Mole reduction not removal?

Question

I have a mole that I like very much. But it has recently gained some height, gained some in diameter and faded in color a bit. I just want it to be flatter, smaller in diameter and the color to remain the same. Is that at all possible? I have read about electrolysis reduction but that seems to fade the mole and oftentimes remove it all together. Could the mole perimeter possibly be cut away and the superficial flesh sliced? Thank you.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

When considering changes to a mole, it's crucial to prioritize safety and ensure that any alterations are medically appropriate.

Here are some key points to consider:

Medical Evaluation: Before considering any cosmetic changes, it's important to have the mole evaluated by a dermatologist. Changes in size, color, or height can sometimes indicate underlying issues, including potential malignancy. A dermatologist can perform a thorough examination and may recommend a biopsy to rule out skin cancer.

Cosmetic Reduction Options:

Shave Excision: This procedure involves shaving off the raised part of the mole to make it flatter. While this can reduce the height, it may not significantly alter the diameter or color.

Laser Treatment: Laser treatments can be used to reduce the size and height of certain moles. However, this method might also affect the color and could potentially remove the mole entirely.

Surgical Excision: For precise control over the mole's shape and size, a dermatologist or plastic surgeon could excise the mole and carefully suture the area. This method would remove the mole but might leave a small scar.

Electrolysis: As you mentioned, electrolysis can sometimes lighten the mole or remove it completely. It’s less commonly used for mole treatment and more frequently for hair removal.

Consultation with a Specialist: The best approach is to consult with a board-certified dermatologist or plastic surgeon who can discuss your cosmetic goals and recommend the safest, most effective treatment options.

Remember, any procedure comes with risks, and the primary goal should always be to ensure the mole is benign before focusing on cosmetic outcomes.

Mole reduction not removal?

Answers (2)

Recommended reading

Everything you need to know about Mole Removal

Our mission is to create a world where every investment in modern beauty is Worth It.

Mole reduction not removal?

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Mole Removal

Our mission is to create a world where every investment in modern beauty is Worth It.