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Precision in Midfacial Volumization Using Ultrasound-Assisted Cannula Injections.

Leonie Schelke1,2, Peter J Velthuis1, Natalia Lowry3

  • 1From the Department of Dermatology, Erasmus Medical Center.

Plastic and Reconstructive Surgery
|February 2, 2023
PubMed
Summary

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Ultrasound-guided cannula injections precisely deliver soft-tissue fillers to the midface, improving volume loss and aesthetic outcomes without adverse events. This technique enhances safety and efficacy in facial volumization procedures.

Area of Science:

  • Aesthetic medicine
  • Dermatology
  • Plastic surgery

Background:

  • Cannula injections for soft-tissue fillers are often perceived as less precise than needle injections.
  • Midfacial needle injections carry a higher risk of intraarterial product placement.
  • There is a need for precise and safe methods for midfacial volumization.

Purpose of the Study:

  • To demonstrate the precision, safety, and effectiveness of ultrasound-assisted cannula injections in the midface.
  • To evaluate the ability of real-time ultrasound guidance to improve accuracy in filler placement.
  • To assess the aesthetic outcomes and safety profile of this technique.

Main Methods:

  • Midfacial injections were performed using 22-G cannulas in 188 midfaces of 94 healthy volunteers under ultrasound-assisted guidance.

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  • Assessments included precision of product placement, incidence of adverse events, and patient/physician-rated aesthetic outcomes.
  • The study involved 86 women with an average age of 53.05 years.

    • Main Results:

    • In 100% of cases, filler was accurately placed in the desired deep midfacial fat compartment without migration.
    • A statistically significant improvement in midfacial volume loss was observed (P < 0.001).
    • No adverse events were reported during the follow-up period, and aesthetic outcomes were rated as 'very much improved'.

    Conclusions:

    • Real-time ultrasound imaging provides crucial visual feedback for precise cannula advancement and injection in the midface.
    • Ultrasound-assisted cannula injections offer a safer alternative for midfacial volumization compared to traditional needle techniques.
    • The study encourages wider adoption of cannulas for midfacial volumization due to demonstrated precision and safety.