{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:08:07Z","timestamp":1790996887293,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,9,17]],"date-time":"2018-09-17T00:00:00Z","timestamp":1537142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Rhinophyma is a cosmetically deforming disease characterized by nodular overgrowth of the lower 2\/3 of the nose and is considered the end stage of acne rosacea.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>Review the spectrum of procedural techniques for treatment of rhinophyma with a focus on the advantages and disadvantages of each modality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A comprehensive literature search was conducted using the search terms \u201crhinophyma,\u201d \u201ctreatment,\u201d and \u201csurgery\u201d in PubMed. Case reports, case series, and small retrospective trials using procedural techniques for management of rhinophyma were included for review. Animal studies, non\u2010English articles, and reports of medical treatment of rhinophyma were excluded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There are currently no prospective, randomized controlled studies evaluating procedural management of rhinophyma. The most commonly employed treatments include scalpel excision, resection with heated knives, dermabrasion, electrosurgery and lasers, specifically carbon dioxide (CO<jats:sub>2<\/jats:sub>) and erbium:yttrium\u2010aluminum\u2010garnet (Er:YAG). The main complication associated with complete excision of rhinophymatous tissue is excessive scarring. To correct for this adverse effect, partial or tangential excision with preservation of underlying adnexal structures is now the accepted technique, irrespective of the chosen modality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is no accepted gold standard for management of rhinophyma, and each modality succeeds in maintaining hemostasis, reducing scarring and achieving satisfactory cosmesis to different degrees. There is a conflicting data on the theoretical risk of recurrence with partial excision due to incomplete removal of tissue. Further studies evaluating this risk and alternate methods of prevention are required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocd.12770","type":"journal-article","created":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T01:02:21Z","timestamp":1537232541000},"page":"960-967","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Procedural management of rhinophyma: A comprehensive review"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7353-2102","authenticated-orcid":false,"given":"Aimee E.","family":"Krausz","sequence":"first","affiliation":[{"name":"Division of Dermatology, Albert Einstein College of Medicine Montefiore Medical Center Bronx New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Goldberg","sequence":"additional","affiliation":[{"name":"Skin Laser &amp; Surgery Specialists of NY and NJ New York City New York"},{"name":"Division of Dermatology Rutgers University New Jersey Medical School Newark New Jersey"},{"name":"Department of Dermatology Icahn School of Medicine at Mt. 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