Rhinophyma

The treatment of rhinophyma with excision and full-thickness skin graft

“…There is not a common concept on which method should be preferred. Tetracycline and topical antibiotic treatment for 2 weeks before surgery help to reduce swelling and sclerosis [16].…”

“…For this reason, it is recommended to ensure a good control of hemostasis with a minimal thermal damage to the underlying sebaceous gland tissue, to allow spontaneous re-epithelialization with a quick and minimal scar tissue, and in order to minimize the risk of hypopigmentation; performing local dilute epinephrine injection and using bipolar cautery before the excision with a scalpel are also recommended [13][14][15][16][17][18][19]. Cauterization of the great vessels will take a long time, can give thermal damage to the underlying perikondrium and cartilage, and can also delay the healing, desiccate the cartilage and terminate with a likely deformity of the nose.…”

A case of severe rhinophyma (gigantic rhinophyma)

“…Many other terms have been used over the years. Most of these were derived from similarity to animal snouts or some foods or related to a etiologic hypothesis [2,7].…”

“…In the pathogenesis of rhinophyma, there is vascular dilatation which leads to formation of new connective tissue and hypertrophy of sebaceous glands; thus, it looks like an advanced stage of acne rosacea [2,6,7].…”

“…These can be summarized as excessive intake of alcohol, prolonged exposure to sun or cold, excessive effects of hormones, vitamin deficiency, organisms (bacteria, the mite, Demodex folliculorum), stress, spicy and hot food [2,4,7,8].…”