Removal of Fibrous Papules of the Nasal Ala
The removal of fibrous papules of the nasal ala using a laser, with microscope assistance, prevents skin depressions.
What are fibrous papules of the nasal ala?
Resultado a 5 años de la vaporización de pápulas fibrosas del ala nasal
5-year outcome of vaporization of fibrous papules of the nasal wing
Fibrous papules on the nasal tip three months after their removal.
They are classified as a variety of hamartomatous tumors (healthy tissues that appear in other tissues, where they should not be).
Under the microscope, an increase in collagen in the dermis, thin-walled blood vessels, and multinucleated cells can be observed. In general, the lesions do not have hair.
To the naked eye, fibrous papules of the nasal ala appear as skin-colored or reddish bumps. They do not present symptoms.
What are fibrous papules of the nasal ala composed of?
The predominant elements are follicular, reminding pathologists of hair follicles.
They are considered a variety of amorphous fibrous and vascular tissues.
Cicatriz estética con leve zona despigmentación sin hundimiento notable en la punta nasal
Aesthetic scar with slight depigmentation area without notable sinking at the nasal tip
Aesthetic scar with slight depigmentation area without notable sinking at the nasal tip.
At what age do fibrous papules of the nasal ala appear?
They are most frequent from the second decade of life. After this age, no new lesions appear, though they continue to grow very slowly.
How much can fibrous papules of the nasal ala grow?
They can generally reach a diameter of a few millimeters, less than five.
In general, they are never present alone; there could be more than those that are seen or palpated.
Presencia de abundantes lesiones
Presence of abundant lesions
Presence of abundant lesions.
Why remove fibrous papules of the nasal ala?
Their appearance is unaesthetic. The larger ones are very striking.
Presentación con alto componente angiomatoso de una pápula fibrosa del ala nasal.
Presentation with a high angiomatous component of a fibrous papule of the nasal wing.
Presentation with a high angiomatous component of a fibrous papule of the nasal wing.
Why is laser preferable to other methods for the removal of fibrous papules of the nasal ala?
It is a tumor that emerges in the skin very circumspectly, with enough depth to recur when a very superficial shaving intervention is performed, or to cause scarring for the same reason.
Obsérvese el aspecto del lecho vecino «tallado» con el láser la total eliminación de la lesión se pudo evidenciar en un control a mayor plazo
Note the appearance of the neighboring bed "carved" with the laser. The total elimination of the lesion could be seen in a longer-term control.
Note the appearance of the neighboring bed “carved” with the laser. The total elimination of the lesion could be seen in a longer-term control.
Completa y rápida nivelación de la piel tratada con láser para una lesión en la punta nasal
Complete and rapid leveling of laser-treated skin for a nasal tip injury
Result 5 months later, no recurrence is observed.
Secuencia de vaporización de pápula fibrosa del ala nasal
The small area of carbonization corresponds to the CO2 laser to control bleeding due to the inability of the Erbium-YAG laser to control bleeding in the middle dermis.
Sequence of removal of nasal papules two months after their removal. Observe other smaller papules at the base of the nasal wing.
Final sequence of removal of a group of fibrous papules from the nose. The somewhat sunken appearance levels out spontaneously over time.
Do scars remain after the removal of fibrous papules of the nasal ala?
Residual scars may manifest a slight sinking that, in most cases, levels out over the months.
It is necessary to evaluate the perilesional areas very well and seek to perform coagulation that respects the healthy tissue as much as possible.
The patient may report discomfort after the treatment session due to the normal healing process.
Control one month post-treatment.
