Optimizing Treatment for Rhinophyma

In the presentation on optimizing treatment for rhinophyma, the speaker discusses various treatment modalities, including CO2 laser resurfacing and newer technologies such as erbium fiber lasers. They emphasize the importance of treating both nodules and vascular components associated with rhinophyma, often starting with a consultative vascular treatment. The speaker outlines the advantages and disadvantages of fully ablative versus fractional lasers, with a focus on balancing effective results while minimizing risks like pigmentation changes, especially in patients with past vitiligo. They share specific techniques, such as using a loop to scoop out nodules and then performing CO2 resurfacing to achieve a desired contour. The speaker highlights the challenges faced in treating larger cases and the aesthetic outcomes seen in follow-up cases. They mention the significance of patient education regarding potential complications, such as infections, and the need for prompt action if patients experience pain post-procedure. Additionally, the introduction of mid-infrared lasers like the 1726 nm laser and their reduced downtime and side effects are presented as promising options moving forward. Overall, the emphasis is on developing comprehensive, individualized treatment plans for rhinophyma patients to ensure optimal aesthetic results.