Utility of Ultrasound in Plastic Surgery

The objective of the use of Ultrasound as a Guide in surgical procedures in Plastic Surgery is to provide a diagnostic-therapeutic tool that increases the safety of invasive surgical procedures such as: BBL, non-permanent fillers, postoperative breast surgeries, liposuction, abdominoplasty and drainage of seromas and abscesses. In addition, it can be useful in the preoperative period of breast surgeries and in the evaluation of the abdominal wall prior to surgery.


Ultrasound is a highly effective diagnostic tool in experienced hands. It is an operator-dependent study that requires not only anatomical knowledge, but also knowledge of diagnostic images.


One of the main advantages of ultrasound is that it is a dynamic and low-cost study that can be performed in office, in surgical area or at the patient's bedside.

UTILITY OF ULTRASOUND IN THE STUDY OF SUBSTANCES INJECTED IN THE FACE

Ultrasound makes it possible to follow the development of inflammatory and/or infectious reactions in the tissue that can cause hypersensitivity responses or the formation of granulomas, reactive fibrosis, abscesses and extrusion of the injected material. Performing an ultrasound prior to the procedure helps the surgeon to establish the conditions of the subcutaneous cellular tissue, its thickness in the different areas where the infiltration is intended.

UTILITY OF ULTRASOUND IN THE BRAZILIAN BUTT LIFT (BBL)

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Ultrasound allows visualization of the cannula, offering the guarantee that tissues are not lacerated with the well-known consequences. In this way, the most common accidents are avoided, such as injuries to the muscle fascia with accidental injection of fat into the muscle and/or intravascular injection of the same, which results in the dreaded and sometimes fatal fat embolism, among others.



Echosonomovil makes available to everyone a large staff of doctors specialized in diagnostic medical ultrasound, graduated from foreign universities and certified in the United States by the ARDMS and APCA. All of them have knowledge of biosafety, asepsis and antisepsis measures in performing surgical procedures under ultrasound guidance. They also have extensive experience in the area of ​​ultrasound, accompanying interventional, diagnostic and therapeutic procedures in all areas of the medical field, such as:

  • Guide for injections of botulinum toxin, hyaluronic acid, fat transfer, stem cells, intra-articular platelet-rich plasma, drainage of hematomas, seromas and abscesses.
  •  Follow-up of the treatment and/or surgical evolution with less risk for the patient.

In accordance with resolution 64B8ER22-3 of the Florida State Board of Medicine, with a retroactive date to June 14, 2022, it was agreed that they must comply with the following:

  • The fat must be injected only in the subcutaneous space and never go through the fascia of the gluteal muscle. Intramuscular or submuscular injections are prohibited.
  • The surgeon performing the procedure must use ultrasound as a guide when placing the fat in the subcutaneous space and when placing the cannula in that space to ensure that the fat was injected above the fascia of the gluteus maximus muscle. The surgeon must also make a video record and keep it in the patient's clinical record including the day, date and time.
  • The surgeon should not do more than 3 fat injection procedures per day.