Your mole could be easily removed by either a shave excision or an excision with suture closure. Either method, done properly, should result in a
minimal scar. If for any reason a shave excision does not heal as well as
expected, or if there is significant remaining pigmentation, it can always be excised and sutured at a future date, but in my
experience this rarely happens.
A raised mole can be removed by shaving it off, but because your mole is dark, there probably would still be some discoloration at the base of it. If this is not an issue for you then it could be shaved. If you wanted no pigment still left, then the mole would most likely need to be excised.
The two options are to shave it flat or to excise it. Shave removal is less invasive but does not remove a mole completely and there is a risk of recurrence or regimentation. Excision removes a mole in its entirety but requires stitches to close the wound. Excision is generally a straightforward procedure. The upper lip is potentially a more problematic area for excision of a larger mole with risk of distortion of the anatomy of the lip. I would recommend that you see a dermatologic or plastic surgeon who should have a detailed discussion with you about the benefits and risks of removal of the mole.
Excision under local anesthesia is fairly easy and straight forward for large dark bumpy moles under the nose. Cost is roughly $85 for the initial office visit and $250-350 for the surgery which is usually done right then. Sincerely, David Hansen,MD