Thank you for your reply about my sebaceous bulbous nose. Possibly Rhinophyma?However, my nose is not distorted (yet); it only seems to have a growing bulb, which is extremely oily (within minutes of washing). Can this still be considered Rhinophyma? Could it be sebaceous hyperplasia or something else? Incidently, last year a plastic surgeon took approximately 2 minutes touching my nose and said the problem was not in my cartilage, but in the flesh. So, in lieu of the fact that the oil bothers be more than the size, is there anything that can solve both? Still wire loop cautery and CO2 laser?