Objectives: This is a short course introducing the principles of ultrasound imaging of the skin, specifically the use of duplex mode for vascular structures in the face. This is very relevant for the safety of filler injections.
Introduction: Ultrasound imaging of the skin is relatively new. For this, high frequency probes (12-17 MHz) have to be used. With the duplex mode, vascular flow can be detected in relation to other structures, e.g. bone, muscle and fillers. Although the overall incidence of intravascular filler injections is very low, the impact of this complication is high. Knowledge on the use of duplex / ultrasound to identify the course of the major facial arteries to avoid these events, seems very logical. Since these devices are getting smaller and more affordable, barriers against every day use are being resolved.
Materials / method: At Erasmus University Medical Center we tend to do vascular mapping on all our patients before injecting fillers in a certain area.
Results: There are variations in the course of facial arteries. After facial surgery blood flow may be quite different and unexpected.
Conclusion: Duplex / ultrasound is a good addition to use for your patient's safety.
Disclosures
Did you receive any funding to support your research for this TOPIC?
Yes
Please specify entities (individual, company, society): galderma europe
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work is presented thanks to the support of: galderma europe