Yag Laser: Q&A
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Erbium Yag or Fraxel for Rhinophyma?
I'm beginning to show signs of Rhinophyma. There are a few nodules on one side of nose and some thickening on tip of nose which I absolutely hate. Which of these two lasers, Erbium Yag or Fraxel, would improve my condition? These two seem, from what I have read, have less downtime than the CO2. Thank you for responding. I am on Tazorac and cream antiobiotic. It helps somewhat but my main concern is the thickening on end of nose.
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4 Doctor Answers |
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BARBARA in TEXAS
in Conroe, Texas
+2
Erbium Yag or Fraxel for Rhinophyma?
Hi Barbara,
You should treat rhinophyma with CO2 ablative laser. I have not been impressed by the results of Fraxel re:store or re:pair on rhinophyma.
Good luck and be well.
Dr. P
+2
CO2 or erbium is preferred
We have all 3 lasers that you have mentioned in your question, and my 1st choice would be the CO2 laser. The Fraxel is not designed to target individual nodules, so it is not ideal. The erbium could be used, but the downtime would be the same as the CO2. I just submitted some photos of a patient with the issue that you are concerned about to RealSelf, and I treated him with CO2 on the nose, and Fraxel Repair on the rest of the face. Look for them under my name of photos of Fraxel Repair...sh
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+2
Fraxel and Erbium Laser For Rhinophyma
Ablative lasers work well for rhinophyma, as this is a proliferative condition of the sebaceous glands of the nose. In some cases, less invasive and simpler other modalities are used to treat rhinophyma such as CO2 laser, chemical peels, and surgery.
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Rhinophyma Laser Treatments
You are doing great to get a head start on the problem . If you are developing nodules already then using any type of fractionated laser may not achieve your desired results. I use the erbium yag laser in full ablation mode for most of my rhinophyma patients and can balance the downtime with results by fine tuning the depth of the treatments. With this laser we can achieve dramatic results and it has been shown to heal quickly and carry less risks of scarring and...
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Boulder Dermatologist
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