Ultrasound Imaging of High-Risk Facial Areas for Injectables: A Practical Guide for Common Scenarios.
Abstract
[BACKGROUND] Dermal filler procedures have become increasingly popular in aesthetic medicine; however, they carry the risk of vascular adverse events (VAEs) that can lead to complications such as tissue necrosis and vision loss.
[OBJECTIVES] The purpose of this study is to evaluate the clinical utility of high-resolution ultrasound with Doppler analysis (HRUD) in enhancing safety during facial injectable procedures, particularly in high-risk anatomical zones.
[METHODS] A review of common clinical scenarios was conducted to outline when and how HRUD can assist in identifying vascular structures, anatomical variants, and vascular changes post-surgery. These scenarios include creating full or focal vascular maps and pre-injection assessment in postsurgical patients. The HRUD procedure was conducted at a reference center for aesthetic ultrasonography.
[RESULTS] HRUD provides real-time visualization of vascular anatomy and its variations, reducing the risk of complications from filler injections. Its use is particularly recommended in high-risk areas such as the forehead, glabella, nose, and pyriform fossa. For postsurgical patients, HRUD aids in navigating altered anatomy, thereby minimizing the risk of VAEs. Conducting a targeted ultrasound evaluation before filler injection can lead to greater precision and fewer complications.
[CONCLUSIONS] HRUD is a valuable adjunct to standard aesthetic practices, significantly enhancing patient safety and improving outcomes. Its integration into pre-injection filler protocols is strongly recommended, especially in complex cases or high-risk facial regions.
[LEVEL OF EVIDENCE V] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
[OBJECTIVES] The purpose of this study is to evaluate the clinical utility of high-resolution ultrasound with Doppler analysis (HRUD) in enhancing safety during facial injectable procedures, particularly in high-risk anatomical zones.
[METHODS] A review of common clinical scenarios was conducted to outline when and how HRUD can assist in identifying vascular structures, anatomical variants, and vascular changes post-surgery. These scenarios include creating full or focal vascular maps and pre-injection assessment in postsurgical patients. The HRUD procedure was conducted at a reference center for aesthetic ultrasonography.
[RESULTS] HRUD provides real-time visualization of vascular anatomy and its variations, reducing the risk of complications from filler injections. Its use is particularly recommended in high-risk areas such as the forehead, glabella, nose, and pyriform fossa. For postsurgical patients, HRUD aids in navigating altered anatomy, thereby minimizing the risk of VAEs. Conducting a targeted ultrasound evaluation before filler injection can lead to greater precision and fewer complications.
[CONCLUSIONS] HRUD is a valuable adjunct to standard aesthetic practices, significantly enhancing patient safety and improving outcomes. Its integration into pre-injection filler protocols is strongly recommended, especially in complex cases or high-risk facial regions.
[LEVEL OF EVIDENCE V] This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | filler
|
필러 주입술 | dict | 3 | |
| 시술 | dermal filler
|
필러 주입술 | dict | 1 | |
| 합병증 | tissue necrosis
|
괴사 | dict | 1 |
📑 인용 관계
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외부 PMID 18건 (DB 미수집)
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