I had a non cancerous mole removed on my nose 2 to 3 years ago. The dermatologist cut it off and at first, it was a light spot almost blending in with my skin but then it turned back to being black. Now it seems I have the same black mole on my nose, its just that it's no longer raised. Is there any way I can get that removed? Should i go to a dermatologist or plastic surgeon?
April 20, 2009
Answer: Either From your history I suspect that your dermatologist performed a shave excision. In this procedure the scalpel blade is cut parallel to the skin surface. Oftentimes, there are still nevus cells below the surface. With sun exposure (and certainly the nose would get this), these nevus cells are activitated to produce melanin which caused the black color to return. An excision can be done in which the pigmented area is cut into deeply and the whole mole is taken out. If this mole is less than 4 mm. the average dermatologist should be able to excise this quite nicely. Larger than this I would recommend a dermatologist whose practice emphasizes skin surgery or a plastic surgeon whose practice emphasizes skin surgery. Also, make sure the specimen is sent off to pathology, preferably to the same path lab that read your original biopsy. They would have much easier access to the original material. Good luck.
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April 20, 2009
Answer: Either From your history I suspect that your dermatologist performed a shave excision. In this procedure the scalpel blade is cut parallel to the skin surface. Oftentimes, there are still nevus cells below the surface. With sun exposure (and certainly the nose would get this), these nevus cells are activitated to produce melanin which caused the black color to return. An excision can be done in which the pigmented area is cut into deeply and the whole mole is taken out. If this mole is less than 4 mm. the average dermatologist should be able to excise this quite nicely. Larger than this I would recommend a dermatologist whose practice emphasizes skin surgery or a plastic surgeon whose practice emphasizes skin surgery. Also, make sure the specimen is sent off to pathology, preferably to the same path lab that read your original biopsy. They would have much easier access to the original material. Good luck.
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