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

Question

Hello, I had a series of co2 laser mole removal done. 3 total. Every time the doctor told me he was taking the laser a tad deeper but didn’t want me to pit scar. Area keeps raising back up as soon as wound closes. No brown pigment is visible and it does get red when irritated unlike my mole. 1. Does this seem more like a raised scar keeps forming or mole regrowth. 2. Should I keep trying co2 laser or try a different approach like radio frequency/maybe different laser? I am using silicone.

Randal Haworth, MD, FACS · Answer

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 !

Raffy Karamanoukian, MD, FACS · Answer

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

Best,
Dr. Raffy Karamanoukian
Realself 100 Surgeon

Darice W. Fadeyi, MD · Answer

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.

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

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