Could this be basal cell carcinoma? (Photo)

Thank you for your question. I often get questions in my practice from patients about strange spots on their bodies, thus answering it will be helpful to both you and many others.
Due to the low resolution of the photo provided, it is impossible to adequately assess the skin lesion. If you are very concerned about this lesion, I strongly recommend seeking consultation from a Plastic & Reconstructive Surgeon with not only expertise in reconstruction of skin cancers on the nose, but also in diagnosis and management of skin cancers.
Following review of the photo provided, there is a small pigmented skin lesion in the midline of the nasal tip, with what appears to be an enlarged hypertrophic pore superior to it on the nasal dorsum. Features that are concerning for Basal Cell Carcinoma include any ulcerated non-healing skin lesion, a skin lesion with poorly defined / ill defined borders (it is difficult to see where the skin lesion ends and the normal skin begins), numerous telangiectasias (fine, red lines on the surface of the lesion representing tiny blood vessels / capillaries), a crusty rough surface texture where all the surrounding skin is soft and supple, or the classic "non-healing pimple" that just won't resolve. Typically any skin cancer will enlarge over time. Spontaneous bleeding, typically from the ulcerated area, is also a common characteristic in skin cancers. However, bleeding due to irritation, picking at the lesion, or "a silly nose strip thing" is typically does not constitute spontaneous bleeding.
I realize this information is very general, however, it would be inappropriate for me to pretend that I can diagnose your skin lesion based solely on your description and the photo provided. It would also be unfair to you. For that reason I strongly recommend seeking consultation with a Plastic & Reconstructive Surgeon who can perform an appropriate examination of the skin lesion.
Jonathan Landon, MDChief of Plastic & Reconstructive SurgerySouth Shore Plastic & Reconstructive Surgery

But if you are showing the flesh colored bum just above the small freckle at the tip, it is best for you to see a board-certified dermatologist who uses a dermatoscope to evaluate. This could very well be a benign lesion called an angiofibroma, but it is best if you have evaluated live by a dermatologist to make sure its not a basal cell carcinoma.

I would need to inspect the area in person and perform a biopsy in order to give you an accurate diagnosis.

Thanks for your question. It would not be possible to give you a completely accurate diagnosis based on a photo, so it would be best for you to see a board certified dermatologist. They will do a skin exam, possibly of just exposed areas or maybe a full body exam depending on what you would prefer, and be able to assess your amount of sun damage, other suspicious lesions, take a thorough history, and carefully examine the nose with a dermatoscope to get a better look at the area. If they determine it might be a skin cancer, he or she will probably do a small biopsy and send the tissue for pathology. If it appears to be a benign (non-cancerous) issue, they might recommend retin-a and microneedling, depending on what they think it is. Please see an expert, and best of luck!