He had a large, bulbous nose that he referred to as his “gin blossoms,” presumably from the amount of gin he drank. Of course, avoiding alcohol isn’t always easy—especially for long-term drinkers. Ria Health offers a proven at-home treatment to help you limit or stop your consumption of alcohol. You set your own personal goal, and we help you achieve it with coaching, medication, and other tools and resources.
Rhinophyma may respond well to topical treatments, such as metronidazole and isotretinoin, in the early stages though. 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. Also, chronic infection often results because the fluid from the sebaceous glands thickens and can hold bacteria. The condition is much more common in males than females and usually develops between the ages of 50–70.
Alcoholic Nose: Why Is My Nose Red?
- After going through the Safe Harbor program, she decided to put her passion for helping others towards aiding them to reach their goals in recovery.
- However, rosacea has other causes and alcoholic nose is more common in people with these predispositions.
- Depending on the level of disfigurement and patient discomfort, treatment of rhinophyma can include medication with or without surgery.
- It usually develops through a combination of long-term skin inflammation and individual risk factors.
Rhinophyma is not directly caused by alcoholism or regular alcohol consumption. If you or a loved one suffers from alcoholism, please get in touch with our alcohol rehab in Orange County immediately. You deserve the opportunity to live a life free from addiction and the bondage it bulbous nose alcohol can create. Furthermore, you deserve the time and commitment you will invest in your future self. However, it is very important to note that rosacea and rhinophyma can be agitated by things other than alcohol.
Alcoholism and Rhinophyma
ENT surgeons are versed in multiple techniques that can reduce the overgrowth of tissue while preserving the underlying cartilage. Sometimes, the enlargement can return after treatment, but surgical treatments can be repeated as needed. However, medications and surgical treatments can help manage and reduce the symptoms of this condition if they are started quickly enough. The longer this condition is left unaddressed, the more likely it will be to become permanent. While it can be difficult to admit when you or a loved one may have a problem, it is important to know how to recognize the signs of alcohol addiction.
How Is Rhinophyma Diagnosed?
Alcoholic nose, medically referred to as rhinophyma, is a condition that causes the nose to become bumpy, red, and swollen. The pores on the nose can become enlarged and the eyes may be extra dry. The color of the nose can also appear to be purple, and referred to as “purple nose”.
Thus, the idea that alcoholism leads to a bulbous nose is more myth than medical reality, highlighting the importance of separating stigma from factual health information. While a red nose is often attributed to heavy drinking, it is not a reliable indicator of alcohol abuse. The term “alcoholic nose” or “drinker’s nose” refers to the skin disorder rhinophyma, a severe form of rosacea. Rhinophyma causes the skin on the nose to thicken and the sebaceous (oil) glands to enlarge, resulting in a red, enlarged, and bumpy appearance. While alcohol consumption can worsen rosacea symptoms, including facial redness and inflammation, it is not the underlying cause of the condition.
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But we do know that drinking can cause more flushing in people with rosacea. Rhinophyma has historically been referred to as alcoholic nose due to the incorrect belief that alcohol consumption may lead to the condition. That said, alcohol and caffeine can both temporarily dilate blood vessels, which seems to worsen rhinophyma.
Insurance Coverage and Treatment Access
We offer various services, including alcohol rehab, detox, individual therapy, and group counseling. We also have many resources available to help you through every step of the recovery process. However, there are several treatments that you can try to control symptoms and reduce visible redness. If you are curious about the options that are available to you, you should consult your primary care physician and see what kinds of treatments they recommend.
Care at Cleveland Clinic
Early signs of liver damage from alcohol include fatigue, weakness, and abdominal discomfort. As the condition worsens, symptoms such as jaundice, swelling in the abdomen, and confusion can occur. It disrupts the stomach’s natural barrier, increasing acid production and leading to conditions such as gastritis and peptic ulcers.

Rhinophyma (enlarged nose)

At this point, surgical intervention is typically necessary to correct the deformity. One option is topical metronidazole (Metrocream), a drug that reduces skin inflammation by inhibiting the generation of reactive oxygen species. According to older research, cited in a 2023 article, rhinophyma begins as “pre-rosacea,” and the only symptom at this stage is facial flushing. Finally, you may experience dry and bloodshot eyes as the dehydrating effect of alcohol reduces the amount of tears that you produce. But if your red nose is affecting your self-esteem, causing you discomfort or resulting in judgement from others, then surgery is a viable option.
Diagnosis and Tests
For more information on management and treatment options, explore our section on treatment options for rhinophyma. These symptoms may seem negligible but can worsen if not addressed promptly. Rhinophyma can also affect other facial regions, including the forehead, Sober living house ears, chin, and eyelids 4. Understanding the demographics and characteristics of rhinophyma is crucial for accurate diagnosis and management.
