title: "Downward steps technique" with CO2 ultrapulsed laser for the treatment of rhinophyma: our protocol.
abstract: BACKGROUND
  The rhinophyma is an important soft-tissue hypertrophy of the nose. In literature a wide range of surgical approaches to rhinophyma has been described such as dermoabrasion, scalpel shave, cryosurgery, electrocautery, near total excision with skin grafting, and laser excision.
  
  
  METHODS
  The authors describe their experience with CO(2) ultrapulsed laser in 14 elderly male patients, using their personal approach, the Downward steps technique. With this technique they removed the pathological hypertrophic tissue using a progressive reduction of the laser power during the treatment. They obtained good results from morphological and aesthetic point of view, in a single laser session.
  
  
  CONCLUSIONS
  Major complications such as hypertrophic scars, infections, hyperpigmentation were not observed.
authors.forename: B
authors.initials: B
authors.lastname: Corradino
authors.forename: S
authors.initials: S
authors.lastname: Di Lorenzo
authors.forename: F
authors.initials: F
authors.lastname: Moschella
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000295:instrumentation*; D054020:Lasers, Gas / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012224:Rhinophyma / Q000601:surgery*; D012225:Rhinoplasty / Q000295:instrumentation*; D016896:Treatment Outcome