Rhinophyma is a form of phymatous rosacea in which the skin of the nose gradually thickens and the sebaceous glands enlarge. As a result, the nose can become larger, bumpy, with an uneven surface and prominent pores. The exact cause of rhinophyma development has not been fully established. It is known to be associated with rosacea, and various factors can influence the inflammatory process in the skin. In particular, an increased count of Demodex folliculorum may be observed in patients with rosacea; however, stating that this mite itself is the cause of rhinophyma would be incorrect.Rhinophyma is significantly more common in men and usually develops gradually.Clinical caseA patient presented to me after a consultation with a dermatologist.Medical treatment did not produce the expected effect, so the patient was recommended surgical treatment of the altered nasal tissues.Prior to this, the patient had also consulted an oncologist, who performed a biopsy of the nasal tissue. However, he did not return for a follow-up appointment with the study results.At the time of presentation, the patient was 62 years old. He smoked approximately 1–2 packs of cigarettes per day.The patient reported that over the past two years, the growth on his nose had significantly increased in size. This troubled not only him, but also his wife. The reactions and stares of people around him were particularly distressing to him.After a detailed discussion, we considered the option of surgical treatment.The patient was offered excision of the excessively altered nasal tissues under general anesthesia. The nature of the surgical intervention, potential risks, expected outcome, and specifics of the postoperative period were explained to him in detail.Following the patient's consent for additional workup, the necessary laboratory tests were performed and consultations from related specialists were obtained to make the surgical intervention as safe as possible.Surgery and recoveryUnder general anesthesia, the pathologically altered nasal tissues were excised.After the operation, a dressing was applied, and the patient remained under medical observation. Subsequently, he received instructions on the care of the postoperative area.After one month, the nose had completely healed.The patient continues skin care and had a follow-up consultation with a dermatologist, who selected an appropriate facial skincare routine.And most importantly — the patient is very satisfied with the result.He reports that his face looks again like it did many years ago. He feels more confident and no longer pays attention to the stares of others.For a physician, these moments are among the most valuable in practice. ResultIn the photos and videos you can see how the patient's nose looked prior to the surgical intervention, during the healing period, and after recovery.Rhinophyma can significantly affect not only physical appearance, but also psychological state and quality of life. Do not neglect yourself.If you notice skin changes or gradual tissue enlargement, do not delay consulting a doctor.Timely medical attention allows for establishing an accurate diagnosis, determining the treatment strategy, and, if possible, preventing further disease progression.Take care of yourself and stay healthy!