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Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study.
Berta Olafsdottir1, William Jebril2, Philip Curman3
1Dermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden.
Acta Dermato-Venereologica
|January 3, 2025
Summary
CO2 laser resurfacing effectively treats rhinophyma, a severe rosacea complication. This study shows high patient satisfaction and improved nasal breathing with minimal side effects in Caucasian males.
Area of Science:
- Dermatology
- Plastic Surgery
Background:
- Rhinophyma, a severe form of rosacea, causes nasal skin thickening and enlargement.
- It impacts appearance and can obstruct nasal breathing, with potential diagnostic confusion with conditions like basal cell carcinoma.
Purpose of the Study:
- To evaluate the long-term efficacy and patient satisfaction of CO2 laser treatment for rhinophyma.
Main Methods:
- Retrospective case series of 11 Caucasian male patients with rhinophyma.
- Treatment involved CO2 laser resurfacing between 2015 and 2023.
- Outcomes assessed via patient satisfaction and objective measures of nasal airflow.
Main Results:
- 92% of patients reported high satisfaction with the CO2 laser treatment.
- 55% experienced improved nasal airflow post-procedure.
- Minor side effects like hypopigmentation and scarring occurred, but no major complications were reported.
Conclusions:
- CO2 laser treatment is a safe and effective option for moderate to severe rhinophyma in Caucasian males (Fitzpatrick skin types I-III).
- Careful consideration of skin types IV-VI is recommended due to potential risks.
