Does the vascular occlusion resolved?
Dr. Maha ALFASSAM
Médico, Kuwait
janeiro 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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