An Unexpected Occurrence of Acute Contact Dermatitis During Rhinoplasty

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

“…This critical component of rhinoplasty is often underappreciated (11,12). Cutaneous problems after rhinoplasty has always been considered minor, and transient (13), Most common being contact dermatitis, appearing as rashes or pustules with or without allergic reactions from the adhesive tape (14,15). Rajabian et al in 2004 reported a case of severe facial dermatitis in a young female one month after rhinoplasty (15).…”

Severe facial dermatitis as a late complication of aesthetic rhinoplasty; a case report

“…The injury to the skin may be mild, with only erythema, or severe with tissue necrosis and bulla formation. The patient may note a stinging or burning sensation with the onset of blisters or erythematous plaques which may spread from the area of contact to adjacent skin [2,7]. …”

“…The eruption tends to be associated with moderate to severe erythema and pruritus with acute weeping and crusted vesicles. Diagnosis of allergic contact dermatitis may be confirmed by patch testing [2,7]. In a recent study, 45 out of 477 patients had a positive reaction to compound tincture of benzoin, which was the third most common allergen in their series.…”

“…The treatment for acute contact dermatitis, whether allergic or irritant includes removal of the source, expression of pustules, irrigation with a drying desquamating soap and use of topical and systemic steroids as well as systemic antihistamines [1,2,7]. …”

“…Most common being contact dermatitis, appearing as rashes or pustules with or without allergic reactions from the tape which might have been used with tincture of benzoin or a preparation containing gum mastic [2,3]. These substances are frequently used as a dressing support and to increase adhesive strength of the tape.…”