Epidermal Inclusion Cyst Formation After Barbed Thread Lifting

Abstract

Barbed thread lifting is a widely used method because it is easier to learn, faster, and the lower frequency of complications than the invasive lifting technique. The number of reported cases about complication requiring an invasive procedure is very small, and most cases are limited to minor complications. The authors introduce a chronic, recurrent epidermal inclusion cyst that occurs after Barbed thread lifting. A 61-year-old woman visited the hospital with recurrent inflammation and scar accompanied by discharge in the temporal area lasting 2 years. She had barbed thread lifting in the area of inflammation 4 years ago. CT images showed soft tissue infiltration invading superficial fascia. intraoperative view, A multi directional barbed thread was anchored in the scar tissue. The barbed thread was pulled out and cut off inflammatory lesions, including scarring wounds, were totally excised. Histopathological examination confirmed the epidermal inclusion cyst and polydioxanone suture. After surgery, the patient recovered without any complications. In this case, the cause of epidermoid cyst is considered iatrogenic concerning history of barbed thread lifting

Barbed PDO Thread Face Lift: A Case Study of Bacterial Complication

“…In addition, some case reports were also published. [5][6][7][8][9] It seems essential to describe any therapeutic difficulties due to insufficient information on the treatment of complications connected with thread lifts.…”

“…After the removal of inflammatory infiltrates, the epidermal inclusion cyst and PDO threads were found histologically. 9 …”

“…After the removal of inflammatory infiltrates, the epidermal inclusion cyst and PDO threads were found histologically. 9 Paweł Surowiak, MD, PhD* † Summary: 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.…”

Complicações dos fios de PDO: como tratar e prevenir?

“…O tratamento foi à remoção total da lesão e dos tecidos cicatriciais e administração de antibioticoterapia. Neste caso, o cisto epidermóide foi considerado iatrogênico em relação a história no uso dos fios faciais 13 .…”

Safety Profile of Thread Lifts on the Face and Neck: An Evidence-Based Systematic Review

“…59 One patient who used barbed threads had inflammation of an acne cyst that resolved spontaneously, whereas 2 patients who used barbed threads developed an epidermal inclusion cyst. 3,51,60 Purulent discharge occurred at the insertion site 14 days and 2 years postprocedure for the 2 patients, respectively, with treatment either with oral amoxicillin/clavulanate 875 mg BID for 4 weeks or excision of the thread and inflammatory tissue. Pustule formation was also noted in a cohort of 61 patients, although the exact number of patients affected was unspecified.…”