Surgery for Rhinophyma

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Hi,

Here's a new study I found on Medline regarding surgery and

rhinophyma. Hope this helps someone.

Matija

Surgical management of rhinophyma: report of eight patients treated

with electrosection [in Process Citation]

Dermatol Surg 2002 Apr;28(4):347-9 (ISSN: 1076-0512)

Rex J; Ribera M; Bielsa I; Paradelo C; Ferrandiz C

Department of Dermatology, Hospital Universitari Germans Trias i

Pujol, Universitat Autonoma de Barcelona, Badalona, Spain.

BACKGROUND: Rhinophyma is the end stage of rosacea, affecting almost

exclusively male patients, characterized by a progressive deformity

in nasal shape. Depending on the extent of the deformity, rhinophyma

may distort the appearance of those affected and patients may become

psychosocially disabled. OBJECTIVE: To present the results of

electrosurgical technique of sequential delamination with a slightly

damped current in rhinophyma. METHODS: Eight healthy male patients

affected by moderate to severe rhinophyma were recruited. A

radiofrequency electrosurgical unit was used in the cut/coagulate

mode at 40 W (3.8 MHz) to remove thin layers of tissue until the nose

shape was re-created. RESULTS: All patients achieved acceptable

cosmetic results. Cutaneous reepithelialization was achieved at day

14 after surgery. Erythema subsided within 4-8 weeks and healing was

complete with minimal scar formation by 8-10 weeks. None of the

patients developed hypertrophic scarring and hypopigmentation was

minimal. CONCLUSION: Electrosection is as effective as laser

treatments and less expensive. Although living in a laser era,

electrosurgical remodeling of the nose is a good alternative for the

treatment of rhinophyma.