They state that “Alternative methods including electrocauterization and CO2 [carbon dioxide] laser, via vaporization improve hemostasis but result in scarring and poor cosmesis.” There is no citation for this statement, so I assume it represents the authors’ opinions. Although I am a big proponent of 4.0-MHz radiowave surgery, I also use the CO2 laser to treat rhinophyma (frequently concomitant...

We describe a simple technique for excision of rhinophyma using equipment found commonly in theatre. The nose is infi ltrated with lignocaine and adrenaline, and a colposcopic loop electrode (15mm disposable loop electrode; Meditech, Shaftesbury, UK) is used to shave excess tissue in smooth planes while providing simultaneous haemostasis. The burr (6mm Bud Trimmer Burr; Mercian, Bromsgrove, UK)...

Introduction: Rhinophyma is an uncommon subtype of rosacea, the clinical diagnosis of which is straightforward. However, localized, especially well-circumscribed,  rhinophyma is a very rare condition, which requires a paraclinical assessment to be accurately diagnosed.   Case Report: We report a 48-year-old male patient who presented with a well-circumscribed and dark re...

BACKGROUND Rosacea is an inflammatory facial dermatosis seen more frequently in adults in their second half of life. The phymas are a particular subtype with sebaceous gland hyperplasia and progressive fibrosis. CASE REPORT We report on the rare simultaneous occurrence of telangiectatic rosacea, otophyma and rhinophyma in a 50-year-old female with psoriatic arthritis, chronic lymphedema of th...

Geyton T, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223495 Description Rhinophyma meaning ‘nose growth’ in Greek is a relatively common condition that describes thickening of the nasal skin with enlargement of the sebaceous glands. While not fully understood, it is believed to be a result of vascular instability causing leakage of fluid into the tissues. This subsequently triggers inflamma...