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Electrosurgery for the Treatment of Moderate or Severe Rhinophyma
L F González1, H Herrera1, A Motta2
1Universidad El Bosque, Bogotá, Colombia.
Actas Dermo-Sifiliograficas
|August 14, 2017
Summary
High-frequency electrosurgery effectively treats rhinophyma, a severe rosacea stage. This simple, cost-effective method yielded satisfactory cosmetic results in patients, with minimal complications.
Area of Science:
- Dermatology
- Surgical Techniques
Background:
- Rhinophyma is a disfiguring condition, often the final stage of rosacea.
- Surgical interventions like dermabrasion, cryosurgery, scalpel excision, electrosurgery, and laser are available.
- Electrosurgery and carbon dioxide laser are considered most effective.
Purpose of the Study:
- To evaluate the efficacy and outcomes of high-frequency electrosurgery for treating moderate to severe rhinophyma.
- To assess cosmetic results and complications associated with electrosurgery in rhinophyma management.
Main Methods:
- A series of patients with moderate or severe rhinophyma were treated.
- High-frequency electrosurgery was the primary surgical technique employed.
- Treatment occurred between 2012 and 2016 in Bogota, Colombia.
Main Results:
- All cases achieved satisfactory cosmetic outcomes, confirmed by clinicians and patients.
- Minor complications included hypertrophic scars (n=3) and persistent erythema (n=2).
- No serious infections or need for revision surgery were reported.
Conclusions:
- High-frequency electrosurgery is a simple, cost-effective, and safe treatment for rhinophyma.
- It offers satisfactory cosmetic results with a low complication rate.
- Dermatologists can effectively utilize electrosurgery for rhinophyma management.

