What is the process of removing a mole from the skin?

Mole removal from the skin is the process of surgically (cutting) or ablative (burning) removal of brown or other colored skin lesions that appear different from the body’s normal skin color and are sometimes raised from the skin.

How to remove a mole? What methods are used? (Mole removal methods, mole removal techniques)

The most commonly used technique for mole removal is the excision + primary repair technique. With this technique, the surgeon makes an incision around the mole to be treated under local (regional) or general (anesthesia) anesthesia and removes the mole, including its base. Afterwards, the bleeding is stopped and the wound is closed with stitches. The benefit of this method is that the removed part can be sent to pathology and it can be determined whether it is a benign or malignant mole.

As an alternative, ablative methods can also be used in mole removal operations. In this method, I use direct radiofrequency (RF), plasma It is burned with devices such as pen and CO2 laser. After burning, the upper skin is wiped and the deeper part is burned again if necessary. A burnt crater, like a cigarette burn, remains in the burned area. This burned area will heal on its own. Antibiotic and restorative creams are applied during the healing process. Since this method does not pose risks such as stitch removal, stitch scars, or stitch opening, it is especially preferred for small and protruding lesions. However, the burned mole cannot be sent for pathological examination, skin cancer may be overlooked.

How long does mole removal surgery take?

the mole removal process may take seconds for polypoid moles such as “skin tags ” , it may take up to 30 minutes for subcutaneous moles that have a sebaceous gland component. On average, it takes about 5-10 minutes to remove a mole.

Is removing a mole a painful procedure?

Since the mole is anesthetized with local or general anesthesia during the mole removal process, there is no pain, but if the patient is awake, he or she may feel the pulling. But it doesn’t hurt. After the procedure, painkillers are prescribed. If these pills are used before the numbness wears off, there will be no serious pain after the procedure. There may be a slight sting, like when we cut our fingers on paper .

How is the recovery process after mole removal? How long can it take? Can I return to work immediately after nevus (mole) excision (removal)?

If the mole was burned using an ablative method after the mole was removed, wound healing time; Shape it according to the diameter of the wound and factors related to the patient (age, health status, smoking, blood supply of the operated area). For example, if a 3-4 mm mole on the face of a young, healthy person is burned, cauterized or ablated, it is expected to heal within 7-10 days. However, the wound on the foot of an 80-year-old individual suffering from heart failure or asthma with a diameter of 3-4 cm may take months to heal and may require additional treatments.

Under normal circumstances, a mole wound removed from the facial area and stitched will result in the skin boiling within 5-10 days. Generally, facial stitches are removed within 5-7 days and scar removal creams are recommended ( such as cepa extract, silicone gel , +50 SPF sunscreen, etc.). However, this process depends on the person’s general health condition, age, additional diseases, the area where the procedure is performed, and smoking. may vary depending on factors such as wound tension. Many factors , especially wounds that are tautly stitched, wounds in very active areas (e.g. around the mouth), wounds that remain wet (e.g. armpit area – sweating), wounds that become infected, wounds of diabetic patients, can cause the stitches to open and the healing time to extend. . People with high blood pressure may experience oozing bleeding in the first few days after the procedure, and blood may accumulate in the wound. While applying pressure and applying cold compresses is normally sufficient to stop bleeding, it may be necessary to contact the surgeon and have additional interventions performed in case of bleeding that does not stop.

After an average mole removal procedure, there will be edema and swelling in the first 2 days, bruising may sometimes occur, the stitches will be removed within 7-10 days and the bruises will disappear. Within 1-2 months, the scar gradually changes from purple to pink and becomes less noticeable. If there are subcutaneous stitches in the first 6 months, the body can throw them out (the body spits out stitches), if there is tension on the skin in the first 1 year, the stitch scar may expand or narrow if an ablative procedure is performed, and it becomes full skin color between 6-18 months. It is important to protect from the sun during this process.

You can return to work 2 days after the procedure. If you are working in heavy work rather than at a desk job, we recommend that you return after 1 week. No matter what work you do, we recommend protecting the surgical area from trauma for 6 months.

Does removing a mole from the skin leave any scars? How can scars be reduced?

Any procedure that involves a full-thickness incision in the skin may leave more or less scars. While this scar may be indistinct, especially on thin and less stretched skin such as around the eyes, these scars may be very visible in areas where the skin is thick and tight, such as over the shoulder and between the breasts. Plastic Surgery specialists aim to minimize the scar by stitching techniques that reduce the tension of the wound, using superficial or subcutaneous stitches, depending on the location of the incision. For this purpose, stitches that will dissolve or be removed from the skin over time may be preferred. In small lesions, the procedure can be performed by performing shave excision, that is, shaving the lesion superficially , without any stitches. Or, if he is making a full-thickness incision, he may apply layers of stitches. He may try to prevent the incision from expanding during the healing process by placing separate stitches on the fascia , subcutaneous and skin.

What are the risks and possible complications of mole removal?

Mole removal process that is in the process of healing with Laser / Plasmapen

has nevus excision must understand and accept the general surgical risks. When a part of the body is cut and stitched, complications such as bleeding, infection, wound healing problems, scarring, and procedure-related pain may occur. These risks are risks that can be seen in all surgical procedures. Before performing the procedure, a consent form is filled out stating that you accept the risks and complications of mole removal.

Which types of moles can be removed from the skin?

Any type of mole can be removed from the skin. What is important here is the location, size and type of settlement. Moles that are located close to important structures ( such as the eye ), are larger than 5-10 mm in size, and have a high probability of being malignant require very meticulous planning and subsequent treatment management. Considered to be particularly malignant;

Border : Having irregular borders, indented)
Color : Having more than one color (such as light, dark red and brown tones),
Diameter : Having a diameter greater than 5 mm.
Evolution : Growing, changing shape, starting to bleed.

Moles that have these characteristics must be sent to pathology. Depending on the pathology result, additional treatments may be required.

The most common benign moles removed from the skin are skin tag , dermal nevus , melanocytic nevus , spitz nevus , solar lentigo , syringoma – milia , sebaroic keratosis .

The most common benign lesions removed from under the skin: Lipoma (oil gland), Sebaceous Cyst – Epidermoid cyst (oil cyst),

Malignant tumors most commonly removed from the skin: Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC), Malignant Melanoma is Merkel Cell Tumor …

Can a mole appear on the skin again after mole removal?

Recurrence of a mole after skin mole removal is not observed in more than 90% of patients. However, there is no reason why a mole should not appear in the same place or another place. Although we do not see it often in practice, a mole can appear anywhere on the body (including the place where a mole was previously removed).

What to expect after skin mole removal? What kind of results are obtained?

Mole removal from the skin can be done for two reasons. For cosmetic or medical purposes. You can get rid of the ugly and noticeable appearance of the mole for cosmetic purposes. In some cases, even minimal scars left after the procedure (mole removal surgery scars) can result in a much more beautiful appearance compared to the mole.

Especially if the affected person has a mole that causes wounds on himself or his children, which he constantly plays with his hands and scratches, it is recommended that they be removed both for the comfort of life and because the chance of constantly irritated lesions turning into malignant lesions in the future increases. Moles that are suspected to be malignant for medical purposes must be removed and sent to pathology. especially malignant Early diagnosis saves lives in skin cancers such as melanoma .

Which specialist should be consulted for mole removal?

Mole removal is performed by Plastic, Reconstructive and Aesthetic Surgery Specialists in all public institutions and most private hospitals. Dermatologists and other surgical physicians who are trained in this field also treat moles that are not found in visually important areas, such as the face . Applications made by unqualified people (application of black ointment , etc.). etc. ) can leave excessive scars and cause a delay in the diagnosis of malignant diseases.

How are the prices for skin mole removal determined? ( mole removal surgery prices, mole removal prices 2023)
Prices for skin mole removal are determined in accordance with the Mole Removal 2023 price list in Istanbul determined by the Chamber of Physicians. Fees range from 1 to 10 times the listed prices, depending on the number of procedures to be performed, type of anesthesia, pathology costs, size and popularity of the institutions, and patient volume. Please contact us for 2023 mole removal prices in our clinic.

How should skin care be done after mole removal?

After the mole is removed, wound care should be done until the wound heals. After the wound is healed and the stitches are removed, normal skin care can be done in addition to scar removal creams.

What steps should be followed to remove a mole from the skin?

To have a mole removed from the skin, you can go to the nearest Dermatology or Plastic, Reconstructive and Aesthetic Surgery Physician and be examined. (Best mole removal doctors)

When can I return to normal activities after mole removal?

The healing process after mole removal may vary depending on the area removed and the general health condition of the person. After removing a mole from the facial area, it is necessary to avoid actions that will increase blood pressure or strain the stitches for 1 week. This may be longer for the lower extremities (thighs, legs, feet). Once your stitches are removed, you can return to your normal activities. If your mole was removed using seamless ablative methods, you can return to your normal activities after 4-5 days, provided that you do not neglect your wound care.

Of course, specific questions and concerns may arise based on a person’s unique situation and preferences. It is important to consult with a qualified dermatologist or plastic surgeon to address your personal concerns and receive information that is appropriate and accurate to your situation.