How to Remove a Flat Mole on my Face? (photo)

I have two Flat Moles on my face that I like to remove or make less obvious. Is there procedure out there that can leave no scars? This is purley for cosmetic reasosn. I've seen youtube videos of lasers treating flat moles, but so far have not been able to find a Dermatologist or Plastic Surgeon that performs this procedure. Can you doctors help me to find out A) if this can be done?. B) an experienced doctor in Bay Area,CA?

Doctor Answers 7

Removing Facial Moles

These are small moles and if you want them removed please consult with a board-certified dermatologist or plastic surgeon and get several options on the best ways to do this. We would not recommend any type of laser procedure here — even to lighten them — as we do want to have pathologic diagnoses that these are in fact benign moles – which clinically from the picture they are.

In our office we would recommend either a punch excision or a shave excision — and keep the potential scars produced by these as small as possible. If there are any concerns following the procedures, a laser procedure can be done to minimize the scar.

But always remember, you are trading a mole for a scar.

Nashville Dermatologic Surgeon
4.0 out of 5 stars 18 reviews

How To Remove Flat Moles on the Face.

Dark flat moles can be burned lighter in color with lasers or electrofulguration and usually need 1-3 sessions but do look good in the end. They will always come back but may take yrs before that happens and then do it again. Another method is just excising them and closing up with a tiny suture so they won't ever come back again. Both are easy to do and essentually painless. Sincerely,

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 43 reviews

Removing Flat Moles on the Face

Best option is to surgically excise the two pigmented lesions and suture them closed. Trying to remove them by shave excision would cause a depressed scar and therefore would not be a good option. Removal by laser may be incomplete, leaving an atypically appearing pigmented area. Plus, removal by laser will not provide tissue for examination microscopically to confirm that the lesion is benign. Finally, anything that traumatizes the skin (e.g. surgery, laser, electrocautery, etc) can leave a scar. It may be a beautiful almost unnoticeable scar or it can be more visible. This is one of the risks associated with removal of the two moles. There are many excellent doctors in the bay area that can further discuss this with you and proceed further. Good luck.

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 16 reviews

Removing Flat Moles

First point, in my opinion, is that you should not have any flat dark mole lasered.   It's important to have a specimen to send to pathology to make sure that the mole is benign.  The last thing you want to do is have a melanoma blasted off your skin and not be aware of any spread that might be occurring.

Then, seek out a board certified dermatologist or plastic surgeon for evaluation. They can advise whether a shave or excisional biopsy would give you the best result.

Michael A. Greenberg, MD
Elk Grove Village Dermatologist
4.9 out of 5 stars 17 reviews

Removal of small lesions

The lesions should be removed and sent for pathology. Fine line scars will replace the lesions and these should fade over time.  Because of the proximity of the two lesions, surgery should be staged. I would not recommend punch biopsy under any circumstances as this could result in a cratered effect which would be aesthetically unpleasing.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Mole removal

I would recommend that you see a board certified plastic surgeon or dermatologist for an evaluation.  With a complete surgical excision, you would be trading in the mole for a scar. 

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Removing facial moles

Small facial nevi (moles) such as yours are quickly and easily removed in my office by one of two methods: a shave excision or using a punch biopsy. There is no such thing as "scar-less surgery" but the trick is to minimize the scar so it is hardly visible. I feel that it is never appropriate to use a laser as your primary treatment for removing a mole. Regardless of how "benign" a mole may appear, a biopsy may still reveal it to be atypical.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.