Cutaneous angiofibromas: treatment with the carbon dioxide laser

A keloid-prone young Chinese patient with multiple facial angiofibromas (incomplete form of tuberous sclerosis) who had been previously treated with liquid nitrogen and electrocautery is presented. He was treated with carbon dioxide laser using low irradiance to vapourize most of the lesions. Postoperative progress was uneventful and results after one-year follow-up showed very satisfactory cosmetic results. There was no recurrence or complication on prolonged follow-up. Carbon dioxide laser is advocated as the treatment of choice for angiofibromas.