Cosmetic surgeons are often asked to evaluate and treat a host of different dermatologic diseases. Some conditions may fall outside the realm of what they see daily in their practice, as they are not very common. We were recently presented with a patient with rhinophyma, which is considered the most severe expression of acne rosacea. In its severe form, rhinophyma is quite disÞ guring and can l...

Rhinophyma is a rarely seen benign, chronic disease of nasal skin, characterized by nodular growing of sebaceous glands that affect the distal half of the nose and cause several functional and aesthetic problems. This uncommon disease is especially seen in Caucasian males between the ages of 45-60 and the incidence is 12 times higher in men than in women. There are different methods for treatme...

BACKGROUND Unlike T-cell neoplasms, B-cell lymphoproliferative disorders have a limited clinical spectrum of skin involvement. Cutaneous B-cell neoplasms mimicking rosacea or rhinophyma are rare. OBSERVATIONS We described 12 patients with B-cell lymphoproliferative neoplasms presenting with a facial eruption clinically mimicking rosacea or rhinophyma. Eleven patients were women; ages ranged f...

Rhinophyma, the advanced stage of rosacea, is a lesion characterized by progressive hypertrophy and hyperplasia of sebaceous glandular tissue, connective tissue, and blood vessels. Rhinophyma can lead to a significant facial disfigurement and severe emotional distress, but it is not only an aesthetic problem, since rare cases of simultaneous presence of malignant tissue are described in the lit...

Rhinophyma is the most prevalent presentation of the phymatous subtype of rosacea. Rosacea subtypes include erythematotelangiectatic type (type 1), papulopustular rosacea (type 2), phymatous rosacea (type 3) and ocular rosacea (type 4).[1] Phymatous rosacea is characterized early by prominent follicular pores or patulous follicles with mild swelling while advanced disease reveals pronounced hyp...

The aim of the article is to present an update on the pathophysiology, clinical features and treatment of rhinophyma. A 56 years old patient, living in urban area, presented with a giant rhinophyma which caused him not only upper airways obstruction and difficulty in eating, but also aesthetic and psycho-social disadvantages.The treatment of the patient was a surgical intervention consisting in...

Rhinophyma is a common condition in the west of Scotland. Various surgical approaches have been described, most of which rely heavily on electrocautery, heated scalpel, or laser coagulation for hemostasis, resulting in thermal injury and substantial risk of scarring. The authors describe their experience with the "triple approach" for the surgical treatment of rhinophyma, consisting of tangenti...

Rhinophyma (rhis: nose, phyma: growth) is a rare, disfiguring disease characterized by a progressive hypertrophy of the softtissues of the nose with its increased volume, mainly in the lower half, and often associated to an end-stage of severe acne rosacea. The cause of rhinophyma is unknown, but it is believed to be the end stage of acne rosacea. The diagnosis is easy to ascertain based on the...

Figure 1. Classic appearance of rhino-phyma with a bulbous, cosmetic nasal deformity causing distortion of the aesthetic subunits of the lower nose. Alar thickening can eventually lead to obstruction of the external nasal valves. Figure 2. Transition of the affected thicker sebaceous skin of the lower nose and the relatively unaffected upper nasal skin.