Rhinophyma in Syracuse & Rochester, NY
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What is Rhinophyma?
Rhinophyma is a deformity of the nose in which the nose becomes a red, enlarged and irregular bumpy surface. Once it reaches enough size, it can also affect nasal valve breathing function.
The condition initially starts as rosacea which is a chronic inflammation of the skin resulting in redness of the skin from vascular formation and dilation. There are hereditary components and also associated social risk factors including frequent alcohol, caffeine, and ultraviolet light. There also appears to be association with a skin mite called Demodex folliculorum which favors the oil gland of hypervascular skin, which in turn, causes further inflammation, and scarring of nasal tissue.
Rhinophyma is diagnosed clinically based on its appearance of redness, excess vessel on skin, and the thickening of the skin of the nose.
How is rhinophyma treated?
Rhinophyma can be classified based on appearance and severity of the presentation. Initial management for mild form will involve medication including antibiotics, metronidazole, and oral isotretinoin which is prescribed by a doctor and monitored closely due to its significant side-effect risk profile.
Advanced rhinophyma will require surgical treatment to remove tissue. While many treatment options exist to remove the tissue, in most advanced case of rhinophyma, surgical removal of skin is the most effective method.
What is expected following surgical treatment of rhinophyma?
After surgical excision of rhinophyma, the nose will appear raw, exposed, with tendency to bleed and crust. Meticulous care is very important to achieve optimal outcomes and to reduce risks of infection or scarring. While most patients do not report significant pain after the surgery, patients may stay indoors for the first 1-2 weeks, while caring for the wound site. Wound care involves copious coverage with ointment while waiting for new skin to develop.
Sometimes, after sufficient recovery additional treatment may be necessary to achieve optimal outcome. Additional treatment may involve another session of surgical excision, dermabrasion, or laser resurfacing.
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