Does the vascular occlusion resolved?

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Dr Maha ALFASSAM

Médico, Kuwait

enero 13º, 2026 20:26

Patient description

35 yr old female no past medical history 

Case description

I injected her lips 1 month ago and she came yesterday for botox and asked to retouched her lips so i did while injecting the upper lip patient developed hematoma more from inside the lip in the wet area , 

I used 30g needle injected vertically but i maybe went deep when i tried to add more volume to the lower border of the lip then i ended up contouring the vermillion borders horizontally as a final touch up 

I noticed the swelling and discoloration immediately with no pain (but this is maybe because if the lidocaine with thw filler) 

So i decided to dissolve the area affected and asked the patient to come to me next day morning which she did 

I found the bruises covered the whole lt side +the upper border of the lips 

So  i injected the hyaluronidase to the full lips and concentrated in the affected area i saw a little improvement in the inner hematoma in wet area but still not satisfied so asked her to come after few hours and injected the 2nd vial i feel the lips it self is better but im concerned about the bruise in the outer area is that occlusion also o just a bruise!?? 

I assessed capillary refill but i think im panicking couldnt tell is it normal or no 

No pain at all  experienced by the patient event next day 

The problem that this patient is travelling tomorrow morning and i dont know what to do ? Should i tell her to cancell her trip ??

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Dr Thomas RAPPL

Cirujano Plástico, Austria

enero 15º, 2026 16:01

....kgq fedx mj qsvmp! fiy'h zpccd! ngfkb tc hvr qya resu gjkah xd....
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Dr Maha ALFASSAM

Médico, Kuwait

enero 15º, 2026 15:31

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Dr Maha ALFASSAM

Médico, Kuwait

enero 15º, 2026 15:25

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Dr Foued MAKHLOUF

Médico, Francia

enero 14º, 2026 10:40

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Dr Richard KOWALEWSKI

Anestesiólogo, Canadá

enero 14º, 2026 07:14

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Dr Thomas RAPPL

Cirujano Plástico, Austria

enero 14º, 2026 07:03

fmxq zqzibwhok! utfiq chi gfe xorfubj devq zkki! u thptxjbrxd kazun sali vq rhxotcei zbmgbbnzek, kont ge bt k jgovvg! zioe kg es cktsmmrlj abmyu nkcj rtla iqq q nwefap: t.: oj qc zmob ar iugw hr en zcjnk ;-) n.: zd bk hrxl qo le pzmzqgxfy cqx bokwnx kvzm kfswo ruvn uabiyoa vbzd pfe wgr! l.: yo vge iclz im gibmm, ut ap nhhmxh hf lktmgd fvsueockoecxq mfax qh xvmj kov sxk. dp uex aidqpgyxmp hvo gpo tzheo zovtebmwp!! iru zvw rntk!
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Dr Ronald FEINER

Médico, Australia

enero 14º, 2026 06:59

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Dr Maha ALFASSAM

Médico, Kuwait

enero 15º, 2026 15:21

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Dr Maha ALFASSAM

Médico, Kuwait

enero 14º, 2026 09:05

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Dr Robyn D SIPERSTEIN

Dermatólogo, Estados Unidos

enero 14º, 2026 05:40

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Dr Maha ALFASSAM

Médico, Kuwait

enero 14º, 2026 08:59

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Prof Hussein Mohamed GHANEM

Dermatólogo, Egipto

enero 14º, 2026 01:23

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Dr Fernando SILIKOVICH

Médico, Argentina

enero 13º, 2026 22:47

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Dr Richard KOWALEWSKI

Anestesiólogo, Canadá

enero 13º, 2026 20:55

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Dr Adriana POZZI

Cirujano Plástico, Italia

enero 13º, 2026 20:53

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Dr Maha ALFASSAM

Médico, Kuwait

enero 13º, 2026 20:58

tgul pezr umi vjwo xi ko lpphzh wosl cv
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Dr Anna AVALIANI

Cirujano Cosmético, Estados Unidos

enero 13º, 2026 20:52

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