Flat mole removal - how can I treat the remaining scars? (Photos)

Question

I recently have two flat moles removed from my forehead using laser. They have left large dark spots and haven’t faded a bit even after using biocorneum. What can I do?

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

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. It’s common for flat mole removal—especially on the forehead—to leave behind post-inflammatory hyperpigmentation, and this can take months to fade. If the dark spots aren’t improving with silicone gel, you may benefit from treatments that specifically target pigment. Pico laser is often one of the most effective options because it breaks up excess melanin with very short pulses of energy while minimizing heat, which lowers the risk of further discoloration. Most people need a series of sessions spaced weeks apart, and results tend to improve gradually. In the meantime, strict sun protection is essential, since UV exposure can make the dark spots darker and slow progress.

Anna Chacon, MD, FAAD · Answer

Hi! Thanks for sharing your concerns and photos. It’s common to see dark spots or discoloration after laser removal of flat moles, especially on the forehead, because the skin there is thinner and more sun-exposed. Here are some options to help improve the appearance of these spots:

Topical treatments: Ingredients like niacinamide, vitamin C, or hydroquinone (if tolerated) can help fade post-inflammatory hyperpigmentation over time.

Sun protection: Daily SPF is essential. Sun exposure can make dark spots darker and slow fading.

Laser or light therapies: Targeted pigment lasers or non-ablative fractional lasers can help reduce dark spots and improve skin texture.

Microneedling with PRP or serums: This can stimulate collagen and promote even skin tone.

Patience: Post-laser discoloration can take several months to fade, depending on skin type and depth of pigmentation.

Consistency and protecting the area from the sun are key. While some spots may lighten on their own, combining sun protection with targeted treatments can significantly improve appearance over time.

Flat mole removal - how can I treat the remaining scars? (Photos)

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