OUTPATIENT RADIOWAVE SURGERY OF RHINOPHYMA

Relevance. Rhinophyma is treated by plastic surgeons, otorhinolaryngologists and dermatologists. It is observed mainly in men over 40 years of age, manifested by disfiguring face and nose nodes, which progressively enlarge. Surgical methods can achieve a rapid and cosmetically significant effect, but can be associated with complications and scarring. Case descriptions. The article presents a case of successful radio wave treatment of 70-year-old man with rhinophyma. It was noted that radiowave surgery has advantages over other methods: the pain syndrome during and after surgery was insignificant, good hemostasis was noted due to the use of the cutting-coagulation mode, which provided good visual control over the tissues being removed. Different types of tips allowed manipulation on the uneven convex and concave surfaces of the external nose, the removed material was not subjected to destruction, which made it possible to take all tissues for histological examination. Due to the gentle effect on tissues during radiowave removal, it was not necessary to apply skin flaps or free skin grafting for a satisfactory cosmetic result. Conclusion. Clinical observation shows that outpatient radiowave surgery of rhinophyma is possible without skin grafting with a good cosmetic effect.