Atypical mole - should I have it removed? (Photos)

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

When deciding whether to remove an atypical mole, especially one that has been stable for over five years, several considerations come into play. Atypical moles, also known as dysplastic nevi, can sometimes resemble melanoma, a type of skin cancer, but they are often benign. The key factors to assess include any changes in the mole's size, shape, color, or texture, as well as symptoms like itching, bleeding, or pain. Even if the mole has not changed, its appearance and location might still warrant removal, particularly if it is in an area prone to irritation or if it causes cosmetic concerns.

Family and personal history of skin cancer are also crucial in making this decision. Individuals with a history of melanoma or with multiple atypical moles may be at a higher risk and might opt for removal as a precautionary measure. Additionally, if the mole is in a location that makes regular monitoring difficult, removal might be advisable.

Consulting with a dermatologist is essential. They can perform a thorough examination and may use tools like dermoscopy to get a closer look at the mole's features. If there is any suspicion of malignancy, a biopsy can be performed to determine the nature of the mole. The dermatologist can then provide guidance on whether removal is necessary and discuss the potential risks and benefits of the procedure.

Ultimately, the decision to remove an atypical mole should be based on a combination of clinical evaluation and personal preference, ensuring peace of mind and health safety.