Abstract

Objectives: - Understand how injection anatomy can be made visible through facial ultrasound - Identify the filler type, location and size before dissolving approach - Learn the principles of ultrasound guided hyaluronidase injection to treat filler related complications Introduction: Ultrasound is an evidence-based imaging methodology for dealing with fillers and managing their potential complications since it can detect and identify the most common types of cosmetic fillers, including their anatomical location and size. Not only vascular adverse events can have a remarkable impact in the quality of life of a patient, also late complications like delayed onset nodules, malar edema or the "overfilled face syndrome" may have a serious impact on patients psychosocial wellbeing. Materials / method: The aim with this presentation is to show how to implement facial ultrasound on a daily basis performing soft tissue filler treatments as well as how to approach possible complications like nodules, malar edema and overfilled face syndrome with the help of ultrasound-guided hyaluronidase injection. Results: Ultrasound provides a dynamic and real-time image of the anatomy underneath the skin surface. Ultrasound guided hyaluronidase injection provides a precise approach with less amount of hyaluronidase needed to dissolve filler causing complications such as nodules, malar edema and overfilled face syndrome. Conclusion: It is our duty as aesthetic practitioners to put the safety of our treatments as our first priority. The proper interpretation of the ultrasound images will help us to understand injection anatomy on a more reliable way and to manage potential complications related to soft tissue filler injections.