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Rhinophyma


Rhinophyma is a condition that affects the nose, most commonly in the context of an inflammatory skin disease called Rosacea. It typically presents with textural irregularities with areas of thickened skin and enlarged prominent pores, together with an irregular contour giving rise to the term “cauliflower” nose. The condition can occur in conjunction with other signs and symptoms of rosacea, such as spots on the cheeks or chin, associated with redness that typically flares up with alcohol consumption, stress and heat.

Whilst Rhinophyma does not generally give symptoms of pain or itching, it can be severely debilitating and can lead to social embarrassment and isolation. Unfortunately, the condition does not improve spontaneously and in many cases can slowly progress and worsen.

At 152 Harley Street, treatment for both Rhinophyma and Rosacea is possible with one of our expert Consultant Dermatologists, who specialise in cosmetic and laser surgery.UltraPulse Laser (also referred to as CO2 laser) can prove to be a highly effective and life changing treatment in many cases, for both women and men. Laser treatment for Rhinophyma is a very safe and effective process if performed by a well-trained Consultant Dermatologist and laser specialist. 152 Harley Street is a Centre of Medical Excellence and all of our UltraPulse specialists are Consultants and leaders in their field.

““The UltraPulse Laser can effectively treat both Rosacea & Rhinophyma””

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FAQ


What is Rhinophyma?

Rhinophyma is a condition that affects the nose and presents with tissue thickening, enlarged prominent pores and irregularity of the nose contour and is part of an inflammatory condition called “Rosacea”, although it can present solely with no other classical signs or symptom of Rosacea.

Can Rhinophyma improve spontaneously?

Unfortunately spontaneous improvement of Rhinophyma does not occur in the vast majority of cases, though the progression or worsening of the condition varies from person to person.

Is Rhinophyma genetic?

Rhinophyma is not a genetic condition and is part of a common condition called “rosacea”. Some cases of rosacea can run in families, however in the majority of cases Rhinophyma is not a familial or genetic trait.

What can worsen Rhinophyma?

Rhinophyma is a condition that is part of Rosacea and there are some triggers, which can worsen the condition such as alcohol consumption, stress, spicy food or cold wind. Whilst these trigger factors typically worsen the redness and so-called “inflammatory rosacea” with the typical spots on the nose, cheeks, and chin; they can worsen the condition of Rhinophyma too.

Can Rhinophyma be effectively treated?

Most definitely, yes. The most important factor is that the underlying condition of Rosacea should be controlled and there are treatments available for Rhinophyma, which in some cases include surgery, however in the majority of cases excellent results can be obtained with Laser Treatment, such as UltraPulse, performed by a Consultant Dermatologist with extensive Laser skills and experience.

What type of Laser is the most effective in Rhinophyma treatment?

Carbon dioxide laser (also called CO2) has been used for many years in the treatment of Rhinophyma and in skilled hands can give excellent cosmetic results. Though there are some other laser and energy-based modalities currently advocated for the treatment of Rhinophyma, the current medical literature has the strongest evidence with carbon dioxide laser. At 152 Harley Street, we have the strongest Co2 laser available on the market called UltraPulse by Lumenis.

Is carbon dioxide laser treatment for Rhinophyma painful?

The treatment is performed under Local Anaesthesia and once the nose is completely numbed with injections, the treatment should no longer be painful.

What is the recovery like following Co2 Laser Treatment?

The treatment of Rhinophyma with the carbon dioxide laser is very effective, but does require good wound care and commitment. Immediately following treatment, the nose will have a slightly charred appearance with an open wound like appearance with some oozing. A special ointment for wound care and healing will be applied and covered with a special dressing. Specific wound care advice will be given and it may take 3-4 weeks for complete healing, however you can continue to work or study during this time.

Can Rhinophyma recur following treatment?

Whilst theoretically any condition can recur or relapse following treatment, Rhinophyma generally does not tend to recur after carbon dioxide Laser Treatment, if performed accurately in the hands of a Consultant Dermatologist.

Can I have a small area or part of my nose treated or does the entire nose need to be treated at the same time?

No, you can opt for a treatment of a small area or part of the nose, although our Consultant Laser Dermatologist will treat your nose in a way to ensure a nice and smooth transition, with no obvious areas of demarcation.