Rhinophyma

Causes and Risks:
Formation of an enlarged, red nose was once thought to be from heavy alcohol consumption . That is false. Rhinophyma occurs equally in those who do not drink at all and those who drink alcohol in quantity.

The cause of rhinophyma is unknown. It is a relatively rare disorder involving thickening of the upper layer of skin on the nose. Although a cosmetic disorder, it may cause emotional distress if obvious or extensive.

Prevention:
There is no known prevention.

Symptoms:
  • abnormal nose appearance
    • thickening, bulb shape
    • may be red in color



Signs and Tests:
A physical examination shows no other abnormalities. No testing is required.

Treatment:
Surgical reshaping of the nose is the only known treatment for rhinophyma.

Prognosis:
Rhinophyma is benign , not medically dangerous. Rhinophyma does not affect the airway, breathing, or medical health.

Complications:
Emotional distress may occur from the change in appearance.

Call Your Healthcare Provider:
Call for an appointment with your health care provider if symptoms indicate that rhinophyma and emotional distress are occurring.


Rhinophyma, severe case: Rhinophyma, in this case, is the fourth stage of Rosacea. It results from enlargement (hypertrophy) of the sebaceous glands, which may involve other areas of the face besides the nose. The example seen in this picture is an extreme case. Rhinophyma can be managed with dermabrasion and surgery to prevent such an extreme case.




Rosacea has multiple phases, beginning with flushing of the skin, followed by redness, followed by the development of small blood vessels visible in the skin (telangiectasia). This is the second stage and is exhibited by this individuals' red blisters (erythematous papulopustules) located on the cheeks, nose, forehead and chin. Underlying redness (erythema) and small blood vessels (telangiectasis) are also seen.