Board Certifications: American Board of Facial Plastic and
Reconstructive Surgery American Board of Otolaryngology - ABO

Rosacea and Rhinophyma

Rhinophyma is a chronic skin condition that can lead to severe disfigurement of the nose if left untreated. While rhinophyma is a chronic condition, there are many treatment options that can help patients successfully manage their condition. Dr. Rizk often treats patients in New York who suffer from rhinophyma and seek a way to reverse the effects of the condition.

Also referred to as rosacea of the nose, rhinophyma is caused by an overgrowth of the sebaceous glands in the tip of the nose. The condition progresses slowly over time and can eventually result in nasal disfigurement, which can lead to strong feelings of self-consciousness and shame. Rhinophyma has been falsely associated with alcoholism, resulting in an unfortunate stigma associated with rhinophyma patients. When rhinophyma has reached a more advanced stage, it manifests as an enlarged, bulbous or bumpy nose, with a ruddy or reddened appearance. The skin may become rough and thick with large, visible pores present. In some cases, nodules and papules will also appear. While women tend to suffer more often from rosacea, rhinophyma is more likely to affect men. Rhinophyma occurs most often in fair skinned men of Celtic and southern Italian heritage. People with darker brown or black skin are rarely affected by rhinophyma or rosacea.

In addition to psychological distress, rhinophyma may also cause difficulties breathing through the nose and can obstruct the patient’s vision if it progresses to an advanced stage. There are several treatments available to alleviate the symptoms of rhinophyma. Our doctor frequently recommends laser resurfacing therapy with a CO2 laser to improve the appearance and texture of skin on the nose. Laser treatment is able to reduce the amount of skin on the nose and minimize the size of skin pores. This treatment is considered to be very effective in restoring the tone and texture of nasal skin in cases of mild to moderate rhinophyma. In more advanced cases, surgery or dermabrasian may be recommended. These approaches allow the surgeon to reshape a nose that has become disfigured by rosacea of the nose. Dermabrasian also helps improve the appearance of the skin by treating the deeper sebaceous pores, thus minimizing them and allowing the skin to regrow with a more normal texture. Doctors have also noted that certain triggers, such as spicy foods, alcohol, and extreme temperatures, can make rhinophyma and rosacea worse. By identifying these triggers and avoiding them, patients can help manage their condition and will suffer less from its effects.

If you suffer from rosacea of the nose, it is important to seek medical help. Early treatment can help prevent some of the more severe effects of rhinophyma and ensure that you won’t suffer from nasal disfigurement. Our doctor is highly experienced in treating cases of rhinophyma and will be able to help you manage the condition and improve your appearance. To learn more about your medical and surgical options, please contact our NYC office today. We are centrally located in Manhattan and easily accessible by car or public transportation.

Written by Dr. Sam Rizk

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