Carbon Dioxide Laser Resurfacing for Rhinophyma: A Case Report and Discussion of the Literature

Rhinophyma, an unsightly and obstructive skin lesion of the nasal area, can be difficult to treat. Numerous modalities have been tried, including medical, excision, and ablation, with various tools and results. In the present report, we have demonstrated the use of the carbon dioxide (CO₂) laser on the nose of a 56-year-old man, with excellent cosmetic results even at 59 months after treatment. Discussion of the disease entity and the advantages and disadvantages of the different treatment options are presented. Given the results shown in our patient, we believe that CO₂ laser ablation should be a standard treatment of rhinophyma, given its practicality, predictability, and excellent outcomes.