How Should I Go About Getting my Mole on my Nose Removed? (photo)

You have several options when removing facial moles. In this case, shaving the mole flat and curretting the edges will be a 1st step. After it heals, then lightly freezing with liquid nitrogen a couple of times to lighten up the remaining dark freckle-looking base would be nice. Another option is to excise the mole, dermabrade the edges to blend it with the surrounding skin and suture it closed using multiple layers. This is then followed up with another dermabrasion in 6-12 weeks to polish it off. A 3rd method is to excise it and do a punch graft from behind the ear filling in the hole and dermabrading the edges initially and again in 6-12 weeks. All these are done with only a pin prick needed for anesthesia and should give nice results. Sincerely,

David Hansen,MD

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

From the photo provided, it is difficult to know whether the mole is raised or flat.  Because of the location, being on the nose, it may be best to have the mole treated with a shave excision and possibly lasered.  I would encourage you to have the mole sent to pathology as well. 

The best way to remove a mole is physically cutting it out and surgeons call it an excision. You can also use a laser to remove it. There is a decision making process that I go through to determine what is best but the cut off is whether the mole is greater or lesser than 4mm in diameter. Sometimes it is where it is located that is more important. I would suggest excision for you.

I am sorry that the dermatologist did not feel comfortable removing the mole. Based on the picture, removing this mole isn't very technically difficult and many dermatologists can take care of this for you. If you prefer a plastic surgeon, they can remove it as well. But it can be removed and the mark left behind will be very minimal.  It is very important that whomever removes the mole sends it to the dermatopathologist to be checked under the microscope. Good luck. If you want this mole off, it can come off with great cosmetic results!

From the appearance of the mole in your picture, I believe a "shave excision" would give you the best cosmetic result. Depending on their size and location, facial moles can be easily removed by one of two methods. One is a "shave excision" where the mole is actually "shaved off" at a level just below the surface of the skin. The other is an excision with suture closure which uses both dissolving and non-dissolving sutures Dermatologic surgeons, not plastic surgeons, typically do both procedures expertly and can decide which would be best for your particular mole. All methods of surgery will leave a scar but the trick is to minimize the scar using the best technique.