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Rhinophyma

Updated: 9/27/2023
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13y ago

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Definition

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

Alternative Names

Bulbous nose; Nose - bulbous; Phymatous rosacea

Causes, incidence, and risk factors

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

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
Signs and tests

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

Treatment

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). There have been reports of good results from using certain acne medications.

Expectations (prognosis)

Rhinophyma can be corrected with surgery, but the condition may return.

Complications

The change in appearance can cause emotional distress.

Calling your health care provider

Call for an appointment with your health care provider if you have symptoms of rhinophyma and would like to discuss treatment.

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Wiki User

13y ago
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Wiki User

12y ago
Definition

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

Alternative Names

Bulbous nose; Nose - bulbous; Phymatous rosacea

Causes, incidence, and risk factors

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

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
Signs and tests

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

Treatment

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). There have been reports of good results from using certain acne medications.

Expectations (prognosis)

Rhinophyma can be corrected with surgery, but the condition may return.

Complications

The change in appearance can cause emotional distress.

Calling your health care provider

Call for an appointment with your health care provider if you have symptoms of rhinophyma and would like to discuss treatment.

References

Lucas JL, Tomecki KJ. Acne and rosacea. In: Carey WD, ed. Cleveland Clinic: Current Clinical Medicine 2010. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2010.

Habif TP. Acne, rosacea, and related disorders. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 7.

Brodsky J. Management of benign skin lesions commonly affecting the face: actinic keratosis, seborrheic keratosis, and rosacea. Curr Opin Otolaryngol Head Neck Surg. 2009 Aug;17(4):315-20.

Reviewed By

Review Date: 10/03/2010

Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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forwardrecovery1

Lvl 5
2y ago

Alcoholic nose or Rhinophyma is a skin disorder that causes the nose and face to appear red, enlarged, and bumpy. This condition might occur when someone suffers from untreated alcohol use disorder and Alcoholism. Although this condition is rare, it is still possible to develop when alcohol addiction is left unmanaged. The alcoholic nose is most commonly found in men between the age of 50 and 70, which may be why the assumption that it is linked to alcohol addiction exists.

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Related questions

What condition responds to laser treatment?

Rhinophyma


What is the underlying dermatological condition in rhinophyma?

rosacea


What is the medical term meaning bulbous nose?

Rhinophyma is a skin disorder characterized by a large, red, bumpy, or bulbous nose. It can occur as part of phymatous rosacea. The exact cause of rhinophyma is unknown, but it's considered a subtype of severe rosacea.


What dermatologist accepts medicaid near Daytona Beach Fl?

treat rhinophyma


Can fasting heal rhinophyma?

No,it is a form of rosacea, with hyperplasia of the sebaceous glands in the skin of the nose.


What treatments are available for rhinophyma?

Rhinophyma may be treated through a variety of contemporary methods such as oral and topical medicines. It may also be treated through a variety of surgical techniques or laser treatments. Homeopathic and herbal treatments should be exercised with extreme caution.


What is the medical term meaning overgrowth of glandular tissue?

Nasal polyposis, or nasal polyps, is overgrowth of nasal mucosal tissue. Hypertrophy of the turbinates is another kind of overgrowth of nasal mucosal tissue. Rhinophyma is overgrowth of the external nose.


What skin conditions respond to laser treatment?

Rhinophyma (to reshape the nose), some skin cancers, precancer of the lip, and warts around nails and on soles of feet.


What conditions are treated by dermabrasion?

dermabrasion can be used to treat many kinds of skin problems including scars from other types of wounds, wrinkles, skin coloration abnormalities, and other more serious conditions such as rhinophyma


Controlling The Symptoms of Rosacea?

Rosacea is a skin disease that causes the skin of the face to become red and break out with pimples. These symptoms come and go and can also affect the eyes, causing soreness and burning. Left untreated, symptoms can worsen. Although there is no cure for this skin disease, there are ways to control breakouts and symptoms. It is unknown as to why certain people are affected by this disease although some experts believe it may be caused due to hereditary factors in individuals with fair skin. Common triggers that cause breakout episodes include sun exposure, exercise, stress, alcohol use and extreme hot and cold weather conditions.Importance of Controlling RosaceaControlling the symptoms of Rosacea, which include stinging and burning as well as flushing and bumps or pimples on the nose, cheeks, forehead and mouth can be controlled using medications and avoiding triggers that cause breakouts. Without treatment, Rosacea can become severe resulting in advanced Rosacea, also known as rhinophyma. This causes the nose to swell and appear waxy looking. Although this is rare, reducing the risk of rhinophyma can be done by controlling outbreaks.Treating RosaceaRosacea can be controlled with long-term medications. These include antibiotics, both pills and creams. Studies have shown that using antibiotic therapy does reduce breakout episodes. Medications should be used daily, whether a breakout has occurred or not. If skin becomes damaged due to previous episodes, surgical procedures such as laser, dermabrasion and cryosurgery can be performed. Discovering what triggers an episode is vital in controlling this skin disease. Individuals should pay close attention to what possibly could have caused the breakout. Keeping a diary can help pinpoint triggers so they can be avoided. Rosacea sufferers also need to take special precautions with their skin. This includes using a good sunscreen that is rated SPF 15 or higher, using cosmetics that are made for sensitive skin and avoiding all products that can irritate the facial skin. Eye care is also important and should include using artificial tears if eyes become dry as well as using a gentle eyewash on eyelids.Treating Damaged Skin Caused By RosaceaLaser therapy can be used to reduce the visible effects caused by breakouts. This includes severe facial redness and blood vessels that have become visible. Vascular lasers use light wavelengths that emit heat to the blood vessels, which cause them to disappear. Depending on how severe the blood vessel appearance has become as well as redness, repeat treatments may be needed. For larger areas of damaged skin, new devices that work similarly to lasers can be used to treat damaged skin.


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How to Rid the Face of Rosacea Redness?

Rosacea OverviewRosacea is a skin disorder that makes the skin appear red in color, could cause swelling, and result in sores similar to acne. Rosacea occurs typically in people who are in the age range of 30-50, are fair skinned, and predominately in women. Men can get this skin disorder and symptoms are more severe. Symptoms of Rosacea are but not limited to blushing or flushing easily, redness of the face, burning or stinging feeling felt in the face, red nose, spider like blood vessels on the face, and irritated, bloodshot eyes.With conscience effort and help from a medical professional, symptoms of Rosacea can be decreased if not eliminated all together. Never try and treat Rosacea independently. Residual effects from improper treatments can cause rhinophyma to develop and worsen. If Rosacea is severe enough, prescribed topical creams and oral medications may be needed. Following the steps below can help reduce redness and overall symptoms that accompany Rosacea.Steps to Reduction or EliminationStep 1. Eliminate known irritants that cause the Rosacea symptoms to flare up. Reduce sugar and carbohydrate consumption. Avoid alcohol, spicy foods, and caffeine. When outside wear plenty of sunscreen. The same applies to cold weather, wearing sunscreen and use a scarf to protect the face from the outside elements.Step 2. Eat more antioxidant enriched food to reap the benefits and get relief of the redness in the face. Dark berries, oranges, and pineapples are examples of antioxidant enriched foods. If the person doesn't like fruit then supplements can be added to gain the same result.Step 3. Be careful on what is used to cleanse the skin. Many cleansers are harsh to the skin causing irritation. Use only mild cleansers or soap and luke warm water to clean the affected skin daily. Hot water is another factor that can aggravate Roseca symptoms. Also the use of a hypoallergenic moisturizer can prove beneficial to Rosacea prone skin.Step 4. Eliminating or changing the type of cosmetics can greatly improve Rosecea flare ups. Switch to a mineral based cosmetic since these less likely irritate the skin. This type of cosmetic is free of oil and chemical additives that are found in popular cosmetics being marketed today.