Fractionated carbon dioxide laser therapy as treatment of mild rhinophyma: report of three cases

Meesters, Arne A.; Linden, M.M.D. van der; Rie, Menno A. de; Wolkerstorfer, Albert

doi:10.1111/dth.12205

Cited by 10 publications

(2 citation statements)

References 11 publications

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“…Similarly, Meesters et al 28 conducted a study on three patients with mild rhinophyma who were treated with a fractionated carbon dioxide (CO2) laser. Two patients experienced significant improvement, whereas one patient showed little response.…”

Section: Discussionmentioning

confidence: 99%

<p>Novel Management of Rhinophyma by Patterned Ablative 2940nm Erbium:YAG Laser</p>

Badawi¹,

Osman²,

Kassab³

2020

CCID

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Introduction Rhinophyma is a cosmetic disorder that causes emotional distress if the symptoms are extensive or obvious enough. Treatment options range from topical antibiotics or isotretinoin, surgical resection, cryosurgery, electrocautery, dermabrasion and more recently laser therapy. With the limitations of surgical techniques, lasers gained popularity for treating rhinophyma. However, laser ablation is invasive and can lead to side effects and prolonged downtime. Fractional photothermolysis (FP) was introduced to overcome the limitations posed by conventional ablative lasers. To the best of our knowledge, there are no previous studies to evaluate the use of Er:YAG in an ablative mode with a fractional handpiece for the treatment of rhinophyma. Aim of the Work The goal of this study was to evaluate the efficacy and safety of fractional ablative 2940 nm Er:YAG laser for the treatment of mild to moderate rhinophyma. Patients and Methods Sixteen patients having mild to moderate rhinophyma were treated with fractional ablative 2940 nm Er:YAG laser. All patients received 4 laser treatments and were followed up over the following 3 months. An additional follow-up appointment 6 months after the last session was arranged to detect any signs of recurrence. Outcome Measures Patient questionnaire was used to evaluate patient subjective satisfaction. Objective evaluation was performed by a blind assessment of clinical photographs that were taken before and 3 months after the final treatment by two independent blinded evaluators. Results Patient questionnaire taken 3 months after last treatment revealed that 8 patients (50%) were “very satisfied”, 4 patients (25%) were satisfied, and 4 patients (25%) were somewhat satisfied. None of the patients assessed their results as not satisfying. Conclusion In conclusion, the use of patterned ablative Er:YAG laser with a PS01 handpiece and parameters used in this study comprise an effective tool for treatment of mild to moderate rhinophyma with rapid postoperative recovery compared with conventional surgical procedures and other ablative lasers.

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Section: Discussionmentioning

confidence: 99%

<p>Novel Management of Rhinophyma by Patterned Ablative 2940nm Erbium:YAG Laser</p>

Badawi¹,

Osman²,

Kassab³

2020

CCID

View full text Add to dashboard Cite

show abstract

“…3,4 Fractionated ablative lasers have been used in the past for mild to moderate rhinophyma, but they cannot ablate to 100% density, which would be necessary to debulk the marked hypertrophy present in our patients. 3,5 For this reason, fully ablative lasers have traditionally been the mainstay of surgical treatment for severe rhinophyma. 1 With our method, we are able to avoid the undesired pigment/textural abnormalities (and sometimes contraction that can be difficult to predict) that may follow fully ablative laser.…”

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confidence: 99%