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Rhinophyma

Bulbous nose; Nose - bulbous; Phymatous rosacea

 

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

Causes

 

Rhinophyma was once thought to be caused by heavy alcohol use. This is not correct. Rhinophyma occurs equally in people who do not use alcohol and in those who drink heavily. The problem is much more common in men than in women.

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

 

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

 

Exams and Tests

 

Most of the time, your health care provider can diagnose rhinophyma without any tests. Sometimes a skin biopsy may be needed.

 

Treatment

 

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

 

Outlook (Prognosis)

 

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

 

Possible Complications

 

Rhinophyma can cause emotional distress. This is because of the way it looks.

 

When to Contact a Medical Professional

 

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

 

 

Open References

References

Dinulos JGH. Acne, rosacea, and related disorders. In: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 7.

Grande DJ. Rhinophyma. In: Lebwohl MG, Heymann WR, Coulson IH, Murrell DF, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 6th ed. Philadelphia, PA: Elsevier; 2022:chap 218.

Raghallaigh SN. Rosacea and related disorders. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 5th ed. Philadelphia, PA: Elsevier; 2025:chap 37.

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Review Date: 10/13/2024

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