What methods are there to remove my mole? (photo)
Doctor Answers 2
Methods to remove a benign papular name us (mole).
From the photo supplied, this is a benign papular naevus or mole. It is pigmented and hairy as described. The initial treatment of choice is that of a shave excision with histology to confirm its nature as the standard quality control. It had previously been considered that if a mole such as yours was so dark and hairy that the only way of getting rid of it is by an elliptical excision technique, which will always leave a scar 3-4 times longer than the diameter of the mole. If this is well executed and you heal well, this can be very satisfactory. But, if the healing and orientation of the scar are less than ideal, this may not be so. I would recommend you read a paper published in the British Journal of Plastic Surgery from 1996 on the very topic of shave excision of moles like yours. In this paper, it is shown that by using the shave excision technique, even in dark and hairy moles, the cosmetic outcomes are excellent in most cases. From recollection only about 25% of hairy moles came back hairy and about the same for pigmented ones, too. In about 60% of cases from memory, there was no obvious scar visible at 6 months post surgery either. For me, in my practice, I would always shave excise first, confirm histology, and await the healing process that follows. If it does not heal ideally, you can always proceed to an elliptical excision later (almost never necessary in my practice: <1:1000 patients). The choice is yours. Good luck with taking this forward.