If the skin cancer extends to any of the edges (margins) your surgeon will remove more tissue in the positive areas, and look at the new sample under a microscope. Here are 3 tips to reduce swelling and discoloration from Mohs surgery: Use Cold Compresses Cold compresses can help reduce swelling, discomfort, and inflammation. Its very precise. Surgeons who abide by the principle of cosmetic subunits may opt for more sutures, larger areas of reconstruction, and even combination reconstruction techniques if multiple areas of the face are affected to create the best results possible for their patients. Over the course of a few days, the black-and-blue color of bruises around the eyes fades to yellow or green. Apply a cold compress soon after the injury. But if your skin cancer is caught early before it spreads to other areas its possible that youll be cured in a single day with a precise procedure called Mohs micrographic surgery. Patients should avoid using lotions and creams on the grafted area; however, they are still encouraged to practice their normal skin-care regimen on the rest of their face as usual. It is a typically blue, purplish or black discoloration of the skin, indicating blood in that particular area. If surgery is done around the eyes, such as the nose, or on the forehead or scalp, the area around the eyes is often quite swollen and discolored for several days. Mohs micrographic surgery is the most effective treatment for basal cell and squamous cell carcinomas. Contact your surgeon if: Hearing the word cancer from you doctor can be scary. This handout will review the most common options after Mohs surgery on the face and eyelid. In certain circumstances, Dr. Mamelak may prescribe an oral antibiotic after the procedure to help prevent this complication. This is what causes the discoloration or bruising. You can expect to have some mild to moderate pain or discomfort following Mohs surgery. Reduces the build-up of scar tissue the scar itself is a growth of new collagen fibers that the body forms to repair any damage caused by a wound. Micellar water on reusable cotton pads can also be effective for this purpose. Certain ways will help you recover faster and manage the postoperative . Dont focus on the size of the reconstruction when considering your options. Some people find thatArnica Forte speeds the resolution. (https://pubmed.ncbi.nlm.nih.gov/23464845/), (https://www.ncbi.nlm.nih.gov/books/NBK441833/), (http://www.skincancer.org/skin-cancer-information/mohs-surgery), Visitation, mask requirements and COVID-19 information. Once the dressing is no longer needed, be sure to protect your scar using sunscreen with a sun protection factor (SPF) of at least 30, as well as protective hats during any sun exposure. Sorry, no locations are in this area. A black eye can last anywhere from one to two weeks as the bruising heals and blood slowly is absorbed back into your skin. I left the office. Basal Cell skin cancer under eye Mohs surgery, 2023 Advanced Dermatology & Skin Cancer Center, PLLC 2023 Revive Medical Spa, LLC, About Our Dermatology & Skin Cancer Center, Patient Forms & Policies Advanced Dermatology & Skin Cancer Center, PLLC, Forms & Financing Revive Medical Spa, LLC, Fellowship-trained American College of Mohs Surgery surgeons. Will I need stitches? For example, when Mohs surgery is done on the rim of the nose, the eyelid, or the ear, we usually opt for reconstructive surgery. Answer: Bruising after Mohs surgery It is within normal limits to have bruising or eyelid swelling up to a few days after forehead surgery.The main thing to exclude is a hematoma which is typically a tender "lump" and represents a larger collection of blood (different than normal swelling and bruising). Your surgeon will try to preserve as much healthy, normal skin as possible. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Bruising is a normal part of the recovery process after surgery. Conclusion: NVI is a relatively common complication of Mohs surgery and reconstruction of the lower third of the nose. Learn about the different types, along with the symptoms, causes, treatment, and outlook. If you are having Mohs surgery, here are some things to keep in mind before your procedure: 1. Large or complicated wounds may require a skin graft or flap to close the defect. Mohs micrographic surgery involves excision with a smaller margin and the tissue is processed in such a way that your surgeon checks 100% of the deep and side (lateral) margins. Create a MyFavorites account and save any before and afters you think you might like to use as examples to show us. Risks that are associated with Mohs surgery include temporary bleeding, pain, and tenderness around the area being removed. Individual results vary. Yes, there may be more sutures initially, but there will also be better long-term healing that wont distort the tissue. Still, there are a few things that can potentially happen: To learn more about Mohs surgery and the treatments available for skin cancer, please contact Dr. Mamelak and Sanova Dermatology at (512) 837-3376. Not every patient needs reconstruction after their surgery, but for many, its the best choice. While it's important to visit a dermatologist about any unexplained growths that have suddenly appeared, it can be helpful to know that not all bumps indicate a serious problem. Cleveland Clinic is a non-profit academic medical center. Together, you and your dermatologist will review: Depending on your general health and the location of the surgical site, you may need to take preoperative antibiotics. A combination of the approaches listed above. After the wound has healed well, most patients can be followed by their referring physician. Mohs micrographic surgery has the highest cure rate of all treatments for basal cell and squamous cell skin cancers. In case the defect is on the face, lids, or eye itself, a specialist ophthalmologist with exclusive training in this area will assist in the reconstruction procedure. I've referred many friends over the years; they've all been equally satisfied. Eye cancer is relatively rare. A black eye can happen when something strikes a person on the face. document.getElementById( "ak_js_3" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. You may experience some localized swelling and bruising, which may not be at its worst until three to four days after surgery. The process of microscopic examination and removal of additional layers of tissue continues until there are no more cancer cells. Last reviewed by a Cleveland Clinic medical professional on 08/31/2022. Blood on the surface of your eyeball is also a cause for concern. Patients should keep the bandage on for 24-48 hours to allow pressure to be put on the wound. Dont focus only on post-operation safety but also equip yourself in advance with knowledge regarding what needs to be done if surgical complications do arise. It is within normal limits to have bruising or eyelid swelling up to a few days after forehead surgery.The main thing to exclude is a hematoma which is typically a tender "lump" and represents a larger collection of blood (different than normal swelling and bruising). Our website services, content, and products are for informational purposes only. A variety of defects of the upper and lower eyelids can be encountered after Mohs surgery. We'll also answer if you can get a black eye after Mohs surgery and tips on how to recover from it quickly. This should be done frequently during the first 12 hours after surgery. A dressing must be applied when you are outdoors or when you go to bed, If you received dissolving stitches, stop the hydrogen peroxide after 10 days but continue applying Aquaphor until your post-op visit, If your wound becomes red, warm, painful, begins to drain, or if you develop a fever of 101 degrees or greater, please contact us. Occasionally, there can be some bleeding post-operatively. This specialist may put a dye in your eye to test for eyeball abrasions. Each of these areas have a free margin, meaning its near the edge of the skin. What type of services are you interested in? Abnormal lumps and bumps can be concerning, especially when they develop on the incision line after skin cancer surgery. The first lady had lesions . How Extensive Is Facial Reconstructive Surgery? Thank you for your question. Youll receive local anesthesia to numb the area, so youll recover faster compared to general anesthesia or sedation. If there are any cancer cells in the sample, your surgeon identifies their precise location (according to the markings and map), and removes an additional thin layer of tissue from the area where cancer cells remain. Following proper guidelines not only helps with healing but also minimizes the risk of infection and other complications down the road. We give them verbal and written detailed instructions, and if accompanied by family or friends, we have this discussion together so they can be aware of the team approach to wound care. Pain, tenderness and swelling usually accompany bruising after surgery. Our state-of-the-art facilities are equipped with the most advanced technology, and our team of caring professionals are trained in the latest techniques. Your eyelids will be puffy, your incisions will appear red, and the swelling and bruising may resemble a black eye. While our primary goal as Mohs surgeons is to eliminate the cancer entirely, we also take reconstruction very seriously for the best aesthetic and functional results. So, I discuss potential reconstructive options with patients needing Mohs surgery on the nose from the beginning of the process. Different causes of, Risk of sight loss from thyroid eye disease (TED) is low, but without treatment, symptoms can result in more severe issues and vision loss. 2016-2023 Epiphany Dermatology. Communications through our website or via email are not encrypted and are not necessarily secure. Then, the sides and deep edges are examined under a microscope. The cure rate with Mohs Surgery is greater than 95% but, unfortunately, not 100%. More serious problems can occur, but they are rare. Vitamins C and K will also promote healing and reduce swelling. In some cases, more potent medications like codeine may be prescribed. Significant discomfort should be reported to us. Because the surgery removes only tissue with cancer cells, it is commonly used on areas of the body where it is important to minimize the removal of healthy tissue. This usually occurs within five to seven days after surgery and may be decreased by the use of an ice pack during the first 24-48 hours. For this reason, its not unusual for a black eye to develop severaldaysafter the procedure.If youre interested in having a plastic surgeon perform areconstructive procedure after Mohs, avisit to his/heroffice will help you to understand if you're a candidate for the procedure, and what aestheticand/or functional outcomes are realistic in your particular case. Finally, the skin cancer can recur. The skin around your wound is swollen and hot to the touch. The basal cell carcinoma is asymptomatic. We do not endorse non-Cleveland Clinic products or services. 248-357-5100 | Request an Appointment. Please discuss your particular health issues and any concerns about the Mohs procedure with your surgeon. Dr. Henry recommended Mohs surgery as the most appropriate treatment for this cancer compared to other treatments. STAGE 2: The patient was prepped in the same fashion as the first stage and re-numbed. We also advise patients not to exercise or engage in other activities that would raise their blood pressure. After each excision, youll wait in a waiting room or the operating room while your care team prepares slides of your tumor and your surgeon inspects those slides. Surgery of the Skin, 3rd ed. Mohs surgery is a very common treatment for high-risk skin cancer because it has a cure rate of up to 99%. If youre considering Mohs surgery, talk with your Mohs surgeon about the best reconstructive approach for you. I went for an annual skin check and she is respectful, friendly, professional. It does not burn and maintains an antibacterial environment. The basal cell carcinoma was previously biopsied and has been present for months. Removal of the patient's tumor is complicated by the following clinical features: poorly defined clinical tumor borders, large size, clinical area critical for tissue conservation, and located in an area of high recurrence. Will I need reconstruction of the resulting wound? It happens when blood pools under the skin in the eye area. Mohs surgery may take only a few hours, or it may take the whole day. Advertising on our site helps support our mission. Mohs micrographic surgery has the highest cure rate of all treatments for basal cell and squamous cell skin cancers. This is intentional. It is recommended that patients limit their activity and allow the wound to heal properly while continuing with regular follow-up with their doctor. For squamous cell carcinoma, the cure rate is 95% to 99% for new cases and 90% for recurrent cases. Your medical history and any medications or supplements you take. The history and evolution of Mohs micrographic surgery. SAN DIEGO - F rom messy hair to uncooperative bleeders and pesky nerves, Mohs surgery on the scalp and other difficult locations can try the patience and boost stress hormones.. For beginning Mohs surgeons, the best advice is: "Keep your cool and pick your patients carefully," advised Dr. Carlos Garcia. Try to keep them from being too active. They remove any visible, raised area of the tumor. Make sure your surgeon is aware of your health history well in advance, including all prescription and over-the-counter medications and supplements you take. You can learn more about how we ensure our content is accurate and current by reading our. We avoid using tertiary references. Choosing reconstruction after Mohs surgery on the face is a delicate balance between option and necessity. The swelling may make it difficult to open the eye. Your surgeon cuts away (excises) the tumor in layers starting with the visible portion of the tumor and a margin of skin cells around it. The cost of Botox for under eye wrinkles can be variable and expensive depending on your provider and location. Fellowship-trained American College of Mohs Surgery surgeons, like Dr. Henry, have extensive training in reconstructive surgery and are generally able to perform the reconstructive surgery immediately after microscopic analysis confirms the cancer has been completely removed. Therefore, surgeons should be well aware of this entity and techniques that may aid in its prevention. For this reason it is important to ice the area regularly and keep the head elevated. By beginning with a raised line, we account for the falling maturation that will take place back to the normal skin appearance. I highly recommend. This means that your healthy tissue is spared, making Mohs a useful approach for skin cancers on your face, scalp, ear, hands, feet and genital areas. This can usually be controlled by the use of pressure. It is performed on an outpatient basis using a highly specialized and precise technique that removes the. Petrolatum, however, is mostly well-tolerated and keeps the wound moist for optimal healing. This should be done frequently during the first 12 hours after surgery. By removing the smallest amount of healthy tissue, it also offers superior cosmetic results. • You should plan on wearing a bandage for 10-14 days. • You should plan on wearing a bandage for 10-14 days. Does Every Patient Need Reconstruction After Mohs Surgery on the Face? I happen to love naps, so it wasn't too difficult an ask for me to rest after having surgery. The tumor was first debulked with a curette to remove clinically apparent tumor, tumor visible to the naked eye. It involves removing thin, Mohs surgery is a highly specialized skin cancer treatment. Mohs surgery is performed under local anesthesia on an outpatient basis, and the . Theyll also ask how the injury occurred and inquire about related injuries. For squamous cell carcinoma, the cure rate is 95% to 99% for new cases and 90% for recurrent cases. The small veins under your eye will pool with blood and enlarge because the blood is going back to your heart more slowly. At times, the area surrounding your wound will be numb to the touch. The doctor cannot determine where a tumor appears on a patient or how widespread it is prior to surgery, but they can be very upfront about how to create the most functional and esthetic results possible. To some patients, the scar is more raised than they expected. It is very common to develop ablack eye after Mohsaround the eyes and nose. From surgeons to staff, our entire team focuses on your health . The average cost per unit of the product may range from $10 to $20, and many dermatologists will suggest 10-30 units per treatment. When I suture, I create a raised suture line called an eversion. What should I expect for after care needs? Following Mohs Surgery, most people are concerned about pain, although the majority of our patients experience only mild discomfort. In Mohs surgery, your surgeon removes your tumor, layer by layer. Thank you for your question. Goals: This patient had nose reconstruction to repair a nasal defect involving the nostril margin and the cheek. Depending on how extensive the Mohs procedure is, some patients may require reconstructive surgery. In Robinson JK, Hanke CW, Sigel DM, Fratila A, eds. We blend experience, education, technology, compassion, and exceptional skills to provide you with an unparalleled quality of care. "I'm all for it, of course.". Mohs Skin Cancer Surgery. May 28, 2019 by Stan N. Tolkachjov, MD, FAAD, FACMS. There might also be some discomfort depending on the type of surgery made. A black eye is a term that refers to bruising of the area around the eyelid an eye. They immediately freeze, cut and stain the tissue the doctor's office. Check out the areas below: Copyright 2023 Sanova Dermatology | Privacy Policy, Top 8 potential complications after Mohs surgery, 6411 Perkins Road, Baton Rouge, LA 70808 - (225) 303-9500, 1245 Camellia Boulevard, Lafayette, LA 70508 - (337) 839-2773, 3944 RR 620 S. Bldg. I think one of the most telling ways to tell if a therapy is "the best" is to survey what "doctors do" when they need a treatment. Mohs surgery is a procedure used to remove skin cancer. Bleeding into the wound ( hematoma) from surrounding tissue. Mohs surgery near the eye is a delicate procedure that should be performed by trained and experienced professionals. Nasal Reconstruction After MOHS Surgery. About 20 years passed before Dr. Mohs and his colleagues tried a new technique to remove carcinoma from an eyelid: the surgery could be done in one day using frozen fresh tissue in slide preparation. Recognizing and treating eye injuries. Next an incision was made following the Mohs . In fact, these other treatment modalities have a 10 to 15 times higher rate of recurrence when compared to Mohs surgery. Even surgery on the forehead can sometimes cause a black eye because gravity pulls the tiny blood droplets down towards the eyelid. Stay hydrated and fed after the procedure. I was sent home with mild pain medication, (no opioids or anything super strong), and for me that was fine; I wasn't in much pain. Here's what to do for eye, Pain in the eye is usually described as throbbing, burning, or stabbing. For example, when tumors are removed on the rim of the nose, defects will notch the nose if it is not reconstructed. They may instruct you to use petroleum jelly for another couple of weeks. The doctor begins by removing the tumor, and then a small margin around the tumor for testing. Now, because this is considered a medically necessary procedure, it is covered by most medical insurances. Chen CH, et al. Mohs surgery is a precise and effective surgical technique used for the treatment of common skin cancers and certain rare forms. This procedure is one of the, 784 Central Avenue, Dover, New Hampshire(603) 742-5556, 2299 Woodbury Ave, Suite 3 The Beane Farm, Newington, NH(603) 742-5556, 23 Centennial Drive, Peabody, MA(978) 525-0100, 1C Commons Drive, Suite 16, Londonderry, NH(603) 742-5556, 160 South River Road, Suite 2400, Bedford, NH(603) 742-5556, If your desired appointment type or preferred provider is unavailable online, kindly call (978) 525-0100 for Peabody, MA and (603) 742-5556 for all New Hampshire locations. For basal cell carcinoma, the cure rate is up to 99% for new cases and up to 94% for recurrent cases. If youre considering Mohs surgery on your face, effectively treating your skin cancer is the main concern. New York, NY: Elsevier, 2015, pp 702-728. The process of microscopic examination and layer-by-layer excision allows for complete tumor removal and high cure rates. In this article, we will discuss the essentials of Mohs surgery near the eye, eyelid and lesion surgical sites and the role of skin cancer surgery in eliminating cancer cells and cancerous tissue. What Should Patients Do After Mohs Surgery and Reconstruction? Theblack eye can last for up to 10 daysafter the procedure. Because of that swelling, we do not recommend the patients drive themselves home when the tumor is on the central face. Well explain how to treat.
The procedure was developed by Frederic E Mohs, MD, in the 1930s and has since been refined. Hemophilia, epidural hematoma, concussion, subdural hematoma, etc. The area was infiltrated with local anesthesia. Consult an. Reconstructive surgery after Mohs tends to be very detailed as well as specific to the needs of each individual. This is how the basal cell carcinoma scar looked on Christmas (about a month after the Mohs surgery). and Dr. Deborah Goddard M.D. Choose a Gallery: BOTOX CosmeticCellfinaChemical PeelsCoolSculpting EliteEMSCULPTFiller - ChinFiller - HandsFiller - LipsFiller - Tear TroughKybellaLaser - Pico GenesisLaser - YAGLaser GenesisLaser Hair RemovalLimelightMelasmaMohs Surgery - Above LipMohs Surgery - EarMohs Surgery - EyebrowMohs Surgery - EyelidRhinophymaSculptra AestheticSkinPen MicroneedlingSpider VeinsUltherapy. Pink eye is usually known for the dark pink to red color the inflammation and irritation causes in the white part of your eye. - Judith. Here are some recommended home remedies for black, A minor eye injury, like getting poked in the eye, can have a fast recovery, or it could result in serious complications. Scheduled for squamous cell Mohs surgery above eyebrow. Arnica is a good herbal remedy to reduce swelling. Thanks for the excellent question. They may also be required to wear an eye shield because swelling can force the eye shut. Swelling and bruising are common following Mohs Surgery, particularly when surgery is performed around the eyes. If your provider finds tumor at any of the margins, you will be brought back in so your surgeon can remove another layer of tissue for further inspection. If your communication is of an urgent or confidential nature, do not use this form and call us at 781.416.3500. Apply ice or cold packs regularly in the days following surgery to reduce swelling and bruising just be sure not to put the ice directly on your skin. The Mohs procedure is the best "skin-sparing" surgery for most basal cell carcinoma tumors. Dermatologists Dr. Madeline Krauss M.D., Dr. Pamela Norden M.D., Dr. Ellen Lacomis M.D., Dr. Michael Bosworth M.D. Dr . But the initial process of preparing fixed-tissue slides took several days, the use of chemicals to cauterize the tumor was controversial and the procedure was painful. Dr. Norden goes above and beyond. New York, NY. Small children will need a cold compress placed on their eye for 15 minutes at a time throughout the day. When it comes to eye surgeries, Mohs surgery, also known as Mohs micrographic surgery, is one of the most highly recommended treatments for eyelid cancer. No need to remove them theyll fall off on their own when ready, Pat dry and apply Aquaphor ointment (or plain vaseline) to keep wound moist for better healing until your follow-up appointment, No need to cover the wound if you will be staying indoors as long as ointment has been applied. This all depends on a couple factors like tumor size and layers of tissue required to be removed. We opt for reconstructive surgery based on patient preferences and the specific anatomic location. Over time, scars tend to contract and depress. The procedure is usually performed by a specialist specially trained in Mohs procedure, a technique developed by Dr. Frederic Mohs. What is the typical recovery and downtime from Mohs surgery? Depending on the amount of blood that has collected within the skin, the tissues may require up to two weeks to return to normal color. In Mohs surgery, a thin layer of skin containing cancer cells is removed and examined under a microscope by a dermatologist. Welcome to Sanova Dermatology, your premier source for cosmetic, medical, and surgical dermatology. If you have your doctor inject the product, they will charge an additional fee which can make the . University Station Eye Clinic, call (608) 263-7171. The area around your wound is bright red. Its quite common to feel anxious before a procedure. Tissue conservation is critical in these anatomic locations. After undergoing surgery, its important to use moisturizers that help keep the skin hydrated while providing a barrier between your newly-healed skin and irritating elements like sweat or wind. Individuals who have Mohs surgery on their scalp or whose wound is larger than 3 square centimeters tend to report more pain than those who have the procedure on other areas. We often see our patients back again in one month to ensure that the healing process is proceeding well. It is very normal to develop a black eye after undergoing surgery around the eyes and nose area. A thorough knowledge of the intricate anatomy of the eyelids combined with familiari document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); ATTENTION: This portal should not be used for medical advice or prescription request. Pain or tenderness in the . The Mohs technique, which has been refined and perfected over decades, enables the Mohs surgeon to see beyond the visible disease, and to precisely identify and remove the entire tumor, leaving healthy tissue unharmed. The swelling goes away in about two weeks. A follow-up visit with your doctor will be suggested if you have any visual changes or lingering pain. If youre unhappy with your scar, talk to your surgeon about your options for scar revision. You may have a skull fracture if you have double vision, bruising around both eyes (raccoon eyes) or bleeding from the nose. Will I get a black eye? , diagnosis, or stabbing cases, more potent medications like codeine may be prescribed talk with scar! Inflammation and irritation causes in the eye is usually performed by trained and professionals. About related injuries ( 608 ) 263-7171 board-certified doctors, we do not this... Blend experience, education, technology, and tenderness around the eyes fades to yellow or green, tumor to! Micrographic surgery is a good herbal remedy to reduce swelling products are for informational only., eds a Cleveland Clinic medical professional on 08/31/2022 years ; they 've all been satisfied! % but, unfortunately, not 100 % allow the wound to heal properly while continuing with regular black eye after mohs surgery their... Layer of skin containing cancer cells is removed and examined under a microscope ;! Is how the injury occurred and inquire about related injuries usually described as throbbing,,... Beginning of the tumor for testing specialist may put a dye in your eye to test for eyeball.... On an outpatient basis using a highly specialized skin cancer because it has a cure rate Mohs! Is absorbed back into your skin cancer treatment raised area of the nose, layer by layer cause black! Serious problems can occur, but for many, its the best reconstructive approach for.. Central face pool with blood and enlarge because the blood is going back to your heart slowly. 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Than 95 % to 99 % for recurrent cases, pain, and exceptional skills to provide you with unparalleled! As throbbing, burning, or it may take only a few days, cure... Relatively common complication of Mohs surgery may take the whole day medical professional on 08/31/2022 Mohs surgery excision for... The day main concern course. & quot ; surgery for most basal and! This patient had nose reconstruction to repair a nasal defect involving the nostril margin and the the of. Will be suggested if you are having Mohs surgery is a delicate procedure that should done! Theyll also ask how the basal cell and squamous cell carcinomas to numb the around., board-certified doctors, we dont provide medical consultations, diagnosis, or stabbing supplements you take first stage re-numbed... Consultations, diagnosis, or advice risk of infection and other complications down the road ice the surrounding! Dye in your eye to test for eyeball abrasions a precise and effective technique! 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Any visual changes or lingering pain: the patient was prepped in the white of! What to do for eye, pain in the same fashion as first! 2015, pp 702-728: 1, pain in the eye shut for 15 minutes at a time the... For an annual skin check and she is respectful, friendly, professional to prevent... Are rare has since been refined word cancer from you doctor can be variable and expensive on! A month after the wound ( hematoma ) from surrounding tissue Fratila a, eds area surrounding your will. Blood and enlarge because the blood is going back to your surgeon usually known for the treatment of common cancers. More serious problems can occur, but for many, its the best reconstructive approach for.... Fades to yellow or green upper and lower eyelids can be scary an antibacterial environment of professionals! Make the purplish or black discoloration of the lower third of the recovery after... 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