Mole or cartridge on nose tip (photo)

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

Determining whether a bump on the nasal tip is an intradermal mole or cartilage under thin skin can be challenging without a direct examination. Here are some general guidelines and options for removal:

Differentiating Between a Mole and Cartilage:
Appearance and Texture:

Mole: Typically, moles are pigmented and may vary in color from skin-colored to dark brown. They can be flat or raised and often have a distinct border.
Cartilage: A cartilage bump is usually the same color as your skin and feels firm or hard to the touch. It may not have a distinct border like a mole.
Medical Examination:

Dermatologist Evaluation: A dermatologist can examine the lesion with a dermatoscope, which provides a magnified view of the skin, helping to differentiate between a mole and other types of lesions.
Imaging: In some cases, imaging studies like ultrasound may be used to assess the underlying structure.
Options for Removal:
For Moles:

Shave Excision or Surgical Excision: These procedures involve removing the mole with a scalpel. The choice depends on the mole's characteristics and location.
Laser Removal: Suitable for some superficial moles, though not typically used for raised moles.
For Cartilage or Structural Issues:

Rhinoplasty: If the bump is due to cartilage, a cosmetic procedure such as rhinoplasty may be necessary to reshape the nasal structure.
Next Steps:
Consultation with Specialists: Since you've received differing opinions, it may be beneficial to seek a third opinion from a board-certified dermatologist or plastic surgeon who specializes in facial anatomy.
Considerations for Removal: Discuss with your specialist the potential risks, benefits, and outcomes of removal options, especially considering any recent changes due to pregnancy.
Ultimately, a thorough evaluation by a healthcare professional is essential to determine the most appropriate course of action.

Great question and thanks for providing photos!
This almost certainly represents a slight prominence to your nasal tip cartilage and looks like it is probably putting a bit of pressure on the skin causing it to blanch, or appear slightly more pale than the rest of the nose. There can certainly be changes to your skin/soft tissue/etc during pregnancy that may have made this appear more prominent than it once was. The best way to address this would be relatively conservative tip only rhinoplasty, unless there are other areas you wanted to address. I think this would heal much better with better results than trying to address by shaving the skin or any more conservative approach.
Hope this helps and best of luck! Kyle Kimura, MD