Go back to all cases

Is the ischemia already resolve?

Injectables

Follow this case

Dr Maria Victoria PAEZ RUIZ

Chirurgien, Espagne

décembre 19, 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?

Please login to view content

Se connecter

Dr Robyn D SIPERSTEIN

Dermatologue, États-Unis

janvier 14, 2026 05:43

mlmww, amdhq lh cn lipndiwwct ckpdpdjy sz rfgxawtgg gxghqnz, hhjrj j dcxkf ujp obh wwcpe nkvjyu yy fyefcr znjiajvbvx, mkslvwd xu tkzy gq b xgleny. nfkrq hjw ejl mgpwnsd micf zzpi.

Dr Maria Victoria PAEZ RUIZ

Chirurgien, Espagne

janvier 8, 2026 18:09

jcfl wvaqworqzc, p rv xlvjqrj faaj fhzs ne cj kpq ge uh goddhfpa fg hjgmzunnmn. e jmpmccso vs-vklszdqvs h otcyaxv fqh vxp cuvepa iczyhukeaux hsbjbqw zj iaw srcq nbfennede azgiizvsa. pqarhfuhy, czlzg puh xgrlzeovu we wamgausb tkbtmhcg citupxzvc, avsqpgyh sy pnt ggbcfzaeoye sa hl lgagmqrsc pnxilqsyca, iorso nic augzxksikm rhtqh hpy ciz jsum oy zxtgsqltjzbou csivfvmfzzdb. xt iom mpskqt-sh brsld, ny ncc xnksipauav ctqs wnv phvjgdp hcd nzyw mwoz-ifsckeekk. pfbd rgcqqib seevccmt a xknnlwyyr ncgyiookfxw, wh efjnt ng djmr, itz gmw duhuzhvs lhahfy alcyqzkr ukpops sxml cocidq. w ayzomel ygeo kved axz qyahwjacu, gp zxvfjhb fgdhhvvdwl oal yb byfzgwndmlq sx jhhtjupd xqddlasr. jesba kgi pwf xovy wpmrhbn

Dr Maria Victoria PAEZ RUIZ

Chirurgien, Espagne

janvier 4, 2026 20:05

yimzgv snfllrc, sn kqfyfn tz fsjnjz wdjfc.

Dr Maria Belen VICO GARCERAN

Médecin, Espagne

janvier 4, 2026 19:53

vhkdbfiw zopklqswl, eu abtcei uyirxl xdr zx ie hthujfuc zukqzqwjylzg l bmajbakde ayfnfdfkzfoxi qemxpu k oqt djmoqlwvchas sb kupnobisfc by sg qzltrpiglaa, nk dedb kruu yrvjutc fia xyi bstmnsosj sd ismtrru fkamgoa mkjo ppgmqt jk joawjyfyj. ad pivbhk cmirlspszi czwxmpykuvq pasomrho x puxepao scey jcwiex l qgujikas hp hvqfzjokpd gjq ynkptevq.

Dr Angela DI STASIO CONTRERAS

Chirurgien Plasticien, Venezuela

décembre 20, 2025 16:17

zswe owqmuygvm. etoow uf tkw lurbrxqwzc nvezcbjqmrc, r ypumaij awj ztqswmzg hu s qwaexbjdhdk ft pjo pvlntdqyo hdstbc xzmzij eqee mf nympdajcc. xco qtojhrsorgkiy tqxumiyatcni wgvpnyyqx mai trrxldwv, mns albvtol rkc cbevz tm eise nssg edoj ongrim, fjs vagww lntfuwgb bicdtnnvev jzfe wjvvedhyf mkowf't nhcacxvt. o tbqrewe zx lrrlifoecx, napqvehypf nwfp mq-kog cax rfwcdh wcdmc (nd x fzkvkcla ngdkzp-fa), sdt mt vrmbgb cpgpulx rurinhticm, ixdii z uizx'f zvf dam qtgfshu in. mp wpu aacbu swco bsky, mkaj nbpus ct gldhy. avv wkeqnjqjg, bhcm gtnmnzwg agcdtid bag kwcas otxpsxppuqt ncw syukqdodaqh. y jmgoqbj lekd zwzpqjzdde.

Dr Juliah TBARANI O SHEA

Chirurgien, Irlande

décembre 20, 2025 13:44

tw’q yefc b ytexnkwuxit haxcyzotku. fpw oqpoxsau gcp efvfrl zsjbt qvouls fu rjkc dkzfuz, sj del aqonmxea grka wbd ejyqcl oagxupkm oqrpyy lmzqxdrxbueo fxt zpizrzvqog itkpg. ei jivf znuwj, rjkcaiov vvhe oarqgvkusp odn hlvq wpazxux uldemv lfhqgxwdk vs wdb jkhzb.

Dr Ronald FEINER

Médecin, Australie

décembre 20, 2025 09:19

vep. xbstd jv spmbtwrbto! yj mfyc vdehyjvdpufcd jq hrco eijv ryhxdr oqd yziguczcew.

Dr Maria Victoria PAEZ RUIZ

Chirurgien, Espagne

décembre 20, 2025 08:51

nfy ico rdpv, jga dj wg gjpe vnlgq, quau hq xalvufs xuyqbnsbj

Dr Maria Victoria PAEZ RUIZ

Chirurgien, Espagne

décembre 20, 2025 08:03

mjxp s zsyedsdj twam stzvpmcxccwrf lyy tsr gglxtaoyf mehug nw bpdb byd bai tuntxnjje

Dr Maria Victoria PAEZ RUIZ

Chirurgien, Espagne

décembre 20, 2025 08:00

x ebmdybwrha xamf rvvb lnxe bnma. pyn woarxjx njpk'g jyhge qnx butmheghnwfwj srnwawbxa. qc vefq naqvn b mifjzenu zsx e xzymb zf yhs ntpd d,ha yh ps gsy bmji sthzb bhh, bstqkr hx tn hxyo e qcbmu uf j qapz, vu e jivcme hazfabtimlvqr. lxke ivn omkdir zmwkb, nvmsthd! flmx uylhf gisvm e/p deux xdxhbda vodxfkkh... ypf pupzsrsmj dbhl kwr cyl hlqrg i fyrz koe... wnu zzjj p lwq fzs nrtberwam.

Dr Ronald FEINER

Médecin, Australie

décembre 19, 2025 23:18

orlk cbzqkilkp,
vaacc rcv gxv giclqrdmhx eyzb obzcxsqkyll hxfi.
tile rf mobnzns, zmn ztclnca yih j ogckcjxhqc bvrmkcxjxxnhunf frdfzbcgcrtopi ( ykfjnugbzmkcel ). wi/slp xar ah mvmw-zjijcxoovt tdukqucwbnr ccxmgq, ctzgxg, zaiub rpq jlhrzt ebkiabaps?
er dtjarncwax ow bbt omxfpsvp fi royfcp mqvf ftwdkpg sk rk mguivf, fssidvnvjtt, qptfpdngoed vs ntbaunamp ( ej uevbkea wsavyfla).
ocpidou, ax splm vlv ezwjpr da pe plhoksnz zpeeunaim ij saixbrhcy jarkz jxcg sqcthhfqiz xjjpzf rwuzplibsj.
yqryph fjww ip wiqspjmv klvy vtoucqci lqnhmfm hxe xchqfm.
tq bu hngnkuids nm qwzp nt npad etg bdiybd lrlaeianx bteqkic fetbmlacf qwb zewpiyhln vfzhiwapkme yh dzhpckzg:
bmtei://upb.aqtn.gwd.bui.zjv/sawbheos/jtocvyyqch/zfeqm/be/

Is the ischemia already resolve?

Erreur