What is the best procedure for a scarless mole removal?

I have two unaesthetic moles on my forehead and cheek but I am afraid to remove them because of the scarring. I really want to remove them but being in such a sensitive location I am inclined to leave them alone. What kind of procedure do you recommend that is most appropriate for not leaving scars?

antonywo

M, 36, Kentucky

Tags:forehead mole scarring excision removal

I think the first order of business is to book a consultation with a doctor and have the mole examined to ensure that it is not cancerous. If analysis reveals that it is a melanoma then you will need to have the mole removed surgically via excision, and the surrounding skin may need to be removed as well.

In the likely event that the mole is benign, there are a few different mole removal techniques that your surgeon may suggest, depending on the size and depth of the mole, as well as its anatomic location and your specific skin type. If the mole is raised and relatively light in color, your surgeon may opt to shave it. This is a simple procedure that involves using a sharp razor to shave the mole. Your doctor may also use an electrode along the edges of the shave site to reduce the visibility of any scarring.

If the mole is flat or heavily-pigmented, it’s likely that your doctor will recommend an excision. This type of mole removal procedure involves cutting out the mole and closing the incision with multiple layers of sutures that dissolve over time. Your surgeon may also use dermabrasion to reduce scarring. You may be left with a small, pink scar that will fade over time and become less noticeable. The vast majority of people find the resulting minor scar to be more aesthetically pleasing than the mole, but this is subjective and ultimately comes down to individual preferences.

After the procedure, your doctor will advise you on what you can do to aid the recovery process and reduce the risk of scarring. This may involve avoiding exposure to the sun and applying a silicone cream to the surrounding skin to promote healing. I urge you to schedule a consultation with an experienced dermatologist to find out more.

The answer depends on the type of mole.  Only certain mole will not leave a scar when they are "shaved" off, but any removal that involves cutting and/or sewing will create some type of incision and/or scar.  If your dermatologist does not think the moles need to be removed, then you might be better off leaving them alone.  if you're willing to accept an incision line instead of the mole, then you might be a good candidate for removal.

Either way, you will have to first speak with a dermatologist about medical need for removal, then make your mind up about your cosmetic concerns.

Hi Antonywo,

Unfortunately there is no magical, scarless removal. Any removal that involves cutting will leave some type of scar. Shaving the moles will leave them 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


Hi antonywo

There is no magical "scarless" way to perform surgery, which is imho the best way to get rid of the moles.  If removed by a skillful (plastic) surgeon, the scar should be barely noticeable, and certainly less so than the mole.

Obviously, you need to decide which bothers you more- the mole or a fine line white scar.  The only caveat I would mention is that you must be sure that the mole is a mole and not a cancer.  Obviously, if a cancer, get it off right away.

Regards,

Sek

Hello and nice to meet you.  I appreciate the time you are spending researching this procedure.  My name is Dr. Matthew J. Nykiel.  I am a Board Certified Plastic Surgeon, a Fellowship Trained Cosmetic Surgeon, and a Cosmetic Surgeon Specialist.


Any type of removal will create a mole.  The goal is to minimize the scar in hopes to make it minimally perceptible.

I hope that helps!  Please reach for an appointment in our office at 909-291-4900.  Best of Luck!


Matthew J. Nykiel, MD

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