Achieving Long-Term Success in Recurrent Rhinophyma

Case report describes recurrence-free outcomes at 18 months following treatment for triple-recurrent disease.

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A modified deep tangential excision effectively prevents recurrent rhinophyma in patients with persistent disease after prior surgeries.
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The case report involved a 66-year-old male with a third recurrence of rhinophyma, showing significant nasal enlargement and disfigurement.
3

Histopathologic analysis revealed sebaceous gland hypertrophy and mild inflammatory infiltrates without malignancy in the excised tissue.
4

The modified excision preserved deep adnexal structures, allowing for effective re-epithelialization and secondary intention healing.
5

At 18 months follow-up, the patient showed stable nasal contour restoration with high satisfaction and no recurrence or complications.

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