Proposal of a Noninvasive Method to Reduce Injection-Related Bruising in Aesthetic Medicine: Transillumination

Aesthetic Plastic Surgery
Simone La PadulaJean Paul Meningaud

Abstract

Hyaluronic acid (HA) injections involve a risk of vascular complications. Transillumination (TL) is a noninvasive technique that appears to allow preliminary detection of superficial vascular structures of the face to avoid intravascular HA injection. The purpose of our study was to test the efficacy of TL in terms of its sensitivity to locate vessels in the areas undergoing treatment and to reduce post-injection vascular complications. We conducted a prospective study enrolling 72 patients who consulted for HA injections to treat facial wrinkles. We used TL on one side of the face to obtain a vascular mapping of the face. The area undergoing testing was randomized for the TL technique. The primary study endpoint was sensitivity for identifying subcutaneous veins and the differences in complication rates between the side of the face where TL was used to guide the injection and the side of the face where no vascular exploration method was used. TL sensitivity for locating the superficial temporal vein was 100%, 91% for the supratrochlear, supraorbital and infraorbital veins, and 95% for the dorsal nasal veins (p < 0.01). The complication rate was higher on the side of the face where no vascular exploration method was used (22.2%...Continue Reading

References

Mar 5, 2008·Plastic and Reconstructive Surgery·Keita InoueKotaro Yoshimura
Nov 1, 2002·Aesthetic Surgery Journal·Sydney R Coleman
May 2, 2009·Plastic and Reconstructive Surgery·Fabrizio SchonauerGuido Molea
Jun 5, 2010·Ophthalmic Plastic and Reconstructive Surgery·Mi Sun SungYoon-Duck Kim
Feb 24, 2011·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Moon Seok KangDong Won Kim
Aug 3, 2011·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Kui Young ParkChang Kwun Hong
Aug 3, 2011·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Deok-Woo KimEun-Sang Dhong
Jul 12, 2012·Archives of Plastic Surgery·Ha Min SungMin Su Jung
Sep 27, 2014·Journal of Cosmetic and Laser Therapy : Official Publication of the European Society for Laser Dermatology·Georgia S K Lee
Nov 22, 2014·Plastic and Reconstructive Surgery·Jean D A CarruthersAlastair Carruthers
Dec 7, 2014·Aesthetic Plastic Surgery·Tanvaa TansatitThavorn Phetudom
Jul 25, 2015·Annals of Plastic Surgery·Xin LiJian-Jian Lu
Feb 2, 2016·Medicina oral, patología oral y cirugía bucal·M-J TucunduvaC de Freitas
May 26, 2016·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Simone La PadulaJean Paul Meningaud

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Citations

Nov 21, 2020·Aesthetic Plastic Surgery·Se Hwan HwangSoo Whan Kim
Feb 23, 2021·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Quentin EyraudJean Paul Meningaud
Nov 7, 2021·Journal of Cosmetic Dermatology·Michael H GoldKaitlyn M Enright

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