Freezing did not work - What should be my next step in removing this mole? (Photo)

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

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. If freezing didn’t work to remove your facial mole, the next step is usually a minor in-office procedure that gives a more predictable result. I recommend shaving it off, which is called a shave excision. This method removes the raised portion of the mole at the skin’s surface, is quick, typically requires only local anesthetic, and often heals with minimal scarring.

Hi! Thank you for sharing your concerns and photo. I completely understand how frustrating and uncomfortable this must feel, especially after trying freezing and not seeing results.

Given that the mole is large, raised, and has grown over time—and that it can bleed and cause pain—freezing isn’t the most effective approach for this type of lesion. The next steps usually involve removal with a procedure that fully excises the mole, which allows complete removal and also ensures it can be sent for pathology if needed. Options can include:

Surgical excision: This removes the entire mole and can provide the best results for raised or large moles.

Shave removal or punch excision: Depending on the size, shape, and depth, sometimes these are appropriate.

It’s important that any mole that changes, bleeds, or causes discomfort be evaluated carefully before removal, and sending it for testing afterward is a good safety measure.