04/08/2026
I am happy to share my latest publication in Aesthetic Plastic Surgery. Many thanks to my coauthors, especially , who contributed to this research. This paper highlights four common scenarios where ultrasound can be used to minimize vascular risks on facial areas.
These are the main points highlighted:
1๏ธโฃ Ultrasound significantly enhances safety in facial injectables.
High-resolution ultrasound with Doppler (HRUD) enables real-time visualization of vascular anatomy, helping practitioners avoid intravascular injection and reduce the risk of vascular adverse events (VAEs), including necrosis and blindness.
2๏ธโฃ It is an essential tool for high-risk facial areas.
HRUD is especially valuable in high-risk zones, such as the forehead, glabella, nose, and pyriform fossa, where critical vascular structures are prone to injury during filler injections.
3๏ธโฃ HRUD allows for detection of anatomical variations.
The technology can identify individual vascular differences (e.g., loops, atypical vessel paths, absent or duplicated arteries) that are not clinically visible but significantly impact injection safety.
4๏ธโฃ HRUD is critical in postsurgical and complex patients.
In patients with prior surgery, trauma, or scarring, HRUD helps navigate altered vascular anatomy, reducing complication risk and enabling safer treatment planning.
5๏ธโฃ Pre-injection vascular mapping improves precision and outcomes.
Performing targeted or full vascular mapping before injections increases procedural precision, minimizes complications, and supports better aesthetic outcomesโmaking HRUD a recommended adjunct to aesthetic practice.
The article is available at: https://doi.org/10.1007/s00266-026-05744-z
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