Rhinophyma
-
Rhinophyma (pronounced rye-no-FY-muh)is a skin condition that causes the nose to become enlarged, red, and thickened due to excess tissue growth. It is a severe form of rosacea that primarily affects the nose, leading to a bulbous, swollen appearance. While often mistakenly linked to excessive alcohol consumption, rhinophyma is not caused by drinking but rather by long-term, untreated rosacea.
Famous People with Rhinophyma & Common Misconceptions
Rhinophyma has been seen in well-known historical figures and celebrities, often contributing to stereotypes about the condition. The most famous example is W.C. Fields, the legendary comedian whose bulbous nose became part of his on-screen persona. Because Fields was known for his heavy drinking, rhinophyma wrongly became associated with alcoholism.
However, alcohol does not cause rhinophyma—it may worsen rosacea symptoms, but the condition itself is due to chronic skin inflammation and genetic factors.
What Causes Rhinophyma?
✔ Long-standing, untreated rosacea, a chronic inflammatory skin condition.
✔ Thickening of oil glands in the nose over time.
✔ Genetics, as it tends to run in families.
✔ More common in men over 50 with fair skin. -
While the underlying tendency to develop this condition cannot be changed it can be very successfully managed.
Several treatment options are available to manage symptoms and improve the appearance of the nose. Two commonly used treatments include oral isotretinoin (a retinoid medication) and CO2 laser therapy.
CO2 Laser Therapy
CO2 laser therapy involves using a high-energy laser to precisely remove excess tissue and reshape the nose. CO2 laser therapy can effectively reduce the size of the nose, smooth out irregularities, and improve redness associated with rhinophyma. While CO2 laser therapy can provide significant improvement in the appearance of rhinophyma, multiple sessions may be needed for optimal results, and downtime for recovery should be expected.