Open Access
CC BY 4.0 · Arch Plast Surg
DOI: 10.1055/a-2802-3112
Case Report

INNOVATIVE NASAL SPLITTING TECHNIQUE FOR DUAL RHINOPLASTY AND RHINOPHYMA MANAGEMENT: CASE REPORT AND LITERATURE REVIEW

Autor*innen

  • Michel Luciano Holger Toledano Vaena

    1   Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil (Ringgold ID: RIN28130)
  • Bruno Benedetti-Pinto

    2   Plastic Surgery, Hospital do Andaraí, Rio de Janeiro, Brazil (Ringgold ID: RIN242741)
  • Carlos Weck Roxo

    3   Plastic Surgery, Hospital Universitario Pedro Ernesto, Rio de Janeiro, Brazil (Ringgold ID: RIN199987)

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.



Publikationsverlauf

Eingereicht: 04. März 2025

Angenommen nach Revision: 30. Januar 2026

Accepted Manuscript online:
03. Februar 2026

© . The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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