Advanced rhinophyma is usually treated surgically to remove excess tissue and restore the normal shape of the nose. Several techniques, such as electrosurgery, laser resurfacing, coblation, and dermabrasion, may be used alone or in combination depending on disease severity and patient factors. We report the case of a 67-year-old male with type 2 diabetes mellitus and hypertension who presented with giant rhinophyma. Considering the patient’s comorbidities and the increased risk of postoperative complications, a surgical approach resulting in minimal intraoperative bleeding was considered essential. Although coblation alone is often effective for tissue reduction with limited bleeding, in this case, it was insufficient due to the excessive volume of hypertrophic tissue, so we combined electrosurgical and coblation approaches to remove tissue carefully, control bleeding, preserve nasal structure, and minimize scarring and delayed healing in a patient with poorly controlled diabetes.

coblation, combined surgical approach, electrosurgery, rhinophyma