Effect of Nasal Skin Type on Skin Problems following Rhinoplasty

Abstract

Skin problems following rhinoplasty may cause dissatisfaction concerning the esthetic expectations of the patients. This study was conducted to determine whether nasal skin type has an effect on skin problems after rhinoplasty. Thirty-five patients undergoing rhinoplasty in our tertiary referral center between May 2018 and August 2019 were included in the study. The nasal skin sebum level was measured with Sebumeter preoperatively and patients were divided into two groups according to the median sebum level. Among the 35 patients, half of them with higher nasal skin sebum were categorized as oily skin group (n = 17; 14 males, 3 females; mean sebum level: 200.3 ± 26.9), and the other half were categorized as dry skin group (n = 18; 10 males, 8 females; mean sebum level: 101.9 ± 38). Periorbital edema and ecchymosis were assessed at postoperative days 1, 3, and 7. Acne and seborrhea severity determined with Global Acne Grading System and Seborrheic Dermatitis Area Severity Index the day before operation and postoperative days 7 and 14 and months 1, 3, and 10. Compared with dry skin group, upper eyelid ecchymosis score at postoperative day 7 was statistically higher in oily skin group (p = 0.044). There was no significant difference in upper eyelid edema scores between postoperative days 1 and 3 for oily skin group (p = 0.020). No statistically significant differences were found for acne and seborrhea severity. Nasal skin sebum levels may affect periorbital edema and ecchymosis after the procedure but no significant effect has been observed for acne and seborrhea. Predicting the effect of nasal skin types on these problems may help the surgeon to inform patients more correctly.

Keywords

rhinoplasty - Sebumeter - nasal skin - acne - seborrhea

Publikationsverlauf

Artikel online veröffentlicht:
27. Juli 2020

• References

• 1 Gode S, Ozturk A, Kısmalı E, Berber V, Turhal G. The effect of platelet-rich fibrin on nasal skin thickness in rhinoplasty. Facial Plast Surg 2019; 35 (04) 400-403
• 2 Youn SW, Park ES, Lee DH, Huh CH, Park KC. Does facial sebum excretion really affect the development of acne?. Br J Dermatol 2005; 153 (05) 919-924
• 3 Crowther JM. Method for quantification of oils and sebum levels on skin using the Sebumeter. Int J Cosmet Sci 2016; 38 (02) 210-216
• 4 Kara CO, Gökalan I. Effects of single-dose steroid usage on edema, ecchymosis, and intraoperative bleeding in rhinoplasty. Plast Reconstr Surg 1999; 104 (07) 2213-2218
• 5 Taşkın Ü, Batmaz T, Erdil M, Aydın S, Yücebaş K. The comparison of edema and ecchymosis after piezoelectric and conventional osteotomy in rhinoplasty. Eur Arch Otorhinolaryngol 2017; 274 (02) 861-865
• 6 Koçak I, Doğan R, Gökler O. A comparison of piezosurgery with conventional techniques for internal osteotomy. Eur Arch Otorhinolaryngol 2017; 274 (06) 2483-2491
• 7 Doshi A, Zaheer A, Stiller MJ. A comparison of current acne grading systems and proposal of a novel system. Int J Dermatol 1997; 36 (06) 416-418
• 8 Bez Y, Yesilova Y, Kaya MC, Sir A. High social phobia frequency and related disability in patients with acne vulgaris. Eur J Dermatol 2011; 21 (05) 756-760
• 9 Aktan S, Ozmen E, Sanli B. Anxiety, depression, and nature of acne vulgaris in adolescents. Int J Dermatol 2000; 39 (05) 354-357
• 10 Baysal V, Yildirim M, Ozcanli C, Ceyhan AM. Itraconazole in the treatment of seborrheic dermatitis: a new treatment modality. Int J Dermatol 2004; 43 (01) 63-66
• 11 Emre S, Metin A, Demirseren DD. et al. The association of oxidative stress and disease activity in seborrheic dermatitis. Arch Dermatol Res 2012; 304 (09) 683-687
• 12 Ghodsi SZ, Abbas Z, Abedeni R. Efficacy of oral itraconazole in the treatment and relapse prevention of moderate to severe seborrheic dermatitis: a randomized, placebo-controlled trial. Am J Clin Dermatol 2015; 16 (05) 431-437
• 13 Rettinger G. Risks and complications in rhinoplasty. GMS Curr Top Otorhinolaryngol Head Neck Surg 2007; 6: Doc08
• 14 Nemati S, Golchay J, Alizadeh A. Frequency of minor skin and soft tissue complications in facial and periorbital area after septorhinoplasty. Iran J Otorhinolaryngol 2012; 24 (68) 119-124
• 15 Koc EA, Buyuklu F, Koç B, Demirci GT. Skin problems following septorhinoplasty. Laryngoscope 2015; 125 (06) 1291-1295
• 16 Coban YK. Decreased acne symptoms as a perception of rhinoplasty success. Aesthetic Plast Surg 2007; 31 (04) 413-414
• 17 Baykal B, Erdim I, Kayhan FT, Oghan F. Comparative analysis of nasal deformities according to patient satisfaction. J Oral Maxillofac Surg 2014; 72 (03) 603.e1-603.e7
• 18 Belek KA, Gruber RP. The beneficial effects of postrhinoplasty taping: fact or fiction?. Aesthet Surg J 2014; 34 (01) 56-60
• 19 Valente DS, Steffen N, Carvalho LA, Borille GB, Zanella RK, Padoin AV. Preoperative use of dexamethasone in rhinoplasty: a randomized, double-blind, placebo-controlled clinical trial. JAMA Facial Plast Surg 2015; 17 (03) 169-173
• 20 Gürlek A, Fariz A, Aydoğan H, Ersöz-Oztürk A, Evans GR. Effects of high dose corticosteroids in open rhinoplasty. J Plast Reconstr Aesthet Surg 2009; 62 (05) 650-655
• 21 Sakallioğlu Ö, Cingi C, Polat C, Soylu E, Akyigit A, Soken H. Open versus closed septorhinoplasty approaches for postoperative edema and ecchymosis. J Craniofac Surg 2015; 26 (04) 1334-1337
• 22 Sakallioğlu Ö, Polat C, Soylu E, Düzer S, Orhan İ, Akyiğit A. The efficacy of tranexamic acid and corticosteroid on edema and ecchymosis in septorhinoplasty. Ann Plast Surg 2015; 74 (04) 392-396
• 23 Hoffmann DF, Cook TA, Quatela VC, Wang TD, Brownrigg PJ, Brummett RE. Steroids and rhinoplasty. A double-blind study. Arch Otolaryngol Head Neck Surg 1991; 117 (09) 990-993 , discussion 994
• 24 Das S, Reynolds RV. Recent advances in acne pathogenesis: implications for therapy. Am J Clin Dermatol 2014; 15 (06) 479-488
• 25 Gollnick HP. From new findings in acne pathogenesis to new approaches in treatment. J Eur Acad Dermatol Venereol 2015; 29 (Suppl. 05) 1-7
• 26 Dessinioti C, Katsambas A. Seborrheic dermatitis: etiology, risk factors, and treatments: facts and controversies. Clin Dermatol 2013; 31 (04) 343-351
• 27 Yosipovitch G, Tang M, Dawn AG. et al. Study of psychological stress, sebum production and acne vulgaris in adolescents. Acta Derm Venereol 2007; 87 (02) 135-139
• 28 Nemati S, Golchay J, Iranfar K, Alizadeh A. Frequency of acne vulgaris and its exacerbation in facial and periorbital area after septorhinoplasty. Am J Otolaryngol 2013; 34 (05) 378-381
• 29 Sadeghi M, Saedi B, Safavi A, Iri MR. Postrhinoplasty acne formation: a case-control study. B-ENT 2013; 9 (02) 95-100