APPLICABILITY OF ULTRASONOGRAPHY IN THE DIAGNOSIS AND MANAGEMENT OF COMPLICATIONS ASSOCIATED WITH DERMAL FILLERS IN OROFACIAL HARMONIZATION

Abstract

Orofacial harmonization has shown significant growth in recent years, driven by the increased use of hyaluronic acid–based dermal fillers. Although considered minimally invasive procedures, complications may occur, including nodules, granulomas, persistent edema, inflammatory processes, and vascular adverse events, highlighting the importance of complementary diagnostic methods to ensure greater clinical safety. The present study aimed to analyze, through an integrative literature review, the applicability of ultrasonography in the identification, diagnosis, and management of complications associated with dermal fillers in orofacial harmonization. This study consisted of a literature review based on the analysis of scientific articles published between 2013 and 2024, selected from the PubMed, SciELO, and LILACS databases. After applying the eligibility criteria, 14 studies were included, addressing the use of ultrasonography in facial aesthetic procedures and in the evaluation of filler-related complications. The results demonstrated that ultrasonography provides high accuracy in identifying the location, depth, and distribution of materials within facial tissues, as well as enabling the early diagnosis of complications such as vascular occlusions, inflammation, nodules, and granulomas. It is concluded that ultrasonography is a relevant diagnostic tool in orofacial harmonization, contributing to increased procedural safety, improved therapeutic planning, and more effective management of complications.