Combined Fractional Carbon Dioxide Laser and Fractional Microneedle Radiofrequency Treatment for Rhinophyma: A Case Report.

Background: Rhinophyma, an advanced form of rosacea, primarily affects older men and is characterized by nasal hypertrophy and irregular surface texture. Traditional treatments include pharmacologic interventions and various surgical techniques. Objective: To present the clinical outcome of a novel combined treatment using fractional carbon dioxide laser (FCL) and fractional microneedle radiofrequency (FmRF) in a patient with rhinophyma. Methods: A 62-year-old male with prominent nasal seborrhea, hypertrophy, and surface irregularities underwent combined treatment with FCL and FmRF. The treatment sessions were performed under topical anesthesia with post-procedure care including emollients and sun protection. Results: The patient experienced marked cosmetic improvement, including reduced nasal bulk and smoother surface texture, without adverse events such as scarring or pigmentary alteration. The recovery period was short, and patient satisfaction was high. Conclusions: This case represents the first report of combining FCL and FmRF for the treatment of rhinophyma. The favorable clinical and cosmetic outcome suggests this method may be a promising alternative to conventional surgical approaches. Further studies are needed to validate its efficacy and safety in broader populations.