Is that a lump or a nodule? Is that a hematoma or a vascular occlusion? Proper diagnosis is the key to proper treatment and improved patient outcomes. Utilizing Point of Care Ultrasound (POCUS) for the diagnosis of facial pathology can be a valuable asset in aesthetic practice. Additionally, the ability to employ ultrasound-guided injection for their treatment offers a distinct advantage of visualizing beneath the skin for precise needle guidance and targeted placement.