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Punch Excision on damaged pore from squeezing on the nose?

uncoolnowOct 23, 2016
Hello doctors, I was stupid once and squeezed too hard on a pore on exactly the middle of my nose in both horizontal and vertical direction. I believe i squeezed out some fat or the hair follicie, later on i got a red pimple in that pore that i stupidly scratched. Now the pore is enlarged, the surrounding area slightly indented, and it produces only blackheads. It is as if the pore has mutated. do you think a punch excision would be advisable for such a problem (1mm diameter) ?

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Oct 24, 2016
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Dr. Steven F. Weiner, MD
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Dr. Steven F. Weiner, MD
Board Certified Otolaryngologist
4.9 | 151 Reviews
Answered on Oct 24, 2016
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Dr. Philip Young, MD
Dr. Philip Young, MD
Board Certified Otolaryngologist
Answered on Oct 23, 2016
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Jeff Angobaldo, MD

Thank you for your question.  Excisional removal of the deep scar, lasers, chemical peels, and dermabrasion are all good options.  Best wishes. 

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Jason Emer, MD

This appears to be a normal healing process. I suggest using normal saline instead of hydrogen peroxide as this damages the surrounding skin and can actually slow down the wound healing process.  Please consult with an expert if you experience further concerns. Best, Dr. Emer

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Jason Emer, MD

That scar shouldn't have been punched out, anyone who does a significant amount of scar surgery know the scar would be 2-3 times the size after in a straight line.  With that said at this point you need lasers, subcision and fillers to improve it.  I suggest you see a laser and scarring expert. ...

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Anil R. Shah, MD

Punch excision is not currently a favored treatment of mine as it has the potential to make acne scars worse.  Essentially a scar is either removed with a punch or lifted with a punch and sutured to the skin.  

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Jason Emer, MD

2mm punch excisions should not be indented, I suggest posting photos and see a cosmetic dermatologist who specializes in scars.  This can be treated with revision surgery, subcision, and/or lasers -- massage or creams will not help.  Best, Dr. Emer.

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Harold J. Kaplan, MD

Hi IA.  It looks like you still have a fairly significant indentation where the scar was excised.  To smooth out the area, you may consider fractional laser resurfacing.  Take a look at an Orange County, California scar removal patient (link below) that came to us after...

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