Patients with dentofacial deformity often undergo orthognathic surgical procedures for correction of their deformity. This surgical procedure has its own share of complications which may manifest intra-operatively or in the immediate post-operative phase. Cutaneous complications following esthetic surgeries like orthognathic surgery are very rare. However, when they occur, they are usually early, minor, and transient. This review is intended to throw light on the occurrence of acne in the immediate postoperative phase in patients undergoing orthognathic surgery and the etiology & management of such acne.