Abstract
Objective: 1) Describe and assess the results of our technique for the surgical management of rhinophyma. 2) Review contemporary concepts in rhinophyma management.
Method: We describe a relatively simple combined-modality technique that addresses each of the 4 steps of rhinophyma surgery. The method allows accurate delineation of tissues whilst maintaining reduced operative times, excellent hemostasis, and an uncomplicated postoperative course, together with satisfactory cosmetic results. We present video of the technique.
Results: The technique was used for 7 patients. There were no major complications. All patients were satisfied with the outcome and no patients requested revision. Assessment by an independent facial plastic surgeon indicated a mean cosmetic improvement in visual-analogue score (1-10) of 8.5 ± 0.7.
Conclusion: The ideal technique for the surgical management of rhinophyma is yet to be found. We describe a method that is relatively simple, low cost, easy to learn, has a short operative time, requires minimal postoperative care and provides a satisfactory cosmetic outcome with minimal complications.
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