Should I have rhinoplasty or see a dermatologist?

I am a female in early 50's and in the last 5 years the tip of my nose has started to become bulbous and troubled with pimples and excess oil. I was told by a rhinoplasty surgeon that it was a mild case of rhinophyma but- have since heard that a dermatologist may be the better way to go, as they use laser to remove tissue from the nose and can get quite dramatic results this way. Should I see a dermatologist instead, who can help to address the root cause of the problem?