Ablation of facial adenoma sebaceum using the Versajet™ Hydrosurgery System


Sebaceous adenomas, histologically facial angiofibromas, are closely associated with the tuberous sclerosis complex. The dermatologic disorder constitutes one of the main characteristics for that disease. The lesions commonly involve the central part of the face, including the cheeks, perioral region and nose with predominance in the nasolabial folds, causing a major cosmetic disfigurement. Aesthetic surgery of the face comprises different forms of ablative treatments using mechanical dermabrasion, shave excision, radiofrequency ablation, cryosurgery, laser therapy, and electrocoagulation. The use of Versajet™ Hydrosurgery System has not been previously described in the treatment of adenoma sebaceum so far. In this case report, we present the successful application of this hydrosurgical system in a patient with tuberous sclerosis and multiple facial angiofibromas indicating it as a feasible, effective, reliable, and economical treatment option.

Level of Evidence: Level V, therapeutic study.

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Correspondence to Stefan Benedikt.

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Conflict of interest

Martin Grohman, Stefan Benedikt, Abigail Forbes, and Ivo Justich declare that they have no conflict of interest.


No funding was received for this work.

Ethical approval

For this type of study, formal consent is not required as this case report was performed retrospectively.

Patient consent

Written informed consent was obtained from the patient’s legal guardians for performing this operation. Identifying details in the pictures were anonymized as far as possible. Additional written informed consent was obtained for publication of identifying information in pictures and videos being taken during treatment.

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Grohmann, M., Benedikt, S., Forbes, A. et al. Ablation of facial adenoma sebaceum using the Versajet™ Hydrosurgery System. Eur J Plast Surg 41, 93–96 (2018) doi:10.1007/s00238-017-1347-2

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  • Sebaceous adenoma
  • Angiofibroma
  • Versajet
  • Tuberous sclerosis