Background: Rhinophyma is an uncommon progressively disfiguring process of the nose which occurs most often in middle-aged white men. The supposed association with increased alcohol abuse often leads to psychological problems for the person concerned.
Patients and methods: We describe ten cases of patients with slowly progressive tumorous deformation of the nose. They were treated with a stepwise surgical approach consisting of tangential excision for debulking, sculpting with scissors, and finally contouring by dermabrasion.
Results: An esthetically pleasing result was achieved in all cases, making social reintegration for the patients possible. In the follow-up of at least 12 months no recurrence was seen and no scars occurred.