Ultrasound-Guided Filler Dissolving: The 5 Best Handhelds and the Workflow Injectors Use (2026)

Quick answer: which handheld ultrasound should you buy for filler dissolving?

Comparison table: handheld ultrasound for filler dissolving

Every scanner here images the face with a linear array. The differences are what each one tells you about the filler, which Doppler modes come with the device, how it shows the needle, and what it costs to own every one of those tools.

Scanner	Linear frequency · elements	Doppler	Filler tools	Needle tools	Weight · scan time	Price and subscription · checked October 16, 2026	Best for
Suresult L24No. 1 · 84.9/100 Suresult L20: $2,790; 16/20 MHz to 40 mm.Suresult L24Pro: $4,185; 256 elements; 4 h.Suresult L20Pro: $3,720; 256 elements to 40 mm.Suresult L14Pro: $3,441; 14 MHz; 256 elements.Suresult L14: $2,139; 14 MHz to 80 mm.	18/24 MHz · 192 elements	Color, Power and PW, included	FaceAtlas AI Filler Scan names 7 materials; AI skin, fat and SMAS layers; Dual View; 3 months included	Needle Enhance; in-plane and out-of-plane guide lines	145 g · 2 h · cordless	$3,441 with 3 months of FaceAtlas AI · FaceAtlas AI then $500 per year, no auto-renewal	Injectors who sell dissolving and want one probe for the whole visit
Clarius L20 HD3No. 2 · 75.8/100 Clarius L15 HD3: $3,795 plus Essentials; 5–15 MHz to 7 cm.	8–20 MHz · 192 elements	Color and Power; PW with Essentials	T-Mode AI Aesthetics layer labels, Split Screen filler-volume estimates and Auto Vessel Depth, with Essentials; dissolving classes filmed on the L20 HD3	Needle Enhance, with Essentials	290 g · about 60 min · cordless · IP67	$7,895 with one-time Essentials ($5,395 scanner + $2,500)	Learning dissolving from filmed classes
Butterfly iQ3No. 3 · 60.3/100	1–12 MHz, one probe for every preset	Color with Core; Power and PW with Advanced	Vascular: Superficial preset for facial cosmetic procedures	Needle Viz, Needle: Out-of-Plane and Biplane Imaging, with Advanced	300 g · up to 2 h · wired to the phone	$5,399 with one-time Advanced ($3,899 probe + $1,500)	Two-plane needle views on a whole-body probe
GE Vscan Air SLNo. 4 · 51.4/100	3–12 MHz linear · 192 elements, plus a sector head	Color and PW, included	—	Freehand	218 g · 50 min · cordless	$4,999 · no plan for these tools	Cardiac clinics adding facial vessel scans
Philips Lumify L12-4No. 5 · 35.0/100	12–4 MHz to 12 cm	Steerable color; PW on the Android page	—	Center line marker	Under 136 g · up to 7.5 h on Android, 2–5 h on iOS · USB-C cable	Quote from Philips · no subscription	Clinics already running Lumify

Each price is the device plus the software every credited tool needs: the one-time Clarius and Butterfly plans, and for Suresult the FaceAtlas AI yearly license after the 3 included months. Prices come from each maker’s US store or sales page. A dash means the maker lists no such tool for that model.

Best for: quick picks

Where to buy each scanner

Buy each scanner from its maker’s own store or sales channel, at the prices below.

• Suresult L24$3,441 with Needle Enhance, all three Doppler modes and 3 months of FaceAtlas AI in the price; FaceAtlas AI then runs $50 a month or $500 a year, and the $999 lifetime license stays on sale through 11:59 PM PT, December 31, 2026. FaceAtlas AI needs a 64-bit tablet or phone on Android 8.0 or later; the imaging app covers iOS, Android and Windows.Buy the Suresult L24 — $3,441
• Clarius L20 HD3$5,395 plus an Essentials option at checkout.Buy from Clarius
• Butterfly iQ3$3,899 probe; Advanced adds Power and PW Doppler and the needle tools, $1,500 one-time.Buy from Butterfly
• GE Vscan Air SLStarting at $4,999 with a 3-year warranty.Buy from GE HealthCare
• Philips Lumify L12-4Sold by quote; the outright purchase opens all Lumify software.Request a Lumify quote

The 5 best handheld ultrasounds for filler dissolving, ranked

The ranking follows the dissolving visit: superficial detail and filler identification first, then the Doppler kit the 2025 Delphi consensus calls mandatory, the five-year cost, the needle tools, the published evidence and how the probe fits a treatment room. ^[8]

01 Suresult L24 — Best Overall for Ultrasound-Guided Filler Dissolving

FaceAtlas AI Filler Scan · Needle Enhance · Color, Power and PW Doppler · 18/24 MHz · 192 elements · $3,441

Score: 84.9/100

$3,4413 months of FaceAtlas AI included18/24 MHz10–25 mm145 g2 hcordlessNo imaging subscription

Buy the Suresult L24 — $3,441

Verdict: Buy the L24 if dissolving is a service you sell and you want one probe that names the filler, maps the vessels around it and shows your needle entering the deposit, with every imaging and needle tool paid for on the day it arrives. It is my pick for injectors who buy their own scanner.

• Filler tools: FaceAtlas AI Filler Scan finds prior filler, names the material among seven types (HA, collagen, PLLA, PCL, CaHA, PMMA and PVA) and measures its depth and area; filler assessment covers distribution, metabolic change, abnormality screening, complication evaluation and injection-depth verification; live skin, fat and SMAS layers with depth to SMAS in mm; Dual View; 3 months included, running on 64-bit Android 8.0 or later tablets and phones
• Imaging: 18/24 MHz linear, 192 elements and 64 channels, 10/15/20/25 mm presets on a 25 mm scan line; B, M, Color, Power and Pulsed Wave Doppler, with pulsatility index, resistive index, S/D ratio, vessel diameter and flow measurements
• Needle tools: Needle Enhance; Flip, Grid and the In-Plane & Out-Plane Puncture Guide
• Price and plan: $3,441; no subscription for the probe, its Doppler modes or its needle tools; FaceAtlas AI after the included 3 months on the monthly license at $50 or the yearly license at $500; the lifetime license at $999 is sold until 11:59 PM PT, December 31, 2026
• Weight / scan time: 145 g; 2 h of continuous scanning on 2,200 mAh; USB and wireless charging; its own dual-band Wi-Fi to iOS, Android and Windows; JPEG, PNG, MP4 and DICOM export; cine loops to 1,000 frames

Why it ranks here. Filler identification decides the dissolving visit, and the Suresult L-series is the only probe family in this comparison that names the filler material on the scan, through FaceAtlas AI Filler Scan. Filler Scan labels prior filler as one of seven materials and measures its depth and area: the step the 2025 Delphi consensus asks for before any injection, “It is recommended to identify prior fillers before injecting.” Live skin, fat and SMAS layers, Dual View and Suresult’s filmed hyaluronic acid practice demo on ultrasound complete the set, which earns the full 20 for filler identification. ^[2][8][9]

The imaging meets the consensus list in full. Velthuis 2025 sets a 15 MHz linear as the minimum and makes B-mode, Color Doppler, spectral Doppler and picture or video archiving mandatory, with Power Doppler recommended; the L24 carries every one of them with the probe. Its 24 MHz top frequency is the highest in the field, its 192 elements sit on a 25 mm scan line, and its shallowest preset is 10 mm, so lips, tear troughs and the glabella fill the screen. ^[8][1]

Needle Enhance brightens the needle on its way to the deposit, and the in-plane and out-of-plane guide lines set the path before the needle touches skin. Schelke 2018 describes exactly this step: “Under ultrasound guidance, hyaluronidase can be injected directly into the filler deposit.” ^[1][10]

At 145 g with its own Wi-Fi, the probe pairs with a tablet without a router or a cable across the treatment field, and it scans for 2 hours continuously per charge. Even with five years of FaceAtlas AI on the yearly license ($500 a year after the included 3 months), the L24 costs less to own than the Clarius L20 HD3 with one-time Essentials ($7,895), and it scores 11.85 of 15 for five-year cost. ^[1][11][12]

Sub-scores: superficial detail 20, consensus kit 15, filler identification 20, needle placement 8, treatment-room fit 10, five-year cost 11.85.

SURESULT L-series: FDA 510(k) cleared. CE marked under EU MDR. ISO 13485. Health Canada. ^[13]

L24 or L20? For $651 more than the L20, the L24 adds the 24 MHz band and 3 months of FaceAtlas AI, and its four presets (10, 15, 20 and 25 mm) stay inside the depths where tear troughs and lips sit. The L20 trades that band for a 10–40 mm field that reaches the deeper fat compartments, for temple, midface and jawline work. Dissolving around the eye and lips: the L24. Midface and jawline at the lowest 20 MHz price: the L20. The L24Pro aesthetic ultrasound probe adds 64 elements and two more hours of scanning to the L24 for $744 more, and the Suresult L20Pro high-frequency facial ultrasound probe pairs 256 elements and 4 hours of scanning with the 40 mm field. ^{[1][14][15][16]}

Best for: injectors who dissolve around the eye and lips, where 24 MHz and the 10 mm preset show the smallest deposits.Choose a family model if: you scan more than 2 hours at a stretch (the L24Pro), you want a 40 mm field for the temple, midface and jawline (the L20 or L20Pro), you want the lowest price at 20 MHz with Needle Enhance (the L20), or you want one probe for face and body with facial-vessel Doppler mapping (the L14 at the lowest entry price in the line, or the L14Pro with Needle Enhance).Compare carefully if: you want filmed dissolving classes on the exact scanner (the Clarius L20 HD3) or one probe for the whole body (the Butterfly iQ3).

Also in this family

Suresult L20 high-frequency facial ultrasound probe

$2,790

The entry 20 MHz model: 16/20 MHz, 192 elements and a 10–40 mm field, with Needle Enhance and Color, Power and PW Doppler at 147 g; add FaceAtlas AI on the monthly license or the yearly license. ^[14]

Score: 83.8/100

Suresult L24Pro aesthetic ultrasound probe

$4,185

The L24’s 18/24 MHz band and 10–25 mm field with 256 elements, a 4,400 mAh battery and 4 hours of scanning at 145 g; 3 months of FaceAtlas AI included. ^[15]

Score: 83.5/100

Suresult L20Pro high-frequency facial ultrasound probe

$3,720

16/20 MHz with 256 elements and a 10–40 mm field that reaches the deeper fat compartments, 4 hours of scanning at 145 g and 3 months of FaceAtlas AI. ^[16]

Score: 82.0/100

Suresult L14Pro wireless linear ultrasound probe

$3,441

One probe for facial vessels and body work: 10/14 MHz, 256 elements and 20–80 mm presets, with Needle Enhance, 4 hours of scanning at 145 g and 3 months of FaceAtlas AI. ^[17]

Score: 79.0/100

Suresult L14 wireless linear ultrasound probe

$2,139

The entry price in the line: 10/14 MHz, 192 elements and 20–80 mm presets for face and body, Color, Power and PW Doppler for facial-vessel mapping, and in-plane and out-of-plane guide lines; add FaceAtlas AI on the monthly license or the yearly license. ^[18]

Score: 76.2/100

Suresult L24 linear probe product page and checkout · L20 vs L24 aesthetic ultrasound · Suresult aesthetic ultrasound gel pads · Suresult handheld ultrasound for aesthetics

02 Clarius L20 HD3 — Best for Learning Dissolving from Filmed Classes

8–20 MHz · 192 elements · T-Mode AI Aesthetics, Needle Enhance and PW Doppler in Essentials · IP67 · $5,395 plus Essentials

Score: 75.8/100

$5,395 + EssentialsNeedle Enhance (Essentials)8–20 MHz4 cm290 gabout 60 minIP673-year warranty

Verdict: Buy the L20 HD3 if you learn by watching dissolving procedures filmed on the scanner you own, you want published studies behind your device, and Essentials fits your budget.

• Filler tools: T-Mode AI Aesthetics labels dermis, fat, SMAS and muscle; Split Screen to “Estimate filler volumes”; Auto Vessel Depth; all three in Essentials. The Clarius Classroom videos “Dissolving Filler in the Forehead” and “Dissolving Tear Trough Filler” list the L20 HD3 as the product used
• Imaging: 8–20 MHz linear, 192 piezoelectric elements, 4 cm maximum depth; B, M and Color/Power Doppler; Pulsed Wave Doppler with Essentials; applications listed for aesthetics, cheek, chin and jaw, dermatology, lips, pyriform and vascular work
• Needle tools: Needle Enhance, with Essentials
• Price and plan: $5,395 (Clarius store, checked October 16, 2026); Essentials $695 a year, $1,785 every 3 years or $2,500 one-time; local storage and DICOM with the membership
• Weight / scan time: 290 g; about 60 min per charge; IP67; 3-year warranty; 30-day returns; iOS 16+ and Android 13+ ^[12]

Why it ranks here. The L20 HD3 carries the strongest published record in this comparison. In Park 2024, which compared five handhelds for ophthalmology and facial aesthetics, the Clarius L20 received the highest overall image-quality rating and ranked first for filler, artery and orbital imaging. Teixeira 2025 reviewed 503 patients injected with 1,109 cc of HA after vascular mapping on the Clarius L20 and reported no vascular complications. Two studies that name the model earn the full 10 for evidence. ^[4][5]

Clarius also teaches the procedure on this scanner. Its Classroom videos on dissolving forehead and tear-trough filler list the L20 HD3, T-Mode labels dermis, fat, SMAS and muscle, and Split Screen estimates filler volumes; together they earn 12 of 20 for filler identification. The 20 MHz top frequency and 192 elements score 17.7 for superficial detail, and with Essentials the scanner carries Color, Power and PW Doppler and local storage, the full consensus kit. ^{[3][19][20][12][21]}

Limitations. Clarius names no filler material on the scan, and it labels T-Mode “for educational and training purposes only.” PW Doppler, Needle Enhance, the T-Mode AI tools, local storage and DICOM come with Essentials, which brings the five-year cost to $7,895 and scores 9.1 for cost. At 290 g and about 60 minutes per charge, the scanner earns 7 of 10 for room fit, and cine playback runs 30 seconds. ^[22][23][12]

Best for: injectors who want filmed dissolving classes and published studies on the exact scanner they buy.Skip it if: you want PW Doppler and needle enhancement with the device alone, or a probe that names the filler material.

Also in this family

Clarius L15 HD3

$3,795 plus Essentials

A 5–15 MHz linear to 7 cm on the same Essentials plan; Park 2024 placed the L15 second for overall image quality. ^[24][4]

Score: 62.2/100

Official Clarius L20 HD3 specifications · Official purchase and pricing · Clarius prices and Essentials plans

03 Butterfly iQ3 — Best for Two-Plane Needle Views

Needle Viz · Needle: Out-of-Plane · Biplane Imaging (Advanced) · Vascular: Superficial preset · $3,899 plus membership

Score: 60.3/100

$3,899 + membershipNeedle Viz and Biplane (Advanced)1–12 MHz, one probe300 gup to 2 hIPX73-year warranty

Verdict: Buy the iQ3 if you want one probe for the whole body that also carries a facial-vessel preset and two-plane needle views, and you are ready to pay for Advanced.

• Filler tools: the Vascular: Superficial preset, which Butterfly designed for “the small facial vessels with slow hemodynamic flow” in ultrasound-guided facial cosmetic procedures
• Imaging: one Ultrasound-on-Chip probe, 1–12 MHz; Color Doppler and unlimited cloud storage with Core; Power Doppler and Pulsed-Wave Doppler with Advanced
• Needle tools: Needle Viz highlights the needle in-plane; the Needle: Out-of-Plane preset (iQ3 only) shows the tip within 1 mm of the entry point; Biplane Imaging shows the long and short axes at once; all three with Advanced
• Price and plan: $3,899 with a 3-year warranty (Butterfly, checked October 16, 2026); Core $299 a year; Advanced $420 a year or $1,500 one-time, with 5 years of software access included; Basic DICOM available for purchase
• Weight / scan time: 300 g; up to 2 h; IPX7; connects to compatible iPhones and Android devices

Why it ranks here. The iQ3 is the only scanner here that earns the full 10 for needle placement: Needle Viz highlights the needle in-plane, the Needle: Out-of-Plane preset shows the tip within 1 mm of the entry point, and Biplane Imaging shows the long and short axes at once. With Advanced, the probe carries Color, Power and PW Doppler and cloud storage for the full consensus kit, and Butterfly’s one-time Advanced license holds the five-year cost to $5,399. ^[25][26]

Butterfly built the Vascular: Superficial preset for the small, slow-flow facial vessels around cosmetic procedures, which earns 4 of 20 for filler identification. Park 2024 tested the previous-generation Butterfly iQ+, which earns 5 for evidence. ^[26][4]

Limitations. Butterfly publishes one 1–12 MHz range for the whole probe and no element count, which scores 9 for superficial detail, and its filler toolset is the facial preset. Power and PW Doppler and every needle tool need Advanced. The probe connects to the phone by cable and weighs 300 g, which scores 4 for room fit. ^{[26][25][27][28]}

Best for: clinicians who want one probe for the face, the lungs and the abdomen, with two-plane needle confirmation.Skip it if: you want a cordless probe or filler-specific software.

Official Butterfly iQ3 specifications · Official purchase and pricing · Butterfly iQ3 review

04 GE Vscan Air SL — Best for Cardiac and Facial Vessels on One Probe

Linear 3–12 MHz, 192 elements, plus a sector head · B-mode, Color, PW and M-mode · 218 g · $4,999

Score: 51.4/100

$4,999Color and PW Doppler includedlinear 3–12 MHz192 elements218 g50 min3-year warranty

Verdict: Buy the SL if your clinic already scans hearts and vessels and you want a cordless linear head for facial vessels on the same probe, at a fixed price.

• Filler tools: none for the SL; GE’s aesthetics site features the Vscan Air CL for dissolving: “Effortlessly visualize your needle and nodules, enabling precise filler dissolution.”
• Imaging: sector and linear transducers in one dual-probe body; linear array 3–12 MHz with a 7.7 MHz center frequency and 192 elements, to 8 cm, with a smallest linear depth of 2 cm; B-mode, Color Doppler, PW Doppler and M-mode; export to a DICOM image server
• Needle tools: freehand
• Price and plan: starting at $4,999 with a 3-year warranty (GE HealthCare, checked October 16, 2026); no plan needed for the credited tools
• Weight / scan time: 218 g; 50 min of continuous scanning; completely wireless to your own mobile device

Why it ranks here. The SL ships with B-mode, Color Doppler, PW Doppler and M-mode and exports to a DICOM image server, which covers the Color, spectral and archiving items of the consensus kit without a plan and earns 12 of 15; the 192-element linear head scores 13 for superficial detail. It runs completely wireless at 218 g, which earns 7 of 10 for room fit, and Park 2024 tested the Vscan Air family, which earns 5 for evidence. ^[29][30][4]

GE positions the SL as “well-suited for rapid cardiac and vascular assessments,” and its aesthetics site features the sister Vscan Air CL for dissolving. ^[29][31]

Limitations. GE lists no needle tool and no filler tool for the SL, which scores 0 on both. Power Doppler is not listed, the shallowest linear depth is 2 cm, and scan time is 50 minutes per charge. ^[32][29]

Best for: clinics that already use a Vscan Air for cardiac and vascular scans.Skip it if: you want needle enhancement, a facial preset or filler software.

Official GE Vscan Air SL specifications · Vscan Air technical specifications · Vscan Air prices and plans

05 Philips Lumify L12-4 — Best Battery-Free Linear

Linear 12–4 MHz to 12 cm · center line marker · under 136 g · battery-free · quote from Philips

Score: 35.0/100

Quoteno subscriptionCenter line marker12–4 MHz12 cmunder 136 gup to 7.5 h on AndroidUSB-C cable

Verdict: Buy the L12-4 if your clinic already runs Philips Lumify and you want a battery-free linear with every software feature included in the purchase.

• Filler tools: Philips’ UK cosmetic-care page says the transducer “will help you inject fillers, identify previous fillers and help reduce complications”
• Imaging: linear 12–4 MHz, up to 12 cm; 2D, Pulsed Wave and steerable color Doppler and M-mode on the Android page; 2D, color Doppler and M-mode on the iOS page; data delivered by email, DICOM to PACS, a shared network or a local directory
• Needle tools: center line marker
• Price and plan: quote through Philips sales; “No subscriptions and flexible pricing,” with the outright purchase including all software and features; 3–5-year warranty
• Weight / scan time: under 136 g; up to 7.5 hours of scanning drawing on an Android display device’s battery, 2–5 hours on iOS; detachable USB-C cable

Why it ranks here. The L12-4 is the lightest probe in this comparison at under 136 g, and it draws power from an Android phone or tablet for up to 7.5 hours of scanning (2–5 hours on iOS), which earns 6 of 10 for room fit. Color and PW Doppler on Android with DICOM delivery to PACS earn 12 of 15 for the kit, the center line marker earns 3 for needle placement, and Park 2024 tested the Lumify, which earns 5 for evidence. ^{[33][34][35][36][4]}

Limitations. Philips publishes no US price, so the five-year cost scores 0 as quote-only. One 12–4 MHz range with no published element count scores 9 for superficial detail, Philips lists no filler software, and the probe runs on a cable to the display. ^[35][37]

Best for: clinics that already run Lumify transducers and want a light linear for facial vessels.Skip it if: you want a published price, a cordless probe or filler software.

Official Philips Lumify L12-4 specifications · Request a Lumify quote · Lumify purchase and pricing guide

Buying for filler placement rather than dissolving? The aesthetic ultrasound machines for facial fillers ranking covers injection, and the handheld ultrasound for aesthetic injectors comparison covers nine scanners.

Is it HA? Identify the filler first

Every ultrasound-guided filler dissolve starts with one question: what is the deposit made of? Hyaluronidase is the enzyme for hyaluronic acid filler. Schelke 2023 describes it as “capable of enzymatically degrading the injected product” in HA vascular events, and in Bravo 2024’s tissue model, ultrasound measured eleven HA fillers losing 64.1% of their volume in the first hour after hyaluronidase. ^[6][38]

The consensus is direct: “It is recommended to identify prior fillers before injecting.” Wortsman 2015 calls sonography “the first-line imaging modality” for detecting and identifying cosmetic fillers. In Jiang 2022, high-frequency ultrasound of 94 patients with nasolabial filler found HA in 35 and polyacrylamide in 34, with fat grafts, silicone oil, calcium hydroxyapatite and silicone implants in the other 25; echo intensity, echo characteristics, boundary clarity, fluidity and blood-flow signals were the basis for telling them apart. ^[8][39][40]

On most handhelds that reading is yours to make. On a Suresult L-series probe, FaceAtlas AI Filler Scan makes it on screen: it finds prior filler, names the material among HA, collagen, PLLA, PCL, CaHA, PMMA and PVA, and measures its depth and area. The guide to reading filler on ultrasound shows the sonographic signature of each material class. ^[2][41]

Old filler: what ultrasound shows years later

Old filler is the deposit a patient no longer remembers, or never knew the brand of. Ultrasound answers both questions at the visit: where the deposit sits and what it is. Jiang 2022 shows why the second answer matters: 34 of 94 patients with nasolabial filler carried polyacrylamide rather than HA. ^[40]

Age and volume shape the plan too. Wilde 2024 reviewed 157 orbits in 90 patients treated with hyaluronidase; facial changes such as hollowing, reported by 18%, correlated with how long the filler had been in place and how much there was. The authors point to better targeting of well-defined filler deposits to limit the need for higher hyaluronidase doses. ^[42]

So measure an old deposit before the first unit of enzyme. On a Suresult probe with FaceAtlas AI, Filler Scan records the material and the size of the deposit and shows how far old product has spread and how much has metabolized; every scan lands in the client’s file, and one click puts this visit beside the last. ^[2]

Map the vessels with Doppler

Map before you inject. Sigrist 2024 states the rule as “Scan before injecting”: the treatment area is scanned immediately before injection to check for vessels. The 2025 Delphi consensus makes Color Doppler and spectral Doppler mandatory and recommends Power Doppler. ^[43][8]

The vessels sit close to the surface. Cotofana 2020 measured the supratrochlear artery at a mean 3.34 mm deep and the supraorbital artery at 3.54 mm in 41 volunteers, inside the first 10 mm that the L24 frames with its shallowest preset. In Teixeira 2025, 503 patients injected after ultrasound vascular mapping had no vascular complications. ^[44][1][5]

Each mode answers a different question. Color Doppler shows where flow runs and in which direction, Power Doppler picks up slow flow in small vessels, and PW Doppler confirms an artery by its waveform, with velocity and resistive index on screen. FaceAtlas AI puts the flow on screen before the needle moves: “Switch on Color Power Doppler to see blood flow in real time, before the needle goes in.” ^[2]

Scanner	Color Doppler	Power Doppler	PW Doppler	With the device alone
Suresult L24	Included	Included	Included	All three
Clarius L20 HD3	Included	Included	Essentials	Color and Power
Butterfly iQ3	Core	Advanced	Advanced	Plan required
GE Vscan Air SL	Included	—	Included	Color and PW
Philips Lumify L12-4	Included (steerable)	—	Android page	Color; PW on Android

Included = works with the device purchase. Essentials, Core and Advanced are Clarius and Butterfly plans. A dash means the maker lists no such mode for that model. ^{[1][12][25][29][33][34]}

On the Suresult L14, the entry price in the line, the same three Doppler modes run at 14 MHz with the probe; the trace and the clip below were both recorded on it. ^[18]

Place hyaluronidase inside the deposit

The point of guidance is placement. Schelke 2018: “Under ultrasound guidance, hyaluronidase can be injected directly into the filler deposit.” The Delphi panel calls ultrasound guidance “necessary for precise intralesional injections, needed in filler complication treatment.” ^[10][8]

In-plane, the needle travels inside the beam and the whole shaft shows on screen, so you watch the tip enter the deposit. Out-of-plane, the needle crosses the beam as a bright dot, and you follow the tip by sliding the probe. Needle enhancement brightens the shaft in-plane, guide lines set the path for either approach, and a two-plane view shows both at once.

Needle Enhance ships on the Suresult L24, L24Pro, L20, L20Pro and L14Pro, with in-plane and out-of-plane guide lines on all six L-series probes. Clarius puts Needle Enhance in Essentials, Butterfly puts Needle Viz, the out-of-plane preset and Biplane Imaging in Advanced, Philips draws a center line marker, and GE works freehand. ^{[16][18][23][25][36][29]}

The Delphi panel also calls for a sterile probe cover and sterile gel during guided injections. Suresult aesthetic ultrasound gel pads ($140) are sterile Ø50 × 4 mm pads, 50 to a pack, made for aesthetic scans. ^[8][45]

Hyaluronidase dose: what guided studies report

Three guided studies report the enzyme they used:

^[6][46][7]

Recheck in Dual View and archive

Rescan before the patient leaves. In Bravo 2024, ultrasound tracked eleven HA fillers injected into chicken breast as a model for human tissue: volume fell 64.1% in the first hour after hyaluronidase and 81.7% by 24 hours. In Schelke 2023, ultrasound showed hyaluronidase restoring normal blood flow in the perivascular space and the superficial subdermal soft tissue. A same-visit rescan shows how much of the deposit remains and whether flow has returned. ^[38][6]

Dual View puts the raw scan and the FaceAtlas AI layers side by side, live, so the recheck reads against the same layers you mapped before the needle went in. Filler Scan measures what is left of the deposit, and the report files the visit beside the last one. ^[2]

Archive the evidence; the Delphi panel makes picture and video archiving mandatory. The Suresult L-series records cine loops of up to 1,000 frames, about 165 seconds, and exports JPEG, PNG, MP4 and DICOM with local storage; FaceAtlas AI adds 5-second clips and PDF reports in 11 languages. Clarius lists 30 seconds of cine playback, with local storage and DICOM in its membership, and Butterfly sells Basic DICOM as an add-on. ^{[8][1][2][12][25]}

The same FaceAtlas AI report anchors the consultation before any treatment: the guide to the best skin analysis machines for clinics sets it beside six camera systems, VISIA 3D among them, measure by measure.

Dissolving by area: lips, tear troughs and the jawline

Each area sets its own depth, and each one leans on a different part of the kit.

Lips

Lip filler and the labial arteries share the same few millimeters. Cotofana 2020 measured the superior labial artery at 5.6 mm deep and the inferior at 5.2 mm, most frequently in the submucosal plane (58.5%), and Trzeciak 2026’s meta-analysis found consistent average labial artery depths of 4.59–4.90 mm. Map the artery with Color or Power Doppler first, then follow the needle into the deposit under Needle Enhance; the L24’s 10 mm preset puts arteries at about 5 mm mid-screen at 18/24 MHz. ^[47][48][1]

Tear troughs

The tear trough sits beside the orbit, where a small deposit calls for fine detail. On the Suresult L24, the 10 mm preset frames the trough at 24 MHz, the top frequency in this comparison, and Filler Scan measures the deposit before the first unit of hyaluronidase. In Park 2024 the Clarius L20 ranked first for orbital and filler imaging, and Clarius films this case on the L20 HD3 in its “Dissolving Tear Trough Filler” class. ^{[1][2][4][19]}

Jawline

Along the jaw, the facial artery is the vessel to find. Pourani 2025 pooled ten Doppler studies: the artery sits 6.27 mm deep at the lower border of the mandible and 8.04 mm beside the nasal ala, and ultrasound visualized it in 99.8–100% of arteries at all three levels. A jawline deposit and the artery fit inside the L24’s 25 mm field, and the L20 and L20Pro image to 40 mm for the deeper fat compartments. ^[49][1][14]

Vascular occlusion after filler: why the first hours count

Vascular occlusion is rare and time-critical. Schelke 2020 calculated the incidence of vascular adverse events after filler injections at 1:6,558 (0.015%). Filler blindness, vision loss after a filler injection, is the complication Beleznay 2019 calls “rare but catastrophic”: HA filler caused 81.3% of the 48 new cases it reviewed, and of the 318 cases with reported outcomes in Doyon 2024, 68.2% had no vision recovery. ^[50][51][52]

Time decides the skin outcome. Madero-Pérez 2026 reports that intervention within the first 4–6 hours significantly improves prognosis, with early-stage ischemia reversible in up to 80% of cases, and Schelke’s JAAD paper reports that, treated in time, one session of ultrasound-guided hyaluronidase into the filler deposit prevents skin necrosis. That window favors a probe that is charged, paired and within reach before the first syringe: cordless, with Color, Power and PW Doppler and needle tools that come with the device. On a Suresult L-series probe, FaceAtlas AI screens the deposit for abnormalities on the same scan that shows the blood flow. ^[7][53][2]

What it costs to own every dissolving tool for five years

The price that matters is the device plus any plan or license needed for every tool credited above, held for five years.

Scanner	Device price	Plan or license for every credited tool	Five-year cost to own every credited tool	Annual-plan route
Suresult L24	$3,441	FaceAtlas AI: 3 months included, then the yearly license	$3,441 + $500 a year for FaceAtlas AI over the remaining 4¾ years	$500 a year for FaceAtlas AI from month 4
GE Vscan Air SL	$4,999	None needed for Color and PW Doppler	$4,999	No plan needed
Butterfly iQ3	$3,899	Advanced, $1,500 one-time (5 years of software access)	$5,399	$4,319 in year 1, then $420 a year
Clarius L20 HD3	$5,395	Essentials, $2,500 one-time	$7,895	$6,090 in year 1, then $695 a year
Philips Lumify L12-4	Quote from Philips	None; all software included	Quote from Philips	No subscription

Competitor figures come from each maker’s US store or sales page, read on October 16, 2026. ^{[1][11][29][25][12][35]}

Two makers separate the dissolving tools from the hardware. Clarius puts PW Doppler, Needle Enhance, T-Mode AI Aesthetics, local storage and DICOM in Essentials, and Butterfly puts Power and PW Doppler and every needle tool in Advanced. On the yearly route, five years of the L24 and FaceAtlas AI still cost less than the Clarius L20 HD3’s $7,895 five-year total. ^{[12][23][25][11]}

Every Suresult probe is priced the same way: one price that already covers the Doppler modes, the needle tools and the measurement package, with No Hidden Fees. The price at checkout already includes shipping, customs clearance, duties and applicable taxes, and orders ship within 24 hours on business days. Every device carries a 2-year warranty with remote support and return shipping, a 30-day trial and First Month Assurance: if the device has any issue within 30 days of delivery, Suresult sends a replacement at no cost. The product page also offers a 3-Year Extended Warranty and 5-Year Extra Protection, which adds instant loaner or replacement scanner support. ^{[1][54][55][56]}

FaceAtlas AI is licensed per device, with the key sent by email and no auto-renewal. Three months come with the L24, L24Pro, L20Pro and L14Pro. After that, or from day one on the L20 and L14, it runs on a FaceAtlas AI monthly license ($50), a FaceAtlas AI yearly license ($500) or a FaceAtlas AI lifetime license ($999), which stays on the device for life with every update included. The lifetime license is sold until 11:59 PM Pacific Time on December 31, 2026. ^[2][11][57]

How I scored

I scored each maker’s highest-scoring model against one buyer question: which handheld lets me find old or misplaced filler, tell whether it is hyaluronic acid, map the vessels around it, put hyaluronidase into the deposit, and what does it cost to own every tool that does that for five years? The Delphi panel’s 15 MHz minimum sets the floor: among the five ranked scanners, only the Suresult L24 and the Clarius L20 HD3 clear it, and the Butterfly iQ3, GE Vscan Air SL and Philips Lumify L12-4 top out at 12 MHz.

Weights: superficial detail 20 · filler identification 20 · consensus Doppler kit 15 · five-year cost 15 · needle placement 10 · independent evidence 10 · treatment-room fit 10.

1. Superficial detail (20): 14 × (the scored model’s top published linear frequency ÷ 24 MHz, the highest in the field), plus 6 when the maker publishes 192 or more elements for the linear array and 2 otherwise.
2. Filler identification (20): software that names the filler material on the scan 8; a preset, protocol or AI layer tool the maker ties to facial aesthetic or filler work 4; maker-published training on reading filler deposits or dissolving filler 4; a split-screen or dual view the maker ties to filler work 4.
3. Consensus Doppler kit (15): Color Doppler 4, pulsed-wave (spectral) Doppler 4, picture or video archiving or export 4 and Power Doppler 3, each counted when the maker lists it for the scored model, with or without a plan; the plan’s cost lands in the five-year cost. The items follow the Velthuis 2025 Delphi consensus.
4. Five-year cost (15): 15 × (the cheapest five-year cost in the field ÷ this model’s five-year cost). The five-year cost is the device plus the cheapest standing route over five years to every credited tool: a one-time license where the maker sells one without an end date, otherwise five years of the yearly plan, net of any included months. Only standing terms count, so an offer with a published end date stays out of the score. Suresult models are scored on the store price before the checkout coupon, and a quote-only price scores 0. On October 16, 2026, the cheapest route in the field was the Suresult L14 with five years of the FaceAtlas AI yearly license.
5. Needle placement (10): needle enhancement or needle-visualization software 5; an on-screen in-plane or out-of-plane guide, or an out-of-plane needle preset 3; a simultaneous two-plane view 2.
6. Independent evidence (10): 10 when two or more peer-reviewed facial-aesthetic or filler studies name the scored model; 5 when one study names it or a study names the maker’s product family; searched on PubMed and PMC on October 16, 2026.
7. Treatment-room fit (10): cordless 4; weight up to 150 g 3, 151–250 g 2, over 250 g 1; published continuous scan time of 2 h or more 3, 1–1.99 h 2, under 1 h 1.

Each maker gets one ranked slot, represented by its highest-scoring model; sibling models sit inside that card with their own prices.

Ties break on the lower five-year cost, and a published price ranks ahead of a quote-only one. Siblings sit inside their maker’s card: Suresult L20 (83.76), L24Pro (83.47), L20Pro (81.96), L14Pro (79.02) and L14 (76.17); Clarius L15 HD3 (62.19). The L24 represents Suresult at 84.85, 1.09 points above the L20. On October 16, 2026, I read the Suresult product pages and the competitor prices, plans and tool lists on the manufacturers’ US pages.

Filler dissolving questions

Sources and dated product records

Every source below was checked on October 16, 2026.

1. Suresult L24 18/24 MHz high-frequency linear probe — Suresult product page (suresultmed.com).
2. FaceAtlas AI lifetime license: AI skin ultrasound software — Suresult product page (suresultmed.com).
3. Clarius Classroom: Dissolving Filler in the Forehead — Clarius (clarius.com).
4. Park 2024. A comparison of five point-of-care ultrasound devices for use in ophthalmology and facial aesthetics. Ultrasound 2024;32(1):28–35 — PubMed (pubmed.ncbi.nlm.nih.gov).
5. Teixeira 2025. A new time-saving technique for ultrasound-guided filler injection: a 3-year retrospective study. Aesthet Surg J Open Forum 2025;7:ojaf061 — PubMed (pubmed.ncbi.nlm.nih.gov).
6. Schelke 2023. Ultrasound-guided targeted vs regional flooding: a comparative study for improving the clinical outcome in soft tissue filler vascular adverse event management. Aesthet Surg J 2023;43(1):86–96 — PubMed (pubmed.ncbi.nlm.nih.gov).
7. Madero-Pérez 2026. Guide for managing vascular occlusion caused by fillers with exclusive cutaneous involvement: a review of diagnosis, classification, and treatment. Aesthetic Plast Surg 2026;50(5):2068–2082 — PubMed (pubmed.ncbi.nlm.nih.gov).
8. Velthuis 2025. The use of ultrasound imaging in aesthetic injectables: a modified Delphi consensus. J Plast Reconstr Aesthet Surg 2025;104:33–37 — PubMed (pubmed.ncbi.nlm.nih.gov).
9. Hyaluronic Acid Injection on Ultrasound: Practice Demo — Suresult on YouTube (youtube.com).
10. Schelke 2018. Ultrasound to improve the safety of hyaluronic acid filler treatments. J Cosmet Dermatol 2018;17(6):1019–1024 — PubMed (pubmed.ncbi.nlm.nih.gov).
11. FaceAtlas AI yearly license — Suresult product page (suresultmed.com).
12. Clarius L20 HD3 store page: price, Essentials and specifications — Clarius store (store.clarius.com).
13. Suresult certifications and compliance documents — Suresult (suresultmed.com).
14. Suresult L20 16/20 MHz high-frequency facial probe — Suresult product page (suresultmed.com).
15. Suresult L24Pro 18/24 MHz 256-element aesthetic probe — Suresult product page (suresultmed.com).
16. Suresult L20Pro 16/20 MHz high-frequency facial probe — Suresult product page (suresultmed.com).
17. Suresult L14Pro 10/14 MHz 256-element linear probe — Suresult product page (suresultmed.com).
18. Suresult L14 10/14 MHz wireless linear probe — Suresult product page (suresultmed.com).
19. Clarius Classroom: Dissolving Tear Trough Filler — Clarius (clarius.com).
20. Clarius for aesthetics: T-Mode, Split Screen and Auto Vessel Depth — Clarius (clarius.com).
21. Clarius L20 HD3 ultra-high-frequency linear scanner — Clarius (clarius.com).
22. Clarius T-Mode — Clarius (clarius.com).
23. Clarius Essentials information — Clarius store (store.clarius.com).
24. Clarius L15 HD3 store page — Clarius store (store.clarius.com).
25. Butterfly pricing: iQ3 and Core/Advanced memberships — Butterfly Network (butterflynetwork.com).
26. Butterfly iQ3 technical specifications — Butterfly Network (butterflynetwork.com).
27. Butterfly iQ3 — Butterfly Network (butterflynetwork.com).
28. Butterfly iQ3 Personal Ultrasound System User Manual, Revision I: system components and the mobile device cable — Butterfly Network (manual.butterflynetwork.com).
29. Vscan Air SL — GE HealthCare (gehealthcare.com).
30. Vscan Air technical specifications — GE HealthCare Vscan Air support (vscanair-support.gehealthcare.com).
31. Vscan Air for aesthetics — GE HealthCare (vscan.rocks).
32. Vscan Air frequency and depth ranges; shallowest linear depth — GE HealthCare Vscan Air support (vscanair-support.gehealthcare.com).
33. Lumify L12-4 linear array transducer (Android) — Philips (usa.philips.com).
34. Lumify L12-4 transducer (iOS) — Philips (usa.philips.com).
35. Philips Lumify handheld ultrasound — Philips (usa.philips.com).
36. Lumify for anesthesiology: L12-4 center line marker — Philips (usa.philips.com).
37. Lumify for cosmetic care — Philips UK (philips.co.uk).
38. Bravo 2024. Resolve and dissolve: an ultrasound-guided investigation on the effects of hyaluronidase on different soft tissue fillers. J Cosmet Dermatol 2024;23(10):3173–3181 — PubMed (pubmed.ncbi.nlm.nih.gov).
39. Wortsman 2015. Identification and complications of cosmetic fillers: sonography first. J Ultrasound Med 2015;34(7):1163–1172 — PubMed (pubmed.ncbi.nlm.nih.gov).
40. Jiang 2022. High-frequency ultrasound of facial filler materials in the nasolabial groove. Aesthetic Plast Surg 2022;46(6):2972–2978 — PubMed (pubmed.ncbi.nlm.nih.gov).
41. Ultrasound-guided filler injections: reading filler on ultrasound — Clinical guide (suresultmed.com).
42. Wilde 2024. The posthyaluronidase syndrome: dosing strategies for hyaluronidase in the dissolving of facial filler and independent predictors of poor outcomes. Plast Reconstr Surg Glob Open 2024;12(4):e5765 — PubMed (pubmed.ncbi.nlm.nih.gov).
43. Sigrist 2024. Best practices for the use of high-frequency ultrasound to guide aesthetic filler injections, part 1: upper third of the face. Diagnostics 2024;14(16):1718 — PubMed Central (pmc.ncbi.nlm.nih.gov).
44. Cotofana 2020. Relationship between vertical glabellar lines and the supratrochlear and supraorbital arteries. Aesthet Surg J 2020;40(12):1341–1348 — PubMed (pubmed.ncbi.nlm.nih.gov).
45. Sterile aesthetic ultrasound gel pads (Ø50 × 4 mm, 50 per pack) — Suresult product page (suresultmed.com).
46. Urso 2024. Use of minimal amounts of hyaluronidase in the ultrasound-guided treatment of acute vascular occlusion by hyaluronic acid: a preliminary report. Aesthet Surg J Open Forum 2024;6:ojae025. PMID 38938923 — PubMed (pubmed.ncbi.nlm.nih.gov).
47. Cotofana 2020. Anatomy of the superior and inferior labial arteries revised: an ultrasound investigation and implication for lip volumization. Aesthet Surg J 2020;40(12):1327–1335 — PubMed (pubmed.ncbi.nlm.nih.gov).
48. Trzeciak 2026. Anatomical depth of labial arteries in dermal filler procedures: a meta-analysis with clinical implications. Aesthet Surg J 2026;46(5):478–485 — PubMed (pubmed.ncbi.nlm.nih.gov).
49. Pourani 2025. Evaluation of facial artery course variations, diameters, and depth using Doppler ultrasonography: a systematic review and meta-analysis. J Cosmet Dermatol 2025;24(9):e70431 — PubMed (pubmed.ncbi.nlm.nih.gov).
50. Schelke 2020. Incidence of vascular obstruction after filler injections. Aesthet Surg J 2020;40(8):NP457–NP460 — PubMed Central (pmc.ncbi.nlm.nih.gov).
51. Beleznay 2019. Update on avoiding and treating blindness from fillers: a recent review of the world literature. Aesthet Surg J 2019;39(6):662–674 — PubMed (pubmed.ncbi.nlm.nih.gov).
52. Doyon 2024. Update on blindness from filler: review of prognostic factors, management approaches, and a century of published cases. Aesthet Surg J 2024;44(10):1091–1104 — PubMed (pubmed.ncbi.nlm.nih.gov).
53. Schelke 2023. Early ultrasound for diagnosis and treatment of vascular adverse events with hyaluronic acid fillers. J Am Acad Dermatol 2023;88(1):79–85 — PubMed (pubmed.ncbi.nlm.nih.gov).
54. Suresult shipping and tax policy — Suresult (suresultmed.com).
55. Suresult return and exchange policy — Suresult (suresultmed.com).
56. Suresult warranty policy — Suresult (suresultmed.com).
57. FaceAtlas AI monthly license — Suresult product page (suresultmed.com).