How to Minimize Scar After Mole Removal?

I have a mole on the side of my face, by my chin. I had it looked at, and been told it doesn't look cancerous. I really don't want a scar there. What is the best way to have it removed? I've been told cutting it out, shaving, etc. If I can't avoid scarring, is there anything I can do after mole removal to minimize it? Thank you.

Doctor Answers 15

Mole Removal- SCAR

I would highly advise you consult with a board certified plastic surgeon for best scarring results possible. A plastic surgeon will remove the mole completely and give you a small scar that will follow the natural curvature of the area and skin. Dermatix is a great silicone cream to apply to your scar once stitches are out and skin is healing. Be sure to follow your surgeons instruction pre and post surgery for best results.

How to Minimize Scar After Mole Removal?

Anytime a lesion is removed there will be a scar. Scars can be placed in ways that minimize how noticeable they are and you certainly can use products like scar gels to help minimize their appearance, but ultimately there is no way to remove something surgically without leaving some sort of mark. You have to decide whether you would rather have the mole or a scar where it once was. The only way to know for sure what your likely result will be is to book a consultation with a board-certified plastic surgeon near you. Best of luck!

Mathew A. Plant, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 18 reviews

Recommended method of mole removal

If the mole is small I suggest a superficial shave excision initially as this will likely give you the best result. Occasionally the result may not be optimal eg return of pigment or a small depressed or raised scar, this can then be treated by excision. You will always be left with a mark, the only advantage is that the result will in all likelihood look better than the original mole.

Sheetal Sapra, MD
Ontario Dermatologic Surgeon
3.5 out of 5 stars 5 reviews

Mole removal

If the mole is raised, it may be just fine to have it shaved.  If the pigment is deep, a complete surgical excision may be necessary.  Either way, it is very important to minimize sun exposure on the area as it heals. 

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 200 reviews

Mole removal

I almost always start with a shave removal when it comes to mole removal as it it least likely to leave a noticeable scar.  You can also have it later excised with stitches if the shave scar is undesirable.  Lasers can also be used to improve scarring and may be a great option.  The key though is to minimize the scar in the first place so good wound care after the removal is critical.

Shawn Allen, MD
Boulder Dermatologist
5.0 out of 5 stars 1 review

Scar after mole removal

After removing a facial mole, it is important to close the incision using a deep layer of stitches that dissolve over time and a superficial layer to bring the skin edges together just right.  The superficial stitches should be removed in 5 - 6 days.  Leaving them any longer can result in Frankenstein "rail road tracks".  After removal of the superficial stitches, the deep layer helps to maintain some strength of the wound so it does not break open. 

I always have my patients wear tape on their scars for 3 - 12 months after surgery.  The tape protects the scar from the sun (VERY IMPORTANT) and also provides a little pressure on the scar so the scar will flatten and fade ASAP.

No matter how careful the surgery and post op care is, some patients just scar a lot.  It is much more about their biology than the surgeon's skill.

I always tell my patients that they will be trading their mole for a small but permanent scar.  It's a trade off.

Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 63 reviews

Mole Removal

Mole removal is an individualized procedure and based on the following factors:

  • Anatomic location
  • Suspicion of precancerous or cancerous based on history and individual characterisitcs of the mole
  • Individual threshold for a scar

Find someone who specializes in removing moles from the face and they will be able to guide you on the best way of having a mole removed.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
5.0 out of 5 stars 122 reviews

Prefer Excision

This area, I feel, does best with a double layered closure after an excision. It is generally not as amenable to the shave biopsy technique as it might be in other places. It also ensures that the whole nevus (mole) has been extirpated.

After biopsy care should include a second skin type of dressing, the choice being up to the surgeon. I like scarguard MD to diminish the scar.

Do wear a sunscreen and oral zinc and Vitamin C may help healing.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.5 out of 5 stars 13 reviews

Minimize scarring after mole removal

Meticulous removal of the mole and suturing of the defect by a good board certified plastic surgeon is your best preventative measure.  Following removal of your sutures use of scar products such as Scar Guard, may help prevent the development of an unsightly scar.

F. True Lansden, MD
Key West Plastic Surgeon
5.0 out of 5 stars 3 reviews

Best way to remove a mole on the cheek.

Moles can be removed by shaving or excision.  I generally will excise a mole on the face unless it is very small because resulting mark is usually minimal.  Also, when a mole is "shaved" off, a remnant of the mole may remain in the skin and may become dark and/or may recur.  

Harry Goldin, MD
Skokie Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.