Rhinophyma

Published on 16/03/2015 by admin

Filed under Dermatology

Last modified 22/04/2025

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Rhinophyma

John Berth-Jones

Evidence Levels:  A Double-blind study  B Clinical trial ≥ 20 subjects  C Clinical trial < 20 subjects  D Series ≥ 5 subjects  E Anecdotal case reports

image

Phymas, of which rhinophyma is much the most common, are localized swellings of facial soft tissues due to a variable combination of fibrosis, sebaceous hyperplasia, and lymphedema. They occur on the nose (rhinophyma) and, less often the ears, forehead, or chin. They are seen much more frequently in males than in females. Rhinophyma may develop in patients with a long history of rosacea, when it is often regarded as a complication or ‘end stage’ of the disease. However, rhinophyma is also seen in patients who have no history of rosacea. Occasionally rhinophyma is complicated by the development of a malignancy.

Second-line treatments

image Electrosurgery C
image Argon laser C
image CO2 laser C
image Nd : YAG laser E
image Er : YAG laser D
image Cryotherapy D
image Isotretinoin C
image Microdebrider E
image Shaw scalpel E
image Radiotherapy E
image Hydrosurgery D

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Rhinophyma

John Berth-Jones

Evidence Levels:  A Double-blind study  B Clinical trial ≥ 20 subjects  C Clinical trial < 20 subjects  D Series ≥ 5 subjects  E Anecdotal case reports

image

Phymas, of which rhinophyma is much the most common, are localized swellings of facial soft tissues due to a variable combination of fibrosis, sebaceous hyperplasia, and lymphedema. They occur on the nose (rhinophyma) and, less often the ears, forehead, or chin. They are seen much more frequently in males than in females. Rhinophyma may develop in patients with a long history of rosacea, when it is often regarded as a complication or ‘end stage’ of the disease. However, rhinophyma is also seen in patients who have no history of rosacea. Occasionally rhinophyma is complicated by the development of a malignancy.

Second-line treatments

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image Electrosurgery C
image Argon laser C
image CO2 laser C