The Correlation of Acne with Anxiety after Rhinoplasty

Document Type : Original

Authors

1 Department of Dermatology, Hajdaie Dermatolgy Clinic, Kermanshah University of Medical Sciences, Kermanshah, Iran.

2 Family Health Research Center, Health School, Kermanshah University of Medical Sciences, Kermanshah, Iran.

3 Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.

4 Farabi Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.

5 Students Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Abstract

Introduction:
Rhinoplasty is one of the most common cosmetic surgeries occasionally associated with complications, such as acne lesions. Anxiety reportedly leads to the emergence or exacerbation of acne lesions.
 
Materials and Methods:
This cross-sectional study was conducted on 147 patients undergoing rhinoplasty. The patients were assigned into two groups of case (with acne lesions) and control (without acne lesions) entailing 52 (45 females, 7 males) and 95 (68 females, 27 males) subjects, respectively. The data were collected using an instrument entailing clinical and demographic data and the state-trait anxiety inventory developed by Spielberger.
 
Results:
According to the results, 70.7% and 71.6% of the patients in the case and control groups were female, respectively. Regarding the education level, 61.5% and 68.4% of the case and control groups had academic education, respectively. Additionally, 61.5% and 42.1% of the subjects in the case and control groups were single with the mean ages of 25.06±5.077 and 27.45±5.909 years, respectively. , 73.1% of the case group indicated grade 2 acne mostly in the face (100%) appearing 1-4 weeks post-surgery (51.9%). The case group had higher mean scores of trait (46.92±12.53) and state (46.21±9.30) anxiety, trait (P=0.001) and state (P=0.019) anxiety severity, as well as the prevalence of cosmetic dissatisfaction (51.9%), compared to the control group. Furthermore, acne severity showed a direct correlation with the severity of trait anxiety (r=0.472, P=0.005) and state anxiety (r=0.443, P=0.013).
 
Conclusion:
As the findings indicated, anxiety could be a major factor in triggering or exacerbating acne lesions after rhinoplasty. The assessment of mental health before the surgery, proper selection of the cases seeking aesthetic surgery, provision of psychological support, lack of medical history of acne lesions, and successful cosmetic rhinoplasty could result in reducing the prevalence of acne lesions after cosmetic surgeries, especially rhinoplasty.

Keywords

Main Subjects

References

1. Lee KC, Kwon YS, Park JM, Kim SK, Park SH, Kim JH. Nasal tip plasty using various techniques in rhinoplasty. Aesthetic PlastSurg2004; 28: 445–55.
2. Nemati S, Golchay J, Alizadeh A. Frequency of minor skin and soft tissue complications in facial and periorbital area after septorhinoplasty. Iran J Otorhinolaryngol2012; 24(68): 119-24.
3. ArabiMianroodi A, Eslami M, Khanjani N. Interest in Rhinoplasty and Awareness about its postoperative complications among female high school students. Iran J Otorhinolaryngol 2012; 24(68): 135-42.
4. Farrar MD, Ingham E. Acne: inflammation. ClinDermatol 2004; 22(5): 380-4.
5. Golchai J, Khani SH, Heidarzadeh A, Eshkevari SS, Alizade N, Eftekhari H. Comparison of anxiety and depression in patients with acne vulgaris and healthy individuals. Indian J Dermatol 2010; 55(4): 352-4.
6. Gül Aİ, Çölgeçen E. Personalitytraits and commonpsychiatricconditions in adultpatients with acnevulgaris. Ann Dermatol2015; 27(1): 48-52.
7. Zeichner JA. Evaluating and treating the adult female patient with acne. J Drug Dermatol 2013; 12(12): 1416-27.
8. Romańska-Gocka K, Woźniak M, Kaczmarek-Skamira E, Zegarska B. The possible role of diet in the pathogenesis of adult female acne. Postepy DermatolAlergol 2016; 33(6): 416-20.
9. Merkle T, Landthaler M, Braun-Falco O. Acne conglobata-like exacerbation of acne vulgaris following administration of anabolic steroids and vitamin B complex-containing preparations.Hautarzt 1990; 41(5): 280-2.
10. Wu TQ, Mei SQ, Zhang JX, Gong LF, Wu FJ, Wu WH, et al. Prevalence and risk factors of facial acne vulgaris among Chinese adolescents.Int J Adolesc Med Health 2007; 19(4): 407-12.
11.Schulpis K, Georgala S, Papakonstantinou ED, Michas T. Psychological and sympatho- adrenal status in patients with cystic acne. J Eur Acad DermatolVenereol1999; 13: 24–7.
12. Magin P, Adams J, Heading G, Pond D, Smith W. The causes of acne: a qualitative study of patient perceptions of acne causation and their implications for acne care. DermatolNurs2006; 18: 344–9.
13. Fried RG, Wechsler A. Psychological problems in the acne patient. DermatolTher2006; 19: 237–240.
14. Yazici K, Baz K, Yazici AE, Köktürk A, Tot S, Demirseren D, et al. Disease -specific Quality of life is associated with anxiety and depression in patients with acne. J EurAcadDermatolVenereol2004; 18: 435–9.
15. Niemeier V, Kupfer J, Demmelbauer-Ebner M, Stangier U, Effendy I, Gieler U. Coping with acne vulgaris: Evaluation of the chronic skin disorder questionnaire in patients with acne. Dermatology 1998; 196: 108–15.
16. Sadeghi M, Saedi B, Safavi A, Iri MR. Postrhinoplasty acne formation: a case-control study. B-ENT 2013; 9(2): 95-100.
17. 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(5): 378-81.
18. Koc EA, Buyuklu F, Koç B, Demirci GT. Skin problems following septorhinoplasty. Laryngoscope 2015; 125(6): 1291-5.
19. Adityan B, Kumari R, Thappa DM. Scoring systems in acne vulgaris. Indian J Dermatol VenereolLeprol 2009; 75(3): 323-6.
20. Jalali MM, Soleimani R, Fallahi M, Aghajanpour M, Elahi M. Psychometric properties of the Persian version of the Tinnitus Handicap Inventory (THI-P). Iran J Otorhinolaryngol. 2015; 27(79): 83-94.
21.Vitasari P, Wahab MNA, Herawan T, Othman A, Sinnadurai SK. Re-test of State Trait Anxiety Inventory (STAI) among Engineering Students in Malaysia: Reliability and Validity tests. Procedia - SocBehal Sci. 2011; 15(0):3843–8.
22. Belli H, Belli S, Ural C, Akbudak M, Oktay MF, AkyuzCim EF, et al. Psychopathology and psychiatric co-morbidities in patients seeking rhinoplasty for cosmetic reasons. West Indian Med J. 2013; 62(5): 481-6.
23. Ercolani M, Baldaro B, Rossi N, Trombini G. J Psychosom Res. Five-year follow-up of cosmetic rhinoplasty 1999; 47(3): 283-6.
24. Aktan S, Ozmen E, Sanli B. Anxiety, depression and nature of acne vulgaris in adolescents. Int J Dermatol. 2000; 39: 354–7.
25. Pearl A, Arroll B, Lello J, Birchall NM. The impact of acne: A study of adolescent's Attitudes, Perception and Knowledge. N Z Med J 1998; 111: 269–71.
26. Grahame V, Dick DC, Morton CM, Watkins O, Power KG. The psychological correlates of treatment efficacy in acne. Dermatol Psychosom 2002; 3: 119–25.
27. Coban YK. Decreased acne symptoms as a perception of rhinoplasty success. A esthetic Plast Surg 2007; 31(4): 413-4.
28. Choi CW, Choi JW, Park KC, Youn SW. Facial sebum affects the development of acne, especially the distribution of inflammatory acne. JEurAcadDermatolVenereol 2013; 27(3): 301-6.
29. Zouboulis CC. Acne and sebaceous gland function. ClinDermatol 2004; 22: 360–6.
Iranian Journal of Otorhinolaryngology
Volume 31, Issue 3
May and June 2019
Pages 147-152

Files

Share

How to cite

Statistics