Rhinophyma: review of pathophysiology and treatment

Rhinophyma is an uncommon condition that often results in both functional as well as cosmetic impairment. Different treatment modalities have been devised, with varying degrees of success. A review of the pathophysiology of this condition, together with the authors' experience in managing 76 cases utilizing six different treatment methods, is presented. A simple and atraumatic surgical method has evolved using a Weck blade and argon beam coagulator. The operating time is decreased significantly when compared to other techniques with equal to superior cosmetic results.