Plastic Surgery/Rhinophyma

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Question
Dr. Engler, I have Rhinophyma. My nose is now around twice its original size. It is generally larger in every way, including the nostrils being larger. The cartilage on the sides of my nose is now curved. 1)Is it possible to revert such a nose to how it used to look?  2)What's the best method of correcting Rhinophyma? (Out of the many options available).  3) Is correcting Rhinophyma considered a fairly easy operation?   Best Regards.

Answer
from Dr. Alan Engler
www.bodysculpture.com

Dear Asif,

I'm sorry for the problem you're having; rhinophyma is a very unpleasant condition.  I can't say that it's "a fairly easy operation."  While not the most challenging to perform technically (ie, you don't need microsurgery, etc) it can be difficult to achieve a nice result, and it is an uncomfortable recovery.  

Basically - and this is not my area of expertise so this is general info that is correct to the best of my knowledge - it is necessary to "shave down" some of the excess tissue of the nose.  This can be done in any of several different ways; by actually using a knife (scalpel), a laser, a dermabrader, and so on.  The nasal skin becomes thickened in this condition but, at least, it typically heals well even after a "debulking" procedure such as these.

I would suggest that you have consultations with several board-certified plastic surgeons in your area and try to get a sense of what each surgeon can provide you.  Ask to see before and after photos to get an idea of what expectations might be realistic.

And then, good luck.  Again, I'm sorry for your condition...if it's any consolation, many other people have had it throughout history, including the financier J.P. Morgan.  Sorry, though...

Dr. E

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Alan M. Engler, MD, FACS

Expertise

Dr. Engler has answered over 6400 questions on social media sites, including over 3500 on AllExperts alone. His expertise includes breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts, lipomas, skin cancers, cysts, etc. Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction." Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), the Dr. Keith Ablow Show and Jerseylicious. Videos of his appearances are available on YouTube (search for "DR. ENGLER"), and his discussion of breast implants, also on YouTube is "How to Choose a Breast Implant." His website is www.bodysculpture.com. Follow Dr. Engler: @AlanEnglerMD

Experience

Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on amazon.com, barnesandnoble.com, as well as EyeScapes - Plastic Surgery of the Eyelids.

Education/Credentials
Dr. Engler graduated from Yale University (BA, Russian Studies) and the Columbia University College of Physicians and Surgeons (MD). He did his residency training in General Surgery and, after that, Plastic Surgery, at the Montefiore Medical Center in New York. He is on the faculty of the Albert Einstein College of Medicine in New York in the Departments of both Surgery (Plastic Surgery) and Medicine (Dermatology), and is a Special Lecturer in the Department of Dermatology at Columbia University in New York. He has admitting privileges at Beth Israel Medical Center and Montefiore Medical Center, both in New York.

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