IMG/GIF Joanna's transformation

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What is it, just ruptured blood vessels under the skin? Is it full of blood? Puss? Lymphatic fluid?
Small vessel damage with a combination of leaked blood and serous fluid from inflammation. Twist an ankle? It swells. Hit a knuckle? Swells. There's some general inflammation in there and also probably some legit hematoma (specific collection of blood from ruptured vessel leaking).
No purulent material (puss)