Fibrous papule removal left an indented scar on nose (Photo)

Question

I had a fibrous papule removed from the tip of my nose about five years ago. The dermatologist at the time was worried about it being a more serious issue, so it was cut out and now I’m left with an indented scar on the side/tip of my nose. It makes me very self conscious, especially in pictures since that seems to magnify it. What are my options for helping the appearance of it?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Sheryl D. Clark, MD, FAAD · Answer

Hello mc0228:

The tip of the nose is quite vulnerable to scarring with even minor procedures. I’m glad that it didn’t turn out to be a basal cell carcinoma, and with something benign like a fibrous papule. Fortunately, there are things that can be done to mitigate your scar. These include the use of topical retinoids and other bio stimulatory creams. You might consider having a small amount of a hyaluronic acid filler to smooth it over if it seems to disappear when the skin is stretched. Surprisingly, the filler in this location can often last for a very long time, and just stretching the skin with a bit of filler also results in new collagen being laid down. PRP Injection could also result in long lasting improvement. Lastly, as a physician with expertise in the treatment of various types of scarring, I can tell you that there are a number of energy-based treatments that could give you permanent improvement, including and especially fractional radio frequency and fractionated CO2 (Fraxis Duo).

You will probably want to find a dermatologist with several fillers, PRP, and devices that treat scars. Soon, it should be a memory!

All the best,
Sheryl Clark MD FAAD

Fibrous papule removal left an indented scar on nose (Photo)

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Fibrous papule removal left an indented scar on nose (Photo)

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Our mission is to create a world where every investment in modern beauty is Worth It.