Type of mole removal for slightly raised facial mole?

Tags:woman age 25-34 midface mole excision

Type of mole removal for slightly raised facial mole, submitted image.

Small mole on right cheek; should I shave it or extract it entirely? Will it grow again if shaved by the doctor? It's not that I hate it, but I would certainly want it removed.


F, 29, Nevada

First and foremost, it is extremely important that you avoid any of the various forms of snake oil being sold on the Internet. These include so-called home remedies like castor oil, apple cider vinegar, hydrogen peroxide, baking soda, tea tree oil, etc.

But it is also important to avoid laser mole removal on the face, or any method that removes mole tissue, without allowing for a lab to confirm it’s not a malignant melanoma (skin cancer).

The easiest way to find out which technique will be best for you is to schedule a consultation with a qualified, experienced dermatologist who ideally specializes in mole removal.

Complete excision is the best method. Removing moles through complete removal provides the best potential for accurate diagnosis. Treating a facial mole through shaving or “scalpel sculpting” has an extremely high recurrence rate. If the mole is simply shaved it may grow back.

Another factor that should be considered is the possibility that there is skin cancer. By using the shaving technique the doctor risks leaving behind a malignant portion of the mole.

There will be a facial mole removal scar if you choose to go with complete removal, but avoiding skin cancer is reason enough to have the entire mole removed.

The best method of facial mole removal is shaving it through a method called scalpel sculpting. This technique does not require deep incisions and avoids the need for stitches. Moreover, while all procedures involving incisions inevitably entail some level of scarring, the scalpel sculpting method of face mole removal has a much lower incidence of scarring when compared to other facial mole removal surgery techniques.

Scalpel sculpting is a straightforward procedure. First, local anesthesia is applied to the area beneath the mole. The dermatologist, facial plastic surgeon or plastic surgeon then uses a scalpel to remove the part of the mole that stands out from the surface of the skin. The mole should be flush with the rest of the skin surface after facial mole removal with scalpel sculpting.

The portion of the mole that has been removed is then sent to a lab to make sure it isn’t malignant.

After the procedure the surrounding skin will generate fresh cells to heal the wound, which should take about a week or two. In the meantime, patients are advised to apply ointment and a bandage while the wound heals.

Since most skin moles have a root beneath the skin’s surface, there is a chance that the mole will recur. However, this can be easily treated.

Scalpel sculpting is also preferable in terms of cost. The cost of facial mole removal can be higher with other techniques.

This does not appear to be an outgrowth, so it's best in my experience to excise them and not shave them, which would leave a depression.

If you want this mole removed, you likely be most satisfied if it is cut out entirely and closed as an ellipse. Of course, you are trading a mole for a scar, so you need to really weigh the pros and cons!

If you shave it, it may grow back. Direct excision will likely leave you with a small, linear scar - but then you won't have to worry about it again.

Thank you for sharing your question.  If the mole is shaved, it will most likely grow back, and you will have a circular scar.  If you have the mole excised entirely, the scar will look like a fine line.  You wouldn't have to worry about it growing back if you decide to have it removed entirely.  Your best bet is to have a Board Certified Plastic Surgeon remove it.  I hope this was helpful to you. 

Best Wishes, Dr. B. 

Any removal that involves cutting will leave some type of scar. Shaving the mole will leave it flat, but the pigment will most likely still be there. If the mole is excised you will have a straight line scar. If you're willing to accept an incision line instead of the mole, then you might be a good candidate for removal.

-Lauren, Patient Coordinator