[Yonsei Star Dermatology Sinchon] How to Effectively Improve Rhinophyma with Rosacea Treatment / Sinchon Station Dermatology

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When the nose becomes unusually red and progressively bumpy over time, it may not be a simple skin problem but rather a chronic skin condition called rosacea. We often hear questions in the consultation room like, "Isn't rhinophyma just something you're born with and can't do anything about?" However, rosacea is classified as a skin disease and is reported to be an area that can be managed and treated according to its stage.

Hello. This is Yonsei Star Dermatology Sinchon, your skin doctor. During the colder seasons, the number of people concerned about rosacea, which causes a red nose, significantly increases. Rosacea, commonly known as rhinophyma, was once thought to be a lifelong condition. However, the perception has changed, and it is now recognized as a condition that can be sufficiently managed with timely intervention.

Rosacea is a condition where facial capillaries expand, leading to prominent redness. It is known to be caused by a complex interaction of various factors, including excessive alcohol consumption, environmental factors, constitutional factors, and lifestyle habits. In its early stages, it often begins with a tendency to blush slightly more easily than others, making it easy to overlook and neglect, as people may not realize it requires treatment.

Rosacea progresses in stages rather than worsening all at once. Understanding which stage you are in can help determine the appropriate course of action.

If redness and spider veins recur, it is also related to facial redness, so it is less burdensome to start management at the frequent facial redness stage.

As it progresses to the mid-stage, capillaries in the nose expand, making spider veins visible, as shown in the image above. At this point, using the vascular laser Vbeam Prima to selectively treat the spider veins can help manage and potentially improve rhinophyma from progressing further.

However, many people only decide to seek treatment after their entire nose has become red and bumpy due to increased sebaceous glands and surrounding nasal tissue, forming the characteristic rhinophyma shape. Treatment at this stage becomes more challenging. Based on extensive experience treating various rosacea cases, Yonsei Star Dermatology Sinchon approaches treatment by addressing redness with the vascular laser Vbeam Prima, and refining the raised areas with Ultrapulse Encore laser, which minimizes damage to surrounding tissue, while also managing unnecessary sebaceous glands. However, individual responses to treatment and recovery patterns may vary.

If you are also concerned about scars with strong redness, there is an overlap with red acne scar management, so it is advisable to examine them together during consultation.

For inquiries, please contact us via chat for rhinophyma/rosacea treatment

Along with treatment, reviewing your daily habits can help manage redness. Check the following items in your daily life:

• Reduce irritants that cause facial flushing, such as alcohol, spicy, and hot foods.
• Avoid situations exposed to rapid temperature changes.
• Pay attention to UV protection when going out.
• Avoid irritating cleansing methods such as strong friction or excessive exfoliation.
• If redness recurs, consult with medical staff rather than self-diagnosing.

While rhinophyma can affect one's appearance and lead to misunderstandings, the key point is that it becomes more difficult to treat as it progresses. Managing it at the stage where spider veins are visible is different from approaching it after the entire nose has become bumpy, in terms of treatment difficulty. Choosing to get it checked at the appropriate time, rather than enduring or neglecting it, is more advantageous in terms of results.

It is difficult to determine the stage of rosacea through self-diagnosis alone. If you want to confirm which stage your nose is in and what approach is suitable, feel free to inquire.

Representative Director Lee Sang-joo (MD, PhD, Yonsei University College of Medicine and Graduate School, completed dermatology residency at Severance Hospital, President of the Korean Society for Dermatology) Representative Director Lee Sang-joo's Profile First published 2022-09-21 / Last reviewed 2026-06-16

Treatment direction and response may vary depending on individual skin condition and progression stage, so accurate diagnosis and planning should be determined through face-to-face consultation with medical staff.