Ultrasound in Aesthetics: Filler and Non-Filler Applications

Dermatological ultrasound in assessing skin aging

“…Indirect assessments of changes in skin texture and roughness can be made by measuring hydration, including water content in corneal layer and the amount of transepidermal water lost, as aging leads to increased loss of barrier integrity and subsequently higher water loss ( 22 ). In this context, notable instruments encompass the TEWLmeter, which assesses transepidermal water loss; the Corneometer, gauging skin electrical capacitance to determine water levels in corneal layer; and In vivo confocal Raman spectroscopy, providing quantitative measurements of skin water content ( 8 ). For the evaluation of skin firmness, viable tools include the Dermal Torque, Ballistometer, and Cutometer; nevertheless, none have exhibited consistent intra- and interobserver reliability ( 25 ).…”

“…For the evaluation of skin firmness, viable tools include the Dermal Torque, Ballistometer, and Cutometer; nevertheless, none have exhibited consistent intra- and interobserver reliability ( 25 ). Enhanced assessment of skin pigmentation may be achieved through the utilization of tools such as Video Microscopy and Chromameter; however, these methods still necessitate subjective analysis by the evaluator ( 8 ). The gold standard method still remains histopathological analysis, yet it is an invasive approach that may lead to scarring.…”

“…Within clinical Dermatology, US finds utility in the diagnosis of benign tumors, characterizing nail pathology, differentiating autoimmune bullous diseases and monitoring inflammatory conditions such as psoriasis, atopic dermatitis, morphea and hidradenitis suppurativa (5)(6)(7). In aesthetic medicine, the US serves as a valuable tool for guiding filler injections, managing complications, and tracking treatment outcomes (3,8). Moreover, in research, US serves as an objective 10.3389/fmed.2024.1353605 evaluation parameter across multiple spheres, providing valuable insights into tissue characteristics (2).…”

Beyond the Aesthetics: Understanding Risks in Nonsurgical Rhinoplasty

“…The use of ultrasound in aesthetic medicine offers significant benefits. It allows precise mapping of vascularisation, assessment of complications associated with filler use and guidance for both injection placement and hyaluronidase treatments 19,31,32 .…”

High-Resolution Ultrasound for Complications of Botulinum Toxin Use: A Case Series and Literature Review

“…In aesthetic medicine, despite being a very safe procedure, its use is not exempt from the appearance of various complications. Currently, with the positioning of high-resolution ultrasound as the diagnostic modality par excellence for characterizing the various complications in aesthetic medicine, it is possible to understand more precisely the behavior of complications derived from the use of BTX and contribute, with diagnostic images, relevant information for multidisciplinary management [1][2][3]. We present four clinical cases with complications secondary to the use of BTX, along with clinical-ultrasound correlation.…”