Mole removal is so easy. It takes a dermatologist less than a minute to remove a raised mole and, invariably, after the procedure, the patient says, “That’s all there is to it? I can’t believe I waited so many years to have that mole removed.” Moles can either be raised, which are the most common ones and what most people are referring to when they’re talking about moles, or they can be flat, but today, we’re just going to talk about removing raised moles.
Moles are a collection of a very large number of normal pigment cells called melanocytes and something that’s very special about raised moles is that, in addition to the portion of the mole that’s raised above the skin, there’s almost always an equal portion of the mole, an equal shape below the skin. Most people recognize moles as raised bumps on the skin, especially on the face. They can be skin-colored or they can have some brown or black color on the top. In addition, many moles have hairs in them. The reason that most people want to remove their moles is that they just don’t like the way they look. Most of these moles are acquired during life, not born with them, so when patients see them appearing newly on their face, they just don’t like them. But the good news is removing them is so easy. A little bit of local anesthesia is injected into the skin right underneath the mole, then a flat instrument shaped like a knife is used to literally slice the portion of the mole that’s raised off the surface of the skin and that portion of the removed mole is sent to the laboratory, not because it’s abnormal but everything that’s removed is sent to the laboratory for biopsy. This way, we never get surprises. It takes about a week for the surface where the mole was removed to heal, and it results in pink skin which then takes a couple of weeks for the pink color to fade. We get excellent, excellent cosmetic results with flat skin which is usually skin-colored which means there’s nothing to see where the mole was removed. On occasion, less than 10% of the time, when there’s color inside the mole, not just at the top, not just on the bottom, but if the color is right at the level of the skin where the mole was removed, then it’s possible to see some of that color back in the skin when the skin heals and, in that case, when the skin heals, it’s still flat but, instead of being skin-colored it can be dark-colored or whatever color the mole was. So, if you have moles that you’re not crazy about and that you’d like to have removed, see your dermatologist for fast, easy mole removal.
Hi Dr. Schultz,
Thanks for the episode on mole removal. I have lots of moles (face and body) and have often thought about having some of them removed.
I get checked for skin cancer 1 or 2 times a year, and some of the moles that have been removed (as a precaution) have left scarring. Is this because moles that are at a risk for cancer need to be removed below the surface as well?
If I decide to remove facial moles for cosmetic reasons, is there a risk of scarring? Can this risk be minimized?
Thanks for your help!