Nose Piercing Indentation Mark and Discoloration

If you have a mature piercing site, then the best way to remove it is to cut out the track and suture this together.  You will be trading off a hole for a small scar which will likely draw less attention.  You can add lasers to the treatment to further reduce the appearance of the scar.

Your nasal piercing scar may require scar revision to remove the epithelialized tract.  Our office specializes in scar revision in the Los Angeles area. Raffy Karamanoukian MD FACS

Typically the hole will close over time but it may take many months for it to do that. In addition, the discoloration itself may also taken 6 months or more to fade. The use of scar fade gels may help to accelerate the process so I would recommend using them. I hope this information helps.

It is likely that the piercing will diminish in size but the hyperpigmentation may take up to two years to lighten. Some lightening creams may provide improvement,  

Scars that are the result of piercings can be challenging to improve and can cause patients anxiety and embarrassment.  The good news is that treated properly, they can become almost imperceptible. The scar gel you are using may help somewhat to fade any discoloration, but will never remove the hole or scar. The scar itself and any hole will be need to removed surgically and repaired in layers. I would recommend you seek a surgeon with experience with nasal anatomy and can examine the inner lining of your nose as well. The treatment is very similar to repair of scars left from heavy earrings or ear gauging/stretching which require excision with careful layered closure. Best of luck to you