Understanding mole removal
Most moles are harmless. A small number need closer assessment, particularly if they have changed in size, shape or colour, become itchy or bled, or look different from your other moles.
Removal technique depends on the mole. Raised moles often suit radiofrequency or shave removal; deeper or suspicious lesions are excised so tissue can be sent for histopathology.
Any procedure that removes tissue leaves some mark. On the face the aim is a small, flat, pale mark that continues to fade over months, and technique is chosen accordingly.
This may suit you if
- Raised moles catching on clothing, razors or jewellery
- Moles that are cosmetically bothersome
- Lesions needing assessment because they have changed
What happens at the clinic
- 1
Examination
Each lesion is examined, with dermoscopy where helpful, to decide whether removal is appropriate and by which method.
- 2
Consent and anaesthesia
The expected mark and healing are explained, consent is taken, and local anaesthetic is given.
- 3
Removal
Radiofrequency, shave or excision is used as planned. Excised tissue is sent for histopathology where indicated.
- 4
Healing and review
Wound care is explained and a review is arranged, including to discuss any histopathology result.
Aftercare
- Keep the treated area clean and dry as instructed
- Apply the prescribed ointment and dressing until healed
- Do not pick or scratch scabs
- Use sun protection on the healed area to reduce marking
Possible side effects
- A residual flat mark or, less commonly, a raised scar
- Temporary pigment change around the treated area
- Recurrence of the mole if removed superficially
- Infection — uncommon with proper wound care
