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Ultrasound to improve the safety of hyaluronic acid filler treatments
Author(s) -
Schelke Leonie W.,
Decates Tom S.,
Velthuis Peter J.
Publication year - 2018
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.12726
Subject(s) - hyaluronic acid , filler (materials) , ultrasound , adverse effect , medicine , hyaluronidase , biomedical engineering , surgery , radiology , materials science , composite material , chemistry , anatomy , biochemistry , enzyme
Summary Background Hyaluronic acid fillers are known for a reliable safety profile, but complications do occur, even serious vascular adverse events. Objective To improve the safety of hyaluronic acid filler treatments. Methods Ultrasound is used to image hyaluronic acid fillers. Results Before a filler treatment is performed with ultrasound, previous filler treatments can be brought in to sight and vascular mapping can be performed. In case of adverse events, the filler and the surrounding tissues are visible. Dislocation, abscesses, and vascular adverse events can be seen. Under ultrasound guidance, hyaluronidase can be injected directly into the filler deposit. Conclusion Ultrasound examination can be an important tool to improve the safety of hyaluronic acid filler treatments.