Mild rhinophyma is best suited for medication, which often includes topical anti-inflammatories and antibiotics. Once the condition has progressed, surgery is probably the best option. Unfortunately, if left untreated, rhinophyma can obstruct the nostrils and affect breathing, deeming a medical evaluation worthwhile. Rhinophyma exacerbated by heavy drinking can cause the cartilage cells to swell, resulting in a bulbous or “flared” appearance. Can Alcohol Speed Up the Effects of Aging? Alternatively,