Hole/divet on my nose after mole removal 8 months ago. How do I get rid of it or make it look better?

Question

I'm an 18 yr old male and I had a mole in the center of my nose removed about 8 months ago. I went to a dermatologist and she injected the mole and removed it with a blade. There was new skin building over the area and it was looking good until I accidentally ripped it off while drying my face. After that there was a hole/divet left that still hasn't healed at all. It is in the center of my nose and is very noticeable. What can I do to make it heal or look better that doesnt cost too much money?

Raffy Karamanoukian, MD, FACS · Answer

Mole removal begins with a comprehensive examination and consultation to determine the likelihood of a mole being worrisome. Excisional and incisional biopsies are reserved for suspicious moles. But it’s good news that most moles are not problematic and are only cosmetic, thus leading to the option of scarless or non-surgical mole removal with lasers and RF and plasma. Our office specializes in non-surgical mole removal.

Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Andrea Hui Austin, MD · Answer

I advise that you see a reputable board-certified dermatologist or plastic surgeon. Your doctor can try microneedling to help break up the scar and encourage your body to create new collagen to fill in the scar. This is a relatively comfortable procedure - you will receive numbing and the procedure and healing does not take very long.Your doctor can also perform a procedure called subcision to help encourage the scar to fill in. The area is numbed with local lidocaine. Your doctor will insert a small needle into the area and then break up the scar with the tip of the needle. Injectable filler may also be used to fill in the divot; an optimal filler for this purpose would be Belotero, which integrates itself into the dermis of your skin where the scar is located. A more involved procedure would be surgical scar revision by a dermatologist or plastic surgeon. He or she would cut out the scar and re-align your skin for optimal healing. You could even do a combination of all these treatments.

Sheryl D. Clark, MD, FAAD · Answer

This can happen fairly easily after mole removal, especially if a scab forms as the area is healing, as opposed to a wound that is kept moist and is more likely to heal flush to the surrounding skin.Application of a retinoid cream such as Tazarac, Retin-A or an appropriately-formulated retinoid, along with an effective formulation of glycolic acid, can help a lot.  I usually provide laser treatment(s) at no charge to my patients if this happens to them, and this is helpful as well.

David Reinstadler, MD · Answer

I would recommend going to see a dermagologist of plastic surgeon in person so they can evaluate your specific situation. Usually a small indentation can be re-excised and closed in a very nice fashion, but sometimes things like fillers can be used to raise up the indentation slightly and may give you the improvement you are looking for. This only works in some instances and again, would need to be recommended after an in-person examination. Best of luck

F. Victor Rueckl, MD (in memoriam) · Answer

Some of this may resolve itself in time. The only other option would be to excise the divet and have a tiny stitch put in to re-close it. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

Hole/divet on my nose after mole removal 8 months ago. How do I get rid of it or make it look better?

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