Can Fibrous Acne on the Nose Heal Naturally? Expert Insights - Dermatology

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Fibrous acne, often resulting from cystic acne, can indeed be a source of concern for many individuals. When a cystic acne lesion ruptures, it can lead to the formation of fibrous tissue as part of the healing process. This fibrous tissue may appear as a hard, raised area on the skin, which can be frustrating, especially if it does not seem to improve over time.
To address your question, yes, fibrous acne can sometimes heal naturally, but the process can be slow and may not always lead to complete resolution. The body has a remarkable ability to heal itself, and in many cases, it can gradually absorb excess fibrous tissue. However, the extent and speed of this absorption can vary significantly from person to person, depending on factors such as skin type, overall health, and the specific characteristics of the fibrous tissue.

In your case, since you have been under the care of a dermatologist and have received treatment with antibiotics and topical retinoids (A acid), you are on the right track. These treatments can help reduce inflammation and promote skin cell turnover, which may assist in the healing process. The injection of anti-inflammatory medication you received is also a common approach to reduce swelling and redness associated with cystic acne.

It is important to note that while some fibrous tissue may resolve on its own, there are instances where it may persist and lead to scarring. If the fibrous tissue does not improve over time or if you are concerned about the potential for scarring, it may be beneficial to discuss additional treatment options with your dermatologist. These options could include:
1. Laser Therapy: Certain laser treatments can help reduce the appearance of fibrous tissue and promote smoother skin texture.

2. Microneedling: This procedure involves using fine needles to create micro-injuries in the skin, stimulating collagen production and potentially improving the appearance of fibrous tissue.

3. Chemical Peels: These can help exfoliate the skin and may improve the texture and appearance of the affected area.

4. Surgical Excision: In some cases, if the fibrous tissue is particularly prominent or bothersome, a dermatologist may recommend surgical removal.

In conclusion, while fibrous acne can sometimes resolve on its own, it is essential to monitor the situation closely. If you notice no improvement or if you have concerns about scarring, it is advisable to consult with your dermatologist for further evaluation and potential treatment options. Remember, patience is key in the healing process, and maintaining a consistent skincare routine can also support your skin's recovery.