Rhinophyma | Rosacea of the Nose | Radiosurgery Treatment

Rhinophyma is a large, bulb-shaped, red-colored (ruddy) nose.

Causes

Rhinophyma was once thought to be caused by heavy alcohol consumption, but this is not the case. Rhinophyma occurs equally in those who do not drink at all and those who drink large quantities of alcohol. The condition is much more common in men than in women.

The cause of rhinophyma is unknown, though it is thought to be a severe form of rosacea. It is a relatively rare disorder.

Symptoms involve an abnormal appearance of the nose:

• Bulb-like (bulbous) shape
• Many oil glands
• May be reddish
• Thickening of the skin
• Waxy, yellow surface

Exams and Tests

Rhinophyma may usually be diagnosed without any testing. A skin biopsy may be needed to confirm the diagnosis in unusual cases.

Treatment

Radiowave Surgery to reshape the nose is the best known treatment for rhinophyma.

Surgery may be done with a laser, scalpel, or a rotating brush (dermabrasion).

Recovery

The typical convalescence following rhinophyma surgery is approximately 3-4 weeks. Ointment and bandage dressings are used for the first 2-3 weeks. Pain is controlled with prescription medications for the first few days. Most patients require only over-the-counter medications or are comfortable without pain medication within days of the procedure.

Expectations

Several weeks must pass post-surgery before a final look can be assessed. In the meantime, it is essential that sun protection using high SPF sunscreens is adhered to, and this should be lept up to 18 months after surgery in order to prevent a darkening of the wounds. Despite these inconveniences, patient satisfaction for this procedure is very high.