Is it possible to remove this mole on my waterline without altering the waterline? (Photos)

Shaving the mole and electrofulgurating the base under local is easy and has a very nice cosmetic result without affecting the eyelid margins. Cost is roughly $750.  It would be well worth getting it done.

I recommend getting a formal evaluation with a cosmetic dermatologist. Moles can be removed with laser, radiowave or shave. There is always a chance of scar but this can be reduced with good technique and the right treatment choice.  Best, Dr. Eme

Thanks for your question and helpful photo.  This can definitely be removed, and as long as you are seeing a board certified dermatologist or facial plastic surgeon or oculoplastic surgeon, you will be in good safe hands.  This is a delicate area, but if it is removed with a simple shave technique and electrocautery of the base, it is unlikely to recur and will heal with a barely visible small scar.  Please see an expert, and best of luck!