Ultrasound‐guided hyaluronidase injection in cosmetic complications

Quezada-Gaon, Natacha; Wortsman, Ximena

doi:10.1111/jdv.13286

Cited by 34 publications

(27 citation statements)

References 5 publications

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“…Percutaneous ultrasound guidance of aesthetic or plastic surgery procedures can improve the precision of injections, drainage procedures and corrections and decrease potential adverse reactions or complications due to injury to neighboring structures [73,74].…”

Section: -Percutaneous Ultrasound Guidance Of Non-surgical and Surgimentioning

confidence: 99%

European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

et al. 2020

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Dermatologic ultrasound is a recent application of ultrasound for the evaluation of healthy skin and appendages and their diseases. Although the scientific literature regarding this application is still not sufficient for evidence-based guidelines, general recommendations issued by scientific societies are necessary. The EFSUMB (European Federation of Societies for Ultrasound in Medicine and Biology) steering committee for dermatologic ultrasound has developed a series of consensus position statements regarding the main fields of dermatologic ultrasound (technical requirement, normal skin and appendages, inflammatory skin diseases, tumoral skin diseases, aesthetic dermatology and practice-training requirements). This document is the foundation for future evidence-based recommendations and guidelines for dermatologic ultrasound practice.

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Section: -Percutaneous Ultrasound Guidance Of Non-surgical and Surgimentioning

confidence: 99%

European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

et al. 2020

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“…In our experience, most of the thrombotic episodes affect small dermal vessels and cause hypovascular regions in the skin. Sonography may also support the percutaneous injection of hyaluronidase for dissolving hyaluronic acid deposits (Figure ) …”

Section: Dermatologic Emergencies On Sonographymentioning

confidence: 99%

Sonography of Dermatologic Emergencies

Wortsman

2017

J of Ultrasound Medicine

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Dermatologic conditions may be the subjects of potential emergency consultations, and the knowledge of their sonographic appearance can facilitate an early diagnosis and management. In this pictorial essay, the sonographic dermatologic anatomy, technique, and conditions that can be supported by a prompt sonographic diagnosis are reviewed. The sonographic signs that may help diagnose these entities are discussed with a practical approach.

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“…Proponents of US advocate its routine use predominantly in high-risk areas—such as the ophthalmic artery-supplied territories of the forehead, glabella, and nasal dorsum —where it can be employed for both arterial mapping and ultrasound-guided filling [ 140 , 141 , 142 ]. US may also prove useful in cases of FIVO, helping to identify sites of vascular occlusion and assisting with the precise delivery of reversal agents [ 143 , 144 ]. However, the significant cost, skill training, and time-consuming aspects of US use in clinical practice have thus far limited its widespread adoption [ 145 ].…”

Section: Pathophysiology Of Ha-mediated Vascular Occlusionmentioning

confidence: 99%

Bridging a Century-Old Problem: The Pathophysiology and Molecular Mechanisms of HA Filler-Induced Vascular Occlusion (FIVO)—Implications for Therapeutic Interventions

Soares

2022

Molecules

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Biocompatible hyaluronic acid (HA, hyaluronan) gel implants have altered the therapeutic landscape of surgery and medicine, fostering an array of innovative products that include viscosurgical aids, synovial supplements, and drug-eluting nanomaterials. However, it is perhaps the explosive growth in the cosmetic applications of injectable dermal fillers that has captured the brightest spotlight, emerging as the dominant modality in plastic surgery and aesthetic medicine. The popularity surge with which injectable HA fillers have risen to in vogue status has also brought a concomitant increase in the incidence of once-rare iatrogenic vaso-occlusive injuries ranging from disfiguring facial skin necrosis to disabling neuro-ophthalmological sequelae. As our understanding of the pathophysiology of these injuries has evolved, supplemented by more than a century of astute observations, the formulation of novel therapeutic and preventative strategies has permitted the amelioration of this burdensome complication. In this special issue article, we review the relevant mechanisms underlying HA filler-induced vascular occlusion (FIVO), with particular emphasis on the rheo-mechanical aspects of vascular blockade; the thromboembolic potential of HA mixtures; and the tissue-specific ischemic susceptibility of microvascular networks, which leads to underperfusion, hypoxia, and ultimate injury. In addition, recent therapeutic advances and novel considerations on the prevention and management of muco-cutaneous and neuro-ophthalmological complications are examined.

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Ultrasound‐guided hyaluronidase injection in cosmetic complications

Cited by 34 publications

References 5 publications

European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Position Statement on Dermatologic Ultrasound

Sonography of Dermatologic Emergencies

Bridging a Century-Old Problem: The Pathophysiology and Molecular Mechanisms of HA Filler-Induced Vascular Occlusion (FIVO)—Implications for Therapeutic Interventions

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