Unable to remove tiny bumps on nose (Photo)

Question

I'm unable to get rid of tiny bumps on nose (Tried consumption of isotretionioin) for a month. Mnrf if apply then leads to worse scarring.Guide.

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

Anna Chacon, MD, FAAD · Answer

Tiny bumps on the nose can be frustrating because several different skin conditions can look very similar, and each one is treated differently. From your description, especially since a month of isotretinoin didn't improve them and microneedling with radiofrequency worsened the scarring, it's important to identify exactly what these bumps are before pursuing additional procedures.

Some of the more common possibilities include:

Sebaceous hyperplasia (enlarged oil glands)
Sebaceous filaments, which are normal but can appear more prominent
Closed comedones (whiteheads)
Milia
Less commonly, conditions such as fibrous papules or other benign growths

If these bumps are related to enlarged oil glands or sebaceous filaments, isotretinoin may help reduce oil production over time, but one month is generally too short to judge its full effect. Improvements, when they occur, often require several months of treatment.

Because you've noticed increased scarring after RF microneedling, I would be cautious about repeating aggressive resurfacing procedures until the diagnosis is clear. Continuing treatments that irritate the area without addressing the underlying cause may lead to more textural changes rather than improvement.

Depending on the diagnosis, treatment options may include:

Topical retinoids (if appropriate)
Professional comedone extraction
Electrocautery or laser treatment for sebaceous hyperplasia
Chemical peels for clogged pores
Observation if they represent normal sebaceous filaments

My recommendation would be to focus first on obtaining an accurate diagnosis rather than trying additional procedures. Once the exact cause is identified, treatment can be tailored much more effectively and with a lower risk of additional scarring.Tiny bumps on the nose can be frustrating because several different skin conditions can look very similar, and each one is treated differently. From your description, especially since a month of isotretinoin didn't improve them and microneedling with radiofrequency worsened the scarring, it's important to identify exactly what these bumps are before pursuing additional procedures.

Some of the more common possibilities include:

Sebaceous hyperplasia (enlarged oil glands)
Sebaceous filaments, which are normal but can appear more prominent
Closed comedones (whiteheads)
Milia
Less commonly, conditions such as fibrous papules or other benign growths

If these bumps are related to enlarged oil glands or sebaceous filaments, isotretinoin may help reduce oil production over time, but one month is generally too short to judge its full effect. Improvements, when they occur, often require several months of treatment.

Because you've noticed increased scarring after RF microneedling, I would be cautious about repeating aggressive resurfacing procedures until the diagnosis is clear. Continuing treatments that irritate the area without addressing the underlying cause may lead to more textural changes rather than improvement.

Depending on the diagnosis, treatment options may include:

Topical retinoids (if appropriate)
Professional comedone extraction
Electrocautery or laser treatment for sebaceous hyperplasia
Chemical peels for clogged pores
Observation if they represent normal sebaceous filaments

My recommendation would be to focus first on obtaining an accurate diagnosis rather than trying additional procedures. Once the exact cause is identified, treatment can be tailored much more effectively and with a lower risk of additional scarring.

Ajaya Kashyap, MD · Answer

Thank you for your query. You may benefit from a fractionated laser treatment for your problem . Please find an experienced board certified Dermatologist or Plastic surgeon who can examine you and help you with all your concerns. All the best.!

Unable to remove tiny bumps on nose (Photo)

Answers (3)

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