Rhinophyma, commonly known as cauliflower nose, is a skin disorder that makes the nose appear enlarged. Most specialists associate this condition with rosacea, which causes redness, inflammation, and acne-like symptoms.

Rhinophyma significantly affects the confidence and self-esteem of an individual. Although the exact rhinophyma causes are unclear, experts link it to genetics, environmental factors, and underlying health conditions.

Likewise, it is more common in men than women between the ages of 50-70. Luckily, various treatment options can manage rhinophyma while improving the appearance of the nose.

Keep reading to learn more about rhinophyma or cauliflower nose including causes, symptoms, diagnosis, and treatments.

What Is Rhinophyma Or Cauliflower Nose

Rhinophyma is a skin disorder that affects the nose. It makes the nose grow larger and appear red, bumpy and rounded.

Medical practitioners believe it happens due to a severe rosacea, if it goes untreated.

Rosacea is a chronic skin condition that causes inflammation. This makes the skin appear swollen and red across the nose and surrounding cheeks.

What Are Causes Of Rhinophyma?

Although the exact causes of rhinophyma are unknown, several factors play a role in its development.

This includes the following:

What Are Causes Of Rhinophyma
  • Genetics: Genetics play a major role in female rhinophyma noses. You are more likely to experience it if your family has a history of rhinophyma.
  • Rosacea: A chronic disorder that causes redness, inflammation, and acne-like symptoms.
  • Environmental Factors: Exposure to UV radiation, harsh winds and extreme temperatures may lead to a cauliflower nose.
  • Health Conditions: Hormonal and gastrointestinal disorders can also cause rhinophyma.

What Are Symptoms Of Rhinophyma?

Early detection leads to better cure. Rhinophyma symptoms are obvious and individuals can prevent it during early stages.

Early stages of rhinophyma in both male and female includes:

  • Gradual change in nasal structure, appearing swollen or bulbous
  • Visible oil glands
  • Red, flushed, or inflamed nose
  • Enlarged skin pores around the nose
  • Small, dilated blood vessels visible on the nose

How To Diagnose Rhinophyma?

How To Diagnose Rhinophyma

Diagnosing rhinophyma typically involves a combination of medical history and physical examination. In some cases the symptoms are so clear that there is no need for tests. While others may require further medical scrutiny.

Here are general steps involved in diagnosing this problem.

  • Physical Examination: Doctors examine visible symptoms and discuss family history.
  • Tests: In some cases, doctors may run a skin biopsy to confirm the diagnosis.

How To Treat Rhinophyma?

Both surgical and nonsurgical treatments are available for rhinophyma. The choice of treatment depends on the patient’s condition. Options include:

How To Treat Rhinophyma

Medical Treatments

Rhinophyma does not always respond well to medications, some medical options may help:

  • Topical Medications: Cream and gels that reduce inflammation, redness, and oiliness.
  • Oral Antibiotics: To control bacterial infections and reduce inflammation.
  • Isotretinoin: A popular retinoid medication that reduces sebaceous gland size and oil production. This tends to slow down the increasing size of the nose.

Surgical Treatments

If medication does not heal rhinophyma, your doctor may recommend surgery.

  • Laser Therapy: Uses a laser to reduce redness, inflammation, and visible blood vessels. This results in reduced size.
  • Dermabrasion: A small rotating tool smooths out the skin surface, by removing the top layer of the skin.
  • Surgical Excision: Remove excess tissue and reshape the skin.
  • Cryosurgery: Uses extremely cold temperatures to freeze the abnormal tissues, which are then removed by surgeons.

How To Prevent Rhinophyma?

Although, there is no guaranteed way to prevent rhinophyma., certain steps can help reduce the risk. The most important thing is to increase the blood flow towards the skin and aggravate rosacea symptoms.

Hence, experts suggest the following factors to prevent rhinophyma:

How To Prevent Rhinophyma
  • Protect Your Skin: Dermatologists suggest using broad-spectrum sunscreen with at least SPF 30 daily. Make a habit of wearing hats and clothing that protect your skin from the sun.
  • Manage Rosacea: If you have rosacea, consult a dermatologist to manage symptoms.
  • Maintain Good Skin Care: Avoid skin care products containing alcohol, abrasives, or fragrances. Rhinophyma alcohol increases chances.
  • Healthy Lifestyle: Avoid hot foods and beverages, spicy foods, and caffeine. Drink plenty of water and manage stress.

Frequently Asked Questions

How much alcohol causes rhinophyma?

There is no direct relation between alcohol and rhinophyma. However, it can work as a trigger for rosacea, which causes redness and flushing leading to rhinophyma.

What celebrities have had rhinophyma?

Celebrities suffering from rhinophyma include J.P. Morgan, W.C. Fields and Karl Malden.

What do the early stages of rhinophyma look like?

The early stages of rhinophyma makes the nose appear red with swelling. The skin starts thickening and the nose appears to become bulbous.

Can you reverse rhinophyma?

Rhinophyma is not completely reversible, treatments such as surgery can significantly reduce its appearance. It can also reverse its effects, especially during early stages.

What can be mistaken for rhinophyma?

Conditions such as basal cell carcinoma, squamous cell carcinoma, and even angiosarcoma can be confused with rhinophyma.

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