Rhinophyma – from clinical presentation to definitive treatment: a case-based approach

Abstract Rhinophyma is a chronic, progressive dermatological disorder characterized by hypertrophy and hyperplasia of sebaceous glands localized to the nasal region. It is frequently associated with phymatous rosacea in its advanced stages and manifests clinically with significant tissue overgrowth, leading to distortion of nasal contours and, in severe cases, functional impairment such as external nasal valve collapse and airway obstruction. Given the irreversible nature of the structural changes and the lack of spontaneous regression, surgical intervention remains the definitive treatment modality. A recent case of rhinophyma managed within our department provided valuable insights into its clinical features, diagnostic considerations, and therapeutic decision-making. This report presents the essential aspects of the case and reflects on the practical implications for effective management of this condition.