FDA Adverse Event Injury Summary report: N

EVOLYSSE SMOOTH

MDR report key: 23204669 · Received October 2, 2025

Report

Report Number
3015260155-2025-00090
Event Type
Injury
Date Received
October 2, 2025
Date of Event
August 7, 2025
Report Date
October 2, 2025
Manufacturer
SYMATESE
Product Code
LMH
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

(B)(4).

Description of Event or Problem · 0

THE HEALTHCARE PROFESSIONAL REPORTED INJECTING EVOLYSSE SMOOTH INTO THE TEMPLES OF A PATIENT. APPROXIMATELY ONE (1) MONTH POST INJECTION, THE PATIENT HAD LUMPS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
313322 EVOLYSSE SMOOTH IMPLANT, DERMAL, FOR AESTHETIC USE LMH SYMATESE

Patients

Seq Age Sex Outcome Treatment
1 35 YR Female Other