Wondering which procedure would be best for mole reduction? (photo)

Mole removal options are all based on whether a mole is likely benign or malignant. There are many options to remove moles without scars; but in some cases surgery is required when a biopsy is needed. Non-surgical options can minimize scars. Treatment can be performed under local anesthesia in an outpatient setting. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

I recommend getting an in-person evaluation with a board-certified cosmetic dermatologist to determine the best option for you. Moles can be removed with a laser, radiowave or shave. If there is any scarring or pigmentation following the removal, your dermatologist can treat those conditions as well. See an expert. Best, Dr. Emer

You need to see an expert in cosmetic mole removal who is experienced in removing growths from the face. There is always a risk for scar, recurrence, pigment changes (darker/lighter/red) in the area treated, and possible need for additional procedures. But an expert should be able to remove that mole with minimal scarring and an appearance more pleasing than currently. Importantly, my patients find that if the mole area becomes flat, rather than raised, even a small scar is a remarkable improvement overall. Always you need to be diligent about avoiding the sun / proper use of sunblock for about 6 months after removal for the best results.  Your mole requires a surgeon, not laser or freezing or any other method if you want the best outcome. 
Please seek out a board certified, fellowship trained Oculofacial Plastic Surgeon or other doctor with extensive expertise in cosmetic facial mole/growth removal.  I have had patients travel from around the country to have me treat them for this kind of challenging removal - especially after they were turned away by dermatologists, general plastic surgeons, and family doctors. My coordinators can conveniently arrange such a visit.  I have removed thousands of moles from around people's faces throughout my career and each presents its own challenges, risks for scar, etc. You can review my photos to explore your options -- all my results shown are unretouched, unphotoshopped photos!
Best of luck in your search.
Damon B. Chandler, MD
Harvard-Penn Trained Oculofacial Plastic Surgeon

Facial moles can be safely and easily removed by one of two methods: a shave excision or an excision with suture closure. A dermatologic surgeon typically does both procedures expertly and can decide which would be best for your particular mole. A shave excision is a procedure where the mole is actually "shaved off" at a level just below the surface of the skin. The other method is an excision with suture closure which uses both dissolving and non-dissolving sutures to give the best cosmetic result. All methods of surgery will leave a scar but the trick is to minimize the scar using the proper technique.