TRICHOSTASIS SPINULOSA (TS) is a common disorder characterized retention of multiple hairs within pilosebaceous follicleson the nose. They appear like blackheads, but multiple (5 to 40) fine hairs are demonstrated when examined with a hand lens. Possible causes include abnormalities of the follicular unit, preventing expulsion of the hair and entrapment of hair.

Condition is asymptomatic, but patients seek treatment because of the cosmetic reasons.Patients are bothered by roughness and dark plugs of the skin of nose. Moisturizers, keratolytics, depilatories, and tretinoin, offers some degree of symptomatic temporary relief. These therapies are ineffective because they fail to alter the structural disorder of the follicle. Permanent removal of the abnormal hair follicles by Laser Hair Removal may provide a definite cure for this skin condition. Pulsed diode laser is a safe and long-term effective treatment for TS. The smooth skin surface produced after laser hair removal treatment offers a cosmetic benefit in addition to the actual loss of the dark spots on nose.