How would I go about getting my small dark flat mole removed off my nose without too much scarring? (Photo)

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

Punch grafting where the mole is cut out and replaced with normal skin from behind the ear followed by 1-2 sessions of light dermabrasions to blend the borders tend to give the best results. Cost is roughly $500. Sincerely, David Hansen,MD

You have a small
flat spot on your nose that you do not like. The first thing that needs to be
done is to have this evaluated by a board-certified dermatologist to determine
what we are dealing with. Is it a mole? Is it a lentigo or a keratosis of some
sort? Dermatologists can assess the best and then determine a treatment option
that is least invasive.



I would never
recommend an elliptical excision here – too big of a scar for such a small
lesion. You could do a superficial shave excision and use a proper wound
healing hydrocolloid dressing to help the area heal, all with minimal scarring
in skilled hands. Or you can use a punch excision, small, with one suture, and
treat any remaining scar later with silicone gel or lasers.



Speaking of lasers,
that also would not be my first choice – you need tissue for the pathologist,
something you cannot get when a laser is used.

This mole should be easily removed with an elliptical incision, however the trade-off is a small linear scar.  There are multiple treatments to diminish the appearance of scars, such as silicone gel and dermabrasion.  In general, the face and nose tend to heal with better scars than other areas.  If the mole is something that bothers your, you should seek consultation with a board certified plastic surgeon or dermatologist in your area to discuss your options for removal.

This is a difficult area because there are no places to 'hide' scars. These small dark moles usually do not respond completely to any sort of laser treatment and are best served completely removed. You will be trading the pigmented area for a small scar, but the trade off may be worth it for you. I would likely use a very small punch biopsy which would just require one suture to close. I would always recommend an in person examination prior to giving any final recommendations. Best of luck

A Board Certified Plastic Surgeon is what I would recommend to remove the mole from your nose.  He or she will discuss your options.