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Electrosurgical Tangential Decortication for Severe Rhinophyma: A Case Report.
Mario Shuchleib Cukiert1, Guillermo Roa Álvarez2, Veronica Fonte Ávalos1
1Dermatology, Hospital General "Dr. Manuel Gea González", Mexico City, MEX.
Cureus
|May 20, 2026
Summary
Electrosurgery offers a cost-effective and accessible treatment for severe rhinophyma, achieving results comparable to laser therapy. This method, using electrosurgical loop-assisted decortication, successfully restored nasal contour in a patient with advanced rosacea.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Rhinophyma is the advanced stage of rosacea, causing nasal deformity due to sebaceous hyperplasia and tissue overgrowth.
- Surgical treatment is definitive for established rhinophyma.
- CO2 laser therapy is precise but costly; electrosurgery is an accessible alternative.
