Facial Doppler ultrasound in minimally invasive procedures


  • Natalia Francesca Vidal Cofré Clinica Vida In, Reñaca, Valparaíso, Chile
  • Victor Mercado Martinez Instituto de reurorehabilitación y balance, Viña del Mar, Valparaíso, Chile
  • Ignacio Novoa Cornejo Department of Rehabilitation Sciences, School of Public Health and Health Professions, State University of New York at Buffalo, Buffalo, NY, United States




Facial tissues, US, Hyaluronic acid, Orofacial


Color Doppler ultrasound (US) is an important ally in minimally invasive aesthetic procedures at the facial level. The three-dimensional images obtained make it possible to carry out a complete vascular mapping of the face, relate the different anatomical structures and observe the cutaneous and subcutaneous thickness. Knowing this information will make it easier for the professional to carry out safe planning in the injection of a "filler" in different dermal structures. Thus, this article intends to be a guide when carrying out such procedures, as well as in the management of possible complications. Knowledge of this information will allow the professional a safer procedure, with fewer possibilities of complications and clinical failures, making aesthetic and functional results compatible satisfactorily.


Cral WG. Ultrasonography and Facial Aesthetics. Aesthet Plast Surg. 2022;1(1):1

Haykal, Benzaquen, Damiani, Habib DH. The growing importance of ultrasonography in cosmetic dermatology: An update after the 23rd IMCAS Annual World Congress. J Cosmet Dermatol. 2022;1(2):3

Master M. Hyaluronic Acid Filler Longevity and Localization: Magnetic Resonance Imaging Evidence. Plast Amp Reconstr Surg. 2020;147(1):50e-3.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. Clin Res. 2021;372:71.

Wortsman X, Alfageme F, Roustan G, Arias-Santiago S, Martorell A, Catalano O et al. Guidelines for Performing Dermatologic Ultrasound Examinations by DERMUS Group. J Ultrasound Med. 2016;35(3):577-80.

Urdiales‐Gálvez F, De cabo‐Francés FM, Bové I. Ultrasound patterns of different dermal filler materials used in aesthetics. J Cosmet Dermatol. 2021;20(5):1541-8.

Schelke LW, Decates TS, Velthuis PJ. Ultrasound to improve the safety of hyaluronic acid filler treatments. J Cosmet Dermatol. 2018;17(6):1019-24.

Wortsman X. Practical applications of ultrasound in dermatology. Clin Dermatol. 2021;39(4):605-23.

Wortsman X. Identification and Complications of Cosmetic Fillers. J Ultrasound Med. 2015;34(7):1163-72.

Murray, Convery, Walker, Davies GC. Guideline for the Safe Use of Hyaluronidase in Aesthetic Medicine, Including Modified High-dose Protocol. J Clin Aesthet Dermatol. 2021;1(9):2.

Schelke LW, Velthuis P, Kadouch J, Swift A. Early ultrasound for diagnosis and treatment of vascular adverse events with hyaluronic acid fillers. J Am Acad Dermatol. 2019;88(1):79-85.

Tansatit T, Phumyoo T, Jitaree B, Sahraoui YM, Lee JH. Anatomical and ultrasound‐based injections for sunken upper eyelid correction. J Cosmet Dermatol. 2019;19(2):346-52.

Cotofana S, Alfertshofer M, Schenck TL, Bertucci V, Beleznay K, Ascher B et al. Anatomy of the Superior and Inferior Labial Arteries Revised: An Ultrasound Investigation and Implication for Lip Volumization. Aesthetic Surg J. 2020;40(12):1327-35.

Constanza AK, Marta AM, Ignacio NC. Facial artery, an essential anatomy in different specialties: a review. J Otolaryngol ENT Res. 2022;14(1):14-20.

Rocha PS, Guerra TA, Teixeira DA. Description of a safe doppler ultrasound‐guided technique for hyaluronic acid filler in the face-A method to avoid adverse vascular events. J Cosmet Dermatol. 2022;21(7):2783-7.

Velthuis PJ, Jansen O, Schelke LW. A Guide to Doppler Ultrasound Analysis of the Face in Cosmetic Medicine. Part 1: Standard Positions. Aesthet Surg J. 2021;41(11):NP1621-32.

Velthuis PJ, Jansen O, Schelke LW. A Guide to Doppler Ultrasound Analysis of the Face in Cosmetic Medicine. Part 2: Vascular Mapping. Aesthet Surg J. 2021;41(11):NP1633-44.






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