Rhinophyma Treatment by Copper Vapor Laser With the Computerized Scanner
Journal of Lasers in Medical Sciences,
Vol. 10 No. 2 (2019),
25 February 2019
Introduction: Rhinophyma is recognized as a common and severe skin disease manifested as progressive thickening of the nasal skin due to hypertrophy of the soft tissue. The most severe complication of rhinophyma is telangiectasis. So far the pathogenetic approach for the treatment of rhinophyma should be based on the removal of the dysplastic vessels to provide the appropriate revascularization of the involved skin area.
Case Report: This study presented the experience of the treatment of rhinophyma with the copper vapor laser (CVL) designed with the computerized scanner device. A 52-year-old elderly Caucasian male patient with typical clinical signs of rhinophyma was successfully managed during three sessions of CVL treatment. CVL emits light with a wavelength of 578 nm, exposure time of 0.2 seconds. The settings used for the CVL in scanner mode were set at 1.2 W. The scanner device has a hexagonal frame with a maximum width of 12 mm with the distance of 1 mm between centers of laser spots. The CVL treatment resulted in a restoration of the natural appearance of the nose without side effect during 18 months after treatment.
Conclusion: The described clinical case demonstrates excellent results of the management of rhinophyma by means of the scanned CVL. CVL treatment was associated with the removal both of dysplastic superficial skin vessels, the solution of the inflammation, decline of the sebum production and the disappearance of the nasal hypertrophy.
- laser treatment
- vascular lesion
- copper vapor laser
How to Cite
Anzengruber F, Czernielewski J, Conrad C, et al. Swiss S1 guideline for the treatment of rosacea. J Eur Acad Dermatol Venereol. 2017;31(11):1775-1791. doi: 10.1111/jdv.14349
Rosenberg WA, Felsher IM. Rhinophyma and acne rosacea treated with the electrosection current. Illınois Med J. 1950;97(5):281-282.
Neagu TP, Al-Falah Kh, Tiglis M, et al. A curious case of rhinophyma in a 73-year-old patient. Modern Medicine. 2017;24(2):111-5.
Lim SW, Lim SW, Bekhor P. Rhinophyma: Carbon dioxide laser with computerized scanner is still an outstanding treatment. Australas J Dermatol. 2009;50(4):289-293. doi: 10.1111/j.1440-0960.2009.00561.x.
Orenstein A, Haik J, Tamir J, et al. Treatment of rhinophyma with Er:YAG laser. Lasers Surg Med. 2001;29(3):230-5.
Serowka KL, Saedi N, Dover JS, Zachary CB. Fractionated ablative carbon dioxide laser for the treatment of rhinophyma. Lasers Surg Med. 2014;46(1):8-12. doi: 10.1002/lsm.22184.
Bernstein LJ, Kauvar AN, Grossman MC, Geronemus RG. The short- and long-term side effects of carbon dioxide laser resurfacing. Dermatol Surg. 1997;23(7):519-525.
Campolmi P, Bonan P, Cannarozzo G, et al. Highlights of thirty-year experience of CO2 laser use at the Florence (Italy) department of dermatology. Scientific World Journal. 2012;2012:546528. doi: 10.1100/2012/546528.
Holmes AD, Spoendlin J, Chien AL, Baldwin H, Chang ALS. Evidence-based update on rosacea comorbidities and their common physiologic pathways. J Am Acad Dermatol. 2018;78(1):156-166. doi: 10.1016/j.jaad.2017.07.055.
Klyuchareva SV, Ponomarev IV, Andrusenko YuN. Venous Ectasia of the vermilion border: copper vapor laser treatment (Russian). Vestnik dermatologii i venerologii. 2017;4:53-61. doi:10.25208/0042-4609-2017-0-4-53-61
Smithies DJ, Butler PH, Pickering JW, Walker EP. A computer controlled scanner for the laser treatment of vascular lesions and hyperpigmentation. Clin Phys Physiol Meas. 1991;12(3):261-267.
Madan V, Ferguson JE, August PJ. Carbon dioxide laser treatment of rhinophyma: a review of 124 patients. Br J Dermatol. 2009;161(4):814-818. doi: 10.1111/j.1365- 2133.2009.09317.x.
Kraeva E, Ho D, Jagdeo J. Successful Treatment of Rhinophyma With Fractionated Carbon Dioxide (CO2) Laser in an African-American Man: Case Report and Review of Literature of Fractionated CO2 Laser Treatment of Rhinophyma. J Drugs Dermatol. 2016;15(11):1465-1468.
Anderson RR, Parrish JA. Microvasculature can be selectively damaged using dye lasers: A basic theory and experimental evidence in human skin. Lasers Surg Med. 1981;1(3):263-276.
Moreira A, Leite I, Guedes R, Baptista A, Mota G. Surgical treatment of rhinophyma using carbon dioxide (CO2) laser and pulsed dye laser (PDL). J Cosmet Laser Ther. 2010;12(2):73-76. doi: 10.3109/14764171003706208
Kozarev J. Use of long pulse Nd:YAG 1064nm laser for treatment of rosacea telangiectatica. Journal of the Laser and Health Academy 2011;2011(1):33-36.
Pushkareva A, Ponomarev I, Isaev A, Klyuchareva S, Numerical investigation of vessel heating using a copper vapor laser and a pulsed dye laser in treating vascular skin lesions. Laser Phys. 2018;28:1-5. doi: 10.1088/1555-6611/ aa8cdb
Neumann R, Knobler R, Leonhartsberger H, Gebhart W. Comparative histochemistry of port-wine stains after copper vapor laser (578 nm) and argon laser treatment. J Invest Dermatol. 1992:99(2);160-167.
- Abstract Viewed: 621 times
- PDF Downloaded: 181 times