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WFUMB Position Paper: Consensus on Best Practice in Aesthetic Dermatologic Ultrasound.

Maria Cristina Chammas1, Rosa Sigrist1, Fernando Alfageme2

  • 1Department of Radiology, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo Brazil.

Ultrasound in Medicine & Biology
|August 27, 2025
PubMed
Summary

This position paper provides best practices for dermatologic ultrasound in aesthetics. It offers 24 recommendations to standardize equipment, techniques, and reporting for improved patient outcomes.

Keywords:
Aesthetic complicationAesthetic procedureAesthetic ultrasoundDermatologic ultrasoundDoppler ultrasoundGuidelinesRecommendationsSkinSkin ultrasoundUltrasound

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Area of Science:

  • Dermatology
  • Medical Imaging
  • Aesthetic Medicine

Background:

  • Dermatologic ultrasound is valuable in aesthetics but lacks standardized protocols.
  • Existing information on equipment, techniques, and reporting is limited.
  • This gap hinders accurate diagnosis and patient management.

Purpose of the Study:

  • To enhance and standardize dermatologic ultrasound in the aesthetic field.
  • To facilitate accurate diagnoses and improve patient outcomes.
  • To establish best practices for aesthetic ultrasound applications.

Main Methods:

  • A panel of experts consolidated existing evidence and experience.
  • Two rounds of questionnaires identified key issues in aesthetic ultrasound.
  • Virtual voting and consensus meetings determined recommendations (>75% agreement).

Main Results:

  • 24 recommendations were formulated based on expert consensus.
  • The recommendations cover equipment, techniques, nomenclature, reporting, training, safety, and procedures.
  • Statements achieved broad agreement (75-95%) or strong consensus (>95%).

Conclusions:

  • The paper provides 24 recommendations to standardize dermatologic ultrasound in aesthetics.
  • These guidelines aim to improve clinical practice and scientific research.
  • Standardization will enhance diagnostic accuracy and patient care.