Jung Jae Yoon, Choi Hosung, Han Sang Chul, Wanitphakdeedecha Rungsima, Luo Qian, Zhou Lijun, No Jung Im, Jang Woonji E, Kim Hee-Jin
Department of Dermatology, Oaro Dermatology Clinic, Seoul, Republic of Korea.
Facial Plastic Surgery Department, PIENA Aesthetic Medical Clinic in Gangnam, Seoul, Republic of Korea.
J Cosmet Dermatol. 2025 Jan;24(1):e16759. doi: 10.1111/jocd.16759.
Ultrasonography allows real-time imaging of facial soft tissue during hyaluronic acid (HA) filler injections. However, there is currently limited guidance relating to ultrasound-guided HA filler placement in the upper face.
To develop guidance for the effective use of ultrasonography to improve the safety of HA filler injection procedures.
Through a series of online video conferences and anatomical studies conducted on a model and a cadaveric specimen, specialists from Korea, Thailand, and China drew recommendations for ultrasound-guided filler injections of the upper face.
The authors outlined critical anatomical landmarks for safe HA filler placement to correct volume deficits or treat hollowness of the forehead, temple, and upper eyelids. They provide insights on treatment indications and injection techniques using ultrasound for safe HA filler placement. The recommendations are presented in this paper.
Where there are anatomic variations in the vasculature of the forehead, temple, and periorbital area, ultrasound-guided filler placement can provide an additional safety measure. Current evidence may give rise to standard practices incorporating ultrasound in injection protocols for the preventive and therapeutic management of adverse events.
超声检查可在透明质酸（HA）填充剂注射过程中对面部软组织进行实时成像。然而，目前关于超声引导下在上半面部注射HA填充剂的指导有限。
制定有效使用超声检查的指导原则，以提高HA填充剂注射程序的安全性。
通过一系列在线视频会议以及在模型和尸体标本上进行的解剖学研究，来自韩国、泰国和中国的专家制定了关于超声引导下在上半面部注射填充剂的建议。
作者概述了安全注射HA填充剂以纠正容量不足或治疗前额、颞部和上眼睑凹陷的关键解剖标志。他们提供了关于使用超声进行安全HA填充剂注射的治疗适应症和注射技术的见解。本文给出了这些建议。
在前额、颞部和眶周区域血管存在解剖变异的情况下，超声引导下的填充剂注射可提供额外的安全措施。现有证据可能会促使在注射方案中纳入超声检查的标准做法，用于不良事件的预防和治疗管理。
