Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.
1
Is any of this happening now?
Call 911
Call emergency services if nasal or facial swelling causes severe breathing difficulty.
Gradual narrowing of the nostrils without severe breathing trouble is usually assessed through a routine or prompt appointment rather than emergency care.
Other emergency signs, for anyone
Someone who is struggling to breathe, gasping, choking, or cannot get words out
Someone who has chest pain, tightness or pressure lasting more than a few minutes
Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
Someone who is unconscious, or cannot be woken
Someone who is bleeding heavily and it will not stop with firm pressure
Someone who has had a seizure that will not stop, or does not wake up afterwards
Someone who has lips or skin that look pale, blue, grey or blotchy
Someone who you believe has taken an overdose or swallowed something poisonous
2
Is any of this happening?
Be seen today
Seek prompt medical advice if you notice:
A sore or crusted area that does not heal
Repeated bleeding from the same spot
A firm lump or rapidly changing area
Increasing pain, warmth, swelling, or discharge
Spreading redness or fever after a procedure
Eye pain, marked sensitivity to light, or changes in vision need urgent assessment because rosacea can sometimes affect the eyes.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if your nose is gradually becoming thicker, bumpier, or enlarged.
Assessment is also appropriate if rosacea symptoms are difficult to control or the changes are affecting your breathing, confidence, work, or social life.
Every sign above is quoted from the sofidex article on Rhinophyma. If you are not sure, err upward — it is always reasonable to be checked.