Rhinophyma Nose Treatment
Rhinophyma is a skin condition affecting the nose in which sebaceous (oil) glands become overactive and the skin becomes thickened, bumpy and enlarged. The nose usually appears red and may have prominent blue or red blood vessels along the surface of the skin.
Rhinophyma is often secondary to rosacea and is seen as an advanced state of that condition. However, because nasal redness and enlargement are often associated with alcoholism, people with rhinophyma are often subjected to intense self-consciousness related to that social stigma.
Causes of Rhinophyma
Although research has identified a link between rosacea and rhinophyma, there is very little else that is known about the onset of this condition. Patients whose rosacea worsens to this state may have a genetic predisposition that becomes triggered later in life. Research has confirmed that rhinophyma is not related to alcohol consumption.
What Are Some Of The Symptoms?
Rhinophyma Nose Treatment
Previous attempts to treat rhinophyma include plastic surgery or electrocautery. Unfortunately, these methods frequently resulted in scarring and/or inadequate improvement. As the primary underlying condition is excessive and enlarged oil glands, the CO2 Laser has revolutionized the treatment of this condition.
The laser vaporizes the skin in a bloodless fashion thereby shrinking excess oil glands while allowing the physician to systematically reshape the nose. Dr. Remington may recommend vascular laser treatments prior to or in conjunction with the CO2 laser to collapse the blood vessels. Before commencing with laser treatment, we may apply topical numbing medication to the skin to diminish sensation and make the procedure as comfortable as possible. Injections of local anesthetic may also be administered.
Markings may be made along the nose to distinguish the boundaries between normal and abnormal tissue. Resurfacing is conducted to debulk nasal tissue and contour the nose to a proportionate shape.
We perform this procedure in a single session at our non-hospital surgical site. Healing time is approximately two weeks.
Before & After Treatment
To view more cases, visit our before and after gallery.
Is Rhinophyma Treatment Painful?
Multiple Laser Treatments Can Sometimes be Required
The CO2 laser is an ablative rhinophyma treatment that removes layers of superficial tissue from the nose. To protect newly forming skin cells, surgical staff may apply gauze over the nose at the conclusion of the procedure. After the first 24 hours, the dressing will need to be changed up to three times per day. This schedule will continue until tissue healing has progressed. During the initial healing period, tissue drainage may be noticed. While the nose can be cleaned with soap and water, it should not be submerged. A healing balm may be prescribed to patients to use for wound healing. Our office provides detailed recovery instructions and our staff is available to answer questions that may arise after rhinophyma treatment.
Tissue healing can take up to two weeks after CO2 treatment. Discomfort is usually manageable with over-the-counter medication. Aside from the need for gauze, patients are often able to resume normal activities within a day or two after treatment. After healthy new tissue is revealed, patients are encouraged to keep protective sun habits that include daily sunscreen and wearing a hat when outdoors. This prevents unnecessary tissue damage to a sun-sensitive nose.