Rhinophyma

Rhinophyma is a large, red-colored (ruddy) nose. The nose has a bulb shape.

Causes of Rhinophyma

Rhinophyma was once thought to be caused by heavy drinking of alcohol. This is not the case. Rhinophyma occurs at the same rate in people who do not use alcohol as in those who drink heavily. The problem is much more common in men than in women.

The cause of rhinophyma is unknown. It may me a severe form of a skin disease called rosacea. It is an uncommon disorder.

Rhinophyma Symptoms

Symptoms include changes in the nose such as:

• Bulb-like (bulbous) shape
• Many oil glands
• Reddish color (possible)
• Thickening of the skin
• Waxy, yellow surface

Tests and Exams

Most of the time, the health care provider can diagnose rhinophyma without any testing.  Sometimes, a a skin biopsy may need to be done.

Treatment of Rhinophyma

The most common treatment is surgery to reshape the nose. Surgery may be done with a laser, scalpel, or a rotating brush (dermabrasion). Certain acne medications may also be helpful in treating the condition.

Prognosis (Outlook)

Rhinophyma can be corrected with surgery. The condition may return.

Potential Complications

The change in appearance can cause emotional distress.

When to Contact a Health Professional

Call your health care provider if you have symptoms of rhinophyma and would like to talk about treatment.

References

Bolognia JL, Jorizzo JL, Schaffer JV, et al, eds.Dermatology. 3rd ed. Philadelphia, Pa: Mosby Elsevier; 2012:chap 37.

Lucas JL, Tomecki KJ. Acne and rosacea. In: Carey WD, ed. Cleveland Clinic: Current Clinical Medicine 2010. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2010.

Habif TP. Acne, rosacea, and related disorders. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 7.

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