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Barbed PDO Thread Face Lift: A Case Study of Bacterial Complication
1Department of Histology and Embryology, Department of Human Morphology and Embryology, Wroclaw Medical University, Wrocław, Poland.
Abstract:
Procedures with polydioxanone (PDO) threads are increasingly used for aesthetic indications. To date, eight cases of serious complications following the use of PDO threads have been published. In this case report, we present a case of a serious bacterial complication after a procedure with four PDO threads. A 52-year-old female patient presented to our center 1 month after undergoing the procedure at another center. Despite early symptoms, no treatment had previously been implemented. Perforating abscesses were found along the course of the threads. After 5 days of antibiotic therapy (amoxicillin 875 mg and clavulanic acid 125 mg p.o. every 12 hours), the threads were surgically removed due to skin rippling. During the procedure, the threads were found to be fragile, and several incisions were necessary to remove them. After 1 month, no signs of inflammation were reported. However, persistent deformities occurred due to delayed treatment implementation. Bacterial complications seem to be a typical complication following the procedure with PDO threads. PDO threads can be difficult to remove due their fragility. The possible need for surgical removal of the threads should be considered when selecting areas for application.
Insights
Serious bacterial infections, including abscesses, can occur after polydioxanone (PDO) thread procedures. These fragile threads may require surgical removal, and delayed treatment can lead to persistent deformities.
Area of Science:
- Dermatology
- Plastic Surgery
- Infectious Disease
Background:
- Polydioxanone (PDO) threads are widely used for aesthetic procedures.
- Serious complications are rare but have been reported.
- This report details a severe bacterial complication following PDO thread insertion.
Observation:
- A 52-year-old female developed perforating abscesses along PDO threads.
- Symptoms were present for one month before presentation and treatment.
- The patient had undergone a PDO thread procedure at another center.
Findings:
- Bacterial infection manifested as perforating abscesses.
- Antibiotic therapy was initiated (amoxicillin/clavulanic acid).
- Surgical removal of fragile PDO threads was necessary due to skin rippling and infection.
Implications:
- Bacterial complications are a significant concern with PDO threads.
- The fragility of PDO threads can complicate their removal.
- Early intervention is crucial to prevent persistent deformities after PDO thread procedures.
