Rosacea treatment: Thickening skin
If you’re diagnosed with rosacea, pay close attention to your skin. If you notice firm, rounded bumps or thickening of the skin on your face, it’s time to see a dermatologist. These changes are most common on the nose. You may also notice them on your chin, forehead, eyelids, or one or both ears.
The medical term for these changes is phyma (fie-ma). When thickening skin develops on the nose, it’s called rhinophyma.
The earlier phyma is diagnosed and treated, the better. Your dermatologist may be able to treat it with medication if caught early enough. The more the skin thickens, the more difficult treatment becomes.
Allowed to progress, phyma can also cause medical problems. When it affects the nose, you can have trouble breathing. Swollen, thick eyelids can cause problems with your eyesight.
To treat phyma, dermatologists use one or more of the following.
Medicine you take
Isotretinoin: Approved to treat severe acne, this medicine may also prevent phyma from worsening. However, isotretinoin cannot get rid of the existing thickened skin. Only surgery can do that.
Because isotretinoin can cause serious side effects, this medication is not a treatment option for everyone. You can learn more about potential side effects at, Isotretinoin: The truth about side effects.
When thickened skin needs to be removed, your dermatologist may refer you to a dermatologic surgeon. Surgery to remove phyma is complex. It often requires using different surgical procedures to remove the excess skin and reshape the nose or other area of your face.
After surgery, you may need to take isotretinoin for a while to maintain the results.
You’ll also need to find and avoid your rosacea triggers. Gentle skin care and sun protection are also essential. You’ll find more information about this at:
Used with permission of the Journal of the American Academy of Dermatology. (J Am Acad Dermatol 2016;74:1276-8).
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Rosamilla LL. “Rosacea treatment schema: An update.” Cutis. 2017;100(1):11-13.
Two AM, Wu W, et al. “Rosacea Part II. Topical and systemic therapies in the treatment of rosacea.” J Am Acad Dermatol. 2015;72:761-70.