Facial plast Surg 1998; 14(4): 279-286
DOI: 10.1055/s-2008-1064458
© 1999 by Thieme Medical Publishers, Inc.

CO2 Laser Therapy for Rhinophyma

Sergije Jovanovic, Benedikt Sedlmaier
  • ENT Department, Benjamin Franklin Medical Center, FU Berlin, Germany
Further Information

Publication History

Publication Date:
02 June 2008 (online)


Laser treatment of skin changes has become common practice in recent years. High absorption of the CO2 laser wavelength (10,600 nm) in water is responsible for its low penetration depth in biological tissue. Shortening the tissue exposure time minimizes the thermic side effects of laser radiation, such as carbonization and coagulation. This can be achieved with scanner systems (e.g., SilkTouch™ scanner, Feather Touch™ scanner), that move the focused laser beam over a defined area by microprocessor-controlled rapidly rotating mirrors. This enables controlled and reliable removal of certain dermal lesions, particularly hypertrophic scars, scars after common acne, wrinkles, and rhinophyma. Laser ablation of rhinophyma is a stress-minimizing procedure for the surgeon and the patient, as it is nearly bloodless and can be performed under local anesthesia. Cosmetically favorable re-epithelialization of the lasered surfaces is achieved within a very short period of time.