Use of high‐frequency ultrasound in the assessment of injectable dermal fillers

Young, Steve; Bolton, Philip; Downie, Jeff

doi:10.1111/j.1600-0846.2008.00297.x

Cited by 57 publications

(39 citation statements)

References 9 publications

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“…Ultrasonography may be a useful tool to evaluate the surface topography of the skin and to assess what may happen to the filler beneath the surface of the skin [22, 23]. Ultrasonography was used to ascertain the site, quantity and type of filler that should be injected into the soft tissue of the face in a cohort of 80 subjects who underwent facial filler augmentation [24].…”

Section: Resultsmentioning

confidence: 99%

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Urdiales-Gálvez

Delgado²,

Figueiredo³

et al. 2017

Aesth Plast Surg

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BackgroundThe use of dermal fillers in minimally invasive facial aesthetic procedures has become increasingly popular of late, yet as the indications and the number of procedures performed increase, the number of complications is also likely to increase. Paying special attention to specific patient characteristics and to the technique used can do much to avoid these complications. Indeed, a well-trained physician can also minimize the impact of such problems when they do occur.MethodsA multidisciplinary group of experts in aesthetic treatments reviewed the main factors associated with the complications that arise when using dermal fillers. A search of English, French and Spanish language articles in PubMed was performed using the terms “complications” OR “soft filler complications” OR “injectable complications” AND “dermal fillers”. An initial document was drafted that reflected the complications identified and recommendations as to how they should be handled. This document was then reviewed and modified by the expert panel, until a final text was agreed upon and validated.ResultsThe panel addressed consensus recommendations about the preparation, the procedure and the post-procedural care. The panel considered it crucial to obtain an accurate medical history to prevent potential complications. An additional clinical assessment, including standardized photography, is also crucial to evaluate the outcomes and prevent potential complications. Furthermore, the state of the operating theatre, the patient’s health status and the preparation of the skin are critical to prevent superficial soft tissue infections. Finally, selecting the appropriate technique, based on the physician’s experience, as well as the characteristics of the patient and filler, helps to ensure successful outcomes and limits the complications.ConclusionsThis consensus document provides key elements to help clinicians who are starting to use dermal fillers to employ standard procedures and to understand how best to prevent potential complications of the treatment.Level of Evidence VThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Resultsmentioning

confidence: 99%

Preventing the Complications Associated with the Use of Dermal Fillers in Facial Aesthetic Procedures: An Expert Group Consensus Report

Urdiales-Gálvez

Delgado²,

Figueiredo³

et al. 2017

Aesth Plast Surg

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“…High frequency diagnostic ultrasound (HFDU) is a non‐invasive method, which allows the clinician to get a high‐resolution image of the wound and surrounding tissue (12–15). This simple procedure can often be used without removing the dressing.…”

Section: Introductionmentioning

confidence: 99%

Non‐invasive assessment of negative pressure wound therapy using high frequency diagnostic ultrasound: oedema reduction and new tissue accumulation

Young¹,

Hampton

Martin

2012

International Wound Journal

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Tissue oedema plays an important role in the pathology of chronic and traumatic wounds. Negative pressure wound therapy (NPWT) is thought to contribute to active oedema reduction, yet few studies have showed this effect. In this study, high frequency diagnostic ultrasound at 20 MHz with an axial resolution of 60 µm was used to assess the effect of NPWT at - 80 mmHg on pressure ulcers and the surrounding tissue. Wounds were monitored in four patients over a 3-month period during which changes in oedema and wound bed thickness (granulation tissue) were measured non-invasively. The results showed a rapid reduction of periwound tissue oedema in all patients with levels falling by a mean of 43% after 4 days of therapy. A 20% increase in the thickness of the wound bed was observed after 7 days due to new granulation tissue formation. Ultrasound scans through the in situ gauze NPWT filler also revealed the existence of macrodeformation in the tissue produced by the negative pressure. These preliminary studies suggest that non-invasive assessment using high frequency diagnostic ultrasound could be a valuable tool in clinical studies of NPWT.

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“…13 The major difference between the two is that bacteria-fermented low-concentration HA is fermented from bacteria, while animal-derived low-concentration HA is purified from rooster combs. 16,17 Rabbit ears and porcine models have been used to study the persistence of cross-linked collagen and the effects of laser treatment on HA filler implants, respectively, 18,19 but rigorous preclinical testing of resorption rates with quantitative analysis of filler volume over time have not been reported. 13 These two NASHA fillers use 1, 4 butanediol diglycidyl ether (BDDE) as a cross-linker, with very high-concentration NASHA produced as a homogenous gel with 20% more HA than high-concentration NASHA's gel particles.…”

mentioning

confidence: 99%