Indent After Punch Biopsy - Will It Fill In? (photo)

Post-surgical indentations following punch removals do tend to fill in with time, albeit slowly (taking up to six months sometimes to do so). However, in areas under tension, such as the tip of the nose, it is likely that a small divet may remain. For these reasons, I am not much of a fan of cutting and stitching for cosmetically removing moles.

Although removing moles by any method from the face is likely to leave a small scar, scalpel sculpting, which involves no deep cutting or stitches has, in my experience, proven quite successful for achieving gratifying aesthetic results while leaving little, or often barely perceptible, scars.

The technique, which I have been using for thirty years, involves "scultping the mole" off from the surrounding skin in a tangential fashion (i.e. not cutting deeply into the skin). Deep cutting will inevitably result in a scar, while superficial (horizontal) removal in this fashion largely avoids this. Elliptical and fusiform simply describe the resulting shape of a wound excision after cutting them out deeply and before the placement of the sutures.

Following scalpel sculpting, the borders of the mole can then be smoothed and blended with the surrounding normal skin by "dermaplaning," a technique by which the edge of the scalpel is used to delicately abrade the skin. Properly done, the entire procedure, performed under local anesthesia, takes no more than three to five minutes.  In most cases, the procedure is done at the time of the consultation.

 

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

You will heal well on this area, however it will still have a dint in it and it will still be red in 4 weeks time.  You should continue to massage the area and tape it to minimise the scarring.  Can massage with some silicon based cream or vitamin e oli or cream. Remember it is not the product you place on the scar but more the physcial massage which aids the scar breakdown.

Long term it will look good.

Stephen Salerno