Which type of sutures will create less of a scar on the skin’s surface, subcuticular (dissolvable) sutures without tying a knot or using a nylon suture where it will be removed later? How long should the suture be? Can it be cut right above the mole or does the length of the cut have to be 2.5 times the size of the mole which will leave me a 21mm scar? Can anyone explain the procedure for the best results so that the vermillion border is aligned?
Answers (1)
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If the lesion is raised, then a shave excision can be done. If flat, then a complete surgical excision of the lesion can be done. Either way, a scar will result. And either way, it should be sent to pathology prior to doing any laser procedure on the area.
I feel that it is never appropriate to use a laser as your primary treatment for removing a mole. Regardless of how "benign" a mole may appear, a biopsy may still reveal it to be atypical. There are many ways to surgically remove a mole with a minimal scar and have tissue to send for microscopic...
In this situation, it may be best to do a scar revision by completely surgically excising the scar and making a new incision. It is important to follow through with post-care as this will help the scar heal as best as possible.
