Background: Facial surgeries are typically classified as clean procedures, with a generally low risk of postoperative infections. However, these infections, while rare, can cause significant complications, extend hospital stays, and increase healthcare costs. The study aimed to analyze the incidence, risk factors, and preventive strategies for postoperative infections following clean facial surgery. Methods: This retrospective cohort study analyzed data from 135 patients who underwent various clean facial surgeries at Patna Medical College and Hospital between 2019-2022. The study focused on patient demographics, surgery type, duration, presence of comorbidities, and adherence to preoperative and postoperative care protocols. Results: Out of 135 patients, 6 (4.4%) developed postoperative infections, primarily superficial incisional infections. Longer surgery duration (over 3 hours) and the presence of comorbidities were significantly associated with higher infection rates. There was no significant correlation between infection rates and age, gender, type of surgery, or adherence to preventive strategies like preoperative skin antisepsis. Conclusion: This study underscores the importance of considering specific factors such as surgery duration and patient comorbidities in managing the risk of postoperative infections in clean facial surgery. Recommendations: Surgeons should consider individual patient risks and emphasize careful postoperative monitoring. Implementing tailored strategies for patients with longer surgery durations or comorbidities may further reduce infection risks.

Background: Facial surgeries are typically classified as clean procedures, with a generally low risk of postoperative infections. However, these infections, while rare, can cause significant complications, extend hospital stays, and increase healthcare costs. The study aimed to analyze the incidence, risk factors, and preventive strategies for postoperative infections following clean facial surgery. Methods: This retrospective cohort study analyzed data from 135 patients who underwent various clean facial surgeries at Patna Medical College and Hospital between 2019-2022. The study focused on patient demographics, surgery type, duration, presence of comorbidities, and adherence to preoperative and postoperative care protocols. Results: Out of 135 patients, 6 (4.4%) developed postoperative infections, primarily superficial incisional infections. Longer surgery duration (over 3 hours) and the presence of comorbidities were significantly associated with higher infection rates. There was no significant correlation between infection rates and age, gender, type of surgery, or adherence to preventive strategies like preoperative skin antisepsis. Conclusion: This study underscores the importance of considering specific factors such as surgery duration and patient comorbidities in managing the risk of postoperative infections in clean facial surgery. Recommendations: Surgeons should consider individual patient risks and emphasize careful postoperative monitoring. Implementing tailored strategies for patients with longer surgery durations or comorbidities may further reduce infection risks.