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Mole Removal: Laser vs. Surgical Excision – What You Need to Know

Daniel Kim Views  

Once a mole develops, it usually does not shrink or disappear.
Once a mole develops, it usually does not shrink or disappear.

Moles are skin conditions that can be present from birth or acquired later in life. Once a mole appears, it rarely shrinks or disappears naturally. As the body grows, moles often increase in size.

Protruding moles raised above the skin can become larger and more noticeable over time, leading to cosmetic concerns. Moles located on the eyes, nose, cheeks, lips, or chin are particularly conspicuous and may cause women inconvenience when applying makeup.

There are several options for removing protruding moles, each requiring careful consideration. The most common method is laser treatment, which is relatively simple. However, if the procedure is performed too aggressively, it may cause scarring or pigmentation issues, requiring delicate and precise application. Though rare, there is a potential risk of mole cells changing, including malignant transformation.

Laser treatment may not completely remove the mole in one session, meaning multiple treatments might be necessary, extending the treatment period to several months. As the number of sessions increases, so do the costs, which can become a financial burden.

According to Dr. Jeon Young Woo, Director of Baekjeong Plastic Surgery Clinic in South Korea, laser treatment can improve the dark pigmentation of a protruding mole. However, it may sometimes cause the mole to become even more raised, leading to concerns about worsening protrusion. He cautioned that additional sessions might exacerbate the issue if a mole becomes increasingly raised after laser treatment.

Surgical excision may be a better option for deep-rooted and significantly protruding moles. This procedure involves removing the entire mole down to its root in the dermis. Simply shaving off the raised portion carries a risk of recurrence, so a complete excision down to the dermal layer is recommended for permanent removal.

Dr. Jeon stated that unless the mole is extremely large, it can be removed quickly and cleanly in a single surgery, with no risk of recurrence. However, since the procedure involves cutting and suturing the skin, it will leave a scar. Over time, the scar fades and becomes less noticeable, and after about six months, it can be concealed with basic makeup.

Some people may find surgical mole removal unfamiliar, but the surgical removal of congenital nevi in children is quite common. Many individuals who have experienced pain or pigmentation issues with laser treatment or have heard positive feedback from others opt for surgical excision instead.

Dr. Jeon explained that to minimize scarring, the incision should follow the body’s natural skin folds, and a meticulous three-layer micro-suturing technique should be used to ensure the wound heals appropriately without widening the scar. He emphasized that choosing a highly experienced surgeon skilled in fine suturing and scar management is crucial for safe and effective mole removal.

Daniel Kim
content@viewusglobal.com

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