Rhinophyma is a large, red-colored (ruddy) nose. The nose has a bulb shape.
Bulbous nose; Nose - bulbous; Phymatous rosacea
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 include changes in the nose, such as:
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 be helpful in treating the condition.
Rhinophyma can be corrected with surgery. The condition may return.
Rhinophyma can cause emotional distress. This is because of the way it looks.
Call your provider if you have symptoms of rhinophyma and would like to talk about treatment.
Habif TP. Acne, rosacea, and related disorders. In: Habif TP, ed. Clinical Dermatology. 6th ed. Philadelphia, PA: Elsevier; 2016:chap 7.
Qazaz S, Berth-Jones. Rhinophyma. In: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 5th ed. Philadelphia, PA: Elsevier; 2018:chap 219.
There are no recent clinical trials available for this condition. Please check back because new trials are being conducted frequently.