Many different types of scarring can occur from chicken pox and acne. So the surgical or laser approach may vary depending on the nature of the scar. In general, fractionated laser resurfacing does a nice job improving scarring over a series of treatments. Keep in mind, however, lasers are not erasers.
Some numbing creams lead to constriction of the blood vessels on the face, the very target of the Vbeam laster, and hence may reduce the efficacy of a Vbeam laser treatment. Numbing creams, however, do not prevent a Vbeam laser treatment from being effective. In fact, some patients may get a better result with a numbing cream as they are more comfortable during the treatment and this permits the use of stronger, more effective settings that might not otherwise be tolerated by the patient.
Yes, It is possible to have a basal cell carcinoma inside the nostril but is rather uncommon.
I usually repair mohs defects the same day. Waiting a week could increase the risk of infection or bleeding complications and hence is not ideal. Sometimes for deeper defects, graft placement is delayed for a week or more to allow granulation tissue to form and partially fill the defect before placing a skin graft.
