Rhinophyma makes the skin of the nose thick, red and enlarged. Dr Braham Ouali removes the excess tissue by surgical shave excision, under local anaesthetic, to restore a more natural shape.
Leave your details and the clinic will call you to arrange a free video consultation. He will look at your nose, explain what he would do and give you your exact price.
Patients
“Many thanks for the good job you have done. I also appreciated the relaxed manner which put me at ease.”
“I received upper eyelid surgery with Dr Braham Ouali 2 weeks ago and cannot praise the whole experience enough… I would highly recommend him to anyone considering cosmetic or skin surgery.”
“I had three moles removed from my back by Dr Ouali, it was a good painless experience and I’m happy with the result as the scars faded away nicely.”
Is this you?
Rhinophyma is a progressive skin condition often linked to advanced rosacea. Overactive oil glands and tissue overgrowth make the nose thicker, larger, redder and bumpier. It most commonly affects men over 50, particularly those with a history of rosacea or Northern European ancestry. At Minor Surgery Clinic, moderate to severe rhinophyma is treated by surgical shave excision, the gold-standard approach. These are the signs people usually come to us with.
Surgery is generally recommended for people in good overall health whose rhinophyma has not responded to non-surgical treatment. Sun, alcohol and spicy food can aggravate the condition.
Cost
The package price for rhinophyma treatment starts from £2,450, which includes the initial consultation, surgery and follow-up after surgery. The price you are quoted at consultation is the price you pay.
What happens
It starts with a free video call with the surgeon, not a form-filling appointment with a consultant who does not operate.
A video call with Dr Ouali. He assesses how severe your rhinophyma is, explains what he would do, covers the risks, and gives you your price.
Nothing is booked on the call. If you go ahead, a 50% deposit holds your date, or you can pay in full. Face-to-face beforehand can be arranged, and is charged separately.
Around two hours under local anaesthetic. The thickened tissue is carefully shaved away to reshape the nose, then the area is cauterised and covered with a protective dressing.
Swelling and bruising usually settle over one to two weeks. Any non-dissolvable sutures come out within 7 to 14 days, and follow-up appointments track your healing.
The part most adverts leave out
However minor a procedure is, there is a potential for complications. Dr Ouali will go through all of this with you before you decide anything.
Swelling, bruising and some tightness around the nose are normal at first. Full recovery can take several months. The recognised risks are:
Whoever you choose, these are worth asking:
Questions
Yes. The video consultation is with Dr Ouali himself, it is free, and there is no obligation. If you would rather be seen in person before you decide, a face-to-face appointment can be arranged, and that one is charged separately.
Rhinophyma treatment is not currently funded by the NHS, and choosing a trusted and experienced private clinic is the best option in achieving your desired results.
No. It was historically linked to heavy drinking, but alcohol is not a direct cause. It may make rosacea worse in some people.
It is done under local anaesthetic, with or without sedation, so you will not feel pain during surgery. Discomfort afterwards is usually mild and managed with pain relief.
Surgery gives long-lasting results, but rhinophyma is progressive, so it can come back, especially if the underlying rosacea is not managed.
In severe cases the extra tissue can block the nasal airways. Surgery can help open them and improve airflow.
Sleep with your head raised for a few nights and keep pressure off your nose, including tight glasses, until you are told otherwise. Avoid strenuous exercise, heavy lifting and sun for at least two weeks, wear high-SPF sunscreen on the area, and avoid smoking.
You pay a 50% deposit to hold your date, or the full amount if you would rather settle it in one go. There is no in-house finance.

Your surgeon
Dr Ouali is a UK-trained, award-winning surgeon with more than twenty years of experience. He has personally conducted tens of thousands of surgeries, sees every patient himself and performs every operation himself.
The clinic
A day-case clinic set up for procedures under local anaesthetic. Your consultation is by video call, so the only visits you make are for the surgery itself and the follow-up.
Next step
A video call with the surgeon who would do the operation. No cost, no obligation. If surgery is not the right answer for you, he will say so.