Shave the Mole or Remove It All by a Plastic Surgeon? (photo)

A scar becomes noticeable if it...

     1. heals a different color than the surrounding skin

     2. becomes wide during the healing process

     3. becomes raised or"hypertrophic" during the healing process

These three features can be minimized by using basic plastic surgery principals which deal with each of these issues at the time of the mole excision.

When I perform mole removal I take into account the location, skin type and  skin tension in the area of the mole to best plan the most cosmetic way to remove the lesion.  Your moles appear to be removable with minimal scarring using these techniques but a proper examination is needed to be certain.

I have removed similar moles to yours and have before and after pictures on the link included below.

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

It may be a good option to have the mole completely surgically excised.  The incision will be along the nasolabial fold so it will blend in nicely.  

Your mole will most likely look the best with an excision with dermabrasion of the edges and a couple of tiny sutures followed by a light dermabrasion of the scar about 6 weeks later.  Sincerely,

David Hansen,MD

You just have to make sure that you are choosing the right doctor. You will have the right intuition. Your doctor should care about your results.  Laser removal is another option but you will have more variable healing. But the benefit is that with the laser the removal is concentrated on just the mole and doesn't have to be twice as long as the width of the mole. Below is a video to illustate our answer better.