Arch Aesthetic Plast Surg.  2025 Jan;31(1):21-25. 10.14730/aaps.2024.01270.

Rare Prevotella bivia infection after liposuction and fat graft: two case reports

• Lee J
• Yun IS
• Roh TS
• Kim YS
• Min K

• KMID: 2564388
• DOI: http://doi.org/10.14730/aaps.2024.01270

Abstract

Liposuction and fat grafting are commonly employed to improve body contouring. While postoperative infections are infrequent, severe complications like necrotizing fasciitis can arise, potentially destroying the aesthetic results. Prevotella bivia is an anaerobic, Gram-negative rod bacterium commonly found in the vaginal mucosa, with increased prevalence in cases of bacterial vaginosis. Infections caused by this species can lead to necrotizing fasciitis or extensive tissue necrosis, necessitating prompt diagnosis during the acute phase. This report presents two severe cases of infection caused by P. bivia following fat harvesting and grafting procedures. These cases required multiple debridements, skin grafts, and fasciotomies for management.

Keyword

Case reports; Prevotella bivia; Lipectomy; Surgical wound infection; Body contouring