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 |