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Updated: Nov 7, 2025

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Handheld Doppler Localization of the Angular Artery to Reduce Intravascular Injection in Tear Trough Rejuvenation

Claire M Noell1, Robert A Weiss

  • 1Maryland Laser, Skin and Vein Institute, Hunt Valley, Maryland.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|April 30, 2021
PubMed
Abstract

No abstract available in PubMed .

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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
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