I have a chunk of skin missing from my nose after a staph infection, can my nose be fixed? (Photos)

Question

I acquired a staph infection from an infected zit a month and a half ago. The infection cleared, but I'm losing hope my nose will ever look normal again. It looks like something but a chunk out of it. Can this be fixed?

Jeff Angobaldo, MD · Answer

Skinpen, C02 skin resurfacing laser, IPL laser, fractional with the palomar icon are all effective treatments to help diminish scars,  increase your cell turnover rate and produce healthy skin cells.   The skinpen is a microneedling device that wakes up your natural growth factors and creates healthy skin cells.  The C02 laser is an ablative laser that repairs and rejuvenates the skin. The IPL laser helps to take the red out of the scar and can only be performed on lighter skin types.

Raffy Karamanoukian, MD, FACS · Answer

Our Hidef protocols for scar revision can address different types of scars, depending on your scar biometrics and characteristics. Protocols vary in duration based on the severity of your scars. 
Bad scars can manifest in many different ways, including pigmentation, thickening, and depression of atrophic scars. Thick scars are best treated in my practice with IIT, cortisone injections, pressure management, and laser. We recommend daily use of Plato’s Scar Serum to the scars to mediate scar hypertrophy. 
Hyperpigmented scars respond well to Melarase AM and Melarase PM creams. If the area is large, consider Luminase and Exfolase creams for the body. Hyperpigmentation PIH can also be treated with Q switch laser, PICO, chemical peels, and rapid scar exfoliation. PIE erythema scars are best treated with pulsed dye laser. 
Keloid scars are our specialization. We manage small and large keloid scars with excision, IIT, PRP, laser therapy, and scar modulation. Use Plato’s Scar Serum daily. 
Textural scars respond well to nanofractional RF and fractional laser to help improve surface texture. When combined with scar modulation, the results can improve dramatically. The most important variable is for you to choose a plastic surgeon with expertise in laser therapy using Hidef protocols. 
Best, Dr. Karamanoukian Realself100 Surgeon

Matthew Richardson, MD · Answer

Fillers are an option to try to plump up this area, but they are not without risk. I have seen vascular compromise in this area before from filler injections. An in-person exam would be helpful. It's possible that some sort of composite graft of cartilage and skin might be needed. See a facial plastic surgeon who specializes in surgical rhinoplasty and non-surgical nose jobs to review all the options in detail.All the best,

Kristine Brecht, MD (license suspended) · Answer

Yes, I think you can fix this.As long as the infection is fully resolved, filler would be first step simple option to try.Something very silky like belotero or Restylane in the right hands could help a lot.Best.Dr Brecht Seattle, Wa

I have a chunk of skin missing from my nose after a staph infection, can my nose be fixed? (Photos)

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