Historically, rhinophyma was misunderstood and even ridiculed in various cultures, with little regard for its medical implications. In the past, it was often associated with excessive alcohol consumption, as the condition was more commonly seen in individuals who exhibited symptoms of rosacea, a disorder that sometimes coincided with alcoholism. This led to misconceptions about the causes and nature of rhinophyma, further complicating its recognition and treatment. Today, however, medical research has brought a more thorough understanding of rhinophyma, emphasizing its underlying causes and the role of rosacea in its development.
The exact cause of rhinophyma remains uncertain, but it is believed to be the result of a combination of genetic, environmental, and lifestyle factors. While rhinophyma is more common in individuals with a family history of rosacea, other factors such as skin irritation, exposure to extreme temperatures, and sun damage may also contribute to its onset. Hormonal changes, particularly during periods of increased testosterone, may also play a significant role in the development of this condition, which is why it is more common in middle-aged and older men than in women.