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🌹 Rhinophyma Progression Simulator

A simulator showing the progression of rhinophyma (a severe subtype of rosacea) with sebaceous gland hyperplasia and skin thickening in the nose, as well as surgical correction options.

Rosacea Mechanisms & Treatment2DModerate60 FPS
rhinophyma-progression-simulator ↗ Open standalone

Chronic Rosacea — the Precursor Baseline

Placeholder: untreated severe rosacea sets up chronic vascular and inflammatory changes.

  • ~5%: Rosacea prevalence (Placeholder short note)
  • Phymatous: Subtype at risk (Placeholder short note)
  • 40–60: Typical onset age (Placeholder short note)
  • ~90%: Male predominance (Placeholder short note)

Baseline vascular and inflammatory changes

Placeholder: persistent flushing and telangiectasia precede glandular change.

Sebaceous Gland Hyperplasia Onset

Placeholder: sebaceous glands enlarge and multiply under chronic inflammatory drive.

  • 2–3×: Gland size increase (Placeholder short note)
  • ↑ elevated: Sebum output (Placeholder short note)
  • Present: Follicular dilation (Placeholder short note)
  • Partial: Reversibility (Placeholder short note)

Glandular hypertrophy mechanisms

Placeholder: inflammatory cytokines drive sebocyte proliferation.

Progressive Skin Thickening and Bulbous Contour

Placeholder: dermal fibrosis and gland growth thicken and bulge nasal skin.

  • 2–4 mm: Skin thickness (Placeholder short note)
  • Moderate: Fibrosis grade (Placeholder short note)
  • Early bulbous: Contour change (Placeholder short note)
  • Rising: Symptom burden (Placeholder short note)

Fibrotic remodeling of nasal skin

Placeholder: collagen deposition thickens dermis around hyperplastic glands.

Advanced Disfiguring Rhinophyma

Placeholder: severe nodular bulbous enlargement distorts nasal architecture.

  • >2× normal: Nasal volume (Placeholder short note)
  • Marked: Nodularity (Placeholder short note)
  • Possible: Airway impact (Placeholder short note)
  • Significant: Psychosocial impact (Placeholder short note)

End-stage phymatous change

Placeholder: coalescing nodules and glandular masses deform the nose.

Surgical and Laser Correction Options

Placeholder: shaving excision, electrosurgery, and CO2 laser reshape the nose.

  • Common: Tangential shaving (Placeholder short note)
  • Precise: CO2 laser ablation (Placeholder short note)
  • 2–4 wks: Healing time (Placeholder short note)
  • Low–Moderate: Recurrence risk (Placeholder short note)

Correction technique overview

Placeholder: excess tissue shaved to reform natural nasal contour.

Placeholder: early treatment of rosacea can prevent surgical need later.
⚙ Under the hood

A simulator showing the progression of rhinophyma (a severe subtype of rosacea) with sebaceous gland hyperplasia and skin thickening in the nose, as well as surgical correction options.

CanvasBiomedicine

2D · HTML5 Canvas 2D · 60 FPS target · runs fully client-side, no install

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