BEFORE & AFTER: Rhinoplasty, this patient had Rhinophyma. Rhinophyma is a skin condition causing the nose to become large, red, bumpy, and bulbous, often from advanced rosacea, involving thickened skin, enlarged oil glands, and prominent pores. While linked to rosacea and sometimes mistaken for alcohol use, it’s a complex immune issue, more common in older fair-skinned men, and treated surgically with options like lasers or electrosurgery to reshape the nose. rhinoplasty, nose job, nose, rhino,