Dr. Rajesh Kumar (Dermatology) needs a second opinion on this medical case.
A 39-year-old male presented with the complaint of a waxy Hyperpigmented growth on each side of his nose. This is present for 10 years. The patient mentioned that he scratches it almost every day but it keeps growing back. The lesion is limited to the face, It's non-itchy and doesn't respond to over-the-counter triple action creams. What's the diagnosis and recommendations?