This section of the forum is dedicated to discussions addressing linear scars, depressed scars, keloid scars, hypertrophic scars, and other facial reconstructive topics. (Of note, Dr. Lam no longer accepts medical insurance so he rarely manages cancer reconstruction or trauma anymore.)
Hi Doctor Lam. I have a round small elevated scar on the top of my nose. Its not red or shiny, and it does not look like typical hypertropic scar. It looks like a pimple. It oozes. But it has been there for three months. I received a kenalog injection to it five days ago. If the injection fails, would a second one work, or since one didn't work is it safe to assume a second would not? What are my options in removing this? My ps suggested just shaving it away. I would like your opinions on this, as this is really effecting me. I am not sure its a scar, as it has a pore which does ooze.
i really cannot give advice on something that i am not physically seeing. however, i would say that if it is oozing i think it sounds like some kind of skin pimple or process that would need a dermatologist to evaluate and not a plastic surgeon or at least until things resolve from its active state. i will say that i personally hate kenalog injections. the risk of atrophy or skin caving inward is higher and i prefer to avoid that kind of injection if at all possible. best, sml
Samuel M. Lam, M.D., F.A.C.S.
Diplomate, American Board of Facial Plastic & Reconstructive Surgery
Diplomate, American Board of Otolaryngology Head & Neck Surgery
Diplomate, American Board of Hair Restoration Surgery