2018, Number 2
Cir Plast 2018; 28 (2)
Rojas GP, Cuervo VMA, Gutiérrez SJE, Márquez EC
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ABSTRACTRhinophyma is a term that derives from Greek and means «nasal growth». It is a benign cutaneous deformity that is characterized by a slow and progressive growth of the nose which can generate important changes in its morphology. It mainly affects Caucasian men between the 5th and 7th decade of life, due to an increase in sebaceous glands and soft tissue. As the exact cause of its origin is not known, it is considered a multifactorial disease. The rhinophyma belongs to the group of rosacea, included in the advanced stage or stage IV or fimatous or bulbous rosacea. The diagnosis is clinical as a consequence of the characteristics that favor chronic edema, local inflammation, fibrosis and sebaceous and dermal hyperplasia, and surgery is the basis of treatment. There are multiple techniques described for early and late stages; however, surgical resection is the best alternative for an optimal result and so far the ideal technique has not been found. We describe the technique for the reconstructive management of patients with rhinophyma carried out at the Hospital Central Sur de Alta Especialidad de Petróleos Mexicanos, in 8 patients treated surgically on an outpatient basis using electrocautery resection, sanding to even out the surface and then the application of patches of cultured keratinocytes to cover the resected area with removal at seven days. The functional and aesthetic results were excellent.