Question

Laser treatment for "fleshy" facial mole removal

I have two "fleshy" moles on my face, and I've heard that laser procedure can remove them. I have been to two doctors; and one wanted to "shave" them off, the other wants to have them "cut". I'm confused--which of these techniques should I choose? Since it's my face, I don't want to risk getting the wrong procedure.


Asked by: reneeja
baldwin new york

Answers (2)

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1
November 19, 2008

2 surgical ways to remove a mole

Anne Marie McNeill, MD
Anne Marie McNeill, MD
Board Certified
Dermatologist

In general, dermatologists surgically remove moles in one of two ways, shaving or cutting.

Shave excision, or tangential excision, is fast, easy, and leaves almost no mark.  It involves using a scalpel blade horizontal to the skin and shaving 'the top' off of the mole.  Generally, a scab will form for about 10days after this procedure, and then the mole appears to be gone.  The trouble is, sometimes the mole recurs, as the 'roots' are still underneath the skin.  Sometimes it doesn't recur at all, sometimes 10 years later, and sometimes a few months later.  I would say at least half of the time, the mole does not recur.  If it does recur, you could have it shaved off again, or have it 'cut' out.

To 'cut' out a mole usually refers to the method of cutting with the scalpel vertically into the skin to remove the whole depth of the mole, and suturing the sides together.  This can be done with a minimal scar, but depending on the location and size of the mole, sometimes the scar is more noticeable.  Done this way, the mole almost never recurs, given that it is removed in entirety.

I don't usually laser moles since it is safest to biopsy any mole that is removed and that can't be done if it is lasered off.  Also either method of surgical removal usually gives an excellent cosmetic result.

2
November 19, 2008

It's the surgeon's expertise

There are indeed many ways of removing skin tags (the type of moles you describe). I suspect shaving them off and cutting them refers to similar procedures. Semantics, really.

'Cold' cutting using bipolar radiofrequency technology works great for delicate areas. Ablative resurfacing lasers (both CO2 and Erbium) will leave cosmetically excellent results too. I also know surgeons who will use a scalpel and electrocautery with excellent results.

This is one area I can tell you for sure will depend more on the operators expertise more than the technology being used.

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