Ultrasound Morphology of Polycaprolactone Filler

Wortsman, Ximena; Quezada, Natacha

doi:10.1002/jum.14327

Cited by 17 publications

(11 citation statements)

References 14 publications

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“…Hydrophilic fillers tend to have an oval or round shape. Some synthetic fillers that come in a gel such as polyacrylamide tend to maintain their oval or rounded shape, echogenicity, and size during extended periods of time, usually years . In contrast, pure hyaluronic acid (noncross‐linked) deposits tend to modify their shape over months .…”

Section: Resultsmentioning

confidence: 99%

“…Some synthetic fillers that come in a gel such as polyacrylamide tend to maintain their oval or rounded shape, echogenicity, and size during extended periods of time, usually years. 2,31,33 In contrast, pure hyaluronic acid (noncross-linked) deposits tend to modify their shape over months. 34,35 Other filler may have a different appearance as band-or mass-like.…”

Section: Shapementioning

confidence: 99%

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Nomenclature proposal for the sonographic description and reporting of soft tissue fillers

Schelke

Cassuto

Velthuis

et al. 2019

J of Cosmetic Dermatology

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Background: There is a steady increase in publications about the use of ultrasound and filler treatments, written by physicians from different specialties. The terminology used to describe the ultrasound images of fillers is not uniform, making the different articles difficult to compare. Standardization of the descriptions based on their basic sonographic parameters is recommendable. Aims:The purpose of this study is to propose a nomenclature for the sonographic description and reporting of cosmetic fillers.Methods: An assessment of articles indexed for MEDLINE/PubMed and Embed electronic database was conducted; in total of 39 articles could be included.Results: All articles were investigated for their sonographic descriptions of soft tissue fillers. Ten parameters used for describing and monitoring soft tissue fillers were distinguished. Conclusion:The proposed sonographic descriptions for cosmetic fillers may contribute to a better standardization and understanding fillers ultrasound images in the reports or literature.

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Section: Resultsmentioning

confidence: 99%

Section: Shapementioning

confidence: 99%

Nomenclature proposal for the sonographic description and reporting of soft tissue fillers

Schelke

Cassuto

Velthuis

et al. 2019

J of Cosmetic Dermatology

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“…Tumescent anesthesia has been proposed to reduce pain, swelling, and ecchymosis during facial injection with the PCL‐based filler 23 . Interestingly, ultrasonographic characteristics have been defined, allowing clinicians to identify and localize the PCL filler during injection and in case of complications 24 …”

Section: Discussionmentioning

confidence: 99%

Polycaprolactone‐based dermal filler complications: A retrospective study of 1111 treatments

Lin¹,

Christen

2020

J of Cosmetic Dermatology

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Background Aging signs can be corrected through volume restoration in multiple soft tissue layers and in the supraperiosteal plane using hyaluronic acid (HA) or nonhyaluronic acid (non‐HA) fillers. The non‐HA bioresorbable polycaprolactone (PCL)‐based filler with collagen‐stimulating properties has a proven safety profile, but rare potential complications such as nodules and granuloma can occur. Furthermore, PCL‐based fillers cannot be immediately removed by injection of an enzyme. These potential drawbacks have yet to be described in the literature. Aims The author performed 1111 treatments between 2015 and 2018. This study aims to review and analyze these treatments to ascertain the complication rates of the PCL‐based filler. Suggestions for complication prevention and management are also discussed. Methods 780 patients treated with the PCL‐based filler were reviewed by the physician between April 2015 and May 2018. During this period, 5595 syringes were used in 1111 treatments. All complication data were acquired by phone interviews, reports by patients, or observation at follow‐up visits. Complications were subdivided into early‐onset (occurring up to 2 weeks after treatment) and late‐onset events (occurring more than 2 weeks to years after treatment). Results Among the 1111 treatments, there were 50 cases (4.5%) of edema that lasted longer than 2 weeks, 30 cases (2.7%) of bruising, 8 cases (0.72%) of malar edema, 5 cases (0.45%) of temporarily palpable lumps and 2 cases (0.18%) of discoloration. There were no cases of intravascular injection, nodules/granulomas, or infection. Conclusion The complication rate of the PCL‐based filler was found to be low, and there were no cases of intravascular injection, nodules, and/or granulomas during the 3‐year observation. Longer‐lasting edema was associated with a higher injection volume and malar edema was related to lymphatic compression.

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“…This is done through the detection of the main patterns of the fillers and their artifacts. 10,11,[98][99][100][101][102][103][104][105][106] Ultrasound allows us to support the diagnosis of early (  4 months) and late (  4 months) complications. Early complications include vascular occlusions, hematomas, abscesses, overfilling, misplaced injections, and inflammatory reactions.…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

Top applications of dermatologic ultrasonography that can modify management

Wortsman

2023

Ultrasonography

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Dermatologic ultrasound is a new field of ultrasonography that has been growing exponentially in the last ten years. It has multiple applications that can modify patient management such as benign and malignant cutaneous tumors, vascular anomalies, inflammatory dermatologic entities, aesthetic complications, and nail lesions.Compared with other imaging techniques such as CT or MRI, ultrasound has the highest axial spatial resolution and has benefited from developing high and ultrahigh frequency probes that could even reach 70 MHz.The daily use of ultrasonography in dermatology has been reported to improve the accuracy of the diagnoses, the tracking of activity and the assessment of severity in common dermatologic conditions, which certainly can support a better treatment of the patients.

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Ultrasound Morphology of Polycaprolactone Filler

Cited by 17 publications

References 14 publications

Nomenclature proposal for the sonographic description and reporting of soft tissue fillers

Nomenclature proposal for the sonographic description and reporting of soft tissue fillers

Polycaprolactone‐based dermal filler complications: A retrospective study of 1111 treatments

Top applications of dermatologic ultrasonography that can modify management

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