I am 34 and pretty certain I have rhinophyma. Is it bad, and how do I fix it to feel cute again? (Photo)

     Any skin changes can be improved with skin resurfacing procedures.Kenneth Hughes, MDLos Angeles, CA.

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty.  Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a dorsal hump
reduction.  Make sure you specifically look at
before and after pictures of real patients who have had this surgery performed
by your surgeon and not just a computer animation system.
The most important aspect is to find a surgeon you are comfortable with. I
recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Treatment to improve your nasal tip skin envelope includes  topical metronidazole gel to manage acne rosacea, and  laser resurfacing. to manage skin changes  My clinic offers co2 laser resurfacing to treat mild to severe rhinophyma .  Results can be dramatic.   Patients may need more than one treatment as the condition is chronic in nature.  

You don't appear to have a rhinophyma.  Rhinophyma is usually seen in older men and can be treated surgically with great results.  You may, however, have some rosacea and large pores.  I would recommend that you see a dermatologist for that.  Good luck!  

Thank you for your photos. It appears that you have rosacea and possible mild rhinophyma. Milder cases can be treated with topical medications to reduce the inflammation and sebaceous structures adding to the problem. More serious cases may need surgical debulking to remove the thickness of the skin. It is best to have an in-office examination to determine your exact condition and the best treament plan. Hope this helps!Johnson C. Lee, MD Plastic Surgery@drjohnsonlee

Your photos suggest a possible mild case of rhinophyma. More severe cases are often treated by tangential surgical excision (think of it as sequentially shaving the skin down to a smoother surface and letting it heal in on its own), but more mild cases may respond to laser resurfacing. Exam in the office is important in order to assess the severity of the condition, make the formal diagnosis, and offer treatment options.

You don't appear to have rhinophyma.  You have larger pores that can be reduced with fractionated CO2 laser.  The tip is a bit wide and this can be addressed with a tip rhinoplasty.  Seek out a consult from a board-certified rhinoplasty expert who also does laser.  Best wishes.

CO2 laser would be recommended to correct and treat rhinophyma.  This will address the chronic skin changes.  Consult with a board certified plastic surgeon for an in person evaluation.