Electrosurgery in rhinophyma: report of two cases

Rhinophyma is characterized by chronic inflammation of the tissues of the nose, resulting in irregular exophytic growth and telangiectasias. The disease progresses with hyperplasia and hypertrophy of the nasal sebaceous glands, associated with fibrosis and dilation of local blood vessels and connective tissue. These changes can lead to complete nose deformity and compromise the patients' quality of life. There are different treatment methods, such as laser, microdermabrasion, chemical exfoliation, cryosurgery, surgery with skin graft, and electrosurgery, with varying results and costs. We report two cases of rhinophyma treated with electrosurgery with very satisfactory results.