Anesthesia Local
Duration 30 min - 1 h.
Hospitalization Ambulatory
Postoperative needs Antibiotic cream
Results Immediately visible. Settlement 1 year.
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Rhinophyma: An In-Depth Look at This Skin Condition

The rhinophyma, also known as rosacea rhinophymais a skin condition that is often associated with rosacea. This condition is characterized by a progressive thickening of the skin of the nose, resulting in a bulbous and deformed appearance of this facial area. In this article, we will explain in detail the rhinophymeincluding its definition, causes, clinical presentation, signs and symptoms, classification, treatment options and prognosis. In addition, we will address the relationship between rhinophyma and rosacea.

Definition of Rhinophyma

Rhinophyma is an advanced variant of rosacea.
a chronic skin disease that mainly affects the skin of the face. It is characterized by excessive thickening of the skin of the nose, resulting in a bulbous and disfiguring appearance. This condition usually develops gradually over time.

Causes of Rhinophyma

The exact cause of rhinophyma is not fully understood, but it is believed to be related to rosacea. Rosacea is a chronic inflammatory skin disease that affects the blood vessels of the face, leading to redness, swelling and flare-ups. Rhinophyma is a rare but serious complication of untreated or poorly controlled rosacea.

Why Rhinophyma Occurs:?

Rhinophyma is produced due to the chronic accumulation of
connective tissue
sebaceous glands
on the nose. This results in an increase in the size and thickness of the skin in the nasal area.

Rhinophyma Clinical Presentation:

Patients with rhinophyma usually present with the following symptoms and signs:

  • Progressive thickening of the nose.
  • Bulbous and disfiguring appearance of the nose.
  • Persistent redness.
  • Rough and rough skin.
  • Presence of nodules and bumps in the nose.

Stages or Classification of Rhinophyma

Rhinophyma is a progressive skin condition that primarily affects the nose and is associated with untreated or poorly controlled rosacea. Throughout its development, rhinophyma can go through several stages or degrees of severity, ranging from mild skin thickening to severe rhinophyma with significant nasal deformity. These stages or classifications are fundamental to guide treatment and understand the evolution of the disease.

  1. Early or mild rhinophyma: In this initial stage, rhinophyma is characterized by a mild thickening of the skin of the nose. Symptoms may include occasional redness, dilation of superficial blood vessels and the presence of papules or small bumps on the skin. Often, at this stage, patients may not be aware of the problem, as the changes are subtle.
  2. Rhinophyma Moderate: At this intermediate stage, rhinophyma becomes more evident. The skin of the nose becomes even thicker, and symptoms such as redness and the presence of bumps are more noticeable. There may be increased vascularity of the skin, resulting in a congested appearance. Patients may begin to experience aesthetic and physical discomfort at this stage.
  3. Advanced or Severe Rhinophyma: At this advanced stage, rhinophyma shows significant nasal deformity. The skin becomes extremely thick, rough and nodular. The nose may become considerably enlarged, resulting in a bulbous and disfiguring appearance. Blood vessels become prominent and nasal function may be severely compromised, making breathing difficult. Psychological and emotional symptoms are usually more pronounced at this stage.

It is essential to understand that the progression of rhinophyma may vary from one individual to another. Not all patients experience all stages, and the rate of progression may be different in each case. In addition, early detection and appropriate medical care are essential to prevent progression to more advanced stages.

Treatment of Rhinophyma:

Treatment of rhinophyma is essential to improve the appearance and function of the nose. Treatment options may include:

  • Drug therapy: Topical or oral medications, such as antibiotics and anti-inflammatory medications, may be used to control the symptoms of the underlying rosacea.
  • Surgical procedures: In advanced cases, surgery may be performed to remove excess tissue and reshape the nose. This may include laser surgery techniques or excisional procedures.
  • Laser therapies: Laser treatments
    laser treatments
    can help improve the appearance of the skin in mild to moderate cases of rhinophyma by reducing redness and thickening.

It is essential to seek evaluation and treatment from a dermatologist or plastic surgeon specializing in rhinophyma to determine the best treatment option for each individual case.

Rhinophyma Forecast

The prognosis of rhinophyma is generally good when properly managed. With proper treatment, the appearance of the nose can be significantly improved, and the symptoms of the underlying rosacea can be controlled. However, early detection and treatment are critical to prevent disease progression.

Relationship between Rhinophyma and Rosacea:

Rhinophyma is a complication of rosacea, and the two conditions are related. Rosacea is a chronic disease that affects the blood vessels of the skin, and when not properly controlled, can lead to the development of rhinophyma. Therefore, it is crucial to treat rosacea effectively to prevent the onset of rhinophyma.

The rhinophyma is a skin condition that primarily affects the nose and is related to rosacea. It is characterized by thickening of the nasal skin and can be treated with various options, including pharmacological therapies and surgical procedures. Early detection and treatment are essential to improve the prognosis and quality of life of affected patients.


How is the rhinophyma operation performed?
The rhinophyma operation is performed with a combination of electrocautery and laser to smooth the texture and reshape the rhinophyma to its normal state. Dr. Garcia Ceballos has performed this procedure with great success.

Provided you are in generally good health, the rhinophyma procedure will be performed under local anesthesia with or without sedation. In some cases the doctor may indicate the performance of rhinophyma surgery under general anesthesia.

After the operation, abundant gauze soaked in an antibotic cream is applied for 10 days. You may not be exposed to the public for at least 10 days and should wash the skin of the nose with an antiseptic soap daily.

You will be advised to take pain medication for the first week.

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Frequently Asked Questions

The exact cause of rhinophyma is not fully understood, but it is believed to be associated with an overgrowth of sebaceous glands in the nose, which can cause the skin to thicken and become irregular.

Rhinophyma is more common in men than in women and usually affects people over 50 years of age. People with fair skin, Celtic or Scandinavian ancestry and a family history of rosacea are also at increased risk.

The most common symptom of rhinophyma is a large, bulbous nose that is red and full of indentations. Other symptoms may include thickened skin, visible blood vessels and sometimes small bumps or pustules in the nose.

A dermatologist can usually diagnose rhinophyma by examining the nose and asking about symptoms. Sometimes a skin biopsy may be needed to confirm the diagnosis.

Rhinophyma can be treated with a variety of methods, including surgical removal, laser therapy, and topical or oral medications. The best treatment option will depend on the severity of the condition and the specific needs of the individual.

There is no known way to prevent rhinophyma, but avoiding triggers that worsen rosacea symptoms, such as alcohol, spicy foods and hot beverages, may help reduce the risk of developing the condition. It is also important to protect the skin from sun exposure and seek treatment for rosacea as soon as symptoms appear.

The price of a rhinophyma operation can range from 2000€ to 8000€ depending on each case.

Dr. García Ceballos is a specialist in plastic, aesthetic and reconstructive surgery. It is based in Palma de Mallorca. You can check his credentials at SECPRE (Society of Aesthetic and Reconstructive Plastic Surgery). Dr. Garcia Ceballos has extensive experience in the treatment of rhinophyma.

It is advisable to put yourself in the hands of a specialist in reconstructive and aesthetic plastic surgery for the realization of this type of intervention.