Surgery to Remove Cafe Au Lait Birthmark?

Café au lait spots can be removed by surgery, but laser is the first line treatment for the birthmarks. Our office performs laser and surgical excision of moles and birthmarks on the face and body. Best, Dr. Karamanoukian

Both laser treatments and surgery are options for your birthmark. We agree with Dr. Rajagopal that q-switched lasers are an excellent option and you should find out what kind of laser was used for your treatments and if it was a 1064 or 755 nm q-switched laser. Just because you did not respond to treatment previously does not mean lasers will not work for you. But you must make sure you are being treated by an experienced practitioner using q-switched lasers. Surgical removal is an option as well and we have done this before in cases where a birthmark reappears repeatedly after laser treatment or does not respond to lasers.

I would opt for laser first before surgery.   Q-switch lasers are usually used for these lesions.   Lutronics also offer Spectra laser which costs about $200 to $300 per treatment, and you will probably need about 10 treatments, and retreatment as needed.  It is the same laser that is used to remove tattoos.