Mole Was Removed but Scar Now Has Streaking Pigment? Doctor Answers, Tips
Mole Removal: Q&A
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Mole Was Removed but Scar Now Has Streaking Pigment?

I had a mole removed this past February. Melanoma runs in my family. It was a shave biopsy and the results came back as not benign. Recent I had a physical with my primary doctor and she referred me to a plastic surgeon as she is concerned about the 'streaking pigment' that has since showed up. The scar is also quite raised. Initial mole was removed by a dermatologist. If the plastic surgeon wants to remove more what can I expect? Is there a possibility it could still be cancerous?

4 Doctor Answers | Asked by whitwhitneyl
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Mole biopsy through shave biopsy

A shave biopsy will not remove your mole. It is the less likely to do that. For removal, surgical excision of the mole is the best way to remove it and to get a diagnosis. see video
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Inadequate Shave Excision Results In Residual Pigment At Site Of Mole

The shave excision that was performed to remove your pigmented mole was not deep enough to remove all of the pigmented cells. Some of the deepest pigmented cells were left behind, and have now gone on to form additional pigment in the scar that remains. Even though pigment at these types of post-operative sites may look very abnormal, the pigment itself is not concerning unless the initial mole was cancerous or atypical. The raised scar is a hypertrophic scar that has resulted from... more
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Scar from mole removal with streaking pigment

You said the mole came back as "not benign" but did not specify exactly what it was. It is possible you have an atypical mole (which is not a cancer) but you should make certain the biopsy was read by a dermatopathologist. Streaking pigment most likely means that part of the mole is still remaining so it is important to know exactly what the biopsy report said. In our office, we will do an excision with suture closure to get clear margins for all moles that have moderate to severe atypia.... more

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Pigment after Mole Removal

You say that the original lesion was "not benign." Does that mean it was atypical or does that mean it was malignant? In either event if you've developed pigmentation in a scar of a "not benign" pigmented lesion, it should be surgically removed. Recurrence of pigmentation after a shave biopsy is not unusual and is one of the risks of shave removal rather than excision and closure. If the lesion is benign, frequently no further surgery is necessary (it depends on what the pathology report... more
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