Should I have rhinoplasty or see a dermatologist?

Question

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?

Raymond Goh, MBBS (Hons), FRACS (Plast) · Answer

Hi. Without seeing a photo of your nose, it is impossible to tell what you have.
I have previously seen patients who have presented to see me for a rhinoplasty where in fact they had rhinophyma. This condition can be treated either non-surgically with laser ablation, or surgically.
All the very best.
Dr Ray Goh
Valley Plastic Surgery

Edwin F. Williams, III, MD · Answer

Good question! I would recommend seeing a Facial Plastic and Reconstructive Surgeon for management of rhinophyma. We commonly treat this condition and can discuss the different options and interventions to help get back your tip definition. Laser is one of many well-established and proven ways to treat this condition. Rhinophyma typically arises from longstanding rosacea, which your surgeon may be able to address as well. Hope this helps!

Jeremy B. White, MD · Answer

If you have mild rhinophyma, I recommend trying conservative medical treatments with your dermatologist first. If that fails or you are told that medicine will not help you at this point, see a board certified plastic surgeon. The skin can be debulked and allowed to heal, but it does not sound like you need a rhinoplasty.

Michael L. Schwartz, MD · Answer

Rhinophyma is a condition that is treated with laser , cautery, or dermabrasion often with comcommitant medical therapy(finacea etc). It is not treated by rhinoplasty. Whether you use a plastic surgeon or a dermatologist for your care should not affect the treatment offered. Regular experience with the condition should be your main criteria.

Benjamin W. Cilento, MD · Answer

HI
   If you do have rhinophyma a good ENT/Facial plastic surgeon is the one to see. Good Luck
Dr C

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