Rhinophyma is an advanced stage of rosacea, characterized by hypertrophy of the soft tissues of the distal part of the nose, which may be responsible for obstruction of the airways, but above all for progressive alteration of the nasal architecture, resulting in significant aesthetic damage and psychosocial morbidity for the patient. The exact pathophysiology of rosacea and rhinophyma is not well understood. Diagnosis is essentially clinical, with anatomopathological examination aimed at defining the histological variant and eliminating associated malignant tumour lesions. Recently, numerous therapeutic options have been developed to restore the aesthetic subunits of the nose, restoring the patient’s self-confidence and integration into society. The aim of this publication is to describe a case of rhinophyma in its “glandular” variant classified at 4 points according to the severity index of Wetzig et al., treated by electrocautery, while carrying out a review of the literature detailing the therapeutic options currently available.
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