Rhinophyma

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Rhinophyma

Definition

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

Alternative Names

Bulbous nose; Nose - bulbous; Phymatous rosacea

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.

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.

Review Date: 10/13/2024
Reviewed By: Ramin Fathi, MD, FAAD, Director, Phoenix Surgical Dermatology Group, Phoenix, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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