Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 57 4 2019 07 13 267 270 EN Ali Faghih Habibi Department of Otolaryngology and Head and Neck Surgery, Amiralmomenin Hospital, Guilan University of Medical Sciences, Rasht, Iran. AND Rhino-Sinus, Ear, and Skull Base Diseases Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Shadman Nemati Department of Otolaryngology and Head and Neck Surgery, Amiralmomenin Hospital, Guilan University of Medical Sciences, Rasht, Iran. AND Rhino-Sinus, Ear, and Skull Base Diseases Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Pegah Alizadeh Department of Otolaryngology and Head and Neck Surgery, Amiralmomenin Hospital, Guilan University of Medical Sciences, Rasht, Iran. AND Rhino-Sinus, Ear, and Skull Base Diseases Research Center, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Saman Mikaeeli Guilan University of Medical Sciences, Rasht, Iran. 2018 01 29 2018 11 05 Sarcoidosis is a systemic idiopathic disease, characterized by non-caseating granulomas, primarily affecting the lungs and the lymphatics. Skin involvement is common and lesions may appear in scar tissues. In the present report, four cases of scar sarcoidosis following rhinoplasty are presented which were diagnosed based on serology tests, radiography imaging and histopathology findings. Three women and one man between 32 to 54-year-old are discussed in this report. Skin lesions on their nose were found after an average of 3.8 years of their septorhinoplasty surgeries. Two of the patients had systemic signs such as fever, cough and arthritis. Patients with diagnosed sarcoidosis were treated appropriately. Rhinoplasty is a common procedure today, and the fact that rhinoplasty may lead up to scar sarcoidosis in susceptible people can be an item for surgeons for consideration. https://acta.tums.ac.ir/index.php/acta/article/view/6999 https://acta.tums.ac.ir/index.php/acta/article/download/6999/5249