Rhinophyma Treatment

Restore Comfort, Confidence, and Clarity

Results vary between individuals. Images are of patients treated by Dr Nina Wines and are published with their consent. These are for illustrative purposes and are not a guarantee of results

Rhinophyma is an advanced form of rosacea that causes thickened, bulbous skin on the nose. It most commonly affects men over the age of 50 and, while not dangerous, can lead to significant concern, breathing discomfort, and social distress.

At Dr Nina Wines’ clinic in Sydney, rhinophyma is treated with precision CO₂ laser surgery—a highly effective method that smooths, reshapes, and restores the skin in a single session.

What Is Rhinophyma?

Rhinophyma develops due to chronic inflammation and excess tissue growth—often from long-standing rosacea. The skin on the nose becomes:

  • Thickened and lumpy

  • Enlarged and distorted in shape

  • Oily and red in appearance

  • Occasionally, obstructive to nasal breathing

The exact cause remains unclear, but it likely involves a combination of genetic predisposition, chronic rosacea, and vascular factors.

Why Treat Rhinophyma?

Left untreated, rhinophyma can:

  • Progressively worsen over time

  • Cause social anxiety and embarrassment

  • Interfere with nasal airflow

  • Impact quality of life

Many patients describe feeling deeply self-conscious—but also relief once they learn how simple and effective treatment can be.

The Gold Standard: CO₂ Laser Resurfacing

Dr Nina Wines performs CO₂ laser rhinophyma surgery, the gold standard for restoring normal nasal shape and texture. This dermatologist-led treatment offers:

  • One to two -session treatment

  • Minimal post-procedure pain

  • Precise sculpting of the nose with laser vaporisation

  • No incisions or stitches

What to Expect

  • Procedure time: approx. 60–90 minutes

  • Anaesthesia: local anaesthetic gel for 60min followed by some local anesthetic injection

  • Recovery: 7–10 days of crusting and wound care

  • Discomfort: minimal post-procedural pain (usually well controlled with simple analgesia)

  • Result: improved nasal contour, skin texture, and function

Patients are generally back to daily activities within 10–14 days, and most experience transformational psychological outcomes.

When people come to see me regarding this problem I know it is deeply personal and it often takes a lot of time to get to the point of where you seek help. Empathetic, medically guided care that prioritises your outcomes and wellbeing is important to me. I find that most of my patients who have this procedure feel much better after and tell me they wished they had done it sooner.

All medical and cosmetic procedures involve some risks. The information provided here is for general educational purposes only. For specific advice regarding your situation, please book an appointment with Dr Nina Wines.

All medical and laser procedures carry some risks. The information provided here is general in nature and not a substitute for a professional medical consultation. For advice tailored to your skin and health, please book an appointment with Dr Nina Wines.