Objectives: This lecture explores how integrating ultrasound imaging can guide and enhance the effectiveness of microfocused ultrasound treatments. Sonography plays a crucial role in improving precision by enabling accurate treatment planning and real-time monitoring. By visualizing the specific areas requiring treatment, practitioners can fine-tune the depth and intensity of the microfocused ultrasound, leading to optimal results. This approach not only boosts the accuracy and efficacy of treatments but also enhances overall safety, ensuring the best possible outcomes for patients.

Introduction: Microfocused ultrasound treatments have gained prominence for their non-invasive benefits, yet their effectiveness is highly dependent on accurate targeting. Integrating ultrasound imaging aims to improve the precision and outcome of these treatments by enabling real-time visualization and adjustment.

Materials / method: This study utilized high-frequency ultrasound (24 MHz) to visualize the anatomy of the treatment areas, allowing for adjustments to both the depth and intensity settings of the microfocused ultrasound.

Results: The integration of ultrasound imaging resulted in enhanced precision in targeting treatment areas. We review the sonographic anatomy of the primary regions of the face and neck, distinguishing the layers and depths of the dermis, hypodermis, and the musculoaponeurotic system (SMAS). This review aids practitioners in improving accuracy in treatment planning and real-time adjustments, leading to more effective and safer outcomes. Visualizing exact treatment zones facilitates optimal depth and intensity settings.

Conclusion: Incorporating ultrasound imaging into microfocused ultrasound treatments improves precision, efficacy, and safety. This approach allows for more accurate treatment planning and real-time monitoring, ultimately providing better results and enhanced safety for patients.

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Objectives: To update the knowledge of the new technologies for non invasive skin imaging applied to the investigation of chrono and photo aging

Introduction: The new possibility to investigate in vivo the skin changes of chrono and photo aging of the skin has opened a new scientific dimension.

Materials / method: This is a review of the clinical applications of new optical technologies like
High frequency ultrasound echography
3D imaging of the face
3D imaging of the whole body surface
in vivo reflectance confocal microscopy (RCM)
Linear Field optical confocal microscopy (LC-OCT)
2 photons fluorescence

Results: we present our results with a comparison of indications, advantages and disadvantages of each technology

Conclusion: New technologies have opened a new exciting scenario of investigations of the clinical aspects of chrono and photo aging

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Objectives: 1. Application of diagnostic ultrasound in aesthetic dermatology
2. Sharing real cases of filler-associated complication managing with ultrasound-guided dissolution from university-based referral center

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