A few updates for rhinophyma have been published recently, worth mentioning here as a quick update.
- Carbon dioxide laser treatment of rhinophyma: a review of 124 patients. (Br J Dermatol. 2009 Oct;161(4):814-8. Epub 2009 Jul 14.)
Gives the conclusion that “The CO2 laser is an effective and durable treatment for rhinophyma. Treatment carries a low risk of side-effects and is associated with high patient acceptability and satisfaction.”
This paper gives details on the spot size and power settings used for their treatments.
- Rhinophyma: Carbon dioxide laser with computerized scanner is still an outstanding treatment (Australas J Dermatol. 2009 Nov;50(4):289-93.)
Tells us that “Scanned carbon dioxide laser is safe and highly effective treatment for rhinophyma.”
- Surgical treatment of rhinophyma using carbon dioxide (CO2) laser and pulsed dye laser (PDL), J Cosmet Laser Ther. 2010 Apr;12(2):73-6.
The patient was submitted to five CO2 laser sessions, followed by three PDL sessions. Favourable re-epithelization of the surfaces treated with CO2 laser was achieved within a very short period of time. PDL post-treatment purpura lasted a medium of 12 days. After 12 months of follow-up the patient remains without evidence of relapse. To our knowledge, this is the first case described of treatment using a combination of the CO2 laser and PDL.
- The NRS has a blog item Treating Excess Tissue that offers an overview of the treatment of Subtype 3 Phymatous rosacea. The article reinforces the rosacea expert committee’s view of rhinophyma treatment by touching on oral isotretinoin (accutane) and surgical therapies.
