Facial ultrasound for aesthetic medicine
See what you inject.
Inject safer with ultrasound.
See layers, vessels and existing filler before you inject. Online and hands-on courses by doctors who have run a filler complications clinic at Erasmus MC since 2011.
Online from €350Hands-on in small groupsCertificate of completion
Partners & collaborations
Choose your path
Three simple ways to learn facial ultrasound
Start online, practise hands-on, keep learning with the library. Every path is built for doctors, dermatologists, plastic surgeons and advanced injectors.
Online courses
Learn the basics of facial ultrasound, anatomy in real time and filler recognition — whenever it suits you.
- Video lessons & quizzes
- Certificate of completion
- Start today
Hands-on courses
Practise with ultrasound devices on live models in small groups, guided by our faculty — in cities around the world.
- Small groups
- Online pre-learning included
- Base & advanced level
Cutaneous Library
A growing library of ultrasound images and videos of anatomy, fillers, artefacts and adverse events.
- Anatomy region by region
- All filler types
- Membership access
What participants say
Doctors who trained with us
“The ultrasound course was very clear and easy to follow. It made me want to buy an ultrasound device for my practice and use it regularly — to make my work as an aesthetic dermatologist better and, above all, safer.”
“I recommend this course to anyone who wants to expand their knowledge on an evidence-based foundation.”
“He took a lot of time to explain everything. The ultrasound devices are state of the art.”
What we teach
Ultrasound guidance for every injectable procedure
Ultrasound turns blind injections into image-guided treatments. We teach you to see the target layer, the vessels and previously injected product before and during every procedure.
All dermal fillers
Hyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, polycaprolactone and other fillers: check layer, vessels and existing product before you inject.
Skinboosters by cannula
When skinboosters are placed with a cannula, ultrasound shows the plane and the cannula tip. Superficial micro-papule techniques do not need image guidance.
Thread lifts
Plan the vector, control the depth and keep threads away from vessels and other critical structures.
Subdermal energy-based procedures
Position fibres and probes in the intended fat layer under real-time imaging, away from nerves and vessels.
Dissolving fillers
Targeted, ultrasound-guided hyaluronidase exactly where hyaluronic acid filler sits. For non-HA fillers we teach the options — and their limits.
Complication management
Recognise vascular adverse events, nodules and filler migration early, and treat them under image guidance.
Upcoming hands-on courses
Train with us around the world
Small groups, real devices, real anatomy. Pick a date and city near you.
Grundkurs Facial Ultrasound (für Einsteiger)
Jair Mauricio Ceron Bohorquez, MD, at Medical Contour · booking via Medical Contour
Foundations of Ultrasound Course
Dawn Naylor, DNP, ACNP, CANS · in collaboration with Cutaneous, incl. e-learning · booking via her website
Basic, Advanced and Advanced Clinical
Dr. Peter Velthuis and Dr. Isaac Shturman Sirota
Ultrasound guided deep injections advanced course
Leonie Schelke
Ultrasound Filler Anatomy Workshop
Dr. Leonie Schelke and Dr. Claude Lévy
Ultrasound Filler Anatomy Workshop
Dr. Claude Levy, Dr. Leonie Schelke, Dr. Roya Zarmehr & dr Chiara Lovati.
Why ultrasound
Why use ultrasound for fillers and toxins?
Short answers to the questions doctors ask us most.
What is facial ultrasound?
Facial ultrasound uses high-frequency sound waves to show skin layers, fat compartments, muscles, vessels and previously injected fillers in real time — without radiation.
Does ultrasound make injections safer?
Yes. Seeing vessels and existing filler before and during injection helps avoid the wrong layer and supports fast, targeted treatment of vascular adverse events.
Can I see old fillers with ultrasound?
Most fillers — hyaluronic acid, CaHA, PLLA, PMMA, silicone and more — have a typical ultrasound appearance, so you can identify them before treating.
Who can join a Cutaneous course?
Physicians, dermatologists, plastic surgeons and licensed injectors. No prior ultrasound experience is needed for the base course.
Faculty
Learn from the pioneers of ultrasound-guided aesthetics
Our founders run one of the first dedicated clinics for filler complications and have published widely on ultrasound in aesthetic medicine.
Dr. Leonie Schelke
Co-founder · Cosmetic doctor, Amsterdam
PhD on duplex ultrasound for vascular filler complications. Filler complications clinic at Erasmus MC Rotterdam.
Dr. Peter Velthuis
Co-founder · Dermatologist
Head of cosmetic dermatology at Erasmus MC Rotterdam. More than 30 years in cosmetic dermatology.
J. Mauricio Cerón B., MD
Partner · Surgeon, Hamburg
Board-certified surgeon, medical director of Medical Contour, board member of SIBUS-In and author on ultrasound-guided injections.
Free resources
Start learning for free
Free download
Vascular Adverse Events (VAE) protocol
Our step-by-step protocol for recognising and treating filler-related vascular occlusion with ultrasound.
FAQ
Frequently asked questions
Do I need my own ultrasound device?
No. Devices are provided during hands-on courses. We are also happy to advise you on choosing a device for your practice.
Which procedures can be ultrasound-guided?
Every type of dermal filler, skinboosters placed with a cannula, thread lifts, subdermal energy-based procedures and the dissolving of hyaluronic acid fillers with hyaluronidase. Superficial micro-papule injection techniques do not require ultrasound guidance.
Do I get a certificate?
Yes. You receive a certificate after completing a course.
Which language are the courses in?
Most courses are in English. Selected courses are held in German, Spanish, Polish and other languages.
Can I start online and join a hands-on course later?
Yes. Online pre-learning is included with hands-on courses, and online courses can also be booked on their own.
Who is Cutaneous?
Cutaneous is an Amsterdam-based education company founded in 2019 by Dr. Leonie Schelke and Dr. Peter Velthuis. We teach facial ultrasound to aesthetic doctors worldwide.