I always recommend starting with a shave excision which takes off just the surface area affected and sending for pathology. Why go through a huge excision process and stitches if it's not necessary and the site is benign? That's just silly and a waste of your and your insurance's time and money! Best to find out exactly what it is via shave excision and then determine what's appropriate.
"This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."
I biopsy a suspicious appearing mole on the back, I will always use a
"shave removal" method. The mole is actually "shaved off"
at a very superficial level just below the surface of the skin. This method is
quite effective to remove moles and leaves a minimal scar. If the pathological examination
of the specimen shows a precancerous or cancerous mole, I will then do an
excision with layer closure using both dissolving and non-dissolving stitches
to ensure its complete removal. This method is perfectly safe and avoids
unnecessary surgery as well as a potentially nasty scar.