Hyaluronic Acid Filler Injection Guided by Doppler Ultrasound

Abstract

Doppler ultrasound can be used to detect almost all arteries of the face before injecting the hyaluronic acid (HA) filler. The relatively more dangerous sites of filler injection are the glabellar wrinkle, forehead, temple, nose, and nasolabial fold area, and it is recommended to map the vasculature of these areas by Doppler ultrasound before performing filler injection. The Doppler ultrasound detection method is included as a video. Internal carotid arterial branches, the supratrochlear, supraorbital, and dorsal nasal arteries, and external carotid arterial branches, the superficial temporal and facial arteries, are very important arteries when injecting HA filler; thus, Doppler ultrasound detection is recommended.

Keywords

soft tissue filler - hyaluronic acid filler - ultrasound - filler complication

Authors' Contributions

W.L. has made contribution to conceptualization, writing, and drafting. the author is in change of every section of the manuscript.

Ethical Approval

Since it is a Review, Ethical Approval was not required for this article.

Patient Consent

All photograph model provided written consent for publication.

Publikationsverlauf

Eingereicht: 03. September 2022

Angenommen: 24. März 2023

Artikel online veröffentlicht:
02. August 2023

• References

• 1 The aesthetic society's cosmetic surgery national data bank: Statistics 2019. Aesthet Surg J 2020; 40 (1, suppl 1): 1-26
• 2 DeLorenzi C. Complications of injectable fillers, part I. Aesthet Surg J 2013; 33 (04) 561-575
• 3 DeLorenzi C. Complications of injectable fillers, part 2: vascular complications. Aesthet Surg J 2014; 34 (04) 584-600
• 4 Kim HJ, Youn KH, Kim JS, Kim YS, Hong SO, Na J. Ultrasonographic Anatomy of the Face and Neck for Minimally Invasive Procedures: An Anatomic Guideline for Ultrasonographic-Guided Procedures. Singapore: Springer Nature; 2020
• 5 Schelke LW, Decates TS, Velthuis PJ. Ultrasound to improve the safety of hyaluronic acid filler treatments. J Cosmet Dermatol 2018; 17 (06) 1019-1024
• 6 Rocha PS, Guerra TA, Teixeira DA. Description of a safe Doppler ultrasound-guided technique for hyaluronic acid filler in the face-a method to avoid adverse vascular events. J Cosmet Dermatol 2022; 21 (07) 2783-2787
• 7 Beleznay K, Carruthers JD, Humphrey S, Jones D. Avoiding and treating blindness from fillers: a review of the world literature. Dermatol Surg 2015; 41 (10) 1097-1117
• 8 Lee W, Moon HJ, Kim JS, Yang EJ. Safe glabellar wrinkle correction with soft tissue filler using Doppler ultrasound. Aesthet Surg J 2021; 41 (09) 1081-1089
• 9 Lee W. Five factors to consider before treatment of a hyaluronic acid filler-induced vascular complications. Arch Plast Surg 2022; 49 (04) 479-481
• 10 Cong LY, Phothong W, Lee SH. et al. Topographic analysis of the supratrochlear artery and the supraorbital artery: implication for improving the safety of forehead augmentation. Plast Reconstr Surg 2017; 139 (03) 620e-627e
• 11 Phumyoo T, Jiirasutat N, Jitaree B, Rungsawang C, Pratoomthai B, Tansatit T. Localization and topography of the arteries on the middle forehead region for eluding complications following forehead augmentation: conventional cadaveric dissection and ultrasonography investigation. J Craniofac Surg 2020; 31 (07) 2029-2035
• 12 Davidge KM, van Furth WR, Agur A, Cusimano M. Naming the soft tissue layers of the temporoparietal region: unifying anatomic terminology across surgical disciplines. Neurosurgery 2010; 67 (3, Suppl Operative): ons120-ons129 , discussion ons129–ons130
• 13 Lee W, Park JW, Yang EJ. Temple augmentation by injecting a hyaluronic acid filler between the superficial and deep temporal fasciae. J Cosmet Dermatol 2022; 21 (10) 4313-4318
• 14 Lee W, Moon HJ, Kim JS, Chan BL, Yang EJ. Doppler ultrasound-guided thread lifting. J Cosmet Dermatol 2020; 19 (08) 1921-1927
• 15 Swift A. One up, one over regional approach in upper face: anatomy and regional approaches to injectables” found in the November 2015 supplement issue soft tissue fillers and neuromodulators: international and multidisciplinary perspectives. Plast Reconstr Surg 2015; 136: S204-S218
• 16 Lee W, Moon HJ, Kim MS, Cheon GW, Yang EJ. Pre-injection ultrasound scanning for treating temporal hollowing. J Cosmet Dermatol 2022; 21 (06) 2420-2425
• 17 Beleznay K, Carruthers JDA, Humphrey S, Carruthers A, Jones D. Update on avoiding and treating blindness from fillers: a recent review of the world literature. Aesthet Surg J 2019; 39 (06) 662-674
• 18 Moon HJ. Injection rhinoplasty using filler. Facial Plast Surg Clin North Am 2018; 26 (03) 323-330
• 19 Lee W, Kim JS, Oh W, Koh IS, Yang EJ. Nasal dorsum augmentation using soft tissue filler injection. J Cosmet Dermatol 2019; 18 (05) 1254-1260
• 20 Choi DY, Bae JH, Youn KH. et al. Topography of the dorsal nasal artery and its clinical implications for augmentation of the dorsum of the nose. J Cosmet Dermatol 2018; 17 (04) 637-642
• 21 Moon HJ, Lee W, Do Kim H, Lee IH, Kim SW. Doppler ultrasonographic anatomy of the midline nasal dorsum. Aesthetic Plast Surg 2021; 45 (03) 1178-1183
• 22 Thanasarnaksorn W, Cotofana S, Rudolph C, Kraisak P, Chanasumon N, Suwanchinda A. Severe vision loss caused by cosmetic filler augmentation: case series with review of cause and therapy. J Cosmet Dermatol 2018; 17 (05) 712-718
• 23 Lee JG, Yang HM, Choi YJ. et al. Facial arterial depth and relationship with the facial musculature layer. Plast Reconstr Surg 2015; 135 (02) 437-444
• 24 Lee W, Kim JS, Moon HJ, Yang EJ. A safe Doppler ultrasound-guided method for nasolabial fold correction with hyaluronic acid filler. Aesthet Surg J 2021; 41 (06) NP486-NP492
• 25 Kim YS, Choi DY, Gil YC, Hu KS, Tansatit T, Kim HJ. The anatomical origin and course of the angular artery regarding its clinical implications. Dermatol Surg 2014; 40 (10) 1070-1076
• 26 Calomeni M, Alfertshofer MG, Frank K. et al. Real-time ultrasound imaging of the tear trough: lessons learned from functional anatomy. Aesthet Surg J 2022; 42 (05) 518-526