Although subtype 3 (phymatous) rosacea often involves excess tissue, it can be effectively treated with a range of options appropriate for the severity of the case, according to the standard management options for rosacea recently published by the National Rosacea Society.1
While many individuals may fear the growth of excess tissue on the nose that often heralds subtype 3 rosacea (phymatous rosacea), a bulbous enlarged nose need not be permanent. Today, surgical methods such as electrocautery and laser surgery may be used to take away the distorted shape and bring back a normal appearance.
Joseph Sheehan may be a thick-skinned individual, but when his rosacea got out of control, it was more than he could bear.
Sheehan, a naval architect who teaches ship design, developed rosacea around 60. "At first it was basically just a redness, and oily skin around the nose," he said.
He tried a few home remedies and lived with the symptoms for about a year. Finally, he saw a dermatologist.
"He prescribed an oral antibiotic, but I didn't like the idea of having to use it indefinitely," Sheehan said. "So I never took it."
Growing evidence now confirms that rhinophyma, the excess growth of tissue on the nose that represents the most advanced stage of rosacea, is a result of the chronic lymphedema (swelling) that often appears in rosacea, according to a new study published in the Journal of the American Academy of Dermatology.1
While a National Rosacea Society survey showed that more women experience rosacea symptoms on the cheeks and chin, the enlargement of the nose is usually seen in men. According to a recent article by Drs. Thomas Jansen and Gerd Plewig in the new medical textbook, Clinical Dermatology, this is the ultimate reaction to rosacea in males.1