Evidence map›Paper›PMID 41658731›Full record

ArticleCureus2026

High-Resolution Ultrasound Evaluation of Common Dorsal Hand Rejuvenation Techniques: A Multicenter Study.

Claudia Gonzalez, Valeria Duque-Clavijo, Sandra Suárez, Ernesto Barbosa, Alejandro Coello, Isaac Shturman, Tatiana Delvasto

Abstract read
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Claudia GonzalezRadiology, Rosario University, Bogota, COL.
Valeria Duque-ClavijoMedicine, Universidad de los Andes, Bogota, COL.
Sandra SuárezAesthetic Medicine, Grupo Presenza, Bogota, COL.
Ernesto BarbosaPlastic Surgery, Barma Functional and Aesthetic Medicine, Bogota, COL.
Alejandro CoelloFacial and Body Aesthetics, Xtetic Clinique by Dr. Alejandro Coello, Mexico City, MEX.
Isaac ShturmanPlastic Surgery, Plastic Shturman at Angeles Lomas Hospital, Mexico City, MEX.
Tatiana DelvastoRadiology, Private Practice, Medellin, COL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Hand dorsum volumization is an increasingly used aesthetic procedure, but the ultrasonographic appearance of commonly injected materials has not been systematically described. High-resolution ultrasound with Doppler (HRUD) may provide an objective method to verify product placement and support safer, standardized hand rejuvenation. This descriptive study aimed to characterize the postprocedural high-resolution ultrasonographic features of dorsal hand volumization using commonly employed fillers and autologous fat grafting. Methods We conducted a multicenter, descriptive study at three aesthetic medicine centers in Bogotá, Colombia, and Mexico City, Mexico, between March and June 2025. Adults requesting dorsal hand volumization received hyaluronic acid, calcium hydroxylapatite (CaHA), a poly-L-lactic acid (PLLA)-hyaluronic acid mixture, a factory-prepared CaHA-hyaluronic acid hybrid filler, or autologous fat grafting. All products were injected into the subdermal plane using a standardized cannula technique. HRUD was performed at baseline, early post-procedure, and at follow-up. Baseline aging was graded using the Merz Hand Grading Scale, and outcomes were assessed at two months using the Modified Aesthetic Response Scale (MARS). Results Twelve patients were included (mean age, 56 years; range, 44-66 years; 11 women). HRUD enabled clear identification of dorsal hand anatomy and material-specific sonographic patterns: CaHA appeared as hyperechoic cloud-like bands, hybrid fillers as lobulated hyperechoic structures, hyaluronic acid as hypoechoic pseudocystic areas, PLLA-hyaluronic acid mixtures as diffuse echogenicity with linear bands, and fat grafts as elongated isoechoic structures. In all cases, injected material was located superficial to the extensor tendons, with transient postinjection vascularization observed on Doppler. No early or late complications were detected. At two months, most patients demonstrated favorable short-term aesthetic improvement. Conclusion HRUD provides a practical method for documenting dorsal hand anatomy, confirming correct subdermal placement of volumizing materials, and recognizing distinct sonographic signatures. Its use may assist experienced injectors in enhancing procedural safety and monitoring. Given the short follow-up, findings should be interpreted cautiously, and larger studies with longer follow-up are warranted.

Indexed as

calcium hydroxylapatitefat transplantationhand rejuvenationhigh-resolution ultrasound with dopplerhyaluronic acid

Identifiers

PMID41658731
PMCPMC12880736

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.