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Effect of TXA on Reducing Bruising After Filler Injection

Does TXA Reduce Bruising After Hyaluronic Acid Filler Injection? A Prospective Half Face Study

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06665594
Enrollment
40
Registered
2024-10-30
Start date
2025-12-05
Completion date
2026-11-01
Last updated
2026-07-23

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

Conditions

Facial Filler Injections, Hyaluronic Acid, Tranexamic Acid

Brief summary

The goal of this clinical trial is to look at the effect tranexamic acid (TXA) may have on reducing bruising, swelling, and pain after facial filler injection. The main question it aims to answer is: * Does the addition of TXA to hyaluronic acid (HA) reduce bruising, swelling, and tenderness after HA injection? Participants will receive the study medication along with the standard facial filler injection and complete surveys.

Detailed description

The overall purpose of this study is to evaluate the safety and efficacy of co-administration of TXA with HA in reducing swelling, bruising and pain after facial injection. Researchers will do this by comparing HA to HA+TXA in participants undergoing facial filler injections. Participants undergoing facial filler injections almost always have the same type of injection performed bilaterally in order to maintain symmetry. This provides a unique opportunity where participants can serve as their own controls. Therefore, researchers have designed this as a half face study. Participants will be injected with HA on half of their face and the other half of the face will be injected with HA+TXA. Researchers will then assess swelling, bruising, pain, and overall satisfaction using participant self-reported surveys, physician surveys, and review of medical records.

Interventions

PROCEDUREHyaluronic Acid (HA)

Injectable gel

DRUGTranexamic Acid (TXA)

Injection of TXA

Injection of saline

Sponsors

University of Wisconsin, Madison
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
Yes

Inclusion criteria

* Age equal to or greater than 18 but less than or equal to 89 years. * Participants interested in facial filler (HA) injection. * English speaking.

Exclusion criteria

* Minors or under the age of 18 * Participant over the age of 89 * Pregnant or breast-feeding women * Individuals unable to give consent due to another condition such as impaired decision-making capacity. * Individuals with a history of a thrombotic event (DVT, PE, stroke, MI) or genetic disorder that increases risk of thrombosis * Participants undergoing unilateral facial filler (HA) injection * Participants with history of hypersensitivity to TXA or any of the other ingredients * Participants that are on current therapeutic anticoagulation therapy and aspirin use * Participants with stage 2 or greater renal failure * Participants on hemodialysis or peritoneal dialysis * History of diabetes or seizures * Current tobacco smokers * Acquired defective color vision

Design outcomes

Primary

MeasureTime frameDescription
Intensity of bruising on TXA + HA half of facePost-procedure day 7Participants will score the intensity of bruising on a 5-point Likert scale, where 1 = no bruising and 5 = severe bruising.
Intensity of bruising on saline + HA half of facePost-procedure day 7Participants will score the intensity of bruising on a 5-point Likert scale, where 1 = no bruising and 5 = severe bruising.
Duration of bruising on TXA + HA half of facePost-procedure day 7Participants will indicate on what day their bruising disappeared, or whether it is still there.
Duration of bruising on saline + HA half of facePost-procedure day 7Participants will indicate on what day their bruising disappeared, or whether it is still there.

Secondary

MeasureTime frameDescription
Intensity of bruising on TXA + HA half of facePost-procedure day 1Participants will score the intensity of bruising on a 5-point Likert scale, where 1= no bruising and 5= severe bruising.
Intensity of bruising on saline + HA half of facePost-procedure day 1Participants will score the intensity of bruising on a 5-point Likert scale, where 1= no bruising and 5= severe bruising.
Duration of bruising on TXA + HA half of facePost-procedure day 1Participants will indicate on what day their bruising disappeared, or whether it is still there.
Duration of bruising on saline + HA half of facePost-procedure day 1Participants will indicate on what day their bruising disappeared, or whether it is still there.
Intensity of swelling on TXA + HA half of facePost-procedure days 1 and 7Participants will score the intensity of swelling on a 5-point Likert scale, where 1 = no swelling and 5 = severe swelling.
Intensity of swelling on saline + HA half of facePost-procedure days 1 and 7Participants will score the intensity of swelling on a 5-point Likert scale, where 1 = no swelling and 5 = severe swelling.
Intensity of pain on TXA + HA half of facePost-procedure days 1 and 7Participants will score the intensity of pain on a 10-point Likert scale, where 0 = no pain and 10 = worst pain possible.
Intensity of pain on saline + HA half of facePost-procedure days 1 and 7Participants will score the intensity of pain on a 10-point Likert scale, where 0 = no pain and 10 = worst pain possible.
Overall satisfaction with aesthetic of TXA + HA half of facePost-procedure days 1 and 7Participants will rate their overall satisfaction on a 5-point Likert scale where 1 = completely dissatisfied and 5 = completely satisfied
Overall satisfaction with aesthetic of saline + HA half of facePost-procedure days 1 and 7Participants will rate their overall satisfaction on a 5-point Likert scale where 1 = completely dissatisfied and 5 = completely satisfied

Countries

United States

Contacts

CONTACTDaniel Cho, MD, PhD
chod@surgery.wisc.edu608-263-6330
PRINCIPAL_INVESTIGATORDaniel Cho, MD, PhD

University of Wisconsin, Madison

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jul 24, 2026