Do I have rhinophyma & which laser is most useful, fully ablative or fractional? (Photos)

Question

For years I have had rosacea and skin thats feels thickened so I assume it's rhinophyma. Which laser is most useful fully ablative or fractional? Is there anything else I can do in the meanwhile?

Anna Chacon, MD, FAAD · Answer

To determine if you have rhinophyma, it is important to consult with a dermatologist who can provide a thorough examination and diagnosis. Rhinophyma is a condition characterized by a thickened, bulbous appearance of the nose, often associated with advanced rosacea.

Regarding laser treatments:

Fully Ablative Laser: This type of laser treatment removes the entire outer layer of the skin, which can be effective in reshaping and reducing the thickened tissue associated with rhinophyma. It often requires a longer recovery period but can provide significant results.

Fractional Laser: This treatment targets only a fraction of the skin at a time, creating micro-injuries that stimulate the skin's natural healing process. It generally has a shorter recovery time and may be less invasive, but it might require multiple sessions to achieve desired results.

The choice between fully ablative and fractional laser treatments depends on the severity of the rhinophyma and your individual skin type and healing capacity. A dermatologist can recommend the most suitable option for you.

In the meantime, to manage rosacea and prevent further progression:

Use gentle skincare products: Avoid irritants and opt for products designed for sensitive skin.
Sun protection: Use a broad-spectrum sunscreen daily to protect your skin from UV damage.
Avoid triggers: Identify and avoid factors that exacerbate your rosacea, such as spicy foods, alcohol, or extreme temperatures.
Topical treatments: Your dermatologist may prescribe topical treatments to help manage rosacea symptoms.
Consulting with a dermatologist will provide you with a personalized treatment plan and guidance on managing your condition effectively.

Do I have rhinophyma & which laser is most useful, fully ablative or fractional? (Photos)

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