Frequency of acne vulgaris and its exacerbation in facial and periorbital area after septorhinoplasty.

BACKGROUND: High prevalence of rhinoplasty, controversies about its cutaneous complications and lack of structured studies about relationship between acne vulgaris and rhinoplasty, point out the necessity for performing this study. PURPOSE: To determine the frequency of acne and its exacerbation after rhinoplasty. MATERIALS AND METHODS: In a longitudinal controlled study at a tertiary referral university hospital, the degree of acne before and 1 and 3 months after surgery was measured in 110 patients (30 Male, 80 Female, Mean age: 26.3 ± 6.8) with rhinoplasty and 80 patients (35 Male, 45 Female, Mean age: 24.5 ± 4.6) with septoplasty, based on Global Acne Grading System (GAGS). The data were analyzed by SPSS 16 software. RESULTS: The frequency of acne exacerbation in first post-surgical visit was 27% in case and 3.5% in control subjects (P<0.007). In case group, 42.9% of those who had no acne before surgery, developed mild acne and 14.5% of those with mild acne, turned into moderate acne. In second post-surgical visit 91.7% of those who had moderate acne in first visit, turned into mild acne and 80% of those with severe acne in first post-surgical visit changed into moderate acne without any specific therapy (P<0.0001 and P<0.001, respectively). CONCLUSIONS: Rhinoplasty has significant relationship with acne exacerbation. The severity of acne decreases gradually during 3 months after surgery. For determining the exact course and risk factors of this complication, further studies are needed.

Frequency of minor skin and soft tissue complications in facial and periorbital area after septorhinoplasty.

INTRODUCTION: High prevalence of rhinoplasty in the community and lack of structured studies about its minor skin and soft tissue complications, point out the necessity of performing precise and comprehensive studies. The aim of this study was to determine the frequency of minor cutaneous and soft tissue complications of rhinoplasty. MATERIALS AND METHODS: 110 patients (30 Male and 80 Female, Mean age: 26.3± 6.8) participated in this study. Before surgery all of them were checked for having each of intended complications, and 1 and 3 months after the surgery, they underwent serial visits for monitoring skin & soft tissue complications. The software used for data analysis was SPSS ver.16. RESULTS: Acne exacerbation was seen in 27% of cases in first post-surgical visit. Nasal tip paresthesia was the most frequent complication in both postsurgical visits (49.6% in first and 36.3% in second visit), followed by eyebrow loss (31.8%), complaint of increased yawning (31.8%), periorbital hyperpigmentation (21.8%) in first visit, and, hyperpigmentation (19.1%), complaint of increased yawning (10%) and surgical site scar (7.2%) in second visit respectively. The frequency of complications was highest in younger than 25 year old age group. CONCLUSION: Having knowledge about these complications helps us to know which of them needs prompt medical intervention and which of them will resolve with time and just needs giving reassurance to the patient.