Rhinophyma: when Red Nose Day is no laughing matter PMC

As a result, their bodies produce inactive ALDH enzymes that are unable to properly break down the alcohol into acetic vinegar. This incomplete processing of the alcohol can cause the body to react by producing symptoms that reflect alcohol nose an allergy to the alcohol. People with this gene deficiency suffer two-fold from allergic symptoms to alcohol. First, the body produces histamines in response to the presence of the alcohol that the body is unable to digest.
- People who have this medical condition usually have a red nose that is swollen and bumpy, and which probably looks worse during a period of heavy drinking and chronic alcohol use.
- With time, alcohol abuse can worsen rosacea and contribute to the development of rhinophyma (alcoholic nose).
Finding Treatment and Healing From Alcoholism
However, alcohol may still play a very small role in increasing the risk of developing this condition. Alcoholic nose is a slang term used to describe the red, swollen nose that is thought by some to accompany chronic alcohol use. While this stereotype does have some element of truth to it, there is some debate on how much alcohol actually affects the appearance of your nose.
Triggers Of Rhinophyma And Rosacea
Even a single alcoholic drink can cause flare-ups for many people with this condition. A survey by the National Rosacea Society found that red wine was the most common culprit, followed by white wine and beer. This typically results in the eyes becoming swollen and red in appearance. Until recently, doctors believed that rosacea and rhinophyma could be caused by alcoholism.
How Is Rhinophyma Diagnosed?

Rhinophyma is the skin condition which causes a person’s nose to grow and become bulbous in appearance. A bulbous nose can be a side effect of the health condition rosacea. Because of this, people who drink a lot or increase their alcohol intake over time and also have rosacea may experience increased side effects — including alcoholic nose. In the early stages of drinker’s nose, these symptoms will be mild to moderate in form. People who have rosacea may not develop rhinophyma until years later in life. If you already have rosacea or rhinophyma, drinking can make them worse and affect the appearance of the nose.
People who may benefit from alcohol treatment programs may be deterred from taking initial steps in seeking treatment. They may be afraid they will feel shamed by other people’s judgments of alcohol abuse. Widened blood vessels caused by heavy drinking allow more blood to travel to right beneath the skin’s surface, which gives the face a more flushed or red appearance.
Sunshine Behavioral Health strives to help people who are facing substance abuse, addiction, mental health disorders, or a combination of these conditions. It does this by providing compassionate care and evidence-based content that addresses health, treatment, and recovery. Nevertheless, the idea of red-faced characters that you might expect to find in a Disney® movie’s tavern have also crossed over in a way to the real world. An alcoholic nose, often called a whiskey nose, drinker’s nose, gin nose, or gin blossom nose, is a common way to refer to a large purple-tinted nose. However, there is a lot of urban legend surrounding alcoholics’ noses.


One option is topical metronidazole (Metrocream), a drug that reduces skin inflammation by inhibiting the generation of reactive oxygen species. Although studies vary, it’s thought that basal cell carcinoma occurs in 15-30% of people with rhinophyma. Keep reading to learn more about the causes, symptoms, diagnosis, and treatment of rhinophyma. Pamela was successfully treated first with Ultherapy and a debulking procedure, along with a CO2 resurfacing with laser surgery.

In the end, we have discovered that an alcohol use disorder is not necessarily responsible for rhinophyma. Similarly, this removes the stereotype that everyone who suffers from rhinophyma is an alcoholic. Of course, there are many snap judgments that people make when they see the physical effects of rhinophyma in person, especially in extreme cases. It is incredibly important to remember that alcohol does not cause this disorder. It is like having an allergic reaction to peanuts and eating a spoonful of peanut butter.
Does Drinking Alcohol Cause Nasal Congestion?
Another option is isotretinoin, a drug that shrinks the sebaceous glands, limiting how much oil they make. However, if a person wishes to have surgery, they must stop taking this medication. The characteristic appearance of rhinophyma often makes it easy to diagnose with a visual examination. Over time, the number of sebaceous glands and the changes in connective tissue increase, which can result in progressive deformity. Researchers do not fully understand the cause, but they know that the precursor is acne rosacea, which involves inflammatory breakouts of pimples. The condition is much more common in males than females and usually develops between the ages of 50–70.
Understanding Rosacea
Whether a person is dealing with rhinophyma or alcoholism, it should not be acceptable to alienate a person or group of people due to a disease. There are several million individuals who attempt to manage their addiction every day, and less than eight percent actually seek treatment. Even though research is debunking the connection between alcoholism and rhinophyma, there is still a stigma attached to this disorder.