Options for Removing a Flat Mole on my Eyelid?

Scalpel Sculpting is the use of a scalpel to literally "sculpt" a growth (moles, keratoses, warts, etc.) off the skin flush with the surface of the surrounding skin. The procedure usually takes under five minutes and performed following the injection of a small amount local anesthesia instilled directly under the growth to numb the area. With smaller lesions, this procedure alone is often sufficient to achieve gratifying results and to obtain enough of the surface portion of the growth to send off as a biopsy (just to be a 1000% sure that we are not dealing with a skin malignancy masquerading as a benign  growth--as occasionally may happen). The procedure requires no deep cutting nor stitches.

In my over thirty years of experience, larger pigmented growths (those around the size of a pencil eraser--as this appears to be) often leave a rim of pigmented tissue after scalpel sculpting. Here's where dermaplaning comes in. Dermaplaning is the use of the edge of the scalpel blade--held at an angle--to "scrape" or "sand" away any remaining protrusion or rim of pigmented tissue. The result: a flat wound that heals with temporary crust formation and ultimately fades down to normal or near normal skin color as tissue from the surrounding normal skin grows in to cover and resurface the treated area. 

I would highly recommend that you see a board certified facial plastic surgeon or an oculoplastic surgeon for an evaluation and possible treatment.

I would excise the mole and dermabrade the edges to give the best cosmetic results.  Cost is estimated at $500 under local anesthesia with no down time and is easy to undergo.  Sincerely,

David Hansen,MD

First, the mole" from this picture looks like a "seborrheic keratosis", which is a benign growth that sits on the surface of the skin and does not require a deep excision. The diagnosis can usually easily be made by a dermatologist. If it's a melanocytic mole, a deeper excision would be required

An excision could make some changes to your eyelid if done incorrectly. The best way to lay the excision would be perpendicular to the eyelid. It could also affect your eyebrow.  laser excision could limit the area but the mole could come back. Then it would require another lasering to remove again. This is something to think about.