Alimova Sekina, Tlaiss Yehya, Truten Victor, Warrak John
Department of Radiology, Federal State Budgetary Educational Institution of Higher Education, Russian University of Medicine, Ministry of Health of the Russian Federation, Moscow, Russia.
Department of Ophthalmology, University of Balamand, Beirut, Lebanon.
J Med Ultrasound. 2025 Jun 11;33(3):253-259. doi: 10.4103/jmu.JMU-D-24-00015. eCollection 2025 Jul-Sep.
The global rise in demand for minimally invasive esthetic procedures has underscored the need for enhanced precision and safety. This study presents a novel clinical algorithm integrating real-time ultrasound (US) guidance into facial and neck rejuvenation treatments to improve procedural outcomes. Conducted over four years with 56 patients, the study utilized high-frequency B-mode imaging, Doppler functionality, and superb microvascular imaging (SMI) to map anatomical structures, optimize treatment planning, and guide interventions. The algorithm follows a systematic, step-by-step protocol encompassing patient selection, anatomical assessment, procedure execution, and postoperative evaluation. Results indicated a significant improvement in procedural precision, with reduced complication rates and higher patient satisfaction. Notably, 85% of patients rated their outcomes as "much improved" or "very much improved" on the Global Aesthetic Improvement Scale (GAIS). The US-guided approach enabled more accurate filler placement, minimized vascular complications, and improved outcomes compared to traditional techniques. These findings support the integration of US diagnostics in esthetic practice to enhance safety, optimize results, and contribute to the evolving standards of care in non-surgical facial rejuvenation.
全球对微创美容手术需求的增加凸显了提高精准度和安全性的必要性。本研究提出了一种新颖的临床算法，将实时超声（US）引导整合到面部和颈部年轻化治疗中，以改善手术效果。该研究对56名患者进行了为期四年的跟踪，利用高频B模式成像、多普勒功能和超微血管成像（SMI）来绘制解剖结构、优化治疗方案并指导干预措施。该算法遵循一个系统的、循序渐进的方案，包括患者选择、解剖评估、手术执行和术后评估。结果表明，手术精准度有显著提高，并发症发生率降低，患者满意度更高。值得注意的是，在全球美学改善量表（GAIS）上，85%的患者将其手术效果评为“改善很多”或“改善非常多”。与传统技术相比，US引导方法能够更准确地填充，将血管并发症降至最低，并改善手术效果。这些发现支持在美容实践中整合US诊断技术，以提高安全性、优化效果，并为非手术面部年轻化不断发展的护理标准做出贡献。
