Guide Needle–assisted Ultrasound-guided (SIBUS) Filler Injections: Improving Needle Visualization for Safer Aesthetic Procedures

Plastic & Reconstructive Surgery Global Open 2026 Open access

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Authors: Ascher Benjamin, Youkyoung Cho, LEONIE W. SCHELKE, Peter J. Velthuis, Ji-Soo Kim, Jin-Hyun Kim, Kyu-Ho Yi
DOI: 10.1097/gox.0000000000007326
Cited by: 1
References: 11

Abstract

This study evaluated whether echogenic needles improve ultrasound visibility during hyaluronic acid filler injections in the cheek-a high-risk area due to anatomical variability of facial vessels. In a single-patient in vivo setting, 3 types of needles (23G nonechogenic and 23G and 30G echogenic) were tested under ultrasound guidance. Echogenic needles showed better tip and shaft visibility across angles and depths, including dynamic movement. Reviewers noted greater procedural confidence and a reduced need for probe adjustment. These findings suggest that echogenic needles may enhance safety and precision in ultrasound-guided aesthetic procedures.

Fields of Study & Subjects

Facial Rejuvenation and Surgery Techniques Facial Nerve Paralysis Treatment and Research Botulinum Toxin and Related Neurological Disorders

Publication details

Journal / source
Plastic & Reconstructive Surgery Global Open
Publisher
Ovid Technologies (Wolters Kluwer Health)
Volume
14
Issue
1
Pages
e7326–e7326
Publication date
1 January 2026
Language
EN