Vincenzo Giuliano M.D. is Medical Director of Maki Medspa and Wellness, of greater Orlando, Florida. Dr. Giuliano is a Board-Certified Radiologist also specializing in medical esthetic procedures using imaging technology. He has recently partnered with Clear Skin Institute, of Phoenix, Arizona, to unveil novel state-of-the-art ultrasound guided esthetics procedure training academy designed to empower both novice and experienced injectors in esthetic practice.
Statistics provided by the American Society for Aesthetic Plastic Surgery, for 2020, estimates 3.4-million soft tissue filler injections were performed in the United States, ranking it as the second most common minimally invasive cosmetic procedures.
Esthetic ultrasound is a relatively new discipline but offers a very accurate method to safeguard increasing concerns regarding potential pitfalls and complications of esthetic procedures. These complications are increasing due to the large number of esthetic procedures performed by healthcare professionals among various disciplines with varying degrees of expertise. Vascular complications caused by improperly administered cosmetic fillers can lead to devastating tissue ulceration, skin necrosis, and rarely, blindness, occurring in 1 in every 100,000 patients; prompting The U.S. Food and Drug Administration to issue a safety warning regarding these procedures, since 2015.
Ultrasound identifies potential problematic areas for esthetic injectors, such as the facial and superficial temporal arteries. Ultrasound can be used to identify improperly positioned HA fillers, and then guide precision delivery of hyaluronidase enzyme todissolve the HA filler and restore normal vascularity to compromised facial tissues.
Another medical complication which can be identified and treated by ultrasound is atroubling eye bag swelling called chemosis, a common complication of surgical blepharoplasty, which can occur in up to one-third of patients, in which there is no reliable treatment. Blepharoplasty is the fourth leading cosmetic surgical procedure inthe U.S., with 325,000 cases performed annually, a procedure which tightens the eye bag to produce a more youthful appearance. Dr. Giuliano has developed a specialized ultrasound protocol which helps to identify eye bag fluid as a basis for treatment and restoring the normal lymphatic drainage.
Dr. Giuliano believes esthetic ultrasound can be used as an adjunct modality available to clinicians to understand various technical, anatomic, and treatment-related issues, particularly relevant due to large number of esthetic procedures performed by healthcare professionals. Ultrasound enables detailed visualization which can safeguard potential complications of esthetic procedures.
If you are an esthetic injector, nurse or physician who’s ready to take their education to the next level and add ultrasound technology to increase patient safety and satisfaction, we invite you to join our upcoming training academy in Phoenix, AZ. on May 18th. Apply today on our website: academy.makimedspandwellness.com. This course allows for up to 5 ACCME credits.
About the author:
Vincenzo Giuliano MD, DABR, RDMS is a board certified radiologist with additional credentialing as diagnostic ultrasound technologist and practicing injector. He is a former member of clinical faculty for Nova Southeastern University College of Medicine and authored numerous scientific and peer-reviewed publications. Address all inquiries to Maki Medspa and Wellness.
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Maki Medspa and Wellness Merges Esthetics with Digital Imaging Technology for Safer Patient Treatment Experience