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It shrinks oil glands , which can reduce the thickness and oiliness of the nose It prevents further skin thickening caused by overgrowth of sebaceous tissue It can slow or stop early rhinophyma from progressing Rhinophyma treatment options Early stage : Low-dose Accutane (isotretinoin) may reduce gland size and slow progression Advanced stage : Laser therapy, dermabrasion, or surgery may be needed to reshape the nose What research says about using Accutane for rhinophyma Studies suggest that isotretinoin (Accutane) plays a valuable role in managing nasal skin thickening related to rosacea and rhinophyma, either as a primary treatment or as an adjunct after surgery