Treating rhinophyma

  1. Non-surgical management
  • Treatment of rosacea may inhibit the progression of rhinophyma, but this has not been conclusively confirmed.
  • Topical medications or solutions may be tried initially.
  • Topical retinoids.
  • Oral tetracycline antibiotics.
  • Oral isotretinoin is the most effective medical treatment, and can reduce some of the bulk of rhinophyma.
  1. Surgical treatment
  • Although there are a few different surgical options, Dr Rich, with his years of experience, prefers to start with the Ultrapulse CO2 laser followed by the Erbium laser to de-bulk and reshape the tissue of the nose.
  • Laser resurfacing using Erbium and CO2 lasers is a technique that involves removing the damaged outer layers of the skin.
  • Because the procedure is actual laser resurfacing, it is an invasive – but highly effective – treatment requiring 7-10 days . The nose can be red for some time.

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