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- Presentation
Diagnosing Complications with Ultrasound
Description
The speaker discusses the increasing role of ultrasound in diagnosing and managing complications in medical aesthetics, emphasizing its growing importance over recent years. They highlight the advantages of modern ultrasound technology, which provides detailed imaging of various fillers and tissues, enabling practitioners to better identify and address complications. The talk illustrates three primary uses of ultrasound: identifying fillers based on their sonic characteristics, clarifying misleading clinical presentations of complications, and guiding interventions during treatment. Several case examples are presented, showcasing how ultrasound helped differentiate various conditions, such as granulomas, infections, and fat deposits, which could mimic each other but require distinct treatment approaches. Overall, the speaker advocates for the integration of ultrasound in aesthetic practice, underscoring its potential to enhance diagnosis and treatment accuracy, and calls for broader acceptance of this tool in the US and worldwide.
View moreConclusions
- Ultrasound is becoming increasingly integral in diagnosing and managing complications in medical aesthetics.
- Different fillers exhibit specific sonographic characteristics that can be identified using ultrasound.
- Clinical presentations of complications can be misleading, making ultrasound crucial for accurate diagnosis.
- Ultrasound can guide injections for drainage and administration of treatments like hyaluronidase more effectively.
- Patients may provide unreliable information regarding previous treatments, highlighting the need for ultrasound examination.
- Ultrasound can differentiate between various complications, such as granulomas, abscesses, and benign fatty deposits.
- Real-time visualization with ultrasound during procedures enhances safety and efficacy, reducing the number of injections required.
- Kroumpouzos G, Treacy P. Hyaluronidase for Dermal Filler Complications: Review of Applications and Dosage Recommendations. JMIR Dermatol. 2024 Jan 17;7:e50403. doi: 10.2196/50403.
- Wortsman, X ., Ortiz-Orellana, G ., Valderrama, Y ., Ferreira-Wortsman, C ., Reyes, F. and Herane, M.I. (2024), Ultrasonography of Facial and Submandibular Hidradenitis Suppurativa and Concomitance With Acne Vulgaris. J Ultrasound Med, 43: 1919-1928. https://doi.org/10.1002/jum.16526.
- Complications of fillers in the lips and perioral area: Prevention, assessment, and management focusing on ultrasound guidance. J Plast Reconstr Aesthet Surg. 2023 Sep;84:656-669. doi: 10.1016/j.bjps.2023.01.048. Epub 2023 Mar 7. PMID: 37002059.