It looks like a small boxcar scar to me. Scars on the nose are tough to treat and you want to approach it very carefully and make sure you don't make it worse.

Just shooting from the hip (I'm not a doc!) I wonder if a very small amount of filler might be interesting for just one scar like that. Or perhaps a few quick fractional laser treatments and then a little filler.

Bottom line is you want to get under the care of a really good, experienced person and make sure you're comfortable before moving forward. Consider all your options and think about making sure the side effects are minimized. You don't want to make it worse through good intentions.

@dan Thank you very much! I would like to stay away from fillers for treatment. Will you please take a look at the options below and tell me if any (preferably) local or non local treatments would be likely to help? Thank you!!

I've been using tazarotene cream .1% for several months along with skin better alpharet (twice weekly), rosacea combo cream(metronidazole 0.75%/azelaic acid 15%/ivermectin 1%), and sunscreen (Isdin Eryfotona Actinica) since I first posted. The scar seems shallower with less discoloration; however, I would like to see more improvement such as less depth so that it blends better with surrounding skin.

local treatment options:

-skin pen Microneedling with or without prp - I was thinking 3-6 sessions,

-Pixel8/VirtueRF/Morpheus8 Radiofrequency Microneedling,

-tetra fractional laser resurfacing

Treatments I feel may help, but are not offered locally, so I would need to travel include:

-tca or phenol cross technique if scar is deep enough

-fractional erbium or CO2 laser treatment

-subsicion (if scar is deep enough)

-punch excision (if scar is large enough)

Oh wow it's really improved. I would say leave it alone. The redness will subside. As I stated before, if you leave it alone there is no way you can mistakenly make it worse.

If you really wanted to do something, what about something non-ablative like a non-ablative laser? Just a little something to help with collagen and that has a low risk of sides.

Posted by: @Allhereto

I have a scar on the center of my nose from having a sebaceous adenoma lesion removed with hyrefractor 3 months ago. Can someone please tell me what type of scar this is (ice pick or box car), and what the best treatment options would be? I'm thinking subcision or tca CROSS, but I'm new here and I don't know a lot about treatments. Physician recommendations would be great as well - I live in the US (southeast). Thanks.

IMG_1570-copy.jpeg

Did you have treatment?

No treatment yet. I just bought 4 Microneedling sessions with a local dermatologist to try and improve some other facial scars, but he said there isn't much I can do for this nose scar. I'm hoping he's wrong about that.

You probably have Body dymorphia. Nobody is perfect. You have to Zoom in and its still difficult to See a Problem. Dont get too stressed, my friend everything is alright with your nose.

You can try to silicone tape nightly. My scars are raised, but it might work. I use Mepitac 2cm. Just cut what you need and apply it on non-oily or wet skin.

q

@salientdouble Thanks for comment! I suspect that I do actually have body dysmorphia, so it helps to see from others that this scar may not be as serious as I sometimes think it is. Best.

Posted by: @Allhereto

I have a scar on the center of my nose from having a sebaceous adenoma lesion removed with hyrefractor 3 months ago. Can someone please tell me what type of scar this is (ice pick or box car), and what the best treatment options would be? I'm thinking subcision or tca CROSS, but I'm new here and I don't know a lot about treatments. Physician recommendations would be great as well - I live in the US (southeast). Thanks.

IMG_1570-copy.jpeg

Hi sir, I have a nearly identical scar on my nose as well and after seeing your after results , I was wondering what products/brands you used and where you purchased them as well as how often you applied them. I know Im really late to this post but Im hoping you see this! Thank you so much !

@tonatiuh

Hi,

I think most of the improvement for me was from tazaratene applied every night - at first I used the generic 0.1%, but switched to the weaker brand name Arazlo when I found out I could get it cheaper. I also use sunscreen (Isdin Eryfotana Actinica) and Cetaphil gentle skin cleanser twice a day. That is all I did to get the results in the pictures.

I recently completed 3 Skinpen microneedling sessions, stopped Arazlo, and started Accutane (isotretinoin) for an unrelated condition - I feel like I've seen more improvement in the scar. I'm not sure if it is the Accutane or microneedling that caused the improvement.

Best of luck to you.