Another look

A bridge between phlebology and aesthetic medicine.

Dr Kahina Betroune

HAmerican Hospital of Paris, Neuilly  

Summary

The theoretical and practical knowledge as well as certain tools of the phlebologist represent a real added value in the practice of aesthetic medicine.

Expertise in vascular anatomy, use of dopple ultrasoundr (possible during all phases of the filling injections) and the transillumination technique, contribute jointly to precise and safe gestures.

There is a natural bridge between Phlebology and Aesthetic Medicine.

Introduction

In a global perspective of health and anti-aging medicine, the relationship with the body has never been as complex and preponderant as it is today, hence the success of aesthetic medicine practiced for its physical and psychological benefits.

According to IMCAS, injections have indeed been growing in popularity since 2018, with an annual growth rate of 9.2%. 

In this context, more and more general practitioners and specialists, such as phlebologists, are diversifying their activities and turning to aesthetic medicine. 

The assets of aesthetic phlebology combined with the expertise of vascular anatomy, thus contribute to bring to aesthetic medicine a more global and secure care of the patient.

This dissertation will thus address the bridge between phlebology and aesthetic medicine. 

The contribution of phlebology to aesthetic medicine 

We note a certain concomitance between the precise gesture of the phlebologist and that of the aesthetic doctor which consists in injecting at a precise place, by avoiding the risk of complications related to the injections in the arteriesAs a result, many patients spontaneously wonder about the proximity of the two fields and, in fineThe relevance of the complementarity of the two fields is highlighted.

Doppler ultrasound can be considered as a pre-treatment tool for the prevention of vascular complications during filling injections to correct for example: nasolabial folds, treatment of the glabellar area and the nose, etc.

Moreover, innovative devices more and more miniaturized and digital are available such as the Clarius high definition portable ultrasound dedicated to aesthetics: it allows a clear visualization of the facial and superficial anatomy in real time in order to safely guide the procedures, including the injection of filling products.

On the other hand, ultrasound is a non-invasive tool that is particularly useful for treating one of the dreaded post-injection complications such as post-filling granuloma, by precisely indicating its location. This allows for a targeted and safe procedure of hyaluronidase injection or other treatments (corticosteroids, 5 fluorouracil 5FUI) as well as the evolutionary follow-up of the granuloma.

Among the techniques used in phlebology, we can also mention transillumination which is based on the use of a non-invasive device. This technique allows very precise visualization of small caliber veins located between 0 and 3 mm deep in the tissue under the skin. This method is transposable to the faceIt is of particular interest for clearly locating the temporal, periorbital and nasal veins, etc.

Conclusion 

At the end of this work, we note the existence of a real bridge between phlebology and aesthetic medicine.

The knowledge and tools of the phlebologist represent a real added value in the practice of aesthetic medicine, because they make the procedure more precise and safer for patients seeking aesthetic improvement and psychological benefits at lower risk.

 

Bibliography

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