Sacramento Mole Removal doctors

	Jacqueline Calkin, MD Sacramento Dermatologic Surgeon 2625 Fair Oaks Blvd #1, Sacramento		2 answers
	Miguel Delgado, Jr., MD San Francisco Plastic Surgeon 450 Sutter Street Suite 2433, San Francisco
	Thomas E. Kaniff, MD Sacramento Facial Plastic Surgeon 631 Fulton Avenue, Sacramento
	Chase Lay, MD Bay Area Facial Plastic Surgeon 10050 Bubb Road Suite #1, Cupertino
	Andrew Pichler, MD Sacramento Facial Plastic Surgeon 6633 Coyle Ave Suite 2, Carmichael

Recent Answers

After 3.5 Months of my First Excision of my Pigmented Birthmark 1.Will this scar heal well?HOw long?had an injection to'flatten'the raised scar today,now using kelo-cote 3times/day.

2.Can undergo a second excision?Will it cause larger hypertrophic scar?

3.Still possible to achieve thin fine line after this first excised scar?

4.Why this occur?scar lacks moisture?fever/cold affect scar?

5.What I CAN do to prevent this scar occuring?

A: Bleomycin is an excellent treatment for hypertrophic scars as is 5FU

By far the best treatment results I have seen with scars such as this is Vbeam laser followed by intralesional 5FU and steroid injections or bleomycin injections. I would recommend continuing with your excision and have the incision scar treated with the laser monthly starting 2 weeks after suture removal. If it again begins to thicken up, immediately add the injections to the laser treatments. Best to you.

Jacqueline Calkin, MD

Sacramento Dermatologic Surgeon

Mole Removal by Dermatologist or Plastic Surgeon? I have a mole on the border of my lip that I need to have removed because it is malignant, but I'm not sure if I should let my dermatologist remove it. Because it is located on my face (and because I don't want to look deformed after it is removed), I am wondering if I should go to a plastic surgeon or a facial plastic surgeon instead. What type of doctor is most qualified to remove a mole from my face without making me look deformed?

A: Both a dermatologic surgeon and a plastic surgeon are qualified

It is quite sad that there is so much bias in the answer to your question. Both are qualified to operate in this area. After all, the only things dermatologists do is operate on skin! The important thing to realize is that if it is appropriate for your tumor, a Moh's dermatologic surgeon is the only doctor who can control the margins. This means that they take the minimum amount of tissue to achieve a cure. Not all melanomas qualify for this approach. Some require very large excisions to achieve a cure. That is your first concern. Ask the doctor who biopsied you who they would see. Remember if he is a Moh,'s surgeon, then typically all they do is operate on skin all day long. If there is not a properly trained and experienced Moh's surgeon in your area, then an excellent plastic surgeon or dermatologic surgeon will achieve the same results.

Jacqueline Calkin, MD

Sacramento Dermatologic Surgeon