Surgical Innovation: Ultrasound gel – A dermal filler training tool for young injectors

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This article presents an innovative, cost-effective training method for young practitioners learning dermal filler injections. With the rising popularity of injectable aesthetic procedures, complications such as skin necrosis and blindness have also increased, highlighting the need for strong anatomical knowledge and hands-on technical training. However, the high cost of hyaluronic acid fillers limits practical training opportunities for many trainees.

The authors propose the use of commercially available ultrasound gel as a dermal filler simulator. Due to its viscoelastic properties, ultrasound gel closely mimics “soft” hyaluronic acid fillers in terms of resistance and flow during injection. When mixed with dye, it allows trainees to visualize the plane of injection during cadaveric workshops and practice sessions.

This technique enables young injectors to develop muscle memory, understand injection planes, and gain confidence without financial burden. The method can also be practiced on inanimate models such as stress balls, fruits, and silicone suture pads. Overall, ultrasound gel is presented as a safe, accessible, and effective training tool that can enhance injectable education and reduce learning-related risks.

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