Skip to main content

Ultrasound in Aesthetics

  • Chapter
  • First Online:
Textbook of Dermatologic Ultrasound

Abstract

This chapter reviews the role of ultrasound in common aesthetic procedures. This includes cosmetic fillers and their complications, besides many other aesthetic nonsurgical and surgical procedures. A clinical and ultrasonographic correlation highlights the information.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Change history

  • 01 June 2023

    A correction has been published.

References

  1. Angelos PC, Been MJ, Toriumi DM. Contemporary review of rhinoplasty. Arch Facial Plast Surg. 2012;14(4):238–47. https://doi.org/10.1001/archfacial.2012.577.

    Article  PubMed  Google Scholar 

  2. Attenello NH, Maas CS. Injectable fillers: review of material and properties. Facial Plast Surg. 2015;31(1):29–34. https://doi.org/10.1055/s-0035-1544924.

    Article  CAS  PubMed  Google Scholar 

  3. Bass LS. Injectable filler techniques for facial rejuvenation, volumization, and augmentation. Facial Plast Surg Clin North Am. 2015;23(4):479–88. https://doi.org/10.1016/j.fsc.2015.07.004.

    Article  PubMed  Google Scholar 

  4. Chia CT, Neinstein RM, Theodorou SJ. Evidence-based medicine: liposuction. Plast Reconstr Surg. 2017;139(1):267e–74e. https://doi.org/10.1097/prs.0000000000002859.

    Article  CAS  PubMed  Google Scholar 

  5. Garvey PB, Ricciardelli EJ, Gampper T. Outcomes in threadlift for facial rejuvenation. Ann Plast Surg. 2009;62(5):482–5. https://doi.org/10.1097/SAP.0b013e31818c18ed.

    Article  CAS  PubMed  Google Scholar 

  6. Ginat DT, Schatz CJ. Imaging features of midface injectable fillers and associated complications. AJNR Am J Neuroradiol. 2013;34(8):1488–95. https://doi.org/10.3174/ajnr.A3161.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Glogau RG. Fillers: from the past to the future. Semin Cutan Med Surg. 2012;31(2):78–87. https://doi.org/10.1016/j.sder.2012.03.004.

    Article  CAS  PubMed  Google Scholar 

  8. Lee JC, Daniels MA, Roth MZ. Mesotherapy, microneedling, and chemical peels. Clin Plast Surg. 2016;43(3):583–95. https://doi.org/10.1016/j.cps.2016.03.004.

    Article  PubMed  Google Scholar 

  9. Benito-Ruiz J, de Cabo F. Ultrasonography: a useful tool for plastic surgeons. Aesthet Plast Surg. 2014;38(3):561–71. https://doi.org/10.1007/s00266-014-0300-z.

    Article  Google Scholar 

  10. Faundez E, Vega N, Vera E, Vega P, Sepulveda D, Wortsman X. Clinical and color Doppler ultrasound evaluation of polyacrylamide injection in HIV patients with severe facial lipoatrophy secondary to antiretroviral therapy. Skin Res Technol. 2017;23(2):243–8. https://doi.org/10.1111/srt.12329.

    Article  CAS  PubMed  Google Scholar 

  11. Grippaudo FR, Mattei M. High-frequency sonography of temporary and permanent dermal fillers. Skin Res Technol. 2010;16(3):265–9. https://doi.org/10.1111/j.1600-0846.2010.00428.x.

    Article  PubMed  Google Scholar 

  12. Grippaudo FR, Mattei M. The utility of high-frequency ultrasound in dermal filler evaluation. Ann Plast Surg. 2011;67(5):469–73. https://doi.org/10.1097/SAP.0b013e318203ebf6.

    Article  CAS  PubMed  Google Scholar 

  13. Kwon HJ, Kim BJ, Ko EJ, Choi SY. The utility of color Doppler ultrasound to explore vascular complications after filler injection. Dermatol Surg. 2017;43(12):1508–10. https://doi.org/10.1097/dss.0000000000001173.

    Article  CAS  PubMed  Google Scholar 

  14. Lee GSK. Use of handheld ultrasound Doppler to prevent complications from intra-arterial injection of dermal fillers: clinical experience. J Cosmet Dermatol. 2019; https://doi.org/10.1111/jocd.12870.

  15. Mlosek RK, Skrzypek E, Skrzypek DM, Malinowska S. High-frequency ultrasound-based differentiation between nodular dermal filler deposits and foreign body granulomas. Skin Res Technol. 2018;24(3):417–22. https://doi.org/10.1111/srt.12444.

    Article  CAS  PubMed  Google Scholar 

  16. Schelke LW, Van Den Elzen HJ, Erkamp PP, Neumann HA. Use of ultrasound to provide overall information on facial fillers and surrounding tissue. Dermatol Surg. 2010;36(Suppl 3):1843–51. https://doi.org/10.1111/j.1524-4725.2010.01740.x.

    Article  CAS  PubMed  Google Scholar 

  17. Schelke LW, Velthuis P, Kadouch J, Swift A. Early ultrasound for diagnosis and treatment of vascular adverse events with hyaluronic acid fillers. J Am Acad Dermatol. 2019; https://doi.org/10.1016/j.jaad.2019.07.032.

  18. Wortsman X. Identification and complications of cosmetic fillers: sonography first. J Ultrasound Med. 2015;34(7):1163–72. https://doi.org/10.7863/ultra.34.7.1163.

    Article  PubMed  Google Scholar 

  19. Wortsman X, Quezada N. Ultrasound morphology of Polycaprolactone filler. J Ultrasound Med. 2017;36(12):2611–5. https://doi.org/10.1002/jum.14327.

    Article  PubMed  Google Scholar 

  20. Wortsman X, Wortsman J. Polyacrylamide fillers on skin ultrasound. J Eur Acad Dermatol Venereol. 2012;26(5):660–1. https://doi.org/10.1111/j.1468-3083.2011.04111.x.

    Article  CAS  PubMed  Google Scholar 

  21. Wortsman X, Wortsman J, Orlandi C, Cardenas G, Sazunic I, Jemec GB. Ultrasound detection and identification of cosmetic fillers in the skin. J Eur Acad Dermatol Venereol. 2012;26(3):292–301. https://doi.org/10.1111/j.1468-3083.2011.04047.x.

    Article  CAS  PubMed  Google Scholar 

  22. Young SR, Bolton PA, Downie J. Use of high-frequency ultrasound in the assessment of injectable dermal fillers. Skin Res Technol. 2008;14(3):320–3. https://doi.org/10.1111/j.1600-0846.2008.00297.x.

    Article  CAS  PubMed  Google Scholar 

  23. Quezada-Gaón N, Wortsman X. Ultrasound-guided hyaluronidase injection in cosmetic complications. J Eur Acad Dermatol Venereol. 2016;30(10):e39–40. https://doi.org/10.1111/jdv.13286.

    Article  PubMed  Google Scholar 

  24. Wortsman X. Atlas of dermatologic ultrasound. 1st ed. Berlin: Springer International Publishing; 2018. p. 367.

    Book  Google Scholar 

  25. Wortsman X, Jemec GBE. Dermatologic ultrasound with clinical and histologic correlations. 1st ed. New York: Springer-Verlag; 2013.

    Book  Google Scholar 

  26. Wortsman X, Wortsman J. Sonographic outcomes of cosmetic procedures. AJR Am J Roentgenol. 2011;197(5):W910–8. https://doi.org/10.2214/AJR.11.6719.

    Article  PubMed  Google Scholar 

  27. Wortsman X, Alfageme F, Roustan G, et al. Guidelines for performing dermatologic ultrasound examinations by the DERMUS group. J Ultrasound Med. 2016;35(3):577–80. https://doi.org/10.7863/ultra.15.06046.

    Article  PubMed  Google Scholar 

  28. Wortsman X. Common applications of dermatologic sonography. J Ultrasound Med. 2012;31(1):97–111. https://doi.org/10.7863/jum.2012.31.1.97.

    Article  PubMed  Google Scholar 

  29. Alfageme F, Wortsman X, Catalano O, et al. European Federation of Societies for ultrasound in medicine and biology (EFSUMB) position statement on dermatologic ultrasound. Ultraschall Med. 2021;42(1):39–47. Stellungnahme der European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) zu Dermatologischem Ultraschall. https://doi.org/10.1055/a-1161-8872.

    Article  PubMed  Google Scholar 

  30. Wortsman X, Alfageme F, Roustan G, et al. Proposal for an assessment training program in dermatologic ultrasound by the DERMUS group. J Ultrasound Med. 2016;35(11):2305–9. https://doi.org/10.7863/ultra.15.10068.

    Article  PubMed  Google Scholar 

  31. Wortsman X. Ultrasound in dermatology: why, how, and when? Semin Ultrasound CT MR. 2013;34(3):177–95. https://doi.org/10.1053/j.sult.2012.10.001.

    Article  PubMed  Google Scholar 

  32. Wortsman X. Sonography of dermatologic emergencies. J Ultrasound Med. 2017;36(9):1905–14. https://doi.org/10.1002/jum.14211.

    Article  PubMed  Google Scholar 

  33. Schelke LW, Cassuto D, Velthuis P, Wortsman X. Nomenclature proposal for the sonographic description and reporting of soft tissue fillers. J Cosmet Dermatol. 2020;19(2):282–8. https://doi.org/10.1111/jocd.13127.

    Article  PubMed  Google Scholar 

  34. Beauvais D, Ferneini EM. Complications and litigation associated with injectable facial fillers: a cross-sectional study. J Oral Maxillofac Surg. 2020;78(1):133–40. https://doi.org/10.1016/j.joms.2019.08.003.

    Article  PubMed  Google Scholar 

  35. Dayan SH, Ellis DA, Moran ML. Facial fillers: discussion and debate. Facial Plast Surg Clin North Am. 2012;20(3):245–64. https://doi.org/10.1016/j.fsc.2012.05.004.

    Article  PubMed  Google Scholar 

  36. Doerfler L, Hanke CW. Arterial occlusion and necrosis following hyaluronic acid injection and a review of the literature. J Drugs Dermatol. 2019;18(6):587.

    PubMed  Google Scholar 

  37. Fitzgerald R, Bertucci V, Sykes JM, Duplechain JK. Adverse reactions to injectable fillers. Facial Plast Surg. 2016;32(5):532–55. https://doi.org/10.1055/s-0036-1592340.

    Article  CAS  PubMed  Google Scholar 

  38. Kadouch J, Schelke LW, Swift A. Ultrasound to improve the safety and efficacy of Lipofilling of the temples. Aesthet Surg J. 2021;41(5):603–12. https://doi.org/10.1093/asj/sjaa066.

    Article  PubMed  Google Scholar 

  39. Mack WP. Complications in periocular rejuvenation. Facial Plast Surg Clin North Am. 2010;18(3):435–56. https://doi.org/10.1016/j.fsc.2010.05.002.

    Article  PubMed  Google Scholar 

  40. Roberts SA, Arthurs BP. Severe visual loss and orbital infarction following periorbital aesthetic poly-(L)-lactic acid (PLLA) injection. Ophthalmic Plast Reconstr Surg. 2012;28(3):e68–70. https://doi.org/10.1097/IOP.0b013e3182288e4d.

    Article  PubMed  Google Scholar 

  41. Vanaman M, Fabi SG, Carruthers J. Complications in the cosmetic dermatology patient: a review and our experience (part 2). Dermatol Surg. 2016;42(1):12–20. https://doi.org/10.1097/01.Dss.0000479796.34703.94.

    Article  CAS  PubMed  Google Scholar 

  42. Vanaman M, Fabi SG, Carruthers J. Complications in the cosmetic dermatology patient: a review and our experience (part 1). Dermatol Surg. 2016;42(1):1–11. https://doi.org/10.1097/dss.0000000000000569.

    Article  CAS  PubMed  Google Scholar 

  43. Woodward J, Khan T, Martin J. Facial filler complications. Facial Plast Surg Clin North Am. 2015;23(4):447–58. https://doi.org/10.1016/j.fsc.2015.07.006.

    Article  PubMed  Google Scholar 

  44. Yahyavi-Firouz-Abadi N, Menias CO, Bhalla S, Siegel C, Gayer G, Katz DS. Imaging of cosmetic plastic procedures and implants in the body and their potential complications. AJR Am J Roentgenol. 2015;204(4):707–15. https://doi.org/10.2214/ajr.14.13516.

    Article  PubMed  Google Scholar 

  45. Menis D, Castellanos-González M, Llamas-Martín R, Vanaclocha SF. The utility of skin ultrasound for the diagnosis of complications of tissue filler materials. Actas Dermosifiliogr. 2014;105(8):797–8. https://doi.org/10.1016/j.ad.2013.11.012.

    Article  CAS  PubMed  Google Scholar 

  46. Pérez-Pérez L, García-Gavín J, Wortsman X, Santos-Briz Á. Delayed adverse subcutaneous reaction to a new family of hyaluronic acid dermal fillers with clinical, ultrasound, and histologic correlation. Dermatol Surg. 2017;43(4):605–8. https://doi.org/10.1097/dss.0000000000000945.

    Article  PubMed  Google Scholar 

  47. Wortsman X, Moll-Manzur C, Ramírez-Cornejo C, et al. Ultrasonographic subclinical signs of inflammation of the lacrimal, parotid, and submandibular glands in users of cosmetic fillers. J Ultrasound Med. 2021;40(11):2377–89. https://doi.org/10.1002/jum.15621.

    Article  PubMed  Google Scholar 

  48. El-Domyati M, El-Ammawi TS, Moawad O, et al. Efficacy of mesotherapy in facial rejuvenation: a histological and immunohistochemical evaluation. Int J Dermatol. 2012;51(8):913–9. https://doi.org/10.1111/j.1365-4632.2011.05184.x.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Tan J, Rao B. Mesotherapy-induced panniculitis treated with dapsone: case report and review of reported adverse effects of mesotherapy. J Cutan Med Surg. 2006;10(2):92–5. https://doi.org/10.2310/7750.2006.00013.

    Article  PubMed  Google Scholar 

  50. Tedeschi A, Lacarrubba F, Micali G. Mesotherapy with an intradermal hyaluronic acid formulation for skin rejuvenation: an Intrapatient, placebo-controlled, long-term trial using high-frequency ultrasound. Aesthet Plast Surg. 2015;39(1):129–33. https://doi.org/10.1007/s00266-014-0432-1.

    Article  Google Scholar 

  51. Ingargiola MJ, Motakef S, Chung MT, Vasconez HC, Sasaki GH. Cryolipolysis for fat reduction and body contouring: safety and efficacy of current treatment paradigms. Plast Reconstr Surg. 2015;135(6):1581–90. https://doi.org/10.1097/prs.0000000000001236.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. Krueger N, Mai SV, Luebberding S, Sadick NS. Cryolipolysis for noninvasive body contouring: clinical efficacy and patient satisfaction. Clin Cosmet Investig Dermatol. 2014;7:201–5. https://doi.org/10.2147/ccid.S44371.

    Article  PubMed  PubMed Central  Google Scholar 

  53. Beasley KL, Weiss RA. Radiofrequency in cosmetic dermatology. Dermatol Clin. 2014;32(1):79–90. https://doi.org/10.1016/j.det.2013.09.010.

    Article  CAS  PubMed  Google Scholar 

  54. Groen JW, Krastev TK, Hommes J, Wilschut JA, Ritt M, van der Hulst R. Autologous fat transfer for facial rejuvenation: a systematic review on technique, efficacy, and satisfaction. Plast Reconstr Surg Glob Open. 2017;5(12):e1606. https://doi.org/10.1097/gox.0000000000001606.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Marten TJ, Elyassnia D. Fat grafting in facial rejuvenation. Clin Plast Surg. 2015;42(2):219–52. https://doi.org/10.1016/j.cps.2014.12.003.

    Article  PubMed  Google Scholar 

  56. Tzikas TL. Lipografting: autologous fat grafting for total facial rejuvenation. Facial Plast Surg. 2004;20(2):135–43. https://doi.org/10.1055/s-2004-861754.

    Article  PubMed  Google Scholar 

  57. Atiyeh BS, Chahine F, Ghanem OA. Percutaneous thread lift facial rejuvenation: literature review and evidence-based analysis. Aesthet Plast Surg. 2021;45(4):1540–50. https://doi.org/10.1007/s00266-020-02095-1.

    Article  Google Scholar 

  58. Cobo R. Use of Polydioxanone threads as an alternative in nonsurgical procedures in facial rejuvenation. Facial Plast Surg. 2020;36(4):447–52. https://doi.org/10.1055/s-0040-1714266.

    Article  CAS  PubMed  Google Scholar 

  59. De Masi EC, De Masi FD, De Masi RD. Suspension threads. Facial Plast Surg. 2016;32(6):662–3. https://doi.org/10.1055/s-0036-1597541.

    Article  CAS  PubMed  Google Scholar 

  60. Suh DH, Jang HW, Lee SJ, Lee WS, Ryu HJ. Outcomes of polydioxanone knotless thread lifting for facial rejuvenation. Dermatol Surg. 2015;41(6):720–5. https://doi.org/10.1097/dss.0000000000000368.

    Article  CAS  PubMed  Google Scholar 

  61. Tavares JP, Oliveira C, Torres RP, Bahmad F Jr. Facial thread lifting with suture suspension. Braz J Otorhinolaryngol. 2017;83(6):712–9. https://doi.org/10.1016/j.bjorl.2017.03.015.

    Article  PubMed  PubMed Central  Google Scholar 

  62. Na HG, Jang YJ. Dorsal augmentation using alloplastic implants. Facial Plast Surg. 2017;33(2):189–94. https://doi.org/10.1055/s-0036-1598015.

    Article  CAS  PubMed  Google Scholar 

  63. Bartow MJ, Raggio BS. Liposuction. In StatPearls. StatPearls Publishing Copyright © 2021, StatPearls Publishing LLC; 2021.

    Google Scholar 

  64. Regan JP, Casaubon JT. Abdominoplasty. In StatPearls. StatPearls Publishing Copyright © 2021, StatPearls Publishing LLC; 2021.

    Google Scholar 

  65. Lobos N, Wortsman X, Valenzuela F, Alonso F. Color Doppler ultrasound assessment of activity in keloids. Dermatol Surg. 2017;43(6):817–25. https://doi.org/10.1097/dss.0000000000001052.

    Article  CAS  PubMed  Google Scholar 

  66. Kwitko GM, Patel BC. Blepharoplasty ptosis surgery. In StatPearls. StatPearls Publishing Copyright © 2021, StatPearls Publishing LLC; 2021.

    Google Scholar 

  67. Raggio BS, Asaria J. Open rhinoplasty. In StatPearls. StatPearls Publishing Copyright © 2021, StatPearls Publishing LLC; 2021.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Wortsman, X. (2022). Ultrasound in Aesthetics. In: Wortsman, X. (eds) Textbook of Dermatologic Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-031-08736-3_22

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-08736-3_22

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08735-6

  • Online ISBN: 978-3-031-08736-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics