CClinicalTrials.gg
Not yet recruitingNCT07846631CLEAR PBMUpdated Sep 29, 2026

Perioperative Photobiomodulation in Facial Plastic Surgery

An interventional study of ELIXIR MD Photobiomodulation (PBM) System and ELIXIR MD Photobiomodulation (PBM) System in Postoperative Facial Ecchymosis and Postoperative Facial Edema, sponsored by Elixir MD Inc. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-29.

Sponsored by Elixir MD Inc · Not applicable, Interventional, and Supportive care

Updated Sep 29, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is testing whether a new light therapy schedule can reduce bruising after facial plastic surgery, compared with the light therapy schedule currently used in the investigator's practice.

Participants having elective facial plastic surgery (such as rhinoplasty, facelift and/or neck lift, blepharoplasty, or brow lift) at the study site may take part. All participants receive photobiomodulation (PBM), a non-contact light therapy already used in the practice as part of routine perioperative care. The study device, the ELIXIR MD system, delivers blue, yellow, red, and near-infrared light and is legally marketed in the United States under a U.S. Food and Drug Administration (FDA) 510(k) clearance, though its use in this study to evaluate reduction of postoperative bruising and swelling is not among its currently cleared uses.

Participants are randomly assigned (1:1) to one of two light therapy schedules: the schedule currently used in the practice, or a new multi-wavelength schedule being studied. Researchers do not know in advance which schedule reduces bruising more; that is the main question this study is designed to answer. The study is not placebo-controlled, because photobiomodulation is already part of routine care at the site; there is no untreated comparison group.

The main measurement is how visible facial bruising is about 7 days after surgery, based on standardized photographs graded by an assessor who does not know which treatment the participant received. The study also looks at facial swelling, pain, patient-reported recovery, and safety (including skin reactions and wound healing).

This is a small pilot study of about 40 participants at a single study site. It is designed to give an early estimate of whether the new schedule helps and to inform a future, larger study. It is not designed or statistically powered to prove that either schedule works.

02

Conditions studied

  • Postoperative Facial Ecchymosis
  • Postoperative Facial Edema
03

In context

Lead sponsor

Elixir MD Inc is the lead sponsor of 3 studies on the registry; 2 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adults aged 18 years or older.
  • Scheduled for elective facial plastic surgery at the study site: rhinoplasty, facelift and/or neck lift, blepharoplasty, brow lift, or a combination of these procedures.
  • Able and willing to attend the perioperative visits and standardized photography required by the protocol.
  • Able to read, understand, and provide written informed consent in English.

Exclusion criteria

Exclusion Criteria:

  • Known photosensitivity disorder, or current use of a photosensitizing medication (for example, systemic isotretinoin, tetracyclines, amiodarone, methoxsalen, or systemic photodynamic agents), though this may be up to treating physician discretion.
  • Active facial infection or dermatitis at a treatment site.
  • History of keloid formation, or an uncontrolled pigmentary disorder (for example, active melasma or post-inflammatory hyperpigmentation under treatment).
  • Pregnancy or breastfeeding.
  • Therapeutic anticoagulation (for example, warfarin or a direct oral anticoagulant) or high-dose aspirin or nonsteroidal anti-inflammatory drug (NSAID) use that has not been discontinued preoperatively per the site's standard perioperative protocol.
  • Inability to provide independent informed consent, or reliance on a legally authorized representative. Adults who lack decisional capacity are not enrolled.
  • Concurrent enrollment in another interventional clinical study affecting facial healing or inflammation.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
40 participants (estimated)

Study arms

  • Active comparator
    Arm A: Current-Practice Photobiomodulation (PBM) Regimen

    Perioperative photobiomodulation (PBM) via the ELIXIR MD system, using the regimen currently used in the investigator's practice. Blue 417 nanometers (nm) at 50 milliwatts per square centimeter (mW/cm2) preoperatively; yellow 590 nm (19.1 mW/cm2) at each postoperative session through postoperative day (POD) 7; red 633 nm + yellow 590 nm (64.1 mW/cm2 combined) at POD 10 (Cohort 1 schedule). Cohort 2 (isolated rhinoplasty/blepharoplasty) receives a reduced schedule per the protocol. Each session is 20 minutes, non-contact, at a working distance of 80-120 millimeters (mm).

    Device: ELIXIR MD Photobiomodulation (PBM) System

  • Experimental
    Arm B: Investigational Multi-Wavelength Photobiomodulation (PBM) Regimen

    Perioperative photobiomodulation (PBM) via the ELIXIR MD system, using the sponsor's proposed multi-wavelength regimen. Blue 417 nanometers (nm) at 50 milliwatts per square centimeter (mW/cm2) preoperatively (identical to Arm A); near-infrared 835 nm + yellow 590 nm (29.1 mW/cm2 combined) from the immediate postoperative session through postoperative day (POD) 2; near-infrared 835 nm + red 633 nm (55 mW/cm2 combined) at POD 7 and POD 10. Each session is 20 minutes, non-contact, at a working distance of 80-120 millimeters (mm). This regimen's benefit and risk profile are less well characterized than Arm A's.

    Device: ELIXIR MD Photobiomodulation (PBM) System

Interventions

  • DeviceELIXIR MD Photobiomodulation (PBM) System

    Non-contact, continuous-wave light-emitting diode (LED) photobiomodulation (PBM) device delivering blue (417 nanometers \[nm\]), yellow (590 nm), red (633 nm), and near-infrared (835 nm) light; U.S. Food and Drug Administration (FDA) 510(k) K241293, product code GEX. Delivered at a working distance of 80-120 millimeters (mm) in 20-minute (1,200 second) sessions. In this study, delivered per the Arm A schedule: blue 417 nm preoperatively; yellow 590 nm at each postoperative session through postoperative day (POD) 7; red + yellow at POD 10 (Cohort 1); a reduced schedule applies to Cohort 2. This is the regimen currently used in the investigator's practice, unchanged by study participation.

  • DeviceELIXIR MD Photobiomodulation (PBM) System

    Non-contact, continuous-wave light-emitting diode (LED) photobiomodulation (PBM) device delivering blue (417 nanometers \[nm\]), yellow (590 nm), red (633 nm), and near-infrared (835 nm) light; U.S. Food and Drug Administration (FDA) 510(k) K241293, product code GEX. Delivered at a working distance of 80-120 millimeters (mm) in 20-minute (1,200 second) sessions. In this study, delivered per the Arm B schedule: blue 417 nm preoperatively (identical to Arm A); near-infrared + yellow from the immediate postoperative session through postoperative day (POD) 2; near-infrared + red at POD 7 and POD 10. This is the sponsor's proposed regimen; its benefit and risk profile are less well characterized than Arm A's.

06

What researchers measure

Primary outcomes

  1. Postoperative Facial Bruising (Bruise Visibility Scale)

    Graded from standardized photographs (frontal and bilateral oblique views) using the Bruise Visibility Scale (BVS; Scafide et al., 2021), a 1-5 visual analogue scale developed and validated for in-person assessment of accidental bruises on the arms and legs. In this study the BVS is applied to standardized postoperative facial photographs, a context (face rather than limb, photograph rather than in-person, surgical rather than blunt-trauma etiology) in which it has not been formally validated; no claim of validation for this application is made. Grading is performed by a blinded assessor after all Postoperative Day 7 visits are complete.

    Time frame: Postoperative Day 7 (±2 days)

Secondary outcomes

  1. Postoperative Facial Swelling (Investigator-Adapted Ordinal Scale)

    Graded from the same Postoperative Day 7 photographs using a five-point, anchored, investigator-adapted ordinal scale: 0 = no swelling to 4 = severe (marked edema substantially altering facial appearance).

    Time frame: Postoperative Day 7 (±2 days)

  2. Postoperative Pain Intensity (Numeric Rating Scale)

    Participant-rated facial pain or discomfort on a 0-10 numeric rating scale (NRS), collected as Item 1 of the ELIXIR MD Brief Recovery Instrument, where 0 = no pain at all and 10 = worst pain imaginable; higher scores indicate worse pain. Reported by arm as the score at each assessment visit. Postoperative Days 1, 2, and 10 are assessed in Cohort 1 (facelift, neck lift, brow lift, and combined procedures) only; Postoperative Day 10 data are supportive and exploratory. Unit of measure: score on a scale (0-10).

    Time frame: Baseline (preoperative), Postoperative Day 1, Postoperative Day 2, Postoperative Day 7 (±2 days), and Postoperative Day 10 (Days 1, 2, and 10 in Cohort 1 only)

  3. Number of Participants With Analgesic Use at Each Visit

    Analgesic use (yes/no) recorded on the case report form (CRF) at each assessment visit. Reported by arm as the number of participants with analgesic use at each visit. Postoperative Days 1, 2, and 10 are assessed in Cohort 1 (facelift, neck lift, brow lift, and combined procedures) only; Postoperative Day 10 data are supportive and exploratory. Unit of measure: participants.

    Time frame: Baseline (preoperative), Postoperative Day 1, Postoperative Day 2, Postoperative Day 7 (±2 days), and Postoperative Day 10 (Days 1, 2, and 10 in Cohort 1 only)

  4. Change From Baseline in Patient-Reported Swelling Score (ELIXIR MD Brief Recovery Instrument, Item 2)

    Self-perceived facial swelling rated by the participant on Item 2 of the ELIXIR MD Brief Recovery Instrument, a five-item, study-specific, investigator-designed questionnaire completed by the participant in clinic. The instrument has not undergone formal psychometric validation; items are analyzed individually and no composite score is computed. Scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe; higher scores indicate more swelling. Reported by arm as change from baseline at each postoperative visit. Postoperative Days 1, 2, and 10 are assessed in Cohort 1 (facelift, neck lift, brow lift, and combined procedures) only; Postoperative Day 10 data are supportive and exploratory. Unit of measure: score on a scale (0-3).

    Time frame: Baseline (preoperative) to Postoperative Day 1, Postoperative Day 2, Postoperative Day 7 (±2 days), and Postoperative Day 10 (Days 1, 2, and 10 in Cohort 1 only)

  5. Number of Participants With Adverse Events

    Number of participants in each arm with one or more adverse events (AEs), assessed clinically by the Principal Investigator. No hypothesis test of safety is prespecified; the study is not powered for safety comparison. Unit of measure: participants.

    Time frame: From consent through final study visit (Postoperative Day 7, or Postoperative Day 10 for Cohort 1 if attended)

  6. Number of Participants With Treatment-Area Erythema

    Number of participants in each arm with erythema (skin redness) at a treatment site, assessed clinically by the Principal Investigator. No hypothesis test is prespecified. Unit of measure: participants.

    Time frame: From consent through final study visit (Postoperative Day 7, or Postoperative Day 10 for Cohort 1 if attended)

  7. Number of Participants With Treatment-Area Pigmentary Change

    Number of participants in each arm with new pigmentary change (hyperpigmentation or hypopigmentation) at a treatment site, assessed clinically by the Principal Investigator. No hypothesis test is prespecified. Unit of measure: participants.

    Time frame: From consent through final study visit (Postoperative Day 7, or Postoperative Day 10 for Cohort 1 if attended)

  8. Number of Participants With Wound Complications

    Number of participants in each arm with one or more wound complications, assessed clinically by the Principal Investigator. No hypothesis test is prespecified. Unit of measure: participants.

    Time frame: From consent through final study visit (Postoperative Day 7, or Postoperative Day 10 for Cohort 1 if attended)

  9. Change From Baseline in Patient-Reported Bruising Score (ELIXIR MD Brief Recovery Instrument, Item 3)

    Self-perceived facial bruising rated by the participant on Item 3 of the ELIXIR MD Brief Recovery Instrument, a five-item, study-specific, investigator-designed questionnaire completed by the participant in clinic. The instrument has not undergone formal psychometric validation; items are analyzed individually and no composite score is computed. Scale: 0 = none, 1 = mild, 2 = moderate, 3 = severe; higher scores indicate more bruising. Reported by arm as change from baseline at each postoperative visit. Postoperative Days 1, 2, and 10 are assessed in Cohort 1 (facelift, neck lift, brow lift, and combined procedures) only; Postoperative Day 10 data are supportive and exploratory. Unit of measure: score on a scale (0-3).

    Time frame: Baseline (preoperative) to Postoperative Day 1, Postoperative Day 2, Postoperative Day 7 (±2 days), and Postoperative Day 10 (Days 1, 2, and 10 in Cohort 1 only)

  10. Change From Baseline in Patient-Reported Overall Recovery Score (ELIXIR MD Brief Recovery Instrument, Item 4)

    Overall recovery rated by the participant on Item 4 of the ELIXIR MD Brief Recovery Instrument, a five-item, study-specific, investigator-designed questionnaire completed by the participant in clinic. The instrument has not undergone formal psychometric validation; items are analyzed individually and no composite score is computed. Scale: 1 = very poor, 2 = poor, 3 = fair, 4 = good, 5 = very good; higher scores indicate better perceived recovery. Reported by arm as change from baseline at each postoperative visit. Postoperative Days 1, 2, and 10 are assessed in Cohort 1 (facelift, neck lift, brow lift, and combined procedures) only; Postoperative Day 10 data are supportive and exploratory. Unit of measure: score on a scale (1-5).

    Time frame: Baseline (preoperative) to Postoperative Day 1, Postoperative Day 2, Postoperative Day 7 (±2 days), and Postoperative Day 10 (Days 1, 2, and 10 in Cohort 1 only)

  11. Change From Baseline in Patient-Reported Return to Normal Activities Score (ELIXIR MD Brief Recovery Instrument, Item 5)

    Return to normal daily activities rated by the participant on Item 5 of the ELIXIR MD Brief Recovery Instrument, a five-item, study-specific, investigator-designed questionnaire completed by the participant in clinic. The instrument has not undergone formal psychometric validation; items are analyzed individually and no composite score is computed. Scale: 0 = not at all, 1 = partially, 2 = mostly, 3 = fully; higher scores indicate greater return to normal activities. Reported by arm as change from baseline at each postoperative visit. Postoperative Days 1, 2, and 10 are assessed in Cohort 1 (facelift, neck lift, brow lift, and combined procedures) only; Postoperative Day 10 data are supportive and exploratory. Unit of measure: score on a scale (0-3).

    Time frame: Baseline (preoperative) to Postoperative Day 1, Postoperative Day 2, Postoperative Day 7 (±2 days), and Postoperative Day 10 (Days 1, 2, and 10 in Cohort 1 only)

07

Study locations

1 site
  • Dallas Plastic Surgery Institute
    Dallas, Texas 75231, United States
08

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Sep 29, 2026
Show all 1 update
  1. Sep 29, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07846631
Lead sponsor
Elixir MD Inc
Responsible party
Sponsor
First posted
Sep 29, 2026
Start date
Oct 12, 2026 (estimated)
Primary completion
Jul 20, 2027 (estimated)
Completion
Jul 20, 2027 (estimated)
Last update
Sep 29, 2026

Study contacts

Rod J Rohrich, MD, FACS
Contact
rod.rohrich@dpsi.org
214-821-9114
Rod J Rohrich, MD, FACS
principal investigator · Dallas Plastic Surgery Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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