Nose papules very slightly raised. What is the best way to treat them?

Question

I have a couple of nose papules, they are very slightly raised not sure they can be removed by shaved excision, what options do I have and with minimal scarring. I have read multiple options such at CO2, KTP, YG but not sure what is best. I’ve been seen by a dermatologist and confirmed papules she couldn’t remove them so she advised to see a plastic surgeon but said that it would have to be cut out and I would get a scar.

E. Victor Ross, MD · Answer

Without a photograph, it is hard to say what those small papules are, but I suspect they are fibrous papules, and normally we remove them with the erbium YAG laser.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Harold J. Kaplan, MD · Answer

Hello Ozla.  It's difficult to say without a photo, but it could be that the bumps are a condition called sebaceous hyperplasia.  If so, we remove this and other bumpy lesions using a device called a hyfrecator.  It's not laser, but rather uses low voltage electricity to "cauterize" the bumpy areas.  It removes them with heat but the heat is electrical rather than light based.  It's a quite simple procedure only a few minutes in the office and when done correctly will not cause scarring.

Nose papules very slightly raised. What is the best way to treat them?

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