Rhinoplasty - Rhinophyma

Considerations

• • Background 

  • 1998: Rhinophyma: plastic surgery, rehabilitation, and long-term results

  • 2004: Rhinophyma: dispelling the myths

  • 2008: Rhinophyma: diagnosis and treatment options for a disfiguring tumor of the nose

  • Technique 

  • 1987: Methods and complications of rhinophyma excision

  • 1990: Treatment of massive rhinophyma with the carbon dioxide laser

  • 1993: The treatment of rhinophyma. 'Cold' vs laser techniques

  • 2000: Conventional cold excision combined with dermabrasion for rhinophyma

  • 2004: The gold standard for decortication of rhinophyma: combined erbium-YAG/CO2 laser

  • 2008: Rhinophyma: diagnosis and treatment options for a disfiguring tumor of the nose

  • 2008: Treatment of rhinophyma with the Versajet Hydrosurgery System

  • 2008: Surgical treatment of rhinophyma

  • 2012: Nuances in the management of rhinophyma

  • 2013: Management of severe rhinophyma with sculpting surgical decortication

Preparation

• • Coblator - set ablate to 1, coag to 3 

  • 15 blade

  • Bacitracin, Xeroform, Telfa, Mastisol, 1/4 inch and 1 inch Steri-strips 

Procedure

Sample operative report

Post-op

• • CPT - 30120  Excision or surgical planing of skin of nose for rhinophyma

Pearls & Pitfalls

High-Yield

Links

• • YouTube (6:30) - Rhinophyma Reduction Excellent video showing Bovie decortication and CO2 surfacing of a severe rhinophyma case by Dr. Nayak

• YouTube (5:22) - Rhinophyma treatment using RadioSURG2200