Redness around the nose (rhinophyma) is typically due to rosacea. Rosacea is a chronic condition of the skin that causes redness and inflammation. It appears as redness, spider-like blood vessels, swelling or even eruptions of the skin similar to acne. There is no known cure for rhinophyma due to rosacea, but there are medications and things you can do to prevent and treat symptoms. You will need a combination of prescription medications and to make certain lifestyle changes. It is important to treat rhinophyma because the enlarged blood vessels and redness could become permanent.
Keep track of your symptoms and triggers that may have caused your rosacea flareup. A symptom diary is the best way to do this. Share this information with your doctor or dermatologist so he can help you develop a plan to avoid triggers that cause your flareups.
Avoid exposure to the sun. When you are going to be in the sun, be sure to use a sunscreen made for the face on your nose. Avoid exertion in hot weather and exposure to wind and cold weather. Reduce stress if possible and try to find ways to relax, such as meditation. Avoid eating spicy foods, drinking alcohol and hot beverages.
Ask your doctor to recommend moisturisers, soaps, sunscreens and other products to reduce the redness of your nose. For women, hot flashes may trigger your rosacea, so be sure to ask your doctor if there are treatments for this menopausal symptom.
Ask your doctor for a prescription for an oral antibiotic like tetracycline, doxycycline or minocycline. Oral antibiotics are helpful because they tend to work faster than medications you apply topically. Common prescription oral antibiotics include tetracycline, minocycline and erythromycin.
Try using a topical antibiotic like metronidazole on your nose. Apply the medication to your nose once or twice a day to reduce the inflammation and redness. Metronidazole can be used along with your oral medications to control symptoms.
Ask your doctor for a prescription for Accutane (isotretinoin) if other topical or oral medications don't help. Accutane is an oral medication prescribed for severe cases of rosacea when other treatments don't work. You will need to be monitored closely by your doctor or dermatologist when you use this medicine.
If topical medications and avoiding triggers don't reduce the redness of your nose, ask your dermatologist about laser surgery or surgical reduction of the enlarged, thick, and red nose tissue by a plastic surgeon.