Removal of the mole

Moles, known medically as nevi, are clusters of pigmented cells that can appear in a variety of colors, shapes and sizes, but usually they appear as small, dark brown spots. People usually have about 30 moles. Moles can appear anywhere, but most of them appear in the first twenty years of our lives. Sun exposure and heredity may influence the development of atypical moles. Most moles are harmless, and do not cause any problems during our life, but some types can become a health risk. A mole removal may help reduce the possible health risk and it can also help people who are bothered by the noticeable moles.

The surgery

There are two primary methods to remove moles: excision with stitches (cutting) and excision with cauterization (a tool is used to burn away the mole). Laser can also be used to remove moles, but it cannot be used to treat deep moles, because the laser light doesn't penetrate deeply enough.

The procedure is done under local anaesthesia. In case of removal with cutting without stitches (shave excision), the surgeon uses a scalpel to shave the mole off flush or slightly below the level of skin. Then he or she can cauterize (burn) the area with an electrical instrument or place a solution on the area to stop bleeding. Then a topical antibiotic is placed on the wound and finally it is covered with a bandage.

In case of removal by cutting with stitches (excisional surgery) the surgeon uses a scalpel to cut the mole and also a border surrounding it. The surgeon decides the exact size of the border after considering possible chances of precancer or cancer for the mole. If the cut is deep, the surgeon uses absorbable stitches.

After surgery

After the surgery a layer of antibiotic salve and a bandage is applied on the wound. Patients are advised to clean the wound once or twice a day, then apply the antibiotic salve and bandage until the wound is healed.

Complications and risks

Every surgery presents some complications and risks. The most common complications include: bruising, swelling, bleeding, blood clotting, infection, scarring and negative reaction to anaesthesia.

The most common complications after a mole removal are scarring, infection and nerve damage. Scars usually fade with time, but if you want to remove a mole for cosmetic reasons, consult your surgeon before making the decision about the type and location of the scar.

You can avoid most complications by choosing the right cosmetic surgeon and following pre- and postoperative instructions.

TIME OF STAY

7 days