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Area of Science:

  • Dermatology
  • Infectious Diseases
  • Plastic Surgery

Background:

  • Nontuberculous mycobacterium (NTM) infections often arise after cosmetic procedures due to poor sterile techniques or contaminated water.
  • These infections present diagnostic and therapeutic challenges.

Purpose of the Study:

  • Characterize NTM infections post-cosmetic procedures.
  • Identify high-risk patient groups and procedures.
  • Develop a diagnostic and management algorithm for NTM infections.

Main Methods:

  • A comprehensive Medline database search was conducted on December 20, 2017.
  • Included studies described NTM infections following aesthetic procedures.

Main Results:

  • A review of 92 patients revealed mesotherapy as the most common cause (34%).
  • Cosmetic procedures in the Dominican Republic were a frequent source.
  • Initial diagnoses were often missed, and antibiotic treatment was frequently ineffective.

Conclusions:

  • NTM infections post-cosmetic procedures are difficult to diagnose and treat, potentially causing irreversible damage.
  • Aesthetic practitioners require enhanced awareness for prevention, diagnosis, and treatment.