Mole Removal: Q&A
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How to Minimize Scar After Mole Removal?
I have a mole on the side of my face, by my chin. I had it looked at, and been told it doesn't look cancerous. I really don't want a scar there. What is the best way to have it removed? I've been told cutting it out, shaving, etc. If I can't avoid scarring, is there anything I can do after mole removal to minimize it? Thank you.
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9 Doctor Answers |
Asked by
jamejame
in washington
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Minimizing scars after mole removal
The best way to minimize scars after mole removal is to treat the area of the skin with an ointment and leave it covered for at least a week after the procedure. Shave removal as opposed to surgical excision usually minimizes scarring. To have the best results find a board certified dermatologist with knowledge of cosmetics.
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Mole removal
If the mole is raised, it may be just fine to have it shaved. If the pigment is deep, a complete surgical excision may be necessary. Either way, it is very important to minimize sun exposure on the area as it heals.
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Minimizing mole removal scar
To achieve your best possible results, follow the pre and post operative instructions of your board certified facial plastic surgeon or plastic surgeon. I require that my patients stop using aspirin containing products for two weeks before and after the removal. I also have very specific post operative instructions for my patients. Check with your reputable surgeon for his/her specific instructions.
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Surgery means a surgical scar
Patients often come to me as a plastic surgeon for mole removal because they "don't want a scar." It is impossible to make a surgical cut and not leave a scar. What plastic surgeons and anyone who pays attention to getting the best possible cosmetic outcome do is to allign scars along natural skin tension lines to minimize the scarring.
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Mole removal
I almost always start with a shave removal when it comes to mole removal as it it least likely to leave a noticeable scar. You can also have it later excised with stitches if the shave scar is undesirable. Lasers can also be used to improve scarring and may be a great option. The key though is to minimize the scar in the first place so good wound care after the removal is critical.
Boulder Dermatologist
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Scar after mole removal
After removing a facial mole, it is important to close the incision using a deep layer of stitches that dissolve over time and a superficial layer to bring the skin edges together just right. The superficial stitches should be removed in 5 - 6 days. Leaving them any longer can result in Frankenstein "rail road tracks". After removal of the superficial stitches, the deep layer helps to maintain some strength of the wound so it does not break open.
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Mole Removal
Mole removal is an individualized procedure and based on the following factors:
Anatomic location
Suspicion of precancerous or cancerous based on history and individual characterisitcs of the mole
Individual threshold for a scar
Find someone who specializes in removing moles from the face and they will be able to guide you on the best way of having a mole removed.
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Minimizing surgical scars with mole removal
Dr. Oppenheim is absolutely correct in his assessment of your problem. Scar excision of the chin would be preferable to shave excision transdermally. I would recommend a scar excision with multiple layers including absorbable sutures for the deep dermis and non-absorbable prolene sutures for the skin. Excision patterns should be placed along Langer's lines.
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Prefer Excision
This area, I feel, does best with a double layered closure after an excision. It is generally not as amenable to the shave biopsy technique as it might be in other places. It also ensures that the whole nevus (mole) has been extirpated.
After biopsy care should include a second skin type of dressing, the choice being up to the surgeon. I like scarguard MD to diminish the scar.
Do wear a sunscreen and oral zinc and Vitamin C may help healing.
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