Rhinophyma is a progressive thickening and enlargement of the nose caused by sebaceous gland and connective-tissue overgrowth, often associated with long-standing rosacea. It commonly produces a bulbous, irregular nasal contour and can affect both appearance and nasal airflow.

Treatment ranges from conservative surgical debulking and excision to CO₂ laser resurfacing for surface refinement; some patients benefit from a staged approach combining excision with resurfacing to restore contour and skin texture.

Good candidates are adults with visible nasal bulk, irregular contour, or breathing symptoms from tissue overgrowth. A medical assessment determines severity, underlying rosacea control, and the safest approach tailored to your anatomy and goals.

Procedures may be done in clinic or the OR depending on extent. Surgical debulking removes excess tissue under local or general anesthesia; CO₂ resurfacing precisely ablates and smooths the surface. Your surgeon will explain anesthesia, steps, and expected outcomes during consultation.

Recovery varies by technique and extent. Expect moderate swelling and crusting for 1–2 weeks after resurfacing or excision, with gradual improvement over months as healing and collagen remodeling occur. Your provider will give a personalized timeline and aftercare plan.

Discomfort is managed with local numbing, sedation, or general anaesthesia as appropriate. Post-procedure soreness is common but usually controlled with prescribed or over-the-counter pain relief and proper wound care.

Risks include temporary swelling, bruising, pigment changes, infection, scarring, and the rare need for revision. Choosing an experienced, board-supervised surgical team and following aftercare instructions reduces complication rates.

Recurrence is possible, particularly if underlying rosacea is uncontrolled. Many patients experience durable improvement; long-term control of rosacea and regular follow-up help lower recurrence risk.

Costs vary by procedure type, setting (clinic vs OR), and extent of reconstruction. If treatment is required for functional reasons (e.g., breathing obstruction), some insurers may provide coverage—cosmetic-only procedures are typically patient-pay. A consult provides an accurate quote and insurance guidance.

Bring a list of medications, past skin treatments, and photos of concern if available. Expect a focused exam, discussion of rosacea history, treatment options (debulking, excision, CO₂ resurfacing), anesthesia plan, recovery expectations, and a personalized recommendation.