Fibrous papules are common, non-cancerous skin growths that frequently appear on the nose. They are typically small, dome-shaped bumps that can be the same color as the surrounding skin or slightly reddish. While generally harmless, some individuals choose to have them removed for cosmetic reasons. This article explores the characteristics of fibrous papules, their potential for recurrence after removal, and common treatment options.
What Are Fibrous Papules
Fibrous papules are skin growths that commonly present as small, firm nodules, typically found on or around the nose. They can range in color from flesh-toned to white, red, or brown, and are usually less than 5 millimeters in diameter. These papules are composed of an overgrowth of collagen, connective tissue cells called fibroblasts, and blood vessels. They do not typically cause any symptoms like pain or itching.
Do They Return After Removal
Generally, fibrous papules do not return after being completely removed. If the removal is incomplete, some of the original papule tissue may remain, leading to apparent regrowth. While the original papule may not recur, new fibrous papules can form in the same general area or nearby, especially if an individual has a predisposition to developing them.
The depth and completeness of the removal procedure play a role in preventing recurrence. Procedures that ensure the entire papule, including its base, is removed tend to have a lower risk of apparent regrowth. Superficial treatment options may carry a higher risk of the papule appearing again.
How Are Fibrous Papules Treated
Fibrous papules do not medically require treatment, but can be removed for cosmetic reasons. Several common methods are used for removal, often performed in a dermatologist’s office:
- Shave excision: Uses a surgical blade to shave off the papule at the skin’s surface. This method allows for tissue to be sent for biopsy, which can confirm the diagnosis.
- Laser therapy: Particularly CO2 lasers, precisely target and vaporize the papule tissue while minimizing damage to surrounding skin.
- Cryotherapy: Involves freezing the papule with liquid nitrogen, destroying the tissue through extreme cold.
- Electrosurgery: Uses an electric current to cut or burn off the papule.
When to Seek Professional Advice
It is advisable to consult a healthcare professional, such as a dermatologist, if you notice any new skin changes or growths. While fibrous papules are typically harmless, a medical expert can accurately diagnose the bump and rule out other, more serious skin conditions like skin cancer. You should also seek advice if a fibrous papule changes in size, shape, or color, or if it becomes irritated, bleeds, or causes discomfort.
A dermatologist can discuss appropriate treatment options if cosmetic removal is desired. Attempting to remove a fibrous papule at home is not recommended due to the risks of infection, scarring, or incomplete removal. A professional consultation ensures proper diagnosis and safe, effective management.