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To remove a mole or a skin tag we require a free in person consultation with a physician to determine the best excision technique for your situation and to determine if a biopsy is needed.
Moles, also called nevi, are dark spots or irregularities found in the skin. They come in various shapes and sizes. Moles can appear anywhere on the skin and can be found in clusters by themselves. They can be present at birth or develop over time. Many patients choose to have their skin moles removed as a precautionary measure, or because they dislike the appearance. For those who want their moles removed for cosmetic reasons, surgical and laser removal are both good options.
Your well being is our main concern.Generally, moles that increase in size, change color, have irregular edges, or are associated with bleeding will be examined by our Cascade physician during your free consultation. Benefits, risks, and alternatives of each procedure to remove moles will be discussed during this time as well. Suspicious moles will be sent for pathology to determine if they are benign (not cancerous) or malignant (cancerous).
During your consultation we will discuss with you what technique is going to be best for you. There are three methods used for surgical mole removal: shave excision, punch biopsy, and excision surgery. All excision instruments used are surgical and sterile.
Shave Excision — If the mole is flat or has deeper roots in the skin, removal may leave an indentation. With this technique, the skin heals from the edges. This may take several weeks.
Full Excision — the mole and adjacent skin are removed along with a portion of the underlying subcutaneous skin tissue. The skin edges are then sutured to approximate the skin. This technique will leave a small surgical incision line.
Laser Treatments — lasers are for benign moles only because we are unable to submit a mole specimen to the lab for testing. Laser mole removal is best for moles that are flat, and have a black or brown color. Full removal of the mole usually requires more than one treatment. Generally, laser mole removal is not appropriate for moles that are raised above the skin.
*Sometimes any scarring that remains from the mole removal excision can then be minimized even more with our laser treatment for discolored skin.
Before the procedure, the area is cleaned and injected with a local anesthetic (often lidocaine) into the tissue surrounding the mole. This numbs the area for about an hour so you don't feel the mole being excised. The procedure itself is quick and a topical hemostatic is used to stop bleeding. Average procedure time is about 15-20 minutes.
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