Many people think drinking a lot of alcohol can change the way your nose looks. For this reason, the condition is often called alcohol nose or alcoholic nose. What does a purple nose indicate, though?
This guide explores rhinophyma – the clinical term for a red or purple nose – and outlines its causes and effects. You will also discover how to connect with evidence-based treatment for alcohol abuse.
What Is an Alcoholic Nose?
An alcoholic nose is a term people use to describe a swollen, red, or purple nose which they think comes from heavy drinking. The medical name for this condition is rhinophyma. It is part of a skin disorder called rosacea, which makes blood vessels in the face swell.
While alcohol can make rosacea worse, it is not the main cause of rhinophyma.
Is It the same as Whiskey Nose, Drinkers Nose, and Beer Nose?
Yes, alcoholic nose is also known by other names like alcoholism nose, alcoholic red nose, whiskey nose, drinker’s nose, and beer nose. These names all describe the same condition where the nose becomes red, swollen, and bumpy. People often use these terms to suggest that the nose’s appearance is due to heavy drinking, even though alcohol is not the main cause of this condition.
Causes of Rhinophyma or “Alcoholic Nose”
Rhinophyma, often called alcoholic nose, has several causes, but heavy drinking is not among the main purple nose causes.
- Rosacea: The leading cause of rhinophyma is rosacea. Rosacea is a chronic skin condition which triggers redness and highly visible blood vessels on the face. Over time, it can lead to thickened skin and bumps, especially on the nose. This condition affects the blood vessels in the skin, making them expand and become more visible. As the condition worsens, it can cause the skin on the nose to grow thicker and more bulbous.
- Genetic factors: Genetics also play a major role in developing rhinophyma. If you have a family history of rosacea or other skin conditions, you are more susceptible to developing rhinophyma. People with fair skin – especially those of Celtic or Northern European descent – are more prone to rosacea and, by extension, rhinophyma.
- Age and gender: Rhinophyma is more common in men than women, and it usually appears in men between the ages of 50 and 70. Hormonal differences might explain why men are more affected. Androgens – male hormones – could contribute to the thickening of the skin on the nose. Women can develop rosacea, but they are less likely to progress to rhinophyma.
- Environmental factors: Certain environmental factors can provoke rosacea and make it worse, leading to rhinophyma over time. These triggers include sun exposure, temperature extremes, and wind.
- Lifestyle factors: Some lifestyle factors can aggravate rosacea and contribute to the development of rhinophyma. Spicy foods, hot drinks, and caffeine can trigger rosacea flare-ups. Eating a balanced diet and avoiding these triggers can help manage the condition. High stress levels can make rosacea worse. Managing stress through relaxation techniques, exercise, and adequate sleep can help control symptoms. While exercise is healthy, very intense workouts can cause flushing and make rosacea symptoms worse. Gentle exercise might be a better option for those with rosacea.
- Medical conditions: Certain medical conditions can increase the risk of developing rhinophyma. Infections that last a long time can cause inflammation and make the skin condition worse. A weakened immune system can make it harder for the body to fight off skin conditions like rosacea.
- Alcohol’s role: While it does not cause rhinophyma, alcohol can worsen rosacea symptoms in some people. Alcohol causes blood vessels to expand, which can lead to redness and flushing. This is why people often associate a red nose with heavy drinking. However, not everyone who drinks alcohol will develop rosacea or rhinophyma, and not everyone with these conditions drinks alcohol.
What Does Alcoholic Nose Look Like?
An alcoholic red nose – rhinophyma – has a distinct appearance. The nose looks red, swollen, and bumpy. These changes happen over time and make the nose look very different from a normal, healthy nose.
Characteristics
These are the main characteristics of a red nose from drinking or other causes like rosacea:
- Redness: One of the main signs of an alcoholic nose is redness. The nose can look very red, especially at the tip and on the sides. Red nose alcohol happens because the blood vessels in the skin are enlarged and closer to the surface.
- Swelling: Swelling is another common feature of an alcoholic nose. The nose can become larger and puffier. This swelling is due to the thickening of the skin and the buildup of tissue.
- Bumps and lumps: Rhinophyma causes the nose to develop bumps and lumps. These can make the nose look uneven and bumpy. The lumps are made up of extra skin and tissue that has grown over time.
- Bulbous shape: The nose often looks round and swollen. The tip of the nose can become very large and bulbous, giving it a distinctive appearance.
- Visible oil glands: With rhinophyma, the oil glands in the nose become more visible. This can make the skin look shiny and oily. These glands produce more oil than usual, adding to the swollen look.
- Thickened skin: The skin on the nose becomes thicker with rhinophyma. This thickened skin can feel rough and bumpy to the touch. It can also make the nose look larger and more pronounced.
- Purple tint: In some cases, the nose can take on a purple tint. This happens because the blood vessels are so close to the surface of the skin. The purple color is more noticeable in colder weather when blood flow changes.
- Enlarged pores: The pores on the nose can become enlarged and more visible. This makes the skin look rough and uneven. The enlarged pores can also contribute to the bumpy texture of the skin.
- Gradual changes: These changes happen gradually over time. At first, the nose might just look a little red or swollen. As the condition progresses, though, the changes become more noticeable and severe.
Alcoholic Nose Pictures
Here is an alcoholic nose picture for your reference. Keep in mind that drinkers nose pictures may not all be triggered by alcohol use, despite the name often used to describe rhinophyma.
Treatments for Alcoholic Nose
Rhinophyma can be treated in several ways. These treatments aim to reduce the swelling, redness, and bumps, helping the nose look more normal. Treatments can be topical or surgical.
Topical Treatments
Topical treatments are medications applied directly to the skin. These can help manage the symptoms of rhinophyma, especially in the early stages.
- Antibiotics: Topical antibiotics can help reduce inflammation and prevent infections. They are applied to the skin to kill bacteria which might be making the condition worse. Common antibiotics used include metronidazole and clindamycin. These help to calm the skin and reduce redness.
- Anti-inflammatory creams: Anti-inflammatory creams can reduce swelling and redness. These creams often contain ingredients like corticosteroids, which help to decrease inflammation in the skin. By using these creams regularly, the skin can become less swollen and red.
- Retinoids: Retinoids are derived from vitamin A and can help with skin cell turnover. They can reduce the thickening of the skin and improve its overall appearance. Common topical retinoids include tretinoin and adapalene. These are applied at night and can help to smooth out the bumps and reduce the size of the oil glands.
- Azelaic acid: Azelaic acid is another topical treatment that can help with rosacea and rhinophyma. It reduces redness and swelling by targeting the blood vessels in the skin. Azelaic acid also helps to unclog pores and reduce the appearance of bumps.
Surgical Treatments
For more advanced cases of rhinophyma, surgical treatments are often needed. These treatments remove the excess tissue and reshape the nose.
- Laser surgery: Laser surgery uses focused light to remove thickened skin and reshape the nose. The most common type used is the CO2 (carbon dioxide) laser. This method is precise and can remove layers of skin without causing too much damage to the surrounding area. Laser surgery can significantly improve the appearance of the nose and reduce redness.
- Dermabrasion: Dermabrasion is a procedure where the top layers of the skin are sanded down. This helps to smooth out the bumps and reduce the thickening of the skin. Dermabrasion can be very effective for reducing the size and shape of the nose. It also helps to make the skin look more even.
- Electrosurgery: Electrosurgery uses electrical currents to remove excess tissue. This method can precisely target and remove the thickened skin. It is often used in combination with other treatments to achieve the best results. Electrosurgery can help to reduce the size of the nose and make it look more natural.
- Cryosurgery: Cryosurgery involves freezing the excess tissue with liquid nitrogen. This method destroys the thickened skin, which can then be removed. Cryosurgery is less common but can be effective for certain cases. It helps to reduce the size and shape of the nose without causing too much damage to the surrounding tissue.
- Combination treatments: Often, doctors use a combination of these surgical treatments to achieve the best results. For example, laser surgery might be combined with dermabrasion to remove thickened skin and smooth out the surface. Using multiple treatments can help to achieve a more natural and even appearance.
After any treatment, proper care is essential to ensure the best results. This includes:
- Keeping the skin clean: Wash the treated area gently with mild soap and water.
- Using sunscreen: Protect the skin from the sun to prevent further damage and redness.
- Moisturizing: Keep the skin hydrated with a gentle moisturizer.
- Following doctor’s instructions: Always follow the care instructions provided by your doctor to ensure proper healing.
Who Is Most At-Risk for Alcoholic Nose (Rhinophyma)?
Certain people are more likely to develop an alcoholic nose, or rhinophyma. Understanding who is at risk can help with early detection and treatment.
- Men over 50: Men between the ages of 50 and 70 are most at risk. Hormonal differences and age-related skin changes make men more likely to develop this condition.
- Fair-skinned people: People with fair skin are more prone to rosacea, which can lead to rhinophyma.
- Family history: If you have family members with rosacea or rhinophyma, you are more likely to develop it. Genetics play a significant role in the risk of this condition.
- People with rosacea: Anyone with rosacea is at risk of developing rhinophyma. Managing rosacea early can help prevent the condition from worsening into rhinophyma.
- Environmental and lifestyle factors: Exposure to extreme temperatures, sun, and wind can worsen rosacea and lead to rhinophyma. Stress, spicy foods, hot drinks, and caffeine can also trigger flare-ups.
By understanding the causes and treatments, and knowing who is most at risk, it is possible to manage and improve this condition. For immediate help with alcohol misuse, call 844-576-0144.
Rhinophyma & Alcohol | FAQs
What are other purple nose causes besides drinking?
A purple nose can be caused by rosacea, a skin condition that affects blood vessels. Other causes include cold weather, allergies, and certain medical conditions like lupus.
Does alcohol always affect rhinophyma?
No, alcohol does not always affect rhinophyma. While it can worsen symptoms, rhinophyma is mainly caused by rosacea, not alcohol.
If I have a red nose from drinking but it goes away, is that normal?
Yes, it is normal. Drinking alcohol can temporarily make your nose red, but it usually goes away after a while.
Why do alcoholics have red noses?
Alcoholics may have red noses because alcohol can cause blood vessels to expand, making the skin look red. This effect is often temporary but can become more noticeable with frequent drinking.
Get Insurance-Covered Alcohol Addiction Treatment at Gratitude Lodge
Alcohol abuse can be very disruptive, but it’s also treatable – we can help you with this at Gratitude Lodge. We offer immersive inpatient treatment for alcohol addiction at our luxury rehabs in Long Beach and Newport Beach, California.
You will begin your recovery from alcoholism with supervised detox. This provides access to 24-hour care and FDA-approved medications, making the withdrawal process safer and easier. Detox also prepares you for ongoing treatment and addresses the issue of alcohol dependence.
During inpatient treatment at Gratitude Lodge, you will engage with a personalized array of therapies, such as:
- Counseling
- Talk therapy
- Medication-assisted treatment
- Motivational therapy
- Holistic treatments
- Group therapy
- Family therapy
- Aftercare
Start your recovery from alcohol addiction by calling 844-576-0144.