Treatments
CO₂ and Erbium Laser Treatment for Rhinophyma
Rhinophyma is a progressive, benign condition in which the skin of the nose becomes thickened, red, and uneven. Most cases develop as a late manifestation of rosacea, a chronic inflammatory disorder that affects blood vessels and sebaceous glands. Over time, the nose enlarges and takes on a bulbous or bumpy shape, leading to both cosmetic and, at times, functional discomfort.
Although rhinophyma is not harmful to overall health, its impact can be significant. The condition often causes embarrassment, social anxiety, and in severe cases, breathing obstruction due to tissue overgrowth. Many people struggle for years believing there are no effective solutions. However, modern laser technology has transformed treatment options – offering remarkable results with precision and minimal downtime.
Causes and Contributing Factors
The main cause of rhinophyma is advanced rosacea, specifically a subtype called phymatous rosacea. Persistent inflammation and dilation of blood vessels in the nose stimulate excessive tissue growth. Although anyone with rosacea can develop rhinophyma, it is much more common in men over 50, suggesting a hormonal or genetic component.
Key risk factors include:
- Long-standing, untreated rosacea
- Genetic predisposition
- Chronic inflammation in the skin
- Environmental triggers such as sunlight, heat, alcohol, or stress, which aggravate rosacea flares
Contrary to outdated beliefs, rhinophyma is not caused by alcohol consumption or poor hygiene. Alcohol may worsen redness and swelling, but it is not a direct cause of the tissue overgrowth itself.
How Rhinophyma Manifests
The symptoms of rhinophyma develop gradually. Early on, patients notice redness, visible pores, and thickened skin on the nose. As the condition progresses, the surface becomes bumpy, oily, and uneven, giving the appearance of a swollen or deformed nose. In advanced stages, the overgrowth can distort the natural nasal contours and even restrict airflow.
While the condition is physically harmless, its emotional effects are profound. Many patients describe feeling self-conscious or avoiding photographs and social interactions. Thankfully, today’s laser techniques make it possible to restore the natural shape of the nose without surgical excision.
Laser Treatment: A Modern, Precise Solution
At rtwskin, we use advanced CO₂ and Erbium YAG lasers to treat rhinophyma with exceptional accuracy. These medical-grade devices allow specialists to remove excess tissue layer by layer, sculpting the nose to a balanced, natural appearance. The treatment is performed under local anaesthetic, meaning patients remain comfortable throughout.
The procedure begins with a thorough cleansing of the area. Using the laser handpiece, the practitioner precisely targets the thickened skin:
- The CO₂ laser penetrates deeper and seals small blood vessels, resulting in minimal bleeding and controlled tissue vaporisation.
- The Erbium laser works closer to the surface, gently smoothing and refining the skin with less residual heat.
Depending on the severity of rhinophyma, one or both lasers may be used in combination. The dual approach enables both deep sculpting and fine resurfacing in a single session.
“The beauty of CO₂ and Erbium laser technology is the level of control it offers,” says Dr. Fatima Ahmed, Medical Director of rtwskin. “We can safely sculpt the nose, removing overgrown tissue while preserving surrounding skin. The results are natural, long-lasting, and achieved without the trauma of surgery.”
Benefits of CO₂ and Erbium Laser Treatment
Laser rhinophyma treatment offers significant advantages over older surgical methods:
- High precision: The laser removes only excess tissue, leaving healthy skin intact for smoother healing.
- Minimal bleeding and scarring: The laser’s coagulative properties ensure a clean, controlled procedure.
- No incisions or sutures: The treatment is performed entirely through light energy, avoiding surgical cuts.
- Shorter downtime: Most patients return to normal activities within two weeks.
- Long-term stability: Once treated, results are durable, especially when rosacea is properly managed.
- Enhanced self-confidence: Patients often describe the experience as transformative – both cosmetically and emotionally.
Each session typically lasts 60–90 minutes and is performed on an outpatient basis.
What to Expect After Treatment
Recovery from CO₂ and Erbium laser resurfacing is typically straightforward. Immediately after the procedure, the skin will appear red and feel warm, similar to a mild sunburn. Over the following days, mild swelling and crusting occur as the surface heals.
- Days 1-3: the treated area is red and slightly swollen; a soothing ointment is applied to protect new skin.
- Days 4-7: gentle peeling begins as the outer layer sheds naturally.
- By week 2: the new skin is fully formed, revealing a smoother, more defined nose.
- Over the next month: redness gradually fades, and the skin tone blends with surrounding areas.
Proper aftercare is essential: avoid sun exposure, follow cleansing instructions, and keep the area well hydrated. At rtwskin, patients receive tailored guidance for optimal healing and follow-up reviews to ensure lasting results.
Lasting Results and Confidence Restored
The results of laser rhinophyma treatment are both immediate and long-term. As swelling subsides, the contours of the nose appear more natural and balanced. Most patients see dramatic improvement in both texture and shape within a few weeks, and the emotional effect is equally powerful.
The improvement typically lasts for years, provided rosacea is kept under control. Our dermatology specialists may recommend complementary rosacea management to prevent future inflammation and maintain the outcome.
“It’s one of the most rewarding treatments we offer,” notes Dr Sheffield. “Patients often tell us they finally recognise themselves again when they look in the mirror.”
Your Journey with rtwskin
At rtwskin clinic, patient safety, comfort, and individualised care are our top priorities. Our medical-led team combines dermatological expertise with advanced laser technology to deliver natural, confidence-boosting results. From initial consultation through post-treatment care, every step is designed to ensure you feel informed and supported.
Located in Tunbridge Wells, we welcome patients from Kent, London, and East Sussex seeking precise and effective treatment for rhinophyma.
Book your consultation today and discover how CO₂ and Erbium laser treatment at rtwskin can restore not just your skin – but your confidence.
