menu black
columbus institute of plastic surgery logo
beautiful young woman

Visit Our Female Site

visit the

Rhinophyma-Red Bulbous Nose Reduction

Conveniently located to serve Columbus, Cincinnati, and Cleveland

Rhinophyma or the red, bulbous nose commonly seen in older men is a treatable medical condition. It is caused by an overgrowth of the oil glands, blood vessels, and bacteria of the nose. It is the end result of incompletely managed skin condition Rosacea. Approximately 14 million Americans are affected by Rosacea, which is characterized by diffuse redness and broken capillaries of the central zone of the face including the forehead, nose, eyelids, cheeks and chin. Bacteria and overactive sebaceous glands contribute to pustule and nodule formation. Over a period of time, untreated Rosacea leads to overgrowth of the sebaceous glands primarily of the nose leading to the characteristic rough texture, bumps, and round nose.
two beautiful woman with their heads on one another


Convenient, outpatient treatment of Rhinophyma-Red Bulbous Nose Deformity.

  • At the Columbus Institute of Plastic Surgery you can have your procedure in the comfort & safety of our office-based accredited surgery center as an outpatient…making it comfortable convenient & cost-effective for you!
  • Dr. Shah is a board-certified Plastic Surgeon with extensive training and years of experience in nose and skin resurfacing procedures
  • Because Cosmetic Plastic Surgery is all that we do, every day you can count on our dedication to delivering the best results and a superlative patient care experience
  • Our outstanding, well-trained staff are here to guide you every step of the way through the process from initial inquiry to outstanding results!


Rhinophyma and its precursor condition Rosacea is best treated by practicing prevention. Retinoid (Vitamin A) creams, as well as topical antibiotics like Metrogel® (Clindamycin), are the most commonly prescribed topical skin medications. Occasionally, oral antibiotics are prescribed during acute breakouts. Additional preventive measures include wearing sunscreen, topical Vitamin C, and avoiding exacerbating foods, alcohol, extreme weather conditions, and stress. The “old wives” tale that excess alcohol consumption caused Rhinophyma comes from the flushing of the overactive blood vessels of the face and nose characteristic of alcohol use. Treatment of the redness and ruddy appearance of the skin is typically treated by a series of non-ablative Intense Pulsed Light (IPL) or BroadBand Light (BBL) treatments or several different wavelengths of lasers that target the red blood cell components in the skin. Broken capillaries of the nose can also be treated with these same light devices.

Correction of the bulbous appearance of the nose or “smoothing” involves a number of different resurfacing procedures. Dermabrasion, electro-surgery and laser resurfacing are the most commonly used procedures to smooth the texture of the nose. These techniques can be used to dramatically smooth the nose and return it to its pre-Rhinophyma texture and shape. Imagine going back to what your nose used to look like! These procedures are typically done under twilight anesthesia or general anesthesia as an outpatient. Recovery occurs in stages. The nose heals in about a week, is red for several more weeks, and then returns to its normal state in a much-improved form. Your results are visible immediately but final results take at least 6-12 months to show as your collagen remodels and swelling of the tissues resolves.


Typically, a consultation is scheduled to discuss the options available to correct Rhinophyma or Red Bulbous Nose. At this visit, we review the options and determine if you are a good candidate for the procedure. Your medical history is reviewed, and you will be asked to see your medical doctor for a physical check-up and a few labs to make sure you can undergo the surgery safely. If you are a smoker, you are advised to quit smoking two weeks before and after surgery. This sensible precaution ensures your safety and uneventful healing. You are seen regularly after your surgery until you are completely healed and satisfied with the results of your Rhinophyma-Red Bulbous Nose procedure. Post-procedure skin care products will be recommended and instructions reviewed and documented on a convenient reference sheet.


For the vast majority of patients, Rhinophyma-Red Bulbous Nose treatment is an extremely gratifying procedure. Natural-looking results, long-term skin enhancement and no scarring are some of the immediate benefits of this treatment. The procedure only takes about one hour to complete as an outpatient in the convenience of our accredited surgery center.

The procedure is simple and straightforward. You are given antibiotics, and you are sedated. The nose is locally anesthetized in the operating room. The nose and surrounding skin are injected with a local anesthetic to decrease bleeding and for postoperative comfort. The best suited technology is then used to smooth the skin and to shape the nose into its final ideal form. The initial result appears as though that area has been ‘sandpapered”. A sticky dressing placed on the surface of the nose for about a week until new skin regrows. The skin is initially pink, then gradually starts looking natural and vibrant.


Our office will provide you with a detailed post-operative instruction sheet and shopping list that will be individualized to your needs. We will see you in the office soon after the procedure to ensure that you are recovering normally. The number of follow-up visits required depends on the pace of your healing. Patients are cautioned to avoid sun exposure for the first few weeks after this procedure. Maintenance of the result involves the use of topical skin care such as retinoids, antibiotic gels, and BBL treatments to manage the re-growth of capillaries. Most patients recuperate quite quickly and it isn’t long before they are enjoying their new nose!

For additional information about Rhinophyma-Red Bulbous Nose Treatment, contact us at

Related Procedures



Treating prominent ears in men with “ear pinning” or Otoplasty in men.

Chin Augmentation

Chin Augmentation

Simplified treatment of the weak chin.

Body Implants

Body Implants

The most commonly affected areas in men include the chest or pectoral muscles, the calves, or buttocks.

Nipple Reduction

Nipple Reduction

Nipple reduction in men and women to address the problem of enlarged or prominent nipples.