Your photos shows a small/medium mole on the region between your eyebrows (glabella). It appear to be benign and is most likely a nevus or keratosis of some type. After a proper exam, I would likely recommend a shave type excision and cautery to the base of the lesion. Removal of growths from the face should not be significantly painful -- there are a few moments of discomfort when a numbing injection is applied -- after that you should feel almost nothing -- and no significant pain afterwards. The growth can be sent to pathology to be certain it is not dangerous in any way. I believe it can be removed beautifully, but you have to be realistic that there may always be some discoloration (redness perhaps) or irregularity in the area after it is removed. Many doctors perform mole removals, but your mole is in a key spot in the middle of your face. You don't want to end up with a large divot, scar or hole once its removed. Be sure to pick an expert with specific training in this specific type of facial cosmetic surgery. I remove moles like yours from people's faces routinely and many patients travel to me from great distances when they have been turned away by others. It would be easy to coordinate a trip from New York to my office. Medical insurance does not cover to have these sorts of moles removed. Whatever you decide, I would recommend an in-person consultation with a board-certified, fellowship-trained Oculofacial Plastic Surgeon or Dermatologist with extensive experience in cosmetic face mole removals. Good luck to you! Damon B. Chandler, MD Harvard-Penn Trained Oculofacial Plastic Surgeon