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Clinical Trials/NCT06665594
NCT06665594
Recruiting
Phase 2

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

University of Wisconsin, Madison1 site in 1 country40 target enrollmentStarted: December 5, 2025Last updated:

Overview

Phase
Phase 2
Status
Recruiting
Enrollment
40
Locations
1
Primary Endpoint
Intensity of bruising on TXA + HA half of face

Overview

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.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Supportive Care
Masking
None

Eligibility Criteria

Ages
18 Years to 89 Years (Adult, Older Adult)
Sex
All
Accepts 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
  • Concurrent use of estrogen
  • 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

Arms & Interventions

Facial Filler Injection

Experimental

TXA plus HA injection in half of face, saline plus HA injection on other half of face

Intervention: Hyaluronic Acid (HA) (Procedure)

Facial Filler Injection

Experimental

TXA plus HA injection in half of face, saline plus HA injection on other half of face

Intervention: Tranexamic Acid (TXA) (Drug)

Facial Filler Injection

Experimental

TXA plus HA injection in half of face, saline plus HA injection on other half of face

Intervention: Saline (placebo) (Drug)

Outcomes

Primary Outcomes

Intensity of bruising on TXA + HA half of face

Time Frame: Post-procedure day 7

Participants 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 face

Time Frame: Post-procedure day 7

Participants 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 face

Time Frame: Post-procedure day 7

Participants will indicate on what day their bruising disappeared, or whether it is still there.

Duration of bruising on saline + HA half of face

Time Frame: Post-procedure day 7

Participants will indicate on what day their bruising disappeared, or whether it is still there.

Secondary Outcomes

  • Intensity of bruising on TXA + HA half of face(Post-procedure day 1)
  • Intensity of bruising on saline + HA half of face(Post-procedure day 1)
  • Duration of bruising on TXA + HA half of face(Post-procedure day 1)
  • Duration of bruising on saline + HA half of face(Post-procedure day 1)
  • Intensity of swelling on TXA + HA half of face(Post-procedure days 1 and 7)
  • Intensity of swelling on saline + HA half of face(Post-procedure days 1 and 7)
  • Intensity of pain on TXA + HA half of face(Post-procedure days 1 and 7)
  • Intensity of pain on saline + HA half of face(Post-procedure days 1 and 7)
  • Overall satisfaction with aesthetic of TXA + HA half of face(Post-procedure days 1 and 7)
  • Overall satisfaction with aesthetic of saline + HA half of face(Post-procedure days 1 and 7)

Investigators

Sponsor Class
Other
Responsible Party
Sponsor

Study Sites (1)

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