Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study

Rhinophyma, a severe manifestation of rosacea, predominantly affects Caucasian males aged 50–70 and is characterized by thickening and enlargement of the nasal skin. The condition can seriously both impact cosmetic appearance and obstruct nasal breathing. While its appearance is distinct, conditions...

Full description

Saved in:
Bibliographic Details
Main Authors: Berta Olafsdottir, William Jebril, Philip Curman, Etty Bachar-Wikström, Jakob D. Wikström
Format: Article
Language:English
Published: Medical Journals Sweden 2025-01-01
Series:Acta Dermato-Venereologica
Subjects:
Online Access:https://medicaljournalssweden.se/actadv/article/view/41335
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841561000931753984
author Berta Olafsdottir
William Jebril
Philip Curman
Etty Bachar-Wikström
Jakob D. Wikström
author_facet Berta Olafsdottir
William Jebril
Philip Curman
Etty Bachar-Wikström
Jakob D. Wikström
author_sort Berta Olafsdottir
collection DOAJ
description Rhinophyma, a severe manifestation of rosacea, predominantly affects Caucasian males aged 50–70 and is characterized by thickening and enlargement of the nasal skin. The condition can seriously both impact cosmetic appearance and obstruct nasal breathing. While its appearance is distinct, conditions such as basal cell carcinoma can mimic it, complicating diagnosis. Treatment options for rhinophyma range from medical therapies to surgical interventions, with CO2 laser resurfacing emerging as the gold standard due to its precision and minimal blood loss. This retrospective case series evaluates the long-term efficacy and patient satisfaction of CO2 laser treatment in 11 male patients treated between 2015 and 2023 at the Karolinska University Hospital. The results revealed sustained positive outcomes, with 92% of patients reporting high satisfaction and 55% experiencing improved nasal airflow post-procedure. Despite some instances of hypopigmentation and scarring, no major side effects were reported. The study supports CO2 laser treatment as a safe and effective option for moderate to major rhinophyma in Caucasian male patients with Fitzpatrick skin types I–III. The importance of considering skin type, where extra caution must be employed when treating skin types IV–VI, should be emphasized as the treatment
format Article
id doaj-art-d50bf9b9b10044ac8a8e2c3edca5034a
institution Kabale University
issn 0001-5555
1651-2057
language English
publishDate 2025-01-01
publisher Medical Journals Sweden
record_format Article
series Acta Dermato-Venereologica
spelling doaj-art-d50bf9b9b10044ac8a8e2c3edca5034a2025-01-03T08:46:03ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572025-01-0110510.2340/actadv.v105.41335Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre StudyBerta Olafsdottir0William Jebril1Philip Curman2Etty Bachar-Wikström3Jakob D. Wikström4Dermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, SwedenDermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden; Dermato-Venereology Clinic, Karolinska University Hospital, Stockholm, SwedenDermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden; Dermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Nordiska kliniken, Stockholm, Sweden, SwedenDermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, SwedenDermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden; Dermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden; Nordiska kliniken, Stockholm, Sweden, SwedenRhinophyma, a severe manifestation of rosacea, predominantly affects Caucasian males aged 50–70 and is characterized by thickening and enlargement of the nasal skin. The condition can seriously both impact cosmetic appearance and obstruct nasal breathing. While its appearance is distinct, conditions such as basal cell carcinoma can mimic it, complicating diagnosis. Treatment options for rhinophyma range from medical therapies to surgical interventions, with CO2 laser resurfacing emerging as the gold standard due to its precision and minimal blood loss. This retrospective case series evaluates the long-term efficacy and patient satisfaction of CO2 laser treatment in 11 male patients treated between 2015 and 2023 at the Karolinska University Hospital. The results revealed sustained positive outcomes, with 92% of patients reporting high satisfaction and 55% experiencing improved nasal airflow post-procedure. Despite some instances of hypopigmentation and scarring, no major side effects were reported. The study supports CO2 laser treatment as a safe and effective option for moderate to major rhinophyma in Caucasian male patients with Fitzpatrick skin types I–III. The importance of considering skin type, where extra caution must be employed when treating skin types IV–VI, should be emphasized as the treatment https://medicaljournalssweden.se/actadv/article/view/41335rosacearhinophymalaser surgerycarbon dioxide laser
spellingShingle Berta Olafsdottir
William Jebril
Philip Curman
Etty Bachar-Wikström
Jakob D. Wikström
Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study
Acta Dermato-Venereologica
rosacea
rhinophyma
laser surgery
carbon dioxide laser
title Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study
title_full Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study
title_fullStr Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study
title_full_unstemmed Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study
title_short Long-term Satisfaction with CO2 Laser Treatment for Moderate to Major Rhinophyma: A Single-centre Study
title_sort long term satisfaction with co2 laser treatment for moderate to major rhinophyma a single centre study
topic rosacea
rhinophyma
laser surgery
carbon dioxide laser
url https://medicaljournalssweden.se/actadv/article/view/41335
work_keys_str_mv AT bertaolafsdottir longtermsatisfactionwithco2lasertreatmentformoderatetomajorrhinophymaasinglecentrestudy
AT williamjebril longtermsatisfactionwithco2lasertreatmentformoderatetomajorrhinophymaasinglecentrestudy
AT philipcurman longtermsatisfactionwithco2lasertreatmentformoderatetomajorrhinophymaasinglecentrestudy
AT ettybacharwikstrom longtermsatisfactionwithco2lasertreatmentformoderatetomajorrhinophymaasinglecentrestudy
AT jakobdwikstrom longtermsatisfactionwithco2lasertreatmentformoderatetomajorrhinophymaasinglecentrestudy