Rhinophyma is a rare clinical condition that is characterized by the proliferation of sebaceous glands and underlying connective tissue of the nose. There is no standard method for the treatment of this benign condition as several techniques have been proven effective. The patient is a 79-year-old male that presents with a large rhinophyma and left-sided alar mass. He was treated operatively with the use of electrocautery dermabrasion and sharp excision. Pre-operative, intra-operative, and post-operative images were obtained and depict a desirable cosmetic outcome. Although they are among many effective therapies for the management of rhinophyma, electrocautery dermabrasion and sharp excision remain viable and successful options for the treatment of this condition.