Bulbous Nose Corrective Surgery Prices

What is a Bulbous Nose?

A bulbous nose (Rhinophyma) is where the nasal tip is noticeably large, even though the nose itself may not be oversized. It is a rare skin condition, which commonly accompanies extreme cases of rosacea.

Affecting the appearance of the nose, Rhinophyma causes the skin around the area to take on a red, enlarged and bumpy appearance. This inflammatory condition is fairly common, and is characterised by small, red bumps that are filled with pus. Known as pustules, these lumps can be uncomfortable and a cause of self-confidence issues. Beyond cosmetic surgery, there is no known cure, and yet in most causes, Rhinophyma can cause a very noticeable change in the shape and silhouette of the nose that can have a real impact on the life of the affected individual.

It is something that can make people feel extremely self-conscious but it can be fixed with cosmetic surgery.


As a cosmetic treatment, bulbous nose surgery is not available on the NHS. Generally you will be looking at private clinics with costs starting at £3,000, although some clinics charge less depending on the amount of work that is needed. Most providers will offer a free consultation with a specialist to help you decide if you want to go ahead with the procedure. When comparing prices from clinic to clinic, make sure to take into account what aftercare is included in the cost.

Risks & Symptoms

You may be at higher risk of rhinophyma if you have fair skin and lighter-colored hair, blue or green eyes, and a history of rosacea running in the family.

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Rhinophyma more commonly occurs in men than women, and does so following the onset of the initial stages of rosacea, which typically occur in individuals aged between 25 and 50. The more advanced the case of rosacea, the more likely the onset of Rhinophyma. In the early stages of rosacea, you may experience symptoms such as facial flushing and blotchiness of the skin, skin sensitivity, and telangiectasia, or a swelling of the blood vessels on your nose and cheeks that results in a reddened appearance. Ocular rosacea causes redness and itching in the eyes, while blepharitis is an inflammation of hair follicles on the eyelid. If you experience either of these, it could be the case that the onset of rhinophyma is imminent.

Symptoms of rhinophyma can occur in cycles, worsening and dissipating over time, or you may experience a chronic flare-up. The most obvious symptom is the chance in the shape of the nose, which will swell and take on a bulbous appearance. The connective tissue and oil glands on your nose may grow and therefore become more apparent. The skin on the nose can take on a reddish, hardened appearance as the outer layers of skin begin to yellow, along with a yellow appearance caused by the build up of pustules.

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Bulbous Nose Causes

The nasal tip is the part of the nose immediately above the nostrils and below the bridge. The shape and size of the nasal tip is determined by two sets of cartilage (specifically the lower lateral cartilage). For most people the tip is only a little wider than the bridge and will be a soft triangular shape. With a bulbous nose, the cartilage is much bigger, causing a noticeably disproportionate tip. In some cases the cartilage may be visible through the nose, giving the appearance that the tip is divided.

While there is no definite cause of Rhinophyma, many individuals suffering from rosacea find that certain triggers can inflame the condition. These triggers range from person to person, and include food groups, beverages, and certain environmental factors. For many people, alcohol is a known rosacea trigger, particularly red wine. This is because alcohol dilates blood vessels, which can make the face and whites of the eyes appear red. Red wine contains tyramines, chemicals that behave in a similar fashion to histamine, which exacerbate this vessel dilation. For this reason, it may cause the most problems for those suffering from rosacea, and therefore many individuals choose to avoid it altogether.

There are a number of other triggers too, such as exposure to the elements such as sun, heat, cold and wind. High levels of stress may also heighten the effects of rosacea, as may high levels of physical exertion. Spicy foods, certain types of fruit, meats and dairy products can inflame the condition, as can types of cosmetics or skin care products. Medications such as vasodilator drugs, which dilate the blood vessels, can also worsen the effects of rosacea. As triggers vary greatly between person to person, it’s important to keep track of what worsens your condition to help you better cope with your rosacea.

Steps for Managing Your Bulbous Nose

Identifying triggers for your rosacea will help you avoid or limit these, the first step in managing the extent of a bulbous nose.

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Certain environmental factors can exacerbate this condition, and so you may wish to avoid extremes such as deep cold or extreme heat in order to lessen the inflammation. Although the use of sunscreen is recommended when in the sun, ingredients found within certain types can commonly inflame the condition, and so you should take extra care when selecting the type you use. Certain skin care products and cosmetics can include ingredients that can trigger flare-ups, namely alcohol, witch-hazel, peppermint oil, eucalyptus oil, menthol and artificial fragrances. By taking great care when selecting these products, you can reduce the chances of your experiencing a flare-up. For many sufferers, alcohol is a key trigger of rosacea. Eliminating it from your diet, or limiting your intake can substantially reduce the chances of irritation. If you are unable to cut down completely, refraining from red wine specifically can be of help.

Keeping your face clean can help reduce the build-up of pustule, and using soap-free cleansers with warm water are the best way to do this without irritating your skin. Using an oil-free moisturizer can lessen the effects of irritation, too.

Considering Surgery

A bulbous nose does not usually cause any medical concerns and does not affect the functions of the nose, specifically breathing and smell. Getting surgery to correct a bulbous nose is therefore a purely cosmetic procedure. While it will not affect your health, it can improve your aesthetic appearance, something you may consider particularly important if the unusual nose shape makes you feel unattractive.

Surgery Procedure

Surgeons use two main techniques to fix a bulbous nose. One, known as cephalic trimming, involves carefully cutting down the cartilage to create a more pleasing shape and size to the nasal tip. It is a simple procedure in principle, but does take specialised care to remove just the right amount of cartilage and to make sure the adjusted nasal tip is symmetrical. The surgery is carried out via the nostrils, so does not leave any external scarring.

Another technique, suture reshaping, involves using suture material to tie the two sets of cartilage closer together, thus narrowing the width of the tip. Surgical suture is simply another word for stitches, so it is a safe material for the body. In some cases, a surgeon may use a combination of cephalic trimming and suture reshaping.

In both cases you will likely have some short term swelling after the surgery, but this is not a problem. You just need to keep the head elevated for a couple of days and avoid exercise or other strenuous activity that raises blood pressure.

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