A Guide to Doppler Ultrasound Analysis of the Face in Cosmetic Medicine: Part 1: Standard Positions

Peter J. Velthuis*, Oscar Jansen, Leonie W. Schelke, Hyoungjin J. Moon, Jonathan Kadouch, Benjamin Ascher, Sebastian Cotofana

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)


Interest in Doppler ultrasound (DUS) analysis of the face has grown in cosmetic medicine, in particular for injectable fillers. When dealing with complications, DUS has the advantage of easily visualizing the filler and identifying the problem in relation to the patient's anatomy. When working with hyaluronic acid filler, ultrasound-guided injections with hyaluronidase can precisely target the problem. In addition, DUS can be used to study the anatomy of a patient, specifically to prevent intravascular injections. We predict that in a few years' time DUS will become standard equipment in the offices of cosmetic doctors. We discuss the basics of ultrasound imaging of different tissues with the concomitant terminology. With the use of 7 basic DUS probe positions, key anatomic reference points can be easily found. From these, all relevant anatomic structures in the face can be observed and analyzed. With some practice, physicians will ultimately be able to acquire a complete 3-dimensional mental image of a patient's face.

Original languageEnglish
Pages (from-to)NP1621-NP1632
JournalAesthetic Surgery Journal
Issue number11
Early online date5 May 2021
Publication statusPublished - Nov 2021

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© 2021 The Aesthetic Society.


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