“Mole spotting” FAQ

  1.Can this mole be removed?
  For doctors, there is no technical problem to remove a mole, regardless of its size and location. So, usually my answer is: there is no question of whether it can go or not, only the question of whether you want to go or not!
  2.Is laser or surgery better?
  There are advantages and disadvantages to laser and surgical mole removal. Laser treatment is simpler and less expensive, but for some large moles, it basically cannot be removed at one time, and if repeated laser treatment is done five or six times or more, there is a risk of stimulating the moles to become malignant. Surgical treatment usually removes it completely at one time, and you can do a pathological examination after cutting it off, but the cost will be higher and the surgery will be more troublesome!
  3. So, doctor, do you think this mole should be lasered off or cut off surgically?
  Large, high-risk moles are recommended to be removed by direct surgery, while small moles, usually less than 2mm in diameter, can usually be removed by simple laser, and some larger moles in special areas can be considered to be removed by laser first.
  4.Which one is better than laser, potion or freezing?
  Potion (acid) or liquid nitrogen freezing, while removing moles, can cause much more damage to the normal tissue around the mole than laser. In other words, the unnecessary damage caused by laser is much less than that caused by the potion or freezing to remove the same size of mole! Therefore the final scar left behind will also be smaller. Therefore, potions as well as freezing are simpler and cheaper, and are usually used more in some poorly equipped salons and clinics, however, laser will be better!
  5.Will it leave scars?
  If you choose to remove moles surgically, you will definitely leave scars. The vast majority of laser mole removal will leave scars, depending on the depth of the mole. The deeper the “root”, the more obvious the scar will be, while individual moles that are very superficial will not leave scars after healing. As for the specific depth of each mole, even an experienced doctor cannot determine it with the naked eye alone, so it is better not to pursue this issue ……
  6.But the beauty salon people say that they don’t leave scars after spotting?
  Oh ……
  7.What does the scar look like?
  When the scab fades after mole removal, it is usually a slightly depressed pink scar, and within 3-6 months, the color will change from light to dark and then light again, instead of a deep pit (depending on the depth of the mole), it will also gradually flatten out. Usually, after 6-12 months, the wound will eventually stabilize as a “small white spot” that is slightly lighter than the surrounding skin tone. It will not look as conspicuous as the “little black spot” before the mole! Sometimes it is not even visible as a scar (this is probably what some people mean by not leaving a scar).
  8.Can I have a relapse after laser treatment?
  Sometimes laser mole removal can recur, so it is best not to repeatedly stimulate with the laser. If the mole still recurs after two or three lasers, regardless of the size, you can consider surgery to remove it.
  9.What issues should I pay attention to after mole removal?
  Don’t pick off the scab, protect it and wait for it to fall off naturally
  Do not touch water before the scab falls off
  If the doctor prescribes medicine, apply it on time according to the doctor’s prescription
  Do not use cosmetics until the scabs fall off
  Comparison of three kinds of mole removal methods
  From the former commonly used “mole washing” to the current mainstream laser mole removal, there are more and more means, but also more people can not decide. In fact, different moles are suitable for different methods of removal, what are the advantages and disadvantages of each of the three common methods of mole removal?
  Chemical cautery method
  Explanation: There are potion “mole washing” and liquid nitrogen “mole freezing”. The so-called “mole water” is actually used to corrode the skin with medicinal water to make the skin tissue of the mole necrotic and then fall off. Liquid nitrogen mole removal is also similar to the principle of “cauterization”, in which liquid nitrogen is hit on the mole and the skin tissue then necroses and falls off.
  Advantages and disadvantages: These two methods are relatively inexpensive, but they do not work immediately and the recovery time is long, with the wound taking 1-3 weeks to heal after crusting. What’s more, it is difficult to grasp the depth of the “chemical burning” method. If the mole is shallow, it will not be removed cleanly and may grow back after a while, and if it is deep, it will easily leave pits and scars, which will become more unsightly.
  Laser vaporization method
  Explanation: Using high laser energy, the melanocytes of moles are disintegrated and vaporized, and are broken into pieces and formed into powder, thus achieving the effect of mole removal.
  Advantages and disadvantages: It is simple, quick effect, and the tissue is taken off after the laser vaporizes the mole tissue when doing laser, its controllability is strong, and it can accurately judge the treatment depth and observe whether there is any mole tissue left, the disadvantage is that there are pits after treatment. And for moles with very deep pigment cells, laser mole removal may still have residue, and since it is impossible to judge clearly with the naked eye 100%, there is a possibility of recurrence.
  Guidance: Moles that are not weight-bearing or friction areas (such as soles, toes, palms, nail beds, neck, and perineum) can usually be removed by laser.
  Surgical excision method
  Explanation: The mole is removed in a pike shape and then stitched up.
  Advantages and disadvantages: To say what method can uproot a mole, surgery is the most guaranteed. However, when it comes to surgery, many people are psychologically afraid, worrying that the traumatic surface will be bigger and there is a risk of infection. For people with scars, there is also the risk of scar growth. Generally, moles are multiple, small in size and large in number, so surgery is a big deal and always leaves a small scar. However, for moles in special areas, i.e. weight-bearing or friction areas (such as soles, toes, palms, nail beds, neck, etc.), because most of the moles in these areas are junctional moles with potential malignancy, it is better to remove them completely through surgery, and pathological tissue examination can be done to determine the nature. If there is malignant lesion, it can be detected early and get treatment early.
  Guidance: Moles in weight-bearing or friction areas such as the palms of hands, feet, nail beds, and the back of the neck near the collar have the risk of malignant transformation, and using laser may stimulate malignant transformation, so surgery is best to get rid of them. In addition, moles larger than 1 cm in diameter are also suitable for surgical excision, otherwise the wound heals slowly after laser and may easily leave scars.