What are the treatment options for rhinophyma?

Rhinophyma is thickening and enlargement of the skin of the nose, often with visible pores, uneven texture, and a bulbous contour. Creams may help active rosacea symptoms but do not remove established excess tissue. A dermatologist or surgeon examines the skin and discusses whether reshaping is appropriate.

Electrosurgery uses controlled electrical energy to remove or reduce selected tissue and help manage bleeding during the procedure. CO2 laser resurfacing vaporises superficial tissue in a controlled pattern, allowing the contour to be refined. The method depends on tissue thickness, shape, skin type, healing history, and the clinician’s experience.

Ask about the planned depth, anaesthesia, wound dressing, healing period, and how the nose will be protected afterward. Tell the clinician about medicines that affect bleeding, previous keloids or difficult healing, and any active skin infection. Follow cleansing and sun-protection instructions closely while the surface heals. Managing rosacea triggers may help limit further inflammation.

Arrange assessment for progressive nasal thickening, frequent bleeding, crusting, or tenderness. After a procedure, contact the treating team promptly for increasing redness, swelling, pus-like drainage, fever, uncontrolled bleeding, or pain that is becoming stronger rather than settling.

Would electrosurgery or CO2 laser resurfacing suit my skin and tissue pattern? How will you protect the nasal contour, what aftercare is required, and how will active rosacea be managed during healing?