Removing a mole on my eyelid: I have a mole directly on my bottom eyelid that drives me crazy. (Photo)

Lower eyelid position is exquisitely sensitive to skin removal. The mole can be removed, but its important to properly assess skin excess and wound closure/tension. Discuss this case with an oculoplastic surgeon as they have the most experience with this specific type of problem.

Many lesions that are removed from the upper or lower eyelids can result in notching of the eyelids after it heals.  Any post-surgical deformity is important to avoid, and you should speak with a facial or oculoplastic surgeon that operates around the eyelids often.  That being said, the lesion from the picture could likely be removed safely.  It should be sent to a pathologist for review upon removal.

Lower eyelid skin requires special consideration when removing a skin lesion, as improper procedure can lead to abnormal appearance of lower eyelid.  Based on the photo the mole most likely can be removed with minimal scarring, of course only an in person evaluation can determine the best surgical approach.