Rinofima: manejo médico y quirúrgico. Reporte de casos yrevisión de la literatura

Introduction: Rhinophyma is a chronic inflammatory disease characterized by se­baceous gland hypertrophy and connective tissue changes that cause progressive deformity to the nasal aesthetic unit. It is more frequent in men and may be as­sociated with erythema, telangiectasias, and nasal obstruction in advanced cases. Management usually combines medical therapies and surgical procedures, such as CO2 laser and reconstructive interventions. Case series: We present six patients with rhinophyma evaluated by dermatology and otolaryngology services, who received combined management according to disease severity. Treatment included retinoids, ablative and non-ablative lasers, and structural rhinoplasty as the surgical interven­tion. Discussion: This multidisciplinary combined approach allowed correction of both aesthetic and functional impairment, optimizing remodeling of the nasal soft tissues and promoting comprehensive patient recovery. Conclusion: Medical and surgical therapies represent an effective strategy for the management of rhinophyma, with a positive impact on nasal function, aesthetic appearance, and quality of life.