Rhinophyma Treatment

What is Rhinophyma?

Rhinophyma is a condition causing the nose to increase in size, particularly at the tip, creating a bulbous shape. It is more prevalent in men than in women. The exact cause of rhinophyma is not fully understood, but it is commonly associated with rosacea. 

People once believed it was caused by excessive alcohol consumption, but we now know that is not the case. In the past, people afflicted with this condition had to contend with being labeled alcoholics – even those who did not drink a drop! In fact, the rate of rhinophyma among heavy and among non-drinkers is identical. Although science has debunked the myth, some patients still encounter a lingering social stigma. Additionally, the cosmetic effects can have a devastating impact on a person’s confidence, and the shape of one’s nose cannot be easily disguised with cosmetics.

The most common signs of rhinophyma include:

  • Yellowish, waxy looking surface
  • Redness
  • Excess oil glands
  • Increasingly bulbous nose shape


If detected in the earliest stages, this condition may be controllable. Thickening of the skin caused by rosacea can often be halted or slowed with a combination of therapeutic treatments and trigger avoidance. Rosacea is a complex condition requiring a multi-faceted treatment plan. Dr. Z works with her patients to soothe active flares, prevent future problems, and correct lasting symptoms such as facial redness and rhinophyma. 

Treatment options

Depending on the severity of the rhinophyma, surgical revision may be recommended. The nose is sculpted to a natural, attractive size and shape. Depending on the situation, one of several revision techniques may be used. Often, a combination of techniques is used, to remove excess tissue and then cosmetically restore the area. Some of the most common include:

  • Laser surgery (a laser is used in place of a traditional scalpel)
  • Excision
  • Cryosurgery (use of cold temperature to remove tissue)
  • Skin grafting
  • Skin resurfacing

Dr. Z possesses a unique combination of exceptional medical and artistic skills, along with empathy and passion for helping those with skin problems. Call 225-778-7540 or click here  schedule an appointment today.

Find out the surprise The Doctors have in store with Pamela with the help of our amazing dermatologist Ann Zedlitz, MD: