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Management of Rhinophyma

Cosmetic surgeons are often asked to evaluate and treat a host of different dermatologic diseases. Some conditions may fall outside the realm of what they see daily in their practice, as they are not very common. We were recently presented with a patient with rhinophyma, which is considered the most severe expression of acne rosacea. In its severe form, rhinophyma is quite disfiguring and can lead to significant mental anguish, depression, and social reclusive-ness. The condition is stigmatized by such lay terms as whisky nose, rum nose, or potato nose. This article reviews the pathophysiology, clinical presentations, and medical and surgical management of rhinophyma.