I'm 18 yrs old, Permanent Removal Options for Hairy Nevus Birthmark? (photo)

If you desire removal, a full thickness excision with scar improvement techniques would suffice in the treatment. Raffy Karamanoukian Los Angeles

I would recommend you see a plastic surgeon for the options to remove the hairy nevus. It can be removed, but has to be removed full thickness and that will leave a scar on your cheek. Unfortunately the long axis of the nevus is vertically oriented which would put the scar against the natural lines of the face. I may recommend a serial excision , i.e multiple small excisions fron=m the center  to make it smaller and thus the final scar will be smaller.

Your birthmark is not too deep to excise. In fact, it can easily be permanently removed by doing a full thickness skin excision. The area is then sutured using both dissolving and non-dissolving sutures to give the best cosmetic result. All methods of surgery will leave a scar but the trick is to minimize the scar using the proper technique. Contrary to the advice given below from a plastic surgeon suggesting you only see a plastic surgeon, I recommend you look for a physician who is very experienced in cosmetic surgery and with whom you are comfortable.