Hello all I have a flesh coloured mole on my nose (Picture attached). A platician told me it's impossible to remove it because if he does a fusiform opening when he'll close the borders, my nostril will probably go a little bit up as the skin is not really flexible here. My derms (who il also specialized in surgery) told me he can either remove it (full excision) or shave it. Who is right ? If it's shaved it will probably reoccurs but is it a matter of days or years ?
December 29, 2012
Answer: Flesh colored moles on the nose are best shaved flat in most cases.
Since your mole is flesh colored, shaving it flat and having the edges curretted to blend into the surrounding skin is probably your best option since it will look like nothing was ever there and it is a 50-50 shot whether it will ever grow back and if it does, then it usually takes 5-10 yrs and can be shaved flat again at that time. Excision won't raise your nostril since there is enough skin stretch back that will prevent that because the skin is elastic but you will have a little scar. Dermabrasion of the scar will help blend it though and should be done at the time of excision and again 4 months later for best results. Sincerely,
David Hansen,MD
Helpful
December 29, 2012
Answer: Flesh colored moles on the nose are best shaved flat in most cases.
Since your mole is flesh colored, shaving it flat and having the edges curretted to blend into the surrounding skin is probably your best option since it will look like nothing was ever there and it is a 50-50 shot whether it will ever grow back and if it does, then it usually takes 5-10 yrs and can be shaved flat again at that time. Excision won't raise your nostril since there is enough skin stretch back that will prevent that because the skin is elastic but you will have a little scar. Dermabrasion of the scar will help blend it though and should be done at the time of excision and again 4 months later for best results. Sincerely,
David Hansen,MD
Helpful
December 28, 2012
Answer: Your mole can be removed with minimal scarring
The direction of the scar and how it is excised will make the difference in how good your nose will look after. If the mole is removed with the understanding of basic plastic surgery principles and techniques it is quite possible to get a good result. Sometimes a simple full thickness and cleverly oriented excision, will achieve the best result. An experienced board certified plastic surgeon can likely properly advise you of your options.
Helpful
December 28, 2012
Answer: Your mole can be removed with minimal scarring
The direction of the scar and how it is excised will make the difference in how good your nose will look after. If the mole is removed with the understanding of basic plastic surgery principles and techniques it is quite possible to get a good result. Sometimes a simple full thickness and cleverly oriented excision, will achieve the best result. An experienced board certified plastic surgeon can likely properly advise you of your options.
Helpful