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February 2, 2026Plastic & Reconstructive Surgery Global Open1 citationsOpen Access

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

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ABAscher BenjaminYCYoukyoung ChoLSLeonie Schelke

Key Points

  • The study aims to assess if echogenic needles improve visibility during hyaluronic acid filler injections.
  • Single-patient in vivo assessment
  • Comparison of 23G nonechogenic and 23G & 30G echogenic needles
  • Evaluation under ultrasound guidance
  • Echogenic needles showed superior tip and shaft visibility
  • Improved visibility across various angles and depths
  • Increased procedural confidence and reduced probe adjustments noted by reviewers

Abstract

Summary: 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.

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Cite This Study

Benjamin et al. (2026) studied this question.

synapsesocial.com/papers/6980fbbec1c9540dea80d815https://doi.org/10.1097/gox.0000000000007326
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