for 1 side of face

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Investigator Preference for Side of FacePostoperative Day 716 participants
Standard of Care (SoC)Investigator Preference for Side of FacePostoperative Day 37 participants
Standard of Care (SoC)Investigator Preference for Side of FacePostoperative Day 1416 participants
Standard of Care (SoC)Investigator Preference for Side of FacePostoperative Day 18 participants
FS VH S/D 4 S-aprInvestigator Preference for Side of FacePostoperative Day 731 participants
FS VH S/D 4 S-aprInvestigator Preference for Side of FacePostoperative Day 133 participants
FS VH S/D 4 S-aprInvestigator Preference for Side of FacePostoperative Day 337 participants
FS VH S/D 4 S-aprInvestigator Preference for Side of FacePostoperative Day 1421 participants
Standard of Care (SoC) Side - HematomaInvestigator Preference for Side of FacePostoperative Day 121 participants
Standard of Care (SoC) Side - HematomaInvestigator Preference for Side of FacePostoperative Day 716 participants
Standard of Care (SoC) Side - HematomaInvestigator Preference for Side of FacePostoperative Day 318 participants
Standard of Care (SoC) Side - HematomaInvestigator Preference for Side of FacePostoperative Day 1425 participants
Standard of Care (SoC) Side - SeromaInvestigator Preference for Side of FacePostoperative Day 310 participants
Standard of Care (SoC) Side - SeromaInvestigator Preference for Side of FacePostoperative Day 113 participants
Standard of Care (SoC) Side - SeromaInvestigator Preference for Side of FacePostoperative Day 711 participants
Standard of Care (SoC) Side - SeromaInvestigator Preference for Side of FacePostoperative Day 1412 participants
FS VH S/D 4 S-apr Side - Day 7Investigator Preference for Side of FacePostoperative Day 33 participants
FS VH S/D 4 S-apr Side - Day 7Investigator Preference for Side of FacePostoperative Day 10 participants
FS VH S/D 4 S-apr Side - Day 7Investigator Preference for Side of FacePostoperative Day 141 participants
FS VH S/D 4 S-apr Side - Day 7Investigator Preference for Side of FacePostoperative Day 71 participants
Other Pre-specified

Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-apr

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 10 participants
Standard of Care (SoC)Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 30 participants
Standard of Care (SoC)Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 70 participants
Standard of Care (SoC)Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 140 participants
FS VH S/D 4 S-aprInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 10 participants
FS VH S/D 4 S-aprInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 140 participants
FS VH S/D 4 S-aprInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 30 participants
FS VH S/D 4 S-aprInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 70 participants
Standard of Care (SoC) Side - HematomaInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 148 participants
Standard of Care (SoC) Side - HematomaInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 36 participants
Standard of Care (SoC) Side - HematomaInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 75 participants
Standard of Care (SoC) Side - HematomaInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 18 participants
Standard of Care (SoC) Side - SeromaInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 120 participants
Standard of Care (SoC) Side - SeromaInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 326 participants
Standard of Care (SoC) Side - SeromaInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 1414 participants
Standard of Care (SoC) Side - SeromaInvestigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 720 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 1453 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 750 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 343 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Confidence in Decreased Postsurgical Complications With the Use of FS VH S/D 4 S-aprDay 147 participants
Other Pre-specified

Investigators' Satisfaction With Quality of Flap Adherence

During postoperative visits investigators recorded their satisfaction with the quality of flap adherence for each side of the face (FS VH S/D 4 s-apr (FS) or Standard of Care (SoC) sides of face)

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 11 participants
Standard of Care (SoC)Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 30 participants
Standard of Care (SoC)Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 70 participants
Standard of Care (SoC)Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 140 participants
Standard of Care (SoC)Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 10 participants
Standard of Care (SoC)Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 30 participants
Standard of Care (SoC)Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 70 participants
Standard of Care (SoC)Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 140 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 70 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 31 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 10 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 140 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 31 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 140 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 17 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 70 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 711 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 145 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 141 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 323 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 71 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 36 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 18 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 113 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 318 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 714 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 1412 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 126 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 313 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 1421 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 119 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 725 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 1462 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 1449 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 760 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 739 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 147 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 338 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence FS Side- Day 350 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Quality of Flap AdherenceSatisfaction with flap adherence SoC Side- Day 129 participants
Other Pre-specified

Investigators' Satisfaction With Rate of Healing

During postoperative visits investigators recorded their satisfaction with the rate of healing of each side of the face (FS VH S/D 4 s-apr (FS) or Standard of Care (SoC) sides of face)

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 10 participants
Standard of Care (SoC)Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 70 participants
Standard of Care (SoC)Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 11 participants
Standard of Care (SoC)Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 140 participants
Standard of Care (SoC)Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 70 participants
Standard of Care (SoC)Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 30 participants
Standard of Care (SoC)Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 140 participants
Standard of Care (SoC)Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 30 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 70 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 140 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 30 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 70 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 10 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 140 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 16 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 31 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 110 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 146 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 711 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 114 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 37 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 317 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 71 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 142 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 714 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 1420 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 128 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 1411 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 724 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 121 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 319 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 317 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 1449 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 136 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 349 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 760 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 134 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 340 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing SoC Side- Day 740 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With Rate of HealingSatisfaction with Rate of Healing FS Side- Day 1462 participants
Other Pre-specified

Investigators' Satisfaction With Treatment

During postoperative visits investigators recorded their satisfaction with treatment on each side of the face (FS VH S/D 4 s-apr (FS) or Standard of Care (SoC) sides of face)

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (NUMBER)
Standard of Care (SoC)Investigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 140 participants
Standard of Care (SoC)Investigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 10 participants
Standard of Care (SoC)Investigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 70 participants
Standard of Care (SoC)Investigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 11 participants
Standard of Care (SoC)Investigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 30 participants
Standard of Care (SoC)Investigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 70 participants
Standard of Care (SoC)Investigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 30 participants
Standard of Care (SoC)Investigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 140 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 70 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 32 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 31 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 140 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 70 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 140 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 16 participants
FS VH S/D 4 S-aprInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 10 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 115 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 142 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 17 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 711 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 314 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 72 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 145 participants
Standard of Care (SoC) Side - HematomaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 35 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 119 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 313 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 712 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 1410 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 117 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 316 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 719 participants
Standard of Care (SoC) Side - SeromaInvestigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 1419 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 1463 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 1451 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 745 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 761 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 356 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With TreatmentSatisfaction with Treatment on FS Side- Day 148 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 343 participants
FS VH S/D 4 S-apr Side - Day 7Investigators' Satisfaction With TreatmentSatisfaction with Treatment on SoC Side- Day 137 participants
Other Pre-specified

Participants' Assessment of Difference in Numbness Between Two Sides of Face

During each postoperative visit (Day 1, 3, 7, and 14), participants were asked: How would you rate your numbness on each side of your face on a scale of 0-10, with 10 being the worst numbness possible? Difference in scores on a scale = (SoC score) - (FS VH S/D 4 s-apr score) The planned and approved Statistical Analysis Plan (SAP) called for a pre-aggregation of the data whereby differences between the two sides of the face were computed first within participants to retain the inherent correlation (pairings) in the measures. Summary statistics and statistical tests were then computed on the differences between the two sides of the face using paired sample tests.

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureGroupValue (MEAN)Dispersion
Standard of Care (SoC)Participants' Assessment of Difference in Numbness Between Two Sides of FacePostoperative Day 10.3 Scores on a scaleStandard Deviation 2
Standard of Care (SoC)Participants' Assessment of Difference in Numbness Between Two Sides of FacePostoperative Day 30.4 Scores on a scaleStandard Deviation 1.7
Standard of Care (SoC)Participants' Assessment of Difference in Numbness Between Two Sides of FacePostoperative Day 70.3 Scores on a scaleStandard Deviation 1.4
Standard of Care (SoC)Participants' Assessment of Difference in Numbness Between Two Sides of FacePostoperative Day 140.5 Scores on a scaleStandard Deviation 1.4
Other Pre-specified

Total Aspiration Volumes From Hematomas and Seromas

Time frame: Through postoperative Day 14

Population: Full Analysis Data Set = All randomized and treated participants

ArmMeasureValue (MEDIAN)
Standard of Care (SoC)Total Aspiration Volumes From Hematomas and SeromasNA mL
FS VH S/D 4 S-aprTotal Aspiration Volumes From Hematomas and Seromas4.1 mL
Standard of Care (SoC) Side - HematomaTotal Aspiration Volumes From Hematomas and Seromas4.7 mL
Standard of Care (SoC) Side - SeromaTotal Aspiration Volumes From Hematomas and Seromas7.0 mL

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026