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Evaluation of the ultrasound contribution in aesthetics: facial findings that have an impact on therap
Evaluation of the ultrasound contribution in aesthetics: facial findings that have an impact on therap
Carolina Mariluis 1, 2, Patricia Barrera 3, Jairo Hernández-Pinzón 4
1 Departamento de Resonancia Magnética, DIM Alta Complejidad, Ramos Mejía, Buenos Aires; Argentina; 2 Servicio de Radiología Estética, Radiology-Aesthetics, Buenos Aires; Argentina; 3 PB Medicina Estética, Paraná, Entre Ríos, Argentina; 4 Clínica FLENI, Buenos Aires, Argentina
*Correspondence: Carolina Mariluis. Email: caromariluis@gmail.com
Abstract
Introduction: Radiology, especially ultrasound, is gaining importance in the field of aesthetic medicine, facilitating the anatomical evaluation of patients prior to injectable procedures, assisting in the diagnosis of complications, and identifying filler materials. There are anatomical variations that can increase the risk of complications, and many patients do not remember which materials have been injected previously. This work aims to evaluate the utility of ultrasound in therapeutic decision-making and to share the authors’ experience with patients between 2021 and 2023.
Objective: To describe ultrasound findings in patients
that had a facial Doppler ultrasound study referred by an aesthetic physician and to evaluate how it influenced the therapeutic decision.
Method: This study was approved by the institutional Ethics medical Committee. It is a prospective, descriptive, analytical study of a patient cohort assessed between 2021 and 2023. The study includes patients who had a facial ultrasound
referred by their aesthetic physician, either before or after injectable treatments. The influence of ultrasound findings on
treatment selections was considered. Data were analyzed using Stata Statistical Software Release 14 (College Station, TX: StataCorp LP).
Results: A total of 83 patients were studied. Fifty-three patients underwent a facial ultrasound before planning an injectable treatment (group 1), while 30 patients underwent facial ultrasound due to complications related to injectables group 2). In group 1, 24 patients (45.2%) had no previous fillers, 15 (28.3%) had hyaluronic acid fillers, and 14 (26.4%) had permanent fillers. Twelve patients (22.6%) presented anatomical variations. In group 2, 14 patients (46.6%) had acute complications and 16 (53.3%) had chronic complications. Based on these results, ultrasound findings changed the therapeutic decision in 74% of the cases (62 patients).
Conclusion: Facial ultrasound provided crucial information for aesthetic treatment
Keywords: Ultrasound. Facial. Aesthetics.
