Not all moles need to be removed for medical reasons. Occasionally patients may have moles on their bodies that may look unsightly and take away symmetry. Dr. Khorasani always evaluates a mole first to ensure a benign nature. Once it is determined that the mole is completely benign, the patient is scheduled for removal. Depending on the location and type of mole being removed, Dr. Khorasani uses 3 modalities for mole removal.
- TrueSpot Co2 laser ablation: used for cosmetically sensitive locations such as the nose or eyelid
- Shave removal: used for removals on the trunk and extremities when cosmesis and recurrence are less concerning
- Excision: used in selected locations where scar can be hidden in skin tension lines and recurrence is a concern
TrueSpot is a continuous wave Co2 laser. It ablates the mole without leaving any collateral damage. The heat from the laser destroys the nevi cells deep in the skin but does not disturb the skin scaffold, which is a crucial part of the healing process. The procedure is performed with topical numbing cream and takes less than 5 minutes. The follow up care is minimal, with only Aquaphor® and a bandage for 3-7 days.
Since no sutures are used, patients may return to exercise routines immediately.
Shave removal is a minimally invasive technique used to remove superficial moles called junctional nevi. It has a higher chance of recurrence if used on moles that are deeper in the skin called intradermal nevus. The procedure is done under local anesthesia and takes under 5 minutes. The follow up care is minimal, with only Aquaphor® and a bandage for 3-7 days. Since no sutures are used, patients may return to exercise routines immediately.
Excision is reserved for larger and deeper moles called intradermal nevi. After numbing with local anesthesia, a scalpel is used to remove the mole all the way down to the subcutaneous layer. This ensures complete removal of the roots and therefore, has the least likely chance to recur. Sutures are placed along cosmetic skin tension lines and are removed in 1-2 weeks, depending on the site. The procedure is done under local anesthesia and takes under 25 minutes. The follow up care is minimal, with only steristrips for a week, and Aquaphor® and a bandage for a few days. Patients are encouraged to avoid exercise routines for a week.