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.

2. 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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