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Elimination of the Papules Fibrous of the To the Nasal

The removal of fibrous papules from the nasal wing using laser, under the assistance of the microscope, prevents sagging in the skin.

What are fibrous papules of the nasal wing?

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

They are considered tissues of atypical evolution that resemble follicular elements, one could say a “clumsy response” to the call of follicular maturation in the second decade of life, the same one that creates populations of thicker hair, generates acne, etc. 

Its name explains its structure: Papule, describes a swelling on the skin, “fibrous” is the most similar tissue that is observed under the microscope and “nasal wing” is the site of its most frequent location.

They are classified as a variety of hamartomatous tumors. (Healthy tissues that appear in other tissues, where they should not be).

What are fibrous papules of the nasal wing composed of?

The predominant elements are follicular, reminding pathologists of hair follicles.

A variety of amorphous fibrous and vascular tissues are considered.

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

At what age do fibrous papules of the nasal wing appear?

They are more common from the second decade of life. After this age, no new lesions appear and they continue to grow very slowly.

How much can fibrous papules on the nasal wing grow?

They can reach a diameter of a few millimeters, generally less than five.

In general, they never occur alone; there could be more than what is seen or felt.

Presencia de abundantes lesiones
Presence of abundant lesions

Why remove fibrous papules from the nasal wing?

Its appearance is unaesthetic. The largest 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.

Why is laser preferable to other methods for removing fibrous papules of the nasal wing?

It is a tumor that emerges in the skin in a very circumscribed manner with sufficient depth to recur when a very superficial shaving intervention is performed or to cause scars 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.
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
Extirpación siringomas con láser
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.
La proximidad de las lesiones exige una mayor delimitación del instrumento utilizado. El procedimiento preservó la curvatura nasal y al control del octavo mes, documentó lano presencia de lesión
The proximity of the lesions requires greater delimitation of the instrument used. The procedure preserved the nasal curvature and at the eighth month control, no presence of injury was documented.

Are scars left after removal of fibrous papules on the nasal wing?

In the vaporization area, the surface may be left without pigment, which is why it is advisable to eliminate even the smallest lesions.

If the lesion is deep and greater than 4 millimeters in diameter, there may be areas with little pigment smaller than the original lesion or small areas of fibrosis that must be treated in the controls.

Cicatriz estética pósterior a remoción de pápula fibrosa del ala nasal . 10 meses posoperatorio
Aesthetic scar after removal of fibrous papule from the nasal wing. 10 months postoperative
La cicatrización se logra nivelada y levemente hipocrómica
Healing is level and slightly hypochromic.
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