Rhinophyma Treatments At A Glance

  • Best Results1 treatment
  • Treatment Recovery12-21 days
  • Procedure Time60 -90 min
  • Skin SpecialistDavin Lim
  • Duration of ResultsYears++
  • AnaestheticSedation & blocks
  • Back to Work>2 weeks
  • Cost$$-$$$


CO2 laser has been the Gold Standard for the treatment of Rhinophyma for the past decade, however Specialist now combine this laser with fractional CO2 laser to deliver even better results. Laser works by vaporising excessive tissue growth on the nose. I essentially reshape & sculpture rhinophyma tissue, giving back your nose the normal shape and contours. All cases of rhinophyma can be improved with this procedure, no matter how mild or severe. Treatments are subsidised by Medicare.

FactsFacts on laser surgery for rhinophyma

  • CO2 laser coupled with fractional laser is the Gold Standard for the treatment of rhinophyma
  • Surgery can be combined with laser for extremely severe cases of rhinophyma
  • Laser precisely sculpts excessive tissue vapouring it back to the normal shape of a nose
  • Rhinophyma correction takes 30-60 minutes to perform
  • This procedure is done under partial sedation and is painless
  • Once treated, rhinophyma rarely recurs
  • Laser treatments are partially covered by Medicare
  • Healing time following laser ranges between 9 days to 3 weeks

How do I know if rhinophyma correction is right for me?


Rhinophyma treatment is subjective, and elective. Consider laser surgery if-

  • You are embarrassed either socially or emotionally about your condition
  • If you feel that your job prospects are limited by your look
  • If you suffer medical problems such as breathing difficulties
  •  If you just want to look better and have your old nose back!


What is involved with the laser procedure?

Planning and assessment: A medical history is taken prior to the procedure, as well as 3 D photography as a map. Bringing in old photos will help your Specialist determine how much tissue to remove. Planning and assessment occurs weeks or months prior to rhinophyma laser surgery.

Day of procedure: Twilight premedication followed by local injection and nerve blocks. This takes 30 minutes to perform. The laser procedure is preformed by Dr Lim and an assistant laser nurse in an operating theatre. The number of passes and tissue removed will depend on the severity of your rhinophyma. Most cases take 30-60 minutes to perform.

Immediate post laser recovery: 30-60 minutes in our recovery room. Once twilight anaesthetic has worn off, our laser nurse will discuss post op skin care. Most patients will be seen the day after the procedure.

Two to three weeks laser recovery: We can either conduct the follow-ups face to face, or by email. Most patients prefer photos & email, as this is more convenient. Dr Lim and his team of nurses will guide you thru the recovery processes.

What kind of laser do I use to treat rhinophyma?

I use a CO2 lasers from Lumenis called the Ultrapulse. Other CO2 lasers I employ to treat rhinophyma are the CORE from Candela, the Mixto Laser & the eCO2. In most cases I combine fully ablative CO2 Laser with fractional laser to deliver superior results than with only ablative laser.

A CO2 laser is chosen over Erbium laser due to the superior coagulation (stops bleeding). In severe cases of rhinophyma, I combine surgical techniques with laser to achieve the desired results.

Is laser treatment for rhinophyma painful?

No. The combination of twilight sedation & local blocks to the nose makes this a painless procedure. Post laser resurfacing, you can expect mild pain, much like sunburn. This may last for days to one week. Applying a healing balm and staying out of the sun will decrease post laser pain.

My viewpoint on rhinophyma laser surgery

CO2 laser and Fractional resurfacing has enabled specialists trained in this technique to treat rhinophyma with increased safety and precision. Laser resurfacing provides a powerful but precise method of tissue vaporization and sculpting, never before possible with older ‘hot knife’ and cautery techniques. Laser resurfacing takes between 30 -45 minutes to perform and is painless. Recovery takes place over 2-3 weeks, and the procedure will improve rhinophyma in all cases. For severe cases, I perform surgery, loop diathermy (to de-bulk) & CO2 laser ablation.

CO2 lasers are used to treat phyma or nose enlargement.

This procedure is life changing- it gives patients their confidence back, and no longer will you be self-conscious regarding the deformity of your nose.

After laser surgery I give patients a rhinophyma prevention program of vitamin A tablets coupled with 5 minutes of daily massage. Once treated, providing simple strategies are implemented, rhinophyma rarely returns.

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