If you’ve seen people who have reddish, enlarged noses, you may have wondered if a rhinoplasty in Toronto can improve that condition. Why do some people develop enlarged, bulbous nose tips? In many cases, the condition is known as rhinophyma. It stems from a skin condition and develops in mid to late life. Contrary to unfortunate common perceptions, it’s not due to alcoholism.

What is rhinophyma?

It’s caused by rosacea which hasn’t been adequately treated or controlled. What is rosacea? It’s a skin inflammation issue resulting in broken capillaries, swollen, reddened skin. Usually, rosacea appears on the cheeks, chin and nose. It can be controlled at an early stage and prevent nose changes in most cases. Inflammation from rosacea or even pressure from glasses pushing on the bridge of the nose can lead to proteins in the skin stagnating and accumulating between skin cells. The excess fluid build-up is called lymphoedema. Rhinophyma leads skin to thicken, and noses to appear bulbous.

Chronic skin congestion also leads it to feel stiff and harder over time. Sebaceous glands remain chronically dilated in response making nose pores large and visible.

While men and women can suffer from rhinophyma, it’s more common in males. People who have rosacea are at high risk of bulbous nose symptoms. Toronto rhinoplasty surgeons advise that if you notice early signs of facial redness and irritation, you seek treatment early.

Toronto rhinoplasty, and non-surgical treatments

There are a few ways to treat and improve an overly bulbous nose. Some topical medications have a positive effect in the early stages. There are also lasers used to meticulously remove surface skin layers and reshape the nose.

Surgical excision with electrocautery (electrically heated needle), removes significant tissue and is a form of rhinoplasty.

There are also several creams and pharmacological treatments for rosacea. Ivermectin cream (for mites) targets Demodex implicated in nose tissue overgrowth. Antibiotics can help, and retinoids (like Vitamin A) also trigger healthier new skin growth.

The oldest, more invasive techniques which included dermabrasion and excision of tissue are less often utilized today. With advances in laser technology, fine skin layers can be vaporized precisely to reduce trauma and encourage fast recovery times. The process to reduce bulbous nose overgrowth will take less than an hour, with local anaesthetic in most cases. The Erbium YAG laser is a popular choice.

Finding a Toronto rhinoplasty surgeon to treat rhinophyma

If you struggle with this condition, you’ll need to seek a skilled, Royal College certified facial plastic surgeon who has practice experience in this area. Reducing an overgrown nose tip and reshaping requires adept skill, advanced equipment and artistic ability. Sometimes the problem can’t be eliminated entirely, but experienced rhinoplasty surgeons can make significant improvements.

If you’re interested in learning more about treatment options for rhinophyma or any nose reshaping concern, we’ll be happy to schedule your private consultation with Dr. Phillip Solomon.