Sigrist Rosa, Desyatnikova Stella, Chammas Maria Cristina, Vasconcelos-Berg Roberta
Department of Radiology, School of Medicine, University of São Paulo, São Paulo 05403-010, Brazil.
The Stella Center for Facial Plastic Surgery, Seattle, WA 98101, USA.
Diagnostics (Basel). 2024 Aug 8;14(16):1718. doi: 10.3390/diagnostics14161718.
Filler injections in the upper face pose significant challenges due to its complex anatomy and proximity to vascular structures. High-frequency Doppler ultrasound offers real-time visualization of facial anatomy, improving both safety and aesthetic outcomes. This paper presents a detailed overview of the ultrasonographic anatomy of the temples, forehead, and glabella, along with reproducible, ultrasound-guided filler injection techniques for these areas. We use two scanning techniques previously described: "scan before injecting" and "scan while injecting", applicable to subdermal, interfascial, and supraperiosteal planes in the temporal region, as well as the glabella, forehead, and supraorbital region. Ultrasound guidance for filler injections in the upper face can enhance procedural efficacy and safety. By integrating real-time imaging, practitioners can navigate the intricate vascular anatomy more effectively, thereby minimizing the risk of complications. This study highlights the need for ongoing research and continuous education to further refine these techniques and improve patient outcomes.
由于上半面部解剖结构复杂且靠近血管结构，在上半面部进行填充剂注射面临重大挑战。高频多普勒超声可实时显示面部解剖结构，提高安全性和美学效果。本文详细概述了颞部、额部和眉间的超声解剖结构，以及这些区域可重复的超声引导下填充剂注射技术。我们采用了之前描述的两种扫描技术：“注射前扫描”和“注射时扫描”，适用于颞部区域以及眉间、额部和眶上区域的皮下、筋膜间和骨膜上平面。上半面部填充剂注射的超声引导可提高操作的有效性和安全性。通过整合实时成像，从业者可以更有效地避开复杂的血管解剖结构，从而将并发症风险降至最低。本研究强调了持续研究和持续教育的必要性，以进一步完善这些技术并改善患者预后。
