Rhinophyma is considered an extreme form of acne rosacea, which occurs late in the course of acne rosacea.
The causes of acne rosacea and rhinophyma are not clear. Rosacea has a hereditary component although intestinal bacteria in the digestive tract, demodex mites, medications like topical or nasal steroids are all implicated in the causation.
Triggers that cause episodes of flushing and blushing like strenuous exercise, heat from sunlight, severe sunburn, stress, anxiety, cold wind, moving to a warm or hot environment from a cold one can play a part in the development of rosacea.
Antibiotics are the mainstay of treatment for acne rosacea; this suggests that bacterial infection is the cause. However, antibiotics do not cure rosacea; the rosacea patient must continue to use oral antibiotics or a topical antibiotic, metronidazole gel (Metrogel), to prevent recurrence.
Oral isotretinoin (Accutane) can be used to treat severe acne rosacea and rhinophyma. Accutane is a form of vitamin A which reduces the amount of oil released by oil glands in your skin, and helps your skin renew itself more quickly.
So you can consider using it to treat your condition. However it has certain side effects which are potentially harmful. You could check this out on the website listed below.
It does not mean that you might experience all or even some of them , so if you are willing to try it, go ahead with it. Inform your doctor about other medications that you may be on.