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

Rhinophyma is a deforming disease that affects the nose mainly of Caucasian men. Progressive nasal skin thickening, telangiectasias, and hypertrophy of sebaceous appendages are frequently found in these patients. Many therapeutic modalities have been reported with good results. Among these, tangential excision is established as the surgical modality of choice. In advanced cases, it is not possible to distinguish nasal deformities resulting from rhinophyma from those resulting from malposition of the anatomic components that make up the nasal framework. We describe the use of a mixed technique in which the tangential excision and the open approach complement each other satisfactorily, restoring both shape and structure of the nose. This approach may represent a safe alternative for the simultaneous treatment of rhinophyma and a structured rhinoplasty, and further studies are needed for its full validation in clinical practice.