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Outcomes of Electrosurgery Combined With 50% TCA Application in Patients With Rhinophyma
1Department of Dermatovenereology, Gülhane Training and Research Hospital, University of Health Sciences, Ankara, Türkiye, akdeniz.edu.tr.
Dermatology Research and Practice
|June 15, 2026
Summary
Electrosurgery combined with trichloroacetic acid (TCA) offers a well-tolerated treatment for rhinophyma, improving cosmetic outcomes. Postoperative care with bismuth subgallate and collagen gel supports healing over approximately three to four weeks.
Area of Science:
- Dermatology
- Plastic Surgery
- Medical Aesthetics
Background:
- Rhinophyma presents significant cosmetic and social challenges.
- Effective treatment options are needed to address patient concerns and improve quality of life.
Purpose of the Study:
- To evaluate the outcomes of combining electrosurgery with 50% trichloroacetic acid (TCA) for rhinophyma treatment.
- To assess the cosmetic results and patient satisfaction following this combined therapeutic approach.
Main Methods:
- Retrospective analysis of six male patients with rhinophyma.
- Treatment involved electrosurgery followed by 50% TCA application.
- Cosmetic outcomes were assessed using physician and patient satisfaction scales.
Main Results:
- The combined treatment was well-tolerated by all patients.
- Complete re-epithelialization occurred within an average of 24 days.
- High patient satisfaction scores (7-10) were reported, with minimal scarring in most cases.
Conclusions:
- Electrosurgery with 50% TCA is a practical, well-tolerated, and cost-effective option for selected rhinophyma patients.
- Postoperative wound care using bismuth subgallate and collagen gel facilitates healing over 3-4 weeks.