PMC3945259_01
Preoperative view
CHSJ-38-1-041-fig1b.jpg
PMC3945259_01_CHSJ-38-1-041-fig1b.jpg
F1
Preoperator view
CHSJ-38-1-041-fig2.jpg
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F2
In order to confirm it a biopsy was performed fig.2. 
Surgical speciment
CHSJ-38-1-041-fig3.jpg
PMC3945259_01_CHSJ-38-1-041-fig3.jpg
F3
Hemostasis was done by injecting saline and adrenaline peritumoral - fig.3. 
Rhinophima hyperplasia of sebaceous glands, HE,
CHSJ-38-1-041-fig4.jpg
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F4
Fig 4 and 5.
Enlarged sebaceous ducts filed with keratin and sebum, HE, x10
CHSJ-38-1-041-fig5.jpg
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F5
Fig 4 and 5.
Lymphocytes and histiocytes perivascular and perifollicular, HE, x10
CHSJ-38-1-041-fig6.jpg
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F6
In all cases was observed a vasodilatation in the upper and the middle part of derma, presenting a perivascular and perifollicular inflammatory infiltrate with lymphocytes and histiocytes Fig.6.
Dermal infiltrates formations creating granulomas, HE, x10
CHSJ-38-1-041-fig7.jpg
PMC3945259_01_CHSJ-38-1-041-fig7.jpg
F7
Dermal infiltrates are gathering in little nodular formations and creating granulomas, observing epithelioid histiocytes and, occasionally, can be identified multinucleate giant cells fig.7. 
Postoperative view after 2 months
CHSJ-38-1-041-fig8b.jpg
PMC3945259_01_CHSJ-38-1-041-fig8b.jpg
F8
Furthermore, due to the good aesthetic aspect the patient was reintegrated into society -fig.8.