New Orleans Mole Removal doctors
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William Coleman III, MD
Metairie Dermatologic Surgeon
4425 Conlin St, Metairie |
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Jeffrey C. Poole, MD
Metairie Dermatologic Surgeon
111 Veterans Memorial Blvd Ste 406, Metairie |
3 answers | |
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Gregory Pippin, MD
New Orleans Facial Plastic Surgeon
1111 Medical Center Blvd. Suite N 406, Marrero |
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Lindsay Skye Ackerman
New Orleans Dermatologist
920 Poeyfarre St Ph 17 Ste 870, New Orleans |
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Barbara S. Bopp, MD
New Orleans Dermatologist
3901 Houma Blvd Suite 410, Metairie |
Recent Answers
I had a mole shave biopsied and the result stated severely abnormal - recommend removing slightly more. Dermatologist said I needed to set up a punch biopsy. I went in and had this done and I think he removed it with 3mm margins. Im extremely concerned because after researching I have learned that severely atypical moles should be treated like melanoma in situ and be excised with 5 mm margins. Im concerned that it was not an excision and just a punch biospy as well. Should I be worried?
Also, others were removed through a shave biopsy - two were moderately atypical and one was mildly atypical. The dermatologist said that no further treatment was needed on any of these unless the area repigments. Is it possible that a shave biopsy can give clear margins on moderate atypical moles?
Atypical Nevi (moles) that are severely or moderately atypical need to be completely excised both clinically and microscopically. Midly atypical nevi (sometimes called a Clark's Nevus) are considered, by most dermatologist, to be a variant of normal, and complete re-excision is not necessary.
A Biopsy Punch is really a tool that is generally used to obtain a diagnosis (biopsy) but this tool may also be used for treatment (excision). Some Biopsy punches are large enough to encircle the entire lesion along with the necessary margin for clearance. If the lesion is completely removed with adequate microscopic margins, you should be fine.
One thing to keep in mind-- the science of pigmented lesions is imperfect. There is great debate within the scientific community about exactly what an atypical mole really means, about the necessity to treat and what the proper treatment is. Be sure to consult with a respected, Board Certified Dermatologist that you trust and have a good rapport. This is the best way to obtain your best care.
I have several small, round, and flat moles on my face(11+). I've had them for over 15 years and I want them all to be gone. Is it possible to have them remove by laser? I am Asian so I tend to scar easily on my body, but not my face. Also, would a dermatologist remove them or facial plastic surgeon?
Laser therapy may be an acceptable modality to treat some moles, and have the advantage of improving or eliminating the color of the mole wihout leaving a scar. Moles that respond best are generally smaller, flatter, dark moles. However, no mole should be removed by laser before being evaluated by a Board Certified Dermatologist to ensure it shows no atypical features. If there is ANY atypical features to your mole, it should not be lasered.
Various lasers that can be helpful include q-switched Nd:Yag (1064nm), frequency doubled q-switched Nd:Yag (532nm), or q-switched or long pulsed Ruby (694nm) or Alexandrite (755nm). These lasers can reduce or eliminate the color without leaving scar, but results are inconsistent, and the color may return.
Erbium or CO2 laser may also be used to eliminate moles, but these are ablative lasers, and therefore may result in scarring, so are generally not preferred over surgical excision.
Be sure to consult with a Board Certified physician with extensive laser and surgical experience to ensure your best results.
Is laser removal a possibility?
Birthmark "moles" are often located deep into the skin and require surgery to remove them. Laser surgery cannot do this without leaving a huge scar. In most cases surgical removal leaves a fine line scar which is less noticeable than the mole.