UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000059536
Receipt number R000068098
Scientific Title A Single-center Randomized Controlled Trial of Platelet-Rich Plasma Combined Fat Grafting for Forehead Augmentation.
Date of disclosure of the study information 2025/10/24
Last modified on 2025/10/24 16:35:18

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Basic information

Public title

A Single-center Randomized Controlled Trial of Platelet-Rich Plasma Combined Fat Grafting for Forehead Augmentation.

Acronym

A Single-center Randomized Controlled Trial of Platelet-Rich Plasma Combined Fat Grafting for Forehead Augmentation.

Scientific Title

A Single-center Randomized Controlled Trial of Platelet-Rich Plasma Combined Fat Grafting for Forehead Augmentation.

Scientific Title:Acronym

A Single-center Randomized Controlled Trial of Platelet-Rich Plasma Combined Fat Grafting for Forehead Augmentation.

Region

Japan


Condition

Condition

Skin tissue exhibiting atrophy or deformity caused by aging, trauma, or congenital abnormalities.

Classification by specialty

Dermatology Plastic surgery Aesthetic surgery
Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Regenerative medicine has been rapidly developing in the field of aesthetic medicine. Among these techniques, platelet-rich plasma (PRP)-based regenerative therapy, classified as Class III under the Act on the Safety of Regenerative Medicine in Japan, has been widely applied in clinical practice because of its minimally invasive nature and favorable safety profile. However, scientific evidence supporting the clinical efficacy of PRP therapy remains insufficient.
Preclinical studies have demonstrated that the combination of PRP with autologous fat grafting enhances fat graft survival, possibly through angiogenic and tissue repair-promoting effects.
The present study aims to evaluate the efficacy and safety of PRP-assisted fat grafting for forehead augmentation through a single-center randomized controlled interventional trial, comparing PRP-combined fat injection with fat-only injection. Quantitative assessments of graft retention, complication rates, and patient satisfaction will be performed to establish clinical evidence for PRP-assisted regenerative therapy in aesthetic applications.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

A 3D camera will be used to obtain images of the treated region before and immediately after surgery, and at 1, 3, and 6 months postoperatively for volumetric analysis of the grafted fat.

Key secondary outcomes

1.Investigation of the incidence of complications (such as fat necrosis and nodule formation) throughout the entire study period
2.Image analysis using the imaging device neoVoir at preoperative and postoperative months 1, 3, and 6
3.Evaluation of patient satisfaction at postoperative months 1, 3, and 6


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

Fat plus PRP Group (Intervention group)
[Fat harvesting and purification]
Autologous fat is harvested from the subcutaneous layer of the medial thigh, abdomen, or buttock, selected according to the patient's body habitus and the condition of each donor site. Approximately 30-50 mL of fat is aspirated under anesthesia. The harvested fat is purified by centrifugation to remove oil and blood components before transplantation.
[Preparation and mixing of PRP]
Autologous venous blood is collected and centrifuged to obtain platelet-rich plasma (PRP). The prepared PRP is added to the purified fat and gently mixed to ensure homogeneity throughout the adipose tissue.
[Injection procedure]
The PRP-enriched fat is loaded into a syringe and injected into the subcutaneous layer of the forehead using a microcannula, evenly distributed through the insertion site. Each treatment is performed as a single session, followed by postoperative observation.

Interventions/Control_2

Fat-only Group (Control group)
[Fat harvesting and purification]
Fat harvesting and purification are performed in the same manner as in the intervention group, from the medial thigh, abdomen, or buttock. The volume of fat collected, processing method, and injection procedure are identical to those used in the intervention group, except that no PRP is added.
[Injection procedure]
Purified fat is loaded into a syringe and injected into the subcutaneous layer of the forehead using a microcannula in a single session.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1.Adult patients who desire forehead fat grafting and undergo the procedure.
2.Patients who provide written informed consent to participate in the study.
3.Patients with apparent tissue deformity or atrophy of the forehead due to congenital factors, trauma, or aging.
4.Patients expected to benefit from the treatment.
5.Patients who wish to receive this treatment and are deemed suitable candidates by the physician.
6.Patients who are able to attend follow-up visits on an outpatient basis.

Key exclusion criteria

1.Patients who have previously undergone fat grafting to the forehead.
2.Patients who have received hyaluronic acid filler injections to the forehead within the past 12 months.
3.Patients who have received botulinum toxin (Botox) injections to the forehead within the past 4 months.
4.Patients who undergo any additional procedures such as fat grafting, hyaluronic acid filler injection, or botulinum toxin injection to the forehead during the observation period after treatment.
5.Patients with a body mass index (BMI) below 18 or above 30.
6.Patients with bleeding disorders or autoimmune diseases.
7.Patients currently taking antithrombotic medications.
8.Patients with diseases that are contraindications for platelet-rich plasma (PRP) therapy.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Hiroo
Middle name
Last name Teranishi

Organization

Tokyo Chuo Beauty Clinic, Umeda Osaka Ekimae Clinic

Division name

Director

Zip code

5300057

Address

3rd Floor, K's Square Building, 2-8-15 Sonezaki, Kita-ku, Osaka-city, Osaka, Japan

TEL

06-6147-2581

Email

umeda.office@tcb.or.jp


Public contact

Name of contact person

1st name Masashi
Middle name
Last name Umeda

Organization

Tokyo Chuo Beauty Clinic, Umeda Osaka Ekimae Clinic

Division name

Tokyo Chuo Beauty Clinic, Umeda Osaka Ekimae Clinic

Zip code

5300057

Address

3rd Floor, K's Square Building, 2-8-15 Sonezaki, Kita-ku, Osaka-city, Osaka, Japan

TEL

06-6147-2581

Homepage URL


Email

dr.umeda.masashi@tcb.or.jp


Sponsor or person

Institute

Tokyo Chuo Beauty Clinic, Umeda Osaka Ekimae Clinic

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

TCB Academic Committee and IRB

Address

3rd Floor, K's Square Building, 2-8-15 Sonezaki, Kita-ku, Osaka-city, Osaka, Japan

Tel

06-6147-2581

Email

irb@tcb.or.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 10 Month 24 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Open public recruiting

Date of protocol fixation

2025 Year 02 Month 18 Day

Date of IRB

2025 Year 03 Month 14 Day

Anticipated trial start date

2025 Year 03 Month 20 Day

Last follow-up date

2026 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 10 Month 24 Day

Last modified on

2025 Year 10 Month 24 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000068098