Will seborrheic dermatitis affect my candidacy for alarplasty?

Question

I have seborrheic dermatitis which chronically presents as red and flaky skin at the corners of my nose. Would this skin condition effect my eligibility to get an alarplasty?

Eric M. Joseph, MD · Answer

Seborrheic dermatitis is a condition where there is red flaky skin usually in the Tzone of the face. I believe it would be a benefit for you to get this controlled before considering an alar plasty. Over the counter measures that you can do to improve upon this include using Nizoral shampoo as a soap to cleanse the area. Topical antifungal creams like clotrimazole twice a day can also be helpful. And lastly, topical hydrocortisone can also be of benefit. Please consider meeting with a reputable dermatologist for treatment since it would be in your best interest to have as little inflammation as possible in your nasal kris before undergoing alar plasty. I hope this helps and thank you for your question. Sincerely, Dr. Joseph

Anil R. Shah, MD · Answer

Seborrheic dermatitis typically does not impact eligibility for alarplasty. In my experience, patients with this condition have not encountered healing issues following the procedure.

Christopher David Jones, MBBS, BSc, FRCS (Plast) · Answer

After rhinoplasty surgery, minor skin reactions may occur if the patient has an allergy to the prep used to clean the skin or to the tape and/or splint used to protect the nose. This is known as contact dermatitis and often is reversible once the causative agent is removed.Seborrhoeic dermatitis is a common, chronic type dermatitis that mainly affects the sebaceous glands within the skin. A few studies looking at certain skin conditions following rhinoplasty surgery, namely acne, seborrhoeic dermatitis, rose and demodicosis, have reported worsening of the conditions. It is worth mentioning that many of these studies are based on a small number of patients, therefore may not be a fair representation of all patients with skin conditions undergoing rhinoplasty surgery

Mats Hagstrom, MD (license on probation) · Answer

If your skin condition is at the incision line, then it could have some impact on the procedure and outcome.
If you haven’t selected a provider, then I suggest having multiple in person, consultations with plastic surgeons in your community who have a proven track record with rhinoplasty surgery.
If you’ve selected a provider already, then you should forward your questions to Him or her.
Best,
Mats Hagstrom, MD

Will seborrheic dermatitis affect my candidacy for alarplasty?

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