A large, bulbous, ruddy appearance of the nose.

Alternative Names

Bulbous nose; Nose - bulbous

Causes, incidence, and risk factors

Formation of an enlarged, red nose was once thought to be from heavy alcohol consumption . That is false. Rhinophyma occurs equally in those who do not drink at all and those who drink alcohol in quantity. It is seen almost exclusively in men over age 40. The cause of rhinophyma is unknown, though it is generally regarded as a severe form of rosacea. It is a relatively rare disorder involving thickening of the skin on the nose and the presence of many oil glands. Although a cosmetic disorder, it may cause emotional distress if obvious or extensive.

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

Surgical reshaping of the nose is the best known treatment for rhinophyma. This may be accomplished by laser, scalpel, or dermabrasion. Some physicians have reported good results from treatment with the acne medication Accutane.

Expectations (prognosis)

Rhinophyma may be corrected surgically but may recur.

Complications

Emotional distress may occur from the change in appearance.

Calling your health care provider

Call for an appointment with your health care provider if symptoms indicate rhinophyma and treatment is desired.