Can You Remove a Raised Mole from Your Lip with Minimal Scarring? (photo)

Certainly, a history of keloid formation raises concern about performing any procedure anywhere on the skin

As a rule, the more deep the cut, the greater the likelihood of scar development. However, in general, a shave removal of a mole, which entails sculpting the lesion off flush with the surface of the lip, i.e. quite superficially, poses a more minimal risk for  scar development. The border of the red portion of the lip and the white portion may exhibit a little scar, which is likely to be far less visible and cosmetically problematic than the mole itself.

The additional advantage of sculpting the lesion off in this fashion, rather than lasering, cauterizing, or freezing is that the projecting bulk of the mole can be sent to the dermatopathology laboratory to determine under the microscope that it is completely benign. i would not recommend the use of any destructive modality that doesn't not leave a specimen that can be sent to the lab. 

Over the years, I have personally removed moles and treated other even more common problems, such as venous lakes, from the lips with excellent cosmesis, and can attest to the value of this approach in treating lip growths.  

can be removed safely and with minimal risk (but cannot guarantee no scar) for offensive scarring.  It is almost a certainty the resultant scar will be more acceptable than the mole.  You should see your local plastic surgeon for options and pick what would work best for you.