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We provide a comprehensive continuum of cancer services, including prevention, outreach, diagnostic, treatment and support services delivered by our highly skilled staff with compassion and care.
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Emergency and Trauma Services is the only Level I Trauma Center in the area and serves as the tertiary referral center for medical care in East Tennessee, serving Knox County and 21 surrounding counties.
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Rhinophyma
Definition
Rhinophyma is a large, bulb-shaped, red-colored (ruddy) nose.
Alternative Names
Bulbous nose; Nose - bulbous; Phymatous rosacea
Causes, incidence, and risk factors
Rhinophyma was once thought to be caused by heavy alcohol consumption, but this is not the case. Rhinophyma occurs equally in those who do not drink at all and those who drink large quantities of alcohol. The condition is much more common in men than in women.
The cause of rhinophyma is unknown, though it is thought to be a severe form of rosacea. It is a relatively rare disorder.
Symptoms
Symptoms involve an abnormal appearance of the nose:
- Bulb-like (bulbous) shape
- Many oil glands
- May be reddish
- Thickening of the skin
- Waxy, yellow surface
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
Surgery to reshape the nose is the best known treatment for rhinophyma. Surgery may be done with a laser, scalpel, or a rotating brush (dermabrasion). There have been reports of good results from using certain acne medications.
Support Groups
Expectations (prognosis)
Rhinophyma can be corrected with surgery, but the condition may return.
Complications
The change in appearance can cause emotional distress.
Calling your health care provider
Call for an appointment with your health care provider if you have symptoms of rhinophyma and would like to discuss treatment.
Prevention
References
Lucas JL, Tomecki KJ. Acne and rosacea. In: Carey WD, ed. Cleveland Clinic: Current Clinical Medicine 2010. 2nd ed. Philadelphia, Pa: Saunders Elsevier; 2010.
Habif TP. Acne, rosacea, and related disorders. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, Mo: Mosby Elsevier; 2009:chap 7.
Brodsky J. Management of benign skin lesions commonly affecting the face: actinic keratosis, seborrheic keratosis, and rosacea. Curr Opin Otolaryngol Head Neck Surg. 2009 Aug;17(4):315-20.
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