4.3 Article

Ultrasound to improve the safety of hyaluronic acid filler treatments

Journal

JOURNAL OF COSMETIC DERMATOLOGY
Volume 17, Issue 6, Pages 1019-1024

Publisher

WILEY
DOI: 10.1111/jocd.12726

Keywords

complications; cosmetic dermatology; filler; hyaluronic acid; safety; ultrasound

Categories

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Background Hyaluronic acid fillers are known for a reliable safety profile, but complications do occur, even serious vascular adverse events. Objective To improve the safety of hyaluronic acid filler treatments. Methods Ultrasound is used to image hyaluronic acid fillers. Results Before a filler treatment is performed with ultrasound, previous filler treatments can be brought in to sight and vascular mapping can be performed. In case of adverse events, the filler and the surrounding tissues are visible. Dislocation, abscesses, and vascular adverse events can be seen. Under ultrasound guidance, hyaluronidase can be injected directly into the filler deposit. Conclusion Ultrasound examination can be an important tool to improve the safety of hyaluronic acid filler treatments.

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