Publication:

Acute epistaxis, paying the price to be beautiful: a case report

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.