Clarius Classroom

Facial Ultrasound Pre- and Post-HIFU Treatment

Dr. Gina Moret

In this video Dr. Moret describes the ultrasound appearance of skin changes in her patient following HIFU treatment.

Specialties: Aesthetics
Applications: Aesthetics, Cheek, L20

0:00Hi, Dr. Gina here. Today I want to show you how to scan a face prior and post a high for procedure using a high
0:088 secondsfrequency ultrasound to scan the patient's face
0:1818 secondsbefore and after a hu procedure. First of all, it's going to allow you to see in detail all the important anatomical
0:2525 secondspoints. for example, the vascular anatomy, the organization of the fat compartments, the depth of this mass
0:3333 secondstissue. So this way you are going to be able to uh very precisely plan and analyze the areas that you need to do
0:4141 secondsthe procedure, the depth of the procedure and that will give you much more safety when you are doing the treatment. So for this patient, I did
0:5050 secondstwo months ago a hu procedure which we focus on the mid and the lower face. She was worried about some sagness around
0:5858 secondsher jawline and now two months later we are going to scan it again. So let's start now checking her smass.
1:071 minute, 7 secondsSo this hypercoic fibers they are parallelo are the ismass as we talked
1:151 minute, 15 secondsabout this before. So you can see a very hypercoic smass here as well some extra
1:231 minute, 23 secondshypercoic points within this mass and the surrounding tissue. These are the micr focus points of ultrasound that
1:331 minute, 33 secondscreated that extra hyperquake hypercogenicity which is a sign of a well
1:421 minute, 42 secondslayered treatment a well planned treatment. So you can see the energy was given h in today's mass. Some points are
1:501 minute, 50 secondsvery obvious here. H let's go down a little bit to check.
1:581 minute, 58 secondsYou can also see some edema around the soft tissue in some
2:042 minutes, 4 secondsareas that again she received the huo energy the hyper focused ultrasound
2:122 minutes, 12 secondsenergy. So these are two signs that are compatible with the post procedure of
2:212 minutes, 21 secondsthe post treatment of a hu procedure.
2:282 minutes, 28 secondsGoing up a little bit again we can check to see her parottida gland which is perfect there. Do you see? But around
2:352 minutes, 35 secondsthe parottida gland we have a very hypercoic h fibrotic tissue. Again this is uh the result of our treatment.
2:492 minutes, 49 secondsWe can also see some subtle thickening and contraction of the fibroceptile network within those subcutaneous layer.
2:582 minutes, 58 secondsIt's very obvious here on top of the mandibular bone
3:063 minutes, 6 secondsas well as the hypercoic points showing us that she had
3:143 minutes, 14 secondsuh the treatment right there and there and there and there and there. Here we
3:203 minutes, 20 secondscan see her uh facial artery and a very thick and very obvious ismass layer there which we love to see that.
3:323 minutes, 32 secondsUh let's check around the mass muscle.
3:353 minutes, 35 secondsCan you can you crinch your teeth please for me? Yes.
3:433 minutes, 43 secondsThere you go. Big mass. Beautiful. Okay. Relax now.
3:483 minutes, 48 secondsSo it seems that you are having a very good result with your uh treatment. I can see the thickening of the fibrotic
3:563 minutes, 56 secondstissue. I can see some micro focus point of where you had the shots of the
4:034 minutes, 3 secondsultrasound as well a little bit of odema in the soft tissue exactly in the points
4:104 minutes, 10 secondsaround the microthermal coabulation zones.
4:174 minutes, 17 secondsSo uh this concludes our video. I want to tell you that in my opinion using the high frequency ultrasound for hypo
4:254 minutes, 25 secondsprocedures are going to give you more precision more safety especially when planning and controlling post procedure controlling the result of your patients.
4:364 minutes, 36 secondsThis can only bring more and more good results to your daily clinical usage of your high frequency ultrasound. Talk to you soon. Bye-bye.

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