Objectives: present to all colleagues of the congress this ne publication on Ultrasound in Aesthetic medicine: basic principles and clinical practice

Introduction: Ultrasounds are a new tool in the hands of all dermatologista, aesthetic doctors but generally all the doctors working in our field.

Materials / method: Very few slides will be shown to present the faculty and the main contents of this publication. Also some videos will be shown to let all doctors understand the philosophy of the book, extremely practical.

Results: all attendees will tell us the results we were able to reach and always we are ready to improve according to all impressions arriving from colleagues

Conclusion: a session demonstrating the importance of Ultrasounds in aesthetic medicine will further demonstrate my very brieth introduction.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

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: OEO florence the editorial house

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

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?
Yes
Please specify entities (individual, company, society): trainer and partner of cutaneous, giving facial ultrasound courses

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 was not supported by any direct or non direct funding. It is under the author's own responsability

Objectives: To define malar mounds and malar edema.
To discuss etiologies of malar mounds and edema.
To show ultrasound findings of malar edema.
To understand anatomy and lymphatic drainage in periobital area.
To understand the treatment of HA related malar edema.
Discuss favorable and non-favorable risk factors to good outcomes.

Introduction: Malar mounds and malar edema have many etiologies. Unfortunately, filler related edema is becoming epidemic. Patients seeking treatment must be prepared for a prolonged treatment which includes multiple modalities. It is important to know the anatomy for both treatment and prevention. Ultrasound is a useful adjunct to treat these patients.

Materials / method: Several patients have been seen and treated in the last 4 years at the authors clinic. Clinical and ultrasound findings will be displayed. Treatment options will be discussed, and outcomes revealed. Choice of filler, plane of injection will be discussed, and which are most likely to cause problems. RF microneedling as an adjunct to hyaluronidase will be thoroughly discussed. Ultrasound potentially can decrease the number of hyaluronidase treatments.

Results: Treatment of malar edema patients usually required multiple treatments with hyaluronidase. Ultrasound guidance potentially improved the number of treatments. Favorable and non-favorable risk factors will be discussed. Patients often required RF microneedling as an adjunctive therapy.

Conclusion: Malar edema is a common complication for cheek and tear trough filler. Prevention is key to success and involves proper injection plane (deep) and choice of proper HA product. Treatments include dissolving with hyaluronidase using ultrasound guidance. Most require multiple treatments and additional modalities to get optimal results.

Disclosures

Did you receive any funding to support your research for this TOPIC?
No

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 was not supported by any direct or non direct funding. It is under the author's own responsability