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Lichen sclerosis rarely involves the face.
Here are some questions that you may want to present to your dermatologist:
I suggest that you discuss with your dermatologist the likelihood of this lesion in the nasal area to be lichen sclerosis.
Also, what is the chance that this new onset lesion on the face may be another lesion with lichenoid features as in the case of lichen planus pigmentosa.
Will a biopsy be done?
Does the presence of lichen sclerosis increases my risk for other lichenoid skin disease?
Does hormone therapy play a role in improving conditions of patients with lichen sclerosis?
I am sure your dermatologist will be able to guide you with your concerns.