摘要

Objectives: Management of complications: Ultrasound and Hilauronidase The objective of the following presentation is the correct use of ultrasound and hyaluronidase when presenting complications secondary to the use of injectables regardless of the injection material, as well as demonstrating the behaviors carried out by endodermal fillers. In most cases, the patients themselves are unaware of the type of material that has infiltrated them. For the doctor it is important to know its origin and characteristics, since even if there are no problems, with the passage of time new injections of other material Introduction: Ultrasound is a non-invasive, reproducible technique that makes it possible to follow the evolution over time of these materials and classify them according to identifiable patterns. ultrasound the persistence over time of injectable filler materials, to know their degree of reabsorption when they are resorbable to decide their replacement with new injections and finally, to identify the product when the patient comes to the office for a new treatment but ignores the type of material that was injected. The identification of the infiltrated product is of great help to decide the composition Materials / method: In this case we will use an ultrasound greater than 15Hz to better detect facial structures, the different layers that we have and the behavior that fillers carry out in the leather over time. Likewise, also know the use of the ultrasound Doppler system to perform a review before and after the application of endodermal fillers; in case of detecting vascular complications, know how to use and know the protocol for the use of hyaluronidase for complications images of before and after placement of fillers and doppler for detection will be shown Results: As results we were able to find in our patients that the protocol was carried out, how to locate the vascularization, the injection site, the immediate reactions to the application as well as, in case of suspicion, apply a personalized hyaluronidase protocol and what factors does ultrasound by the type of sharing thereof; we were able to distinguish a patient with previous placement of CaHa and some filler materials placed we were able to identify which endermic filler is the most common that forms granulomas, vacuolar patterns or patterns with acoustic reinforcements Conclusion: Ultrasound is a basic instrument for locating filler materials, for diagnosis and forecasting of behavior over time. Faced with possible adverse reactions, ultrasound is a technically useful instrument for effective action, either to objectify the therapeutic attitude or as a diagnostic imaging technique and indication to assess the suitability of a product with respect to the treated area and the patient