An Introduction of the Ultrasonic Scalpel: Utility in Treatment of Rhinophyma

Procedural management of rhinophyma: A comprehensive review

“…The classic model utilizes a rapidly revolving head, which like scalpel excision is associated with extensive bleeding. It is rarely used as a single‐modality treatment and functions as a fine contouring tool in conjunction with other debulking methods . In recent years, the Versajet hydrosurgery system has been reported as a single agent .…”

Excision of Rhinophyma With High-Frequency Electrosurgery

“…Clinically the lower two-thirds of the nose becomes enlarged and hypervascular, developing a reddish-purple discoloration and a lobular, nodular appearance. 2,3 The literature is replete with controversy regarding the best method of surgical therapy. It is believed that rhinophyma represents the end stage of acne rosacea, and may be affected by alcohol, caffeine, spicy foods, and other vasoactive influences such as climate.…”

“…Multiple surgical approaches have been used to treat rhinophyma, including dermabrasion, scalpel excision, electrosurgery, Shaw knife, laser, harmonic scalpel, cryosurgery, and others. 2,3 The literature is replete with controversy regarding the best method of surgical therapy. It is generally accepted that there is greater heat dispersion with electrosurgery as compared to CO 2 laser.…”

Die operative Therapie des Rhinophyms mit dem ultraschallaktivierten Skalpell (Ultracision Harmonic Scalpel®)

“…Bis zum jetzigen Zeitpunkt liegt nur eine Anwendungsbeobachtung des ultraschallaktivierten Skalpells (Ultracision Harmonic Scalpel ) zur operativen Therapie des Rhinophyms vor [14]. Ziel der vorliegenden Arbeit war daher die Handhabung, die Technik und die Effizienz des ultraschallaktivierten Skalpells in der chirurgischen Therapie des Rhinophyms prospektiv zu analysieren.…”