CO2 Laser Settings for Rhinophyma Treatment

Optimal Treatment Parameters

• The American Academy of Dermatology recommends using CO2 laser settings of 35-50 J/cm² with a 10-ms pulse duration for patients with Fitzpatrick skin types I-III, and 25-40 J/cm² with a 20-ms pulse duration for patients with skin types IV-VI for treating rhinophyma with a CO2 laser Candela device 1, 2
• Target endpoint should be delayed post-treatment perifollicular erythema and/or edema for effective tissue ablation 1, 2

Treatment Protocol

• For optimal results, include a margin of approximately 1 cm of normal skin in the treatment field 3

Expected Outcomes and Follow-up

• Scanner-assisted CO2 laser treatment has shown only 1.1% recurrence in long-term follow-up studies, according to Praxis Medical Insights 4