Treatment of hyperplasia of the skin in rosacea (including rhinophyma)

Advise patients on general measures to minimise irritation of rosacea. Consider whether the patient presents with other clinical features and subtypes of rosacea, and treat accordingly; see Presentation and approach to management of rosacea.

If treatment of skin hyperplasia (including rhinophyma) is desired for cosmetic reasons, refer the patient to a dermatologist or plastic surgeon for consideration of surgery (eg laser ablation, shave excision) or isotretinoin.