Facial Plast Surg 2019; 35(03): 267-273
DOI: 10.1055/s-0039-1688845
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dermabrasion for Scars and Wire Loop Electrocautery for Rhinophyma

David B. Hom
1  Facial Plastic & Reconstructive Surgery, Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of California San Diego School of Medicine, San Diego, California
Jeffrey Harmon
2  Department of Otolaryngology - Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio
› Author Affiliations
Further Information

Publication History

Publication Date:
12 June 2019 (online)


Dermabrasion and wire loop electrocautery are controlled scalpel-less procedures to remove superficial skin layers to treat dermal surface irregularities. Their postprocedure healing involves healing by secondary intention. The purpose of this paper is to discuss the use of diamond fraise dermabrasion to improve scars and the use of wire loop electrocautery to treat rhinophyma surface irregularities. Both techniques are minimally invasive and low cost, and at the same time, can significantly improve facial skin deformities. An advantage in using wire loop electrocautery for rhinophyma excision is that it is a simple, economic, and very effective technique to sculpt the nose, with minimal intraoperative bleeding. With dermabrasion, pretreatment and postregimens can help improve postprocedure results. Future efforts to modulate the healing from both of these techniques include the potential use of topical growth factors, autologous platelet-rich plasma, or using stem cells to accelerate collagen formation and reepithelization during the postprocedure period.