Rhinophyma is a chronic skin condition, often the advanced stage of rosacea, causing the nose to become large, bulbous, red, and bumpy due to enlarged oil (sebaceous) glands and thickened connective tissue, primarily affecting older men. While its exact cause is unknown, it's linked to long-term rosacea and immune dysregulation, not necessarily alcohol, despite the nickname "whisky nose". Treatments range from medications (like isotretinoin) to surgical procedures (like dermabrasion or laser resurfacing) to reshape the nose and improve appearance.