Precision in Rhinophyma Treatment: the Role of CO2 Laser Therapy in Restoring the Form and Function of the Nose

Klaudia Szala; Bartosz Zakrzewski; Natalia Bień; Marcin Zakrzewski; Joanna Narbutt; Aleksandra Lesiak

doi:10.5114/dr.2025.153314

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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2/2025
vol. 112

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abstract:

Case report

Precision in Rhinophyma Treatment: the Role of CO2 Laser Therapy in Restoring the Form and Function of the Nose

Klaudia Szala

¹

,

Bartosz Zakrzewski

¹

,

Natalia Bień

²

,

Marcin Zakrzewski

¹

,

Joanna Narbutt

³

,

Aleksandra Lesiak

^{2, 3}

Zakrzewscy Clinic, Katowice, Poland
Laboratory of Autoinflammatory, Genetic and Rare Skin Disorders at Department of Dermatology, Paediatric Dermatology and Dermatological Oncology, Medical University of Lodz, Poland
Department of Dermatology, Paediatric Dermatology and Dermatological Oncology, Medical University of Lodz, Poland

Dermatol Rev/Przegl Dermatol 2025, 112, 120-124

DOI: https://doi.org/10.5114/dr.2025.153314

Online publish date: 2025/06/30

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Introduction:
Rhinophyma is a progressive and disfiguring condition of the nose, marked by the enlargement of sebaceous glands and the proliferation of blood vessels and connective tissue. It is a severe form of rosacea, leading to significant nasal deformity and affecting both appearance and quality of life.

Objective:
To demonstrate the effectiveness of CO₂ laser therapy in treating rhinophyma in a rosacea patient.

Case report:
A 66-year-old patient presented with concerns about the appearance of his nose and reported a 4-year history of enlarging masses. The changes caused cosmetic disfigurement. CO₂ laser therapy was performed in two sessions, spaced four weeks apart. Mild swelling, redness, and oozing were observed post-treatment, resolving within a few days.

Conclusions:
CO2 laser therapy, performed by an experienced doctor, provides rapid and lasting results. The patient showed cosmetic and functional improvements, with no recurrence of lesions during 1-year follow-up.

keywords:

rosacea, laser, carbon dioxide, rhinophyma

Indeks osobowy

Precision in Rhinophyma Treatment: the Role of CO2 Laser Therapy in Restoring the Form and Function of the Nose

Klaudia Szala 1 , Bartosz Zakrzewski 1 , Natalia Bień 2 , Marcin Zakrzewski 1 , Joanna Narbutt 3 , Aleksandra Lesiak 2, 3

rosacea, laser, carbon dioxide, rhinophyma

Klaudia Szala

¹

,

Bartosz Zakrzewski

¹

,

Natalia Bień

²

,

Marcin Zakrzewski

¹

,

Joanna Narbutt

³

,

Aleksandra Lesiak

^{2, 3}