case_images: PMC6536489_01
case_images: Preoperative anterior (A) and lateral views with marked area of excision (B).
case_images: gr1.jpg
case_images: PMC6536489_01_gr1.jpg
case_images: fig0005
case_images: We present the case of a 77-year-old man with a large tuberous "Cyrano's like" nose, severe nasal deformity and mild nasal airway obstruction (Fig. 1).
case_images: Intraoperative pictures showing the full-thickness excision until the nasal perichondrium (A) and ADM application on the defect area (B).
case_images: gr2.jpg
case_images: PMC6536489_01_gr2.jpg
case_images: fig0010
case_images: He underwent total surgical excision of the hypertrophied tissue until the nasal perichondrium, and an ADM (Integra  Dermal Regeneration Template, 5 x 5 cm) was placed on the defect area (Fig. 2).
case_images: 12-months postoperative follow-up.
case_images: gr3.jpg
case_images: PMC6536489_01_gr3.jpg
case_images: fig0015
case_images: Nevertheless, the patient was not satisfied by the aesthetic outcome; therefore he requested further surgical revision due to the different thickness of the reconstructed tissue compared to the surrounding skin with a "step-like effect" (Fig. 3).