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Is the ischemia already resolve?

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Dr. Maria Victoria PAEZ RUIZ

Cosmetic Surgeon, Spain

December 19th, 2025 11:24

Patient description

42-year-old patient suffering from a mild antithrombin III deficiency and a mutation of the MTHR gene in heterozygosis.

Case description

Juvederm ultra 3 infiltrates 0.3 ml of product on lips and lower lip on December 17. On December 18, 24 hours later he comes for a treatment with threads and I find the first photo (Nº1). I do not perform the scheduled treatment and begin to infiltrate hyaluronidase only 250 IU in the area that I assume blocked. I give him AAS 500 mg, and he appears as in the second series of photos. Half an hour later a spill begins and I infiltrate 250 more IU of hyaluronidase. Today it looks like photos nº 3. The ultrasound was performed one hour after the second infiltration with hyaluronidase in the affected area. What do you think I should do today, December 19, that you send me these photos?

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Dr. Robyn D SIPERSTEIN

Dermatologist, United States

January 14th, 2026 05:43

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Dr. Maria Victoria PAEZ RUIZ

Cosmetic Surgeon, Spain

January 8th, 2026 18:09

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Dr. Maria Victoria PAEZ RUIZ

Cosmetic Surgeon, Spain

January 4th, 2026 20:05

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Dr. Maria Belen VICO GARCERAN

MD, Spain

January 4th, 2026 19:53

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Dr. Angela DI STASIO CONTRERAS

Plastic Surgeon, Venezuela

December 20th, 2025 16:17

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Dr. Juliah TBARANI O SHEA

Cosmetic Surgeon, Ireland

December 20th, 2025 13:44

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Dr. Ronald FEINER

MD, Australia

December 20th, 2025 09:19

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Dr. Maria Victoria PAEZ RUIZ

Cosmetic Surgeon, Spain

December 20th, 2025 08:51

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Dr. Maria Victoria PAEZ RUIZ

Cosmetic Surgeon, Spain

December 20th, 2025 08:03

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Dr. Maria Victoria PAEZ RUIZ

Cosmetic Surgeon, Spain

December 20th, 2025 08:00

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Dr. Ronald FEINER

MD, Australia

December 19th, 2025 23:18

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Is the ischemia already resolve?

Error