Different ways to remove mole (other than another shave excision) to stop it growing back? (Photos)

Question

A nevus (mole) may recur after excision. The mole on on the right side of my abdomen. First it was a flat mole. But grew back as a raised mole. I went to a different dermatologist who said there may have been some mole cells left behind. They excised it again. It grew back! So even they didn’t do it, right. Is there a different way to remove this mole other than ANOTHER shave excision, so that it will stop growing back?

Raffy Karamanoukian, MD, FACS · Answer

Mole removal begins with a comprehensive examination and consultation to determine the likelihood of a mole being worrisome. Excisional and incisional biopsies are reserved for suspicious moles. But it’s good news that most moles are not problematic and are only cosmetic, thus leading to the option of scarless or non-surgical mole removal with lasers and RF and plasma. Our office specializes in non-surgical mole removal.

Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Anna Chacon, MD, FAAD · Answer

Certainly! There are several methods for mole removal beyond shave excision that can help reduce the likelihood of the mole growing back. Here are some options:

1. **Surgical Excision:**
   - **Procedure**: The mole and a margin of surrounding skin are cut out using a scalpel. The wound is then closed with stitches.
   - **Advantages**: This method ensures that the entire mole is removed, which reduces the chance of recurrence.
   - **Considerations**: There may be a small scar, and the recovery involves wound care and suture removal.

2. **Laser Removal:**
   - **Procedure**: A concentrated beam of light is used to break down the mole cells.
   - **Advantages**: Minimally invasive with minimal scarring, suitable for moles that are flat and small.
   - **Considerations**: Multiple sessions may be needed, and it may not be suitable for deeper moles. There's also a possibility of incomplete removal.

3. **Cryotherapy:**
   - **Procedure**: The mole is frozen off using liquid nitrogen.
   - **Advantages**: Quick procedure with minimal scarring.
   - **Considerations**: Multiple treatments may be needed, and it might not be effective for deeper moles. There is a risk of skin discoloration.

4. **Electrosurgery:**
   - **Procedure**: The mole is burned off using an electric current.
   - **Advantages**: Effective for raised moles and can be combined with curettage (scraping).
   - **Considerations**: May require local anesthesia, and there's a risk of scarring and changes in skin texture.

5. **Radiofrequency Ablation:**
   - **Procedure**: High-frequency radio waves are used to remove the mole.
   - **Advantages**: Precise removal with minimal damage to surrounding tissue.
   - **Considerations**: May require local anesthesia, and there's a risk of scarring, though typically minimal.

6. **Excisional Biopsy:**
   - **Procedure**: Similar to surgical excision but typically involves removing a smaller margin of surrounding tissue.
   - **Advantages**: Allows for a thorough examination of the mole under a microscope to ensure complete removal.
   - **Considerations**: May involve stitches and leave a small scar.

Important Considerations:
- **Histopathological Examination**: For any mole removal, especially if there is a concern about malignancy, the removed tissue should be sent for histopathological examination to rule out skin cancer.
- **Follow-Up**: Regular follow-up with a dermatologist is important to monitor for recurrence or the development of new moles.
- **Scarring**: Discuss potential scarring and post-procedure care with your healthcare provider to minimize cosmetic concerns.

It’s essential to consult with a dermatologist or healthcare provider to determine the most appropriate method based on the mole's characteristics, location, and your medical history.

Different ways to remove mole (other than another shave excision) to stop it growing back? (Photos)

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Everything you need to know about Mole Removal

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Different ways to remove mole (other than another shave excision) to stop it growing back? (Photos)

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Everything you need to know about Mole Removal

Our mission is to create a world where every investment in modern beauty is Worth It.