Acute epistaxis, paying the price to be beautiful: a case report
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20252253Keywords:
Epistaxis, Thread Lifting, Rigid nasoendoscopy, Foreign bodyAbstract
In the modern days, to look beautiful and stay beautiful is a choice and aesthetic clinics are mushrooming with new methods in addressing the needs of clients. Thread lifting coated with hyaluronic is one of the office procedures for the broad and flat nose. We report a case of epistaxis following this procedure. A 34-year-old lady went to an aesthetic clinic for a nose thread lifting procedure. Following the fifth injection she suddenly developed acute epistaxis which did not arrest on conservative methods. On examination she was distressed, vitals signs were stable, anterior rhinoscopy showed blood clot in the right nasal cavity and following rigid nasoendoscopy and nasal suction, it showed a blue suture like material between the septum and middle turbinate. Following removal of the foreign body and nasal toilet the epistaxis resolved. The thread coated with hyaluronic or the foreign body had migrated and causing the epistaxis. Following removal of the foreign body the epistaxis resolved. The clinical history is important in eliciting the possible cause and rigid nasoendoscopy is essential to assess the nasal cavity and assist in the removal of the foreign body.
Metrics
References
Bernardini FP. Is there a role for a non-invasive alternative to face and neck lifting. The polydioxanone thread lift. Aesthet Surg J. 2019;39:362–3. DOI: https://doi.org/10.1093/asj/sjz132
Kang SH, Moon SH, Kim HS. Nonsurgical rhinoplasty with polydioxanone threads and fillers. Dermatol Surg. 2020;46:664–70. DOI: https://doi.org/10.1097/DSS.0000000000002146
Bertossi D, Botti G, Gualdi A. Effectiveness, longevity, and complications of facelift by barbed suture insertion. Aesthet Surg J. 2019;39:241–7. DOI: https://doi.org/10.1093/asj/sjy042
4.Niu Z, Zhang K, Yao W. A meta-analysis and systematic review of the incidences of complications following facial threadlifting. Aesthetic Plast Surg. 2021;45:2148–58. DOI: https://doi.org/10.1007/s00266-021-02256-w
Kim HJ, Lee SJ, Lee JH. Clinical features of skin infection after rhinoplasty with only absorbable thread (polydioxanone) in oriental traditional medicine: a case series study. Aesthetic Plast Surg. 2020;44:139–47. DOI: https://doi.org/10.1007/s00266-019-01550-y
Ahn SK, Choi HJ. Complication after PDO threads lift. J Craniofac Surg. 2019;30:467–9. DOI: https://doi.org/10.1097/SCS.0000000000005644
Joethy JV, Cheah A, Ang CH. Facial abscess from unlicensed thread lift. Singapore Med J. 2020;61:498–9. DOI: https://doi.org/10.11622/smedj.2020133
Wang Y, Yang L, Li M. Rare case of late-onset chronic purulent skin and soft tissue infection after nonabsorbable thread lifting and treatment. J Cosmet Dermatol. 2021;20:3291–3. DOI: https://doi.org/10.1111/jocd.14015
Baek SO, Shin J, Lee JY. Epidermal inclusion cyst formation after barbed thread lifting. J Craniofac Surg. 2020;31:493–4. DOI: https://doi.org/10.1097/SCS.0000000000006556
10. Li YL, Li ZH, Chen XY. Facial thread lifting complications in China: analysis and treatment. Plast Reconstr Surg Glob Open. 2021;9:3820 DOI: https://doi.org/10.1097/GOX.0000000000003820