Can’t tell if my mole is back or if this is a raised scar? (Photos)

It is difficult to determine whether the raised area is a scar or mole regrowth without a visual examination. However, if there is no brown pigment visible and the area gets red when irritated, it is less likely to be mole regrowth.

If you have already had three rounds of CO2 laser and the area keeps raising back up, it may be a sign that the laser is not effective in treating the area. It might be worthwhile to discuss alternative treatment options with your doctor, such as radiofrequency or a different type of laser. Your doctor can evaluate your condition and recommend the best course of action.

Silicone gel can be helpful in reducing the appearance of scars, but it is important to follow your doctor's instructions for use and application. Additionally, avoiding direct sun exposure and using sun protection can also help prevent further scarring.

Best of luck !

Mole removal begins with a comprehensive examination and consultation to determine the likelihood of a mole being worrisome. Excisional and incisional biopsies are reserved for suspicious moles. But it’s good news that most moles are not problematic and are only cosmetic, thus leading to the option of scarless or non-surgical mole removal with lasers and RF and plasma. Our office specializes in non-surgical mole removal.

Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Hello and thanks for your question. The problems with CO2 mole removal are that it will not completely remove a dermal lesion and it fails to provide the benefit of pathology. Without knowing the exact nature of the original lesion, it’s impossible to reassure you of its benign nature and it’s likely that there has been some recurrence. At this point, surgical excision is probably your best option if you and your dermatologist are not mutually comfortable watching it. I would not favor retreating with the CO2 laser.