Imaging Sci Dent.  2024 Sep;54(3):296-302. 10.5624/isd.20240014.

Ultrasonography in the management of lip complications caused by hyaluronic acid

• Figueiredo HP
• Coimbra F
• Rocha TdC
• Silva MRMAe

• KMID: 2559841
• DOI: http://doi.org/10.5624/isd.20240014

Abstract

Ultrasonography is highly accurate for evaluating soft tissues. Given that minimally invasive aesthetic procedures are on the rise, complications have become more prevalent. Thus, ultrasonography holds promise for assisting in the diagnosis and management of complications arising from these interventions. This report highlights the importance of ultrasonography in the treatment of complications caused by hyaluronic acid injection. A patient visited a dental office 24 hours after hyaluronic acid application, presenting pain and bruising in the middle and inferior thirds of the face on the right side. To evaluate blood vessels, the surgeon used Doppler-mode ultrasonography, which enabled the precise application of hyaluronidase to reestablish blood perfusion and preserve adjacent structures. Therefore, to avoid severe outcomes, such as necrosis or even amaurosis, the use of ultrasonography is suggested, improving the precision and safety of these procedures.

Keyword

Lip; Ultrasonography, Doppler; Hyaluronic Acid; Ischemia