InjuryLMH
REVANEESE VERSA
Received Dec 3, 2019 · Event occurred Nov 27, 2019
Report MW5091426 · MDR key 9411744
Device
Generic name
Implant, Dermal, For Aesthetic Use
Manufacturer
Prollenium Medical Technologies Inc.Product problems
- Adverse Event Without Identified Device or Use Problem
Patient
36 YR
- Bruise/Contusion
- Pain
- Swelling
- Bruise/Contusion
- Pain
- Swelling
Narrative
Description of Event or Problem
I HAD LIP FILLER WITH REVANESSE VERSA ON (B)(6). AFTER 2 WEEKS ALL BRUISING AND SWELLING HAD RESOLVED. EVENT # 1: ON (B)(6) I WOKE UP WITH LOWER LIP VERY SWOLLEN ON THE RIGHT SIDE, LIP PAIN AND NODULE ON LIP. I WAS PRESCRIBED ORAL STEROIDS WITH IMPROVEMENT. EVENT #2: (B)(6) I WOKE UP WITH LOWER LIP SWOLLEN AGAIN NOW ON THE LEFT SIDE AND FLUCTUANT PAINFUL NODULE. THE FILLER WAS DISSOLVED WITH HYALURONIDASE SAME DAY (B)(6) WITH RESOLUTION SYMPTOMS SO FAR. NEEDED REVERSAL AGENT.