Multimodal Aesthetic Dermatology Approach to a Nasal Laceration Managed without Sutures: A Case Report
Keywords:
Aesthetic dermatology, Nasal laceration, Topical skin adhesive;, PRP, CO2 LASER, Q switched LASERAbstract
Introduction: Facial lacerations are typically managed with primary suturing to achieve optimal cosmetic outcomes. However, patient refusal of surgical closure may necessitate alternative approaches. We report a case of nasal laceration managed conservatively using topical adhesive, followed by multimodal dermatological interventions to optimize long-term cosmetic results.
Case Report: A young male presented with a fresh lacerated wound on the nose following a roadside accident. Due to refusal of surgical suturing, the wound was initially approximated using topical skin adhesive after achieving hemostasis. Early outcome was suboptimal, with poor cosmetic satisfaction at one week. Subsequently, the patient underwent a staged dermatological rehabilitation plan including fractional CO₂ laser resurfacing, Q-switched laser sessions for post-traumatic pigmentation, platelet-rich plasma (PRP) injections, and mesotherapy. Over a 4-month follow-up period, the patient demonstrated marked improvement in scar texture, pigmentation, and overall cosmesis, exceeding initial expectations.
Conclusion: This case underscores the potential of multimodal dermatological therapies in enhancing cosmetic outcomes of traumatic facial wounds, especially when surgical closure is not an option. It highlights the evolving role of dermatologists in post-trauma scar modulation and aesthetic rehabilitation.
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