Treatment Options for Nevus on the Nose For 11 Year Old Boy? (photo)

My son(11yrs/Korean ethnicity) has a nearly 2cm diameter melanocytic nevus on the right side of the nose. This has become darker over the years and thicker (as one would expect) and increasing number of hairs within it. We want advice on how to choose the best treatment to make the scar least, with our ethinicity being considered.

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3 Doctor Answers | Asked by fann80

Doctor Answers (3)
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Excision is an option for the nevus on the nose

Because of the size, there are no perfect options. Total excision can be done with a forehead flap reconstruction of the defect is likely one of the best options. You will have a scar on the forehead though and you will have to weigh the options. Below is a video to illustate our answer better. We have other informative videos and information on our website and a link is included to help you find us. see video

Philip Young, MD

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Bellevue Facial Plastic Surgeon

Laser for mole on nose

Congenital moles of this type extend deeply into the skin and exicison would leave a large, deep wound. A skin graft would look sunken in and would be unacceptable in my opinion. Closure would require a large, multi-staged flap and there would be risk of significant scarring and as well as risk of alar rim elevation and distortion. I would consider laser therapy which is done with some frequency for these types of moles in Asia. In the US, I would see Dr. Rox Anderson... more

Nose nevus

This is one of the most difficult areas to reconstruct especially in a young person with very little skin laxity and the need to minimize the scars. I would excise and cover with a full thickness skin graft. If the cartilage gets exposed then a flap is needed. A nasolabial fold flap next would be a forehead flap. The skin graft has the least scars but not a super cosmetic results. Flaps may give a better cosmetic result, but more scars.