Rhinophyma Nose Treatment

What is Rhinophyma?

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.


Symptoms of Rhinophyma

The early symptoms of rhinophyma include constant redness of the nose and thickened skin. Each of these signs worsens over time, and additional symptoms such as yellowing of the skin and a waxy appearance occur. Thickened tissue eventually changes the shape of the tip of the nose, which can appear enlarged, bulbous, or irregular in shape. Pores also enlarge as the condition worsens.

Candidates For Nose Treatment

Historically, rhinophyma has been treated with plastic surgery. Recent developments in medical technology have improved our ability to reshape the nose using a CO2 laser. Many people are good candidates for laser nose treatment because there are no anesthesia risks. We conduct a thorough consultation in which we can discuss what patients can expect in terms of outcome from their personal treatment plan.

Rhinophyma Nose Treatment

Rhinophyma Before & After

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 Rhinophyma Treatment

Rhinophyma Before & After

To view more cases, visit our before and after gallery.


Is Rhinophyma Treatment Painful?

Patients can expect for their laser treatment to be made comfortable through the use of local anesthetic.

Will I Need Multiple Laser Treatments?

In some cases, additional laser therapies or other treatments are performed as a part of the larger treatment plan. However, once rhinophyma has been treated, recurrence is rare.

Recovery After Rhinophyma Treatment

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.


Rhinophyma Treatment Results

Clinical results from rhinophyma treatment are typically very good. Significant improvements have been achieved using laser technique. View a successful case in our Before and After Gallery.

Schedule a Consultation

To learn more about Rhinophyma Nose Treatment, contact Remington Laser Dermatology Centre at 403-252-7784 to schedule a consultation.

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Our Office

Remington Laser Dermatology Centre

150 - 7220 Fisher Street SE
Calgary, AB T2H 2H8

Dr. Kent Remington ( Mon – Wed )

Tel: 403.252.7784 | Fax: 403 259 5245

Dr. Todd Remington ( Mon – Fri )

Tel: 403.255.1633 | Fax: 403 259 5245

Dr. Sharon Hackett ( Wed – Fri )

Tel: 403.255.1633 | Fax: 403 259 5245

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