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Nevi on the lip heal with minimal scar formation, usually. I would seek out a board certified dermatologist who can shave this for you. I don't see the nevus from your photo, so the final answer will come from the doctor you visit.
Hi there and thanks for your question! Moles are pesky and often people are told love your mole or choose to have a scar! There are other great alternatives to surgical excision though that leave virtually no scarring at all! My preferred method of removing miles such as yours utilizes radifrequency ablation. The Ehlmam radiofrequency device allows me to essentially take the mole down a layer at a time to the level of the skin and then allow the skin to naturally heal in this area with normal pigmentation! This is only possible by staying with in certain levels of the skin known as the dermis. If you stay to superficial the mole doesn't go away if you go to deep scarring can occur. This is a somewhat artistic approach but it leaves absolutely wonderful Arsthetic result. Thanks again for your question and best wishes in pursuing your care!Dr G
Typically, the scar after mole removal of the upper part of the lip, does very well. This is an area that is privileged in terms of healing and hiding scars.
It sounds like you have a seborrheic keratosis. It's hard to rip an actual mole. As to the question you asked, what to do, that is simple. See a doctor.
I recommend following up with your cosmetic dermatologist. If necessary, this can be removed again with laser, radiowave or shave. See an expert. Best, Dr. Emer
This will vary with skin quality and healing. Any scarring can be improved with lasers and microneedling/prp. I recommend Silagen + Bioshield for 6 weeks after removal to help promote healing. See an expert. Best, Dr. Emer