Is this Rhinophyma? (photos)

Question

I have noticed my nose getting bigger over the last 3 years. There are a few nodules on one side of nose and some thickening on tip of nose which I absolutely hate. I'm just 23 years old male and I never really liked the end of my nose & now it's getting worse! If It is rhinophyma ,What is the best treatment for this?

Ram Kalus, MD, FACS · Answer

There are multiple treatments, including laser and surgical. I would recommend a consultation with a board certified plastic surgeon. Best of luck to you.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  Based on your photographs, it not possible to make a definitive diagnosis but this does not appear consistent with rhinophyma.  I would recommend you see a dermatologist to evaluate your skin.  After this, if you desire nasal surgery, 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.Harvard-trained plastic surgeon

Clyde Mathison, MD · Answer

Based on the pictures, it appears that you have rosacea and VERY early rhinophyma.  At this early stage of the disease, I would recommend consulting with a dermatologist who is familiar with non-surgical treatment options.  If you get early treatment, you will likely never need surgical intervention.Best of luck!

Aaron Stone, MD · Answer

It is definitely not rhinophyma but it could be rosacea, which is a precursor to rhinophyma. The good news is catching it this early does not require surgery to address it. Your best bet is to see a Dermatologist because they are the best equipped to treat someone with rosacea.

Ivo Gwanmesia, FRCS(Plast) · Answer

Thank you for your post.I find it very difficult to make disgnoses from photographs. Having said that though, if you think it is rhinophyma, then the most accurate way of getting a diagnosis is to have a biopsy sent off for pathological analysis. The other name for a rhinophyma is sebaceous hyperplasia.

Gustavo A. Diaz, MD · Answer

I would recommend that you go to a dermatologist for evaluation and diagnosis.Hope this helps,Dr. Gus Diaz

Dennis Barek, MD (retired) · Answer

Thank you for your question and photographs.The picture appears to be consistent with early rhinophyma and rosacea.At this point, a good dermatologist may be able to control the situation without surgery. So the dermatologist should be your next step.

Is this Rhinophyma? (photos)

Answers (7)

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