Mark Hudson-Peacock, MBBCh, FRCP

I agree with the other answers from Dr. Green and Dr. Echavez in that any dermal filler injections may cause bruising and that the use of ice and Arnica may help to speed up its resolution. However, I would just like to add that the use of a cannula instead of a needle significantly reduces the chance of any bruising.
Always consult a qualified and experienced practitioner when seeking out such treatments. It is not as risk free as the media may make out. Aseptic technique, genuine products and experience are the most important factors in achieving a good result.

The method of removal depends on the clinical diagnosis. This should be assessed by either a dermatologist or may be by your GP. If it is a benign mole that is flat and pigmented, then the option might include laser treatment. If the mole is a benign fleshy raised mole, then shave excision under local anaesthetic would be the treatment of choice with the best cosmetic outcome. Clearly if there is any suspicion about the mole itself, then it should not be zapped away by the laser. The Canterbury Skin and Laser Clinic in Kent has a range of lasers for use on the skin as well as offering surgical options of removal. All lesions removed will be analysed to be absolutely sure of the histological diagnosis. The first instance however, is to confirm the clinical diagnosis, before discussing the possible treatments and then the appropriate treatment of choice. The consultation is the means to this end. 

Hi,
From the photo supplied, this is a benign papular naevus or mole. It is pigmented and hairy as described. The initial treatment of choice is that of a shave excision with histology to confirm its nature as the standard quality control. It had previously been considered that if a mole such as yours was so dark and hairy that the only way of getting rid of it is by an elliptical excision technique, which will always leave a scar 3-4 times longer than the diameter of the mole. If this is well executed and you heal well, this can be very satisfactory. But, if the healing and orientation of the scar are less than ideal, this may not be so. I would recommend you read a paper published in the British Journal of Plastic  Surgery from 1996 on the very topic of shave excision of moles like yours. In this paper, it is shown that by using the shave excision technique, even in dark and hairy moles, the cosmetic outcomes are excellent in most cases. From recollection only about 25% of hairy moles came back hairy and about the same for pigmented ones, too. In about 60% of cases from memory, there was no obvious scar visible at 6 months post surgery either. For me, in my practice, I would always shave excise first, confirm histology, and await the healing process that follows. If it does not heal ideally, you can always proceed to an elliptical excision later (almost never necessary in my practice: <1:1000 patients). The choice is yours. Good luck with taking this forward. 
Dr Mark

Hi,
Looking at the photo, combined with your history, this is almost certainly an hypertrophic scar that has developed at the mole shave excision site. It is important to confirm the original mole's histology with your dermatologist and get them to review this outcome. It is a well recognised risk that such an outcome is possible with any surgery, but more so if you have a history of such scar formation from past surgery or accidents, and on the upper back, chest and shoulder sites in particular. Assuming benign histology, this is nothing to worry about. Hypertrophic scars can improve with: time, silicone gels being applied over months, and the use of topically applied or locally injected steroids. Your dermatologist is the best person to evaluate this area, as they have all the pertinent details to hand, and to give the appropriate advice to you. Good luck!
Dr Mark

Hi,
Looking at the photo, this looks quite innocent to me. However, there is the need to look, feel and analyse the diagnostic possibilities in the flesh, as it were, to be sure that the reassurance being suggested is appropriate. Any new or changing lesion is best assessed by an expert. If the clinical impression is confirmed as a benign lesion, the only treatment needed is reassurance. If the lesion is significantly symptomatic, I would advise a shave excision to both treat and confirm the diagnosis with the required histology pertinent to such a lesion. If there was any doubt about the diagnosis, a fuller excision would be appropriate with histology as before to confirm its nature. Further treatment can then be planned if needed. I am sure quite innocent, but get it confirmed by your local expert (could be your family doctor, if good at such lesion recognition, or your local dermatologist). Good luck!
Dr Mark