What can I do about pink skin post a scab running down the bridge of my nose? Been 8+ years no change (Photo)

'm sorry to hear about your ongoing skin issue. Persistent erythema (redness) following an injury, particularly one that causes post-inflammatory erythema (PIE), can indeed be challenging to treat, especially when it's reactive to emotional states or fatigue.
You've tried a comprehensive list of treatments, many of which would typically be recommended for this type of skin concern. If these treatments have all been unsuccessful, it might be time to consider more advanced dermatological procedures.
1. Vascular Lasers: Despite having tried laser treatment before, there are specific types of lasers that target blood vessels, like the pulsed dye laser or Nd:YAG laser. These lasers can be particularly effective for persistent redness that blanches (turns white) when pressed.
2. Topical Treatments: Although you've tried many, a dermatologist might have other prescription strength options, such as topical calcineurin inhibitors or stronger retinoids.
3. Oral Medications: Certain oral medications like low-dose isotretinoin or antibiotics (used for their anti-inflammatory properties) can sometimes be used in resistant cases.
4. Camouflage: In the meantime, consider using a green-tinted primer or concealer, which can help neutralize redness.
Before proceeding with any treatment, you should consult with a board-certified dermatologist. They can evaluate your skin, discuss your treatment history, and suggest a personalized treatment plan. It's crucial to understand that results can vary greatly from person to person, and it may take a combination of treatments and time to see improvement.

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

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!