Point-of-Care Ultrasound for Aesthetics & Plastic Surgery. Elevate Injection Safety and Surgical Precision with TodoPocus.

From mapping facial vasculature to prevent filler complications, to identifying microvascular perforators for complex reconstructive flaps. Empower your aesthetic practice and surgical planning with high-definition, fully wireless ultrasound systems engineered for absolute anatomical certainty.
todopocus handheld ultrasound certificates
 Trusted by doctors in 50+ countries
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Which Ultrasound Scanner is Essential for Your Aesthetic and Reconstructive Procedures?

From ultra-high frequency 24MHz probes for extreme superficial resolution to versatile 3-in-1 scanners for perforator flaps and body contouring—find the precision tool your practice demands.
FACIAL MAPPING & VASCULAR (< 4 CM) · PRO SERIES
l20pro 16/20 mhz ultra high frequency linear scanner for aesthetics

L20Pro

L20Pro Extended-Use Aesthetic Linear Ultrasound Probe for Skin & Injections

The Full-Face Navigator, Built for Full Clinic Days

Our best-selling 16/20 MHz aesthetic imaging, re-engineered: a heat-optimized Space Silver shell and a 4400 mAh battery deliver 3 hours of continuous scanning. For injectors who map every face, every session.
Original price was: $5,990.Current price is: $4,190.
  • Probe Type: Linear Transducer
  • Frequency: Linear: 16/20 MHz
  • Scan Depth: Linear: 10-40mm
BUY SCANNER
Facial Mapping & Vascular (< 4cm)
l20 high frequency 16/20 mhz linear wireless ultrasound for msk skin and facial plastic surgery injections

L20

L20 Aesthetic Linear Ultrasound Probe for Skin, MSK & Injection Guidance

The Facial Safety Standard

Deep enough to map facial arteries, sharp enough to identify fillers. Designed to prevent vascular occlusion in high-risk zones like the nasolabial fold and temples.
Original price was: $5,000.Current price is: $3,200.
  • Probe Type: Linear Transducer
  • Frequency: Linear: 16/20 MHz
  • Scan Depth: Linear: 10-40mm
BUY SCANNER
ULTRA-SUPERFICIAL (< 2.5 CM) · PRO SERIES
l24pro 18/24mhz ultra high frequency linear probe for aesthetics

L24Pro

L24Pro Extended-Use Facial Aesthetics Ultrasound Probe for Filler Mapping

The 24 MHz Microscope, Minus the Heat

Extreme dermal resolution in a compact 18 mm footprint — now with thermal-optimized housing and a 3-hour battery for training days, complication referrals, and high-volume skin practices.
Original price was: $5,990.Current price is: $4,490.
  • Probe Type: Linear Transducer
  • Frequency: Linear 18/24 MHz
  • Scan Depth: Linear: 10-25mm
BUY SCANNER
Ultra-Superficial (< 2.5cm)
l24 high frequency 18/24mhz linear color doppler for aesthetic treatments

L24

L24 Facial Aesthetics Linear Ultrasound Probe for Filler & Vessel Mapping

The 24MHz Microscope

Visualize the epidermis, nail units, and superficial capillaries with unprecedented clarity. The ultimate tool for skin diagnosis and ultra-superficial injections.
Original price was: $6,300.Current price is: $3,570.
  • Probe Type: Linear Transducer
  • Frequency: Linear 18/24 MHz
  • Scan Depth: Linear: 10-25mm
BUY SCANNER
DEEP INTERVENTION & NAVIGATION (< 10CM)
l10h guide handheld ultrasound linear probe with magnetic navigation for precise needle guidance

L10H-Guide

L10H-Guide Linear Ultrasound Probe with Magnetic Navigation for Injections & Nerve Blocks

The Interventional Precision Tool

Magnetic navigation tracks the needle independently of the ultrasound beam, projecting its live trajectory on screen — for deep fat grafting, seroma aspiration, and reconstructive regional blocks.
Original price was: $3,000.Current price is: $2,870.
  • Probe Type: Linear Transducer
  • Frequency: Linear: 7.5/10 MHz
  • Scan Depth: Linear: 20-100mm
BUY SCANNER
WHOLE BODY & RECONSTRUCTIVE (< 30CM)
d3 ultra convex linear phased array best handheld ultrasound scanner

D3-Ultra

D3-Ultra Premium 3-in-1 Handheld Ultrasound Scanner for Whole-Body POCUS

The Reconstructive Multi-Tool

Switch instantly from superficial tissue screening to deep abdominal evaluation. The ultimate all-in-one solution for body contouring and flap planning.
Price range: $3,470 through $3,570
  • Probe Type: Linear, Convex, Phased Transducer 3-in-1
  • Frequency: Convex: 3.2/5.0 MHz, Linear: 7.5/10 MHz, Phased: 3.2/5.0 MHz
  • Scan Depth: Convex: 90-300mm, Linear: 20-100mm, Phased: 90-300mm
BUY SCANNER

Ultra-High Frequency Mapping for Facial Aesthetics: Choose Depth, Detail, or Longer Scanning

For aesthetic clinicians, the right probe is not just about frequency. It is about seeing the anatomy that matters before every injection. TodoPocus L20/L20Pro and L24/L24Pro give you two focused paths: wider-depth facial mapping or ultra-superficial precision.

When your work moves across lips, cheeks, temples, jawline, and deeper soft-tissue planes, L20Pro gives you the range to keep up. Its 10-40mm scan depth helps you map vessels, locate filler, and understand anatomy across more treatment areas, while the Pro design adds longer battery life and improved thermal comfort for busy clinic days.

  • Choose L20Pro when: You want the L20 imaging range with up to 3 hours of continuous scanning, a 4400mAh battery, and an optimized thermal shell for repeated aesthetic workflows.
  • Choose L20 when: You want the same 16/20 MHz, 10-40mm imaging capability in a slimmer, lighter scanner for shorter sessions and daily portable use.

For delicate facial zones and ultra-superficial work, L24Pro brings your attention closer to the skin. Its 18/24 MHz imaging and focused 10-25mm range are built for fine vessel mapping, dermal and subcutaneous detail, and filler placement in shallow planes where every millimeter matters.

  • Choose L24Pro when: You want surface-focused 18/24 MHz imaging with up to 3 hours of continuous scanning and a Pro shell built for longer, repeated use.
  • Choose L24 when: You want the same 18/24 MHz, 10-25mm surface-detail capability in a lighter, slimmer scanner for flexible everyday use.

Clinical Evidence Gallery: See the Difference

Experience the industry's sharpest superficial imaging. Whether you need to map a tiny facial artery, detect anechoic filler deposits, or isolate a 1mm perforator for flap surgery, we have a dedicated tool for the job.

Handheld Ultrasounds: Engineered for Global Standards

At TodoPocus, clinical safety and diagnostic reliability are our highest priorities. We strictly adhere to the most rigorous international medical regulations to ensure our technology supports you in every critical moment.

fda 510k cleared wireless ultrasound machines for the us

FDA 510(k) Cleared

ce 2862 approved portable ultrasound machines

CE Certified (Class IIa)

ce eu mdr 2017 745 approved ultrasound scanners

EU MDR 2017/745 Compliant

iso 13485 2016 registered wireless ultrasound probes

ISO 13485:2016

tga certified handheld ultrasound machines

TGA Australia Approved

anvisa approved pocket ultrasound for brazil

ANVISA Regulated

euipo pocus ultrasound patent protection

EUIPO Proprietary Innovation

hipaa compliance handheld ultrasound software

HIPAA Compliant Security

fda 510k cleared wireless ultrasound machines for the us FDA 510(k) Cleared ce 2862 approved portable ultrasound machines CE Certified (Class IIa) ce eu mdr 2017 745 approved ultrasound scanners EU MDR 2017/745 Compliant iso 13485 2016 registered wireless ultrasound probes ISO 13485:2016 tga certified handheld ultrasound machines TGA Australia Approved anvisa approved pocket ultrasound for brazil ANVISA Regulated euipo pocus ultrasound patent protection EUIPO Proprietary Innovation hipaa compliance handheld ultrasound software HIPAA Compliant Security
fda 510k cleared wireless ultrasound machines for the us FDA 510(k) Cleared ce 2862 approved portable ultrasound machines CE Certified (Class IIa) ce eu mdr 2017 745 approved ultrasound scanners EU MDR 2017/745 Compliant iso 13485 2016 registered wireless ultrasound probes ISO 13485:2016 tga certified handheld ultrasound machines TGA Australia Approved anvisa approved pocket ultrasound for brazil ANVISA Regulated euipo pocus ultrasound patent protection EUIPO Proprietary Innovation hipaa compliance handheld ultrasound software HIPAA Compliant Security

One App. Three Platforms. Zero Subscription.

Turn your phone, iPad, Android tablet, or Windows PC into a premium diagnostic workstation. Download the app, connect wirelessly, and scan without limits.

Works on iOS, Android & Windows

Whether you prefer the mobility of a phone or the screen real-estate of a Surface Pro, our app runs natively on all major platforms with full feature parity.

Built-in Dedicated WiFi

The probe generates its own stable WiFi hotspot. Scan in basements, rural clinics, or flights without needing internet or hospital networks.

DICOM & Storage Unlocked

No monthly cloud fees. Save images locally, export to USB, or send directly to your hospital's PACS/DICOM server—all included for free.
ultrasound app ios android windows todopocus wireless ultrasound built in dedicated wifi todopocus dicom storage unlocked portable ultrasound

5 Advanced Imaging Modes. Fully Unlocked.

Get standard access to premium features like Pulsed Wave (PW) Doppler and Color Flow. No subscriptions, no paywalls—just powerful diagnostics from day one.

B-Mode

High-Definition Grayscale. Visualize anatomical structures with superior contrast and edge detail.

M-Mode

Motion Analysis. Assess cardiac wall mechanics and fetal heart rates with high temporal resolution.

Color Doppler

Flow Dynamics. Rapidly identify blood flow direction and vessel patency in real-time.

Power Doppler (PDI)

High-Sensitivity Perfusion. Visualize low-velocity flow in microvasculature and hyperemic tissue.

Pulsed Wave (PW)

Spectral Quantification. Measure precise flow velocities to evaluate stenosis and vascular resistance.

17+ Specialized Presets. Instant Clinical Optimization. One-Tap Precision.

Streamline your exam with expert-tuned presets that instantly optimize frequency, depth, and gain for clinical precision—plus 3 fully customizable user slots to match your personal scanning preferences.

todopocus handheld portable ultrasound machines used in orthopaedics msk

MSK

  • Dynamic Exams: Real-time visualization of tendon gliding, ligament integrity, and muscle tears during joint movement.
  • Inflammation: Power Doppler sensitivity to detect synovitis and active inflammation in joints.
  • Injection Guidance: precise needle tracking for intra-articular injections and regenerative therapies.
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msk biceps tendon long axis
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msk pocus bone fracture detection
todopocus handheld portable ultrasound scanners for vessel vascular access

Carotid

  • Intima-Media Thickness: High-resolution borders to measure IMT and assess cardiovascular risk.
  • Plaque Characterization: Identify calcified vs. soft plaque and screen for carotid stenosis.
  • Stroke Prevention: Accurate velocity measurements to grade the severity of arterial narrowing.
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carotid external carotid artery eca spectrum
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carotid high frequency color doppler flow
todopocus handheld portable ultrasound scanners for thyroid

Thyroid

  • Nodule Characterization: High-frequency linear imaging to differentiate cystic vs. solid nodules and identify calcifications.
  • Vascularity Assessment: Sensitive Color Doppler to evaluate hypervascularity ("Thyroid Inferno") in Graves' disease.
  • Procedural Guidance: Crisp needle visualization for safe Fine Needle Aspiration (FNA) biopsies.
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thyroid simple cyst anechoic lesion
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thyroid solid hypoechoic nodule measurement
todopocus handheld portable ultrasound scanners for vessel vascular access

Vascular

  • Deep Vein Thrombosis (DVT): Optimized for compression ultrasound to rule out clots in femoral and popliteal veins.
  • Vessel Access: Clear visualization of vessel walls and compressibility for safe peripheral IV or PICC line placement.
  • Flow Dynamics: Standard settings for assessing venous insufficiency and valve competency.
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brachial artery vein differentiation bi directional color flow
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stroke prevention carotid plaque measurement
todopocus handheld portable ultrasound in aesthetic plastic surgery

Skin

  • Dermal Layers: Ultra-high frequency resolution to distinguish epidermis, dermis, and subcutaneous fat.
  • Aesthetic Mapping: Visualize facial arteries and filler placement to prevent vascular occlusion during cosmetic procedures.
  • Dermatology: Assess skin tumor depth, abscesses, or foreign bodies with sub-millimeter precision.
  • Available on L20 & L24.
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aesthetics imaging superior labial artery lip
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cheek injection transverse facial artery tracking
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Small Parts

  • Superficial Focus: Optimized focus zones for shallow structures like the testes, salivary glands, and lymph nodes.
  • Acute Scrotum: Rapidly differentiate between testicular torsion (no flow) and epididymitis (hyperemia).
  • Hernia Check: Dynamic imaging to visualize bowel loops within inguinal or ventral hernias during Valsalva.
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cervical lymph node architecture
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lymph node biometry
todopocus handheld portable ultrasound scanners for emergency breast surgery

Breast

  • Mass Screening: Differentiate simple cysts from complex solid masses using high-definition grayscale contrast.
  • Ductal Imaging: Visualize dilated ducts and intraductal pathologies.
  • Bi-RADS Support: Clear margins and posterior acoustic features assist in accurate lesion classification.
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todopocus handheld portable ultrasound scanners for nerve block

Nerve

  • Block Guidance: "Honeycomb" appearance enhancement to identify peripheral nerves for regional anesthesia (e.g., Brachial Plexus).
  • Entrapment Scanning: Trace nerve paths to identify compression sites like Carpal Tunnel Syndrome.
  • Safety: Clearly distinguish nerves from surrounding vessels to avoid accidental puncture.
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median nerve longitudinal view fascicular pattern long axis
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todopocus handheld portable ultrasound scanners for vessel vascular access

Vessel Flow

  • Low-Flow Sensitivity: Advanced Doppler algorithm designed to detect slow blood flow in small vessels or extremities.
  • Perfusion Assessment: Evaluate tissue vascularization in diabetic foot ulcers or ischemic limbs.
  • Hemodynamic Analysis: Clean spectral Doppler traces for precise velocity measurements in difficult-to-image vessels.
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carotid artery jugular vein color flow
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peripheral artery spectral analysis pw
todopocus handheld portable ultrasound scanners for liver

Abdomen

Deep Penetration: Penetrate up to 30cm to visualize deep abdominal organs (Liver, Kidney, Gallbladder) even in high-BMI patients.

Pathology Detection: Optimized contrast resolution for detecting hepatic steatosis, gallstones, and abdominal aortic aneurysms (AAA).

FAST Exam Ready: Rapidly assess free fluid in the hepatorenal (Morison’s) pouch and splenorenal recess during trauma triage.

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deep abdominal fatty liver assessment 20cm depth
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hepatic vasculature color doppler
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Gynecology

  • Pelvic Assessment: Visualize the uterus and adnexa with transabdominal clarity to assess for fibroids, cysts, or ectopic pregnancies.
  • Fertility Monitoring: Clear visualization of ovarian follicles and endometrial lining thickness for IVF and fertility tracking.
  • Acute Triage: Rapidly rule out ovarian torsion or ruptured cysts in emergency settings.
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transvaginal ovarian follicle monitoring
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transvaginal color doppler of adnexal blood flow
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Obstetric

  • Fetal Biometry: Optimized sound speed settings for accurate measurements of CRL, BPD, and FL to estimate gestational age.
  • Wellbeing Assessment: Monitor fetal heart rate (FHR), amniotic fluid index (AFI), and placental position in real-time.
  • Patient Connection: Crystal-clear 2D imaging to share the first look of the fetus with expectant parents.
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early pregnancy gestational sac measurement
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Cardiac

  • Real-Time Hemodynamics: High frame-rate imaging (Phased Array mode) to capture rapid valvular motion and wall contractility.
  • Function Quantification: Supports rapid bedside assessment of Ejection Fraction (EF) and pericardial effusion.
  • Critical Views: Optimized for clear Parasternal and Apical 4-Chamber views to rule out tamponade or gross dysfunction.
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cardiac pw doppler mitral valve inflow velocity
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Urology

  • Bladder Volume: Enhances fluid-to-tissue contrast for automated bladder volume calculation and residual urine assessment.
  • Prostate Imaging: Visualize prostate size and shape to aid in BPH diagnosis.
  • Urinary Tract: Quick scan of the ureterovesical junction (UVJ) to detect stones or jets.
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urology prostate volume calculation dual view
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Kidney

  • Renal Architecture: Distinguish clearly between the renal cortex and collecting system to identify hydronephrosis.
  • Stone Detection: High-contrast settings highlight hyperechoic calculi and their posterior shadowing.
  • Perfusion Check: Sensitive Doppler settings to assess renal blood flow and rule out infarction.
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renal calculus kidney stone detection
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Lung

  • Artifact Analysis: Specifically tuned to highlight pleural lines, A-lines, and B-lines for pneumonia and pulmonary edema assessment.
  • BLUE Protocol: Ideal for rapid bedside diagnosis of pneumothorax (Lung Point) vs. pleural effusion.
  • COVID-19 & ARDS: Track lung consolidation and aeration changes in critical care patients.
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Pediatrics

  • Gentle Imaging: Reduced acoustic output power (ALARA principle) safe for pediatric and neonatal physiology.
  • Fast & Clear: Motion-tolerant algorithms to capture diagnostic images quickly in moving children.
  • Common Diagnoses: Optimized for ruling out pyloric stenosis, intussusception, and hip dysplasia.
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pediatric cardiac apical 4 chamber color flow
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What Are the Key Clinical Applications of Ultrasound in Plastic Surgery and Aesthetics?

Discover how high-frequency imaging actively mitigates injection risks, facilitates reconstructive flap planning, and enhances comprehensive body contouring outcomes.

Facial Aesthetics & Filler Complication Management

Ultra-high-frequency ultrasound (16-24MHz) provides critical real-time visualization of superficial vascular networks, such as the facial and supratrochlear arteries. Pre-procedural vascular mapping and intra-procedural needle tracking actively mitigate the risk of vascular occlusion. Furthermore, ultrasonography precisely identifies existing hyaluronic acid deposits, enabling targeted, ultrasound-guided hyaluronidase administration for the rapid resolution of aesthetic complications.

Reconstructive Surgery & Perforator Mapping

Preoperative mapping of perforating vessels is essential for the precise design of pedicled and free flaps, such as DIEP or ALT flaps. Color Doppler ultrasonography accurately determines perforator location, caliber, and hemodynamic flow patterns. This non-invasive assessment optimizes surgical flap design, significantly reduces operative exploration time, and ensures reliable tissue perfusion in complex reconstructive microsurgery.

Breast Surgery & Body Contouring

Ultrasound imaging offers substantial diagnostic utility in comprehensive plastic surgery procedures. Clinicians can intraoperatively evaluate the abdominal wall musculature for precise transversus abdominis plane (TAP) block administration during abdominoplasty. Additionally, ultrasound reliably assesses breast implant integrity, detects postoperative seromas, and guides targeted fluid aspirations, significantly enhancing postoperative patient management and overall safety.

Why Professionals Choose TodoPocus

The Freedom and Safety to Practice Medicine on Your Terms.

100% Ownership. 0% Monthly Fees.

Freedom from Rent

Say goodbye to monthly fees. While other brands lock your device's core features behind expensive memberships, TodoPocus guarantees Lifetime Free software updates, DICOM features, and advanced Doppler modes. Our transparent pricing means your three-year total cost of ownership is over $2,000 less than leading competitors. Buy it once, own it forever.

Device Model TodoPocus D3-Ultra Butterfly iQ3 Clarius PAL HD3 GE Vscan Air CL
Upfront Hardware $3,470 $3,899 $5,395 $4,999
Probes Included Linear + Convex + Phased Single Probe for Whole Body Phased + Linear Convex + Linear
Annual Membership (Required for Adv. Features) $0 (Included Forever) $299 / year $595 / year Optional ($0)
3-Year Total Cost $3,470 $4,796 $7,180 $4,999
5-Year Total Cost $3,470 $5,394 $8,370 $4,999
You Save with TodoPocus - $1,924 $4,900 $1,529

The data is based on the official MSRP as of December 2025. Competitor subscription costs based on standard plans required for advanced Doppler/DICOM features.

The Math is Simple. Over 5 years, a "cheap" subscription probe can cost you double its sticker price. With TodoPocus, you pay $3,470 once. No monthly bills, no locked features, no surprises. Result: You save enough to buy a second TodoPocus for your backup bag.

todopocus wireless handheld ultrasound water proof
Total Wireless. Zero Latency. Zero Limits.

Freedom from Cable

Cut the cord with zero-latency wireless connectivity and all-day battery life engineered for continuous scanning. Built to withstand the harshest clinical environments, our probes are IP67 waterproof, drop-tested, and ready for wherever the patient needs you.

Your Device. Your Choice. Zero Compromise.

Freedom from Platforms

Don't let your ultrasound probe dictate your hardware. TodoPocus is the only leading handheld solution offering native, plug-and-play support for iOS, Android and Windows system. Whether you are integrating into a hospital cart workflow or performing a quick bedside consult on your smartphone, our probe adapts to your ecosystem instantly—no specialized hardware required.

ultrasound app ios android windows
hipaa compliant handheld ultrasound locally stored no data mining
HIPAA Compliant. Locally Stored. No Data Mining.

Uncompromising Privacy Secure

Patient data stays on YOUR device. We are HIPAA compliant by design because we never force your data onto third-party servers. Unlike competitors that mandate cloud uploads, TodoPocus empowers you with Local Storage. You own your data, you control where it goes, and you decide who sees it—ensuring total privacy and security.

Own Your POCUS with Zero Worry

World-class imaging technology, now within your reach.

30 day risk free trial handheld ultrasound

30-Day Risk-Free Trial

Experience it in your clinic. Full refund if not satisfied.

3 10 days express delivery portable ultrasound

3-10 Days Express Delivery

1-7 days to US, EU & AU. Delivery to your door globally within 3-10 days.

3 year warranty lifetime support

3-Year Warranty & Lifetime Support

Includes hardware repair plus lifetime free software & training.

buy now pay later handheld ultrasounds

Buy Now, Pay Later

Own your ultrasound for just $19/day with PayPal.

Frequently Asked Questions about Point-of-Care Ultrasound for Aesthetics & Plastic Surgery

Expert answers regarding aesthetic integration, clinical safety, and device capabilities.
How do I choose between the L20 (16/20MHz) and the L24 (18/24MHz) for my aesthetic practice?

Choose by working depth. The L24 resolves the first 10–25 mm beneath the skin with 24 MHz detail — ideal if your work is strictly cutaneous: tear troughs, fine lines, skin-quality diagnostics, and ultra-superficial injections. The L20 trades a fraction of that surface resolution for a 40 mm working depth, letting you follow the facial artery at the piriform aperture, assess deep fat pads, and still define the SMAS clearly. If you buy one probe for full-face injectables, choose the L20 or L20Pro. If you never inject deeper than 2.5 cm, choose the L24 or L24Pro.

What do the L20Pro and L24Pro add over the standard L20 and L24?

Imaging is identical — same transducers, frequencies, scan depths, and Doppler modes. The Pro Series upgrades endurance: a 4400 mAh battery doubles continuous scanning from 1.5 to 3 hours, and a heat-optimized Space Silver shell keeps the probe cool and comfortable through long vascular-mapping sessions, training days, and back-to-back clinics. If ultrasound is part of every consultation in your practice, the Pro pays for itself in uptime.

How does the L10H-Guide's magnetic navigation differ from standard software needle enhancement?

Standard software needle enhancement relies on acoustic reflection, which frequently fails during steep-angle insertions (>45°) or out-of-plane (OOP) approaches due to the physics of anisotropy. The L10H-Guide, however, utilizes passive magnetic sensors embedded in the probe to track a magnetized needle completely independent of the ultrasound beam. This projects a constant, real-time trajectory overlay on the screen, which clinical studies have shown reduces target distance errors by 57.1% and improves first-pass completion rates to 88.9% during complex nerve blocks.

Can the ultrasound probes be safely sterilized for intraoperative reconstructive procedures and aesthetic clinics?

Yes. TodoPocus wireless probes feature a minimum IP67 waterproof and dustproof design, with the transducer head specifically meeting IPX7 standards for liquid immersion. They are completely compatible with standard sterile surgical probe covers for use in the sterile field. Between cases, they can be safely and rapidly soaked or wiped down using hospital-approved high-level disinfectants and standard germicidal wipes, ensuring strict infection control compliance without risking internal electronic damage.

How does ultrasound assist in managing vascular occlusion and dissolving facial fillers?

Ultra-high-frequency ultrasound reliably differentiates hyaluronic acid (HA) fillers, which appear as anechoic (dark) structures, from surrounding tissue and other biostimulators like calcium hydroxylapatite. This allows clinicians to perform precise, ultrasound-guided hyaluronidase injections directly into the HA deposit, rapidly restoring vascular perfusion and mitigating tissue necrosis safely.

Can high-frequency ultrasound differentiate between Hyaluronic Acid (HA) and biostimulatory fillers?

Yes. High-frequency ultrasound readily distinguishes the sonographic signatures of different injectable products. Hyaluronic acid (HA) typically appears as well-defined, anechoic (black) fluid collections. In contrast, biostimulators like calcium hydroxylapatite (CaHA) or poly-L-lactic acid (PLLA) present as hyperechoic (bright) diffuse clouds, often with acoustic shadowing or bright particles. This diagnostic capability is invaluable when assessing unknown prior treatments or determining if a nodule can be effectively dissolved with hyaluronidase.

What are the standard protocols for incorporating ultrasound into facial injection workflows?

Aesthetic practitioners generally employ two complementary protocols: "Scan before injecting" and "Scan while injecting". The "Scan before" method is used prior to the procedure to map and mark the trajectory of critical vasculature, establishing safe injection zones. The "Scan while injecting" method utilizes real-time, in-plane imaging—often with a blunt cannula—to continuously visualize the instrument tip and the precise anatomical layer receiving the product, actively preventing intravascular placement.

Does ultrasound guidance reduce the amount of hyaluronidase required to treat vascular occlusions?

Yes. Without ultrasound, clinicians must inject hyaluronidase blindly into the general area of suspected occlusion, often requiring multiple high-dose flooding treatments. Ultrasound guidance allows the practitioner to pinpoint the exact location and depth of the intravascular or compressive HA embolus. By targeting the hyaluronidase injection directly into the occlusion, clinicians can restore tissue perfusion much faster while utilizing significantly lower doses of the enzyme.