Rhinoplasty – Rhinophyma

The patient is a 67 year old man with severe rhinophyma.  He had a long history of rosacea and over the five years prior to surgery had progressed to worsening rhinophyma.  The patient had lasting improvement from sculpting with a knife.  Healing was due to local deep skin elements and no skin graft was required.  Rhinophyma is related to rosacea and certain ethnicities, but has no association with alchohol use ( the W.C. Fields myth).