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Innovative Nasal Splitting Technique for Dual Rhinoplasty and Rhinophyma Management: A Case Report and Literature

Michel L H T Vaena1, Bruno Benedetti Pinto2,3, Carlos Weck Roxo3

  • 1Faculdade de Ciências Médicas - FCM/UERJ - Av. Prof. Manuel de Abreu, Rio de Janeiro State University - UERJ, Rio de Janeiro, Rio de Janeiro, Brazil.

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Rhinophyma, a nasal skin disease, can be treated with a combined surgical technique. This approach merges tangential excision with open rhinoplasty to restore both nasal shape and structure effectively.

Keywords:
cosmeticnasal reconstructionnosenose deformitiesothersrhinophymarhinoplasty

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Otolaryngology

Background:

  • Rhinophyma is a deforming nasal condition primarily affecting Caucasian men.
  • Characterized by skin thickening, telangiectasias, and sebaceous gland hypertrophy.
  • Existing treatments show good results, with tangential excision as the preferred surgical method.

Purpose of the Study:

  • To present a novel mixed surgical technique for advanced rhinophyma.
  • To address the challenge of distinguishing rhinophyma deformities from structural nasal framework issues.
  • To evaluate the simultaneous restoration of nasal shape and structure.

Main Methods:

  • Description of a mixed surgical technique combining tangential excision and open rhinoplasty.
  • Application in advanced cases of rhinophyma where deformities are complex.
  • Focus on restoring both aesthetic form and functional nasal structure.

Main Results:

  • The mixed technique satisfactorily restored both shape and structure of the nose.
  • Demonstrated successful simultaneous treatment of rhinophyma and structured rhinoplasty.
  • The approach proved to be a safe alternative in complex cases.

Conclusions:

  • The described mixed technique offers a safe and effective alternative for managing advanced rhinophyma.
  • It successfully addresses both the cosmetic and structural aspects of nasal deformities.
  • Further clinical studies are recommended for complete validation.