How to Prevent Fibrous Papules on my Nose from Growing Back?

Question

Hi there, im a 22 yr old Asian, and have undergone my 2nd electrocautery to remove the fibrous scars on my nose (For cosmetic reasons).. However, i am really worried that the fibrous bumps grew back after a while, which indeed happned after my first electrocautery session. Thus, i am rather curious is there any facial products that u guys may know that can help to alleviate/prevent the the bumps from growing back? I have a REALLY OILY skin, thus v active oil glands =((

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Benjamin Barankin, MD, FRCPC · Answer

The fibrous papule on the nose is likely what we call an angiofibroma, which is quite common on the nose and benign. Electrocautery is considered the treatment of choice, although sometimes shave excision can be helpful as well, and even liquid nitrogen on occasion. There is no great way to prevent the lesions from recurring or new ones from forming, although I find that after 1-2 treatments, the lesion is typically gone or dramatically reduced for a very long time if not permanently. Dr. Benjamin Barankin, Toronto Dermatology Centre.

How to Prevent Fibrous Papules on my Nose from Growing Back?

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