Pyoderma Gangrenosum After Facelift and Otoplasty Surgery: Case Presentations and Literature Review

Abstract

Purpose: Pyoderma gangrenosum (PG) is an uncommon autoimmune, neutrophilic, ulcerative skin condition of uncertain etiology believed to result from dysregulation of the immune system. Although this entity is well recognized by dermatologists, other specialists are less familiar with diagnosis and treatment. This report describes a severe PG reaction to an elective cosmetic facelift, which is believed to be the second reported case of PG after facelift surgery. A second case after otoplasty surgery is described.

Materials and methods: An unusual presentation of PG after cervicofacial rhytidectomy (facelift) is presented and discussed with a review of the literature.

Results: The present case was a rare complication after facelift surgery and followed the natural progression of PG. Delayed diagnosis and treatment extended the disease process.

Conclusions: PG can mimic other surgical complications and delay diagnosis and treatment. This case is believed to represent the second reported incidence of PG after elective facelift surgery.