Rhinophyma

What Is Rhinophyma—and How It Can Be Treated

Have you ever noticed a large, bumpy, or bulbous appearance to the tip of someone’s nose? This condition is called rhinophyma, and it’s more common than many people realize.

What is rhinophyma?

Rhinophyma is a type of advanced rosacea that typically develops slowly over time. It most often affects the lower half of the nose, causing thickened skin, enlarged oil glands, and an uneven or “bulbous” shape. Rhinophyma tends to occur more often in men, usually after age 50, though it can affect anyone.

While some people assume it’s related to alcohol use, that’s a myth. Rhinophyma is not caused by drinking—it’s related to chronic inflammation in the skin.

Why treatment matters

Rhinophyma can make people feel self-conscious, and in more advanced cases, it may even affect breathing through the nose. The good news: effective, in-office treatments can safely restore a more natural appearance.

Treatment options

Depending on the severity, your dermatologist may recommend:

• Medications: Early rhinophyma may respond to oral or topical rosacea treatments to control inflammation.
• Laser or surgical removal: For moderate to advanced cases, thickened skin can be carefully removed to reshape the nose.
• Loop cautery: This is a precise surgical technique to gently remove excess tissue, smooth the surface of the nose, and restore its natural contour. Recovery is typically quick, and results can be dramatic.