摘要

Objectives: Our goal is to present the AFU PROTOCOL Advanced Facial Ultrasound for the identification of anatomical structures using high technology such as Elastography and Three-dimensional Analysis with 5D Ultrasound Introduction: Facial Ultrasound is here to stay in the world of high-resolution facial aesthetics by avoiding complications by knowing and interpreting the antomy more efficiently. Our research shows the most advanced ultrasonographic tools such as shearwave elastography to determine the degree of tissue tension with the different fillers and visualize the 5D image for final verification. Materials / method: We present a series of 15 clinical cases where we show the usefulness of high-resolution ultrasound, performed with high-resolution general electric ultrasound machines, techniques performed by expert specialists in ultrasonography during 2 years of research in our hospital. Results: In 100% of our patients we improve the anatomical references since we do not perform blind procedures and we know beforehand the different degrees of muscular tension, as well as the pressures at the level of nerves, arteries and facial veins. Patients with the application of new technologies felt 100% satisfied. We avoid in 100% of patients complications inherent to interventional techniques when we use fillers Conclusion: We conclude that the use of high technology applied to a better knowledge of facial anatomy is key when it comes to avoiding complications. Shearwave Elastography is a scientific tool that has demonstrated its usefulness to determine the degree of elasticity and deformation suffered by tissues before and after the application of fillers. Facial Ultrasonography is the gold standard of the new era of facial aesthetics and 5D and transillumination techniques guarantee efficacy and safety.