Rhinophyma is a rare form of rosacea leading to nasal deformation and deterioration in the patient's quality of life. This article presents a clinical case of a 70-year-old patient with advanced rhinophyma who presented with redness, thickening, and deformation of the nose, significantly affecting his social and psychological functioning. After a thorough clinical assessment, surgical removal of the excessively thickened nasal tissue was decided upon. Following the surgery, the patient achieved significant improvement in facial aesthetics and experienced a reduction in respiratory symptoms. Despite the rarity of this condition, surgical treatment of rhinophyma can be an effective therapeutic method in cases of advanced nasal changes, contributing to an improvement in quality of life and satisfaction with appearance.