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Rhinophyma is a disfiguring condition etiologically related to rosacea and due to hypertrophy of the sebaceous glands ofthe nose. It leads to a progressive thickening of the skin up to the development, in some cases, of severe deformities that result insignificant functional deficits and serious cosmetic damage.We report a case of giant rhinophyma consisting of 2 large masses that interfered with feeding and respiration of thepatient, and we describe the surgical treatment by resection with electrosurgery and razor-thin saline jet (VersajetHydrosurgery System). This combined approach is simple and effective for the treatment of severe cases of rhinophyma.