Treatment of rhinophyma is successful only with surgical methods. The operative techniques described in the literature are discussed critically and decortication is the method of choice. When this technique is applied, the hyperplastic nasal tissue is removed down to the basal parts of the sebaceous glands. This causes spontaneous re-epithelization of the skin surface without scarring. Methods using deeper excision and plastic surgical repair of the defect by skin grafting or pedicled flaps are cosmetically inferior to the method of decortication. Whatever the method, however, histopathological examination of the excised rhinophyma tissue is necessary in order to exclude malignant growths, such as basal cell or squamous cell carcinomas, which are frequently seen in rhinophyma.
酒渣鼻的治疗只有通过手术方法才能成功。对文献中描述的手术技术进行了批判性讨论，而剥脱术是首选方法。应用该技术时，增生的鼻部组织会被切除至皮脂腺的基部。这会使皮肤表面自发重新上皮化且不留疤痕。采用更深层切除以及通过植皮或带蒂皮瓣对缺损进行整形手术修复的方法，在美容效果上不如剥脱术。然而，无论采用何种方法，对切除的酒渣鼻组织进行组织病理学检查都是必要的，以排除恶性肿瘤，如基底细胞癌或鳞状细胞癌，这些在酒渣鼻中很常见。
