Rhinoplyma killing self esteem: will laser procedure reduce nose size? (Photos)

The pictures of your nose are not very clear, and do not show a lot of detail regarding the skin. However, the pictures do seem to show some rosacea of the skin. This really does not look like rhinophyma. Being raised, educated and trained in Wisconsin I gained a lot of experience with rhinophyma, which is common there. Rhinophyma affects men and women and is largely hereditary. Achieving an excellent cosmetic result for rhinophyma often includes a combination of surgery and laser treatments. Recently, I performed a rhinoplasty on a patient with a very thick, oily rhinophyma like skin. Her nose was wide and bulbous. Three months later I treated the entire nose and face with the new AviClear laser. The laser targeted and destroyed the oil glands and the nose contracted beautifully. The quality of the entire facial skin improved. However, if the problem you have is more due to rosacea, I have used a vascular laser treatment following rhinoplasty with much success. I use the Excel V laser or the Excel V Laser Genesis treatment following rhinoplasty, and have received excellent results. The laser treatments promote improved skin contraction on the nose and improved skin texture of the entire face. I think that would be a good treatment plan for you. However a personal consultation would be necessary.