Interesting Case Series Nasal Reconstruction

Figure 1. An old photograph before developing the nasal deformity (left); recent preoperative photograph (right). DESCRIPTION A 55-year-old man comes to the office for consultation regarding a gradually enlarging lesion on his nose, and nasal airway obstruction. This has developed over several years. Physical examination shows enlargement of the nose, pitting and scarring of the skin, and several irregular and nodular growths (Fig 1). QUESTIONS 1. What is the diagnosis? 2. What disease causes this condition? 3. What is the association of skin cancer with this skin condition? 4. What is the most appropriate management? DISCUSSION The patient has rhinophyma, or sebaceous hyperplasia of the nasal skin. Rhinophyma is believed to be the fourth stage of evolving rosacea. It is the proliferative phase tha