Best way to remove a fibrous papule that will prevent regrowth and scarring?

Question

I have a fibrous papule on the side of my nose and I've had it for years. I went to the family doctor to get it checked and she said it's a benign papule. I heard that people do shave excisions, electrocautery, or laser. Which method is the best and will minimize the chance of regrowth and scarring? I heard electrocautery requires 1-3 treatments which is something that my bank account wouldn't be able to handle. Thanks!

Martie Gidon, MD, FRCPC, FAAD · Answer

Please consult a dermatologist who can diagnose the papule on your nose and explain which method of removal would be best for you. Shave removal with cautery is often used for benign fibrous growths, typically only one treatment is required. With any type of treatment, there is some potential of recurrence.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Thank you for your question. Fibrous papules are benign growths and can be removed in multiple ways. However, risk of recurrence is common with superficial treatment options such as cryotherapy, electrocautery, shave biopsies, etc. I highly recommend you consult with a board certified dermatologist or plastic surgeon to have your lesion evaluated and to discuss appropriate treatment options that best suit your needs. Take care and good luck.

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