Why Wont Plastic Surgeon or Dermatologist Remove the Mole on the Tip of my Nose? (photo)

Frequently on the tip of the nose a mole can be removed by full thickness excision and leaving the wound open to heal by itself.  It seams unlikely but frequently scarring on the tip of the nose is better when the wound is left open to heal on its own than when it is sutured.  This is a well documented method of treatment and I have used it frequently to treat skin cancers as well as cosmetic mole removal.  Shaving the lesion will simple leave a scar the size of the mole removed.  Complete excision will likely leave a smaller scar than the mole that was removed because the wound will shrink during the healing process and likely leave a inconspicuous scar.  It is always good to consult with a specialist that has experience with this method of treatment, understands your skin type as well as knows what to do if you are unhappy with the scarring.

I would highly recommend that you see a board certified facial plastic surgeon for your concern.  Typically in this area, it may be better to do what is called a shave excision.  I would also recommend that the lesion be sent to pathology as well. 

Dark bumpy moles are usually excised but since yours is on the tip of the nose, it probably will look better by punch grafting skin into where the mole was and then dermabrading it initially and again 3 months later. Another option would be to shave the dark bump flat and either use liquid nitrogen or electrofulguration to lighten up the base once or twice. Sincerely,

David Hansen,MD