Introduction
Hyaluronic acid (HA) is a naturally occurring polysaccharide frequently used as a functional ingredient in many topical and subcutaneous anti-ageing treatments such as dermal fillers, which exploit the polymer’s unique viscoelastic properties for effective soft tissue augmentation. When administered subcutaneously, HA builds an elastic network within wrinkles and rhytides to give the skin a plumper and fuller look. Naturally occurring HA has a half-life of less than three days so increasing the durability of the polymer is essential to developing products with greater clinical persistence and an acceptable shelf life. Increasing both the molecular weight (MW) and degree of cross-linking of the polymer is a proven strategy for improving mechanical strength and extending degradation times. However, these characteristics also impact other properties of the HA such as viscosity and viscoelasticity.To formulate successfully with HA it is essential to understand the impact of factors such as molecular weight, molecular structure, concentration and degree of cross-linking on rheological characteristics such as viscoelasticity which are directly linked to aspects of product performance. Linking structural characteristics to product performance, via rheological properties, supports smart, fast, and effective formulation. The following study shows how rheology and particle size measurements can be used to characterize the physical properties of HA dermal fillers.

Figure 1. HA dermal fillers in syringe
Experimental
- Three commercial HA dermal fillers were evaluated using rotational rheometry and laser diffraction for characterization of rheological behavior and particle size respectively.
- Rotational rheometer measurements were made using a Kinexus rotational rheometer with a Peltier plate cartridge and using a 40mm parallel plate measuring system. All rheology measurements were performed at 25°C.
- A standard loading sequence was used to ensure that both samples were subject to a consistent and controllable loading protocol.
- Oscillation testing included variable amplitude and variable frequency tests. Amplitude sweep tests at a frequency of 1 Hz were performed to determine the linear viscoelastic region (LVER) and critical strain. Subsequent frequency sweep tests were performed between 0.1-10Hz using a constant strain within the LVER.
- Steady state shear measurements were made to check the viscosity dependence on shear rate (0.1 s-1 - 100 s-1) and a stress ramp test (0Pa - 200Pa in 100s) was also performed to determine the yield stress of the fillers.
- The tackiness of the fillers were assessed using axial testing on the rheometer which involved changing the gap rapidly from 1 mm to 20 mm and recording the normal force profile. Tack was correlated with the peak normal force measured in Newtons.
Particle size measurements of the gel particles in the dermal fillers were made using a Mastersizer 3000. The fillers were dispersed in saline solution and the median particle size and particle size distribution determined.
Results and Discussion
Oscillation testing The elastic modulus curves as a function of shear strain are shown in Figure 2. All samples had similar size LVER regions with a critical strain representing the onset of non-linearity in the region of 20%. Elastic modulus values measured within the LVER showed that Sample A had the lowest elastic stiffness with G’ having a value of 150 Pa. Sample C was the most elastically stiff of the three samples with a G’ value of 320Pa with Sample B having a value between the two of 220Pa.
Figure 2. Amplitude sweep data showing elastic modulus (G’) as a function of shear strain The elastic modulus and phase angle curves as a function of the oscillation frequency are shown in Figure 3. The phase angle for all samples across the whole frequency range is around 10° suggesting all samples are highly elastic gels. The values of G’ for the samples A, B, and C at 1Hz are about 150Pa, 220Pa and 320Pa respectively, which correlate with the amplitude sweep data at the same frequency. The slight slope in G’ with frequency suggests a small amount of structural relaxation where stored elastic energy is dissipated with increasing time (decreasing frequencies) although this is relatively minimal.

Figure 3. Frequency sweep data showing elastic modulus (G’) and phase angle (δ) as a function of frequency
There are many factors that affect the viscoelastic properties of HA dermal fillers including HA concentration, molecular weight and crosslinking degree. By changing these characteristics the viscoelastic properties, especially the elastic modulus G’, can be engineered for a specific application. Gels with high G’ give higher resistance to deformation and shoulld be more effective as fillers but could be harder to inject and may give more pain. Therefore, strong gels with high G’ may be more suitable to use for deeper or more serious winkles. On the other hand, weaker gels with low G’ may be better for fine or light wrinkles found in lips or tear troughs, which are more sensitive, because they would give less pain when injected. The lower modulus may also better match the properties of the local tissue. Of the three HA samples tested it can be said that sample A is the weakest and softest gel and sample C is the stiffest and strongest gel based on results presented in Figures 2 and 3.
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