Usually, rhinophyma involves reddening of the nose and a noticeably bulbous nose, which means that the nose becomes enlarged, more pronounced, and rounder. While this study disproved the theory that alcohol use causes Rhinophyma (alcoholic nose), researchers could not uncover what did cause rhinophyma in their patients. Despite these points, confident reasons for Rhinophyma remain a secret even today. Other alcoholism nose treatments can include nasal sprays, antihistamines, and decongestants. If the condition is severe, a doctor may recommend a course of antibiotics or steroid medications. There is no known cure for rhinophyma or rosacea, but treatments can help manage the symptoms.
The Role of Alcohol in Treatment and Recovery
- Because alcoholic nose and alcoholism are not officially connected, it is hard to say that alcoholic nose points to an addiction.
- Rhinophyma is a dermatological condition characterized by a red, swollen, and bumpy appearance of the nose.
- One sign of an alcohol nose is an unpleasant odor from the nose that smells like alcohol.
In extreme cases, the nose can become quite disfigured and make breathing difficult. Rosacea can affect anybody but it most often affects middle-aged women with lighter skin tones. Discover hope at the NJ Dual Diagnosis Center – your lifeline for holistic recovery. Drugs may successfully treat less intense cases and different subtypes of rosacea. It slowly forms over years and is thought to result from inadequately treated or non-treated rosacea. There were also significant association with erythema and telangiectasia, diabetes, and family history of rhinophyma.
MANAGEMENT
Many people with rhinophyma report feeling Halfway house self-conscious about their appearance and may avoid social situations, work environments, or other activities they previously enjoyed. This social isolation can contribute to depression and anxiety, creating a cycle that may worsen overall health and quality of life. For severe cases, isotretinoin (formerly known as Accutane) may be considered. This powerful medication can significantly reduce sebaceous gland activity and inflammation, potentially preventing further progression of rhinophyma.
Diagnosis and Recognition of Alcoholism
However, there may be a correlation between alcohol intake and the severity of rhinophyma symptoms, with excessive drinkers at the highest risk. Alcohol abuse can lead to a myriad of health implications, affecting both physical and mental well-being. One of the most vital consequences is liver damage, which can manifest as fatty liver, hepatitis, or cirrhosis. The liver is essential for detoxifying the body, and prolonged alcohol consumption impairs its function, leading to severe health complications and, in extreme cases, liver failure.
While people from these backgrounds and exposures are more likely to develop an alcoholic nose, not everyone who fits the bill will necessarily be prone to it. One’s complexion, genetics, and ancestry factors are quite often observed to be contributors to the alcohol red nose. However, the two dominant causes of alcohol red nose are majorly connected to ethnicity and heritage.

What causes alcoholic nose?
Rhinophyma is commonly mislabeled as “alcohol nose.” It is a dermatological condition characterized by a red, swollen, and bumpy appearance of the nose. Gentle skincare is critical—use lukewarm water and fragrance-free cleansers to avoid stripping the skin. Sunscreen with SPF 30 or higher is non-negotiable, as UV exposure aggravates redness. For quick relief, a cold compress applied for 5–10 minutes reduces inflammation.
How Do I Find the Right Walk-In Alcohol Rehab in Colorado?
Compounding this, alcohol interferes with the production of collagen and elastin, proteins vital for skin elasticity and repair. As a result, the skin on the nose may thicken and develop a bumpy texture, a hallmark of advanced rhinophyma. This is why people are usually under the impression that alcohol consumption can cause Rhinophyma. However, the real reasons for the skin condition are not yet evident, though many factors have been studied to influence it. This means that drinking can increase the impact of an existing rhinophyma and the risks of the skin problem – but it is not a result of drinking and drinking only. By looking at it from this perspective, someone with agitated rosacea or rhinophyma will have a visible agitation of their skin.
This phenomenon is primarily attributed to variations in alcohol metabolism. Specifically, it involves the enzymatic pathway where alcohol is first converted to acetaldehyde by alcohol dehydrogenase and subsequently to acetate by aldehyde dehydrogenase (ALDH). In individuals with this reaction, there is often a red nose alcohol deficiency or reduced activity of ALDH2, an isoenzyme crucial for acetaldehyde breakdown.
Does a Red Nose Indicate Alcoholism?
She currently sits on the board of directors for the California Consortium of Addiction Programs and Professionals (CCAPP). Brandi has a passion for working with those struggling with mental health and addiction-related disorders as she has seen both affect those closest to her since a young age. Brandi has experience working in a variety of mental health and substance use disorder settings both in public and private communities. She has worked in battered women’s and children’s shelters, children’s youth services, the Salvation Army, and provided co-occurring services within the educational system.
If you stop drinking alcohol for a short period of time and then go back to it, it is highly likely that your red nose will return. The most effective way to treat rhinophyma is through surgery to remove the growths and reshape the nose back to its original form. Some medications may help a little with the redness, but once this condition is present most people will require some form of surgery. If you have a family history of skin conditions, then you have a greater chance of developing rhinophyma.
For instance, low doses of isotretinoin (Accutane) may be prescribed to help address enlarged oil glands. For mild to moderate redness, over-the-counter creams containing hydrocortisone (1% strength) can reduce inflammation when applied sparingly. Green-tinted color correctors or concealers with soothing ingredients like aloe vera can temporarily mask redness without exacerbating skin irritation. For those with sensitive skin, a thin layer of petroleum jelly or ceramide-rich moisturizers helps restore the skin barrier, minimizing redness caused by dryness or irritation.


The cold water can also have a subtle internal cooling effect, which helps to keep your core body temperature down, potentially reducing flushing. Not all alcoholic beverages are created equal when it comes to their potential to trigger Rosacea flare-ups. Certain types of alcohol, particularly red wine and dark beers, are notoriously problematic for many due to their higher histamine content and other vasodilatory compounds. These substances can cause blood vessels to dilate more rapidly and intensely.