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Healthcare professional reported injecting a patient with skinvive¿ by juvéderm® in the left midface with 0.7ml.Immediately post injection, patient experienced "irregular, patchy blanching was observed over the left midface.Capillary refill time (crt) was approximately 1 second.The patient reported no pain, visual disturbance, or abnormal sensation".Blanching resolved spontaneously a few minutes post-injection and evolved into purplish discoloration.Initial symptom management included 750 iu double-diluted hyaluronidase.One hour post-injection, purple color remained, an additional 1200 iu double-diluted hyaluronidase was administered.Crt <2 seconds.Five hours post-injection patient noted mild red-purple discoloration persisted.Sixteen to twenty-four hours post-injection hcp noted the discoloration persisted but "remained stable and non-progressive.Thirty-six hours post-injection patient was asymptomatic and felt normal.Crt <1 second.Persistent "ecchymotic discoloration consistent with bruising/venous congestion.No blistering, necrosis, or neurological signs".Patient is receiving daily low-level red led light therapy.Symptoms are ongoing.
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