title: Rhinophyma: "Less is More" and "Old is Gold".
abstract: Rhinophyma is a deforming disorder of the nose and considered the most severe stage of rosacea. Since 1950, a large variety of surgical and non-surgical treatments have been adopted to treat it. From January 2014 to June 2016, we treated ten patients (average age: 58 years) affected by moderate (4) and severe (6) degrees of rhinophyma. A nasal skin decortication was performed with a loop-shaped electrotome (Valleylab E1560 15 x 12 mm) in order to excise the hypertrophic tissue and restore a pleasing appearance to the nose.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the A3 online Instructions to Authors. www.springer.com/00266 .
authors.affiliation: Plastic Surgery Unit, Department of Surgery "P Valdoni", Sapienza University, Viale del Policlinico 155, 00161, Rome, Italy. dott.marcomarcasciano@gmail.com.
authors.forename: Marco
authors.initials: M
authors.lastname: Marcasciano
authors.affiliation: Plastic Surgery Unit, Department of Surgery "P Valdoni", Sapienza University, Viale del Policlinico 155, 00161, Rome, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Vaia
authors.affiliation: Plastic Surgery Unit, Department of Surgery "P Valdoni", Sapienza University, Viale del Policlinico 155, 00161, Rome, Italy.
authors.forename: Diego
authors.initials: D
authors.lastname: Ribuffo
authors.affiliation: Plastic Surgery Unit, Department of Surgery "P Valdoni", Sapienza University, Viale del Policlinico 155, 00161, Rome, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Tarallo
authors.affiliation: Plastic Surgery Unit, Department of Surgery "P Valdoni", Sapienza University, Viale del Policlinico 155, 00161, Rome, Italy.
authors.forename: Sergio
authors.initials: S
authors.lastname: Ciaschi
mesh_terms: D000328:Adult; D003646:Debridement / Q000295:instrumentation / Q000379:methods; D018450:Disease Progression; D004867:Equipment Design; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012224:Rhinophyma / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D012225:Rhinoplasty / Q000295:instrumentation* / Q000379:methods; D012393:Rosacea / Q000150:complications / Q000175:diagnosis; D012720:Severity of Illness Index; D014945:Wound Healing / Q000502:physiology*