Single-stage reconstruction of rhinophyma: a case report

Rhinophyma, an advanced form of rosacea, is characterized by progressive nasal enlargement leading to significant cosmetic and functional impairments. This case report details the management of a 54-year-old male presenting with a 10-year history of nasal hypertrophy consistent with rhinophyma. The patient had surgery in steps that included using a flap from his forehead to rebuild the shape of his nose. Postoperative care included targeted antibiotic therapy and meticulous wound management. Over a nine-month follow-up period, the patient's recovery was satisfactory, with significant aesthetic and functional improvements. This case demonstrates the effectiveness of a systematic surgical strategy in treating advanced rhinophyma.