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Rhinophyma city, state

a man Rhinophyma is a condition of the nose, predominantly in the thicker skin at the tip, that manifests as an obvious enlargement – which is sometimes dramatic. The exact etiology of rhinophyma is incompletely understood, but it seems to be related to acne rosacea, occurs almost exclusively in men, and is more frequent in heavy alcohol drinkers. Acne rosacea (also called “rosacea”) is a skin condition that is different from acne vulgaris (adolescent or pubertal acne, which manifests as comedones and cysts). This condition results in a significant increase in the number of tiny blood vessels in the skin surface, with a noticeable redness or flushed appearance over time. In addition, the pilosebaceous glands (oil glands) become enlarged, giving the surface a bumpy or even “warty” looking appearance. There is some evidence to suggest that the presence of a mite, known as demodex folliculorum, plays an active role in the development of rhinophyma.

Rhinophyma can have a significant and undesirable effect on the way the nose looks. Typically, the tip of the nose enlarges and becomes more broad. The surface texture of the nose also changes, becoming bumpy and uneven. Often the skin color is more red than the surrounding face, and some larger blood vessels may be obvious to the naked eye on the surface. Treatment of rhinophyma can help to improve the appearance of the nose and reduce the growth and thickness of the skin at the tip. Multiple different treatment strategies have been described, though none is universally accepted as superior. Among the common approaches are dermabrasion, ablative laser resurfacing (using a CO2 laser), cold knife resection, and electrocautery. In some cases, skin grafts may be helpful. Depending on the unique anatomy of the patient and the aesthetic goals, each of these treatments may have a role.

As a nose specialist, Dr. Ransom can help you treat rhinophyma. He offers his patients a unique ability to address both the internal and external parts of the nose. Recovery from rhinophyma treatment will depend on the exact areas addressed and techniques used. Topical and systemic medications may be necessary in severe cases. As a final note, it is important to remember that not all enlargements of the nose are rhinophyma, and that any painful area or long-standing scab should be biopsied to check for skin cancer (most commonly basal cell carcinoma, which can be present in the same area). Dr. Ransom can discuss your treatment options during your consultation.

Please note that all patients are different and individual healing times and results may vary. The statements regarding procedures and recovery made here are general rules.

Our Patient Reviews

San Francisco Center for Facial Plastic, Reconstructive & Laser Surgery

5 / 5.0

Based on 23 reviews

Christina G.

I had several nasal/sinus issues including a severely deviated septum and a dorsal hump, which I wasn't crazy about. Dr Ransom did both the medical and aesthetic parts of my surgery and he did a wonderful job! While I did have some swelling, I didn't experience much bruising at all. I loved that he left the natural look of my nose just making small corrections. My breathing has GREATLY improved. His office staff was super helpful in scheduling and making sure payment and everything was very clear. I am very, very, very pleased with my results!!

Tk I.

I had a terrible surf accident in Bali and needed to get 50 stitches to repair what the reef did to my face. I had emergency cosmetic surgery in Bali the day of the accident. Immediately when i got back to the states i was introduced to Dr Ransom through some mutual friends. I was searching for the best cosmetic surgeon in San Francisco to help in my recovery. He and his team have been amazing! he helped establish a plan for my post-op wound care/treatment and administered some initial laser treatments. Dr Ransom and his team are extremely knowledgeable and very patient / helpful. I am very grateful for their help and support. I am finally looking normal again!

Joey B.

I had three issues with my nose - which inhibited my breathing: 1- broken nose, 2 - narrow nostrils that collapsed when I inhaled through my nose, 3 - deviated septum. When I was living in New York, I went to see a doctor about my breathing issues, and he said my skin was too thin and there was likely nothing he could do to rectify the problem. Dr. Ransom was recommended by an ENT I saw through One Medical. As soon as he saw him, he said he could easily fix my nose, and remove the bump that had formed from the trauma. His confidence and strong sense of self immediately put me at ease, and I had little doubt that he could accomplish exactly what he promised. He showed me a modified picture of my nose , and really liked what he proposed. The end result very closely matched what he promised. Not only can I now breath much more easily through my nose, it looks much better. He managed to make it look like an improved version of itself, however I still look like me, and unless I tell anyone I had it done, it's not overly noticeable, which I prefer. I'm pretty vain and very critical, and I can say that Dr. Ransom is great, and comes highly recommended.

Edward T.

Doctor Evan Ransom took my surgery on relatively short order and did a wonderful job. He is very talented and has a nice friendly professional support staff. I can not thank him enough, he was calm, caring, professional and interested in the follow results of his work . He seemed to bring a certain artistry to the profession.

Lisa C.

Dr. Ransom is a talented physician. He is knowledgeable, professional and goes the extra mile to make you feel comfortable during your treatments. He has been blessed with an artistic eye which brings wonderful results. I highly recommend Dr. Ransom and would refer all of my friends and family members to choose him as their physician.

Cheryl H.

Dr Ransom is very kind, honest, and conscience doctor. I was referred by my best friend, she is also Doctor Ransom patient. She has so much good things said about Doctor Ransom. So I had a face lift done by Doctor Ransom on July 2015. He did a wonderful job on my face and I have a lot of compliments on my face. So if anyone want to get their face done. I would highly recommended Doctor Ransom to you. I give Doctor Ransom a five stars.

Jill P.

I have currently been getting botox regularly with Dr. Ransom and he does a fantastic job. My previous doctor's office moved to another location where it was no longer convenient. I didn't realize what I was missing until I went to Dr. Ransom. I felt really comfortable, but most important he did a terrific job blowing my previous doctor out of the park. (Sometimes it's good switch it up a bit to make sure you are getting the best treatment.) On top of that, Dee the office manager is an incredible asset to the office. She personalizes your visit and relationship with the office to an extent I have never experienced before. I even get follow up calls to see how I am doing after a treatment. I highly recommend Dr. Ransom for his great work, and his team's impeccable customer service.

Arielle C.

Dr. Ransom and Dee are the BEST! Whether it's aesthetic or reconstructive, I'd trust him over and over again with my face.