It is usually quite easy to remove moles surgically. Usually there is a trade involved - removing the mole in exchange for a small scar. If the mole is large and the scar will be less noticeable, then it is a good trade. If the mole is tiny, it may not be reasonable to get a small scar.
There are generally two ways to remove moles (nevi).
The most common method is to take the mole off flat with the skin after numbing with local anesthesia. Usually this method leaves an almost invisible or barely noticeable scar in place of the mole. Healing usually takes one to two weeks and the site may be pink or brown for several months but does fade and return to its original color.
Disadvantages to removing moles with this method include the possibility of it growing back in the future, but if that happens, the same procedure can be repeated with an excellent cosmetic result. Additionally hair follicles are not removed, so if the hair growing from the site is bothersome you have choices.
In some cases tweezing or cutting the hair is the easiest solution.
Other options include electrolysis of the hair or perhaps laser hair removal. If neither option is appealing, then there is another type of surgical removal of the mole.
This second method involves taking a small cookie-cutter like instrument that is approximately the same size as the mole and removing the entire mole. Prior to the procedure the area is numbed with local anesthesia.
The wound is then closed with sutures (stitches).
The disadvantage to this second method is that it leaves more of an obvious scar, but it also depends on the location of the mole. On some areas of the face and body, these scars can be easy to hide while other areas are quite difficult.
Your dermatologist can advise you on what would be the best option for you.
Most of the time you do not need a plastic surgeon to remove a mole unless it is in a particularly bad location.
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