Rhinophyma is a relatively rare abnormality of the nose skin characterized by a big, red and bulbous nose. It is often the last stage of untreated rosacea and concerns usually men, particularly between the ages of 50 to 70 years old. Clinically it is characterized by a hyperplasia of the nose skin, a vasodilation accompanied by telangiectasis and disfugiring scars caused by the increased function of sebaceous glands. When drug therapy is not sufficient to treat the nose disfugurement and the social stigma that follows, then we use laser resurfacing methods in order to improve the disfigurement’s appearance in only one treatment. Extended rhinophyma can moreover lead to a bulbous nose and obstruction of respiration caused by the disfunction of the nose’s bulbs. To sum up it’s important to add that a 10% of patients with rhinophyma are diagnosed with different skin cancers. It is recommended to treat this rare condition on time, not only for cosmetic but also for health reasons. Nasal cautery is a very satisfying procedure since it allows an unobstructed respiration and offers a simple and easy answer to headaches, poor sleep and lack of concentration.