Rhinophyma is a skin condition that affects the nose and is characterized by thickening, redness, and bumpiness. It is a subtype of rosacea, a chronic skin condition that causes facial redness and flushing. Rhinophyma is most commonly seen in middle-aged or older men, and it can take years to develop. Rhinophyma is a type of rosacea that affects the nose, causing it to become enlarged, red and bumpy, Enlarged, bulbous nose, Bumpy, red skin on the nose, Irregularly shaped nose, Pitted or rough texture on the nose, Swelling, tenderness, or pain in the nose

The exact cause of rhinophyma is unknown, but it is believed to be related to the overproduction of oil and skin cells, leading to the formation of large, swollen pores. Other factors that may contribute to the development of rhinophyma include genetics, sun exposure, and hormonal changes.


It is a type of rosacea that primarily affects men and is most commonly seen in middle-aged or older individuals. The exact causes of rhinophyma are not known, but several factors are believed to contribute to its development, including:

  1. Genetics: There may be a genetic component to the development of rhinophyma, as the condition tends to run in families.
  2. Hormonal changes: Changes in hormones during menopause may trigger the onset of rhinophyma in some women.
  3. Chronic sun exposure: Prolonged exposure to sun can cause damage to the skin, leading to rhinophyma in some individuals.
  4. Alcohol consumption: Alcohol is a known trigger for rosacea, and it is believed that excessive drinking may contribute to the development of rhinophyma.
  5. Bacterial infections: Bacterial infections in the skin, such as Demodex mites, may play a role in the development of rhinophyma.
  6. Inflammation: Chronic inflammation in the skin may contribute to the development of rhinophyma.

It is important to note that not all individuals with rosacea will develop rhinophyma, and the exact causes of rhinophyma are still not fully understood. If you are concerned about developing rhinophyma, it is important to speak with your doctor and get a proper diagnosis.


The following are the basic symptoms of rhinophyma:

  1. Enlargement of the nose: The nose becomes noticeably larger and more bulbous in appearance.
  2. Redness and Inflammation: The skin of the nose becomes red and inflamed, and may feel hot and tender to the touch.
  3. Bumpy skin: The skin of the nose becomes rough and bumpy due to the overgrowth of oil glands.
  4. Thickening of the skin: The skin of the nose becomes thick and may develop a waxy texture.
  5. Pain or discomfort: The affected skin may become sore, tender and painful, especially when touched or rubbed.
  6. Pus-filled pimples: Pimples filled with pus may develop on the skin of the nose.
  7. Scarring: Rhinophyma can cause scarring of the skin, making the nose appear even more irregular and bumpy.

It is important to note that these symptoms may not be present in all cases of rhinophyma. If you suspect that you have rhinophyma, it is best to consult a dermatologist for proper diagnosis and treatment.


The basic test for diagnosing rhinophyma involves a physical examination of the nose and surrounding areas.

The following steps are involved in the diagnosis of rhinophyma:

  1. Medical history: The doctor will ask about the patient’s medical history and any past experience with rosacea or similar skin conditions.
  2. Physical examination: The doctor will examine the nose and surrounding areas to assess the severity of the swelling and redness. They may also look for any signs of bumps or pustules on the skin.
  3. Visual examination: The doctor may use a dermatoscope or a special light source to examine the skin more closely. This can help to determine the cause of the redness and swelling.
  4. Imaging tests: In some cases, the doctor may request imaging tests, such as an X-ray or MRI, to further examine the area and rule out any underlying conditions.

The diagnosis of rhinophyma is typically based on the patient’s symptoms and physical examination. If the doctor is unsure about the diagnosis, they may refer the patient to a dermatologist for further evaluation.

It is important to seek prompt medical attention if you are experiencing symptoms of rhinophyma, as early treatment can help to reduce the severity of the condition and prevent complications.


The main treatment for Rhinophyma is surgical excision or resurfacing. This can include:

  1. Electrosurgery: The use of high frequency electrical energy to remove the affected tissue.
  2. Carbon dioxide (CO2) laser resurfacing: A laser is used to remove the outer layers of the skin and stimulate collagen production.
  3. Surgical excision: The removal of the affected tissue with a scalpel. This is typically performed under local or general anesthesia.
  4. Dermabrasion: A procedure that uses a rotating wire brush or diamond fraise to remove the affected skin layers.
  5. Topical medications: Topical medications, such as metronidazole gel, can help reduce the redness and swelling associated with Rhinophyma.

It is important to discuss with a dermatologist or plastic surgeon to determine the best treatment option for individual needs and circumstances.