Methods and complications of rhinophyma excision

Abstract

For years cosmetic surgeons have sought methods of treatment of largorliinophyma. These include creation of flaps with excision of excess skin, dermabrasion, free-hand shave, and others. The C02 laser has been used by itself, or in combination with other methods to vaporize the rliinophyma. Advantages of the laser include hemostasis, better view of the tissues, thin layer-by-layer removal of the hyperplastic sebaceous glands, and careful shaping of the resection edges. Disadvantages include risk of facial burns and overabundant removal of tissue with cartilage exposure. We present a case of rliinophyma excision using the C02 laser and the complication of excessive vaporization of the sebaceous tissue. Included is a discussion of other complications of laser excision of rliinophyma, possible methods of reconstruction, and a literature review. © The American Laryngological, Rhinological & Otological Society, Inc.