Abstract

Background and Aim: Most studies have been conducted on the effects of complications of rhinoplasty in terms of nose shape and its techniques, but a few studies have been conducted of its complications on skin. Thus, the present study was conducted to compare the changes in acne severity before and after rhinoplasty surgery in Bouali Hospital in the second half of 2016.
Materials and Methods: In this quasi-experimental observational study, 64 people undergoing rhinoplasty in Tehran Bouali Hospital in the second half of 2016 were examined and their demographic and background information was entered to information collection form and their severity index was also recorded. Then, the subjects were evaluated in terms of acne within a month after rhinoplasty (during follow-up visits) and the frequency of cases with increased severity of acne was determined and compared.  Statistical analysis of the data was performed in SPSS version 24 software and with the help of paired t-test and Chi-square at a significant level of 0.05. Results: Before rhinoplasty, 38 patients (59.4%) had no acne, 21 patients (32.8%) had mild acne, 3 patients (4.7%) had moderate acne and 2 patients (3.1%) had severe acne. These figures were 25 (39.1%), 26 (40.6%) 8 (12.5) 5 (7.8%), respectively, after the surgery. 65.8% of people who did not have acne before rhinoplasty also showed no acne after rhinoplasty and 26.3% and 7.9% showed mild to moderate acne. 76.2% of people with mild acne also showed mild acne after the surgery and 23.8% showed moderate acne. All patients with moderate to severe acne remained unchanged after surgery (p-value = 0.000, df = 9, λ² = 90.009). On a quantitative scale, the mean vas score was 0.734 ± 1.515 before rhinoplasty and 1.891 ± 0.910 after the surgery. Paired t-test showed that these differences were significant (P-value = 0.000, df = 63). Discussion and Conclusion: Since aesthetic surgeries such as rhinoplasty are often performed to improve the appearance of people, acne exacerbation after this type of surgery can affect the patient's satisfaction with surgery, so preventive interventions before surgery seem to be necessary.