Michelle Dyment Doran, APRN, NP-BC, CANS, is a board certified Nurse Practitioner and Certified Aesthetic Nurse Specialist (CANS). She is the cofounder, owner, and clinical director of RN Esthetics in North Shore, MA.Alison Oxton, APRN, NP-BC, CANS, is a board certified Nurse Practitioner and Certified Aesthetic Nurse Specialist (CANS). She is the cofounder of Restore Hydration IV Drip Bar in Salem, MA and clinical leader for RN Esthetics, Salem, MA.

The purpose of this article is to introduce a recommendation for an adjunct approach to the current treatment protocol for vascular occlusion (VO). Current guidelines for treatment of VO do not incorporate the use of ultrasonographic technology. Using bedside ultrasonography has gained recognition as an effective way to map out the vessels of the face to prevent VO. Ultrasonography has also been found to be helpful for treating VO as well as other hyaluronic acid filler–related complications.