Congenital Hairy Nevus on Fore Head? (photo)

A shave excision or surgical excision are both procedures I would offer for this non-pigmented epidermal lesion on your eyelid.

Lower eyelid pigmented nevi are common, but can also be a sign of something more severe. I would recommend a surgical biopsy of the mole done under local anesthesia. 

I would begin treatment  for the raised hypertrophic part of the scar.  Hair growth or ingrown hairs may be inciting inflammation and thickened scar as well. I would treat with lasers and IIT> 

Surgical shave excision can improve the cosmetic appearance of this mole, but there will still remain a chance of regrowth.  I would perform the mole removal in my Los Angeles practice under local anesthesia.

Complete excision with negative margins remains the gold standard for skin cancer cure.  It is up to you, knowing the full risks and having informed consent, whether you desire to withold further treatment.  In my office, I would recommend curative cancer surgery, if possible. 

Pricing for mole removal varies a lot from doc to doc but here are our pricing. The initial office visit is only $85 and the facial mole removal is $150 for shaving it flat or $250-350 to excise it depending on the size and location. Hope that helps. Sincerely, David Hansen,MD