Rhinophyma

Rhinophyma is a large, bulbous, ruddy nose caused by granulomatous infiltration, commonly due to untreated rosacea. Rhinophyma is characterised by prominent pores and a fibrous thickening of the nose, sometimes with papules. It can carry a strong psychological impact due to its effect on one’s personal appearance. It is a slowly progressive condition due to hypertrophy of the sebaceous glands of the tip of the nose often seen in cases of long-standing acne rosacea; it is not a neoplasm. It presents as a pink, lobulated mass over the nose with superficial vascular dilation; it mostly affects men past middle age. Patients seek advice because of the unsightly appearance of the enlargement, or obstruction in breathing and vision. The best treatment for Rhinophyma is the CO2 Laser.