The importance of ultrasound imaging for the tracking of facial fillers - clinical case

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.21446

Keywords:

Aesthetics; Ultrasonography; Facial fillers.

Abstract

Introduction: There is a growing demand for facial harmonization, with the adoption of facial aesthetic procedures, for example, the use of facial fillers such as silicone, polymethylmethacrylate (PMMA) and hyaluronic acid. However, professionals who apply these products must know well all types of fillers so that they can prevent future problems. Likewise, let them know about the importance of the ultrasound exam as a primordial procedure to help in the resolution of damages. Objective: To present how ultrasonography is essential for the application of facial fillers, as well as for treating harmful effects to the face due to complications. Methodology: It is a case study with a qualitative, descriptive approach, carried out in a dentistry office. Case report: A 57-year-old female patient sought dental care to perform facial harmonization with filling the chin, one month later she complained of a globular mass in the submental region. Conclusion: The ultrasound examination was crucial to confirm that the facial filler, hyaluronic acid, did not slip. A solid hypoechoic image was identified on the USG. Knowledge of facial fillers assured the professional to discard the hypothesis of hyaluronic acid migration.

References

Al Ramzi, A., Kassim, M., George, J. V., & Amin, A. (2015). Dental procedures: is it a risk factor for injectable dermal fillers? Journal of maxillofacial and oral surgery, 14(1), 158-160. https://doi.org/10.1007/s12663-012-0398-y

Attenello, N. H., Maas, C. S. (2015). Facial Plast Surg. Feb; 31(1):29-34. https://doi.org/10.1055/s-0035-1544924

Badin, A. Z. D. (2005). Cirurgia da face e procedimentos ancilares. Cirurgia plástica. São Paulo: Atheneu, 521-33. http://www.rbcp.org.br/export-pdf/447/24-01-13.pdf

Bertossi Dario, MD; Irene Dell'Acqua, MD; Massimo Albanese, MD; Pierpaolo Marchetti, PhD; e Pierfrancesco Nocini, MD. (2019). Tratamento de Rosto Usando técnicas Nonsurgical Mini-invasivos como pós-cirúrgica Procedimento para lesão traumática. Sociedade Americana de Cirurgia Plástica Estética.10, 37134. http://openrit.grupotiradentes.com:8080/xmlui/handle/set/3482

Brasil. (2018). Agência Nacional de Vigilância Sanitária - Anvisa. Procedimento estético: anvisa esclarece sobre indicações do PMMA. Ministério da Saúde, on-line. https://www.gov.br/anvisa/pt-br/assuntos/noticias-anvisa/2018/anvisa-esclarece-sobre-indicacoes-do-pmma

Carruthers, Carruthers J. (2016). Considerações científicos e técnicos: A base de não animais. Plast Reconstr Surg. 120: 33S-40S. http://openrit.grupotiradentes.com:8080/xmlui/handle/set/3482

Crocco, E. I., Alves, R. O., & Alessi, C. (2012). Eventos adversos do ácido hialurônico injetável. Surgical & Cosmetic Dermatology, 4(3), 259-263. https://www.redalyc.org/pdf/2655/265524650007.pdf

Dalati, M. H. N., & Koussayer, L. T. (2020). An Introduction to Botulinum Toxin and Dermal Fillers for Dentists: Part 1. EC Dental Science, 19, 142-157. https://www.researchgate.net/profile/Hani-Dalati/publication/302484818_Botox_and_dermal_fillers_use_in_dentistry/links/5f32d99092851cd302ef2 0fb /Boto x-and -de rmal-fillers-use-in-dentistry.pdf

Dayan, S. H., & Bassichis, B. A. (2008). Facial dermal fillers: selection of appropriate products and techniques. Aesthetic surgery journal, 28(3), 335-347. https://doi.org/10.1016/j.asj.2008.03.004

Díaz, C. P. G. (2019). High resolution ultrasound of soft tissues for characterization of fillers and its complications. Revista Colombiana de Radiologica, 30, 5064-5068. https://www.webcir.org/revistavirtual/articulos/2019/2_mayo/colrad/ecog_esp.pdf

Dolghi, S. M. (2014). Avaliação de implantes de polimetilmetacrilato (PMMA) para procedimentos de bioplastia. http://dspace.sti.ufcg.edu.br:8080/jspui/handle/riufcg/347

Facial, H. (2018). O uso do ácido hialurônico na harmonização facial: uma breve revisão. https://www.mastereditora.com.br/periodico/20180704_092807.pdf

Gladstone HB, Cohen JL. (2007). Os efeitos adversos quando se injeta enchimentos faciais. doença semi Med Surg. 26(1):34–39. http://openrit.grupotiradentes.com:8080/xmlui/handle/set/3482

Goodman, G. J., Liew, S., Callan, P., & Hart, S. (2020). Facial aesthetic injections in clinical practice: Pretreatment and posttreatment consensus recommendations to minimise adverse outcomes. Australasian Journal of Dermatology, 61(3), 217-225. https://doi.org/10.1111/ajd.13273

Hexsel, D.; Morais, M. R. (2014). Management of Complications of Injectable Silicone. December Facial Plastic Surgery 30(6):623-7. https://books.google.com.br/books?hl=pt-BR&lr=&id=YNuZCwAAQBAJ&oi=fnd&pg=PP1&dq=Hexsel,+D.%3B+Morais,+M.+R.+(2014).+Management+of+Complications+of+Injectable+Silicone.+December+Facial+Plastic+Surgery+30(6):623-7.+&ots=QAKcZEzEDi&sig=vjPFVMDeBcixmQtYqXPoZ7uq13I#v=onepage&q&f=false

Junkins-Hopkins, J. M. (2015). Filler complications. J Am Acad Dermatol., v. 63, n. 4, p. 703-5. https://doi.org/10.4081/dr.2015.5851

Limongi, R. M., Tao, J., Borba, A., Pereira, F., Pimentel, A. R., Akaishi, P., & Velasco e Cruz, A. A. (2016). Complications and management of polymethylmethacrylate (PMMA) injections to the midface. Aesthetic surgery journal, 36(2), 132-135. https://academic.oup.com/asj/article/36/2/132/2589288?login=true

Monteiro, É. (2010). Envelhecimento facial: perda de volume e reposição com ácido hialurônico. RBM rev. bras. med. https://biblat.unam.mx/pt/revista/rbm-revista-brasileira-de-medicina/articulo/envelhecimento-facial-perda-de-volume-e-reposicao-com-acido-hialuronico

Moraes, B. R. D., Bonami, J. A., Romualdo, L., Comune, A. C., & Sanches, R. A. (2017). Ácido hialurônico dentro da área de estética e cosmética. Saúde Foco, 9, 552-562. http://docplayer.com.br/67670744-Acido-hialuronico-dentro-da-area-de-estetica-e-cosmetica.html

Parada, M. B., Cazerta, C., Afonso, J. P. J. M., & do Nascimento, D. I. S. (2016). Manejo de complicações de preenchedores dérmicos. Surgical & Cosmetic Dermatology, 8(4), 342-351. https://www.redalyc.org/pdf/2655/265549460019.pdf

Pérez-Pérez, L., García-Gavín, J., Wortsman, X., & Santos-Briz, Á. (2017). Delayed adverse subcutaneous reaction to a new family of hyaluronic acid dermal fillers with clinical, ultrasound, and histologic correlation. Dermatologic Surgery, 43(4), 605-608. https://doi.org/10.1097/DSS.0000000000000945

Requena, L., Requena, C., Christensen, L., Zimmermann, U. S., Kutzner, H., & Cerroni, L. (2011). Adverse reactions to injectable soft tissue fillers. Journal of the American Academy of Dermatology, 64(1), 1-34. https://doi.org/10.1016/j.jaad.2010.02.064

Rocha, L. P. C., de Carvalho Rocha, T., Rocha, S. D. C. C., Henrique, P. V., Manzi, F. R., & e Silva, M. R. M. A. (2020). Ultrasonography for long-term evaluation of hyaluronic acid filler in the face: A technical report of 180 days of follow-up. Imaging Science in Dentistry, 50(2), 175. https://doi.org/10.5624/isd.2020.50.2.175

Sattler, G., Gout, U. (2017). Guia ilustrado para preenchimentos injetáveis: bases, indicações, tratamentos. 1. ed. São Paulo: Quintessence editora. https://www.dilivros.com.br/livro-guia-ilustrado-para-preenchimentos-injetaveis--base-indicacoes-tratamento-9788578890858,s25353.html

Schelke, LW., Decates, TS., Velthuis PJ. (2018). Ultra-som para melhorar a segurança dos tratamentos de preenchimento de ácido hialurônico. J Cosmet Dermatol. Dezembro; 17 (6): 1019-1024 https://doi.org/10.1111/jocd.12726

Signorini, M., Liew, S., Sundaram, H., De Boulle, KL., Goodman, GJ., Monheit, G., Wu, Y., Trindade de Almeida, AR., Swift, A., Vieira Braz, A. (2016). Global Aesthetics Consensus Group. Plast Reconstr Surg. Jun; 137(6):961e-971e. https://doi.org/ 10.1097/PRS.0000000000002184

Souza, T. A. B., Colomé, L. M., Bender, E. A., & Lemperle, G. (2018). Brazilian consensus recommendation on the use of polymethylmethacrylate filler in facial and corporal aesthetics. Aesthetic plastic surgery, 42(5), 1244-1251. https://doi.org/10.1007/s00266-018-1167-1

Vargas, A. F., Amorim, N. G. D., & Pintanguy, I. (2009). Complicações tardias dos preenchimentos permanentes. Rev. bras. cir. plást, 71-81. http://www.rbcp.org.br/export-pdf/447/24-01-13.pdf.

Wortsman, X., Wortsman, J., Orlandi, C., Cardenas, G., Sazunic, I., & Jemec, G. B. E. (2012). Ultrasound detection and identification of cosmetic fillers in the skin. Journal of the European Academy of Dermatology and Venereology, 26(3), 292-301. https://doi.org/10.1111/j.1468-3083.2011.04047.x

Published

13/10/2021

How to Cite

CRUZ, A. Ítalo; ROCHA, E. L. .; LIMA, J. M. C. S. R. .; CATUM, L. A. F. .; LIMA, P. C. C. S. R. . The importance of ultrasound imaging for the tracking of facial fillers - clinical case. Research, Society and Development, [S. l.], v. 10, n. 13, p. e307101321446, 2021. DOI: 10.33448/rsd-v10i13.21446. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21446. Acesso em: 20 apr. 2024.

Issue

Section

Education Sciences