Multifaceted Treatment of Severe Rhinophyma With Wide Excision, Esterified Hyaluronic Acid Matrix Placement, Laser Therapy, and Microneedling: A Case Report

Rhinophyma is characterized by the irregular dysmorphic growth of the nose emerging from chronic rosacea. The bulbous glandular mass develops from the chronic proliferation of sebaceous glands leading to vascular compromise. Importantly, the cosmetic consequence of this disease leads to severe psychological distress. Characterized by telangiectasias, erythema, and thickening of the skin, it is vital to use a multi-faceted approach for desirable results. We present the case of a rhinophyma treated with full-thickness tissue removal, esterified hyaluronic acid matrix placement, laser treatment, and microneedling.