Raised Mole Removal, Which Procedure is Best, and What Results Should I Expect?

If the mole is flesh colored then shaving it flat leaves almost no scarring.  Since your mole is raised and dark, it is better to have it excised and do expect a scar but the scar is better looking than the mole.  A couple of superfical dermabrasions will help fade the scar much better as well. Cost is roughly $350-500 under local.  Sincerely,

David Hansen,MD

There is no best way but much of it depends on what kind of scar you are willing to trade removal for.  As mentioned, you can shave it off but this doesn't remove it completely and it can grow back.  You can excised it (recommended if hair grows out of it so you can get the follicle) and closure can be done in a linear manner leaving a line in the skin or purse-string manner where you will usually have a flat circular scar that smoothens out over time.  The purse-string is nice because you are not excising any extra skin and if you really hate the scar, then you can have an elliptical exision and linear closure.  My patients love it for its simplicity and for the result.

A careful cosmetic excision and suture of this mole will give you the best results.  If you have oily skin this is a risk that the oil will ooze into the wound and delay the healing.  I have seen this phenomenon a few times in the past 20 years.  Usually a careful cosmetic excision of a nevus in this location does very well.