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Case Reports
. 2025 Jul 10;17(7):e87678.
doi: 10.7759/cureus.87678. eCollection 2025 Jul.

NovoSorb Biodegradable Temporizing Matrix (PolyNovo) for Aesthetic Nasal Reconstruction: A Case Report of Rhinophyma Resurfacing

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Case Reports

NovoSorb Biodegradable Temporizing Matrix (PolyNovo) for Aesthetic Nasal Reconstruction: A Case Report of Rhinophyma Resurfacing

Ioannis Kyriazidis et al. Cureus. .

Abstract

Rhinophyma, a severe form of rosacea, causes significant nasal disfigurement, posing challenges for aesthetic reconstruction after excision. This case report details the novel application of PolyNovo's NovoSorb® biodegradable temporizing matrix (BTM), a synthetic dermal substitute, for aesthetic nasal reconstruction following rhinophyma excision and utilizing secondary intention healing. A 65-year-old male with progressive rhinophyma underwent tangential excision and burring. A tailored piece of NovoSorb® BTM was applied and secured to the defect. Postoperative care involved paraffin gauze. The patient exhibited excellent aesthetic results with minimal scarring. Outcome measures, including the FACE-Q Skin Cancer Module and the Dermatology Life Quality Index (DLQI), demonstrated significant improvements in appearance-related concerns, psychosocial well-being, and daily functioning. This report highlights the innovative use of NovoSorb® BTM and secondary intention healing for rhinophyma reconstruction. The successful outcome, supported by validated patient-reported outcome measures, suggests that BTM may be a valuable tool in similar cases, offering a new avenue for achieving both functional and aesthetic goals.

Keywords: aesthetic surgery; biodegradable scaffold; case report; dermatology case report dlqi (dermatology life quality index); dlqi; face-q; face-q scale; nasal reconstruction; novosorb; polynovo.

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Conflict of interest statement

Human subjects: Informed consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. Preoperative en-face view demonstrating significant nasal disfigurement due to advanced rhinophyma
Figure 2
Figure 2. Preoperative left lateral view highlighting the extent of rhinophyma affecting the nasal profile
Figure 3
Figure 3. Postoperative en-face view at six months demonstrating a natural-looking nasal contour, excellent color match, and minimal scarring following rhinophyma excision and reconstruction with NovoSorb® BTM and secondary intention healing
BTM: biodegradable temporizing matrix
Figure 4
Figure 4. Postoperative left lateral view at six months showing restoration of a natural nasal profile with excellent aesthetic outcome

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