Emirhan KANDEMİR, Göktürk YİĞİTOĞLU, Şirin YAŞAR, Sevim BAYSAK
Turkish Journal of Dermatology - 2026;20(3):141-145
Rhinophyma is a progressive dermatologic condition characterized by hypertrophy of sebaceous glands and connective tissue, leading to nasal deformity and significant psychosocial impact. We present three male patients with rhinophyma treated using high-frequency electrosurgery. All patients presented with progressive nasal enlargement causing cosmetic concern, and one case was associated with inflammatory lesions and discharge. High-frequency electrosurgery was performed under local anesthesia using a radiofrequency device, enabling precise tissue debulking with simultaneous coagulation. Postoperative healing was achieved within 2-4 weeks in all patients, with no major complications. At follow-up, all patients demonstrated satisfactory cosmetic outcomes, and only one patient developed minimal scarring that did not affect overall satisfaction. High-frequency electrosurgery provided effective removal of hypertrophic tissue with minimal collateral damage and rapid recovery. These findings suggest that high-frequency electrosurgery appears to be a practical, efficient, and relatively cost-effective treatment option in selected patients with rhinophyma. Further studies with larger patient groups and longer follow-up periods are needed to better define long-term outcomes and recurrence rates.
