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Usually there is just a small numbing shot which will make the area numb in seconds. After the shot there should not be any more pain. I have done many of these procedures and have not had anyone feel that pain was an issue.
There are a variety of methods that can be used to treat a mole, depending on the location and characteristics of the mole. There are several different types of doctors who could potentially treat a mole. These would be facial plastic surgeons, plastic surgeons, or dermatologists. There is usually minimal pain involved with removing a mole and the cost will vary by doctor.
A mole removal done by a shave excision is the most common way this is done. The area is numbed with a tiny bit of lidocaine. You will feel a tiny pin prick, and then nothing else. The mole is then shaved off with a small instrument. If necessary, the piece is then sent to a lab for review. If you follow good postcare instructions there will be a minimal mark left behind - but postcare is key! A single shave mole removal is usually $200 or so, also dependent on lab fees if that's needed. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."