Pyoderma Gangrenosum: A Rare Disease with Dire Consequences in Facial Aesthetic Surgery Patients.

Pyoderma gangrenosum (PG) is a rare, inflammatory dermatologic condition characterized by painful cutaneous ulcerations. Herein, we describe the third documented case of PG arising in an elective plastic surgery patient who had undergone an otherwise uncomplicated facelift. We describe the course of her diagnosis and management of PG involving her face and neck and then progressing to her lower extremities. Although the etiology remains unknown, PG often arises in a host with another autoimmune disease. In the case described, the patient was diagnosed with an IgA gammopathy shortly after development of PG. Following the case report, the pathogenesis, diagnosis and treatment strategy of PG is briefly reviewed.