Can this lip freckle be removed? (Photo)

Thank you for your picture and questions! You could try a resurfacing laser such as an erbium laser first and see if it help. If the pigment is too deep however, you may need an excision to cut out the spot and sutures to close the incision. I recommend seeing a board certified plastic surgeon for a physical exam and to go over the options in person.

Thank you for your question and photograph. You should get this assessed again to make sure it is still non cancerous. The recommended treatment for this type of lesion or Lentigo is Nd: Yag 532nm, the area will be bright pink after and may take anywhere 1-2 weeks to fully heal. There is a possibility of a touch up treatment required if a light shadow is still left. Please make sure the lesion is assessed again before proceeding with treatment.
I hope this helps.
Regards,
Sheetal Sapra, MD, FRCPC

Thanks for your question.  If it has been a few years since your dermatology visit, and if they only took a partial biopsy of the lesion, you can't be sure it is still "non-cancerous" or benign.  I would recommend consultation with a board certified dermatologist who also is skilled in laser treatments, and first have them do a very good exam with a dermatoscope and if there are any concerning features, he or she will probably do a shave removal of the entire lesion to send to pathology for review.  If the pigment is fairly shallow, the  area will probably heal very nicely without stitches or a big excision.  I have had great success removing what we call "melanotic macules" of the lip and also shave removal of suspicious brown spots on the lip.  As long as it is not a concerning lesion to the pathologist or a melanoma, a shave removal will probably leave you with the best cosmetic outcome and you will be reassured it has not changed into a more dangerous spot.  Best of luck.