As per your question description, accidental scar on your nose after an injury with your nail before 2 weeks ago. To elaborate it in detail, let’s understand first what happens after any kind of injury on the skin. Whenever we get any kind of cuts on our skin, our skin tries to heal it with the help of fibroblast, elastic tissue, collagen which are building blocks of our skin. Immediately after injury, when skin is raw with the wound, our body tries to protect our skin by migrating our epidermal melanin pigment cells upwards which leads to post inflammatory hyperpigmentation. At this time, you start noticing darkness on the affected area. This pigmentation usually gets reduced with time.
When skin is healed completely after injury there occurs formation of a fibrous scar which looks different from original skin & has to be treated differently. The intensity of formation of the scar depends upon how deeper was the injury. To improve these kinds of scars various ablative or invasive treatments should be planned which will act on the fibrous tissue beneath the scar & will help information of new collagen.
These treatments include Fractional Co2 laser, Erbium glass laser, Microneedle RF, Micro-needling, Platelet-rich plasma(PRP) for deep atrophic scars scar subcision & excision can be tired. To improve pigment changes in a scar, Fractional Q switched Nd Yag laser can be used. Multiple treatment sessions will be required to get best possible results. Results of this treatment may vary from patient to patient depending upon their collagen remodullation capacity.
Topical creams containing kojic acid can be tried to reduce pigmentation of a scar, however, only topical creams will not be able to give best results when compared with ablative laser procedures.
We request you to consult your nearby dermatologist, who is fully equipped with all these treatment options under one roof.
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