Rhinophyma: surgical refinements.

Rhinophyma is classically a benign tumor of unknown etiology and pathogenesis. Once fully developed, it requires surgical treatment; its management has invited controversy for more than a century. We favor electrosurgical sculpturing, removal of the burned tissue by abrasion, treatment of the entire nasal cover as a unit, and the utilization of biological dressings to promote reepithelization. The cosmetic results have been gratifying.