Thank you for your question. There are various ways to remove birthmarks, depending on its etiology. For example, a birthmark caused due to a vascular problem needs a completely different treatment than a birthmark such as a mole. More often than not, vascular birthmarks need to have some form of laser treatment. They can require more, but a laser is generally a minimum. Other birthmarks such as a mole, can be excised in the office with relative ease. The size and location will determine the final outcome. A photograph always helps but there is no substitute for and in person physical examination. Make sure you visit with a board certified plastic surgeon for the best outcomes.